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Dr. Manonmani

Gynaecologist, Bangalore

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Dr. Manonmani Gynaecologist, Bangalore
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
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Dr. Manonmani is a renowned Gynaecologist in Malleshwaram, Bangalore. Doctor is currently practising at North Side Manipal Hospital in Malleshwaram, Bangalore. Book an appointment online with Dr. Manonmani and consult privately on Lybrate.com.

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North Side Manipal Hospital

#71, 11th Main, Malleshwaram, Landmark : Opposite to Malleshwaram Railway Station.Bangalore Get Directions
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Medico Legal Aspect of Sex Therapy

MD-Dermatology, MBBS
Sexologist, Pune
Medico Legal Aspect of Sex Therapy

 

Medico legal aspects of sex therapy

Introduction

Sex and human sexuality are sensitive subject. To deal effectively with any problem of human sexuality, one has to constantly evaluate its merits and demerits from social, scientific, moral, ethical and most importantly from the legal angle. Following are some of the guidelines for therapist to keep in mind while dealing with clients with sexual problems.

Consent

Taking informed and expressed consent is of utmost importance while managing any patient. Examining and / or treating a patient without consent would amount to assault and battery which is punishable under criminal law irrespective of absence of negligence or successful outcome of treatment. The consent should be free willed, informed, intelligent, specific and express. Person giving consent should be competent to do so, failing which, consent should be obtained from the lawful guardian of the patient (in cases of minor and/or mentally retarded).

Examinition of a female client

Besides obtaining a valid consent, in case of female patient, the therapist should always have a female assistant present when examining a female patient this is important for the therapist in order to protect himself from a possible charge of indecent behaviour molestation or even sexual offence like rape ect. Being llevelled against him. Mere presence of husband or any male companion of the female patient is not enough. A sex therapist, in particular, is most vulnerable and therefore should be most careful.

Use of surrogate partners

Use of surrogate partners for sex therapy is questionable both ethically as well as legally. Sexual involvement of the therapist is universally accepted as unethical. There have been a number of cases where the therapists themselves, having acted as surrogates, have been punished for sexual molestion of their patients. It may also invite a criminal charge of adultery in some countries, including india. There are cases on record where the therapists have been charged with and convicted of rape.

Unlike some other countries, the socio cultural set up in india is different. The laws governing sexual behaviour are neither liberal nor evolved as much as in some of the western countries. Besides, surrogacy is likened to prostitution by many. Even if one were to consider surrogate partner as a therapist, then the ethical code prevents a sexual relationship with a client. Moreover, there is every possibility of a disease being transmitted. Particularly the hiv infection, in view of sex with multiple partners by a surrogate person.

Therapist should have uppermost in mind the special values of intimacy and love that our culture teaches us to nurture.

Professional competency

It is the ethical responsibility of every sex therapist to maintain high standards of professional competence and integrity. Competence without integrity or integrity without competence is an unsatisfactory compromise of professionalism. It is most important to protect the public and the other professionals from persons who represent themselves as sex therapists who are in fact lacking in competence and intergrity.

Competence in another primary discipline such as psychology, psychiatry or counselling is not equivalent to competence in sex therapy.

A sex therapist should possess adequate knowledge of the following:

 

1. Sexual and reproductive anatomy and physiology.

2. Developmental sexuality from a psychobiological point of view.

3. Marital, family and interpersonal relationship and socio-cultural factors in sexual values

4. Physiological and medical factors that may influence sexual functions such as pregnancy, contraception and fertility, illness, disability, medications.

5. Multimodel techniques and theory of sex therapy and psychotherapy.

6. Pharmacology of the medications used to treat sexual dysfunctions particularly with respect to their adverse effects and interactions with the drugs being consumed for other ailments.

7. Ethical issues in sex therapy and principles of evaluation and referral.

8. Laws related to sexual behaviour.

 

 

Points to bear in mind

 

all forms of sex therapy which violate the local laws should be handled with care recommending oral sex as a part of therapy is violative of section 377 of the indian penal code which deal with unnatural sexual offences.

the hippocratic oath forbids the physician to take advantage of the therapeutic context in order to engage in either homosexual or heterosexual relationship.

it is a universal rule that whenever dealing with reproductive functions is involved, express consent of both the spouses should be obtained.

proof of competence is the ability to provide objective and responsible services to the clients.

there does exist a potential liability under the laws of the land prohibiting consensual conduct such as prostitution, fornication, lewd and lascivious behaviour and adultery which might arise from therapeutic or non- therapeutic sex research activities.

sex between therapist and client is always unethical. No matter how therapeutic the rationale might appear, there is no justification for a therapist having sex with a client. The purpose of sex therapy is to improve function, not to change values or beliefs of the client.

2 people found this helpful

Respected sir/madam, is it possible to miscarriage over 3 months pregnancy when it was confirmed repeatedly after hearing of fetal heart beat periodically and the patient having with no symptom like lower abdominal pain, bleeding, body ache etc? as because the patient was going to check up with her fetal stays to discuss about any malignancy regarding down syndrome but unfortunately it was suggests that no heart beat was found leading to miscarriage without showing any symptoms. Please refer the possible cause.

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
Yes, that is not an uncommon problem, though very unfortunate. There are carious causes like genetic defect, blood problems like thrombophilia, uterine diseases (diseases of uterus/ cervix), hormonal problems, infections etc. We have to diagnose the cause and then can start treatment. Please remember even after 6 repeated miscarriage, the chance of having successful delivery at term in next pregnancy is 50%. So, we can keep hope.
1 person found this helpful
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I am 42 years old. I have 12 mm fibroid in my uterus. Excessive bleeding. Is this the right time ģto get operated. If Dr. remove my uterus can I also get my ovaries removed. Becoz now a days ovarian cancer is very popular. Sue their is any other alternative for operation.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Kolkata
I am 42 years old. I have 12 mm fibroid in my uterus. Excessive bleeding. Is this the right time ģto get operated. If...
If ultrasound shows 12 mm fibroid is towards the inner lining of the uterus it can be removed by hysteroscope. If it is towards the outer surface of the uterus, it can be removed by laparoscopy. This is provided there is only one fibroid. Hysterectomy will not be necessary and ovaries can be conserved if you don't have family history of uterus, ovary or breast cancer.
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Dear sir/mam, my frnd is 26 year old and he did unprotected sex with a women (may be prostitute). He did this mistake first time in their life. He did sex for 20 seconds to 30 seconds and ejaculate. And there is no injury on penis and no blood comes from vagina. But he is depressed now, what if that girl is HIV+? He don't know. So what is the probability of getting SDT like HIV? After how many days he will take test? please give suggestion what to do? When he will go for test. He did sex on 2 may 2016. He is totally depressed.

BAMS, MD Ayurveda
Sexologist, Lonavala
Dear sir/mam, my frnd is 26 year old and he did unprotected sex with a women (may be prostitute). He did this mistake...
you can go for following remedy You can also try thes home remedies Natural home remedy using Indian gooseberry and nutmeg powder: 1. Cut, de-seed and crush 4-5 Indian gooseberries to paste 2. Press this paste on a sieve and extract the juice 3. Take 2 tsp of this Indian gooseberry juice 4. Add ½ tsp nutmeg powder 5. Mix well 6. Drink 2 times a day This is very helpful for you.
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I have a problem in my vagina from there I feel very uneasy and I feel irritating in the vagina.

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
It could be a vaginal Infection​, for which you may have to take Antibiotics orally or VAGINAL pessaries, apart from that we advise you to maintain a good Personal hygeine and drink lots of water.
1 person found this helpful
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I am pregnant and its my 5 month complete and sixgh running can I eat anjeer what will be its effects.

MBBS, DNB (Obstetrics and Gynecology), MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
I am pregnant and its my 5 month complete and sixgh running can I eat anjeer what will be its effects.
it is safe to eat dried figs in pregnancy, it helps digestion, has calcium, settles high bp... but take it in moderation and not as a medicine or in excess
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Me and my gf had protected sex on 1st sep. There was a doubt of pre semen, so On 2nd sep, She took unwanted 72. On 5 sep. There was white discharge. Her periods date is 9th of month, and today on 10th she got bleeding. Is she is pregnant?

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
Me and my gf had protected sex on 1st sep. There was a doubt of pre semen, so On 2nd sep, She took unwanted 72. On 5 ...
To clear any doubts on pregnancy kindly do a urine pregnancy test. Though chances are very less in your case.
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How to avoid pregnancy. With a continues 3 day sex. Hav any foods for avoid that pregnancy?

BHMS
Homeopath, Secunderabad
How to avoid pregnancy. With a continues 3 day sex. Hav any foods for avoid that pregnancy?
The general methods of safety are the best. There are no food substances that can be used to avoid pregnancy. Select the method (from the various contraceptive methods ) which best suits you. Also go for regular health check-up to see that ones reproductive system is working properly and plan accordingly. Planning pregnancy is also important as sometimes it becomes difficult to conceive during later stages of age.
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Sir my wife is pregnant so how many day I don't do sex to her? and I am doing sex then what is danger? please guide me sir.

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
Sir my wife is pregnant so how many day I don't do sex to her?
and I am doing sex then what is danger?
please guide m...
If concerned obstetrician has advised against intercourse then follow that otherwise no problem in having sex.
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I'm 21 years and since many days I'm suffering from irritation in my outer region of the vagina. The irritation subsides on its own and then again starts after some days. Controlling to pee has become impossible when I'm out. And when my garments get wet with water or anything then the urge to itch or wash the region exceeds. Please help.

BHMS
Homeopath, Raebareli
I'm 21 years and since many days I'm suffering from irritation in my outer region of the vagina. The irritation subsi...
Please maintain hygiene. Wash your undergarments with dettol water daily please check you are having any uti or not? also if you are having any white discharge? if so get it corrected. Till the time apply coconut oil on the affected area to relieve itching.
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I'm 25 years old. I used unwanted 72 pill for the first time. My period came early 26th oct. Now it's 1st Oct. There is no sign of my period. It's already 5 days late. What is the cause?

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
I'm 25 years old. I used unwanted 72 pill for the first time. My period came early 26th oct. Now it's 1st Oct. There ...
Hello, Thats due to side effect of unwanted 72, which can easily delay your next menses by 7-10 days.
1 person found this helpful
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I was heaving an irregular periods from this Feb. Gyn has checked and advice me that I need to go to ultrasound. In ultrasound the endometrium thickness was 15.5. Doctor advice me to take Sysron for 21 days. In April the period came fine for 4 days and again doctor advised Sysron for 21 days now I got my period on time but bleeding only happen for 2 days in 2 day night it stops and in 3 day afternoon it again started low but not as regular period. I have done the ultrasound and the endometrium thickness us 6.5. Pls advice why I am not having regular period flow.

Diploma in Obstetrics & Gynaecology, MBBS, MD - Community Medicine
Gynaecologist, Lucknow
I was heaving an irregular periods from this Feb. Gyn has checked and advice me that I need to go to ultrasound. In u...
Hello, it appears that you are having hormonal imbalance. You should continue with the medicine for 6 months and maintain a menstrual calendar. If the problem persist after that, you should get your investigations and sonogram done to rule out any disease.
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I am having irregular periods from last 2 months .I was late by more than 6 days and same is the case this month. I also have some mood swings at times and even though I went to gym for 3 months during aug to oct I did put on weight .what could be the reason plzz ans.

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
I am having irregular periods from last 2 months .I was late by more than 6 days and same is the case this month. I a...
if you are having irregular periods and weight gain, then get thyroid profile and ultrasound lower abdomen done to rule out pcos. this can delay the periods and causes hormone imbalance resulting in weight gain
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I am pregnant and after 4 days my 9 mnth start. I want to know that what exercise should I do nd what things eat for normal delivery.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
I am pregnant and after 4 days my 9 mnth start. I want to know that what exercise should I do nd what things eat for ...
Normal delivery is a natural process and all pregnancies are designed to be delivered normally. It happens without any precautions. There are no ways to prevent cesarean section. People will advise you to do clean the floor and all that but all that is not proven to be effective. No extra precaution is needed for delivering normally. There are certain things which are not in your hand i. E. Position of the baby, passage of motion by the baby inside uterus, amount of fluid by the side of baby. All these factors and many more can decide your mode of delivery. At this stage of pregnancy there is not much exercise you can do but make sure you keep moving around which will help the blood circulation to flow.
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After having unprotected sex I ate a I pill its been 5 days since then I haven't had bleeding how do I come to know that am I pregnant or not after how many days does the pill work, other method to terminate it,

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
Dear user. To TEST PREGNANCY AT HOME simply add urine to a small piece of soap, if froth forms, or if the soap bubbles up, the test is positive. Mix ¼ cup of tuna juice and ¼ cup of vinegar in a plastic cup. Now pee in a separate cup and then add your urine to this mixture. After a few minutes, if the color changes to green, then you are pregnant. Take care.
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I am married, and now I am pregnant for last one month, but I don't want to get baby this time, its too early, so what should I do to drop this?

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
Dear lybrate-user, it is not safe to abort first pregnancy it may cause future infertility or delayed conception. If you still want then you can consult a gync nearby.
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My daughter is 15 years old and 5 years back she started having periods. She got her last period after 50 days and now it is again late. It was due on march 22 and today is 2 April. She has not not been having any such problem before this. Pls suggest.

MBBS
General Physician, Delhi
My daughter is 15 years old and 5 years back she started having periods. She got her last period after 50 days and no...
Hi, seems you daughter is having precocious puberty (its not common to have periods at age of 10, more over I would like to suggest you to get a consultation from gynaecologist as well as endocrinologist. Need to do few investigation,
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Hi Doctor I am 23 years old and I am pregnant. Its 8th month running of my pregnancy and I worried about that some time I feels much pain at the chest and lower part of belly. Is it serious thing or I have to take any precaution. Kindly advice.

MBBS
Sexologist, Panchkula
Hi  Doctor I am 23 years old and I am pregnant.

Its 8th month running of my pregnancy and I worried about that some ...
Any pain during pregnancy could be serious problem. So avoid any hard work and take rest as much as possible. Take proper balanced vegetarian diet. Take 8 to 10 glasses of water daily. Avoid garlic and red chilly and non veg and eggs. Do meditation for mental strength by doing slow and deep breathing relaxation exercises.
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Hi My wife is 3 month pregnant, I am really worried about her health because she is not showing interest in food please help me what should I do?

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
Hi My wife is 3 month pregnant, I am really worried about her health because she is not showing interest in food plea...
Initially during 3 months women do eat less and may be it's way of nature to avoid certain toxic foods in our kitchens. She will. Pick up gradually and during last 3 months there will be demand for 2 and she will eat at midnight too. Give her lots of simple proteins, milk and curds and boiled eggs if she likes. Green vegetables of her choice. Tablet of iron plus folic acid and some multivitamin plus calcium. Do encourage her to do routine household work as it build up appetite too. Do write back after a month about her progress and do take her for regular antenatals specially get bp, and urine tested for sugar and albumin, get cbc done to know hb and infection anywhere in the body and blood tests done for sugar.
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