HPV refers to Human Papillomavirus. This is a common virus, which has got more than 100 different types and over 40 of these types are transmitted sexually. This virus may cause cervical cancer and cases of genital warts. It is likely to occur in people who are sexually active to contract genital HPV, and it is not accompanied by any signs or symptoms. The virus is transmitted via skin to skin contact and is severely infectious in nature. Using condoms may reduce the risk of spreading of this virus, but is not always successful.

There are two major vaccines for HPV. 

Gardasil: This vaccine prevents the most common HPVs which are associated with genital and anal cancer, and also warts of both genital and anal type.
Cervarix: This type of vaccine prevents HPV associated with the occurrence of cervical cancer.
Reasons for vaccination against HPV

HPV vaccines are recommended to girls between 11 and 12 years. It is also given to girls and women between the age of 13 and 26 years, who have never been vaccinated against HPC before. These vaccines should be given to females before they start being active sexually and get exposed to the HPV virus. Sexually active females benefit from these vaccines as well, but the effect is less.

Here are three reasons why you should vaccinate against HPV:

All types of HPV vaccine help in the elimination of the viruses which cause cervical cancer. Viruses causing cancer in the vulva, vagina or anus are also targeted by these HPV vaccines. The HPV vaccines also protect against genital or anal warts. HPV vaccines work effectively in the prevention of cancers caused by HPC viruses and also curb the common health problems which are accompanied.
The effect of HPV vaccines is quite long lasting in an individual who is vaccinated against HPV. Usually it lasts for ten years or more without having any related disorders or cancers. The protection does not weaken over time and remains stable.
HPV vaccines are licensed by the FDA to be completely safe and efficient to use. Extensive studies have been carried out globally, and no safety concerns have ever arisen. The side effects of HPV vaccines are usually quite mild. However, a little amount of pain, dizziness and nausea are involved.
HPV vaccines are a series of effective vaccines, which prevent the occurrence of cervical cancer and other cancers which are sexually transmitted. They are generally given to women before getting sexually active to prevent transmission of HPV viruses. Some HPV vaccines are prescribed to males as well.

3 Reasons To Vaccinate Against HPV


- hiv testing in pregnancy should be done early so as standard care can be taken for the pregnant women.


- this hiv testing must be repeated in the third trimester, usually before 36 weeks of gestation. This should be done in women with hiv-seronegative and also in pregnant women who are at a high risk of developing hiv infection.


- expedited hiv tests should be performed at the time of delivery and labor and this is a must in women who have not been documented for hiv. The results of the test should be available in one hour of the test and the testing should be available 24 hours. In case the results are positive then, infant postnatal antiretroviral and intrapartum drug prophylaxis should be started immediately.


- women who have not been able to be tested for hiv at the time of labor and delivery are suggested expedited screening for hiv. Their screening can be done immediately postpartum or their babies should undergo screening. In case the infant and mother, both are positive, then infant antiretroviral drug prophylaxis should be started immediately. These mothers should avoid breastfeeding their babies, until the supplemental hiv tests are negative. In infants with positive hiv, prophylaxis should be discontinued and antiretroviral drug therapy should be started.


- in case of acute hiv infection during pregnancy, that is in the intrapartum period, or during breast feeding, initial testing can be performed with an antigen/antibody combination immunoassay. If the supplemental test is negative, then an additional test which is the virologic test (dna, rna) are necessary for the diagnosis of the hiv infection.
- if the mother is hiv positive then this information must be documented in the infant's medical record and also communicated to the infants care provider.
The knowledge of an antenatal maternal hiv infection allows the:
- women with hiv infection to get the correct antiretroviral therapy along with prophylaxis for the infections which might occur due to the immunocompromised state of the body. This also prevents and decreases the risk of transmission to their partners.
- when there is provision for antiretroviral therapy for the mother during pregnancy and labor along with antiretroviral drug prophylaxis for the baby there is less risk of perinatal transmission of the hiv.
- the hiv infected women should be counseled for a cesarean delivery. The option of an elective cesarean reduces the perinatal transmission of the hiv.
- the hiv women should be counseled about the risk of breastfeeding.

Identification and Management of Perinatal HIV Treatment

In a conservative society like India, many people thought that the Anti Immunity Deficiency Syndrome (AIDS) virus would never come to their shores because  Indians don t act in those ways.  However, as moral and sexual attitudes change in the subcontinent, AIDS is fast becoming the new scourge.

When was AIDS first considered as a problem?

AIDS was initially a problem in the early 1980 s with many American scientists noting that many Indian doctors were not aware of the virus s presence because of cultural attitudes that the virus would never come to India. Still, Dr.Gilada, a doctor working with sex workers and their clients did an informal sample survey of government and private doctors in 1985. Her findings revealed that 80% of them were unaware of AIDS presence in India.

Based on this shocking finding, Gilada decided to establish an awareness program on AIDS because she knew that the virus would become a scourge if doctors did not treat it immediately. She wrote an article about the program which was featured in the October 1985 edition of Time magazine. She soon had a meeting with a representative from Abbot Labs who asked him to test sex workers for AIDS. She did so and found that 3 out of 600 tested positive for AIDS.

Shortly afterward, newspapers published that 6 sex workers in Chennai tested positive for AIDS. Notices were sent to representatives of Parliament, and awareness was raised. She examined sex workers in Chennai and found that 1 had AIDS, and 2 had HIV.

AIDS Education in India

Soon afterward, many ignorant doctors were being asked about the subject by the media, so Gilda decided to educate them about it because she already had the ready tests and information about it. Dr. Suniti Solomon was given official credit for detecting the first case because she was a mentor for a PhD student who was writing a dissertation on the subject.

Why AIDS is still a problem in India

The main reason for this is because of the fear of the disease, and the second is because of the social stigma attached to the primary ways in which it is contracted. Gilda believes that many people in India still keep quiet about the disease because of the  carpet culture  which is prevalent in the nation. Gilda realized that controlling AIDS meant working with sex workers because 1 sex worker had the potential to spread the disease to 1,000 people.

How AIDS is currently being dealt with in India

Better education and awareness means that prevalence of the disease has declined by 90% because of people engaging in safer sex. As can be seen, more awareness and better education can make the  king s disease controllable. 

AIDS - How It All Started?

There is a contrast between intimacy satisfaction and intimacy happiness. Happiness tends to be a byproduct of the relationship. Therefore, while it just takes one partner to be sexually satisfied, it takes two to make the conditions for sexual happiness. A key indication of sexual bliss in a relationship is a couple's capacity to endlessly rejuvenate the sexual energy between them. Consequently, the term sexual happiness depicts couples who can revive, reestablish and extend their sexual desire with each other for a very long time or even forever. Here are a few ways through which one can integrate happiness and sexuality:

Since sexual happiness is a result of the relationship, both the partners need to be happy with each other in general to achieve happiness rather than satisfaction.
Staying in shape can be very beneficial. Being sound and fit promotes better sex. Not just are fit individuals perform better sexually, but also it is proven that healthier and fit individuals have a more noteworthy longing for sex. There are numerous reasons behind this. Healthy, fit individuals are not only more joyful, but also physiologically, they are capable of producing more sex hormones due to a number of other health factors.
Enthusiasm is not found in sex; it is found in individuals. To completely grasp sexual enthusiasm, you should be completely present in the moment. As such, you should bring your psyche, body, and soul to your partner. This implies being conscious, aware, and present mentally as well as emotionally.
Decreasing or managing sex levels can also help one integrate happiness and sexuality. Life is clearly unpleasant many times, and our reaction to all the anxiety can be devastating when it comes to sexual experiences. Not only does a lot of stress or anxiety decrease the yearning for sex, it also additionally hinders sexual performance. Hence, one should vent out to their partners or try therapy or yoga for stress release.
Routine tend to repel romance and consistency cools the flames of sexual excitement and energy. To neutralize these twin constrains, you should deliberately plan and design different rituals of sexual pleasure. Indulge in customs of joy and particular actions, thoughts, activities, and exercises like back rub, animate, and stimulation of the sexual and emotional pleasures.
Being happy in general is very important. Being cheerful and idealistic is the establishment of numerous parts of a successful life. Inquiring about actions that make your partner happy are more advantageous, beneficial, and have better connections, including better and more continuous sex.
Sex is very important in a relationship for knowing and feeling that your partner still fancies you, yet having sex once a week is a practical and an achievable objective for people who tend to be very busy. A study demonstrates that regular sex additionally makes individuals more joyful than a high income.

Sexual Happiness and Satisfaction - How You Can Integrate Them?

Erectile dysfunction (ed) occurs when the man is unable to achieve or maintain his erection of penis to meet his or his partner's sexual satisfaction. 
The problem is often faced by newly married men. Fortunately with experience, most of them are able to overcome this problem. Again it is increasingly common with increased age. 

So, what are the causes. In some male, it is psychological, caused by anxiety, depression, stress, marital disharmony etc. Use of alcohol and smoking will aggravate the problem. Psychological causes can happen at any age but more common at younger age. But in some cases, it is associated with serious diseases, especially at old age. It has been seen that in apparently healthy male ed is the first sign of heart disease. So, if you have ed, make sure that i's not caused by your heart problem. Again diabetes is another important cause. Excessive weight gain will also cause hormonal imbalance and thus problems in erection. Some hormone may also cause ed like thyroid, prolactin and even testosterone (male sex hormone). If you have chronic diseases like liver or kidney disease, it may also lead to ed. Diseases of nerves and spines should also be kept in mind. Sometimes, infections or tumour in private parts (prostate, testis etc) will also add to ed. Other diseases of penis like abnormalities in blood vessels can also be responsible, especially in young guys. Apart from these, some surgeries in abdomen and some drugs (like drugs to lower blood pressure, antidepressants, hormonal drugs etc) will also cause ed.

Now, what you can do? if you want to suffer silently, you will land up in other problems like problem in sexual life, problem in family relationships, depression and even inability to make your partner pregnant. But do all men with ed have to go to doctor? initially, the men should try life style modifications like avoiding smoking and alcohol; avoiding stress and anxiety; making good understanding with partner and also reducing weight. The partner should also have sympathetic attitude to the husband who is having ed.

But if still the issue is not resolved you have to consult doctor. It's not a mater of hesitation or embarrassment, as you may think. Rather it is needed to ensure that you are healthy. So, your doctor will talk to you, will check you and try to find out if any cause is there or not (like heart disease, diabetes, hormones etc). He may order some basic tests to ensure that everything is alright. After that he will advise you the treatment. If the cause is found, treatment of the cause (like diabetes) may cure ed. Even if no cause is found, ed can be treated by various ways.

But should you try the drugs shown in television or newspaper? remember, drugs used in ed have important side effects and we advise drugs only when it is absolutely necessary. In most cases simple measures like stress reduction, exercise help. Sex counseling of both the partners helps a lot. And if still ed persists, we advise drugs. There are variety of drugs, all are having own advantages and disadvantages. Particularly sildenafil group of drugs can affect heart and retina. So, we always practice caution before prescribing such drugs. And when patients are advised such drugs we advise to inform us when he feels eye problems, chest pain, fainting or even painful persistent erection of penis (" priapism").

There are other drugs that can be applied directly over penis. Testosterone group of drugs are prescribed only in selective cases as they have serious side effects and even they can reduce the size of your testes. In some cases where drugs cannot be given or drugs fail, we advise penile implants or artiificial pump to maintain erection. Finally in very few cases, where blood vessels of penis is blocked, we can cure it by some operations. 

So, if you feel ed, don't get depressed. At the same time don't feel embarrassed to take medical help. Today's embarrassment may harm you in future. So, get cured and enjoy your personal life.

Erectile Dysfunction

Genital warts refer to small (sometimes invisible), cauliflower shaped bumps, which form around the genital region and severely affect the moist tissues around the concerned region. Genital warts are more common in sexually active people and are one of the most commonly transmitted sexual diseases. The virus responsible for the disease, Human Papillomavirus can also cause other serious disorders such as genital cancers.

Genital warts can occur in both the genders. The virus generally spreads through sexual intercourse. In men, warts appear around the scrotum, the tip of the penis or the anus. In women, warts might form around the vaginal walls, the cervix or around the anal canal. If you had any form of oral contact with the genitals of an already infected person, genital warts can form around your throat or mouth.

The symptoms of genital warts are as follows:
1. Severe itchy sensation and discomfort around the genital areas.
2. Bleeding during sexual intercourse
3. Formation of numerous small, grey bumps around the genital region
Genital warts are caused by genital HPV s, which are transmitted, primarily through sexual contact. In most of the cases, the immune system is able to combat the virus and makes you less susceptible to this disorder.

However, you might be at an increased risk of developing genital warts because of the following reasons:
1. Engaging in unprotected sex, that too with different partners.
2. Past history of other sexually transmitted infection
3. Being sexually active from an early age
4. Having unprotected sexual intercourse without being aware of one s medical history

The treatment for genital warts depends on the severity of the condition. If the warts are causing significant pain and discomfort for you, your doctor might opt for one of the following procedures to get rid of the same:
1. Application of Imiquimod creams around the affected area might help treat the condition.
2. A regulated application of  Trichloroacetic  acid on the affected areas might help to burn off the genital warts.
3. Application of a solution of  Podophyllin  on the affected areas might help destroying the soft tissues around the genital areas.
4. If your warts are significantly large in size or do not respond well to medications, you can also opt for surgical excision or laser therapies to get rid of them

What Can be the Possible Reasons of Gential Warts

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