Dr (Col) V K Wadia is a renowned medical doctor with 35 yrs of practice. His expertise in treatment of Sex Problems, and effective result oriented counselling in Marriage & Relationship has won many accolades.

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Phone No. (Delhi) 9891152777 9891192777


For patients unable to make a visit to the clinic personally, this option allows to obtain Sex & Relationship Counselling from Dr.Wadia over the Phone or Skype, and receive an opinion about possible treatment options.

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Premarital (before marriage) Counselling

Marriage is perhaps the most important mile-stone in a person’s life, and is many a times, referred in lighter vein as the biggest gamble. Whether man or woman, getting married often looks scary- and justifiably so because of the stakes involved. The implications are for generations to come, literally & metaphorically.  Marriage is an un-traversed path for the most. It is an enigma, a mystery. The marriage has many facets about which even educated people are not aware of, till they themselves cross the bridge; by when it may sometimes be too late.
Men are believed to be from Mars & women from Venus. Men & women inherently have diverse physical, emotional & sexual needs. They have different ways of thinking & perceiving. They tend to react differently to the same situation. They differ in accepting, expressing & exhibiting their emotions. They may have a different way of using or conveying even such simple words as ‘sorry’ or ‘thanks’. In sex too, women may attach more value to intimacy centered sex i.e. ‘foreplay & ‘afterplay’ while a man’s orientation is more towards genitalia centered sex i.e. ‘intreplay’. Unless men & women are conscience, or are made conscience of these variations, they become prone to misperception- the biggest spoilsport in married life. Premarital counselling is of utmost importance to sensitise them to these variations.

Since a healthy relationship is the cornerstone of a successful marriage, one of the most vital role played by counselling is defining/redefining the value of relationship. (Click on Sex & Relationship and Relationship Counselling to read the mantras of a healthy relationship to develop a deep insight into the intricacies of human relationship)

Premarital counselling further assumes importance especially in the Indian context since in our country, the marriages are not the unions of two individuals alone but the two families. Often, the families come from varied backgrounds, cultures, castes, customs, traditions, socio-economical status, and religious & societal values.

Awareness about the institution of marriage, selection of  medically & sexually compatible partner, knowledge of own & partner’s sexual anatomy (erogenous zones), each others’ physiology (sexual needs), menstruation, the 1st night, consummation of marriage, conception,  contraception, Emergency Contraception, inter-spouse communication (sexual/nonsexual, coital/noncoital, verbal/nonverbal), the art & science of ‘making love’, and preservation of marriage are must-know for all would-be brides & grooms, making premarital counselling indispensable.

The first step in Pre marital counselling is to make would-be grooms & brides understand the importance of institution of marriage & prepare themselves mentally for the marriage. They should be willing to change themselves & accommodate their partners in their spaces- both mental & physical.

Once mentally prepared, next step would be the selection of the suitable partner. More than the individual merits of the marrying partners, it is the compatibility between the two that needs to be assessed. It is often a difficult task, more so because at that point of time, would-be-spouses have the tendency to hide negative points & put their best-foot forwards. Latter becomes difficult to sustain all the time once they marry & live together.

Whether a love or an arranged marriage, or an arranged-cum-love marriage, it is not impossible to predict how partners are likely to relate with each other after marriage. Few of the many challenges that may catch them by surprise after marriage if they are not pre-prepared are whether they should honestly & completely share their pasts, how much personal spaces they ought to have within their shared space, how pleasing or irritating habits they perceive of each other, how are their respective values to various facets of life, what value they attach to institution of marriage etc. The career aspirations of spouses, the finances, the family ties, family obligations, bringing up of children, their schooling & careers, place of residence etc, constitute few of a host of factors which may make or mar a happy married life if due attention to these concerns had not been paid, prior to getting married.

Inter-caste, inter-religious or marriage with a foreigner, may increase the number of sticky wickets. Conception, contraception, family size, spacing of kids too play a big role.

With issues like gender equality, liberalization & opening up of society, women adopting equal responsibility as breadwinner, nuclear families, demanding lifestyle, extremely cut throat competitive world, stresses & strains of day-to-day life etc; the will & motivation to adjust &  accommodate has taken a fair beating leading to marriage crises & consequential separation.

To create awareness about likelihood of encountering all these eventualities & preparing selves to overcome these challenges, forms the mainstay of Premarital Counselling. So Counselling is not directed at forewarning & fore-arming a person but plays a vital role in selecting a compatible partner too.

It is important to understand that compatibility is not limited to only Mental/intellectual compatibility. True that without the mental compatibility, the two partners can never co-habit in harmony. However, Medical & Sexual compatibilities have come to become equally important since they too have far reaching implications.

Medical problems not only affect the individual health and makes individual a physical, mental & financial liability but in addition, may adversely influence the health of the children born out of the wedlock subsequently. The children may be transmitted what are grouped as hereditary diseases. The risk may compound if the marriage is insanguous (between close relatives). Ruling out diseases like Thalasaemia, hemophilia, sickle-cell anemia, certain strains of Hepatitis, HIV/AIDS, etc. is important. Factors like Rh grouping too have to be kept in mind. Multifactorial diseases like Heart diseasesObesity, Diabetes, Cancer and Arthritis too should not be lost sight of as their origin could be both- inherited as well as acquired.

It is always a good idea to rule out major problems related to sexual & reproductive health prior to tying the nuptial knot since women- with their changed role these days, have become almost as assertive as the men & can not (and rightly so) be taken for granted as was in the past. There are frequent instances where the partners- especially the women, are too eager to seek separation soon after marriage if the other partner is unable to provide sexual gratification or is infertile. Let sexual incompatibility be not the cause of marriage crises later in married life. Read Importance of sex and Chemistry of sex to know in detail about the relevance of sex & how to go about it.

In West, the would-be couples often sign a ‘Pre-nup’ before marriage. ‘Pre-nup’ is Pre-nupital Agreement between marrying partner that spells out the division of liabilities & assets if there is a divorce. This agreement has sanctity in the law of the Land & is binding on the two partners in the event, they decide to separate. ‘Pre-nups’ are drafted to safeguard the interests of both the partners in case marriage fails.

In conclusion, marriage is an important milestone- perhaps inevitable. One has to understand its place in life & be mentally geared up. One has to acquire the right perspective of marriage & arm oneself with the knowledge as to how to select a compatible partner. A person has to understand the challenges likely to be encountered after marriage, and the ways & means to overcome them to make the marriage successful. This is highly achievable with an efficient Premarital Counselling.

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Other Articles Written By Dr Wadia

Sexual Counselling

Sexual Counselling is directed at providing the right perspective of 'sex & sexuality'. While 'sex' implies the sexual interaction, 'sexuality' encompasses a host of factors but can be summed up in simplest words as 'Sexual Personality'. Read more about Sexual Counselling to get answers to many questions that arise related to sex.

Sexual Variants & Paraphilias

It is important to understand the difference between sexual variations & Paraphilias. Sexual variations are sex acts which are variations or deviations of normal sex only and are therefore normal. Paraphilias on the other hand constitute abnormal or Pathological sexual behavior. Read about Sexual Variants & Paraphilias to learn more.

Importance of Sex

Next to survival, the most primitive & primal human instinct is sex. Inevitable or not, sex and sexuality are important for overall personality & happiness.

Humans have not been blessed with the bliss of sex for Procreation alone. It is for Pleasure, Physical & Mental health, Emotional health & most importantly Intimacy between 2 loving partners. Some people equate sexual orgasm with Spiritual orgasm too. Read further about the importance & benefits of having a healthy sex life.

Chemistry of Sex

It is naively thought that sex is natural & inborn. It is not. While the urge for sex is natural & lies between ears (mind), the act of sex is learnt & lies between thighs (body). Sex is a behavior one learns by experience & through an appropriate understanding of the Chemistry of sex. Read about the Chemistry of Sex to develop true perspective of sex & hone your sexual skills.

Sexual Myths

Sexual myths are the most rampant myths after religious myths. Let not myths thrive on quacks & quacks thrive on myths. Read this article on Counselling for Sexual Myths to learn more.

Sex Therapy

Sex therapy is the structured science of treating the sex problems with the help of both, counselling & drugs. Know what sex therapy entails & how it works. Read more on Sex Therapy to learn about the role of the mind and body in sex, the commonest sex problems in men and women and more.

Relationship Counselling

The meaning of life is a 'meaningful relationship'. The relationship can not be taken for granted but needs working up all the time. Read more on Relationship Counselling to know the mantras of a healthy relationship to develop a deep insight into the intricacies of human relationship & minimize proneness to relationship crises.

Aging and Sex

Since time immemorial, ‘Aging and Sex’, has been a burning topic. It has acquired more significance in the present context as the average human life span has increased resulting in sizeable number of old age survivors. The advancement in medical sciences has further lent a hand in making people live not only longer, but healthier and active too. And the active lifestyle includes their sex life too. Read more about Aging and Sex.

Sex and Relationship

If ever there is a meaning to life, it is a meaningful relationship. Find some mool-mantras that can help you nurture such a relationship. Read more on Sex and Relationship.

Premarital Counselling

Marriage is perhaps the most important mile-stone in a person’s life, and is many a times, referred in lighter vein as the biggest gamble. Whether man or woman, getting married often looks scary- and justifiably so because of the stakes involved. Read further about Premarital Counselling to understand the importance of the institution of marriage & prepare mentally for the marriage.

Marriage Counselling

A marriage older than a week, has reasons for divorce. A stitch in time saves NINE. This stitch is the ‘Marital Counselling’. Counselling, timely received & acted upon, helps prevent marriage conflicts/discords altogether; or handle them efficiently & successfully if they do occur. Read further on what entails in Marriage Counselling.

Adoloscent Counselling

Sudden spurt in hormones in adolescence/teenagers results in rapid physical, sexual & emotional changes. The changes are so sudden & so rapid that most teenagers are caught off guard & find it difficult to cope up with them unless specifically counseled. Read more about the importance of Adolescent Counselling.