
- 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

The prostate gland in males surrounds the urethra, through which urine and sperm are passed out of the body. Its function is to secrete a fluid, which provides nourishment to the sperm. It is about the shape of a walnut and is present between the pubic bone and the rectum.

As a man crosses 40, the prostate gland begins to increase in size due to an increase in the number of cells. This is known as hyperplasia.  The condition is usually benign and therefore the name benign prostate hyperplasia (BPH). As it continues to grow, there is an increased pressure on the urethra. Therefore, there can be problems with urination. The bladder, being a muscular organ, compensates to some extent and so the problems with urination are mostly managed. If left untreated, this can continue to be a major problem and the bladder may not be able to compensate. In men who are 60-plus, BPH is very common.

Signs and symptoms 

One of the initial symptoms of BPH is when the urine stream begins to grow weak.
There could also be a reduced speed of passing urine.
Men with BPH never have a feeling of complete emptying of the bladder.
On the other hand, there is also a constant difficulty in initiating a urine stream. There could be intermittent breaks in the urine stream.
The person may feel the need to strain to initiate the stream and to ensure complete emptying.
There could be dribbling of urine after passing urine.
The duration between two bathroom visits can constantly reduce, with the constant urge to urinate.
There is a constant urge to visit the bathroom, which is more common in the night. One of the most annoying features of BPH is the walking up at night to urinate, but with an inability to initiate a stream and an inability to completely empty the bladder, it leaves the person very irritated and frustrated.
There could be blood in the urine. In fact, blood in the urine accompanied by fever, chills, nausea and vomiting are indications of an emergency.
There could be blockage of urine completely, if the enlargement is quite severe.
Diagnosis
If you are having any of these symptoms, then the doctor will first test for an enlarged prostate through a digital rectal exam. Then a test is done to check a chemical called prostate specific antigen.  Increased levels of this chemical is almost always indicative of BPH. In addition, X-rays and scanning may be used to confirm diagnosis. 

Treatment
Though medications are available, confirmatory treatment is through surgical removal. The procedure needs a inimum of 2 to 3 days.

Enlarged Prostate - 10 Warning Signs To Watch Out For

What is Genital?

Genital warts are soft growths that appear on the genitals. They re a sexually transmitted infection (STI) caused by certain strains of the human papillomavirus (HPV). Genital warts can cause pain, discomfort, and itching. They re especially dangerous for women because some types of HPV can also cause cancer of the cervix and vulva.

HPV is the most common of all STIs. Men and women who are sexually active are vulnerable to complications of HPV, including genital warts. Treatment is key in managing this infection.

Causes:

Most cases of genital warts are caused by HPV. There are 30 to 40 strains of HPV that specifically affect the genitals, but just a few of these strains cause genital warts.

The HPV virus is highly transmittable through skin-to-skin contact, which is why it s considered an STI.

In fact, HPV is so common that the Centers for Disease Control and Prevention (CDC) says that most sexually active people get it at some point. However, the virus doesn t always lead to complications such as genital warts. In fact, in most cases, the virus goes away on its own without causing any health problems.

Genital warts are caused by strains of HPV that differ from the strains that cause warts on your hands or other parts of the body. A wart can t spread from someone s hand to the genitals, and vice versa.

Symptoms:

Genital warts are transmitted through sexual activity, including oral, vaginal, and anal sex. You may not start to develop warts for several weeks or months after infection.

Genital warts are not always visible to the human eye. They may be very small and the color of the skin or slightly darker. The top of the growths may resemble a cauliflower and may feel smooth or slightly bumpy to the touch. They may occur as a cluster of warts, or just one wart.

Genital warts on males may appear on the following areas:

-penis
-scrotum
-groin
-thighs
-inside or around the anus

Genital warts in females may appear on the following area:

-inside of the vagina or anus
-outside of the vagina or anus
-cervix
-Genital warts may also appear on the lips, mouth, tongue, or throat of a person who has had oral sexual contact with an infected person.

Even if you cannot see genital warts, they may still cause symptoms, such as:

-vaginal discharge
-itching
-bleeding
-burning

If genital warts spread or become enlarged, the condition can be uncomfortable or even painful.

Diagnosis:

To diagnose this condition, your doctor will ask questions about your health and sexual history. This includes symptoms you ve experienced and any times you ve engaged in unprotected sex, including oral sex.

Your doctor will also perform a physical examination of any areas where you suspect warts may be occurring.

For women only:

Because warts can occur deep inside a woman s body, your doctor may need to do a pelvic examination. They may apply a mild acidic solution, which helps to make the warts more visible.

Your doctor may also do a Pap smear, which involves taking a swab of the area to obtain cells from your cervix. These cells can then be tested for the presence of HPV. Certain types of HPV may cause abnormal results on a Pap smear, which may indicate precancerous changes. If your doctor detects these abnormalities, you may need more frequent screenings to monitor any changes.

If you re a woman and concerned that you may have contracted a form of HPV known to cause cervical cancer, your doctor can perform a DNA test. This determines what strain of HPV you have in your system. An HPV test for men is not yet available.

Role Of Homeopathy In Genital Warts:

Homeopathy treats the person as a whole. It means that homeopathic treatment focuses on the patient as a person, as well as his pathological condition. The homeopathic medicines are selected after a full individualizing examination and case-analysis, which includes the medical history of the patient, physical and mental constitution etc. A miasmatic tendency (predisposition/susceptibility) is also often taken into account for the treatment of chronic conditions. The medicines given below indicate the therapeutic affinity but this is not a complete and definite guide to the treatment of this condition. The symptoms listed against each medicine may not be directly related to this disease because in homeopathy general symptoms and constitutional indications are also taken into account for selecting a remedy.

Diet And Non-Diet:

To help your body heal faster, you should cut out any immune stressors like smoking or a diet that is heavy in processed or unhealthy foods. Foods to incorporate into your diet include: antioxidant rich foods (blueberries, cherries, tomatoes, bell peppers, squash) dark leafy greens like spinach and kale.

Genital Warts - All You Should Know!

When Should You Use Viagra?

Viagra is a very common drug prescribed for treating erectile dysfunction. It works by enhancing the flow of blood to the penis during sexual intercourse to bring about erection. Viagra actually contains the active ingredient Sildenafil Citrate which is a selective inhibitor of Cyclic Guanosine Monophosphate (cGMP)-specific phosphodiesterase type 5 (PDE5).

This drug works efficiently with sexual stimulation. Erectile dysfunction is very common among older men whose sexual function tends to fall after they reach their 50s. But these days even younger men in their 30's and 40's are experiencing an increased incidence of erectile dysfunction.

Doctors can even recommend the drug to both younger and elder men who suffer from erection problems.

Solidification of the arteries, the blood vessels that supply blood to the penis, can occur during the teen years. The problem then develops by the time they reach the age of 20-30 years and more, hindering their ability to get and maintain an erection. Men suffering from diabetes and facing the problem of Erectile dysfunction can be assisted by this drug.

The drug should be ideally taken an hour before the sexual intercourse.

On the other hand, you can also take Viagra half an hour to 4 hours before the sexual intercourse. You don't require having food in order to take the drug. But you need to keep in mind that if you take it after a meal high in fats, it can take a little bit longer for you to experience its effects.

Most importantly, the misuse of Viagra should be avoided. It should be taken only under medical supervision. The drug doesn't have the power to help you ejaculate easily if you suffer from problems related to orgasm or even enhance your sexual appetite. It does not enhance sexual timing, so should not be used to treat premature ejaculation. Men also shouldn't expect the drug to take the erections to unexpected heights.

Word of Caution:

One should never take the drug for recreational purposes. One can end up suffering from minor erectile dysfunction due such abuse.



When Should You Use Viagra?

4 Types of Contraception for Birth Control

There are a number of contraceptives available but which method of birth control suits you depends on your sexual life, preferences and your lifestyle as a whole. Professional medical help should be sought in order to understand what method of contraception sis ideal for you.

Here is a list of 4 types of contraceptives for birth control.

1. Barrier methods

Barrier methods are designed to prevent the sperm from entering the uterus. They constitute-

- Diaphragms: It is a shallow and flexible cup that is made of either latex or soft rubber. It is inserted into the vagina before the sexual intercourse where it prevents the sperm from entering the uterus.
- Cervical caps: It is a thin cup of silicone whose function is same as the diaphragm, only it is smaller in size, so less noticeable and more rigid as well.
- Contraceptive sponges: These are soft foam sponges that are filled with spermicide and are disposable. They are also inserted into the vagina before sexual intercourse in order to prevent pregnancy by killing the sperm cells or preventing them from entering the vagina.
- Spermicides: These are chemicals that can kill the sperm and hence assist in birth control.

Other methods include male condoms and female condoms.

2. Hormonal methods

Hormonal methods use hormones in order to either stop or regulate ovulation so as to prevent pregnancy. There are various methods through which hormones can be injected into the body. Some of them are-

- Contraceptive patch: It is a thin patch made of plastic that sticks to the skin and is responsible for releasing hormones into the bloodstream through the skin.
- Vaginal rings: A thin, flexible ring that is inserted into the vagina where it stays for 3 weeks and is removed after that, only to be re-inserted in the 5th week.
- Implantable rods: They are inserted under the skin of the upper arm of women where they release progestin.

Other methods include contraceptive pills and progestin-only pills.

3. Intrauterine methods of contraception

The intrauterine device is a small device, T-shaped that is inserted into the uterus in order to prevent pregnancy. The good thing about intrauterine devices is that they can remain functioning for many years at a stretch. IUDs are two types-

- Hormonal IUD(Intrauterine Device)
- Copper IUD

4. Sterilization

Sterilization is the most reliable contraceptive for birth control as it is permanent. It either prevents the release of sperm or the fertilization of the egg. Sterilization methods can either be surgical or non-surgical. Some of the sterilization techniques are-

- Tubal ligation: It is the surgical technique used in females.
- Vasectomy: It is the surgical technique of male contraception.

Other methods include sterilization implants.



4 Types of Contraception for Birth Control

There is hardly any person who does not want to enjoy a healthy and satisfying sex life. As per Ayurveda, a healthy sex life is very much a reality provided one diligently follows the golden sex rules as mentioned in various Ayurvedic books and journals:

Ayurveda believes that a couple should refrain from having sex when the female partner is having her periods. Some health experts are of the belief that sex during periods may give rise to a condition termed as Endometriosis (the endometrial cells grow outside the uterus, often in the ovary or the fallopian tubes).
According to Ayurveda, an ideal sex position is one where the woman is lying with her face directed in an upward position.
Ayurveda also believes very overweight or obese people should avoid having sex.
Have sex only when your private parts are clean and healthy (as this helps to prevent infections and associated complications).
According to Ayurveda, loyalty and faithfulness are what gets a relationship going. Infidelity, adultery, or cheating on your wife is a crime that will only spell doom.
Ayurveda is against a couple having sex during pregnancy or immediately after delivery. One should have control over their urges. It further states that a 5-months time in the case of a C-section and 2-3 months interval in the case of a normal delivery will go a long way in ensuring a healthy sex life (will help the woman to recover well).
Ayurveda is vehemently opposes violent sex. Making love is suppose to soothe your soul rather than scar it. Violence during sex is not healthy at all.
Ayurveda believes in having sex using sexual organs. Thus, oral sex and other similar pleasures are a big No as per Ayurveda.
Ayurveda does not advocate the practice of having sex on days of prime significance such as festivals, various eclipses, on a full moon or new moon nights, to name a few.
Sex on empty stomach or after a heavy meal can trigger a plethora of health problems by causing a Vata and Pitta imbalance. The imbalance may give rise to digestive problems, headache, gastritis.
Ayurveda is strictly against the idea of having sex with aged women or with children.
Always have sex when both the partners are in a comfortable position. This is to ensure that you enjoy the intercourse sans any injury.
Never have sex if you are sick or physically and mentally not fit.
Having sex with animals (bestiality) is considered unhealthy as per Ayurveda.
Sex is not a wise idea when you have to lighten yourself (defecate or urinate).
According to Ayurveda, your sex life is governed by the four seasons during which your body strength changes.
The body strength is the lowest during the monsoon and summer, hence have less sex during that time (once in fifteen days).
With moderate body strength, sex once in three days is advisable during spring and summer.
During winter the body strength is at its peak, hence one can have sex daily.

Golden Sex Rules Of Ayurveda!

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