Dr. Vadhu Vasta

A healthy mind is responsible for a healthy and relaxed body and both are imperative for attaining better orgasms during intercourse. Orgasmic dysfunction, or inhibited sexual excitement, or simply anorgasmia, is a condition whereby, a woman fails to attain orgasms even when sexually aroused. This can prove to be a major sexual problem and is the cause of disputes and conflicts in a relationship because of the lack of sexual intimacy and satisfaction.

In order to be sexually excited, both mind and body are involved in a series of complex processes, which finally result in a peak sexual response. Thus, both need to be functioning well in order to stimulate an orgasm.

Causes that may lead to orgasmic dysfunction:

1. Boredom or lack of interest in sexual indulgences
2. Hormonal disorders or changes brought on by menopause
3. Chronic illnesses that affect sexual interest
4. Acquired negative attitudes (usually from childhood or adolescence) towards sex
5. Previous traumatic experiences relating to rape or sexual abuse
6. Certain prescription drugs like antidepressants
7. Stress or high fatigue
8. Medical conditions affecting the nervous system around the pelvis
9. Medical conditions causing chronic pelvic pain

Symptoms of organic dysfunction may include:

1. Inability to attain orgasms
2. Taking longer than normal to reach an orgasm
3. Not having satisfying orgasms

Treatment

It is important to note that when treating problems associated with orgasmic dysfunction, you must maintain a healthy attitude towards sex, in addition to having sufficient knowledge pertaining to sexual stimulations and responses. Learning how to communicate and how to express your needs and desires clearly is another important step in the treatment of anorgasmia. Here are a few other ways to improve your sex life:

1. Eat well and get enough rest
2. Reduce your consumption of alcohol, drugs, or smoking
3. Engage in Kegel exercises which involve tightening and relaxing the muscles of the pelvis
4. Use birth control methods that both you and your partner agree to
5. Engage in other sexual activities apart from sexual intercourse
6. Educate yourself more about reaching orgasms by focusing on clitoral stimulation or directed masturbation
7. Take up sexual counseling to learn helpful exercises

Related Tip: "5 Mind Reasons You're Might Not Be Getting An Orgasm"

This is a light, frothy green juice with a lot of flavour. I only added one cup of chopped spinach to the recipe but if you want to bulk up on minerals, feel free to add more.

High in vitamins and low in calories, spinach is one of the most nutrient-dense foods. When combined with sweet pineapple, this juice becomes the perfect mid-afternoon pick-me-up or a great way to start the morning.

1-healthy eating having diabetes means learning how to count carbohydrates and how the foods you eat affect your blood sugar. A healthy meal plan also includes complex carbohydrates, protein, fiber (beans, whole grains, fruits and vegetables), lots of green, leafy vegetables, and limited amounts of heart-healthy fats.

2-being active physical activity can help you keep blood sugar levels normal and manage your diabetes. Being active can also improve your mood and reduce your feelings of stress and anxiety.

3-monitoring checking your blood sugar levels regularly gives you information about your diabetes management. Monitoring helps you know when your blood sugar levels are within your target range and helps you to make choices in what you eat and what you do.

4-taking medication obviously, it's important that you take your insulin, but it's vitally important that you understand how much to take in certain situations. This comes from careful monitoring of your blood sugar levels and getting to know the cause and effect between your insulin therapy and your blood sugar levels.

5-problem solving everyone encounters problems with their diabetes control. If/when you have a problem, you need to know how to troubleshoot your self-care. This can include analyzing and evaluating your situation and thinking about what was different from usual that could have affected your blood sugar. It also means coming up with solutions to try, as well as looking at what worked and what didn't. Don't get bitter, get better.

6-reducing risks you can take steps now to lower your risks of developing health problems in the future. Recommendations to reduce your risks and avoid other health problems include: not smoking, seeing you doctor regularly (to check a1c), visiting your eye doctor at least once a year, brushing and flossing daily and seeing your dentist, taking care of your feet, and listening to your body.

7-healthy coping living with diabetes and its daily demands for self-care can be stressful and may negatively impact your self-management. Not only can stress increase your blood sugar levels, but it can contribute to you making poor choices. The good news is there are many healthy ways to cope with stress.

I think this last point is vitally important, and I want to share three options for managing the stress of living with diabetes:

8-be kind to yourself. Do the best that you can do. It's important to feel good about your successes. Give yourself credit when you are successful at managing your blood sugar and don't be overly critical of yourself if you fall short of a goal.

9-seek support from a network of family and friends who you can talk to when you are upset. Seek opportunities to meet other people with diabetes, such as attending support groups or participating in online forums (such as podcasts or tweet chats), so that you won't feel isolated and alone. Talk to a psychologist or other mental health provider who provides diabetes-focused therapy if you feel depressed or overwhelmed.

10.-choose to have a positive attitude, and cultivate it every day, but also accept when you feel down about diabetes. To have occasional negative thoughts is normal; research has shown that acknowledging those thoughts may help people with diabetes keep their blood sugar levels stable. Acknowledge, but don't dwell; living with a negative mindset will limit your ability to cope. The way you think about events can influence your mood, thoughts and actions.

The common causes of rectal bleeding 
- Anal fissure
- Hemorrhoids

- Diverticulosis
- Colon cancer and polyps
- Colonic polyp removal
- Angiodysplasias
- Colitis
- Proctitis
- Meckel's diverticula
- Uc crohn

Associated symptom:

Bleeding from your colon (large intestine) or rectum will be bright red
But it may only be from an anal fissure (tear) or internal hemorrhoid 

If you have pain in your rectum or anus upon defecating, then it’s likely you have a fissure that’s getting torn open by the bowel movement, causing bloody stools.

If you don’t have any pain (or only mild pain) but find yourself straining to have even a soft bowel movement - or if you have your bowel movement and there’s no blood in the stool, but at the end there’s half a teaspoon to a couple tablespoons of blood - it’s likely you have an internal hemorrhoid. 
Unlike external hemorrhoids, internal hemorrhoids rarely hurt. 
With internal hemorrhoids, you may also feel a pressure in your rectum, followed by a gush of blood. You may also feel a" popping" sensation before the blood appears.
Rectal bleeding also may be seen with bleeding that is coming from higher in the instestinal tract, from the stomach, duodenum, or small intestine.
Rectal bleeding may not be painful; however, other symptoms that may accompany rectal bleeding are diarrhea, and abdominal cramps due to the blood in the stool.

Diagnosis of cause:

Origin of rectal bleeding is determined by history and physical examination, anoscopy, flexible sigmoidoscopy, colonoscopy, radionuclide scans, visceral angiograms, flexible endoscopy or capsule endoscopy of the small intestine, and blood tests.

Managed

Rectal bleeding is managed first by correcting the low blood volume and anemia if present with blood transfusions and then, determining the site and cause of the bleeding, stopping the bleeding, and preventing future rebleeding.

Prevention

Rectal bleeding can be prevented if the cause of the bleeding can be found and definitively treated, for example, by removing the bleeding polyp or tumor.