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I'm 21 years old, I want to remove the unwanted hair permanently around my penis area, so, how should I do now, what is the process for this treatment?
Hello sir mai 16 saal ka hui aur mera weight 39 kg hai mujhe ek indian diet chart plan suggest kare ((non-veg aur veg dono)). Jisse mera weight jald se jald badh sake. Thank you.
It has become very difficult for me to sleep and even if I sleep its not proper means im little awake.
Type 2 diabetes is reaching pandemic levels and young-onset type 2 diabetes is becoming increasingly common. Erectile dysfunction (ED) is a common and distressing complication of diabetes. The pathophysiology and management of diabetic ED is significantly different to nondiabetic ED.
To provide an update on the epidemiology, risk factors, pathophysiology, and management of diabetic ED.
Literature for this review was obtained from Medline and Embase searches and from relevant text books.
Main Outcome Measures
A comprehensive review on epidemiology, risk factors, pathophysiolgy, and management of diabetic Erectile Dysfunction.
Large differences in the reported prevalence of ED from 35% to 90% among diabetic men could be due to differences in methodology and population characteristics. Advancing age, duration of diabetes, poor glycaemic control, hypertension, hyperlipidemia, sedentary lifestyle, smoking, and presence of other diabetic complications have been shown to be associated with diabetic ED in cross-sectional studies. Diabetic ED is multifactorial in aetiology and is more severe and more resistant to treatment compared with nondiabetic ED. Optimized glycaemic control, management of associated comorbidities and lifestyle modifications are essential in all patients. Psychosexual and relationship counseling would be beneficial for men with such coexisting problems. Hypogonadism, commonly found in diabetes, may need identification and treatment. Maximal doses of phosphodiesterase type 5 (PDE5) inhibitors are often needed. Transurethral prostaglandins, intracavenorsal injections, vacuum devices, and penile implants are the available therapeutic options for nonresponders to PDE5 inhibitors and for whom PDE5 inhibitors are contraindicated. Premature ejaculation and reduced libido are conditions commonly associated with diabetic ED and should be identified and treated.
Aetiology of diabetic ED is multifactorial although the relative significance of these factors are not clear. A holistic approach is needed in the management of diabetic ED.
Psychosexual counseling in diabetic patient
In order to avoid the problems inherent in the assessment of any organic component of impotence, a consecutive series of 20 diabetics were treated with psychotherapy after a detailed assessment of the psychological components of their disability, 13 patients improved in the long term and responders could not be identified from pretreatment characteristics. However, most of the patients had been impotent for several years and their successful adaptation may have limited the success of psychotherapy. There is a need to identify the impotent patient at an early stage in order to offer more effective treatment. This might also avoid the problems of adaptation and the need for detailed investigations of pelvic nervous and vascular function. The management of ED in the diabetic patient may often involve a multidisciplinary approach where psychosexual counselling and specialist Sexologist advice is required in addition to the skills of the diabetologist. Finally, the introduction of the new oral agents have completely revolutionised the management of ED and allowed more individuals to come forward for treatment.
What is fatty liver, what are steps I have to take to save my liver. My family history has got r.cc. Now a clear cyst of .9 cm is seen on top pole of my right kidney in my ultra sound. What should I do.
Hello doctor! I have accidentally taken an overdose of salbutamol sulphate (90 ml= 38 mg), where as prescription for a patient is 4 mg a day only. It has happened on 28th december 2016 and it has been 5 days now but I still feel full body jerk and heat inside the body most of the time. However on 28th after an hour of taking the medicine my pulse rate was 135 per minute and BP WAS 145/90. But it got normal on the other day on 29th. But jerking is not going away. I feel very very sorry that I took this medicine without any prescription and without any need. I just had it without any motive. It just happened I can not even explain why I did such foolish and life threatening act. I was so stupid and I would never do that again in my life but right now I need you and I need you to let me live by helping me how to get rid of this problem. What should I do now? Thanks a lot and thank you very much. A help would be very appreciable and very enough to be noticed.
Hi I am 21 yrs old. Mucus cannot leave my throat and I had done homeopathy course twice, kindly help me
Having backaches for a long time and facing problem in sitting straight. I have to bend my back a little.
Acne is a skin condition that happens when pores get clogged with dead skin cells and oil, giving rise to pimples. It can be caused by numerous reasons like hormonal changes, improper diet, stress, consumption of specific drugs, excessive use of cosmetic products etc. In addition to these factors, acne can be caused by dandruff too, which may not be known to most of you. It has been observed that people who suffer from dandruff problems are more prone to getting pimples.
How does dandruff cause acne?
Dandruff has been associated with presence of yeast or fungi, it is also associated with abnormal skin ultrastructure. Dandruff makes the skin on your scalp flaky. These dry flakes of skin are often responsible for clogging the pores on your face, mostly affecting your forehead. In this way, dandruff triggers appearance of acne and can worsen the condition of your skin if you already have pimples. Though acne is more common among teenagers, acne due to dandruff is mostly experienced by people above the age of 20.
How can you prevent acne due to dandruff?
Eradicating dandruff from your scalp is the best way to prevent acne breakouts on your skin due to dandruff. Here are some simple ways to keep acne due to dandruff away from your skin.
1. Ensure that your hair stays off your face: Keeping hair off your face will ensure that dandruff doesn't come in contact with your skin and clog pores, preventing pimples. For this, you can use hair bands or tie your hair in a ponytail or braid.
2. Brush your hair at least twice a day: Brushing your hair at least two times a day will ensure that the dead cells on your scalp are removed and don't get a chance to clog pores. This option is highly beneficial in getting rid of acne caused by dandruff.
3. Use medicated anti-dandruff shampoo: Topical medicated solutions like a medicated shampoo should be used as a treatment. Short contact period of shampoo with scalp is important for more benefit. Good conditioner should also be used after head wash with shampoo.
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