Suyash Hospital

Is there anybody who is happy with their body? Definitely not! Almost everyone wants to lose weight. While some want to reduce their overall weight, others are concerned about their thighs, arms, buttocks, and/or belly and get rid 
of the fat accumulated in these areas. The last couple of decades have seen a drastic change in the lifestyle of people.

With more processed and refined items finding their way into each of our meals and physical activity drastically declining, the new epidemic is obesity. No germs causing it, but our foods. Extensive research is being done to identify newer methods to manage obesity. The complicating issue is also that once lost, the chance of fat re-accumulation always exists. One such new technique is the ultrasonic lipolysis. This technique involves the use of ultrasound waves to kill the fat cells (lipo - fat, lysis - kill). This is a noninvasive method wherein localized fat deposits are reduced, especially in areas like the abdomen, hips, thighs, upper arm, and buttocks. This is an advanced technique available to patients who want to achieve weight loss 
and body contouring.

How it works: The fat that is consumed through foods is digested but then accumulates under the skin. The accumulated fat is seen as fat globules or bubbles. These bubbles are difficult to break but attract more fat bubble formation and therefore fat accumulation continues over a period of time. After a detailed case history and examination, a customized programme is 
drawn that could be of 3 to 5 sessions spread over a period of one to two weeks. 

During each session, heat waves of different wavelengths are applied to the area of fat deposition through fiber-optic lasers. The sound energy gets converted into mechanical energy which helps in bursting of the fat molecules. By a process known as emulsification, the larger fat cells are broken into smaller ones, almost to a liquid form, thereby reducing fat deposits.

Benefits of this include:
1. Non-invasive
2. Painless
3. Improves body contour
4. Reduces body circumference
5. Muscle toning and firming
6. Localized body shaping

Earlier, liposuction was used which would remove the fat leaving sagging skin behind. New research has shown that a combination of lipolysis and liposuction can produce the best results. There is no sagging of the skin in these patients, 
and as an added advantage, there is also skin firming indirectly when lipolysis is done.

Studies have shown that obesity is linked to increased morbidity with higher incidence of cardiovascular disease, stroke, and paralysis. It is therefore, extremely essential that both women and men do all that is possible to reduce weight and fight obesity.

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:

1. Intense sexual urges.

2. Abnormal sexual activities.

3. Difficulty connecting with people emotionally.

4. The use of sex as an escape from uncomfortable situations etc.

5. 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.

Masturbation is rarely discussed, even amongst the closest of friends. Even though this is a normal part of human sexuality, society frowns on it and young people are often taught to avoid masturbation. Lack of knowledge and opportunities to talk about it have given rise to a number of myths on this subject. Let's take a look at a few of them. 

Masturbation can damage the genitals
Touching your genitals is very unlikely to damage them. The sex organs are designed to withstand friction and hence are very tough organs. The maximum damage that can be caused by masturbation is a little chafing. Using lubricant can prevent this from occurring. 

It causes health problems
Pleasuring yourself is the ultimate form of safe sex. There is no way for you to catch an STD or for it to cause any sort of mental health problem. The only risks involved are allergic reactions to lubricants or toys and a feeling of guilt or shame due to societal pressure. 

It lowers the chances of you having an orgasm during sex
Masturbation does not reduce your sex drive or prevent you from having orgasms. Many people also claim that women get addicted to vibrators and cannot enjoy sex without them. However, there is no truth behind this. 

Masturbation is akin to cheating
Single people as well as people in committed relationships masturbate. While it can lead to problems in a relationship depending on your partner's views about it, it does not amount to cheating on him or her. 

It can cause blindness

Blindness is the most outrageous myth associated with self-induced orgasms. Till date, there has not been a medical case to prove it. 

It causes infertility
Pleasuring yourself does not reduce your chances of getting pregnant or getting someone else pregnant. However, for men with a low sperm count, restricting ejaculations while trying to get their partner pregnant is a good idea. The only way masturbation can lead to infertility is if partners who share sex toys do not 

keep them clean and pass on STDs through them. 

Only men masturbate
Men and women across the world masturbate. 

It can cause erectile dysfunction
Erectile dysfunction has a number of psychological and biological causes such as heart disease, stress and obesity but masturbation is not one of them. 

Eating certain foods can help control the urge to masturbate

Pleasuring yourself is normal and not affected by what you eat or do not eat. 

It is only for young people
Men and women of all ages can enjoy self-induced orgasms. This does not have any adverse effects on your health.

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.

The effects of stress on the body

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.

No Blood, No needle, No visit to hospital, you can do yourself at home with water. A thin layer of transparent screen like structure hangs in front of the abdominal muscles known as peritoneum. This peritoneum protects the abdominal structures and the muscle. This can also be used for performing dialysis which is carried out when the functioning of kidney gets affected. In peritoneal dialysis a thin and soft catheter is placed in the person’s belly one week before performing the procedure.

The catheter has numerous holes in order to facilitate the transformation of fluids. Dialysis solution is prepared in a bag and the tubing is connected to the catheter placed in the abdomen thereby, the fluids absorb the waste materials from the body. The fluid is allowed to stay in your body for a particular period of time which is commonly referred as dwell time and later the fluid is drained out.

There are two types of peritoneal dialysis, continuous ambulatory peritoneal dialysis and automated peritoneal dialysis. This is the simple form of dialysis which anybody can perform after a short training period and this can be done anywhere in clean private place like hotels, home and even in office.

Procedure followed during Peritoneal Dialysis

All you need to perform a peritoneal dialysis is catheter and transfer set, cycler, dialysis solution and safety precautions materials to stay away from getting infections.
Step 1 - Perform a sterile aseptic technique. Wear a glove and surgical mask before connecting the catheters and transfer set. Clamp the tubing and remove the catheter once the dialysis solution enters your abdomen
Step 2 - Allow the solution to remain in your abdomen for a particular period of dwell time
Step 3 - Drain the fluid from the abdominal cavity into the drain bag. You may feel a mild tugging sensation when adequate amount of fluid is drained.
Step 4 - After drain close or clamp the transfer set and later flush a fresh solution directly to drain bag so as to remove the air from the tubing.
Step 5 - Close your drain bag and open your transfer set and refill your belly with fresh solution.

Make sure you perform without giving way for infection and excess fluid and dextrose absorption.