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First Night FailureFirst night failureIntroductionThe first night or honeymoon night of marriage traditionally means the first sexual encounter for an Indian couple. It is the moment when society legally permits the consummation of the union of man with women. The first night is the most awaited night in one's life.Unfortunately, as sexologists, we come across a large number of clients failing on their night. The first-night failure' often results in sexual dysfunctions, social maladjustments, marital disharmony and even divorce.Why failure?The first night has been given special importance from ancient days. Our Sanskrit literature gives detailed descriptions and exotic fantasies woven around the first night. In the kumar saum bhava, Kalidasa takes liberty in describing the love dalliance of the newly wedded shiv and uma.Our cinema has glorified the first night. The entry of the bridegroom in the decorated bedroom, flower bedecked beds, the bride, veil, glass of milk, sweets and the magic moment begins! today, a large number of novels in vernacular languages are available under erotic titles glamourising the sexual raptures of the first night. So the first night become the most special night of a young couple's life i. E the golden night'. In our culture, till today in many parts of india, adolescent boys and girls are not allowed to interact with each other socially (except in some tribal societies) once the girls attains puberty. Marriages are fixing by elders. There is hardly any change of courting. The first night in reality becomes the first encounter' to know each other. Some young individuals are scared to death about their performance on the first night. Their fear is doubled by misguiding friends, yellow books, white self-advertised pamphlets by quacks and blue films. They have a feeling of sexual inadequacy, 'kamjori' or believe that they have become impotent and life has come to an end.One of the most worrying question on a man's mind whether on the first night' he will succeed in breaking the virginal seal' with bang, as this is supposed to make a successful marriage. Because of this fear, many eligible bachelors avoid marriage. Sometime they end up buying so called sex tonic advertised in lay press or even rejuvenators even prescribed by consultants. To avoid first night' failures some of them even visit prostitutes to test their potency! a women enter into the first night with anxiety, tension, fear and a variety of other emotions. The greatest worry on the mind of the bride is how she will fare in the virginity test'.Virginity is considered a virtue. It is a sign of purity. In some societies, the couple is expected to show the bed cover stained with blood after first night as proof of virginity!Thus, the bedroom, instead of being the foundation for developing tenderness, care, warmth, affection, life long love, pleasure bond, trust, intimacy and relationship, turns into a laboratory for testing potency and virginity.The west got the honeymoon problem i. E. First night failures. One dose not even find a mention of first night failure in any standard text book of sexual medicine or in diagnostic and statistical manual (dsm-iv)Western viewsDr wadell b pomeroy, co-author of the kinsey's report, describes premarital intercourse as a training ground for marriage. Lessons learnt without feeling of guilt and fear and the knowledge of good techniques, go a long way in developing relationship. Urge to have intercourse is like any other urges, e. G. Playing tennis, swimming or dancing, riding a horse or doing anything which gives pleasure. Premarital intercourse, unlike masturbation, is a means of interaction with another human being and consequently is a means of learning how to live with people. Sometime, it is learnt too late after marriage that they are not suited to each other sexually.PrevalenceThe first night' performance as still an important event in one's life. Failure can lead to disaster!It is difficult to statistically because of want of actual reporting and documentation. One can say 20% to 30% of couples who seek sex therapy have failure on their first night or at the time of first sexual contact.AetiologyThe sexual behavior in a human being is the outcome of learning and conditioning sex being considered a taboo, there is hardly any opportunity for learning. Therefore, ignorance, myths, and misconceptions about sex prevail. The most common etiology factor for first night failure in marriage is ignorance about male and female anatomy and facts of sex act. Some couples have unrealistic expectations of sex act.Other cause of first night failure is tight foreskin in male, tough hymen in female and dyspareunia, etcFirst-night blues1 psychologicalInadequate sexual informationRestrictive upbringingA. Sex is dirtyB. Women who enjoy sex are disreputableGuiltSexual mythsFear of pain, failure, not satisfying partnerFear of std/HIV/aids2 organicDysfunction in the partner e. G. VaginismusTight foreskinIf failure occurs on the first attempt, the first thing comes in mind am I impotent?' the more he tries. The more he fails. He feels something is terribly wrong with him. He feels that due to his past habit of masturbation, he has lost his vitality, vigour, and potency. He stops further sexual advances. It starts a vicious cycle of performance anxiety and spectatoring' and failure.Consequences They may avoid sexual activity. They may continue to have only foreplay. They may have good relationship in other aspects of life. Some may suffer from anxiety/depression. Impotency They may make allegations at each other leading to marital conflicts, separation or divorce
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WNHO Package for Low Libido Men90 Days validity • Medicines includedPrice: ₹6000 ₹3000Buy Now Send EnquiryWhat is this package about?Loss of libido (Sex drive) is a common problem affecting up to one in five men at some point in their life.It?s often Linked to professional and personal stress. However, an unexpected loss of libido especially when it lasts for a long time or keeps returning and indicate an underlying personal, medical or Lifestyle problem, which can be upsetting to both partners in a relationship.If you?re concerned about your libido, especially if your diminished sex drive distresses you or affects your relationship? it time to make a bold move by accepting it and searching for best options available. Specific tips can offer significant help for this condition and overall sexual well ? being.What problems does this package intend to treat?- Loss of libido- Premature/early Ejaculation- Erectile dysfunction- Thinning / shrinkage in penis size - Low sperm countFeatures of this package include:- Zero side effects. Medicines are absolutely safe- Diet will suggest- Plan of treatment - Symptom are analyzed- Detailed medical history of patient is acquired- The root causes of the problems are highlighted to the patient- Necessary lifestyle changes are suggested- Appropriate medicine is provided- Medicine is delivered at your HomeExpected outcome:- Restoration of healthy libido- Healthy and Delayed Ejaculation time- Hard and long lasting erection- Improvement in sexual performance and organic pleasureConsultations offeredText Chat (90 days validity)6 Nos.Audio Call (10 mins validity)3 Nos.
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Peeling is the application of chemical agent to bring about exfoliation of the epidermis with remodeling of the collagen and elastic fibers in the dermis .A peel removes several layers of sun damaged skin cells, leaving fresh skin, which has a more even surface and colour.It may stimulate new collagen to be formed improving texture.The result of the first peel may be disappointing, but after repeated peels, significant improvements is usually evident.Principles of chemical peels⦁ Exfoliation of superficial dead layer of skin (Stratum Corneum)⦁ Promotes collagen production⦁ Stimulates new cell growth ⦁ Cleansing of clogged pores⦁ Reduces production of the sebum by the oil glands⦁ Regulation of moisture levelChemical Agents used for peeling⦁ AHA----Alpha Hydroxy Acids- i.e Glycolic Acid , Lactic Acid, Mandelic acid⦁ BHA----Beta Hydroxy Acids- i.e Salicylic Acid⦁ PHA----poly Hydroxy Acids – combination peel⦁ TCA----Trichloroacetic Acid⦁ Phenols----Carbolic AcidTypes of peels⦁ Very Superficial ----Glycolic acid⦁ Superficial ----Lactic acid⦁ Medium ----PHA, Salicylic acid, TCA⦁ Deep ----PhenolsOf these peels the Alpha Hydroxy Acids are the most commonly used.Introduction –Benefits of AHA’s were first discovered by Dr. Eugene van scott in 1970.AHA- Alpha hydroxyl acids----They are also called as fruit acids as they occur naturally in certain fruits. Different AHA’s with their sources-----⦁ Glycolic Acid – Sugarcane⦁ Lactic acid – Fermented milk⦁ Mandelic Acid –Bitter Almonds⦁ Malic acid – Apples⦁ Tartaric acid- GrapesOf these the Glycolic acid & Lactic acids are used generously.Glycolic acid has the smallest molecular weight and is easily able to penetrate the skin. It is a weak acid. It has a keratolytic action .with higher pH it acts as a moisturizer . since it is a weak acid it does not a self neutralizing action by coagulation of proteins hence it has neutralized with water or weak buffer.Glycolic acid result in superficial skin injury and are well tolerated-the ‘lunchtime’ peel. They remove thin lesion on the skin surface, reducing pigment and surface dryness.There are newer glycolic peels which are most potent and still do not irritate. These peels contain Strontium Nitrate. One such brand widely used is Refinity(70% glycolic acid+strontium nitrate) and Cosmoderm(50%glycolic acid+strontium nitrate)INDICATION OF GLYCOLIC ACID1) Acne2) Hyperpigmentation3) Freckles4) Fine lines and wrinkles5) Sun spot6)Open pores7) Clogged pores8) Under eye dark circlesCONTRAINDICATIONS:1)Active infection2) Open cuts3) Photosensitivity4) Past reaction to peel5) Facial surgery in three monthsQUALITIES OF GLYCLIC ACID:Full face or spotsVery superficialExpensiveLong lifeAvailable as liquidDifficult to preparePRMING:Preparing the skin before the peelPriming is done for period of 10 days daily with a lower concentration of glycolic acid (6%) applied only at night. Stop application on day 11, 12, 13th and the pel is done on the 14th day.BENEFITS OF PRIMING :1) More uniform penetration of the peel2) Reduces the risk of hyper pigmentation3) Reduces wound healing timePEEL SENSITIVITY TEST:It is done on the side of the neck to detect sensitivity to the peeling agent .During this first apply 20% GA and watch for 3 mins. Patient will feel slight burning or itching sensation. If this sensation is mild with no redness on the area for 3 mins that means the patient can tolerate the peel on face. So wash the peel with cold water and proceed for the face.On the hand if after application you notice redness with 1-2 mins then immediately neutralize the part . Dilute the peel with 2 drops of rose water , repeat the test patch on other side of neck. If patients tolerates this then do the diluted peel on the face.On the day of peel:Materials Required for peel----⦁ Required peel⦁ Neutraliser⦁ Measuring cups x2⦁ Brush x 2⦁ Cleanser⦁ Vaseline⦁ Ear bud⦁ Head band⦁ Cotton⦁ Rose water⦁ Eye pads⦁ Mask⦁ Sun screenPROCEDURE:1)Elevate the client's head by 45 degrees.2) Tie Head band3) Cleanse of the face with pre- peel cleanser ( to be used according to the skin texture , I. e. oily, normal , dry etc)4)Apply Vaseline to sensitive areas like outer and inner canthi of eyes , angle of month and nose with ear bud.5) If client is about to undergo peeling for the first time, then a Peel Sensitivity Test should be performed.6) Apply 1 ml 20 % Glycolic acid in stroke with peel brush . As you touch the peel brush on face start the timer. Strokes should be outward to inward , single stroke application approximately time of application should be 45 secs, and peel to be kept for 3 mins only. This 3 mins includes your time of application also.7) Mild itching and burning sensation is experienced, which is normal.8) After 3 mins, dab the under eye and upper eye with cold water 1st then neutralize the rest of the face with 2ml of neutralizer.9) Neutralization of peel can be done 2-3 times in same manner During neutralization patient feels warm sensation. This is due to acid base reaction.10) Then clean the face with cold water and give cold compress the face when patient complaining of any of any burning .11) Apply face mask for 20 mins.12) Remove the mask and apply sunscreen according to the skin type .Precautions: While doing peel if there is unbearable burning , stinging , frosting immediately neutralize the peel with cold compress.POST PEELING CARE –1) Can wash with plain water after 2 hours. Soap can be applied after 12 hours.2) There will be mild redness for 1-2 hours.3) Avoid direct sunlight . Apply sunscreen 20 min before sun exposure.4) Avoid swimming and sweating for 2-3 days.5) No facial bleach , treading , waxing , plucking for 7 day before and after peel.6) Avoid make up for 12 hours.7) Do not use medicated cream 2days before and after peel.8) Do not pick, Picking delays healing causes scarring.9) Moisturize- use moisturizers after peel.OTHER PEELS-1 ) BETA HYROXY ACID – SALICYLIC ACID –Salicylic acid is derived from sweet birch , willow bark and wintergreen leaves. It is lipophilic and act as a kerotolytic agent by dissolving the intercellular lipids, surrounding the keratinized epithelial cells. Due to its lipophilic nature it acts on the sebaceous follicle, has excellent comedolytic activity and hence is very useful for acne. It has anti inflammatory and antimicrobial properties. INDICATIONS:# Active pustular acne# Open poresPROCEDURE—Salicylic acid is used only as spot peel.DO NOT USE ON FULL FACE.Used inA combination with glycolic peel.2) POLY-HYDROXY ACID PEEL-Also called as body peel .To be used only on body.INDICATION:Fine lines and wrinklesRehydration of skinDark back , elbow , forearmsPigmented feet , handsPROCEDURE-Same as glycolic acid. Only in this case test patch not required as we are doing on body. Cleaning, application, timer , neutralization remains the same. Post Peel Instructions remains same for all peel procedures.SKIN WHITENING PEEL—(PEEL BOOSTER)---INDICATIONS*Tanned skin*Pigmented skin*Melasma*Dark underarms , hands, feet…PROCEDURE: *Elevate the clients head by 45 degrees*Tie hand –band*Cleanse of the face with pre-peel cleanser( to be used according to the skin texture .i.e.oily , normal dry etc.)* Apply Vaseline to sensitive areas like outer and inner canthi of eyes, angle of mouth and nose with ear bud.*Take 1 ml of peel booster in a measuring cup and with the brush apply it in same direction on the entire face. NO TIMER is required .After application let it dry completely.* After drying now over the booster apply 1ml of glycolic acid 20% ( here timer is necessary)* Time for 3 mins if patient is comfortable then neutralize after 3 min.2)LACTIC ACID PEEL:-INDICATIONS:-Sensitive skin-Dehydrated dull skin-Under eye dark circles4) DARK CIRCLE PEEL:-INDICATIONS:--⦁ Under eye dark circles.⦁ Periorbital melanosis⦁ Fine lines, wrinkles⦁ Open pores.5)ANTIACNE PEEL:-INDICATIONS:-*Acne*Boils , Pustules.*FolliculitisDIFFERENCE BETWEEN AHA and BHA AHA BHA1) They are water soluble 1)They are lipid soluble2) Has keratolytic action. 2) Anti-inflammatory, anti-microbial, comedolytic3) Requires neutralization 3) No neutralizer required4) No frosting occurs 4) Pseudofrost occurs5) Glycolic 5)Salicylic6)For pigmentation 6) For acne7) Prepared from sugarcane 7) Prepared from Sweet birch, willow bark, Wintergreen leaves.Combination Peels – Multiple peeling agents in combinations are used to compliment their synergistic activity and inhance their efficacy and depth.E.g. Salicylic acid with a Mandelic acid targets the Seborrhea, residual acne, post acne pigmented early grade 1 scars as well as textural improvement. Mandelic acid has antibacterial properties and is safer for dark skin types.Sequential Peels – One peel is printed and terminated and followed sequentially by another peel in the same sitting which can be termined or left on slow release peel.E.g. Salicylic acid followed by Mandelic acid, Glycolic acid or Retinol peel. Salicylic acid peel followed by a TCA obtains moderate depth effects.Switch Peels – Includes usage of different peeling agents in rotation in subsequent sittings. E.g. Salicylic acid or a Retinol peel in comedogenic or Inflammatory acne switched over after clearance to Glycolic , Mandelic or phytic in subsequent sessions to improve scars and texture.Slow Release Peels – Some peels works on controlled (gradual)release of the product progressively and ensures complete penetration and full action of all components in the solution. Easy phytic peel composed of three hydroxyl acids with phytic acid, 3 AHA are glycolic acid, lactic acid and mandelic acid.
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Wnho Forum for Health Innovation.WNHO HEALTHCARE PVT.LTD is incorporated & registered as startup by the Department of Industrial policy and promotion.It is also certified that Quality management of ISO-9001:2015.Main Objectives- To prepare research on Formulation of microHealth globules from herbs, salts and all allopathic medicine and Ayurvedicmedicine and starting of WNHO chain of art of healing center. The benefit of poor patients by prepare antically of immunity enhance. A]Body-Energizing Auricular Stimulator- this Device Along with micro herbal globules’spray. B] Nanotech Herbal globules- Herbal activated globules used for microcellular rejuvenation.This is our unique innovative Health system for treatment has remarkable cure rate. Our testimonials & research papers are presented at various National& International conferences details website –www.wnhocare.co.in/www.wnhohealthcare.com /YouTube Dr. Ramesh Maheshwari video of varies patient’s opinion. C] Lungs Exercises chart and detail procedure in leaflets provided by company. D] Derma roller for Lung Meridian Stimulation is included inside kit. E] Acupuncture Point chart, along with Meridian stimulation booklet. Consultations Offered (Free for 2 years at WNHO clinic 2014 Sadashiv Peth, Tilak Road Dhanwantari Building Opposite ICICI Bank Tilak Road Pune-411030.) Text Chat (12 months validity) - 12 No. Audio Call (10mins validity) - 12 Nos. Video Call (10mins validity) - 3 Nos. Testimonials of Patients cured by Dr. Ramesh Maheshwari – Wnho Clinic- Pune. Available on YouTube Videos.
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