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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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Sex is still considered a taboo topic to be discussed openly in our society. People feel uncomfortable in asking, sharing or even seeking professional help about matters related to sexual health. It is ironical that Kamastura, the standard work on human sexual behaviour, was written in India around the 2nd century AD. It is even more fascinating that despite such widespread stigma and taboo, we have a population of 1.2 billion!
Since it is such a relevant topic which requires correct and authentic information, we will discuss this topic over the next 2 posts. This post focuses on some of the common sexual disorders. Subsequently we will take the causes and treatments for such problems in tomorrow's post.
Although everyone is expected to have some sexual difficulties from time to time, when these persist or are reasonably high in intensity, it may be due to a sexual dysfunction. Sexual dysfunction is a disorder which prevents the individual from either wanting or enjoying sexual activity as desired. It is generally classified into four categories:-
- Desire disorders – lack of sexual desire or interest in sex. The person may still enjoy sexual activities and experience satisfaction but doesn’t desire sex as much. This makes the initiation of sexual activity less likely. In sexual aversion, sexual activity is completely avoided as it is anxiety provoking and associated with strong negative feelings.
- Arousal disorders – inability to become physically aroused or excited during sexual activity even though the person may be emotionally ready for sex. In men, this may be manifested as failure to achieve an erection suitable for satisfactory intercourse. In women, the principal problem is vaginal dryness or lack of lubrication which makes intercourse difficult or impossible.
- Orgasm disorders – delay or absence of orgasm (climax). The person may not be able to experience orgasm at all or it may be delayed. It includes a condition known as premature ejaculation, in which the male partner is unable to control ejaculation sufficiently for both partners to enjoy sexual interaction.
- Pain disorders – pain during intercourse. In this condition, the person experiences genital pain during sexual intercourse making intercourse impossible or painful.
Sexual dysfunction can affect any age, although it is more common in those over 40 years because it is often related to a decline in health associated with aging. While research suggests that sexual dysfunction is fairly common (43 percent of women and 31 percent of men report some degree of difficulty), it is a topic that many people are hesitant to discuss. Because treatment options are available, it is important to share your concerns with your partner and health care provider.
‘Sex is between the ears as well as between the legs’
I have irregular periods. I was on 3rd day of my period when I got into sex with my husband. Although he did not ejaculate in me. So do I need to take ipill.
Hi Doctors, Is coconut oil is good to massage the Penis. I am having a thinner penis and it is easily inserting into the vagina. When the vagina is dry then it is difficult to insert but in wet vagina it is inserting very easily. Please let me know how to increase the girth of the Penis.
Sun therapy for Premature ejaculation.
Exposure of glans penis to sun light is a standard therapy for premature ejaculation and may be even more effective than antidepressant medications in treating this condition. World famous sexologist Dr. C sharath kumar has done research and shown that sun therapy works by desensitisation of the glans penis. It makes glans mucosa rough and tough.
Sun therapy also helps in reducing balano posthitis which is one of the cause of pe.
Early morning or evening walk in the sun may help fight the depression and anxiety that often accompany pe. You might also consider investing in a sun lamp or light box, which may help raise serotonin by mimicking the bright rays of the sun.
Dear Sir, My son is 12 years old, his blood report is :moderate degree of microcytic hypochromic anemia with moderate neutrophilia .so, please suggest me what treatment he has to under go.
Hello everyone, I am DR. Pallavi Vasal, consultant of Obstetrics and Gynaecologist, working at Gurgaon. Today I will be discussing Tuberculosis in pregnancy. The class of patients which we deal with and the surrounding around is, we always think that tuberculosis is not that common in our class but it is not so. India has the largest number of cases of tuberculosis cases in the whole world, around 1 in 600. The incidence of tuberculosis in India is around 1 in 600 and in our country tuberculosis is still very prevalent. It is transmitted through respiratory droplets, though it is very important that you be very careful about your surroundings. Now during pregnancy, we are particularly discussing tuberculosis in pregnancy because during pregnancy your immunity comes down and because of this, you become most acceptable to any kind of infection and usually we catch an infection from the surrounding. So you need to be very careful about the workers you are hiring like your maid, your driver, your gardener, you need to screen them before you hire them because they are the ones who might be carrying tuberculosis. And if you screen them it will be helpful for you also and for them also. Untreated tuberculosis is the greater risk to the mother and the baby then does the drug have. So it is very important to screen and treat tuberculosis timely and quickly as soon as it is diagnosed. Most commonly the bacteria it affects the lungs otherwise it can affect the all the organs of the body. Now, when usually the symptoms of tuberculosis are like evening rise of temperature, loss of appetite, you don’t feel hungry, despite being pregnant you start losing weight, crowning cough lasting for more than 3 weeks, generalised tiredness, breathlessness and nausea. What happens in pregnancy is the physiological changes which happen in pregnancy makes the diagnosis of tuberculosis during pregnancy a bit tricky. So it is usually based on your history then your sputum which is coming out that is examined at least 2 times and chest X-Ray can even be done in the pregnancy if you are in a high-risk category with the abdominal shielding so that the baby is unharmed. Now there is another test called tuberculosis PCR which is tested in your sputum, culture can also be sent. And there is one more test called GeneXpert which also tells us about the resistance of the tuberculosis bacteria.
The treatment of tuberculosis depends upon the intensity and the severity of the disease. It can vary from 6 months to 9 months depending upon your condition. Usually, most of the drugs can be safely taken during pregnancy even in the first trimester, except a couple of drugs like streptomycin which is not advisable to take in the first trimester of pregnancy. In India the incidents of drug-resistant tuberculosis are also increasing, so once you are tested positive you need to take a complete treatment otherwise there are high chances of relapse and you developing a multi-drug resistant TB, which is very difficult to treat. Once you diagnose with TB, it takes 2 to 3 weeks after the starting of the treatment for you to become non- infectious. Till that time you have to keep your hygiene very good and keep wearing a mask if you are having lung TB, wash your hands repeatedly, eat healthy food and get a lot of fresh air, so that in general your health remains very good. Now be regular with your visits to the gynaecologist and with the physician for the treatment of tuberculosis and for the treatment of pregnancy as well. As pregnancy advances, if the TB is treated properly, it doesn’t cause much risk but there are chances of early labour, premature delivery and rarely the baby might also carry a form of TB which is known as congenital TB. But all these can be very well presented with the drug treatment if it is taken very timely and very efficient. So if you have any doubts regarding any of these issues then we can further. We can make an appointment through Lybrate or we can fix an appointment.
What is the difference between implantation bleeding and periods bleeding. Please tell me can it be heavy enough to fill tampons. I had no intercourse just genital grinding. Did UPT and came back negative after delayed periods. Please answer.
My daughter (16+) had pcod (but minor) but as a result she missed her periods and got extra thin hair. She was advised to take myonorm (2 tabs a day+ Diane 35 for 21 days) by gynaecologist. Last month her period started. Major problem is now hair scalp is seen. Now we consulted skin specialist and he advised hair joy (to massage hair) and shampoo (medicated) but i’m Very worried for her what to do more?
There are technical ways in which you can get your body all set for labour. Although you may not know how your labour will progress, you can ease the pain that you experience during childbirth to a significant extent by doing these four exercises:
1. Kegel Exercises: These exercises target the muscles that provide support to your bladder, uterus, urethra and rectum. By strengthening the muscles of the pelvic floor, these exercises help in improving the flow of blood to your vaginal and rectal area. Kegel exercises involve contracting of the muscles of your pelvic floor as you would do if you had to prevent passing urine or stool. It is also known to reduce the duration of the pushing stage of childbirth, which is the second stage. You can do the exercises sitting or standing and in either of the two ways-
Slow kegels: For this, contract the muscles of your pelvic floor and hold them for 3-10 seconds. Release and repeat the exercise for ten times.
Fast kegels: To do this, you need to contract and loosen up your pelvic muscles 25-50 times. Do the set for about 4 times with 5 seconds interval between each set.
2. Squatting: Practising squatting during your pregnancy can help in preparing your pelvic muscles for labour. While strengthening your thighs, it opens up your pelvis for an easy descent of the baby. So, here’s what you should do:
1. Begin by standing behind a chair for support with your feet wide apart
2. While contracting your abdominal muscles, relax your shoulders and chest before lowering your tailbone towards the floor
3. While inhaling and exhaling deeply, push into your legs and go back into a standing position
3. Pelvic Tilt: This exercise helps in strengthening the muscles of your back, pelvis and thigh regions while improving posture. Ensuring your pelvic joints remain flexible, it eases the pain experienced during delivery. Here’s how it’s done:
1. Get down on both your hands and knees while keeping your head in a parallel position with your back
2. While arching your back, pull in your stomach
3. Hold this position for a few seconds before releasing
The exercise needs to be repeated 3-5 times - all the while maintaining a strong hold over your back and stomach.
4. Tailor Pose: The tailor pose is designed to help relax your hip joints as well as open up the pelvis. It also helps in improving your body posture while easing the aches that occur in the lower part of your back. For this, you need to perform the following steps:
1. While keeping your back straight, sit comfortably on the floor
2. Placing the soles of both the feet together, press your knees gently towards the floor
3. Keep the position for 10-15 seconds. You can repeat the exercise for 5-10 times. If you wish to discuss about any specific problem, you can consult a Gynaecologist.