Tuberculosis is an opportunistic infection caused by the bacteria Mycobacterium tuberculosis. The infections occurring in people with weak immunity as compared to the people with a healthy immune system are called as opportunistic infections. As, HIV enters the human body, it replicates and weakens the immune system which in turn increases the risk of contracting Tuberculosis in people already suffering from HIV infection.

An HIV and Tuberculosis co-infection occurs when an individual has both, the HIV infection and an either latent or active TB disease simultaneously.  Each disease acts in speeding up the progress of the other, when HIV and TB infection is present together in the body. HIV infection speeds up the progression from latent to active Tuberculosis, Mycobacterium tuberculosis also accelerates the progression of replication and spread of the HIV infection.

HIV infection and Tuberculosis are totally different type of infectious diseases. HIV is a viral infection and TB is a bacterial one. An HIV infected person will not contract TB unless a contact happens with a TB infected person. TB spreads via droplet infection and is communicable. If a person lives in a country with a high prevalence rate of TB, an HIV patient is highly susceptible to contracting the infection. In the similar manner, a person suffering from TB gets infected with the HIV infection only through the blood and bodily fluids borne route, with unprotected sexual intercourse with an HIV infected individual being the most important cause.

Amongst all the other opportunistic infections, TB occurs at an earlier stage in the course of an HIV infection than most other opportunistic infections. Mortality rate in the co-infected patients is more than twice that of HIV infected individuals without a TB infection. Even if a patient is undergoing anti-retroviral therapy, the death rates remain high in co-infected individuals.The natural history and course of TB gets altered in people with an infected immune system. The damage to immunity due to HIV infection causes a drastic reduction in the pathogen killing capacity of the body. In such patients if there is no anti-retroviral treatment prescribed, then the latency period between the infection and progression of disease gets eliminated. 

An active phase of TB is observed in such individuals progressing within a short span of time, ranging from weeks to months, rather than years as it normally should be spanning. Risk of progression from a latent stage to an active stage of TB is around 10-15 times greater in an HIV infected individual as compared to the non-infected person. Such individuals also communicate the disease more rapidly to others.Pulmonary tuberculosis in an HIV infected person can present similar symptoms like that of a classic TB disease. However, a co-infection can sometimes show less presenting TB symptoms, where even the chest X-ray scans can be observed to be normal. A  subclinical  phase of Tb in co-infected patients can cause delay in the diagnosis of the symptoms and subsequently affect the prognosis due to lack of timely treatment.

Social stigma and discrimination has caused an obstacle in provision of adequate treatment for people with HIV. Proper counseling  and initiatives taken to provide indiscriminate care can aid in identification of co-infection and earlier stages. Anti-retroviral treatment teamed up with anti-tubercular drug regimen is prescribed and a successful treatment for drug sensitive cases of TB can be provided with medications for 6-8 months.

How HIV & TB  Are Related?

Vaginitis is a vaginal disorder, which is characterized by pain, itching and inflammation. It is usually caused due to an imbalance of the bacteria in the vagina. It may also occur because of low estrogen levels after menopause.

Vaginitis is classified into four types:

Yeast Infections: These infections are caused by a fungus known as candida albicans.
Bacterial Vaginosis: This disease results from an imbalance of bacteria in the vagina.
Vaginal Atrophy: Vaginal atrophy (vaginal inflammation resulting from tissue shrinking and thinning) occurs due to low estrogen levels in the body.
Trichomoniasis: This disease is caused by a parasite and is usually transmitted through sexual intercourse.
The symptoms of this disorder are:

Itching in the vagina
Abnormal bleeding from the vagina
Intense pain while having sexual intercourse
Vaginal discharge that changes in color and amount
Intense pain while urinating
Note: The cause of the disorder depends on the type of vaginitis you have; bacterial vaginitis results from an imbalance of the bacteria in the vagina. Yeast infections result from an overgrowth of fungi in the vagina. Trichomoniasis is caused by a single celled parasite 'Trichomonas vaginalis'.

Vaginitis - 4 Common Types

Sexually Transmitted Diseases (STDs) are infections that you can get from having sex with someone who already has the infection. The causes of STDs are bacteria, parasites, and viruses. These infections often do not cause any symptoms, and can still be passed unknowingly from the infected partner to the other. However, some common symptoms include genital itching, lesions, flu / fever like symptoms and feeling pain / pressure in the lower part of the stomach.

There are many kinds of STDs including Chlamydia, gonorrhea, genital herpes, syphilis and HIV.

The important thing to understand and know is that these STDs can be prevented.

3 ways of preventing STDS are:

1. Precautions before having sex

There are some things you can do to reduce your risk of contracting STDs before having sex. This include:

  Limiting the number of sexual partners
  Talking honestly with partners about your sexual history
  Getting tested, along with your partner, before having sex
  Getting timely vaccination against HPV and HBV

If you have been diagnosed with an STD you should tell your partner about it and also explicitly ask your partner if they have had an STD.

2. Practice safe sex

Use a latex condom every time you have sex and use a water-based lubricant. If your sex life involves intercourse, anal or vaginal, make up your mind to never have sex without a condom. If you or your partner is at a high risk of STDs, be consistent about barrier use during oral sex as well. Avoid sharing towels or underclothing to reduce the risk of an STD. Check the expiration date of the condom and make sure that it has an air bubble, which shows it has not been punctured. Dispose the condom properly and never reuse it.

3. Don't drink Alcohol or use drugs before having sex

It's impossible to make responsible choices about your sex life under the influence of drugs or alcohol. When you are under the influence of any one of them, you are not in your mind and are likelier to choose a partner you wouldn't have picked otherwise. In that case, you may be at a higher risk of contracting an STD. Also, if you are on birth control pills and you vomit, the pills could lose some effectiveness.



3 Ways You Can Prevent STDs (Sexually Transmitted Diseases)

Suffering from impotence can be terrible, but you need not to suffer silently as there is a solution for this problem in Acupressure treatment method. An ancient Chinese-inspired treatment, acupressure is a self-healing method, and many ailments can be treated with this process.

Erectile dysfunction or impotence which is the inability to obtain, in some cases, maintain an erection can occur due to numerous factors. Certain lifestyle habits or stressful conditions can also lead to impotence along with low testosterone level, chronic diseases like diabetes and acupressure, the most effective self-healing method can be of immense help when it comes to treating this problem.

9 Acupressure points to treat impotence

Bladder 23 and 47: They are together known as the sea of vitality points that are located on the lower back between the second and third lumbar vertebrae. The points are important for fertility and are used to boost up the immune system and energy.
K1: K1, also known as Bubbling Springs is located at the center of the sole. Pressure on that point treats not only erectile dysfunction but also menopause-related issues like hot flashes, dizziness, etc. in women indicating K1 to be effective for reproductive health.
Bladder 27 and 34: Known as the Sacral Points because the points are on the sacrum that is located at the base of the spine. Acupressure on these points helps relieve from impotence, sacral pain, sexual-reproductive problems and so on.
CV4: Conception Vessel 4 is an important point located four finger widths below the belly button. The point is known as the Gate Origin and is one of the most useful points to treat erectile dysfunction, urinary inconsistency, etc.
CV6: Conception Vessel 6 is another important point of acupressure for impotence and is located three finger widths below the belly button. It is useful for treating seminal emission, impotence, night-time urination.
K3: Kidney 3 is a vital acupressure point. It is known as Bigger Stream and is situated midway between the Achilles  tendon and the inside of the anklebone. It relieves sexual tension, loss of libido and fatigue.
Sp12: Spleen 12, known as the Rushing Door is located in the pelvic area in the middle of the crease where the leg joins the trunk of the body. It is a significant pressure point for treating male infertile issues.
Sp13: Spleen 13, like Spleen 12 is also located in the pelvic region in the middle of the crease where the leg joins the trunk of the body. Stimulating this particular point helps in curing impotence and abdominal discomfort.
St36: Stomach 36 is a vital acupressure point for treating several health problems. Situated four finger widths from the kneecap and one finger width outside the shin bone, the point is known as the Three Mile Point. It helps in improving the functions of the reproductive system.
Impotence is one such condition which can be completely cured with holistic healing and acupressure is a time-tested treatment for impotence. If you are facing the problem of impotence, you can schedule an appointment with an acupressure expert and seek treatment that will lead to a definitive cure.

Erectile Dysfunction - 9 Acupressure Points Can Help Treat It?

Chlamydia is caused by the bacteria Chlamydia trachomatis and doesn't have any defined symptoms and hence, most people who suffer from it are not even aware of their status. Of all the sexually transmitted diseases, Chlamydia is the most common.

And, since it doesn't have any defined symptoms, it is transmitted unknowingly from one person to another. Chlamydia can also be passed on from mother to child, if the mother suffers from Chlamydia while she is pregnant. Here are a few things you should know about this sexually transmitted disease. 
Symptoms
Symptoms of Chlamydia are noticeable within 1-3 weeks of unprotected intercourse. The symptoms of Chlamydia are different in men and women. 

Symptoms in men
-    Clear or cloudy discharge from the penis
-    Painful urination
-    Burning and itching around the penis head
-    Painful swelling of the testicles

Symptoms in women
-    Abnormal vaginal discharge
-    Painful menstruation
-    Bleeding between menstrual cycles
-    Abdominal pain and fever
-    Painful urination
-    Itching and burning around vagina
-    Pain during intercourse

A simple urine test or lab test can be used to diagnose Chlamydia. For the lab test, the doctor will take a sample swab from a man's urethra or a woman's cervix. 
Once diagnosed, Chlamydia can be easily treated. In most cases, oral antibiotics will cure the patient in a week or two. It is important to complete the antibiotic course even if the symptoms disappear early. In some cases, women with severe Chlamydia may need to be hospitalized for intravenous treatment. 
With Chlamydia, it is important not only for you to get yourself treated, but to also get your partner treated. This will eliminate the chances of the disease recurring. You must also test yourself after three months to ensure that the disease has been completely cured. 
Chlamydia can affect your health badly, if left untreated. It can cause pelvic inflammatory disease in women, which may make the woman infertile by affecting her fallopian tubes. It could also increase the risk of an ectopic pregnancy and premature birth. Further, remember that Chlamydia can also be passed on from mother to child if left untreated. This can cause the newborn to have an eye infection or pneumonia at the time of birth. If left untreated in men, Chlamydia can cause nongonococcal urethritis, epididymitis and proctitis. The first is an infection of the urethra; the second, an infection of the tube that carries the sperm from the testis and the third is an inflammation of the rectum. 
Like all STDs, Chlamydia can be prevented by the use of a condom and fidelity between sexual partners.

A Guide To Chlamydia

What is vaginal dryness and how can it affect you?
Vaginal dryness is often a result of menopause and it is capable of affecting women of any age. Although it feels like a minor irritation, it can have a huge impact on a person's sex life. Normally, the vaginal walls are lubricated with a layer of clear fluid. The 'oestrogen' hormone is used to maintain this thin layer of fluid, thus keeping the vaginal lining thick, elastic and healthy. However, menopause brings about a condition known as vaginal atrophy, which is a drop in the levels of oestrogen and this greatly reduces the level of vaginal moisture that is available. Improper lubrication of the vagina can result in painful sex which in turn affects libido, arousal and desire.

Treatment 
The most common treatment for this condition resulting from low levels of oestrogen is Topical oestrogen therapy. In this, hormones which are no longer secreted by the body are replaced by the topical oestrogen. Even though Topical Oestrogen Therapy is helpful in relieving the symptoms of vaginal dryness, the treatment pales in comparison to oral oestrogen hormone therapy (HT).

Usually, women mostly use one of the three types of vaginal oestrogen listed below:
1. Vaginal oestrogen tablet: A tablet is inserted into the vagina using a disposable applicator. The procedure is carried out once daily during the initial two weeks of treatment, after which it can be inserted twice a week.

2. Vaginal oestrogen ring: A soft and flexible ring is inserted inside the vagina, either by the patient or the doctor. Oestrogen, in the form of a steady stream, is then released directly to the vaginal tissues by this ring. Replacement of this ring is done every three months.

3. Vaginal oestrogen cream: An applicator is used to apply cream to the vagina daily. The frequency of application can be reduced as per doctor's advice.

Side effects and aftercare 
Side effects such as breast pain and vaginal bleeding are common when any form of oestrogen product is used. Vaginal moisturisers should be used to keep the vagina lubricated. Use of water-based lubricants during sex can make it more enjoyable. Use of bubble baths, scented soaps, douches and lotions around the sensitive area of the vagina should be avoided as these products can worsen the problem.

Modes of Treatment for a Dry Vagina

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