Don't Panic !

Having unprotected sex isn't the smartest move a person can make, but it isn't necessarily the end of the world, so follow the advice below and you should be fine.

We Had Unprotected Sex And...I Think I'm Pregnant

Finding out you're pregnant can be the happiest or the scariest day of your life.

Don't wait around and bury your head in the sand saying 'it won't happen to me' and 'I'll be fine' you might not be, and then you'll find yourself in a much more difficult situation than if you'd faced the situation head on and quickly.

If the intercourse happened less than 72 hours ago, emergency contraception, the morning-after pill, can be taken as a precaution against you becoming pregnant. However, note that the sooner you take the emergency contraceptive pill, the higher its efficiency is.

We Had Unprotected Sex And...I Think I Have an STI

Check for any unusual symptoms around your genitals (vagina or penis), such as:

Pain when you urinate
Itching
An unusual or smelly discharge
Sores
Unexplained bleeding
If any consult your healthcare provider immediately

Not all STIs have visible symptoms so even if you think you're fine, after having unprotected sex, get tested!

Go For Sexually Transmitted Disease Profile Including HIV ( 1ST Month HIV RNA, 3RD MONTH HIV ELISA), HSV 1 and 2, HbsAg, HCV, Urine Routine, VDRL, etc.

We Had Unprotected Sex And...I Think I May Get HIV

Take Post Exposure Prophylactic Drugs (Anti - HIV) as soon as possible. It works when started within 72 hours and must be continued for 1 month to prevent HIV.



What If You Have Unprotected Sex?

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

Vitiligo is a disease which results in the loss of skin colouring pigment and ultimately the person loose his or her skin colour in blotches. The rate and to what extent the colour loss will happen is always unpredictable. When the Melanocytes cells lose their ability or get destroyed completely, the human skin starts losing it's skin colour produced by these Melanocyte cells. Vitiligo can generally affect skin present of any body part. Vitiligo is a common disease and it affects almost one million people every year all over the world. The disease can affect a person of any age.

Causes of Vitiligo

There are different causes due to which Vitiligo is caused. Let us have a look :

Vitiligo can happen due to an autoimmune disorder, when the immune system becomes overactive and results in the destruction of the colour pigment-producing cells i.e. the Melanocytes.
Vitiligo is also believed to affect people because of genetic factors. The immune system can get affected by the genes and results in a loss of skin colouring melanocytes. It can be hereditary and gets passed on. However, it is not at all contagious and cannot be passed on to someone else.
Harmful exposure to UV rays can cause the body to loose melanocyte cells. Heavy sunburn is also a common cause of the disease.
A stressful life schedule or oxidative stress imbalance can easily make the melanocyte cells to go weak and eventually wither away.
A foreign virus or bacteria which may enter into the immune system and if not destroyed affects the melanocytes in different parts of the body.
Treatment for Vitiligo-

Vitiligo Treatment or White Patches Treatment is based on improving your skin s appearance by restoring its colour. Re-pigmentation treatment is most successful on face and trunk; hands, feet and areas with white hair respond poorly. Compared to long-standing patches, new ones are more likely to respond to medical therapy.

The treatment can be classified into

Medical

Medicines applied to the skin, such as:
Corticosteroid creams or ointments
Immunomodulator creams or ointments, such as Elidel & Protopic
Topical drugs such as methoxsalen (Oxsoralen)
Oral Medical treatment includes the use of immune-modulating drugs such as systemic corticosteroids, levamisole, cyclophosphamide, azathioprine, vitamin supplements (especially vitamin B12 and folic acid).
Phototherapy NBUVB full body   A medical procedure in which your skin is exposed to ultraviolet A (UVA) or ultraviolet B (UVB) light from a special lamp in full body chambers.
Excimer (Targeted Phototherapy)   Targeted phototherapy, also called concentrated phototherapy, focused phototherapy and microphototherapy, involves delivery of ultraviolet radiation directly focused on, or targeted at, the skin lesion through special delivery mechanisms.
Surgical Procedures

Surgical treatment   Normal skin is used as donor tissue and then grafts are surgically transplanted on areas of Vitiligo treatment. The new skin grafts start producing pigment. Patients who are candidates for this procedure must have stable Vitiligo, or Vitiligo that has not changed for at least one year. The criteria of stability is taken as (a) no new White patches, (b) no extension of existing White patches and (c) no loss of pigmentation of previously repigmened patches for at least 1 year. This procedure can be used for patients with limited areas of Vitiligo and also in those with more extensive disease.
Melanocyte cell transplantation   In this procedure, a skin graft is taken from the patients own thigh, this skin is then treated with an enzyme known as trypsin which separates all the layers of the skin and thus Melanocytes and Keratinocytes are concentrated. The Vitiligo (Skin White Spot) skin is then removed with the use of diamond burs or Lasers and the cells are transplanted. The advantage of this procedure is that cell culture is not needed and that skin harvesting from the donor area, preparation of cell separation and application of Melanocytes can all be undertaken in a single 3-h procedure.
Blister Grafting   In this procedure, blisters are created on your pigmented skin primarily by using suction. The tops of the blisters are then cut out and transplanted to a depigmented skin area where a blister of equal size has been created and removed.
Punch grafting  Punch grafting is the simplest and the least expensive of all the grafting procedures in Vitiligo. The procedure involves the transfer of circular pieces or punches of skin tissue from the donor area into similar shaped pits that are made on the recipient skin. The size of these punches can range from 1 mm to 2 mm and they are spaced 5-10 mm apart on the recipient skin.
De-pigmentation  Depigmentation involves fading the rest of the skin on your body to match the already-white areas. If you have vitiligo on more than 50 percent of your body, depigmentation may be the best treatment option. In this procedure, the drug monobenzone (Benoquin) is applied twice a day to the pigmented areas of your skin until they match the already-depigmented areas. Some patients who are resistant to depigmentation with drug monobenzone (Benoquin) will need Q Switch NDYAG Laser to destroy the pigment cells. Depigmentation in most patients is a permanent technique in which the whole body is gradually turned white.
Color (Camouflage)   Camouflage used to treat vitiligo can be classified into two- temporary and permanent. 
Temporary colouring is the method which intends to blend the white patches with the rest of the body s colour. The method is done using coloured creams to the affected skin. Those creams will have the same shade as that of the natural skin. Applying the creams make the patches less noticeable.
Tattooing (permanent coloring)   Tattooing is injecting artificial pigment into the depigmented area. After selecting the pigment shade which matches the surrounding skin color, the pigment granules are implanted into the depigmented patch either with a manual or electrically driven needles. Though the patch resembles the surrounding normal skin, it may permanently fade or acquire a bluish hue after 1   2 years which is distinctly noticeable and may become unacceptable. Hence, tattooing is usually not advised unless the patch is in an inoperable site.

Best Vitiligo Treatment  - Medical & Surgical Methods

Any kind of dysfunction points to the issues experienced during any stage of the cycle of physical issue that prevents the participants from experiencing any kind of satisfaction from the intimate activities. Though the researches imply that sexual problems are common all across the globe; 43% of women along with 31% of men are affected by some sort of dysfunction; however, it is something that most people are hesitant to talk about. But thankfully enough, most cases of sexual problems can be effectively treated, and can be prevented from occurring again, by sharing your concerns with a qualified doctor. You should consider visiting the doctor along with your partner.

What leads to sexual problems?
Sexual problems can be caused either due to physical or psychological reasons. Many medications and clinical conditions can cause a variety of sexual dysfunctions, and these physical conditions include heart and vascular disease, high levels of blood sugar and blood pressure, any kind of neurological disorder, chronic diseases of the kidneys, liver and lungs, and hormonal imbalances. In addition to this, the side effects stemming from any medicine, including antidepressant drugs, can cast a harmful impact on the sexual desire and its normal functioning. On the other hand, psychological causes refer to the stress caused due to work pressures, anxiety, depression, excessive concern about sexual performance, feelings of guilt, and relationship problems.

What are the common sexual problems?
What leads to sexual problems can cause a wide variety of issues in both men and women. While erectile dysfunction is most commonly found in men, vaginal dryness is the most common issue in women. Sexual dysfunction can take a variety of forms, and it is not plainly confined to the dysfunction or simple disinterest in sex, which is commonly termed as lack of sex drive. It can also involve pain while having sex or an inability to maintain the erection or experiencing pain while getting an orgasm. There are some people who experience excruciating pain during intercourse, which is often accompanied with a burning sensation.

All couples have the right to enjoy a happy and healthy sex life, which can be considered a crucial aspect of any relationship. So, if you are having any kind of difficulty that is interrupting your lovemaking, it is imperative to speak with your doctor to get the right diagnosis, and discuss openly with your partner to find out the ideal solution of your sexual problems.

Sexual Problems - Things That Can Lead to It

6 face washing mistakes that are damaging your skin, everyday!

Face-washing may be a simple everyday task that requires no great effort on your part. But when it?s not done right, it causes significant harm to your skin, each day. The mistakes that you may make while washing your face could lead to issues like irritation, dryness and even wrinkles. Read on to find out how you can avoid making these common errors, and save your skin from blemishes, ageing and lustreless look.

1. Using the wrong cleanser

The use of the wrong cleanser can throw your ph levels out of balance. The optimal ph balance of your skin is 5.5ph. This is the ideal level at which the thin protective layer on the surface of the skin (called acid mantle) can function to keep germs, toxins and bacteria at bay. You should therefore be picking your cleanser based on your skin type as it would come with the right ph balance. 

2. Not cleaning your hands before touching the face

Always clean the germs and dirt of your hands first before moving onto your face. Ignoring this crucial first step can cause you to transfer all the bacteria and dirt of your hands on your face, giving rise to common skin problems such as acne, pimples and blackheads.

3. Using a pre-used washcloth

To avoid the filth from clogging your pores, always clean the washcloth that you use with an antiseptic to keep germs and bacteria at bay. Once you're done washing your face, don't rub the cloth all over your face but pat dry it.

4. Washing face using with hot water

When it comes to the water that you splash on your face, you should always use lukewarm or room temperature water. This is because hot water leaves your skin dry as it washes away the skin's essential oils; and cold water can break the capillaries (fine blood vessels) of your skin. In contrast, mildly lukewarm water will keep your skin hydrated and healthy.

5. Not washing the face twice a day

Just as you shouldn't ignore this important skin care habit that keeps your skin clean, you also shouldn't go overboard with it. Excessive face-washing can hamper the natural oil production of your skin, giving rise to dryness and irritation as a result. Your skin requires the natural oil it produces to keep it smooth and supple. Ideally, you should wash your face twice daily - once in the morning for removing the bacteria and dirt that clogged your pores, and again at night before going to bed.

6. Rushing through the routine

Lastly, don't rush through your cleansing routine. Make sure to properly rinse your face of cleanser completely, otherwise the residues would cause your skin to dry up later on, leading to skin irritation.

It is therefore very important to pay attention to all the little details that make up your face-washing routine. By doing it right, you get to achieve the clear and blemish-free skin that you always wanted.

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


6 Face Washing Mistakes that are Damaging Your Skin, Everyday!

Anal herpes and anal warts are sexually transmitted diseases. These both diseases affect the genitals. As these are sexually transmitted diseases, these are transmitted through sexual contact.

Anal Herpes:

It is an infection caused by herpes virus, which is caused by the sore or blisters formed around the anus. This infection is caused by the herpes simplex virus (HSV) type 1 or 2 viruses.
The symptoms of anal herpes include red bumps or white blisters, itching and pain around the anal area, development of ulcer at the site of blisters, a coating that covers the ulcers ruptures or is bleeding, any change in the bowel habit.
Treatment

Antiviral therapy is one of the primary treatment for anal herpes. The virus responsible mainly for herpes is herpes simplex virus type II. Antiviral medications are given to patients, these medicines fight the virus. The symptoms of herpes are reduced with this therapy.
Regular use of antiviral medication is referred to as suppressive therapy. As the name suggests, people on suppressive therapy, reduce the risk of passing the infection to their sexual partner.
In severe anal herpes, the doctor might give intravenous antiviral therapy to control the infection.However, the herpes virus cannot be cured as it is considered a lifelong infection. The virus stays in the nerve cells for lifelong and is inactive for long periods of time. It only outbreaks when it is triggered by an externalfactor such as illness, stress, or sun exposure.
Prevention
As anal herpes is transmitted through sexual contact, one can lower the risk of this disease. Safety measures can be used are:

Wear a condom or use barrier protection during every sexual intercourse, including anal or oral sex.
Reduce the number of sexual partners.
If one maintains monogamy, the risk is minimal for transmitting anal herpes.
One should abstain from sex altogether, if possible.
Anal Warts:
Anal warts are small warts that occur around the anus. Another name for anal wart is condyloma acuminate. In many cases, anal warts don t cause any pain or discomfort. But, they cause irritation when they grow in size and might be itchy and/or bleed. However, if there are no symptoms seen, people suffering from anal wart might not even know that they have warts. Anal warts might occur only at a spot or even spread to different parts of the genitals such as buttocks, anus, and inner thighs over a period of time.

Symptoms
The anal warts are small bumps initially, a size of the head of a pin, which is not even noticed. However, as they grow, they can develop to a size of a cauliflower-likean appearance, when several warts are clustered together to form a huge lump. These warts are peach colored and the color may vary from yellow, light brown, or pink and it might even blend with the skin color. Usually the anal warts are without any pain or discomfort, however, other rare occurring symptoms are itching, discharge from the anus, or bleeding. Anal warts in women might appear on vagina, vulva, or at the cervix, whereas in men it can develop on penis, scrotum, groin area, or thighs.

Treatment
Topical medication can be used to treat anal warts, such as imiquimod, podofilox, podophyllum, etc. Another treatment of anal wart that depends upon the location and severity of the condition:

Cryotherapy
Electrocautery
Laser treatments
Surgery can be recommended for larger warts that do not respond to medications.

Anal Herpes & Warts - Possible Ways They Can Be Treated!

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