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Dr. Meri period date 20 hai aur is month mujhe hamare god ka imp function attend krna hai. Aur meri date kabhi extend nhi hoti .main hamesha 3 ya 4 din phle hoti hu. I want to ask you k 15 aug ko mujhe thodi bleeding hui uske baad abhi tak koi bleeding nhi hui. To ye kyun hua. Aur kya aise me main primolut n lungi to meri date extend hogi. Ya main tablet lete lete period me na ho jaun. Pls suggest kijiye. I am very tensed.
Hello doctor white color fluid is discharging from my vagina and it smells very bad nd it usually happens 2 days prior every time but not my periods is over I dnt no y it is happening pls can you tell me the reason.
I am 49 and experiencing irregular periods for a couple of months. Consequently, suffering from extremely bad joint pains, especially in the morning. Worst affected areas are finger joints, shoulders, knees (at times) and one ankle. Taking vitamin D which relieves the pain to some extent but feeling very uncomfortable and gaining weight. Please help.
Fish is one of the great things for your heart and as the saying goes what is good for your heart is good for sex. We should add fish to our meals and have some sort of fish at least once a week. Salmon, mackerel, tuna and sardines are rich in omega-3 fatty acids DHA and EPA. These are great to help elevate the dopamine levels in the brain which help trigger arousal. Studies further show that high levels of Omega-3 help a person be happier and more at ease, which in turn helps them with arousal and sex.
Apart from these benefits omega 3 lowers the symptoms of depression which is a major source of sexual health problems. It also helps with better brain function, heart arrhythmias, blood clots ,better brain function, and protection against dementia.
Fish is also high in L-argine, and as we wrote on the site before in fruits for sexual health, argine stimulates the release of growth hormone and is turned into nitric oxide in the body. Which in turn is crucial when it comes to erections for men, it also helps women with their sexual function.
How Gender Identity Disorder can be treated?
Hello friends, I am Dr. Anubhav Gupta. I am a consultant plastic surgeon working at Sir Ganga Ram Hospital, New Delhi. Today, I am going to talk about a condition which has increasingly become more frequent in our practice and that is Gender Identity Disorder.
Gender Identity Disorder is a condition where in a person has incongruency between his sex and gender. Let me explain it to you, a person whose phenotypic and genotypic condition is male, his sex is also male. For example, a person who is having external genitalia, penis, beard, etc that is his phenotype, that is his sex and that is also a genotypic test as gene XY, so that will be his sex. But, gender is what a person feels about himself. For example, a male who is having phenotype and genotype sex as male but he feels he is a female then that is the gender of that person. What a person feels about himself is called his gender. So, when there is an imbalance between the sex and the gender of a person, it is called Gender Identity Disorder.
Basically, it is not what is wrong about them, it is why they feel about this. There is something which is hardwired into their brain, that they don’t have a feeling of equilibrium with their sex. It is not a disease; it is the way they think. There are certain neurohormonal factors which at the time of development have been said to cause this condition but there are no researchers that conclude the cause of this condition.
Yes, the government of India has now recognized the third gender that is transgendered. People who are not in congruence with their sex have been recognized as legal by the government of India.
See, when these patients come us, basically there are now well-described guidelines. When the patient first, comes to me, I first tell them what the exact condition that they have is and I send the person to a psychiatrist for evaluation. We have to be sure whether they have Gender Identity Disorder before we go for the surgery. So, the psychiatrist starts his treatment, basically takes counseling sessions and he tries to ascertain whether this person is actually having gender identity disorder.
Now, the recommendations are that permanent gender surgery, that is the change of gender surgeries like penectomy and vagina creation and penile creation, these are gender surgeries and are permanent in nature, should not be done before 1-year certification by the psychiatrist has been given. But, other surgeries like face surgery, and breast surgery, can be done after 3 months of psychiatric evaluation. So, this is what we follow. Once a psychiatrist has seen and he certifies that this person has gender identity disorder, we start doing the facial surgeries, and once a period of 1 year has passed, in the meantime we also send him to an endocrinologist who counsels them about hormonal therapy and we further encourage them to cross dress and live in the society as the gender of which they feel they want to stay.
So, once these things fall into place then we move into surgery. And, before surgery, we also need a certification from another psychiatrist just to counter and confirm what the first psychiatrist has felt. So we have certification from two psychiatrists and after a period of one year, we can proceed to Permanent Gender Surgery. Before we do that gender surgery we also need to take an affidavit in the court of law in which the person who is undergoing the surgery and the surgeon, they understand the fact that it is a permanent surgery and the person who is undergoing surgery will not be able to procreate or reproduce in the future, and the patients, when they understand these factors are then counseled and then the surgery is done.
In male to female patients, the initial surgeries, we start with the face surgery, such as Genioplasty and Rhinoplasty. Then, these patients, if they require breasts, we go for a breast augmentation by implants. There are two types of implants; if the chest is having enough space, we can go for a silicone implant and sometimes the chest of males are very tight, then we have to use an expander implant. So these are the common surgeries. Then there is the genital surgery which is a permanent surgery where we do a penile disassembly surgery and we use the penile skin to create a new vagina and we do an orchiectomy at the same time and so we do a gender surgery.
In the female to male also, we start with the face, rhinoplasty, brow lift, genioplasty, McSteamy is done, and these are the initial surgeries. Mastectomy is done where the male chest is created. And, finally after one year of treatment, we go for a creation of a new phallus, we create a penis by the process of radial artery forearm flap, wherein we take the skin from the hand and we create a penis. After that, we can do testicular implants in the labia majora to create testicles. And later on, this surgery is successful of the penile reconstruction by radial artery forearm flap and the patient is having sensation till the tip of the penis. Then we do a final erectile implant which can even cause the erection.
If you have any further queries regarding this topic, you can contact me on Lybrate.
Hello sir/ madam I am suffering from vaginal yeast infection. N severe itching. please help me to get rid of this. I am unmarried. Thank you.
I have a low AMH count of 0.4. All other blood tests are normal. We have not consciously tried to conceive but referred to a going for normal consultation. Even without trying any medication we have been advised to start IVF treatment immediately. I need to understand if that is really the only way or can we take medication and still try naturally. My age is 32.
Hi my name is Sonia Steven. My both tube is blocked and my monthly period is not regular. I have also tharioyd. 6 years complete of my marriage but I don't have baby please reply me.
The activity of delaying or putting off something is known as procrastination. Even the best individuals battle with it consistently. However, some people accomplish something that the majority of us do not- they push past it. They do not permit it to influence their work. They develop brilliant and beneficial techniques to break past mental obstructions and remain productive. Here are a few ways with which you can beat procrastination:
- Try to start: Starting something can be very difficult. However, in case that you can get over that part, you will have some level of energy. Even your brain will probably goad you to continue dealing with the task. This happens because of a mental phenomenon called the Zeigarnik impact. It says that unfinished tasks will probably stay in your memory. This is exactly why planned things and to-do lists consistently appear in your mind until you finish them.
- Separate huge tasks into smaller assignments: Enormous tasks can frighten you, so you put them off. By taking that huge task and separating it into smaller assignments, you can decrease your burden make a start. This could include concentrating on one part of the research to begin with.
- Ask yourself “why?”: It is easier to inspire yourself to accomplish something you value. In case you are attempting to complete something, why not spend a couple of minutes asking yourself precisely why you need to do it and why it is so important to you. Weighing out the positives and negatives of the task and its benefits for you, can make you decide and perform better.
- Attempt to take a break: For those who procrastinate out of having worked too much, it does not mean you have to complete the task at once. This is known as the "sunk cost bias." The "sunk cost bias" influences players, speculators, and even a procrastinator. They feel that the task will need to be completed now and cannot be completed in the future. In some cases, a task simply does not mean you have to work on it more and more after hours.
- Go easy on yourself: To beat procrastination, you should be strict with yourself. However, that is not what science says. In case that you have procrastinated till now, you will probably begin on time going ahead. You need to show yourself some sympathy for your previous laziness instead of thrashing yourself about it.
Self-control is an important quality many successful individuals have. Having self-control permits you to carefully understand why you are procrastinating and can likewise, work towards it. When you understand why you are doing so, it will be easier for you to make a plan to beat it. This will allow you to see the underlying cause of your problem as well.