People who suffer from human immunodeficiency virus, commonly known as'hiv, are known as hiv positive people. The virus is the agent of aids that is currently incurable. Hiv is known to alter the human immune system and makes people much more susceptible and vulnerable to diseases and infections. 

Body fluids such as semen, blood, breast milk, vaginal fluids etc. Of an infected individual contains the virus, which can be passed from one person to another during blood-to-blood and/or sexual contact. Hiv positive women may even pass on this virus to their children during pregnancy, delivery or by breast feeding them. Hiv is also transmitted during oral, anal or vaginal sex, by contaminated hypodermic needles and by blood transfusion. 

Mentioned below are a few issues that a hiv positive woman have to face apart from discrimination and stigma, fear of infecting their children or partners, violence and abandonment. 

1. Menstrual disorders: changes in menstrual cycles are frequently reported by hiv infected women. However, menstrual dysfunctions are due to varied reasons that aren't directly related to the disease. Although most of the hiv positive women suffer from amenorrhea i. E. The unusual absence of periods, it is not just due to hiv but also because of weight loss or immunosuppression. 
 
2. Contraception: it is very important that the contraception a hiv positive woman chooses not only acts as birth control, but also to prevent the transmission of sexually transmitted diseases and hiv. Although condoms do not provide exceptional pregnancy prevention, they are excellent at preventing transmission of the hiv virus. Permanent sterilization is usually the most chosen contraceptive method for hiv serodiscordant couples.

3. Surgical complications: hiv positive women are at a higher risk of undergoing gynecologic surgery. This is because they are more vulnerable to pelvic infectious disease that requires surgical intervention. There is also a greater risk of developing vulvar cancer in hiv positive women. 

4. Fertility: there has been an increase in the number of seropositive women contemplating pregnancy and childbirth. Most couples resort to assisted reproduction to lower the risk of horizontal hiv transmission. Studies show that undergoing hiv treatment and having an undetectable viral load is helpful in preventing the transmission of hiv. It is important to consult a medical expert if you are unable to get pregnant after at least 6 months of trying. Fertility problems are more common in hiv positive women than hiv negative women.

Issues for HIV Positive Women

The prostate gland in a man begins to grow in size on reaching 25 years of age quite naturally, and this is known as benign prostatic hyperplasia abbreviated as BPH. Now the problem arises when the enlargement of the prostate is more than normal.

In men, the urine flows through the urethra from the bladder. An abnormally enlarged prostate blocks the flow of urine through the urethra. The cells of the prostate slowly multiply to cause it to enlarge. This puts pressure on the urethra thereby giving rise to a number of problems, most of which manifest as symptoms.

Common Symptoms of an Enlarged Prostate Gland
The condition of enlarged prostate gives rise to some noticeable symptoms which provide the signs that you need to visit a doctor to get it treated. A weak or slow urinary system is one of the most common symptoms of being affected with an enlarged prostate. This includes urinating more often, an increase in the urgency to urinate, difficulty in starting urination and a feeling of incomplete bladder emptying immediately after urinating. At times, it is seen that passing urine becomes very strenuous. All these above symptoms indicate that there is an enlargement of the prostate gland and medical help should be sought immediately to prevent the condition from worsening.

Steps to Manage an Enlarged Prostrate

Effective medication is usually the first step in the management of an enlarged prostate gland. Alpha blockers are the drugs that are most commonly used in this situation. These drugs do not reduce the size of the prostate, but they are great in relieving the symptoms to allow free and painless passage of urine. Another group of drugs known as 5-alpha reductase inhibitors can help in shrinking an enlarged prostate. The drugs work by the reducing the levels of the male hormone called dihydrotestosterone.
In some advanced stages of prostate enlargement, minimally invasive treatments are used for the effective management of the condition. Transurethral Microwave Thermotherapy or TUMT is used to treat mild blockages that reduce the frequency of urination, the urgency, and straining. However, it is not able to correct the bladder emptying issues. Transurethral Radio Frequency Needle Ablation or TUNA helps in the destruction of the prostate tissues resulting in an improvement in the flow of urine.
Prostatic stents are also sometimes used for the management of the condition of an enlarged prostate. In this treatment procedure, a small metal coil is inserted into the urethra for widening it and keeping it open. In most severe case of prostate enlargement, only surgical methods remain as the opted method of treatment. Laser surgeries are performed to destroy the tissues of the prostate for easing of the condition. Ultimately, an open prostate surgery is performed when the transurethral procedure cannot be used. In this surgery, the tissues of the prostate are removed by the surgeon in case of great enlargement.
The condition of an enlarged prostate gland requires medical attention and treatment for the most effective management, and it is best that a medical professional is consulted as soon as any of the symptoms surface.
Enlargement starts usually after 50 years. Surgery 'Transurethral resection of prostate (TURP)' either by monopolar or bipolar electrocautery. Enucleation of prostate by laser is also an option.

Enlarged Prostate - How Can It Be Managed?

With an upsurge in the number of women suffering from dysfunctional reproductive system and a myriad of gynecological problems, resulting in irregular periods, infertility and several other complications, it is of paramount importance to keep a record of the dates and duration of your monthly cycles. This is not only useful for future reference when you visit a gynecologist, but it also helps you to understand if there are any delays in your mensuration cycle or you are having excess bleeding in a particular month.

Why tracking your menstrual cycle is important?
Keeping a track of the menstrual cycles is a mandatory exercise for women who are thinking about pregnancy or those trying to avoid it. Based on you period calendar, you can avoid getting pregnant without opting for contraceptive methods, if you have extremely regular period patterns. It is advisable to abstain from intercourse for a few days before and after the period, which is the prime time for ovulation. Keeping a track of your periods will give you a clear indication as to whether you are pregnant, because delay in the menstrual onset can be an indication of pregnancy. The reverse is also true; if you are trying to get pregnant, conception is usually fruitful on these days of maximum ovulation, which you can easily calculate based on your well maintained menstrual record.

How should you go about keeping a track of your menstruation cycle?
While it not possible to note down every possible aspect of the menstruation in a notebook, the easiest way of maintaining a planner is to mark the first day of each period on the calendar. The difference between two consecutive periods will give you your cycle lengths. In addition you can choose to make a note of how heavy the bleeding is or if there are changes in mood and appetite on those days. You will then be well prepared for your next visit to the gynecologist.

How Tracking Your Menstrual Cycles Can Be Beneficial For Your Reproductive Health?

When a person is aroused there are a host of hormonal changes within the person's body. These changes do manifest on the surface in the form of certain physical variations. Sexual stimulation happens to alter the state of human genitalia and that too in obvious ways. The blood flow to the concerned area increases, there is enough of natural lubrication in and around the organ and for women, the vagina loosens up and the clitoris swells. Intercourse followed by a climactic release will make the clitoris regain its original size. However, worries crop up when that is not the case with every single female. This serious medical condition of a swollen clitoris should never be overlooked; it must be treated by seeking experienced medical assistance.	 

1. Trauma: Any slight scratch or one wrong touch can cause a swollen clitoris. Even a scratch of your fingernail while you are masturbating or a rough sexual intercourse can and is enough to create trauma in your clitoris.

2. Hair: Hair grows normally around your genital area. It is very common for a woman to have pubic hair. But sometimes small hair splinters lead to trouble and hair gets stuck into your clitoris and causes swelling. This is a very annoying process, sometimes you may have to use a magnifying glass to remove the hair from your clitoris.

3. Clothing: sometimes your tight clothes can result in a swollen clitoris. The friction from your rough clothing material can cause your clitoris to swell. Sometimes you may be using a detergent that is not suitable for you or you may be wearing a dress material, which you're allergic to. You should always wash your clothes in plain water and dry it before using.

4. Infection: you may also have some bacterial and fungal infection in your clitoris, which can cause a swollen clitoris. This infection can also invite itchiness and redness and these can make it even worse. If it doesn't subside within some days then you should definitely see a doctor.

5. Cysts: small cysts known as Bartholomew's cysts can grow on the clitoris. This thing hampers the natural lubrication of the body.  If you are having clitoris swelling because of cysts then you should seek medical attention immediately.

Your clitoris is naturally sensitive and if you are having a swollen clitoris after intercourse then you should pull back from sexual intercourse for a few days. At times the swelling goes away on its own.

Swollen Clitoris - 5 Main Reason Behind Enlarged Clitoral  

Role Of Ayurveda In The Management Of Genital Herpes & Sarpa Suttu!

Some people experience symptoms of erectile dysfunction and think of consuming Viagra. Viagra is the market name of a substance called Sildenafil, which is used for the correction of erectile dysfunction. It creates hypertension in the blood vessels, enabling you to get an enhanced erection. Viagra is quite useful for boosting your sexual performance. However, you may experience several side effects on your health. Before deciding on using a pack of Viagra, it is advised to consult a doctor to know the exact dosage that would work for you.

Dosages

1. 50 mg is the recommended dosage for men in general. The dose can be sometimes increased up to 100 mg. It depends on tolerance and effectiveness. The dose may also be decreased to 25 mg in some cases. It is also advised not to take Viagra more than once a day. The dosage will have to be altered if you take other prescribed medicines.

2. Viagra single packs are also prescribed by doctors. Single packs are available in dosages of 25, 50 and 100 mg.

When should you avoid viagra?

Viagra should be avoided in some cases. 

These include the following:

1. In case you take prescribed nitrates for chest pain or pulmonary disorder, your doctor would advise you not to use Viagra due as it increases the risk of high blood pressure, which can be quite disastrous for your health.

2. Many people are allergic to sildenafil, which is a substance present in Viagra.

Side effects of consuming viagra

Viagra causes several serious side effects on the body. Therefore, it is very important to take a doctor s advice and know about the different adversities. The most common side effects include the following:

1. Priapism: This is a condition where your erection lasts for about four hours or longer and does not end. Permanent damage to the penis is indicated if this condition is not treated.

2. Loss of vision and hearing impairment: Viagra may cause Non-arteritic Anterior Ischemic Optic Neuropathy (NAION). This disorder may lead to loss of vision in one or both the eyes. Tinnitus or hearing impairment is another condition, which may occur as a side effect of consuming Viagra.

You should always consult a doctor before you decide to take as he would know best about the dosage required by your body. He will also advise you about an ideal method of usage.

Should You Get Doctor's Advice Before Taking Viagra?

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