Contraception is not only restricted to married couples in today's world. Most of the young couples refrain from seeking medical advice for contraception may be because of social concerns or simply because they feel hesitant and shy.

There are many contraceptive pills available over the counter which youngsters are tempted to buy and use as it seems to be the easy way out. Frequent and improper use of such emergency pills can lead to a lot of hormonal disturbances and the menstrual cycle goes topsy turvy. Then the dilemma starts. As it becomes difficult to interpret the cycle dates and erratic bleeding which happens is disturbing.

In my practice I have seen many young girls popping in pills randomly every now and then. Sometimes at weekly intervals as they are unable to manage the stress of their relationship getting disturbed. What youngsters should try and understand is there is nothing wrong in having pills for contraception but it should be done with proper guidance and the selection of the right pill for that particular individual is important which can be done easily by getting into consultation with a doctor. Need not necessarily be a gynecologist always.

Emergency pills are ok for once in a blue moon kind of use. But it should not become a habit.


Misuse Of Emergency Contraceptive Pills

4 Things to Know Before You Lose Your Virginity

Losing your virginity can be a big experience and can be exciting as well as nerve-wrecking at the same time. Its significance is different for everyone and there are no wrong or right ways to lose your virginity. Making your first time a memorable experience is easy if you know and remember these 4 things:

1. Relax

You might be conscious about your body or nervous about pain or pleasing your partner, but you need not be. It is natural to feel insecure and nervous, but communicating your reservations with your partner will clear the air between both of you, helping you level your expectations and relax. Your first time is about exploring each other's body and pleasuring each other as well as an understanding partner will help you relax and forget your insecurities.

2. It might hurt a bit

If you are a woman, intercourse for the first time might hurt a bit if your vagina is not well lubricated before you have sex. Also, you might feel some pain and/or bleed if your hymen tears, but it will not be excruciating pain. Worrying about the pain is a lot scarier than the actual pain. Some women may not experience any pain at all. However, you should make sure you are well lubricated. Foreplay is a great way to get ready for intercourse and if it is still painful you could use additional lubricants to minimize discomfort and pain.

3. Go slow

If you are a man, help your partner be comfortable by going slow in accordance to their wish. Going too fast may hurt your partner if they are not comfortable and make your first time a traumatic experience. Try to gauge your partner's reactions and proceed in a way pleasurable to both of you. Penetrating too soon might cause you to ejaculate too quickly before your partner has climaxed. Indulge in foreplay so that both of you are ready. If your partner ejaculates too fast or is unable to hold his erection, do not feel rejected or angry, support him and help him get aroused again, as it is just an effect of nervousness and excitement.

4. Use protection

There is no truth in the saying that you cannot get an STD on your first time. It is completely possible and the only way to prevent that is to use condoms or not have penetrative sex. Women can get pregnant during unprotected sex and unless you plan to become pregnant, panicking about being pregnant for days after your first time will ruin your first time and peace of mind. Use birth control and/or condoms to prevent unwanted pregnancy after your first time, and both your partner and you will be able to enjoy losing your virginity without any worries.



4 Things to Know Before You Lose Your Virginity

All you need to know about Premature Ejaculation

Many of the sexual issues are primarily not big problems. However, because of the taboo and inhibition around them, they are not discussed openly, hence they also fail to get resolved and become bigger. In fact most of the times there are no visible symptoms of any functional problems. Many of them are very basic issues and because of ignorance, myths, and social taboos lead to development of anxieties, distress and further worsening of the problem.

Often men are concerned about their performance in bed with their partner. They worry about- how best then can do, masturbation habits, size of penis and sperm quality. 

Consequences of Premature ejaculation (PE): 
Both you and your partner may end up experiencing highly unsatisfactory sex. In fact, it can significantly increase anxiety, which may deteriorate the problem. 

PE is one such sexual issue. It's not a disease; Not at all..!! 
If a person is sexually fit and experiences normal erections but just fail to hold the orgasm/ discharge for reasonable time then he is suffering from premature ejaculation. It's  a very normal problem, which if managed properly it can be easily resolved.

We will discuss this PE in 4 parts covering: what it is in actual, how does it happen, how to approach to resolve this problem with behavioural methods, exercise, techniques and medical remedies present in both modern and alternative medicine. 
Let s understand the problem in this 1st part!

What is Premature Ejaculation? 

Premature (early) ejaculation also referred to as rapid ejaculation; also called as early discharge. 
PE is the most common type of sexual dysfunction in men younger than 40 years and seen across all age groups. In elderly men (>60 years) erectile dysfunction is more common. A study conducted by the Journal of Sexual Medicine revealed that this condition is almost equally prevalent in sexually active men of all age groups. 
If a man experiences uncontrollable ejaculation (discharge of semen from your penis) either before or shortly after sexual penetration (usually within 1-2 minutes of penetration), he may be suffering from PE. The Mayo clinic at the United States defines PE as a condition in which  a man  always or nearly always ejaculates within one minute of penetration."

Instances of PE:
An occasional instance of premature ejaculation might not be cause of concern, but, if the problem occurs more than 50% of attempted sexual relations signifies existence of abnormal pattern for which treatment is required.

Premature ejaculation takes place with negligible sexual stimulation and even before the desire 
to ejaculate. Another way of describing PE by most therapist or clinicians is the occurrence of ejaculation sooner during sexual intercourse than he or his partner would like. 

This broad definition thus avoids specifying a precise  normal  duration for sexual activity and reaching a climax. The duration of sexual activity is highly variable and depends on various factors specific to each individual. Take a situation, a male may reach orgasm after 7 to 8 minutes of sexual intercourse, but if his partner is able to achieve climax mostly in 5 minutes and both are satisfied with this timing, then this is not defined as PE. 

Alternatively, a male might delay his ejaculation for up to 15- 20 minutes of sexual intercourse, but if his partner, even with foreplay, requires 25-30 minutes of total sexual activity before reaching climax, he may still consider his ejaculation premature because his partner has not been satisfied (at least, not through intercourse). But in routine practice this kind of situation is NOT called as PE. So every individual and every couple is unique. Same individual may have different sexual behaviour with different partners and different circumstances. Varied situations and varied places of performing the act have a vital role to play in determining the outcomes of individual sexual performance/s.



Knowing Premature Ejaculation - PART 1: Understanding What is PE

Knowing Premature Ejaculation - PART 2: Diagnosis, Types & Causes

As many as 30-40 % men across the world including India experience problem of PE at some time of life. In Part 1, we learnt about the condition called Premature Ejaculation (PE). In this 2nd part, let’s understand about it’s diagnosis & types of PE - why and how it happens.

How to Diagnose PE:

The specific criteria for premature (early) ejaculation are as follows:
- In almost 75-100% sexual activity, the experience of ejaculation occurring during sexual intercourse within 1 minute after vaginal penetration and before the individual wishes it.
- The problem has persisted for at least 6 months and is a cause of mental stress to the person.
- The dysfunction cannot be better explained by any other nonsexual mental disorder, any medical disease, the effects of a drug or medication, etc
 
Severity of PE:
 
The severity of premature (early) ejaculation is broadly defined as follows:
1. Mild (occurring within approximately 30 seconds to 1 minute of vaginal penetration)
2. Moderate (occurring within approximately 15-30 seconds of vaginal penetration)
3. Severe (occurring even before sexual activity, at the start of sexual activity, or within approximately 15 seconds of vaginal penetration). In such cases conception will not be possible unless artificial insemination is used.
 
TYPES and Characteristics of P.E. :
Premature ejaculation can be Chronic (lifelong) or Acquired (recent).
Chronic PE:
With chronic (lifelong) premature ejaculation, the person has been experiencing premature ejaculation since he became sexually active (ie, post puberty). 
Acquired PE:
Acquired (recent) premature ejaculation means that the condition began in an individual who previously experienced an acceptable level of ejaculatory control and only recently has developed PE.

What are the Causes?
The causes of PE can be divided into two broad sub-heads, which are psychological or biological cause:
 
 
1. Psychological Causes:
Premature ejaculation is believed to be a psychological problem and does not represent any known organic / physical disease involving the male reproductive organs or any known defect in the brain or nervous system. It is usually due to a pattern that is hard to change and is a result of your previous sexual experiences.
 
One of the most common reason is childhood habit of reaching climax/ ejaculation quickly because of fear of discovery when masturbating or during early sexual experiences with a female partner. This pattern of rapid attainment of sexual release is difficult to change in later stage of life (in marriage or long-term relationships).
 
Other reasons are situations in which one may have hurried climax/ ejaculation in order to hide any problem or feelings of guilt that make you rush through sexual encounters. Also, psychological causes include anxiety and relationship issues which can also result from deep anxiety about sex that relates to bad experiences encountered by the patient during development (eg: incest, sexual assault, conflict with parents, etc ).
 
2. Biological Causes
 
A number of researchers have found differences in nervous stimulations and hormonal differences in men who experience premature ejaculation compared with individuals who do not.
 
Some believe that some men have hyper-excitability or oversensitivity of their genitalia.
 
Abnormal functioning of the ejaculatory system can be attributed to:
- Thyroid problems; infection or inflammation of the urethra or prostate.
- Nerve damage occurring due to trauma or surgery (a very rare cause).
- Abnormal levels of hormones and/or neurotransmitters (chemicals present in the brain)
- Higher free and total testosterone levels or varied other biochemical markers
*The research however has been non-conclusive.

In Part 3 and 4, we will discuss the right approach and therapy for the men / couple suffering due to PE.



Knowing Premature Ejaculation - PART 2: Diagnosis, Types & Causes

How too much sugar can adversely affect your sex life

Sugar is an important source of calories in the body as it can provide immediate energy to the body after consumption. Sugar being a simple carbohydrate is digested quickly and released into the bloodstream to be used as energy. However, too much sugar in the bloodstream at once can cause a host of disorders in the body including affecting one's sex life. Outlined below are the ways how sugar adversely affects sex life-

1. Impairs the gene that regulates sex hormones

Glucose and fructose are synthesized in the liver, where the excess is converted into fat. When fat synthesis rate goes up in the body, it affects SHBG (sex hormone binding globulin) gene in the body. This gene is responsible for regulating the levels of testosterone and estrogen in the body. Hence, in this case, the affected person becomes highly susceptible to infertility.

2. Lowers testosterone levels

Indulging in a diet that consists of too much sugar affects insulin resistance. Due to this, testosterone levels drop in both men and women. This causes disorders related to sexual function such as erectile dysfunction and also reduces sex drive.

3. Fatigue and reduced energy levels

Foods high in sugar cause temporary spikes in blood sugar which in turn results in fatigue, thus reducing sex drive. It also decreases levels of Orexin, a neurotransmitter that regulates feelings of arousal in the body, causing fatigue and lethargy.

4. Increases stress

Increased stress levels as a result of sugar consumption occur when high insulin levels cause the body to produce cortisol, a stress hormone. Too much cortisol in the body decreases libido



How too much sugar can adversely affect your sex life

Many people suffer from a low libido problem. This can be a problem for their partners as well as for themselves. A low sex drive can also reduce one's self esteem and confidence. In severe cases it also leads to depression.

Factors which cause low sex drive:
1. Sexual problems: Many sexual problems also lead to a low sex drive. An inability to experience orgasm even after a lot of attempts can make one indifferent to sex. Some people also experience pain because of a tight vagina. In such cases their desire to have sex reduces greatly.

2. Medical diseases: Many medical conditions also affects your libido, such as cancer, arthritis, blood sugar (diabetes), artery diseases, high blood pressure and neurological diseases.

3. Medications: Some people suffer from depression and anxiety disorders. To get over these disorders most doctors prescribe them antidepressants and anti-anxiety pills, these medications create a very low libido.

4. Habits: Many lifestyle habits such as over-consumption of alcohol can make your sex drive reduce a lot. Smoking also decreases the blood flow in your body which may make your libido fall.

5. Surgery: Reconstructive surgeries such as breast reconstruction surgery and genital tract surgery can also affect sexual desire and give your body signals to not engage in an intercourse.

6. Fatigue: Tiredness because of physical activities or caring for your old parents or young children can also make you uninterested in sex. Your body and brain might not have the energy to engage in an intercourse due to fatigue.

7. Menopause: The levels of estrogen reduce greatly during menopause. Low estrogen levels make your vagina dry hence sex can be uncomfortable and painful. Women also go through hormonal changes which make them suffer from a low libido.

8. Pregnancy: After pregnancy, breastfeeding your baby becomes an everyday activity. This can reduce sexual desire because of the pressure of caring for a new born baby.

Regular exercising complemented with enough sleep is known to reduce stress thus giving you a high sex drive. Avoid consuming alcohol. Testosterone replacement therapy (a therapy used for treating erectile dysfunction) also treats low desire.

Worrying Factors That Lead to a Low Sex Drive

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