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Tinea Versicolor -
Tinea versicolor also called as pityriasis versicolor is an infection of the human body caused by the Malassezia fungus, which is normally found on the human skin. Normally, this fungus does not harm the body and even protect our skin from the infections or diseases. But at times, it grows rapidly and changes the skin colour, resulting in the tinea versicolor disease.
Tinea versicolor does not cause any kind of critical harm to the health or pain in your body. However, those are more of the cosmetic concerns for its patients. The disease causes small white or other coloured patches of light to dark shades in smaller to larger areas on the skin. It primarily takes place in the upper back, chest and shoulders of an individual.
However, it may impact almost any part of the body. So, if such marks are well visible on your body even on covering up with the getups, you may feel a little awkward to go out in public. This disease generally affects the young adults and teens. Other than that, the individuals residing in the humid and warm weather are more likely to suffer from tinea versicolor.
Symptoms of Tinea Versicolor:
Following are the various general symptoms of the tinea versicolor disease:
- Light to dark skin discolouration patches mainly on the chest, back, neck, upper half areas of the arms, and other areas on the body
- The patches may be of red, pink, brown, or tan colours
- The short-period or continual growth of such patches for few months
- Mild to intense itching in the skin area on which such patches are seen
Normally, tinea versicolor does not cause any harm to your skin or body, just apart from the itchy temptation. Additionally, you may feel sensitivity, uneasiness and irritation in the impacted area at times. Rest than that, young and healthy people are more likely to have tinea versicolor on their skin as compare to the people of other age groups.
Note that once such marks appear on any part of the body of its patient, those may be disappeared in the cold season, and intensify again in the summer season. Those may also subside in case you shift to a cold place during the summer season also. So, it is more of a seasonal or climatic disease for its patients.
Causes of Tinea Versicolor:
As already mentioned, the primary cause of the tinea versicolor is the Malassezia class of fungus, found on the skin of a healthy person. However, the symptoms of tinea versicolor are seen only with their overgrowth. Following are the primary reasons that trigger the growth of the Malassezia fungus and consequently causes tinea versicolor:
- Humid and hot weather, this fungus could not breed easily in the cold weather
- Individuals with oily skin
- Hormonal changes in the body of healthy people
- Individuals with weaker immunity
- Individuals who observe more sweating than usual
Prevention of Tinea Versicolor:
Since the Malassezia fungus is always there on the human skin, it is very difficult to completely prevent the occurrence of tinea versicolor. But in case you are once diagnosed with it and have got complete treatment, you may take several measures to prevent its recurrence in the future.
Some of those are mentioned below:
- Avoid exposure to excessive heat, which may cause you to sweat more
- Refrain from direct exposure to the sunlight for several hours at a stretch
- Prevent your body from tanning due to sunlight by applying sunscreen lotion on your body before going out
- Avoid excessive sweating for any reason
- Use a selenium-based antidandruff shampoo at least once in every few weeks
- Avoid wearing tight clothes in the summer seasons
- Try to wear cotton clothes for decreasing sweat
- Adopt a well-balanced and healthy diet rich with vitamins, minerals and fibre, to keep your immune system intact
- Avoid eating too much junk food
Take a note that there are several patients who tend to suffer from tinea versicolor during a specific set of months of every year, like from May to August. They may prevent its reoccurrence by adopting some skin strengthening treatment using the following medicines:
- Selsun or selenium sulphide, 2.5% lotion
- Ketoconazole, Ketoconazole or Nizoral gel or cream
- Onmel and Sporanox (Itraconazole) capsules or tablets
- Diflucan (Fluconazole) tablets
How is it diagnosed with Tinea Versicolor?
Normally, you are not required to worry about the treatment for tinea versicolor, being a lesser harmful disease. But, in case you see any of the symptoms associated with it on any part of your body, you may consult your doctor. Post a visual examination of the symptoms, the doctor may confirm the occurrence of tinea versicolor.
If required, the dermatologist may recommend performing a test in which some skin sample is extracted from the infected area and sent to the laboratory for the microscopic examination. A good amount of the Malassezia fungus in the skin sample confirms the tinea versicolor disease in the infected part of the body.
Treatment of Tinea Versicolor:
Post the diagnosis and confirmation of tinea versicolor, the dermatologist may recommend you the medical treatment for stopping the growth of the Malassezia fungus in your skin. This may be required only in the cases when the symptoms are severe. This treatment would also help you in avoiding the disease’s symptoms for long-term.
Some of the medicines that help in coping-up with the symptoms of this disease include the following types of antifungal shampoos or creams:
- Clotrimazole - Lotrimin AF and Mycelex
- Selenium Sulfide - Selsun Blue shampoo
- Miconazole - Monistat and M-Zole
- Terbinafine - Lamisil
The following creams or ointments may be applied locally on the skin area affected with tinea versicolor to kill the fungus:
- Ketoconazole - Extina and Nizoral
- Ciclopirox – Loprox and Penlac
Note: It is recommended to wash and dry the infected area before applying these creams or ointment over those. The doctor may prescribe to apply those as a thin layer at least twice a day for at least one to two weeks.
The dermatologist may also prescribe you the following pills or capsules for the treatment of tinea versicolor:
- Itraconazole – Onmel and Sporanox
- Fluconazole - Diflucan
Other than the dermatology treatment, there are certain home remedies that you may adopt for the treatment of this disease. Although all such home remedies are natural and hence safer to adopt, it is strongly recommended to discuss with your doctor before starting over those. There are certain conditions like pregnancy or other illnesses, in which these ingredients may cause harm to the body.
The doctor will diagnose your physical conditions and symptoms to ensure that any of those would not cause any harmful side impact on your body. Some of such home remedies may include consumption and/or application of the following substances on the impacted area of tinea versicolor:
- Apple cider vinegar
- Indian lilac
There have not been found any cases where tinea versicolor would have caused severe complication on the skin or any other part of the body. For this reason, you may leave it untreated even for a long time from its diagnosis. The only bad part is that many of its patients do not like its appearance of their body.
The primary, but mild, a complication of this disease is the discolouration of the skin. This may persist for even several weeks after starting the treatment, since the skin colour producing cells (known as melanocytes) may take that much of time for complete recovery and pigmentation. Note that this disease never imposes any permanent complication on your skin.
The symptoms are even vanished or minimized in the winter season or at colder places. Since the infection or discolouration occurs only on the surface of the skin, there is no impact on the body organs or the immune system of the patient of this disease.
Other than the weird or different coloured appearance, few patients in some rare cases may observe the enlarged size of tineas on their body. It makes them face problems wearing fitted clothes, shoes and more.
Myths related to Tinea Versicolor:
Myth #1: Tinea versicolor, if not treated on time, may become a cause of skin cancer
Although the symptoms may look little alike, tinea versicolor is different from that of a skin cancer. Tinea versicolor is the overgrowth of a specific type of fungus on the skin. However, skin cancer is an overgrowth of the skin tissues itself, which is unstoppable. In case the symptoms on your skins are worsening over the time, it would be good to see a dermatologist at the earliest. If the physicians suspect that the discolouration or patches on the patient’s skin are due to the skin cancer, they may advise getting a biopsy test done.
Myth #2: Sitting in the sunlight would help in reducing the size and growth of tinea versicolor
Sunlight would not reduce the existing impact or stop the growth of tinea versicolor. On the other hand, the sunlight would tan the affected area and highlight it. Other than that, the sunlight would give an ample amount of heat to the fungus, which would be ideal for them to breed. So, sunlight will ultimately worsen the symptoms of tinea versicolor.
Myth #3: Once after completion of the treatment, tinea versicolor would not reoccur
This is not true. A person once affected by tinea versicolor is, in fact, more prone to catch the infection again in the hotter climate conditions. It is therefore recommended for them to take most care and follow the precautions, especially during the summer season.
Myth #4: Only the individuals with a weaker immune system may be affected by tinea versicolor
It is true that the individuals with a weaker immune system are more likely to catch an infection of tinea versicolor. However, there are multiple other reasons that tend to increase the risk associated with this disease. For instance, the healthy people undergoing hormonal changes may also suffer from this disease easily.
Myth #5: Individuals with a fairer skin are more prone to get affected by tinea versicolor as compared to those with light skin
Individuals with any colour of skin are equally likely to develop this disease considering the other affecting conditions and factors. There is nothing specific for this disease related to the skin colour.
Tinea versicolor is just the state of mild skin infection caused due to overgrowth of the Malassezia class of fungus on the patient’s skin. It does not have adverse symptoms on the skin, which also do not impose any direct health complication.
However, you must visit a dermatologist if the symptoms are not stopping over several months, for the confirmation that it is not skin cancer. Once diagnosed, you may get it treated by the doctor for the disappearance of the symptoms. You should also follow the precautions mentioned in this article to avoid this disease to take place.
In our study of the females of urban area, the following were the comments made by them when asked as to why they felt lack of sexual interest for their partners:
Deteriorated sexual self-esteem
Women expressed lower feeling of attractiveness and change in the body image. Such feelings overshadowed their sexual self-steam. “…I’m not happy with my body. I have sagging breasts and flabby stomach bulging out after child birth which made me very ugly ... I don’t feel attractive at all (24 y/o, teacher).
Some participants had experienced being reproached by their spouse and believed that this behavior had reduced their self-confidence. “…He permanently finds faults in my body. He blames my loose vagina, my passivity in sex and…; my self-confidence in sex has been reduced” (44y/o, teacher).
The spouse’s infidelity was also expressed by some women. “I have noticed his relationships for some years. He has not approached me for several months” (45 y/o, govt officer).
Deteriorated feminine position
Sexual desirability was mentioned by some participants. “When I was sexually active, I had more energy and motivation. I felt merriment and lively but I don’t, now.” (36 y/o, PhD).
Feeling as an incompetent woman was very challenging for the women who took part in this research.“Meeting the sexual need of the spouse is the duty of his wife. He wants me to be like other eager women, but I have no interest in sex. I do not act in a feminine manner” (42 y/o, Master of Science).
Being rejected by the spouse was also stated by some women. “He says that he doesn’t want me anymore. When I remember his words, I go mad. I have even cried during intercourse several times” (33 y/o, diploma).
Struggle in sexual issues
Concern about losing the relationship and spouse
Accepting sex to maintain the spouse was mentioned by women. “He also needs sex. Either I have to accept it or he may have desire for other women” (40 y/o, bachelor).
Many of housewife women talked about financial support: “When I need money, I accept the relationship, even an anal intercourse” (30 y/o, diploma).
Concern about continued sexual reluctance was worrying in some women. “If my lack of desire continues, I may see his sexual frigidity and our intimate relationship will collapse… I will get miserable” (24y/o, diploma).
Surrendering to sexual relationship
Half of the women expressed their pretension to be interested in sex and their role playing: “I pretend I am interested in sex, but he knows that I’m not behaving like the past”. I role-play in sex to satisfy my husband’s sexual needs.” (24 y/o, diploma).
Deterioration of the couple’s relationship
Deteriorated marital interactions
Less emotional interactions with the spouse was stated by some women. “I’ve been avoiding him and I don’t get intimate with him” (39 y/o, associate degree).
Women believed that change in the spouse’s behavior reduced his attractiveness. “… If my husband demands sex and I refuse it, he will get grumpy and will find an excuse to begin an argument” (31 y/o, associate degree).
Reduced affection expressed by the spouse was also mentioned “...he doesn’t care about me anymore. If I go to my mom’s house from morning to evening, he even doesn’t call to see how I am doing”. (30y/o, diploma).
Sexual disharmony between the couple
Lack of sexual talk with the spouse was observed among the majority of participations.
“I haven’t talked about my problem with him. We do not talk about sexual issues together” (30 y/o, diploma).
Sexual avoidance of the woman was stated by participants. “When my husband demands sex, I say I’m busy or sleepy…” (24 y/o, diploma).
More than half of women referred to sexual coercion by their spouses. “Sometimes, I have to accept sex. It is very difficult to tolerate it. I feel offended and choked with anger” (31 y/o, bachelor).
Anal and oral sex were considered as annoying or unusual sexual demands by the spouse “anal sex according to Islam, it should be avoided ... I also don’t like oral sex. I feel women are insulted to do so. I feel sick when I talk about it” (22 y/o, diploma).
The clitoris may be the most pivotal structure for female sexual pleasure. While its significance has been reported for hundreds of years, no complete anatomical description was available until recently. Most of the components of the clitoris are buried under the skin and connective tissues of the vulva. It comprises an external glans and hood, and an internal body, root, crura, and bulbs; its overall size is 9-11 cm.
Clitoral somatic innervation is via the dorsal nerve of the clitoris, a branch of the pudendal nerve, while other neuronal networks within the structure are complex. The clitoris is the center for orgasmic response and is embryologically homologous to the male penis. While the source of vaginal eroticism might or might not be exclusively clitoral stimulation, it is necessary to understand the intricate anatomy of the organ to assess the data in this regard. Ultimately, sexual enjoyment entails a balance of physical and emotional factors and should be encouraged.
Most women report that clitoral stimulation is an integral aspect of their orgasm experience. we conducted a study on Eighty-eight women 18 to 53 years old who answered detailed questions about their usual and recent orgasm experiences, sexual history, depression, and anxiety. Then, they viewed a series of sexual films.Most women (64%) reported that clitoral and vaginal stimulation contributed to their usual method of reaching orgasm. Women who reported primarily stimulating their clitoris to reach orgasm reported higher trait sexual drive and higher sexual arousal to visual sexual stimulation and were better able to increase their sexual arousal to visual sexual stimulation when instructed than women who reported orgasms primarily from vaginal sources. Thus, watching porn or sex video call will help a woman get orgasm more by clitoral stimulation than vaginal insertion.
Diagnosis and treatment-
According to Unani medicine, management of any disease depends upon the diagnosis of disease. Proper diagnosis depends upon observation of the patient's symptoms and temperament.
Unani, like Ayurveda, is based on theory of the presence of the elements in the human body. According to followers of Unani medicine, these elements are present in fluids and their balance leads to health and their imbalance leads to illness.
According to Unani practitioners, the failure of the Quwwat-e-Mudabbira-e-Badan, or the body's ability to maintain its own health, may lead to derangement of the normal equilibrium of the body's akhlat (humors). Abnormal humors are believed to lead to pathological changes in the tissues at the affected site, creating the clinical manifestations of illness. The theory postulates the presence of blood, phlegm, yellow bile and black bile in the human body. Each person's unique mixture of these substances determines his mizaj (temperament). A predominance of blood gives a sanguine temperament; a predominance of phlegm makes one phlegmatic; yellow bile, bilious (or choleric); and black bile, melancholic.
BENEFITS OF AYURVEDIC MASSAGE (ABHYANGA) BY MEDICATED OILS
1)Nourishes the entire body—decreases the effects of aging
2)Imparts muscle tone and vigor to the dhatus (tissues) of the body
3)Imparts a firmness to the limbs
4)Lubricates the joints
6)Stimulates the internal organs of the body
7)Assists in elimination of impurities from the body
8)Moves the lymph, aiding in detoxification
10)Calms the nerves
11)Benefits sleep—better, deeper sleep
13)Makes hair (scalp) grow luxuriantly, thick, soft and glossy
14)Softens and smoothens skin; wrinkles are reduced and disappear
15)Pacifies Vata and Pitta and stimulates Kapha
Marma massage and Kerala foot massage which were traditionally used to heal injured warriors were carefully guarded secrets. Now they are being taught openly as well
TYPE OF AYURVEDIC MASSAGE :-
6)Pre-Natal female massage
7)Postnatal Ayurvedic massage
8)Ayurvedic Newborn Massage
9)Aged person body Massage
The body needs time to repair itself. Lack of sleep can upset the body's metabolism and possibly hasten the onset of age-related conditions.
Sexual Dysfunction has become a topic of stress these days in lives of people suffering from it. It is a problem that occurs during any phase of sexual response cycle that prevents individual or couple from experiencing satisfaction from the sexual activity.
Most common types of sexual dysfunctions occurring in males include erectile dysfunction, premature ejaculation (early discharge), decreased libido, small penis and infertility. And in case of females, infertility, sexual pain disorders, absent orgasm and decreased libido are the common sexual dysfunctions. The imbalance between the neurological, vascular and tissue compartments that lead to arterial dilation and muscle relaxation takes place in cases of erectile dysfunction and premature ejaculation.
Erectile Dysfunction is a symptom and not a disease. Premature ejaculation is when ejaculation occurs prior to or within a minute of vaginal penetration. In case of decreased libido, there is the absence of sexual thoughts and desires. Size of penis has also become an epidemic syndrome these days. Various potential factors are related to this problem. Some facts about penile size are, size varies from individual to individual, the flow of blood into the region leads to erection and there is no bone in it.
Twisting of penis during erection can cause damage to penis. In case of female sexual pain disorders, the common causes are hormonal imbalances, overexertion, substance abuse, relationship issues, diabetes, spinal cord injury and depression. Most common types of sexual pain disorders in females are vaginismus (involuntary contraction of vaginal musculature, resulting in failure of penetration), dyspareunia (persistent genital pain before, during or after sexual activity). Infertility in females means inability to become pregnant. Infertility does not mean that you cannot have children, but you may require treatment to achieve a pregnancy.