The human immunodeficiency virus or hiv is a virus which causes hiv infection and leads to" acquired immunodeficiency syndrome" or aids. Hiv is transmitted by different means and ways.


Unprotected sex is a primary mode of transmission of the hiv virus from an infected person to a healthy person. Unprotected sex refers to having sexual intercourse without using a condom or any other mode of protection. It leads to hiv transmission along with other sexually transmitted infections.


How does hiv occur from unprotected sex?
While having sex without protection, the hiv present in the body fluids such as blood, sperm, vaginal fluid, pre-cum or anal mucus of an hiv infected patient can pass on to the body of his/her partner. The transmission occurs through the membranes of the penis in men, vagina in women, the rectum and also through mouth and throat. It is more likely for an hiv patient to pass on the virus during the first few months after getting infected. This is because the virus spreads over body fluids during this stage.


Which types of sex are more risky?
Hiv is transmitted the most by having vaginal or anal sex. Anal sex accounts for being the riskiest because the lining present in the anus is much more delicate than the vaginal lining. It is prone to more damage, easily. There are two types of anal sex: receptive anal sex and insertive anal sex. Receptive anal sex is more risky.


Hiv can also be acquired from oral sex. This can happen in case the person giving oral sex has ulcers in the mouth, sore and bleeding gums. In case the person receiving the oral sex is already infected, the other person gets hiv.


A person who has sex with multiple partners regularly is at a high risk of getting hiv because of unprotected sex.


Prevention
Getting hiv from unprotected sex can be avoided if you use these precautions:


- condoms
Condoms offer the precaution against hiv infection from anal or vaginal sex. They should be used by men before any kind of sexual contact to restrict the passing of semen or fluid, which may be infected by hiv.


- lubricants
Sex is made easier by using lubricants and reduces the risk of tearing in the vagina or anus due to friction. The risk of a condom breaking is reduced using lubricants.


- dental dams
This is another precautionary device, which is a small sheet of plastic. It has to be placed to cover the mouth of the vagina or anus and reduce the risk of hiv transmission.
Unprotected sex is the primary cause of hiv and people who do not take precautions before sex are likely to be infected by hiv.

HIV and Sex

With age it becomes difficult for many men to achieve an erection and maintain it. This is known as Erectile Dysfunction. This is not necessarily related to a lowered libido. In many cases, a man may desire sex but not be able to have an erection rigid enough for intercourse. Men with a history of obesity, hypertension, diabetes and smoking are at a higher risk of suffering from erectile dysfunction as they get older. However, this condition can be treated. 

Ayurvedic Medicine for Erectile Dysfunction:

Gold Bhasma: Gold Bhasma also known as Swarna Bhasma is prepared from pure gold. Nowadays, the use of technology has mitigated many tedious steps, which one had to undergo during ancient time to prepare it. It is highly effective and is used for the treatment of infertility, sexual weakness, tuberculosis, cancer, asthma and many other fatal diseases.

Silver Bhasma: Silver Bhasma is also know as Rajat Bhasma or Raupya Bhasma is a calcified Ayurvedic medicine used not just for treating erectile dysfunction, but also for a number of diseases such as, jaundice, frequent urination, enlargment of spleen, etc.
Both Gold Silver Bhasma are mixed with other Ayurvedic medicines for effective treatment of erectile dysfunction.

Other Treatments for Erectile Dysfunction:
Erectile dysfunction can be treated in a number of ways. Some of these are:

Viagra: Viagra is usually the first form of treatment for erectile dysfunction. Viagra is a type of drug also known as phosphodiesterase-5 inhibitors. These drugs increase the blood flow into the penis and thus enable an erection. Levitra and cialis are other forms of phosphodiesterase-5 inhibitors. However, Viagra is a temporary treatment and has a side effect that it is a habbit forming drug.
Penile Injection: If a man cannot take oral medication, a penile injection is the best form of treatment. Here, medication is directed into the side of the penis. This dilates the arteries and allows blood to flow in. thus it instantly initiates an erection.

Intraurethral Suppositories: This involves placing a soluble medicated pellet into the urethra. This increases the blood flow into the penis and will create an erection in 10-15 minutes. This form of medication is rarely used.

Vacuum Pump: A vacuum pump is another common form of treatment for this condition. It consists of a plastic cylinder that is placed over the penis and a pump that removes the air within the cylinder thus forcing blood to flow into the penis. An elastic ring is then slid onto the base of the penis to hold the erection. The ring must be removed after a maximum of 30 minutes.
Surgical Implants: There are two types of surgical implants that can be beneficial to men who have not benefitted from medication. The first is an inflatable pump that can manually pump fluid into cylinders within the penis. The second is a malleable prosthesis.

Lifestyle Changes: Obesity, hypertension, high blood pressure, excessive alcohol, smoking and a sedentary lifestyle can also be the reason a man cannot hold an erection. Addressing these factors by making conscious lifestyle changes can improve a man's ability to initiate and maintain an erection. These changes include a healthy diet, regular exercise, lowered consumption of alcohol and losing excessive weight. Living a healthy lifestyle is the only way to lower the risk of suffering from erectile dysfunction in the later years.

5 Best Treatment for Erectile Dysfunction - Effective Methods

Both women and men suffer from infertility troubles. There are a host of causes that may lead to infertility in men such as lifestyle choices and obesity. Male infertility is characterized by irregular sperm function or reduced sperm count. Infertility has emerged as a common problem as a result of the modern day lifestyle. Extremely hectic schedules, stress, burnout, depression, unhealthy diets; all of these can contribute to fertility issues.

The various reasons for infertility in men are:
1. If you are overweight, then it is time to lose those extra kilos. Obesity leads to a number of health problems, one of them being erectile dysfunction.
2. Various hormonal problems such as complications of the hypothalamus, pituitary and adrenal glands may lead to low testosterone levels in the body.
3. Various infections such as inflammation of the testicles and epididymis that causes blockage of the tubes carrying the sperm can be a cause.
4. Various medications such as using anabolic steroids, antifungal medications and chemotherapy may hamper production of the sperm and thus hit fertility.
5. Both alcohol and cigarettes may cause problems in sperm production, and cause erectile dysfunction. Excessive drinking may lead to complications in the liver resulting in infertility.

The reasons of infertility may range from medical causes to lifestyle choices; some of the causes may be related to the environment. A common cause of infertility is due to problems with transportation of the sperm. These are mainly due to blockages in the tubes that carry the sperm.

Symptoms of infertility in men are:
1. You may experience low libido
2. Your sperm count may be low
3. You may experience lumps or swellings in the testicles
4. Chromosomal complications such as reduced body hair
5. You may have chronic respiratory problems.

What Causes Infertility in Men?

Chlamydia is one of the more common STDs among both the genders. It spreads through physical intimate contact; it can develop irrespective of one s age, however, is most commonly observed among young women. In women, the symptoms include yellow or green colored odorous vaginal discharge, painful urination and a burning sensation or itching around the vagina, lower abdominal ache, painful menstruation or bleeding during sexual intercourse. Now if the infection reaches up to the fallopian tubes, it causes a disease known as Pelvic Inflammatory Disease (PID). In case of unprotected oral sex, the bacteria causing this disorder,  Chlamydia Trachomatis  might infect the throat as well.

Reasons Behind Chlamydia in Women:

Being a sexually transmitted disease, Chlamydia gets passed on from one person to another through unprotected sex or through the contact with the genitals of an infected person.

In some cases, infants are likely to inherit the disease from their mothers during birth, if she is already affected with it. Hence pre-natal checkups are essential for detection.

Although very rare, this infection can affect the eyes as well via oral or genital contact.

How To Treat Chlamydia?

The infection can be resolved within a couple of weeks with the use of antibiotics. Once it is diagnosed, the treatment course should start immediately. The widely used antibiotics for curing chlamydia are azithromycin and doxycycline. If you are breastfeeding or pregnant or suffering from any allergy, your doctor might prescribe erythromycin or amoxicillin. For severe complications, a longer course is administered. The treatment may induce mild side-effects in the form of vaginal thrush, sickness, diarrhea and tummy pain.

Try and avoid any sort of sexual activity (intercourse or other activities) till the treatment is completely done and none of you show any other sign of the infection.

Chlamydia - Reasons Why it Affects Women

It is very common for women to experience vaginal problems due to the menstrual cycle, birth control methods, sex or aging. Vaginal odor may change according to your sexual health. Sometimes, it is wrongly interpreted as infection or any other problem but it is a naturally existing odor which can also be caused by normal sweating. Nevertheless, an unpleasant vaginal odor can also be indicative of infection, irritation or an overgrowth of vaginal bacteria. Four common reasons of vaginal odor are:

1. Bacterial vaginosis
Bacterial vaginosis (BV) is an overgrowth of naturally existing bacteria in the vagina which can occur due to unprotected sex, douching or low production of lactobacilli bacteria. This can cause irritation, itching and makes women more vulnerable to sexually transmitted infection and other complications like preterm birth. Bacterial vaginosis is a very common occurrence for women in their reproductive years and is the primary reason for the vaginal odor in most cases.

2. Poor hygiene
Poor hygiene can be one of the major causes of vaginal odor. In terms of hygiene two common reasons which can cause unpleasant odor are the lack of proper washing and not wearing clean undergarments. Due to the presence of sweat around the genitalia and poor maintenance of hygiene, women often experience bad odor.

3. Forgotten tampon
A forgotten tampon can cause bacterial infection and lead to vaginal odor. The growth of bacteria along with menstrual blood can cause itching and lead to unpleasant smelling vaginal discharge. Sometimes, the infection can spread and cause serious problems like pain in the lower abdomen.

4. Trichomoniasis
Trichomoniasis is a sexually transmitted disease which is caused by a protozoan parasite. It can cause a foul smelling odor, soreness, pain while urination and intercourse and also vaginal itching. Pregnant women suffering from this disease are more at risk to deliver premature babies. It can be treated with antibiotics and can be prevented with proper use of condoms.


4 Reasons for Vaginal Odor

Knowing premature ejaculation - part 3: management and techniques (non-medical methods)

As shared in part 1and 2 of this series, because of premature ejaculation (pe), both the partners may end up experiencing highly unsatisfactory sex. In fact, it can increase anxiety, which may deteriorate the problem. 
Remember there is not a single magical drug or medicine in the chemist shop which can solve your problem overnight especially if you have chronic pe. Before seeking any medical treatment for pe, it is appropriate to consider the varied options for solving this issue. These include counseling with a sexual therapist, non- medical treatments like various exercises/ techniques and medical treatments including both modern and alternative medicine.

A. Counseling from an expert - sexual therapist or sexual medicine practitioner:
It is well understood that sex is in the mind. However, repeated pe/ failures can lead to lot of stress and disappointments. Anxiety due to pe itself is a big issue and can lead to recurrence of pe.
Reassurance from sexual therapist / counselor that pe is not a disease and can be easily treatable is relaxing for men who are facing this problem. So please share your detailed history and sexual habits with the expert. This may help the expert to guide you well.

B. Behavioral changes:

Some basic things may also help you to deal with the problem. 

1. Some men attempt to treat themselves for premature ejaculation by distracting themselves by thinking nonsexual thoughts (such as naming cricket players and records) to avoid getting excited too fast when approaching their partners. This helps them to focus their attention away from the sexual stimulation.

2. It is also suggested to men that they should relieve themselves of the sexual tension by ejaculating with self masturbation 1-2 hours before attempting sexual intercourse with their partner.

3. Using condoms is known to help in premature ejaculation in some men by decreasing sensation.

4. Women on top position usually helps to delay orgasm in men

 
C. Exercises &amp; techniques:

There are several exercise and techniques you can try sitting in your home.

1. The" stop and start" method:
This technique involves sexually stimulating the man by self until he feels like he is about to reach orgasm. Then he needs to stop the stimulation for about 20-30 seconds and then start it again. Repeat this pattern until the man wants to ejaculate. This can be continued for 10-15 minutes. At the end of say, 10th or 15th minute, continue stimulation until the man reaches orgasm and ejaculates.
2. The" squeeze" method:
 This technique involves sexually stimulating the man by self or by his partner until he recognizes that he is about to ejaculate. At that point, the man or his partner gently squeezes the end of the penis (where the glans penis meets the shaft) for at least 15 seconds. Stop sexual stimulation for about 60 seconds, and then start it again. The person or couple may repeat this pattern for at least 10-15 minutes. At the end of say, 10th or 15th minute, continue stimulation until the man reaches orgasm and ejaculates.
3. Practice breathing exercises 

Deep breathing can greatly help in controlling the arousal and tension that cause early ejaculation. Men must avoid shallow breathing as it can trigger premature ejaculation. Instead, what you should do is spend 5 seconds taking in a long deep breath; then hold it for 3 seconds and then exhale for the next 5 seconds. If you can do this for 5 minutes in the bedroom without pause then you can control premature ejaculation.

If you would like to consult with me privately, please click on'consult.

Knowing Premature Ejaculation - PART 3: Management and Techniques (Non-medical methods)

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