Herpes simplex virus is a viral infection of the genitals. This disorder can also occur in the mouth, characterized by the formation of fever, blisters and cold sores. The disorder occurs when the body is infected by the Herpes Simplex Virus.

Causes:

Herpes is caused by a contagious virus called the  Herpes Simplex Virus . This virus spreads through direct contact with an infected person. A child may also contract the disease from an already infected adult. This infection may also spread via media such as sharing utensils, kissing or sharing toiletries. Sexual contact with an infected person is one of the primary ways to contract genital herpes. The risk factors for this disorder are  

Multiple sex partners.

Gender: Women are more prone to developing Genital Herpes.

Weak immune system.

If you are affected by a sexually transmitted infection.

Symptoms:

In case of genital herpes, sores form on the genitals. Symptoms include difficulty in passing urine, headaches, fever, fatigue and a lack of appetite. Pain in the eyes and watery discharge from the eyes will be common symptoms if the infection spreads to the eyes.

Treatment:

There is no cure for this disorder. The aim of the treatment is to manage the symptoms and prevent it from spreading. The sores need not necessarily be medically catered to. Certain medications such as  acyclovir  and  valacyclovir  are prescribed to reduce the severity of the symptoms.

Once infected with the virus, it might remain in the body in a dormant state till a long time, in some cases, even a lifetime. However, symptoms might not show up. Factors such as stress and excessive sun exposure can lead to reactivation of the virus. Over time, the intensity of the symptoms tend to come down as the body adapts itself to the disease.

Sores Forming On Your Genitalia - A Sign Of Herpes Simplex Virus

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

Herpes is known as Visarpa in Ayurveda. It is an infectious disease caused by Nita group (Herpes group) of viruses. It is an extreme form of the viral disease, which, if left untreated, can lead to the death of a person. 

Types of Herpesviruses

Herpes simplex
Herpes zoster
Varicella zoster
Cytomegalovirus 
Mode of transmission

Herpes spreads through the following routes:  

Via blood (raktha)  
Via skin (twacha) 
Through muscles (snayu) 
Through vaccination (lasika)
According to ayurveda, these viruses can enter the body by following modes:

Suppression of natural urges (emotions and physical symptoms) 
Due to wounds fractures
Crush injuries
Cutting of immature part 
All these factors speedily give rise to a sort of swelling and inflammation. This swelling can extend all over the body. 

Clinical features

Vatika Visarpa Fever, inflammation, twitching, pins and needles, tearing pain, giddiness, pricking pain, malaise, cramps, tremors, fever, bone and joint pain and their dislocation, shivering, anorexia, and indigestion
Paittika Visarpa Fever, malaise, red pustules, which are rapidly spreading and suppurating 
Kaphaja VisarpaNumbness, stiffness, heaviness, pain in the body, pustules with exudates, deep-seated ulcers over the pustules with a surrounded capillary network and covered with many skin scabs.
Sannipatika Visarpa
Granthi vispara
Glandular involvement along with all the symptoms of herpes

Agni Visarpa: Fever, vomiting, diarrhea, thirst, dizziness, splitting pain in regional glands, anorexia, pain all over the body, loss of consciousness, sleeplessness, dyspnoea, hiccough, mental confusion, and finally death
Kardama Visarpa: Red, yellow and pale yellow color eruptions with dull pain, edema, deep-seated suppuration, and eruptions that are free from exudations
Scope of Ayurveda

It is based on dosha dominance. Herpes from a single dosha involvement is curable. Involvement of double doshas can be alleviated by the habitual use of general therapeutic measures and involvement of triple doshas is incurable because it pervades all the tissue elements.

Management in ayurveda It includes:

Langhana therapy for improving immunity and to fight against the virus 
Herbs are used due to their antiviral, antibacterial, anti-inflammatory, antioxidant, and antitumor activity, such as Musta, Bala, Guduchi, Yashti, Chandana, Usheera
Tikta dravya which pacifies the vitiation of rakta and pitta, which are the main causative factor for herpes 
An induction of controlled vomiting for infection arising due to pitta dosha
Compounds with a bitter taste (tikta rasa pradana) administration to increase the flow of gastric juice and for the virus destruction
Administration of herbs (Sneha pana) for purgation
Rakta mokshana should be administered if the route of transmission is blood
Kasisadi ghruta for external application

Role Of Ayurveda In The Management Of Genital Herpes!

8 Steps to a Happier Sex Life - Sex is probably the most important part of a relationship along with compatibility, trust and comfort. To make your relationship stronger and deeper, happiness in sex life is crucial. It must be the part of your life that you always look forward to and that brings the two of you together irrespective of the way your days go.

Follow these simple protocol to make for a happy sex life and therefore a happy life.

1) Believe you are sexy - Stop undermining yourself. You are sexy, accept it. And believe that your partner gets turned on by you. When you believe that your partner finds you sexy, you will be more interested in sex and so will your partner be.

2) Believe in the little gestures - Sex is not always awesome while you are in the act. The build up through the day can be made with the simplest of actions. A meaningful touch on the breakfast table, a mid-day text saying you miss him and an intimate evening message, or simply holding hands while shopping for grocery, all add up to build the connection between both of you.

3) Focus on the positive - Tell your partner what he does that you like. The kiss on the nape or how their breathe on your skin makes your senses tingle ? tell that. When your partner knows what you like, your bedroom experiments can take interesting turns. Always help your partner focus gently to what gives you pleasure.

4) Make time for sex - When new in a relationship, couples tend to have more sex and the frequency diminishes once they are comfortable in the situation. Avoid this; sex should be in your priority list at all times. Sex indeed should be a natural event. However, our lifestyles don't permit it. Also, there are too many distractions. If you need to schedule sex, it's okay. The idea is to indulge in it. You both have your needs and they should be fulfilled, right?

5) Fantasize - One great way to keep the passion alive is to share your fantasies. Doesn't matter how dirty it is, don't worry about what your partner will think. Far from judging, you yourself might realize something new about your partner. Chances are, that you might love the fantasies you both talk about.

6) Take it easy -  In real life, it is okay to not be perfect, to stop to catch breath and be real. To be happy with your sex life doesn't mean having spectacular sex every time. More than how you perform, it is how the experience was for both of you. Enjoy the process, it is for real.

7) Be responsive - Respond, even if you are not in the mood. Don't shun your partner because you are not in the mood. But if one of you wants to have sex, pushing them away is not a good idea. And if you still don't want to go ahead, explain that it's not them, but the time and plan to connect some time in near future.

8) Be willing to have sex - If you would rather watch tv all day rather than have sex and then do it nevertheless just because your partner initiated it, they would know. Never make your partner feel that you are having sex out of obligation. This is a mood killer and a guarantee for low satisfaction derived. Make sex an enjoyable affair, think what all you like and show them to your partner. 

If you have any further questions on sexual health, ask me by clicking on 'Consult'.

From Lybrate: If you found this tip useful, please thank the doctor by clicking on the heart icon below. Also, spread good health by sharing this tip with your loved ones over WhatsApp, Facebook and other media.

Having Better Sex - 8 Steps to a Happier Sex Life

Spread of HIV infection from a woman who has transmits HIV to her child during pregnancy, childbirth (labor and delivery), or breastfeeding (breast milk) is called as  Mother to child  transmission (MTCT) of HIV. It is also termed as the perinatal transmission of the HIV infection or  vertical  transmission. In the absence of medical intervention, perinatal transmission rates are very high, between 20-45% in different parts of the world. In various regions of the African subcontinent a large number of HIV infected children are present. It is a major cause of deaths in teens and adolescents in that region. 

Almost 90% of all HIV infected children live in the sub-Saharan Africa. In some districts of AP, Karnataka, Maharashtra and TN that were highly HIV-prone, we have several HIV infected children and adolescents. The virus replicates in the body and affects the immune system. Due to decreased immunity, various opportunistic infections enter the body and cause AIDS related symptoms. Prevention of HIV infection in infants and young children is now a high priority and has been the rallying point for enhanced prevention efforts. MTCT HIV infection can be prevented with adequate measures by way of Anti-retroviral treatment (ART). All expecting mothers who are HIV infected should have access to the preventive medical services throughout the gestation period, during labor and also during breastfeeding. 



Proper provision of resources with skilled staff and awareness programs can help in avoiding new infection cases. Breastfeeding is the primary source of transmission of infection from mother to child. Basically, once ART is started in an HIV infected pregnant woman that should continue forever. With proper ART course, chances of MTCT are near Zero. At the Unison Medicare & Research Centre; which is India s first fully comprehensive clinic for HIV Care and infectious Diseases, during last decade, not a single MTCT has occurred after treating more than 160 such HIV infected mothers. Even prior to that MTCT rate was lower than 1%. Our motto has been making the mothers virally suppressed commensurate with the global principle of  Undetectable = Untransmittable ! In fact now more and more HIV infected couples have been coming forward for an elective pregnancy. Even HIV un-infected children orphaned by AIDS or living with sick caregivers are at the great risk of emotional and physical abuse, which in turn increases the child s vulnerability to HIV infection. 

Reduction of risks to these vulnerable children is of great importance and various programs are being implemented for the welfare of orphans and vulnerable children. Various risk factors that are implicated in the transmission of HIV infection from mother to child are as follows: 

Increased viral load 
Genital tract viral load 
Reduced CD4 cell count 
Unprotected sexual intercourse with infected partner 
Smoking, Substance and drug abuse 
Deficiency of Vitamin A and other essential nutrients 
Presence of other Sexually transmitted diseases (STDs) 
Pre-term delivery 
Placental disruption 
Invasive monitoring of the fetus 
Breast feeding In most cases, HIV will not cross through the placenta from mother to baby. 
In an otherwise healthy mother, risk of child getting infected is low. Prenatal visits shouldn t be increased until a complication arises. The physician should observe symptoms of AIDS and pregnancy-related complications on a regular basis. HIV may be the direct cause or a marker of a complex interaction of related medical and social conditions that affect pregnancy. Most HIV positive women are usually asymptomatic and have no major obstetrical problems during their gestation period. They should receive similar obstetric antenatal care as the HIV-negative women, unless indicated by the need to provide specific treatment for HIV related conditions. There is no evidence of a need to increase the number of antenatal visits, provided there are no complications of the HIV infection, although additional counseling sessions may be required to reassure the mother and family. 

Care of the HIV positive woman during pregnancy should include ongoing counseling and support as an integral part of the management. Invasive diagnostic procedures, such as chorionic villus sampling, amniocentesis or cordo-centesis should be avoided wherever possible, due to a possible risk of infection of the fetus. In case you have a concern or query you can always consult an expert & get answers to your questions!

How Can We Achieve HIV-Free Generation?

The main pigment responsible for the hair and skin color is melanin. Melanocytes are the cells involved in the formation of melanin. Vitiligo is a dermatological condition (depigmentation) characterized by white spots or patches that appear in the body. Lack or absence of melanin is often responsible for the appearance of the white patches. Improper functioning or destruction of the melanocytes may interfere with the cell's ability to produce melanin. The condition can also affect your hair, scalp, eyebrows, and eyelashes, resulting in their premature graying or whitening.

Vitiligo can be localized (only one or very few body parts are affected), generalized (affecting many body parts) or segmented (the condition affects only one side of the body). An autoimmune condition such as Diabetes (Type-1) or Hashimoto's thyroiditis may trigger the destruction of the melanocytes. Vitiligo may also be a hereditary condition. In some cases, stress or exposure to harmful chemicals may be responsible for the destruction of the melanocytes.

While many people confuse vitiligo with leucoderma, there is a small difference between the two. Like vitiligo, the white watches in leucoderma appear due to the destruction of the melanocytes. However, the destruction of the melanocytes in the case of leucoderma may result from an accident, a cut, burn or tear.

When it comes to the treatment, many people prefer homeopathy over conventional treatments and medications. Being natural with negligible or no side effects are the main USP of homeopathic treatment. People with vitiligo and leucoderma have benefitted immensely from the treatment. The treatment may not provide you with immediate results, but it is worth your time and patience. Most of the homeopathic medicines activate the melanocytes. This activation triggers the formation of the melanin, thereby resulting in re-pigmentation.

The following homeopathic medicines are very effective against vitiligo and leucoderma.

Silicea 30: Silicea 30 is helpful for people with a sensitive skin that appears waxy and pale. In such patients, the patches or spots are not typically white but slightly rose-colored. There is extensive sweating of the hands and feet. The fingertips also appear cracked with brittle nails.
Arsenic Album: In some patients with vitiligo or leucoderma, the skin may appear dry and rough. In addition to the white patches, a person may complain of exhaustion and asthma (not in all patients). The person may show signs of extreme restlessness and anxiety. They freak out over cleanliness and neatness. Such patients benefit immensely from Arsenic Album.
Calcarea Carb is used to treat vitiligo where the patches appear milky white in color. There may be a weakness in the bones as well.
Sepia: Sepia is used when people with vitiligo distant themselves from their families and loved ones.
Nitric Acid 30 is used in the case of the white spots appearing at the mouth, nipples, nose, eyes, penis, vulva (mucous junctions).


Also, Sulfur, Psoralea Coryl 3X, Staphysagria, Borax, are equally helpful in treating vitiligo and leucoderma. To play it safe, use the medicines only after consulting a specialist. Self-medication may not be a wise idea.

Vitiligo And Leucoderma - Homeopathy Remedies Help In Treating Them?

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