Dr. Sharmila Majumdar

In 2010, the world association for sexual health called all their organisations to celebrate, on each september 4th, world sexual health day in an effort to promote a greater social awareness on sexual health across the globe. Annually observed on september 4 since 2010, world sexual health day is an awareness day managed by the world association for sexual health, a global advocacy organization committed to promoting best practices in sexual health. It is celebrated annually on september 4th and attempts to break down social and cultural taboos associated with sexuality and to promote positive sexual health around the world, in an effort to promote a greater social awareness on sexual health across the globe.

Strongly advocating safe sexual practice, proper hygiene, when we are living in an era of sexually transmitted infections, poor or no knowledge about the medical aspects of sexual health, right scientific knowledge will promote good family relationships, bringing down divorce rates, infections, infertility, child sexual abuse, sexual crimes against women, male and female sexual dysfunction and make our young citizens aware and conscious about their sexual health.

1. Program that teach skills like condom use and talking about hiv with a partner.

2. Comprehensive sex education.

3. Youth friendly services

4. Community health efforts that include young people

5. Not sharing needles and stop drug usage

6. Finally going to a sexologist to treat various sexual health problems in order to have a healthy sexual life and not suffer in isolation and ignorance.

Lets all take a pledge to be responsible about our sexual health to lead a more fulfilling life free of sexually transmitted infections, infertility, male and female dysfunctions, sexual abuses, etc.
 

Having irregular bleeding while trying to have a healthy sex life can be stressful, because you never know when you're going to have bleedingWomen with pcos shouldn't be afraid to seek help if they're having trouble with their sex lives.Most women with pcos only seek out medical or psychological help if they're trying to conceive.

Pcos is a complex female health issue. It consists of many different health concerns and risks. If permanent diet and lifestyle changes are implemented, these risks and health issues may become obsolete. There are many ways to support the proper health of a woman's body that is dealing with pcos.

Important key tips-

1. Make sure your doctor performs the correct tests and you get a proper diagnosis.
2. Follow a pcos specific diet to help decrease insulin resistance, balance weight, and improve estrogen metabolism.
3. Promote hormonal balance and support regular ovulation through supportive herbs and supplements.
4. Support a proper inflammatory response.

How to manage pcod to achieve pregnancy? 

Infertility is one of the most stressing factors in women`s life and it may influence their satisfaction and quality of life . In our study all the patients were infertile which may have impaired their sexual function that could justify the high prevalence we found. The majority of our patients had menstrual irregularities which reveals their hormonal disturbances.Pcos patients markedly suffer from sexual dysfunction as comorbidity. It seems appropriate to screen all pcos patients for sexual function.

When women with pcos are trying to have a baby, intimacy can go from" the joy of sex to the job of sex" since conceiving can often involve scheduling sex during the times they're most fertile.Women also might be taking fertility medication that can affect their libido.

Understanding and addressing female sexual dysfunctions

Whether the woman is willing to deliberately find or be receptive to sexual stimuli, depends on any factors that affect her motivation, many other factors will influence her arousability, notable the processing of sexual information in her mind. Both psychological and biological factors are involved they are inherently blended. External and internal stressors alter the immune system, neurological and hormonal physiology.If the woman becomes aroused and desires and she finds the state enjoyable, the arousal may increase in intensity and she senses a need for sexual satisfaction. If the outcome is positive both physically and emotionally, future sexual motivation is increased. This type of cycle underscores the biopsychosocial nature of sexual function of a woman and thereof dysfunction which is important for understanding the potential treatment protocols in female sexual dysfunctions.

Since it is impossible to specify with any degree of precision when a â sexual problem or complaint should be diagnosed as dysfunction, it is crucial that the clinics judgment be taken into account in addition to the womens report of distress. Contextual and interpersonal factors must be considered in order to make a complete diagnosis.

Importance of addressing sexual complaints with a physician

sexual complaints may be the result of:

• medical conditions
• medications with sexual side effects
• psychological and interpersonal issues

Intimacy based female. Sexual response cycle

So what is female sexual dysfunction?

Female sexual dysfunction involves any problem from any phase of sexual response cycle that prevents an individual or couple from experiencing satisfaction from sexual activity. It includes disorder of desire, arousal, orgasm and pain.

Categories of female sexual dysfunction

• Prevalence of female sexual dysfunction
• Fsd risk factorshypertension
• smoking & substance abuse
• hyperlipidemia
• previous pelvic surgery
• past psychological trauma

Causes of female sexual dysfunction

Medication that may adversely affect sexual function

Certain medical conditions can increase the risk

• Condition-effects on sexual function
• depression-decreased desire
• diabetes-impaired arousal and orgasm
• thyroid disease-decreased desire
• cardiovascular disease-impaired arousal
• neurologic diseases-impaired arousal and orgasmâ 
• androgen insufficiency-decreased desire 
• estrogen deficiency- impaired arousal

Comprehensive sexual assessment

• Nature of problem
• duration of problem
• primary or secondary
• situational or generalized
• relationship problems
• stressors
• sexual problems in partner
• history of physical, emotional, or sexual abuse

General treatment guidelines

• Education -anatomy, sexual function, effects of pregnancy, menopause & aging
• enhancing stimulation -erotic materials, encouraging communication during sexual activity
• distraction techniques - fantasy, kegel exercises with intercourse, background music or television
• encouraging non-coital behaviours, sensate focus exercise
• minimize pain - positional, lubricants, warm baths,biofeedback, prior to  intercourse
• treatment depends on the cause, if organic, appropriate medical/surgical interventions along with sex counselling. If psychogenic  then¨psychotherapy/sex therapy/ marital therapy or cbt can be used.
• lifestyle modification should be included in all cases.

Determinants of sexual desire in women

• reproducible measurement devices and instruments for evaluating physiological female sexual response
• clinical trials of vasoactive agents ¨and other medical treatments
• physician awareness and competency in female sexual dysfunction

Treatment option on the horizon

• androgens
• prostaglandins
• nitric oxide delivery systems
• dopamenergic agonist
• flibanserin (addyi)
• drugs useful for reducing pain in¨sexual pain disorder (gabapentin)

Holistic approach for management

Most successful treatments for fsd are psychophysiological, physiological change circularly interacts with  psychological change. The many psychological factors that motivate a woman to begin her sexual experience must always be kept in the forefront.Since a psychological treatment does impact sexual physiology,we need to continue to develop psychological approaches for intellectual interest and out of respect for the choices of patients preference.Prescription of a physiological treatment which ignores the ¨fact that human sexuality is infused with individual meaning may invite further interference with sexual functioning. 

One of the biggest impacts on people's sex drive is their diet and lifestyle.

Get your sex drive back today with these tips.

1. Get a taste for the mediterranean-Those who eat a mediterranean style diet with plenty of fresh fish, fruits and vegetables, oily fish and seafood, nuts, seeds and pulses tend to have healthier hearts.

2. Missing meals results in low blood glucose levels, which in turn leaves you feeling tired, hungry, irritable and perhaps not in the mood for some lovin'tonight.

3. Ditch the junk food-We are increasingly relying on processed convenience foods, rather than fresh, whole foods - lots of fruit and vegetables, lean meat, wholegrains, low fat dairy products, nuts and seeds - which can affect your nutrient intakes. Processed foods often contain trans fats, refined sugars and high amounts of calories, which, over time can make you overweight and affect your confidence. The better your diet, the better you'll feel about yourself.

4. Get to a healthy weight-Obesity can cause hormonal imbalances in both men and women, which can interfere with your libido. The more overweight you are, the more likely your libido is going to be affected and obesity is also a risk factor for erectile dysfunction.

5. Fill up on fruit and veg-Make sure you get your 5-a-day. Fruit and veg are packed with antioxidants, vitamins and minerals. No single fruit or vegetable contains all the nutrients you need for health and sexual health, so it's important to eat a wide variety rather than sticking to the same ones.

6. Ditch the stress-Libido is easily affected by stress and anxiety. Stress and other unhealthy lifestyle habits, like smoking and too much alcohol can deplete nutrients in our bodies – all of which can potentially have an effect on our libido. Try to have a positive mental attitude and keep calm. Stress can also cause cortisol to be pumped into the body and high levels have been shown to promote the storage of fat and weight gain over time (particularly around the midriff).

7. Watch the booze-A little tipple can help sometimes get you in the mood and make you relax, but relying on it to improve your libido is counterproductive, as it's a depressant, is highly calorific and can cause'brewer's droop' - a temporary form of impotence that occurs when the drinker consumes one too many.

Dyspareunia pain during colitis 

A lot of women experience pain during sex. A recent swedish survey suggested that it occurs in 9.3 per cent of women, with the incidence being higher among the young and inexperienced, and relatively low among the over-50s.However, quite a few over-50s suffer this sort of pain because of hormone problems, and a new drug has recently been invented to help that particular group of women.In 2015, research published in the the british journal of obstetrics & gynaecology revealed that women who have had an'operative' childbirth are much more likely to suffer subsequent pain during sex. An'operative' delivery is one in which there is some sort of surgical intervention, such as the use of forceps or of a ventouse (vacuum) extractor or else a cut to enlarge the vaginal opening (episiotomy). Rather surprisingly, painful sex is also more common in those who have had a caesarian birth.

You can safely disregard one isolated episode of pain during sex. After all, it's easy to feel pain when a sensitive part of you is being prodded quite hard.But if the pain keeps on happening, you shouldn't feel you have to put up with it. Get something done to improve things.

 

Spots on a men private part 

Men are often very worried when they find spots on their penises. In this article, we'll describe the different types of penile spots and their colors that you might find. Penile spots are not usually a sign of anything very serious. But nearly always, it's a good idea to show the spots to your sexologist. Please bear in mind that most penile spots that you might find there are likely to be completely harmless. But some aren't! It's understandable that men can be very concerned if they notice spots on their penis.

Men also get alarmed about the sometimes rather unpleasant physical appearance of a spotty' penis, and what their sexual partner or partners might think of it. This is quite understandable. However, very tiny and harmless bumps' and spots on the penis, alarming though they may be, they are unlikely to be noticed by a sex partner.

Where could one seek medical help?

If you're concerned about a spot (or spots) on your penis, please ask a sexual medicine specialist doctor to have a look at it.

Now let's look at some really common penile spots:

• Fordyce spots
• White or yellow spots on your penis

These are tiny white or yellowish spots, found on the head of the penis or the shaft. If your skin is brown or black, they may look more prominent. They are normal. They're minute sebaceous glands and are just part of the natural structure of many penises. Many men also have them around their lips. Fordyce spots are not sexually transmitted and they don't do any harm. There's absolutely no need for any treatment.

Hair follicles
As you know, virtually all men have quite a few hairs growing around the base of the penis. And often, the hairs extend some distance up the underside of the organ. Human hairs grow out of a tiny'pit, which is called a follicle. And very frequently, the follicles on the penis may be quite prominent. This is nothing to worry about and no treatment is needed.

1. With sex, aim for quality over quantity. When spouses don't get busy regularly, they can lose physical connection.
2. Write about your fights. Researchers believe it's because the writing group was able to glean new insights about the disagreements or better understand their spouses after they'd reflected about them on their own. Next time you argue with your man, try writing down the details from a neutral standpoint. You might notice something you missed in the heat of the moment.
3. Hug for 2 minutes and kiss for 30 seconds each. Oxytocin, a chemical our bodies release when we touch one another, emotionally connects people" no need to set a timer, but do extend your hugs and kisses longer than you normally would; you'll feel a new sense of connection.
4. Take a walk together. If you're trying to decide how you two should handle your daughter's poor report card, hit the pavement. Not only will the fresh air clear your minds but also" the very act of walking in the same direction can help you two feel as though you're on the same team and want the same result. Physically heading to one place makes you more likely to be mentally in sync; it's like you're standing together instead of confronting each other.