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Hari Clinic

General Physician Clinic

159/55 , Thiruvalluvar Street Chennai
1 Doctor
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Hari Clinic General Physician Clinic 159/55 , Thiruvalluvar Street Chennai
1 Doctor
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Our medical care facility offers treatments from the best doctors in the field of General Physician . Our goal is to provide a compassionate professional environment to make your experien......more
Our medical care facility offers treatments from the best doctors in the field of General Physician . Our goal is to provide a compassionate professional environment to make your experience comfortable. Our staff is friendly, knowledgable and very helpful in addressing your health and financial concerns.
More about Hari Clinic
Hari Clinic is known for housing experienced General Physicians. Dr. Keshav Singh, a well-reputed General Physician, practices in Chennai. Visit this medical health centre for General Physicians recommended by 55 patients.

Timings

MON-SAT
07:30 PM - 10:00 PM

Location

159/55 , Thiruvalluvar Street
Chennai, Tamil Nadu - 600112
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Dr. Keshav Singh

MBBS
General Physician
42 Years experience
Available today
07:30 PM - 10:00 PM
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Asthma - What Precautions Should You Take?

MBBS, MD - Pulmonary Medicine, FNB-Critical Care, Europeon Diploma In Adult Respiratory Medicine, Europeon Diploma In Intensive Care, Fellow
Pulmonologist, Delhi
Asthma - What Precautions Should You Take?

Living with asthma can be tough, but not necessarily unmanageable to the point that it interferes living your life to the fullest. It all boils down to being aware of the triggers, signs and all the other relevant details and taking the necessary precautions to keep the asthma attack at arm’s length.

Here is an insight.

  1. Keep your home dust free: Dust which contains irritants like dust mite collect in your beddings, old rugs, and curtains and they cause severe allergic reactions. Wash your bedspreads and pillow covers weekly once with hot water to kill the dust mites. Wear a mask and gloves while dusting the interior of your home. Keep the interior of your house dry so that molds do not form in the dark and damp places like faucets and toilets.
  2. Keep your pets at bay: Pet dander triggers problems of asthma when they enter your respiratory system through breathing. If you have any asthma patient in your home, it is best to keep your home free from pets. You can make a separate accommodation outside your home for your pets. They should not be allowed inside the room of the family member with the asthma problem.
  3. Be aware of your warning signs: Signs such as nose block, running nose, wheezing, coughing and shortness of breath are the common symptoms which trigger an asthma attack. You can measure your peak airflow with the help of a meter right at home. Thus, you can have an assessment of your lung function and take necessary precautions to prevent an attack. Keep your anti-allergic medicines and inhalers during the season you are susceptible to asthma attacks.
  4. A healthy diet keeps the doctor away: Your diet is directly related to your asthma problem as certain foods have an immediate allergic reaction in our body even before we understand clearly. Also, there are certain foods that have a magical effect on the prevention of asthma. Recent studies have shown Vitamins C& E, Beta-carotene, magnesium, selenium, flavonoids and Omega 3 fatty acids play a vital role in improving lung function and preventing asthma. Eat as much fresh fruits and vegetables as possible.
  5. A strict no-no to sulphites: Foods that are rich in potassium bisulphite or sodium sulphite may trigger your asthma attack. Both these ingredients are the used for preserving foods for a long time e.g., wine, beer, pickles, tinned or frozen berries, shrimps, etc. Due to the presence of potassium bisulphite, an asthmatic patient may suffer from bronchospasm and other symptoms of asthma attack. Dried fruits like raisins or apricots are also on the list.

Apart from the preventive measures mentioned above, regular exercises and yoga will strengthen the capacity of lungs and help you fight asthma with ease. A healthy diet and stress-free lifestyle is the key to keep this problem at miles away from you!

Sports Injuries - 5 Tips To Prevent It!

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - Orthopaedics, Diploma in Spine & Reconstruction, Fellowship In Primary Joint Replacement, Fellowship in Arthroplasty and Reconstructive Orthopaedic Surgery, Fellowship in Revision Hip Surgery & Adult Reconstruction
Orthopedist, Nagpur
Sports Injuries - 5 Tips To Prevent It!

Do you remember the last time you had a searing knee pain in the middle of your morning run? It was probably because you did not warm up properly. The incidence of injuries in various sports has gone up in the recent times, and it is mostly due to the lack of proper warm up exercises. However, other factors come into play as well, such as the pressure of increased workload on the current batch of athletes, missing a trick or two with the proper technique to be followed, etc.

In order to reduce the risk of an injury, it is advised to follow these simple tips:

  1. Set realistic goals for yourself: Don’t go overboard with anything that includes repetitively stressing and straining your body over a certain degree. If you are planning to go for a run or hit to the gym, make sure you set goals that you can sustain and find feasible. One example of this would be to not increase the amount of weight drastically while lifting weights as it can lead to serious injuries.

  2. Follow the right technique: Proper technique is very important in sports, a lack of which can lead to injuries. Ask your trainer to observe your form when you perform any activity. Focus on your breathing and posture when you are exercising.

  3. Warm up before you begin exercising: Warming up before you exercise or play a sport is important as it helps loosen your muscles and boost blood circulation. It drastically reduces the risks of sustaining injuries, and also prepares your body for the subsequent exercise.

  4. Cool down: Similar to an essential warm up is the need to cool down; it is another aspect that should not be ignored. Cooling down usually consists of stretches and postures that promote flexibility. The muscles become sore after working out. Stretching can help reduce post workout pain and make the joints flexible. Cooling down also helps in eliminating lactic acid from the muscles, which means less pain after exercise.

  5. Listen to your body: During an activity, if you feel that you can no longer carry on, terminate the activity. The chances of injury rise if you continue to push your body over your threshold limit. If you think that you can no longer carry on doing something without risking an injury, avoid doing it altogether. Listen to your body, and it shall never fail you.

Allergic Asthma - Dealing With Person Suffering From It!

MBBS, MD Respiratory Medicine, Ph.D - Physiology, FCCP (USA)
Allergist/Immunologist, Kolkata
Allergic Asthma - Dealing With Person Suffering From It!

Allergic asthma affects a vast majority of adults, being one of the most common respiratory disorders. There are various triggers, and with environmental pollution on the rise, the incidence of asthma has grown too. If there is a person in the family with asthma, it is not just the person who has it, but the entire family who needs to be sort of prepared to handle it. In most cases, there could be attacks or exacerbations and it is extremely important for the person who is in the vicinity to know how to act. This timely and prompt action could sometimes prove to be a life-saver.

  1. Handy inhaler: If your loved one has asthma, it is advisable to keep an inhaler handy. Practice how to use the albuterol nebulizer, which often is a lifesaver when a person has an acute asthma attack.
  2. What to do: In most cases, the doctor writes out an action plan that details what should be done if there is an attack. The person who could be potential caretaker should familiarize with this and probably do a mock trial so they are ready when required.
  3. Monitor: Whether it is a young or an elderly person, teach them to monitor peak flow levels. The peak flow meter is easy to use and the readings can help identify if there is any need to be watchful.
  4. Clean up the house: For allergic asthma, the accumulated dust in the furniture and animal dander are great triggers. It helps to keep the house clean by periodic cleaning of the carpets, mopping up the tiles and flooring. This helps to remove accumulated dust and prevents attacks. Avoid accumulating soft toys which tend to collect dust. Bookshelves need to be cleaned periodically.
  5. Smoking: Avoid smoking at home or as much as possible when the asthmatic person is around.
  6. Pets: If possible, avoid them as they produce dander which can trigger an attack.
  7. Empathy: An asthma patient requires a lot of empathy. One should understand that the asthmatics are also affected by their attacks, which in turn controls their overall schedule. Try to slow down and keep pace with them. Do not push for exercise or changes beyond a certain point, as the person knows how much they can stretch. Help them manage weight and stress, as these lead to acute attacks.
  8. Healthify your lifestyle: Eat healthy, avoid foods which can induce an attack, get a good night’s sleep, avoid triggers, maintain weight, avoid smoking, and manage stress. Emotionally, match up their pace and show empathy. All these will definitely produce better control over asthma.

Despite this, it is possible to have an attack, so be cautious.
 

11 Tips To Deal With Dementia!

MBBS Bachelor of Medicine and Bachelor of Surgery, DPM - Psychiatry
Psychiatrist, Gurgaon
11 Tips To Deal With Dementia!

A lot of things can be done to cope with the initial stages of dementia. A person goes through a wide range of emotions such as fear, denial, frustration, and anger, post the diagnosis. Here is a list of tips that will help a patient with dementia to cope better:

  1. Physical health: For a dementia patient, it is very important to take care of one’s health. A good diet along with regular exercise and adequate rest is a prerequisite to manage this disorder.
  2. Regular check-ups: Regular medical check-ups with the doctor are necessary in this condition. Depression and other mental health problems should be discussed with a professional.
  3. Quit alcohol: Alcohol might give momentary pleasure from the misery, but it has long-standing implications. It reacts with the medicine and creates additional health and memory-related complications.
  4. Allocate time for difficult tasks: With time, it can become difficult to perform even the simplest of tasks. The patient should accordingly schedule the time to perform the tasks which may be difficult to carry out. Adequate breaks should be taken while performing a task to avoid getting fatigued.
  5. Redefine work: If a patient is suffering from dementia is still working, it should be ensured that the work is more manageable from a desk. Planning an early retirement may be a good idea in order to cope with dementia.
  6. Be organised: Keeping track of things can get difficult with time. It, therefore, makes sense to organise all belongings systematically. Putting labels on doors and drawers also help.
  7. Continue pursuing your hobbies: Amidst the difficulty and the depression, it is a good idea to continue doing things that are fun. While such activities might require some assistance from the doctor and family members, this helps the patient to be cheerful and healthy.
  8. Maintain notes: Since dementia is involved with forgetfulness, it makes sense to maintain a diary and keep records of phone numbers, people, appointments, etc.
  9. Communication channel: Maintaining a direct communication channel with family, friends, and relatives is a good idea. Sharing feelings will go a long way in maintaining relations with loved ones.
  10. Support group: Joining a dementia support group can be highly beneficial for the patient. It will not only give the patient company but also make sure that the patient gets a lot of useful information about the disorder. It also helps in keeping the morale up.
  11. Getting ready for the future: Things need to be meticulously planned well in advance to ensure that when the disease progresses, the patient has enough people to look after him. Things such as medical arrangements, financial assets, and property details should be carefully handed over as per the patient's wish. This will ensure a smooth run of the patients’ life when they can no longer take care of themselves.
     

How To Recover Quickly After Heart Surgery?

MS, Fellowship in Minimal Access Surgery, Fellowship of Indian Association of Gastrointestinal Endo Surgeons (FIAGES), FALS(Fellow Advanced Laparoscopic Surgery)
General Surgeon, Srinagar
How To Recover Quickly After Heart Surgery?

Once the heart surgery is complete, the initial recovery process from the wounds and incisions can take almost two months. The doctor will give you instructions on how to take care of yourself post-surgery so you recuperate faster and be back in the pink of health.

Road to recovery

  1. The first step is to take care of the wounds; make sure that you keep the area of the incision dry. Avoid taking baths for the first few days. If you notice any sign of infection such as redness around the area, pus oozing out or high fever, then do not waste time consult a doctor. Experiencing symptoms such as the breastbone shifting and cracking when you move should not be disregarded at all.
  2. Post-surgical pain is another area that you need to address. The area adjoining the incision can be painful till the first few weeks pass and there may be pain and stiffness in the surrounding muscles as well. In case of a bypass surgery, the legs may hurt if the veins from the legs were used as grafts. The pain and the soreness will recede with time.
  3. Avoid heavy activity for the first two months post-surgery. Start with small tasks, and gradually build up your activity levels so that the body gets used to it. Avoid activities such as standing for 15 minutes or more at the same place and lifting heavy things. Make sure to consult your physiotherapist before you start with light exercises such as walking.
  4. The recovery process also depends on the type of food you eat; because eating healthy food can certainly rev up the recovery process. Initially, you may not feel like eating much, so get your appetite up in a gradual manner. It is best to avoid any junk meal at this point in time as that can adversely affect your body’s metabolism even further. It is important that you get the required amount of rest so that your body can recuperate.

Pancreatitis - Know More Of It!

MD - Acupuncture, Diploma In Accupuncture, Advanced Diploma In Accupuncture
Acupuncturist, Delhi
Pancreatitis - Know More Of It!

Pancreatitis Overview:
Pancreatitis is an inflammation in the pancreas which is an organ located behind the stomach’s lower part in the human body.

Types of pancreatitis:
-  Acute Pancreatitis

-  Chronic Pancreatitis

Acute Pancreatitis:

Acute Pancreatitis lasts for a shorter duration of time. It is the sudden inflammation of the pancreas in the human body. Acute pancreatitis is a disease where an individual has damage in their tissues, bleeding into the gland, get an infection and is also subject to the formation of a cyst. If this goes untreated, then it might also result in the harm of organs like lungs, kidneys and lungs. Acute Pancreatitis can cause mild discomfort and can also turn into a disease that is life-threatening.

Chronic Pancreatitis:

Chronic Pancreatitis is a long-term disease. The inflammation in the pancreas lasts for a longer duration of time. It can be caused by the consumption of alcohol in large quantities. Though the symptoms might not be visible for a few years, it has the possibilities of developing over the years that causes this chronic condition. Chronic Pancreatitis is a condition that happens after Acute Pancreatitis.

 

Pancreatitis Symptoms:
The symptoms of Acute Pancreatitis and Chronic Pancreatitis are usually similar but might vary in some terms.

Symptoms of Acute Pancreatitis:

-  If an individual has an increased heart rate, they might have the condition. But, an increased heart rate might be due to a plethora of other reasons. So, other symptoms combined with this should be considered.

-  The swelling of the abdomen region

-  Tenderness in the abdomen

-  Vomiting and feeling nauseated

-  Having a fever

-  Pain in the upper abdomen area. This pain radiating into the back of the body might be a strong symptom of Acute Pancreatitis.

Symptoms of Chronic Pancreatitis:

-  Having a constant pain in the upper abdominal area that radiates into the back means that an individual might be having chronic pancreatitis. The abdominal pain might even be disabling in some individuals

-  Individuals who have Pancreatitis suffer from malabsorption of food which results in weight and diarrhoea. When an individual has pancreatitis, the gland does not release enzymes that are enough to break down the food taken; this results in poor absorption of food

-  In case the damage occurs in the cells that are responsible for the production of insulin, then it might result in diabetes.

Causes of Pancreatitis:
Basic causes:

-  The fat level in blood: high

-  Calcium level in blood: high

-  Pancreatic genetic abnormalities

-  Viral infections

-  Abnormalities in the hormones

-  Damage to pancreas due to injuries in the abdominal area

-  Intake of steroids and/or estrogens

Acute Pancreatitis:
The causes for this ailment are unclear but it is linked to being caused by the following:

-  Acute pancreatitis can be caused because of the presence of gallstones in an individual.

-  It can also be caused by high levels of alcohol consumption.

-  Certain medications and surgeries might also cause the disease.

-  If an individual has an autoimmune disease, trauma, certain infections, disorders of the metabolic system, they might be at a higher risk of developing Acute Pancreatitis.

Chronic Pancreatitis:
20 % to 30 % of the Chronic Pancreatitis cases are unknown in terms of the causes. The rest 80 % to 70 % of cases are because of the following:

-  Presence of gallstones

-  A heavy consumption of alcohol for a long duration of time is also linked to the development of Chronic pancreatitis

-  Chronic pancreatitis can be caused by the presence of Cystic fibrosis and other hereditary conditions

-  Having a high level of lupus and triglycerides can cause chronic pancreatitis

 

Prevention From Pancreatitis:
The following prevention steps can prevent most of the medical ailments to take a toll on you, let alone Pancreatitis. But, they are specifically for this disease as it can be caused if one does not follow the following prevention steps:

-  Increase your physical activity

The development of gallstones is more likely in the case an individual is overweight. So, excess weight can be reduced to reduce the chances of developing gallstone and further reducing the risk of developing pancreatitis. Engaging in physical activity on a daily basis will help one to reduce excess weight.

-  Do not follow diets that promise immediate weight reduction 

Weight reduction and becoming fit and healthy is a slow process and is not something you can achieve within a span of a few days or even months. It is a slow process that involves dedication to the cause. Crash dieting should be avoided. Following a crash diet could result in the liver to cause increased cholesterol production. This increases the chances of the development of gallstones that might cause Pancreatitis.

-  Eating healthy

One of the major causes of the development of acute pancreatitis is gallstones. And, gallstones can form in case there is a high level of cholesterol that has been accumulated in the bile (a liver substance that aids in the process of digestion of fats). Eating healthy and the reduction of alcohol intake can avoid high levels of cholesterol. Avoid the consumption of foods with high fats and sugars and intake more vegetables, fruits and grains in your diet. A high dairy consumption should also be avoided. High levels of cholesterol and triglyceride can result in the increased risk of the development of acute pancreatitis. Eating more natural and healthy foods is a good way to make sure you stay ailment - free.

Avoid toxic substances:
-  Quit or avoid smoking

If you have not smoked yet, do not start! And, if you do, try to completely quit the intake of tobacco or at least reduce. Smoking is linked to causing acute pancreatitis through the development of gallstones. Quitting smoking might also result in the reduced chances of many other medical ailments, making you a healthier person; it also increases the life expectancy of an individual.

-  Avoiding or reducing the intake of alcohol

Alcohol has been linked to causing many health ailments. Reducing or limiting the consumption of alcohol can help the pancreas be safe from the toxins of alcohol. The increased intake of alcohol is linked to causing Pancreatitis in, both, women and men. This reduces the risk attached to developing Pancreatitis.

If you have been diagnosed with Pancreatitis:

Once diagnosed, it is advised to start the treatment immediately as if it is left untreated, then it might progress and develop into EPI - Exocrine Pancreatic Insufficiency. You should make all the above lifestyle changes immediately to avoid it. 

 

How is it diagnosed?
One of the methods to check if an individual has Pancreatitis is to suspect the disease through the symptoms that they have been having. When an individual has Pancreatitis, then their blood glucose level is affected, so blood tests are done to check the same. The following tests are performed to check the pancreas for irregularities:

-  X-ray

The X-ray will help check for any damages to the lung like a collapsed lung tissue and any accumulation of fluids in the cavity of the chest.

-  Physical Examination 

A physical examination is carried out by a doctor. They examine the abdominal area to see if any area is sensitive to touch. If any area in the abdomen is found to be sensitive when it is touched, then it might mean that the individual examined has acute pancreatitis. 
What is the indication of acute pancreatitis?: 
The muscle walls of the abdomen are rigid. Also, while the abdomen is being inspected with a stethoscope, then there might be no or less intestinal sounds.

-  MRCP scan - Magnetic Resonance Cholangiopancreatography scan

The Magnetic Resonance Cholangiopancreatography scan is done to see the pancreatic ducts and the bile in a clearer way. This scan shows a more accurate and clear version than the CT scans and is specifically designed for diagnosing Pancreatitis.

-  Ultrasound scan

An ultrasound scan is done on an individual to check the condition of their pancreas. It is a high-frequency sound wave that shows the pancreas and the surroundings on a monitor so that the doctor can examine it for irregularities.

-  CECT scan - Contrast Enhances Computed Tomography

A CECT scan takes several pictures of the area suspected to be affected from various angles. Then, they are placed in a way that a 3-dimensional image is produced so that scanning it for the disease is possible. This can also help in the determination of the collection of fluids in the gland and the number of changes in the gland’s density.

-  Blood Test

A blood test might also be done to check for pancreatitis. In case the levels of lipase and amylase are high in the blood of an individual, it means that they are suffering from pancreatitis. But, blood tests cannot be fully reliable as they might not show any signs of the disease if the tests are done in the first 2 days. In addition to this, the level of lipase returns to normal in 8 days to 14 days and the level of amylase return to normal within a matter of 3 days to 7 days.

-  ERCP scan - Endoscopic Retrograde Cholangio - Pancreatography scan 

This scan is an endoscopy that is inserted into an individual’s digestive system. Ultrasound is used to guide the endoscopy process. The Endoscopic Retrograde Cholangio - Pancreatography scan is also capable of find out the exact location of the gallstone.

Treatment of Pancreatitis:
-  Medication

In case the individual has diabetes, they are given insulin. In the case of a low enzyme level causing problems in the digestion process, artificial digestive enzymes would be prescribed. A painkiller as chronic pancreatitis can cause constant and a high level of pain. In case the individual has autoimmune pancreatitis, then they are given steroids. In the case of chronic pancreatitis, if the pancreas is damaged, then it can’t be reversed. So, medication is given for the purpose of reduction of the pain.

-  Endoscopy

Endoscopy is done in order to get rid of any blockages pain is reduced. This process is also carried out to make sure the pain is reduced. The blockage is removed by inserting a flexible and long tube through the mouth of the individual to remove pancreatic stones. Then, stents are placed by putting in small tubes so that any leaks are closed and achieve an improved flow.

-  Surgery: The last resort

This treatment is only needed in severe conditions. The conditions being that an individual is not responding to the medication and has a severe level of pain. What the surgery does is that it removes a part of the pancreas in order to provide relief from the pain. The surgery is also capable of draining cysts and unblocking the pancreatic duct.

Complications
Complications in Chronic Pancreatitis:

-  Chronic pancreatitis can progress to pancreatic cancer. Though the risk is low, some individuals might develop it.

-  Chronic Pancreatitis can also cause pseudocyst. A pseudocyst is a collection of debris, blood, enzymes of the pancreas, tissue and fluids in the abdomen that is caused by any leaks of the digestive fluid that escaped from an irregular pancreatic duct. If these pseudocysts are infected, they might cause internal bleeding.

-  A case of chronic pancreatitis can take a toll on the mental health of the individual. They might develop depression, stress and/or anxiety. This is due to the constant pain caused by pancreatitis. To cope with this, the individuals can seek help from support groups and therapy.

Complications in Acute Pancreatitis:

-  Acute Pancreatitis can lead to the obstruction of the pancreatic duct or the bile

-  It might also cause the failure of the lung or heart of the individual, leading to death if left untreated

-  Acute Pancreatitis can also cause splenic vein thrombosis

-  Can cause pleural effusion

-  The pancreatic duct can have a leak

-  Can also cause Pseudocysts with the complications of an infection, haemorrhage and/or a rupture

Conclusion
Avoid heavy consumption of alcohol and fatty foods are one of the best ways to make sure your body and system are healthy and to avoid ailments like Pancreatitis. Treatment is extremely important in case of Pancreatitis as if left untreated, it can cause further complications.

Reasons For Lack Of Sexual Interest In Females!

MBBS, MD - Social & Preventive Medicine / Community Medicine, Fellowship of European Union of Sexual Medicine, Fellowship In Diabetes
Sexologist, Chandrapur
Reasons For Lack Of Sexual Interest In Females!

In our study of the females of urban area, the following were the comments made by them when asked as to why they felt lack of sexual interest for their partners:

 Deteriorated sexual self-esteem

Women expressed lower feeling of attractiveness and change in the body image. Such feelings overshadowed their sexual self-steam. “…I’m not happy with my body. I have sagging breasts and flabby stomach bulging out after child birth which made me very ugly ... I don’t feel attractive at all (24 y/o, teacher).

Some participants had experienced being reproached by their spouse and believed that this behavior had reduced their self-confidence. “…He permanently finds faults in my body. He blames my loose vagina, my passivity in sex and…; my self-confidence in sex has been reduced” (44y/o, teacher).

The spouse’s infidelity was also expressed by some women. “I have noticed his relationships for some years. He has not approached me for several months” (45 y/o, govt officer).

Deteriorated feminine position

Sexual desirability was mentioned by some participants. “When I was sexually active, I had more energy and motivation. I felt merriment and lively but I don’t, now.” (36 y/o, PhD).

Feeling as an incompetent woman was very challenging for the women who took part in this research.“Meeting the sexual need of the spouse is the duty of his wife. He wants me to be like other eager women, but I have no interest in sex. I do not act in a feminine manner” (42 y/o, Master of Science).

Being rejected by the spouse was also stated by some women. “He says that he doesn’t want me anymore. When I remember his words, I go mad. I have even cried during intercourse several times” (33 y/o, diploma).

Struggle in sexual issues

Concern about losing the relationship and spouse

Accepting sex to maintain the spouse was mentioned by women. “He also needs sex. Either I have to accept it or he may have desire for other women” (40 y/o, bachelor).

Many of housewife women talked about financial support: “When I need money, I accept the relationship, even an anal intercourse” (30 y/o, diploma).

Concern about continued sexual reluctance was worrying in some women. “If my lack of desire continues, I may see his sexual frigidity and our intimate relationship will collapse… I will get miserable” (24y/o, diploma).

Surrendering to sexual relationship

Half of the women expressed their pretension to be interested in sex and their role playing: “I pretend I am interested in sex, but he knows that I’m not behaving like the past”. I role-play in sex to satisfy my husband’s sexual needs.” (24 y/o, diploma).

Deterioration of the couple’s relationship

Deteriorated marital interactions

Less emotional interactions with the spouse was stated by some women. “I’ve been avoiding him and I don’t get intimate with him” (39 y/o, associate degree).

Women believed that change in the spouse’s behavior reduced his attractiveness. “… If my husband demands sex and I refuse it, he will get grumpy and will find an excuse to begin an argument” (31 y/o, associate degree).

Reduced affection expressed by the spouse was also mentioned “...he doesn’t care about me anymore. If I go to my mom’s house from morning to evening, he even doesn’t call to see how I am doing”. (30y/o, diploma).

Sexual disharmony between the couple

Lack of sexual talk with the spouse was observed among the majority of participations.

“I haven’t talked about my problem with him. We do not talk about sexual issues together” (30 y/o, diploma).

Sexual avoidance of the woman was stated by participants. “When my husband demands sex, I say I’m busy or sleepy…” (24 y/o, diploma).

More than half of women referred to sexual coercion by their spouses. “Sometimes, I have to accept sex. It is very difficult to tolerate it. I feel offended and choked with anger” (31 y/o, bachelor).

Anal and oral sex were considered as annoying or unusual sexual demands by the spouse “anal sex according to Islam, it should be avoided ... I also don’t like oral sex. I feel women are insulted to do so. I feel sick when I talk about it” (22 y/o, diploma).

Understanding Clitoris!

MBBS, MD - Social & Preventive Medicine / Community Medicine, Fellowship of European Union of Sexual Medicine, Fellowship In Diabetes
Sexologist, Chandrapur
Understanding Clitoris!

The clitoris may be the most pivotal structure for female sexual pleasure. While its significance has been reported for hundreds of years, no complete anatomical description was available until recently. Most of the components of the clitoris are buried under the skin and connective tissues of the vulva. It comprises an external glans and hood, and an internal body, root, crura, and bulbs; its overall size is 9-11 cm.

Clitoral somatic innervation is via the dorsal nerve of the clitoris, a branch of the pudendal nerve, while other neuronal networks within the structure are complex. The clitoris is the center for orgasmic response and is embryologically homologous to the male penis. While the source of vaginal eroticism might or might not be exclusively clitoral stimulation, it is necessary to understand the intricate anatomy of the organ to assess the data in this regard. Ultimately, sexual enjoyment entails a balance of physical and emotional factors and should be encouraged.

Clitoral Stimulation Vs Vaginal Stimulation For Female Orgasms!

MBBS, MD - Social & Preventive Medicine / Community Medicine, Fellowship of European Union of Sexual Medicine, Fellowship In Diabetes
Sexologist, Chandrapur
Clitoral Stimulation Vs Vaginal Stimulation For Female Orgasms!

Most women report that clitoral stimulation is an integral aspect of their orgasm experience. we conducted a study on Eighty-eight women 18 to 53 years old who answered detailed questions about their usual and recent orgasm experiences, sexual history, depression, and anxiety. Then, they viewed a series of sexual films.Most women (64%) reported that clitoral and vaginal stimulation contributed to their usual method of reaching orgasm.  Women who reported primarily stimulating their clitoris to reach orgasm reported higher trait sexual drive and higher sexual arousal to visual sexual stimulation and were better able to increase their sexual arousal to visual sexual stimulation when instructed than women who reported orgasms primarily from vaginal sources. Thus, watching porn or sex video call will help a woman get orgasm more by clitoral stimulation than vaginal insertion.

Health Tip!

MBBS, MD - Dermatology
Dermatologist, Bhubaneswar
Health Tip!

The body needs time to repair itself. Lack of sleep can upset the body's metabolism and possibly hasten the onset of age-related conditions.

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Buds To Blossom

Choolaimedu, Chennai, Chennai
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Buds To Blossom

Choolaimedu, Chennai, Chennai
View Clinic