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Management of Abortion
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Treatment Of Female Sexual Problems
Termination Of Pregnancy Procedure
Treatment Of Pregnancy Problems
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Treatment Of Female Sexual Problems
Treatment Of Medical Diseases In Pregnancy
Treatment Of Menstrual Problems
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Medical Termination Of Pregnancy (Mtp) Procedure
Gynecology Laparoscopy Procedures
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Medico legal aspects of sex therapy
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.
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.
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.
How many times I should do sex. For making her pregnant. And when she has irregular cycle sometimes. Help me.
I am 40 years. I had hypothyroid 2 years back. After the treatment my reports were normal up to jan'15. Now from last few months I am having lot of health problem like psoriasis, ringworm, irregular periods, tiredness. Less sleep. At times high blood pressure and times low blood pressure. I have gone through all the above treatment but none of them have from last six to eight months.
How to know that a girl is pregnant without use of test. Is there change in periodic cycle or any kind of change and when a girl come to know that she is pregnant.
If cream or other lubricant affect on fertility then what should I do because I did not wet at time of intercourse and I planning to have a baby
Me and my fiance had intercourse and we have completed 72 hours from the time we had intercourse and now at 96 hours we planned to stop birth Control and I make her to have unwanted 72 is this works after 72 hours are is there any other pill to avoid birth control.
Hi . My age is 25 and my question is what happened if I do doggy style without using any protection . Is their any side effects or any diseases may rise like aids .
I had unprotected sex. Following it up I took unwanted 72 within half an hour sex. After two days again I took the unwanted 72 pill. 3 days before my period was due I had a little bit bleeding which lasted for 3 days. It was not at all heavy like a period bleed. The colour of bleed was deep red and brown. Nor was there any cramps like I usually have. After it ended I took the pregnancy test it came out negative. I took the test again after 5 days and still it came negative. Am really worried. Its been a week I haven't got period and the tests are coming negative. What could this be?
I have irregular periods related issue since 4-5 months. I have taken medicines for migraine headache. My periods date gets late for 6-7 days every month. Earlier it lasts for 6-7 days now only for 2-3 days (thicker blood). Also too much acne on my face on these days. A lso feels too much weakness and body ache.
Hello doctor. I got married 2 years Gon. Still no baby, I considered doctor they told I have pcod. Still I took treatment, 3 times doctor did IUI for me there's no use. Last month I not going to treatment but I use some neem leave medicine, now this month there's no periods now 35 days till today. Now what I have to do? When I want to check pregnancy test.
Copper T. Ka result hamesha positive rehta h. Ya iske negative signs bhi hai. Ye kis trh se achi h or kis trh se harmful. Kya ye sbke liye beneficial hai?
I did not sex but came closure, in fear I took unwanted 72 on7th September. My last period was on 28th august. It is now small bleeding on 14th September. Why?on which day my next period will occur? Any problem in future? Am I safe or pregnant?
I want to know about advantage and disadvantage of garlic and onion .one female patient,(30 y) thyroid gland operation (now she has no gland. Eltroxin 150 was running 1 year but it is now stop for radio iodine ablation after one month. Now totally stop iodine food. So I want to know any problem if she take garlic and onion.
Hi this is kalpana. I am 29 years old. I am married. Still now I do not get period. I went a hospital but doctor said it's miracle uterus is not there. Any treatment is there. I need children's.
My wife had ectopic for first pregnancy. How to avoid second ectopic and what are the root causes for ectopic.
Is it any side effect of unwanted 72 pills. If if eat it after sex and then after eat medicine I will do sex one more time .is there any chance of pregnancy.
Vaginal dryness is an uncomfortable and painful condition that usually occurs during or after menopause. The estrogen level in your body gets reduced during this time which eventually leads to vaginal dryness. However, there are other factors that can trigger this condition including certain medications and immune disorders. This is a problem that can affect women at any age but it is visible more frequently in older women.
Here are some common factors that may lead to vaginal dryness:
1. Hormonal changes - A decrease in estrogen level that occurs during menopause is one of the most common causes of vaginal dryness. The decrease in estrogen may also occur during perimenopause, during breastfeeding or after childbirth. Radiation and chemotherapy for cancer treatment may also result in a decrease in vaginal lubrication.
2. Irritants - Chemicals present in soaps, dyes, hygiene products and perfumes may cause allergy in some women. Irritants present in underwear or towels and other allergens like objects and lubricants that are placed in the vagina may also cause vaginal dryness.
3. Insufficient arousal - Low libido or other sexual problems may also lead to vaginal dryness. Poor sexual performance and early ejaculation may also contribute to it.
4. Anxiety - Sexual desire can be affected by emotional and psychological factors such as anxiety and stress that may eventually lead to vaginal dryness. High anxiety level in women results in insufficient flow of blood, causing vaginal dryness.
How can vaginal dryness be treated?
Topical estrogen therapy is a common method of treating vaginal dryness caused by low estrogen level. Topical estrogen helps in inserting some hormone that your body is no longer producing. This controls the vaginal symptoms to a certain extent but it does not replace as much estrogen as oral hormone therapy, in your blood stream. Lubricants and moisturizers may also be applied to reduce vaginal dryness and make sex less painful and uncomfortable.
Word of Caution
Please get a PAP Smear done before starting local estrogen and keep a follow up with your doctor.