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Most of us our always worried sick about our performance in bed, but rather than worrying about it, we should try to invest emotionally in our relationship. Sex is supposed to be enjoyable, but it isn't always the case. If you are too preoccupied wondering about your physical appearance and your ability in bed, sex may make you feel more stressed than relaxed. This is known as sexual performance anxiety and can even get to a point where it makes you avoid sex altogether.
There may be many reasons for performance anxiety. Some of these are:
- Fear that you will not be able to satisfy your partner sexually
- Lack of self confidence and insecurity about your appearances
- Difficulties in your relationship
- The anxiety about not being able to have an orgasm
- A man's fear of premature ejaculation or taking too long to orgasm
Thus this type of anxiety is not rooted in any type of medical problem. Rather than medication, a change in thinking and perception is required to treat performance anxiety.
Here are a few tips that can help you:
- Fight stress: Stress in your daily life can spill over to your bedroom as well. This can make sex a chore rather than something to be enjoyed. Recognize your stress triggers and find ways to eliminate them. Regular exercise can be very helpful in reducing stress.
- Prolong foreplay: Sex does not have a time limit or there is need to follow a set of steps. Like any other activity, your body needs to 'warm up' for sex as well. Instead of putting pressure on yourself to control or release your orgasm, get into the flow of the moment and take it slow. Try getting intimate with your partner in ways that do not involve sex such as a massage or having a shower together.
Communicate with your partner: Talk to your partner about how you feel. Understand that it is not necessary to have an orgasm every time you have sex. Talking to your partner can help ease some of the anxiety and improve your relationship.
Talk to a therapist: Asking for help is not a bad thing or something you need to be ashamed of. Therapists are trained to teach you about how to be more comfortable with your sexuality and can help eliminate the triggers of sexual performance anxiety.
Give up control: Do not hold yourself responsible for your erections or your partner's orgasms. To a large extent sexual responsiveness is governed by the unconscious mind and hence worrying does nothing.
Ever wondered why you needed to share your family’s health history at a doctor’s clinic? Specific questions regarding health issues of your immediate family or close blood relatives give your doctor an insight into various health risks you might have now or in future. Those are medical conditions inherited by parents or grandparents through genes. Genes are passed from parents to children in DNA of eggs or sperms. Even a single mutation (fault) in gene can influence body systems and may lead to disorders. If any of the parents have a faulty gene, there are 50:50 chances of the child inheriting it.
Hereditary heart diseases are also a result of mutation in one or more genes and tend to run in families. Genes control almost all aspects of cardiovascular system including strengthening blood vessels, pumping capacity or communication of cells in the heart. A single genetic variation is enough to alter cardiovascular processes increasing the risk of developing a heart disease, attack or a stroke. Some of the most common hereditary cardiac disorders include; Arrhythmias, congenital heart diseases and cardiomyopathy. A family history of heart attack or stroke is also an established high-risk factor for the family members. High blood cholesterol, medically known as familial hypercholesterolemia also tends to run in families.
Unfortunately, many of these conditions cannot be prevented since they are acquired through genes. But there are many ways in which these could be managed before they become complicated or fatal.
Let’s look at some ways by which we can deal with hereditary heart diseases and increase a patient’s chances of survival:
Early Diagnosis And Treatment: When one person in the family is diagnosed with a heart disease, it is strongly advisable for other family members to go in for screening. An early diagnosis can help in better treatment and management of the disease and impacts positively on patients’ life. Medical screening of siblings is highly recommended in case a person suffers a sudden cardiac death especially at a young age.
Watch out for these symptoms at a young age: Abnormal heart rhythm, asthma that does not get better with inhaler, seizures that do not improve with medication, extreme fatigue or shortness of breath are warning signals and need immediate medical attention.
Genetic Testing: Family members may opt for genetic testing to check if they carried genes of an inherited disorder.
Genetic Counselling: Genetic counselling deals with problems like anxieties and fear of attacks, confusion over disease and emotional difficulties in accepting the situation.
We may not be able to change the family history but we can surely change our environment, lifestyle and habits. Eating healthy and following an active lifestyle does help in prevention and management of such diseases.
Diabetes is a chronic lifestyle disease that can affect any person at any age and at some level we all are aware about it. It is also characterized by the body’s inability to create or process insulin. Though it is a very common disease, there are a number of misconceptions and myths about it. Let’s take a closer look at some of these myths.
Myth1: Diabetics cannot eat sugar in any form
Fact: Diabetics do not necessarily have to live on a sugar-free diet. However, the amount of sugar being consumed needs to be highly regulated. Sugar is avoidable when the person’s blood sugar level is high but if the person has low blood sugar, a little sugar can help raise blood sugar to a normal level. A diabetic needs to have a well-balanced diet with plenty of fiber, fruits and vegetables and controlled amounts of carbohydrates, fats and sugar.
Myth2: Diabetes only affects obese people
Fact: The risk of diabetes is higher when it comes to overweight and obese people but this disease can affect thin people as well. A person’s family medical history, genetic makeup, age and ethnicity are other factors that could influence the risk of suffering from diabetes. Additionally, people living a sedentary lifestyle are more likely to suffer from diabetes.
Myth3: Diabetics need lots of rest and should not play sports
Fact: A number of well-known sportsmen are diabetic. Hence, there is no truth in the above statement. Regular exercise is a must for diabetics. This improves diabetes management and helps stabilize blood sugar levels. However, if you have been living a sedentary lifestyle, you cannot jump straight into high-intensity exercises. Let your body gradually get fitter and test your blood sugar half an hour before exercising as well as every half hour when exercising. This helps keep a check on your blood sugar levels. If you start feeling weak, take a break and have a light snack.
Myth4: Diabetics have to use insulin injections
Fact: There are two types of diabetes; type1 and type 2. People suffering from type 1 diabetes usually need insulin injections but people suffering from type 2 diabetes can usually manage the disease with medication. Paying attention to your diet, regular exercise and medication can also help reverse type 2 diabetes.
Myth5: Diabetes is communicable
Fact: Diabetes cannot spread from one person to another. Touching a diabetic or sharing food with them will not make another person diabetic as well. Diabetes can only be passed on genetically from parents to a child. Even in this case, the disease itself is not transferable. The child will only have a higher risk of developing diabetes. Thus, it is not necessary for a child born to diabetic parents to suffer from the disease as well.
Chronic kidney disease is categorized under various stages and your doctor will periodically assess the severity of kidney damage. Thankfully, the good news is that kidney disease progresses slowly and early detection will help to deter further complications.
How stages of Chronic Kidney Disease are Determined?
The stages are determined by glomerular filtration rate or GFR that measures kidney function. The glomerular filtration rate is a calculation that estimates how well the blood is filtered by the kidneys. It is usually calculated using a formula that takes into account the individual’s age, gender, race and serum creatinine levels. The lower the GFR, the worse the kidney function and more the damage.
Five Stages of Chronic Kidney Disease
The National Kidney Foundation has created a guideline for nephrologists to help identify the severity of kidney damage and provide the right care accordingly. Each stage calls for different tests and treatments:
|Stage||Description||GFR||What Can Be Done|
|Stage 1||Early kidney damage||90 or above||The exact cause of the kidney disease will be determined by your doctor. Your blood pressure and sugar levels are to be constantly watched out for. Opt for a kidney-friendly diet.|
|Stage 2||Mild kidney damage||60 to 89||Continuously monitor your condition and check how quickly the disease is progressing. Manage high blood pressure and diabetes.|
|Stage 3||Moderate kidney damage||30 to 59||Any complications like anemia, bone disease will be checked and treatment will be administered by your doctor|
|Stage 4||Greater kidney damage||15 to 29||Continue treatment and monitoring. If you are progressing towards kidney failure, consult the best treatment options you have based on your condition|
|Stage 5||Kidney failure||Below 15||Start dialysis, consider kidney transplant and choose the right treatment|
How is Chronic Kidney Disease Treated?
The first step is to determine the cause of the disease and then take the right measures to alleviate it. In most cases diabetes and high blood pressure are the prime reasons. So, simple lifestyle changes can help to prevent the progression of the disease and reduce your symptoms. Here’s what you can do:
- Follow a diet that is easy on your kidneys: Watch your protein and sodium intake. Drink the right amount of fluids and incorporate super foods that will not deter your kidney function
- Weight Management: Make exercise a routine part and find the right exercise program that works for you. The more active you are, the lesser health problems you will have
- Avoid tobacco, smoking and alcohol
The first four stages of chronic disease focus on preserving the kidney function for as long as possible. The stages will help you analyze where you stand and what can be done to prevent kidney failure.