What is vaginal dryness and how can it affect you?
Vaginal dryness is often a result of menopause and it is capable of affecting women of any age. Although it feels like a minor irritation, it can have a huge impact on a person's sex life. Normally, the vaginal walls are lubricated with a layer of clear fluid. The 'oestrogen' hormone is used to maintain this thin layer of fluid, thus keeping the vaginal lining thick, elastic and healthy. However, menopause brings about a condition known as vaginal atrophy, which is a drop in the levels of oestrogen and this greatly reduces the level of vaginal moisture that is available. Improper lubrication of the vagina can result in painful sex which in turn affects libido, arousal and desire.

Treatment 
The most common treatment for this condition resulting from low levels of oestrogen is Topical oestrogen therapy. In this, hormones which are no longer secreted by the body are replaced by the topical oestrogen. Even though Topical Oestrogen Therapy is helpful in relieving the symptoms of vaginal dryness, the treatment pales in comparison to oral oestrogen hormone therapy (HT).

Usually, women mostly use one of the three types of vaginal oestrogen listed below:
1. Vaginal oestrogen tablet: A tablet is inserted into the vagina using a disposable applicator. The procedure is carried out once daily during the initial two weeks of treatment, after which it can be inserted twice a week.

2. Vaginal oestrogen ring: A soft and flexible ring is inserted inside the vagina, either by the patient or the doctor. Oestrogen, in the form of a steady stream, is then released directly to the vaginal tissues by this ring. Replacement of this ring is done every three months.

3. Vaginal oestrogen cream: An applicator is used to apply cream to the vagina daily. The frequency of application can be reduced as per doctor's advice.

Side effects and aftercare 
Side effects such as breast pain and vaginal bleeding are common when any form of oestrogen product is used. Vaginal moisturisers should be used to keep the vagina lubricated. Use of water-based lubricants during sex can make it more enjoyable. Use of bubble baths, scented soaps, douches and lotions around the sensitive area of the vagina should be avoided as these products can worsen the problem.

Modes of Treatment for a Dry Vagina

Vaginitis also known as vaginal infection or vulvovaginitis, it is a situation in which the vagina gets sore and irritated. It is a common occurrence in females. Though it is not a very serious disorder yet it can be a cause of severe discomfort and irritation. Common side effects that are prevalent in the case of vaginitis include either abnormal discharge or vulvovaginal irritation or both. The discharge may also tend to have an unpleasant odor. In ayurveda, vaginitis is often seen as an amalgamation of yoni dahan and yoni kandu, the two different disorders that affects vagina.

The most common causes of vaginitis include: 
1.Infections
2. Deficiency of estrogen
3. Skin irritants like perfumed soaps and vaginal sprays
4. Allergies 
5. Sexual activity, etc.

Diabetes, usage of steroids or tight clothing is also among some of the causes of vaginitis. Ayurveda aims to treat vaginitis naturally, by using precise combinations of certain herbs in addition to a paste for local application.The following are some ayurvedic home remedies that can be used to treat vaginitis:

1. To relieve the burning sensation: Add water to triphala herb powder; mix the ingredients. Wash your vagina with this solution to lessen the burning sensation.
2. To eliminate toxins from the body: Make a beverage of dried cartilaginous tube herb in boiling water and consume it. The herb is known to aid the body in eliminating harmful toxins.
3. To cure inflammation: Garlic and turmeric are known to cure inflammation. You can use this treatment to cure infection. Turmeric can also be consumed to fight away internal infections.
4. To cure infection: Margosa also known as neem is an effective natural remedy for curing inflammation. It destroys microorganisms effectively. You can use neem powder to cure the infected area.
5. To combat the growth of harmful bacterium: Citrus juices are known to aid the canal to regain its acidity and prevent the multiplication of unhealthy bacteria
6. To avoid infection: Yogurt is one amongst the foremost common home remedies for duct infection. If you apply yogurt on the inflamed areas and additionally eat a bowl of yoghurt on a regular basis your infections will disappear.
7. To reduce swelling and redness: Soak a clean cloth in cool water and place it on the inflamed space. The cool sensation will compress the blood vessels and reduce the burning sensation, redness, swelling and irritation.

Ayurveda Way to Treat Vaginitis Infection 

A couple of decades ago, medical professionals believed that a lot of females could not climax at all. There are a number of reasons for this. It is easy for the male to know when he has achieved an orgasm, which usually happens with ejaculation, which is quite evident. For the females, on the other hand, it is not so evident. It is a perceived feeling and while the media showcase it in a particular way, reality is far moved from it.
There are various reasons why it is very difficult to pin this down. Orgasms are not just an elusive feeling for the woman, it is an elusive topic for the medical professionals too. Read on to know some of the common causes (more beliefs or notions) about this and some simple but effective ways of managing this.
- Private topic: Girls are very shy compared to boys and both their exposure to sex education and discussion about this is limited compared to boys. We might tend to think of it as common in India alone, but this is true across a vast number of countries. We are not alone! This shyness continues into their later years too, and unless transformed by the partner, it may continue to be a topic that is shunned.
- Purpose: Sex is more deemed as a form of procreation rather than for sex. Therefore, while sex is necessary for conception, orgasm is not. This is one more reason (strange but true) that orgasm is very elusive for a woman.
- Psychological factors: It could be guilt from past relationships or fear of past abuse. It could be fear of losing control or fear of coming across as vulnerable. For any of these reasons, women can have difficulties climaxing during the act.
In men, the causes are more defined and physical in nature and include erectile dysfunction, premature ejaculation, retrograde ejaculation, and delayed ejaculation.
Whatever the cause of the problem, the first step in coping up with the issue is to acknowledge the issue. Being a private topic, this is not something that is going to draw the person towards medical help. However, this needs to be discussed frankly with the partner or with the doctor. Getting the partner involved removes a lot of psychological barriers (guilt, fear, anxiety, etc.) This would result in natural ironing out of issues, improving the performance of both the people involved.
If that does not happen, seeking professional help, be it medical help to correct physical issues or counselling, is the next suggestion. A frank discussion will do wonders, and what was once elusive can be well within your reach.

The Elusive Orgasm - Causes and Coping!

Oral sex is a form of sexual activity, which involves the arousal of one's genitalia by his/her partner using the mouth (tongue, lips and throat). It is also called Cunnilingus (performed on a female) and fellatio (performed on a male). It is done before intercourse and during foreplay for sexual arousal. It is safe as compared to vaginal or anal sex, the rate of getting a sexually transmitted disease or HIV is comparatively lower. 

Oral sex can spice up your life and can also make your partner reach orgasm. It is also a safe way of getting sexual pleasure without getting pregnant. But necessary precautions must be taken in order to have safe oral sex.

Some of these necessary precautions are:

1. You can get throat cancer from oral sex: Human papillomavirus (HPV) is a cancerous virus found in the body of infected people. This virus can be transmitted to the person with whom you are engaging in oral sex. Studies show that people who engage with more than 6 sexual partners at once are more prone to get oral cancer. It is advisable to get your partner tested for HPV virus before engaging in oral sex.

2. Oral sex also causes stress: Oral sex is generally related to hygiene, therefore the partner can be self conscious and worried about his/her genital hygiene. If oral sex is performed on a daily basis, some people prefer to wax their pubic hair often. This is harmful because it can cause red bumps and burning sensation occurs. It is advisable to trim your pubic hair and wash it properly before engaging in oral sex.

3. A condom should be worn by the male during oral sex so that there is no risk of male fluid entering the woman's body.

4. A latex, which is made into a thin sheet called dental dam can be used on the vagina or anus. This creates a thin barrier between the mouth and the genitalia. Hence, chances of getting infected by sexually transmitted diseases are greatly reduced.

Oral sex can be pleasurable and fun, but the risks of getting sexually transmitted diseases like herpes, gonorrhea and crabs is not altogether misplaced. So it is advisable to use proper protection and to maintain hygiene before engaging in oral sex.

4 Ways to Have Safe Oral Sex - Necessary Precautions

Imbalance in the hormones is the primary cause of the polycystic ovarian syndrome. The polycystic ovarian syndrome may result in an enlarged ovary with accumulated fluids. This disorder may lead to various changes in your appearance.

The various symptoms of this disorder are:

1. Acne: This disorder may cause or aggravate acne on your skin.

2. Abnormal periods: You may face irregularities in your periods as the intervals between periods may extend for more than 35 days or heavy periods.

3. Excess androgen: The male hormone known as androgen may increase in the female body which results in facial hair and excessive body hair. It may also cause acne.

4. Hair loss: This syndrome may lead to thinning of hair on the scalp and thus, resulting in hair loss.

5. Enlarged ovaries: The ovaries may be enlarged with various fluid filled sacs.

The various causes of polycystic ovarian syndrome are:

1. Low-grade inflammation: The body's immune system produces various substances that fight foreign infections in the body. If you are affected by the polycystic ovarian syndrome, then you are more likely to be affected by inflammation which causes androgen production in the body.

2. Heredity: If someone in your family has this disorder then you are more likely to be affected by this disease.

3. Insulin: Insulin is a hormone that allows the cells the body to produce energy in the body. You may experience insulin resistance which means energy production in the body may be hampered. It may also lead to increased androgen production which may impair the ovaries&#x2019; ovulation ability.

Polycystic ovarian syndrome may lead to various complications in the body:

1. Sleep apnea

2. Irregular blood pressure

3. Type 2 diabetes

4. It may increase chances of cardiovascular diseases as it may lead to metabolic syndrome

5. It may lead to symptoms of anxiety and depression

6. You may experience heavy bleeding in the uterine region

7. It may lead to complications in the cholesterol levels in the body

Polycystic Ovarian Syndrome

An STD is transmitted by means of physical contact and intercourse. These diseases are caused by parasites, virus or bacteria. Usually, STDs are preventable provided you make the right choices concerning your sexual health. Refraining from sex isn t a feasible idea at all. 

But fortunately there are alternatives too to curb the menace that STDs are:

Abstain: The most effective way to avoid STIs is to abstain from sex.
Mutual monogamy: Two people who have sex only with one another don t have any opportunity to bring a new STD into the relationship. If you and your partner have been tested and are healthy, remaining faithful to each other is a very good way to reduce your chances of contracting an STD.
Get Vaccinated: One important prevention tool against STIs is vaccination. Currently, vaccines are available to protect against infection with HPV, hepatitis A and hepatitis B. Talk to your healthcare provider to see which vaccines might be recommended for you.
Protect Yourself: Condoms work really well in stopping most STIs from being passed from an infected partner to another when they are used consistently and correctly every time a person has oral, vaginal or anal sex. Consistently and correctly means that a person makes sure they use a condom every time they have oral, vaginal or anal sex and put it on and use it the right way.
Avoid alcohol and drug use: Avoiding alcohol and recreational drug use reduce the risk of contracting an STI, having an unwanted pregnancy, or being coerced to have sex. Alcohol and drug use can reduce our ability to make good decisions. It may also make us more likely to be talked into participating in an activity without being able to give our full consent.
Coping and Support
It's traumatic to find out you have an STI. You might be angry if you feel you've been betrayed or ashamed if there's a chance you infected others. At worst, an STI can cause chronic illness and death, even with the best care in the world.

Between those extremes is a host of other potential losses   trust between partners, plans to have children, and the joyful embrace of your sexuality and its expression. If in doubt, don't hesitate to visit a skin specialist or a physician.

STDs - 5 Ways You Can Avoid Them

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