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While alcohol and drug addiction are commonplace, sexual addiction is also a real problem. This addiction can affect men and women. In many cases, this type of addiction lasts for months before it is diagnosed. A sex addict is a person who uses casual sex to relieve anxiety, tension, feelings of loneliness etc. In some cases, people can get so obsessed with sexual activities and thoughts that it affects their day to day life. This addiction can involve activities that are considered normal and healthy or be focused on activities that are socially frowned upon. It can manifest itself in the form of one night stands, engaging with prostitutes, watching porn excessively etc. Thankfully, as with any other kind of addiction, sexual addiction can be treated.
It is not easy to diagnose a sex addict as this form of addiction has many stages. Some of the symptoms a sex addict professional looks out for are:
Intense sexual urges.
Abnormal sexual activities.
Difficulty connecting with people emotionally.
The use of sex as an escape from uncomfortable situations etc.
Irresponsible sexual behaviour.
Hence, the first step to coping with sexual addiction is for the patient to visit a doctor and accept that he or she has a problem. Many addicts do not realise they have a problem and lie to both themselves and their partners about the addiction. For example, most sexual addicts tell themselves that they watch porn only occasionally and that is simply harmless fun.
Once diagnosed, an addict needs positive motivation. Humiliation or looking down on the person because of his or her habits may worsen the situation instead of helping the person. Overcoming an addiction to pornography, voyeurism, phone sex, compulsive masturbation etc require intense effort and for this the person needs to feel that the people around him support him.
The patient and his loved ones also need to recognise the symptoms of the addiction. For example, if a person tends to watch pornography at night, he needs to ensure that he is occupied with something else until the urge to watch it goes away. In achieving this he may need the help of the people he lives with.
In some cases, psychotherapy may also be required to treat sexual addicts. This can be in the form of both inpatient and outpatient treatment programs. Psychotherapy takes the form of both one on one counselling sessions and group exercises.
Ejaculation can be considered premature if it happens within 1 minute of penetration or if you are unable to control your ejaculation. There are several reasons that can contribute to premature ejaculation like performance anxiety, excessive excitement, relationship issues and hypersensitivity of the skin. To treat premature ejaculation, it is important to determine the cause and stress that can be a potent reason that is preventing you from 'lasting' long. Premature ejaculation can be life long or acquired.
The effects of stress on the mind
Stress can create havoc in your life and it is closely related to sexual dysfunctions. It is caused not only by rigorous emotional turmoil, daily factors like work or school can also lead to continuous stress, which may pile up to have a profound effect on your mind and body. Stress tends to alter the brain chemistry by triggering hormones like Cortisol, Norepinephrine, Serotonin and many others that signal the nervous system and endocrine to put the body in a state of anxiety which leads to weakening of the ejaculation reflex arc.
Increased level of stress causes the heart rate to drop and the body is stimulated to produce excess blood sugar, adrenalin and chemicals. If your stress is caused due to work, your body will respond to it by diverting blood towards the important organs like hands and legs and your concentration might also improve under stress. However, stress can diminish your ability to enjoy sex, heighten your sensitivity to stimulation and pain and increase impotence.
How stress causes premature ejaculation
Stimulation of the sympathetic nerves and hormonal imbalance caused by stress create an urge to ejaculate. Generally, this urge is enhanced by mental and sensory stimulation till orgasm is reached. One is likely to engage in sex with an amplified urge to ejaculate because the nerves have already been exhausted which leads to an early climax. Men with premature ejaculation has shown significant impact on self esteem and self confidence and many people confirm high levels of anxiety connected to sexual or intimate situations with a partner.
In a recent-published survey investigating the female partner's perception of premature ejaculation and impact on relationship break ups, relationship quality and sexual satisfaction among females, many of them confirmed that premature ejaculation was the main reason for break ups.
Hormonal disturbances in Thyroid, Prolactine, Erectile dysfunction, Penile anomalies, Prostate disease, Lower urinary tract infection can also cause premature ejaculation.
Reducing stress is an important step to cure premature ejaculation. Premature ejaculation can be treated with medications, counseling, diet and exercises.
Facial aging is an issue which shows its first signs around the late twenties and early thirties. It is manifested in the form of fine lines, dark circles, wrinkles and rough skin, especially near the eyes and lips. This process cannot be reversed. It is a part of human body and the way the skin matures with age. But, it can be treated through surgical and non-surgical or natural means to make sure that the process of aging is slowed down.
Factors Affecting Facial Aging:
There are several factors which affect the facial aging and aggravate the process faster. Some of these factors are:
- If you smoke excessively, your face would sooner or later start showing signs of aging prematurely.
- At times, this process gains speed due to genetic issues.
- Stress and anxiety are the most important reasons for a person to start showing signs of aging at an early stage of life.
- If you lead a hectic lifestyle which involves excessive travelling throughout different climates, the exhaustion may be manifested through facial aging.
What are Dermal Fillers?
Dermal fillers help to diminish facial lines and restore volume and fullness in the face.
As we age, our faces naturally lose subcutaneous fat. The facial muscles are then working closer to the skin surface, so smile lines and crow's feet become more apparent.
The facial skin also stretches a bit, adding to this loss of facial volume. Other factors that affect the facial skin include sun exposure, heredity, and lifestyle.
Dermal fillers can be used to:
- Plump thin lips
- Enhance shallow contours
- Soften facial creases and wrinkles
- Improve the appearance of recessed scars
Dermal fillers can be very helpful in those with early signs of aging, or as a value-added part of facial rejuvenation surgery.
You must make a note of the fact that dermal filling is not considered to be a type of surgical treatment. However, it does use anaesthesia while being administered. In fact, the patient is first given a dose of anaesthesia and left to rest for about half an hour. Some fillers have anesthesia in the syringe itself otherwise, we apply numbing cream or topical anesthesia. Thereafter, dermal fillings are applied with the help of fine needles. You need to realise that the use of fine needles with precision can be done only by those who have been specially trained for it. Thus, if your dermatologist recommends you for a treatment of dermal filling, then he/she ought to be a trained expert in carrying out the procedure. If you, on your own prefer to get this treatment done, then you should also find an expert who is well trained in administering this procedure.
Thus, dermal fillers are quite famous in the world of facial dermatology to reverse the aging process. It helps in reducing fine lines, wrinkles and adds volume and smoothness to the skin.
Pigmentation or hyperpigmentation is a skin condition that affects 80% of women in their lifetime. It is caused when patches of the skin turn dark. It is a relatively simple condition that occurs when there is excess melanin in the skin. There are different types of pigmentation, and one kind of treatment may not be effective on the others. Let us take a look at it in depth and understand the nature of pigmentation.
What is pigmentation?
Pigmentation is something that affects almost everyone irrespective of the race or the skin types. The trouble occurs when there is an excess of melanin deposits, which may happen due to various reasons. The different types of pigmentation can be freckles, post-inflammatory hyperpigmentation, solar lentigines, and melasma.
- Freckles: These are the most common types of pigmentation. Also known as Ephelides, these mostly affect people with fairer skin. These happen due to repeated exposure to the sun. Naturally, freckles appear very less during winter months. In rare cases, heredity also can be a reason for freckles.
- Hyperpigmentation: This is the skin's natural way of response when it is prone to injury or rashes. Acnes, burns, and clinical treatments such as chemical peels and dermabrasion can lead to hyperpigmentation. They disappear over a period of time. However, there are chances that it might reoccur.
- Solar lentigines: They are also known as liver spots or sun spots and as the name suggests, they occur due to exposure to the UV rays of the sun. They can occur anywhere in the human body. It depends on how much of the skin is exposed and how much melanin content is exposed to the sun. These are the most critical types of pigmentation, and they must be monitored. In rare cases, they can lead to skin cancer.
- Melasma: This type of pigmentation is common among women and is usually caused as a result of hormonal imbalance. It can appear as a large brown patch on the skin and can blend into the skin around the borders. Usually, the symptoms increase during pregnancy and with the usage of certain stress medications.
As stated, different types of treatments methods are available for treating the various types of pigmentation. These can range from topical creams to Intense Pulsed Light (IPL) and Photo Dynamic Therapy (PDT). Laser treatments are done in some cases to take care of the skin apprehensions. The experience of the dermatologist comes into effect when treating and finalizing the appropriate procedures. The treatments not only take care of the skin condition, but are also very helpful in improving the overall tone of the skin. These procedures are undergone as a series of sessions, and the dermatologist will advise according to the skin condition.
Most of the pigmentation conditions can be countered with an effective sunscreen product. They have undergone many trials and are extremely safe. It all gets down to the experience and the professionalism of the dermatologist once again for getting the correct treatment plan. With just minimum care, the pigmentation factor can be kept under check.
A flawless skin is the first parameter of a beautiful appearance. No matter what is your colour, a glamorous skin with no spots and blackheads is a must for being beautiful. In fact, it is the dream of most women to get a beautiful skin. Your skin can look young forever, if you take care of it in a proper manner. Your skin can look young if the collagen that is produced by the cells in skin remains intact. It helps in keeping your skin wrinkle-free and holds it tight. But, as you get older, the collagen gets damaged and its production is reduced. Here’s how you can take care of the collagen fibre and keep your skin intact:
Take Vitamin C: According to American Journal of Nutrition women in their mid age with sufficient amount of vitamin C had wrinkle-free skin. They looked young and vitamin. Vitamin C plays a vital role in the production of collagen. It also catalyses collagen repair. You can have food rich in vitamin C. Thus, you can eat leafy green vegetables and citrus fruits for best results on regular basis.
Stop Smoking: It is always advisable to quit smoking in order to have younger and fairer spotless skin. Smoking is responsible for the release of an enzyme called metalloproteinases. This enzyme is responsible for damage of collagen fibre.
Stay Away From Sun Rays: It is a known fact that sun rays are harmful to the skin. They contain ultraviolet radiations. These UV rays destroy collagen fibres, leading to loosening of the skin. Thus, it is best to avoid staying outdoors under the sun for too long on a regular basis. Or, if it is absolutely unavoidable, you must put on sunscreen lotions or creams, which protect your skin against UV rays.
Take Retinol: You can apply retinoid creams. They boost the formation of collagen. These are prescription drugs. But, there are also some over-the-counter creams with retinol in lighter doses. These are useful for having a younger skin.
Avoid Sweet Stuff: You must not eat too much of sweet stuff as they can cause beauty disaster. Excess sugar leads to the production of advanced glycation end products by attaching itself to lipids and proteins. This would hamper your skin and its collagen.
- Exfoliate: It is important for you to exfoliate your skin daily. It removes the dead cells from the outer layer and allows the skin to breathe and look fresh.
A common skin condition, which causes the discoloration of your skin in patches across the face, melasma is more of a social embarrassment and cause for distress rather than being a serious condition. Although it affects men as well, studies have shown that over 90 percent of patients are women. It is also known as the mask of pregnancy as many pregnant women develop this skin condition.
Causes of Melasma
Primary causes of melasma have been attributed to various hormonal changes within the body. Let's look at some of the factors that may cause this disorder:
- Pregnancy: This is often attributed as the leading cause of melasma, the primary cause has often been attributed to hormonal changes that a woman may experience due to pregnancy.
- Treatments that may change hormonal balance: Women on contraceptive pills or who have implants such as intrauterine devices may also develop this disorder. This is due to the balance of estrogen and progesterone being changed within the body.
- Sun exposure: Continued sun exposure may also lead to melasma. This is due to the activation of melanocytes within the body which start producing more melanin.
- Stress: Long periods of stress on the body can also trigger hormonal changes and cause melasma.
It has also been noticed that people with generally a darker skin tone tend to get melasma and it is less common in people with fairer skin.
Certain characteristics of Melasma
Melasma develops in certain patterns which can be easily diagnosed either as spots on the skin similar to freckles or brown patches of skin that grow bigger. Some of these patterns are:
- Malar pattern: This grows on the nose and cheeks
- Mandibular pattern: Starts growing around the jaw line
- Lateral cheek pattern: Grows on the cheek on both sides of the face
- Centrofacial pattern: Nose, upper lips, forehead and cheeks
Treatment of Melasma
Most women who develop melasma during pregnancy report that it goes away after childbirth. However certain forms of melasma may appear in non-pregnant women due to hormonal changes. Treating the underlying hormonal changes usually, resolves the problem. However, certain other methods may be required to resolve the issues such as skin creams and chemical peels.
Reaching climax faster than your partner is common, so don’t get down on yourself. Fortunately, most people who climax quickly can learn how to last longer. Exercises and lifestyle changes can help improve control, and there are lots of climax-delaying techniques you could try during sex. Climax control products and medications could also be worth a shot. If your partner finishes too soon, try to approach the topic as a team. Avoid placing blame, and let them know that you want to work together to build physical and emotional intimacy.
Relax and encourage yourself. Anxiety and self-doubt are major mood killers, so try to be optimistic. Approaching sex with confidence, self respect, and a positive attitude can make all the difference for both you and your partner.
- Instead of dwelling on negative thoughts about your performance, think to yourself, “Sam, finishing fast is common and you shouldn’t get down on yourself. You can deal with this!”
- Referring to yourself by name can be more effective when practicing positive self-talk.
Work on lasting longer during masturbation. Trying to reach climax as quickly as possible during masturbation can train your body to expect a quick finish.Masturbating a few times a week and a couple hours before sex can help delay climax, especially if you practice lasting longer when you masturbate.
Start doing pelvic floor exercises. Exercising the muscles that control ejaculation can help you last longer. To identify these muscles, stop urination midstream and tighten the muscles that prevent passing gas. To exercise them, tighten them for 3 seconds, relax for 3 seconds, then repeat 5 to 10 times.
- It might be easier at first to exercise while lying down or seated, but try to do them standing, too. As you strengthen the muscles, aim for 3 sets of 10 repetitions per day.
- Try to only tighten those muscles that help control urination and passing gas. Don’t just flex your buttocks or thighs.
- Breathe normally as you exercise, and avoid holding your breath.
Cut down on alcohol other drugs. Alcohol and other substances can cause premature ejaculation, erectile dysfunction, and other performance issues. Avoid drugs and alcohol before sex and try to cut down your overall use.
Find a regular sexual partner if possible. If you typically date around, consider settling down with someone. Being intimate with one person can help you become more comfortable and confident during sex. When you’re comfortable with someone, it’s easier to have an open conversation about improving your sex life.
Skin is amongst the most sensitive organ and most prone to damage or infections because of sun exposure. These top dermatologist in Delhi, can help you with best treatments in case you are suffering from any kind of skin allergies, infections, pigmentation problems, ageing conditions. Dermatologist use various kinds of medications, minimally invasive surgeries, cosmetic surgeries, phototherapy, laser or radiotherapy depending upon your condition.
Top 10 dermatologist in Delhi are as below:
MBBS, Diploma in Venerology & Dermatology (DVD)
Consultation fees: ₹300
Dr. Sandesh Gupta is an established Cosmetologist and Dermatologist in Delhi. He is the founder of skin and laser clinic and has experience of more than 15 years in treating dermatological and cosmetological problems. He has done his masters from Singapore. The clinic is known for high standards, use of latest and advanced technology and affordable treatment.
DNB, MBBS, DDVL
Consultation fees: ₹800-1000
Dr Ranjan Upadhyay has 11 years of experience. He is director at desmoderm skin and laser clinic and also practices at Max super speciality hospital. He is member of various national and international associations. Dr. Ranjan has attended various training sessions at national and international level. His areas of keen interest are cosmetic procedures like botox, fillers, laser surgery, vitiligo surgeries, hair growth treatments and hair transplantation.
MBBS, MD - Dermatology, FAAD(USA)
Consultation fees: ₹300
Dr. Shruti Gupta is a young and a dynamic doctor who is known for her warmth and approach while treating her patients. She is the Founder & Director at SKINOS Hair & Skin Clinic. Her areas of expertise are derma roller treatment, anti-ageing treatment, vampire face lift treatment and bleaching treatment and treating various problems with hair.
MBBS, MD - Dermatology , Venereology & Leprosy
Consultation fees: ₹500
Dr. Manju Keshari is an experienced dermatologist and cosmetologist with 24 years of practice. She currently practices at Kemps Clinic in Vaishali, Ghaziabad and Max Super Speciality Hospital in Patparganj, Delhi. She is a member of various organisations like IADVL, ACSI and IMA. Her areas of expertise are treating skin problems like acne or pimples, laser hair removal, face peel, and polishing.
MD - Dermatology , Venereology & Leprosy, MBBS
Consultation fees: ₹700-800
Dr. Lipy Gupta is practicing from last 13 years and is currently affiliated with Max Hospital, Saket and Green Park Family Medicine Clinic, Delhi. She is a skilled in different type of cosmetic, dermatology and laser treatments. She is known for use of latest technologies for advanced treatments like body contouring and anti-aging,Dermal Filler, Enzyme Peel, Hyperhidrosysis and Cryolipolysis.
Consultation fees: ₹700
Dr. Jangid is a reputed dermatologist in 8 years of his career. He has special interest in dermato-surgery, pediatric dermatology and hair transplant. He is currently associated with SkinQure Clinic, which is located at many places in Delhi. He was awarded the Best poster award at ACSICON in 2015. He has great success at hair transplant and filler injections.
MD - Dermatology, Venereology & Leprosy, MBBS
Consultation fees: ₹700
Dr. Anuj has more than 10 years of experience and is a renowned dermatologist & hair transplant surgeon who has performed over 1000 successful Hair Transplants. His area of expertise is hair restoration treatments. He currently practices at Kaya Skin Clinic, Sanjeevini clinic and Ambay Hospital. He is also associated with many organisations and has contributed in various journals and articles.
MD - Dermatology, MBBS
Consultation fees: ₹600
Dr Sunakshi Singh is practicing for more than 9 years in Delhi and is associated with Advanced Dermatology and Hair Transplant Clinic, CR Park, Delhi. Her area of interest are anti aging treatments, Botox treatments, and Restylane Vital treatment, Vampire face lift. She is also known for her treatment of acne problems. Her clinic is well equipped to carry out any kind of hair and skin treatments. She is also a member of the Fellowship in Aesthetic Hair Transplant Surgeons.
MD - Dermatology, MBBS, Fellowship In Dermatosurgery
Consultation fees: ₹800-1000
Dr. Anil Ganjoo has more than 20 years of experience in the field of Dermatology, Dermatosurgery. He has been a pioneer in innovation for many techniques and treatment in Dermatology. Dr. Anil is considered as a celeb dermatologist because he has treated several celebrities and was the visiting Dermatologist to the former President of India, Dr. A.P.J. Abdul Kalam. He is associated with many hospitals and runs his own clinic as well Dr. Ganjoo's Skin Clinic.
Post Graduate Diploma Practical Dermatology, MBBS
Consultation fees: ₹1000
Dr. Geetika Mittal Gupta is a Medical Director at ISAAC, chain of dermatology clinic with 13 years of experience. Her areas of interests are Anti - Aging and Laser treatment. She is the Chairman of Ethical Committee, Association for Hair Restoration, India, also, Vice-President for Association of cutaneous surgeons, India and Coordinator, Taskforce for Dermatosurgery, IADVL.
सेक्स को लेकर भ्रम लोगों के मन में अक्सर रहता है
संभोग करने की स्थिति से दर्द का कुछ नाता है ऎसे कुछ भ्रम लोगों के मन में अक्सर रहते हैं। कैसे आप इस दर्द से निजात पाकर सेक्स संबंधों का आनंद ले सकते हैं और अपने रिश्तों को सामान्य बना सकते हैं। संभोग के दौरान होने वाले दर्द को मेडिकल की भाषा में दाईस्पेरेनिया कहते हैं। यह ऎसा दर्द है जो एक बार होने पर बार-बार हो सकता है और इस दर्द का असर महिला-पुरूषों के रिश्ते पर बहुत बुरा पड़ता है ।
क्यों होता है दर्द
वास्तव में पहली बार सेक्स के समय महिलाओं को होने वाले दर्द का मुख्य कारण योनि का बहुत ज्यादा टाइट होना है। ऎसा तब होता है जब योनि में लुब्रिकेंट न होना से मांसपेशियां खिंच जाती हैं और उनमें सूजन आ जाती है। ऎसी स्थिति में संभोग के समय महिला को बहुत अधिक दर्द होता है। ऎसा उन महिलाओं यों के साथ होने की संभावना रहती है जो सेक्स संबंधों को बहुत बुरा मानती हैं और संभोग के समय पुरूष के साथ सहयोग नहीं करती। इसका मनोवैज्ञानिक असर ये होता है कि संभोग के समय योनि की मांसपेशिया सिकुड़ जाती हैं और तेज दर्द होता है।
ऐसे में किसी भी लुब्रिकेंट युक्त ( GEL या OIL ) का भी प्रयोग कर सकते है
योनि में किसी भी तरह का इंफेक्शन भी संभोग के समय दर्द का एक बहुत बडा कारण है । अक्सर योनि के आकार में परिवर्तन हो जाता है जिसे एंड्रियोमेट्रियोसिस कहते हैं। यदि आपको भी संभोग के दौरान दर्द होता है तो आपको तुरंत डॉक्टर से संपर्क करना चाहिए। संभोग के दौरान होने वाले दर्द का एक मनोवैज्ञानिक कारण भी है।
सेक्स को लेकर मन में डर बैठ जाता है
लड़कियों की परवरिश बचपन से ही इस तरह से की जाती है कि सेक्स को लेकर उनके मन में डर बैठ जाता है। वह सेक्स के नाम से ही घबराने लगती हैं और उन्हें अपनी किशोरावस्था और युवावस्था के दौरान यह भी सुनने को मिलता है कि पहली बार किया गया संभोग बहुत कष्टदायक होता है और इस दौरान खूब ब्लीडिंग भी होती है। लंबे समय तक यह भी माना जाता रहा है कि यदि पहली बार संभोग के दौरान ब्लीडिंग न हो तो लडकी पहले सेक्स कर चुकी है। ये तमाम बातें लडकी के मन में मनोवैज्ञानिक रूप से संभोग के प्रति डर पैदा कर देती है और इस तरह की लडकियों को पहली बार संभोग के दौरान अक्सर दर्द की शिकायत होती है।
दर्द न हो इसके लिए क्या करना चाहिए
यदि आप चाहते हैं कि आपको संभोग के दौरान दर्द ना हो तो आपको कुछ सेक्स पोजीशंस का इस्तेमाल पहली बार संभोग के दौरान करना चाहिए और आपको अपने मन से संभोग में होने वाले दर्द व अन्य मिथों को दूर कर देना चाहिए। इन सबके बावजूद भी आपको संभोग के दौरान दर्द से गुजरना पड रहा है तो आप डॉक्टर की सलाह लें।