The testes are an important part of the human reproductive system and are susceptible to injuries as well as internal problems. One such problem which is known to afflict younger men mostly from the age of 12 to 16 is testicular torsion. It can affect older men, but is commonly seen in the aforementioned age group. It is a painful condition that will require medical attention and if left untreated might even result in removal of the organ in rare cases.

What is testicular torsion?
There are many intricate functions performed by multiple blood vessels within the scrotum that supply the testes with blood. However, one of the testicles might rotate and thus end up twisting the spermatic cord. This cord brings blood to the testicles and if twisted, will reduce the flow of blood significantly. Thus the scrotum may swell up and also become quite painful.

Symptoms of testicular torsion
1. Significant swelling of the scrotum
2. Mild to extreme pain in the scrotum.
3. Abdominal pain, especially in the lower abdomen
4. Unusually positioned testicle such as one significantly higher, behind, or in front of the other one.
5. Fever
6. Feeling nauseated and may be accompanied by vomiting
7. Pain during urination
8. Inability to sleep or waking up in the middle of the night due to the constant pain

What causes testicular torsion?
In certain cases, testicular torsion may occur and then go away on its own when the testicle rotates, resulting in the untwisting of the spermatic cord (which is also known as de-torsion). However, it is still advisable to visit a doctor and ascertain what caused it so that the risk factor could be eliminated as torsion and de-torsion could keep happening frequently. Some of the common causes for testicular torsion are mentioned below.

Hereditary factors: If someone in your family has suffered from this condition, you could be susceptible to it.
Injuries: If you receive minor trauma such as the one during playing any kind of contact sports, outdoor activities or even while doing house work, it can be a reason of this condition as well.
Activities that put stress on the scrotum: Heavy exercising or running in an unbalanced or improper manner can cause torsion as well.
Improper sleeping positions: This can also cause torsion and is a common cause behind frequent torsion and de-torsion.
Other factors: These factors can include excessively cold temperatures wherein the scrotum contracts rapidly and prolonged contraction can cause torsion. Even the rapid growth of the scrotum during the adolescent years after puberty may cause this.

Torsion of Testes - 5 Common Causes Behind It

In most diseases, early detection of the disease is the key to control the symptoms, cure, reduce progression and improve prognosis. This holds true for sexually transmitted diseases too. As soon as there is a mild degree of suspicious of having contracted a sexually transmitted disease, it is advisable to go for a test. Most of the STDs can develop into serious complications over a period of time, ranging from infertility to even death.

Complications: Why early diagnosis is important: When left undiagnosed and untreated, most STDs progress to cause severe damage from sterility to cancer to even death. Listed below are some complications associated with each of the common STDs.

Chlamydia: If left untreated, can lead to epididymitis and testicles shrinking and infertility in males. This is a condition where there is pus formation in the scrotum. In women, it can lead to pelvic inflammatory disease which is deep-seated and unable to cure completely. This brings with it symptoms ranging from abdominal pain to uterine infections to sterility.
Syphillis: Undiagnosed syphilis can lead to blindness and deafness. It can also be passed onto the newborn and lead to severe disabilities.
Gonorrhea: If diagnosed early, it can be cured completely with antibiotics. However, if left untreated, it can lead to infertility.
HIV/AIDS: Early diagnosis can help in curtailing the disease. If detected late, then the damage is quite extensive and treatment is both expensive and cannot help restore a lot of functions. 
Symptoms of Sexually transmitted diseases: If there is a doubt of having contracted an STD, then it is very important to get tested for the same. Some of the most common symptoms are listed below.

Women: The most common symptoms in women including painful urination, burning sensation, abnormal vaginal discharge (sometimes bleeding), warts, and abdominal pain.
Men: Testicular pain, urethral pain, painful urination, pain and inflammation in the prostate, sores, fever, and abdominal pain.
Prevention: Always practice safe sexual practices. When in doubt, refrain from sex until diagnosis and treatment is complete.

Testing for STDs: Some of the standard tests include:

1. Herpes- HSV I & II - 
2. Testing HIV-- Kits and ELISA available for testing 
3. Blood test for syphilis antibodies 
4. Chlamydia and Gonorrhoea - from urine as well as swabs for culture
It is understandable that getting tested for STDs is an embarrassing situation. However, there are options available where anonymity can be maintained when getting tested for STDs. This is a wise choice to make as the risk is not just for the person affected but for the partner and in some cases even for the fetus. Early testing can help prevent complications like infertility and cancer.

STD Testing - Why You Should Never Delay?

Contraceptives are generally drugs and devices, which are used to prevent pregnancy. A large number of contraceptives are available which allow the couple to enjoy sex without running the risk of unwanted pregnancies. The general categories of contraceptives are explained below:

Barrier Methods:
i. Male Condom: It is one of the most common forms of contraception. They are worn on the penis before sex is initiated. For safety purpose, a new condom should be used every time the person has sex.

ii. Female Condom: Much like male condoms, these are available at over-the-counter pharmacies without prescription. The condoms can be inserted to the vagina anytime within a period of 8 hours prior to sex.

iii. Diaphragm: This should be coated with a spermicide before sex and placed inside a woman's vagina so that the sperms are prevented from entering the uterus.

iv. Cervical Cap: These are used as replacements for diaphragms because some women may develop bladder infections such as cystitis while using it and these caps have lesser contact with the vagina.

Hormonal Methods:
The main implementation of hormonal changes to provide contraception is the pill. This is the most common form of female contraception available. It comes in two forms:
i. Combined contraceptive pill: Contains a combination of hormones such as progestin and oestrogen.
ii. Mini-pill: Contains only progestin: It is available only with the prescription of the doctor and should be used as per the prescription.

Intrauterine Devices
The intrauterine device (IUD) is a long-acting and reversible form of contraception for women. It is of two types: Copper IUD (contains copper) and Hormone-releasing IUDs (progestin hormone is released into the womb slowly). It is a small device that is fitted inside the womb and it provides contraception by facilitating the prevention of fertilization of the egg.

Sterilization
This is a lifelong option that is available for both men and women. In males, the procedure is known as vasectomy which basically ties and cuts off the tubes that carry the sperm.

In women, two forms of sterilization are available; surgical and non-surgical. Surgically, the fallopian tubes are cut and tied using small cuts in the belly so that the ovaries and uterus are not linked. Non-surgically, coils are inserted into the fallopian tubes so the resultant development of scars leads to complete blockage of the tubes.

Other forms of contraceptives include contraceptive patches, vaginal rings, contraceptive injections, spermicides and contraceptive implants.

Different Types of Contraceptives and Its Uses

Certain diseases are fatal, thus, proper measures must be taken to ensure that once the symptoms have been confirmed, treatment must start immediately. Syphilis is one of the most communicable sexually transmitted diseases. If left untreated, syphilis can be fatal.

It can lead to heart disease, brain damage and blindness. A woman infected with syphilis can also pass it on unknowingly to her baby, if she suffers from the disease during her pregnancy. Syphilis can be easily treated, but if left too late, the antibiotics that treat it cannot reverse the damage caused by syphilis.

Syphilis can be tested by
* a blood test: in most cases, a simple blood test can confirm the presence of syphilis by showing signs of the antibodies used to fight it.

* testing the fluid from the sores: this is usually done in the case of primary or secondary syphilis when sores are present on the patient's skin. Looking at a scraping of the sore under a microscope can be used to diagnose syphilis if it shows the presence of the syphilis bacteria.

* testing cerebrospinal fluid: this is performed only in extreme cases of syphilis where the disease may have caused complications with your nervous system. The earlier syphilis is diagnosed, the easier it is to treat.

Syphilis is usually treated with antibiotics amongst which penicillin is the most preferred. If you've had syphilis for less than a year, a single injected dose of penicillin can stop the disease from progressing. You may need additional doses if you have been suffering from syphilis for more than a year. Penicillin is also the only antibiotic that can cure syphilis and suits pregnant women as well. If you have been diagnosed with syphilis during pregnancy, your baby should also be treated for it.

When undergoing treatment for syphilis, here are a few other points to keep in mind:
* abstain from oral, vaginal and anal sex until the sores have healed
* get blood tests at regular intervals for at least a year after treatment
* get tested for an hiv infection
* fevers, nausea, headaches and chills are normal side effects associated with syphilis treatment
* if you are allergic to penicillin, let your doctor know so that you can be given an alternative antibiotic
* if you have a lesion around your mouth, syphilis can even spread through kissing another person

The good news is that once you've been cured of syphilis, it does not recur. However, it is recommended to always use protection while having intercourse and abstain from sexual activities if your partner suffers from syphilis.

Best Treatment For Syphilis Problem | Precaution & Tests

HIV/AIDS is a type of sexually transmitted disease which is caused by the Human Immunodeficiency Virus (HIV). The HIV virus attacks the immune system and makes the body vulnerable to other diseases. AIDS is the last stage of the HIV infection; HIV takes about 10 to 12 years to fully culminate into AIDS. AIDS completely destroys the immune system and leads to fatal health conditions and diseases such as cancers and other infections because of AIDS.

Causes-

HIV is a retrovirus that infects the vital organs of the human immune system. The virus progresses in the absence of antiretroviral therapy. The rate of virus progression varies widely between individuals and depends on many factors (age of the patient, body s ability to defend against HIV, access to healthcare, existence of coexisting infections, the infected person s genetic inheritance, resistance to certain strains of HIV).

HIV can be transmitted through:

Sexual Transmission. It can happen when there is contact with infected sexual secretions. This can happen while having unprotected sex, including vaginal, oral and anal sex or sharing sex toys with someone infected with HIV.
Perinatal Transmission. The mother can pass the infection on to her child during childbirth, pregnancy, and also through breastfeeding.
Blood Transmission. The risk of transmitting HIV through blood transfusion is nowadays extremely low in developed countries, thanks to meticulous screening and precautions. Among drug users, sharing and reusing syringes contaminated with HIV-infected blood is extremely hazardous.
Contrary to popular belief, HIV can never spread by means of kissing as the virus cannot survive outside the body.

Symptoms-

The early symptoms of HIV appear within a few weeks of contamination by the virus. The early symptoms include headache, pain in the muscles and the joints, rashes and inflated lymph nodes. These symptoms tend to disappear within 2 to 3 weeks.
The next set of symptoms might appear after a few years and these are persistent. The symptoms include, but are not limited to fatigue, loss of body weight, inflated lymph nodes, fever, a sensation of numbness near the limbs, pain when you try to swallow, sores in the mouth and sweating at night.
If you are diagnosed with HIV, you should:

Try to maintain a daily diet containing vegetables, legumes, and fruits which provide you energy.
Try to include a little bit of fat, carbohydrates (at least 3 servings of vegetable per day), calcium (dairy products) and low-fat protein sources (generally 80-150 gram per day of fish, skinned chicken, low-fat cheese etc.) in your everyday meal.
Maintain a daily calorie intake of 17-25 calories per pound depending on whether the person is losing weight.
Vitamins and minerals are particularly necessary to repair the cells damaged by the HIV virus.
So, it is necessary to intake foods such as eggs, milk, peanuts, green vegetables, meat, beans and broccolis on a regular basis, if you have been diagnosed with HIV.

If you are suffering from HIV, you must maintain the following food safety measures:

You should try to restrict the intake of fat
Restrict your alcohol intake
You should try to avoid fast foods
You should also limit your regular sugar intake and should avoid foods with extra sugar

HIV/AIDS - Diet, Nutrition & Food Safety You Must Follow!

It has been espoused in common knowledge that when you have inttercourse with your partner, it makes both of you feel happier, satisfied and contented. This helps bring you closer to each other and results in a stronger and better relationship. Sexual activities have a direct connection to your psychological well-being. However, the number of times you have sex isn t as important as the quality of the time you spend with your partner.

Stressed out on sex!
Due to modern lifestyle and stress, young couples are increasingly finding it difficult to hit the bed together, thus putting sex on the backburner. Research states most young couples now consider sex as secondary, mechanical and monotonous, which can be kept for a later time. But that is not the sign of normalcy. You don t need to do it daily, but 2 or 3 times a week is beneficial for a healthy body, mind, and relationship.

Some of the benefits of having regular sex

    Sex releases endorphins hormone which reduces stress and also lets you experience euphoria. This makes you feel satisfied and happy during the act and in general with your life.
    It is directly related to promoting attractiveness. During sexual intercourse, the body releases pheromones which make you look more attractive to other people.
    If you experience orgasms during the activity, you are most likely to have an enhanced life span due to the promotion of better circulation within the body.
    Sex acts as an excellent pain reliever due to the release of endorphins.
    Sex also helps you to have better control of your bladder by working out the muscles during an orgasm.
    It has also been shown to lower the risk of prostate cancer in men.

How much is too much?
These are just a few of the reasons sexologists and health care experts advise you to have intercourse often, at least twice weekly. You don t need to do it regularly, as over indulgence will have negative effects too. It could also signal the start of problems with sexual addiction. Some of the negative effects of too much sex could be:

    It will lead to a detrimental effect on your sexual activity. You will find it difficult to get aroused often.
    You experience cramps on your body.
    You can experience difficulties in your bowel and urinary functions.
    You would be constantly distracted by the thoughts of sex which could lead to sex addiction.

It is best to stay within a limit, have fun with your partner twice or thrice a week and enjoy the health and psychological benefits of this natural marvel.

How Frequently Should You be Having Sex?

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