Contraceptives are generally drugs and devices, which are used to prevent pregnancy. A large number of contraceptives are available which allow the couple to enjoy sex without running the risk of unwanted pregnancies. The general categories of contraceptives are explained below:

Barrier Methods:
i. Male Condom: It is one of the most common forms of contraception. They are worn on the penis before sex is initiated. For safety purpose, a new condom should be used every time the person has sex.

ii. Female Condom: Much like male condoms, these are available at over-the-counter pharmacies without prescription. The condoms can be inserted to the vagina anytime within a period of 8 hours prior to sex.

iii. Diaphragm: This should be coated with a spermicide before sex and placed inside a woman's vagina so that the sperms are prevented from entering the uterus.

iv. Cervical Cap: These are used as replacements for diaphragms because some women may develop bladder infections such as cystitis while using it and these caps have lesser contact with the vagina.

Hormonal Methods:
The main implementation of hormonal changes to provide contraception is the pill. This is the most common form of female contraception available. It comes in two forms:
i. Combined contraceptive pill: Contains a combination of hormones such as progestin and oestrogen.
ii. Mini-pill: Contains only progestin: It is available only with the prescription of the doctor and should be used as per the prescription.

Intrauterine Devices
The intrauterine device (IUD) is a long-acting and reversible form of contraception for women. It is of two types: Copper IUD (contains copper) and Hormone-releasing IUDs (progestin hormone is released into the womb slowly). It is a small device that is fitted inside the womb and it provides contraception by facilitating the prevention of fertilization of the egg.

Sterilization
This is a lifelong option that is available for both men and women. In males, the procedure is known as vasectomy which basically ties and cuts off the tubes that carry the sperm.

In women, two forms of sterilization are available; surgical and non-surgical. Surgically, the fallopian tubes are cut and tied using small cuts in the belly so that the ovaries and uterus are not linked. Non-surgically, coils are inserted into the fallopian tubes so the resultant development of scars leads to complete blockage of the tubes.

Other forms of contraceptives include contraceptive patches, vaginal rings, contraceptive injections, spermicides and contraceptive implants.

Different Types of Contraceptives and Its Uses

Foods that kill sex drive in men
 
Do you wonder why suddenly at times you go on a zero sex drive? it could happen even when your chemistry with your partner is fine, nothing is heaving on your mind, and you are otherwise healthy too. Only you just don't feel like having sex. This might have to do with what you are eating. 
Here are some of the foods which can kill your sex drive.

1. Diet soda - while staying fit is an excellent idea, drinking diet sodas with artificial sweeteners can be absolute mood killers as they directly affect the levels of serotonin, a hormone which assists you in reaching the zone.
2. Caffeine - it certainly increases stamina for sex. However, for someone who is already nervous, this would mean increased anxiety which in turn would lower the sex drive. Overdose of coffee is known to increase one's stress hormone levels, too, affecting one's sex drive.
3. Chocolate - this is surprising since chocolate is known as an aphrodisiac. A study has shown that since it stimulates love and euphoria, it might also suppress, at times the testosterone levels in the body.
4. Mint - while mint is a good way to clear your breath after a meal, the menthol in it is also known to lower the testosterone. This lowers your sex drive.
5. Popcorn - when popcorn is made in the microwave and eaten, it could totally kill the mood for sex, especially in men. Research suggests that the bag's lining has chemicals which kill sex drive and in the long term can also cause prostrate problems.
6. Cheese - if made of cow's milk, cheese contains a lot of synthetic hormones which are known to mess with human body's natural hormone production that primarily includes testosterone and estrogen.


Did You Know These Shocking Foods Kill Sex Drive In Men?

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

3 handy tips to eliminate stress from your sex life

Stress plays a significant role in creating rifts in relationships as it mostly forbids partners from meeting each other?s physical and emotional needs. This reduces intimacy in a relationship and results in an unhappy sex life. In the modern world of continuous work pressure and fast paced lifestyle, stress generally takes away all the energy required to enjoy a fulfilling sex life. Here are some tips, which will prove to be very effective in keeping stress away from your sex life.

1. Don?t make it seem necessary to have sex even if your partner is tired

If you find that stress due to problems at workplace or financial issues is affecting your partner considerably, then respect his/her decision of saying no to sex. Don?t pressurise your partner to get intimate just because you want it. Your patience and understanding nature will increase your partner?s admiration towards you, in turn leading to a more passionate and happier sex life.

2. Try to stay away from performance anxiety

Don?t let performance anxiety take a toll on your sex life. Studies show that being conscious about their performance in bed leads men to lose their erection, which takes all the pleasure away from intimate moments. Instead of being stressed about your sexual performance, focus on your partner?s needs and attend to them for a more pleasurable sex life.

3. Focus on getting rid of other stressful issues from your life

Common tensions of your daily life and everyday issues like the normal household chores, and your duties and responsibilities towards your family often leave you too exhausted to spend time with your partner. Moreover, getting preoccupied with social commitments also minimises the time available for just the two of you.

To prevent these stressful situations from affecting your sex life, try to focus on removing them. For this, you can ask for help from other family members to carry out household chores or diminish your time at social gatherings to be available for each other exclusively. Spending more time in each other?s company will not only brighten your day, but will also give you an enhanced and more intimate relationship.

If you would like to consult with me privately, please click on'consult.


How to Eliminate STRESS From Your SEX Life

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

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  

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