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Management of Abortion
Caesarean Section Procedure
Treatment Of Female Sexual Problems
Termination Of Pregnancy Procedure
Treatment Of Pregnancy Problems
Well Woman Healthcheck
Treatment Of Female Sexual Problems
Treatment Of Medical Diseases In Pregnancy
Treatment Of Menstrual Problems
Intra-Uterine Insemination (IUI) Treatment
Medical Termination Of Pregnancy (Mtp) Procedure
Gynecology Laparoscopy Procedures
Pap Smear Procedure
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During her period I did unprotected sex may be I felt it may have gone sperm I gave I i pill till date she not getting her period what should I do?
What is main reason for having cancer. What precautions should we take to avoid cancer. And also I feel pain in my breast before mensuration is the symptoms of breast cancer.
Doctor not getting pregnancy married about one year six months but not getting pregnancy last LMP 13/7/16 is traveling is cause to me!(city to village )or non veg is cause to me! please tell me Dr. Am priya 23 old hubby age 35 is age difference cause to me ! Am depressed about this so sad about please please please answer me doctor wt to do.
Medico legal aspects of sex therapy
Sex and human sexuality are sensitive subject. To deal effectively with any problem of human sexuality, one has to constantly evaluate its merits and demerits from social, scientific, moral, ethical and most importantly from the legal angle. Following are some of the guidelines for therapist to keep in mind while dealing with clients with sexual problems.
Taking informed and expressed consent is of utmost importance while managing any patient. Examining and / or treating a patient without consent would amount to assault and battery which is punishable under criminal law irrespective of absence of negligence or successful outcome of treatment. The consent should be free willed, informed, intelligent, specific and express. Person giving consent should be competent to do so, failing which, consent should be obtained from the lawful guardian of the patient (in cases of minor and/or mentally retarded).
Examinition of a female client
Besides obtaining a valid consent, in case of female patient, the therapist should always have a female assistant present when examining a female patient this is important for the therapist in order to protect himself from a possible charge of indecent behaviour molestation or even sexual offence like rape ect. Being llevelled against him. Mere presence of husband or any male companion of the female patient is not enough. A sex therapist, in particular, is most vulnerable and therefore should be most careful.
Use of surrogate partners
Use of surrogate partners for sex therapy is questionable both ethically as well as legally. Sexual involvement of the therapist is universally accepted as unethical. There have been a number of cases where the therapists themselves, having acted as surrogates, have been punished for sexual molestion of their patients. It may also invite a criminal charge of adultery in some countries, including india. There are cases on record where the therapists have been charged with and convicted of rape.
Unlike some other countries, the socio cultural set up in india is different. The laws governing sexual behaviour are neither liberal nor evolved as much as in some of the western countries. Besides, surrogacy is likened to prostitution by many. Even if one were to consider surrogate partner as a therapist, then the ethical code prevents a sexual relationship with a client. Moreover, there is every possibility of a disease being transmitted. Particularly the hiv infection, in view of sex with multiple partners by a surrogate person.
Therapist should have uppermost in mind the special values of intimacy and love that our culture teaches us to nurture.
It is the ethical responsibility of every sex therapist to maintain high standards of professional competence and integrity. Competence without integrity or integrity without competence is an unsatisfactory compromise of professionalism. It is most important to protect the public and the other professionals from persons who represent themselves as sex therapists who are in fact lacking in competence and intergrity.
Competence in another primary discipline such as psychology, psychiatry or counselling is not equivalent to competence in sex therapy.
A sex therapist should possess adequate knowledge of the following:
1. Sexual and reproductive anatomy and physiology.
2. Developmental sexuality from a psychobiological point of view.
3. Marital, family and interpersonal relationship and socio-cultural factors in sexual values
4. Physiological and medical factors that may influence sexual functions such as pregnancy, contraception and fertility, illness, disability, medications.
5. Multimodel techniques and theory of sex therapy and psychotherapy.
6. Pharmacology of the medications used to treat sexual dysfunctions particularly with respect to their adverse effects and interactions with the drugs being consumed for other ailments.
7. Ethical issues in sex therapy and principles of evaluation and referral.
8. Laws related to sexual behaviour.
Points to bear in mind
all forms of sex therapy which violate the local laws should be handled with care recommending oral sex as a part of therapy is violative of section 377 of the indian penal code which deal with unnatural sexual offences.
the hippocratic oath forbids the physician to take advantage of the therapeutic context in order to engage in either homosexual or heterosexual relationship.
it is a universal rule that whenever dealing with reproductive functions is involved, express consent of both the spouses should be obtained.
proof of competence is the ability to provide objective and responsible services to the clients.
there does exist a potential liability under the laws of the land prohibiting consensual conduct such as prostitution, fornication, lewd and lascivious behaviour and adultery which might arise from therapeutic or non- therapeutic sex research activities.
sex between therapist and client is always unethical. No matter how therapeutic the rationale might appear, there is no justification for a therapist having sex with a client. The purpose of sex therapy is to improve function, not to change values or beliefs of the client.
Hello doctor. I'm 28 years old and got married 1.5 years before. Since I have been affected by hbv, we were postponed the pregnancy. Now my husband is vaccinated and we are planning for a baby. Suggest me some tips to get healthy pregnancy with boy baby.
I'm 27 year old man and going to get marriage soon, my concern is while master bating my ejuculation happen very early, I never has sex with any women so I don't how it's going to affect my sex life on very first day, so can you please advice me to how to over come from this problem?
If I am having sex with more than 1 partner without using condom is there any chance to get HIV or aids? Please tel me the best way to have sex healthy and precautions.
A group of inflammatory diseases in the middle ear is termed as otitis media. When this problem persists more than a period of three months, it is known as chronic suppurative otitis media which can be described as a chronic inflammation of the mastoid cavity and middle ear. It is characterized by discharge from the ear. This happens because the tympanic membrane becomes perforated.
The phenomenon can be categorized into two, safe and unsafe CSOM and they are determined on the basis of whether or not cholesteatoma, which is an abnormal growth of skin in the middle ear, is present. The safe CSOM can be further subdivided into inactive and active depending on whether an infection is present or not. And the unsafe CSOM involves cholesteatoma which is non-malignant but can cause a destructive lesion on the base of the skull.
What are the causes of CSOM?
CSOM or chronic suppurative otitis media is mostly seen in people with chronic mastoiditis as a result of bacterial infection. It may stem from erosion of middle ear walls and the mastoid cavity which, in turn, can cause exposure of the jugular bulb, facial nerve, lateral sinus and temporal lobe dura.
What are the signs and symptoms of chronic suppurative otitis media?
Chronic suppurative otitis media presents itself with leakage from the affected ear. It also includes the possible history of traumatic perforation along with insertion of grommets and otorrhea which may or may not include otalgia or fever. Other symptoms of the disease include vertigo, otalgia, and fever. Your doctor would be able to rule out intracranial or intratemporal complication which is essential for the treatment of the disease. Some people also suffer from hearing loss in the affected ear, and you should ask your doctor regarding the impact of the problem on work and daily living.
On the other hand, the signs of the disease may include oedematousness of the external auditory canal which is not generally tender. Granulation tissue is also seen in the median canal or the ear space in the middle ear.
When there is postauricular swelling or facial paralysis or vertigo or mastoiditis, it is imperative to arrange for urgent assessment or evaluation with a team of ENT experts. The patient must keep the affected ear clean and dry as far as practicable. The instances of life-threatening complications from the disease have been reduced to a great extent with the introduction of sulfonamides and penicillin. According to the medical principles, the primary aim of managing the disease includes eradicating the infection and closure of tympanic perforation. With the help of proper treatment, your doctor would be able to reduce the intensity of hearing loss and a constant threat of microbial infection in the middle portion of the ear. If you wish to discuss about any specific problem, you can consult an Ent Specialist.
hello.Doctor my query is I have lost my verginity in intercourse,is their a way to restore my verginity?
In today’s world, females have advance techniques available for shaping up their breasts. It is a part of their overall persona and beauty. Breast augmentation is one of the greatest plastic surgery operations that is done in hospitals across the globe.
Gone are the days, when you would sit back at home and blame nature for your saggy breasts. You have the gift of plastic surgery at your rescue. Breast augmentation can enhance the beauty of your breast and uplift its features. In this process, the implant is put under the pectoral muscle so that you can still breastfeed your infant if needed.
The process is executed with the help of a small 4 cm incision. The recovery process takes a week’s time. Breast augmentation can be carried out in a surgical centre or in any hospital’s outpatient facility. It doesn’t require a hospital stay in most cases. In some selected cases only, the procedure is done using local anaesthesia. In those cases, the patient stays awake. The breast region is made numb.
What to expect during the procedure?
The woman opting this must know what all are expected to happen during the procedure. The surgeon will insert the breast implant by making a single cut in one of the following three areas:
1. In the crease under breast
2. Underarm (axillary)
3. Around the nipple (periareolar)
After the incision is done, the surgeon will try and separate the breast tissue from the patient’s muscles and connective tissue. This will lead to the creation of a pocket either behind or in front of the pectoral muscle. After this, the surgeon will put the implant into the newly-created pocket. It will be centred behind the nipple.
Saline implants are put in an empty form and then filled with sterile salt water. Silicone implants are, however, pre-filled with silicone gel. After the implant is over, the cut is stitched with sutures and the skin is bandaged with adhesive and tape.
What to expect after the procedure?
For a few weeks, the patient might experience Soreness and swelling. It is also possible to develop bruises. Your scars will fade away with time. It is quite possible that the scars will not vanish permanently ever in your lifetime. You must wear a compression or sports bra at the time of healing. You might be required to take painkillers, as advised by the surgeon.