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    Premature Ejaculation 5 Tips Premature ejaculation is the uncontrolled occurrence of an ejaculation at the beginning or early stages of sexual activity. There are many causes of this condition including stress, anxiety with a new partner, guilt, depression as well as medical reasons like hormonal imbalances and as a side effect of certain kinds of medication. The main symptom is an ejaculation that happens with minimal sexual excitement or stimulation. It is basically a form of male sexual dysfunction that can be diagnosed with the help of a physical examination where the doctor can also ask questions pertaining to stress levels and other medications and ailments. So, how can one deal with premature ejaculation? Here are a few tips- 1. Relaxation Techniques: One can practise breathing exercises and other relaxation techniques including meditation that can help in distracting the mind so that there is less scope of anxiety. This can also help in putting the patient in the right frame of mind where he can actually enjoy the process of sexual activity from stimulation to excitement to peak and orgasm. 2. Avoiding Substance Abuse: Doctors usually recommend avoiding excessive consumption of alcohol so that the senses are more alert. Also, one must completely avoid smoking in such conditions, as tobacco can have an adverse effect on the sexual health of a person. Other substance abuse should also be avoided .3. Therapy: The patient can also seek psychological therapy and counselling so as to unravel any deep rooted psychological cause or trauma that may be keeping him from enjoying sex in an uninhibited manner. It is possible to understand the connection between childhood trauma, guilt, depression, anxiety, and stress if a person takes help from a professional practitioner who will also recommend some form of cognitive behavioural therapy to deal with the issue and overcome the problem and feelings that are hindering a normal sex life. 4. Medical Intervention: A doctor can help in examining the presence of any infection or side effects of any intense or long term medication with the help of a physical examination and even lab tests that can study the urine and blood samples. Accordingly, a suitable path of medicinal therapy can be followed, if required. 5. Sexual Positions: One can try different kinds of sexual positions and scenarios for more imaginative role play and better sexual excitement which can delay the ejaculation. A person can also learn to be more intimate with the partner so as to identify the triggers that lead to premature ejaculation.Many times, premature ejaculation goes away with the passage of time. But a chronic and debilitating problem must be reported to a doctor for better treatment. If you wish to discuss about any specific problem, you can consult a sexologist....
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    Galvanic current is used to create two significant reaction in esthetics : Chemical (Disincrustation)and ionic (Iontophoresis) DEFINATION- IONTOPHORESIS- GK=(Introduction of ions)is defined as the introduction , by means of an electric current , of soluble salts in to body tissues for therapeutic purposes. Skin type- -All skin types depending on substance used -Dry dehydrated skin -Dull sallow skin PROCEDURE— 1.Ensure machine is in good working order and on a stable trolley. 2. Remove jewelry from patient and self. 3. Cleanse patients face and neck thoroughly and check for contraindication. 4. Explain routine procedure to patient and reassure about any sensation i.e. pricking metallic taste , and slight warmth. 5. Place inactive electrode in patient s hand. 6. Remove substance in to bowl and with help of brush apply on patient's face and work round with one active roller electrode. 7. Place active electrode on patients forehead and another at base of neck. Check intensity dial at zero. Make sure that the polarity switch is at negative. Switch on the machine and turn up the intensity dial gradually until patient feels pricking sensation. 8. For 2 mins, taking care not to lose contact with the skin and avoid over stimulation of an area. 9. After 2 mins switch off machine , turn intensity dial to zero and remove the active electrode from the skin. 10. Turn polarity switch to positive. Place the active electrode on electrode on forehead and the base of neck, and switch on machine and turn up the intensity dial as before. Move the electrode for another 8 mins, slowly over the face and neck. 11. Switch off the machine, turn off intensity and remove electrodes. 12. Tone and moisturize face , or blot and continue with other treatments. 13. No make up is to be worn for at least 2 hours or if possible for the rest of the day. If possible, for the rest of the day. If make up is necessary, then apply medicated foundation and then the rest of the make-up. 14. Positive polarity is for penetration. Negative polarity is for opening up. So in cases of acne, boils , pustules , give 8 min negative.For pigmentation , dryness , whitening, fairness give 8 mins positive. DURATION— 2-3 mins( negative) and 6-8 mins(positive) INTENSITY— 2-3 miliamps BENEFITS- CHEMICAL EFFECTS – When the active electrode becomes +ve it attracts the –ve chloride ion. This produces a chemical reaction whereby chloride ions react with hydrogen ions to form hydrochloric acid.This hydrochloric acid restores the acid mantle. PHYSICAL EFFECTS— -Restores acid mantle. -Contracts skin tissue -Tightness pores . -Reduces vascularity. -Overall refining of skin condition due to its astringent effect. EFFECTS OF IONTOPHORESIS- 1. Beneficial substances for correcting different skin problems are penetrated into skin. 2. Opens the pores. 3. Stimulates circulations. 4. Generally improves texture and tone of skin. IONTOPHORESIS IS SUITABLE FOR- 1. All skin types depending on substance used. 2. The contents of substances are specialized which are beneficial , pure, water soluble for various skin problems. EXAMPLES: 1. Retinoic acid Acne (0.05%) Acne scars Pigmentation Fine lines Dark circles 2. Glycolic acid(6%, 12%) Pigmentation Fine lines Oily skin 3. Kojic acid (2%) and VIT-C for periorbital melanosis. 4. Aloe + Vit E for dry and dehydrated skin Seaweed jelly Positive galvanic gel Aloe vera gel Contraindication 1 Hyper- sensitive skin, loss of skin Sensation 2 Excessive filling, metal pins, plates, coils 3 Epileptics 4 Diabetes 5 Patient with pacemaker 6 Pregnancy 7 Skin diseases, infection, sepsis 8 Cuts, abrasion, inflammations 9 Highly strung and nervous client 10 Highly Vascular skin 11 Defective circulation PRECAUTION FOR IONTOPHORESIS 1 Check for Contraindications 2 Ensure machine is in good working order 3 Remove jewellary from clients and self 4 Explain to client about sensations which she will be feeling 5 Place correct Electrode on client’s face 6 Select correct polarity 7 Time treatment correctly 8 Do not remove electrode from skin when machine is still on 9 Avoid over stimulation of any one part of the skin 10 Try not to touch patient during treatment as the currently may be earthed by you . 11 Ensure machine is placed is safely on a stable trolley. Disincrustations It is used to facilitate deep pore cleansing , to emulsify sebum, remove surface oiliness, Blockage and help to regulate secreation. During this process galvanic current is used to create a chemical reaction that emulsifies or liquefies sebum and debris. When conducting disincrustation , the client holds the positive electrode, the positive polarity. The therapist uses the negative electrode (negative polarity) on the client’s skin surface. This creates a chemical reaction that transforms the sebum present in the skin into soap. When the electrical current interacts with the salts in the skin, it creates the chemical sodium hydroxide i.e this soapy substance helps dissolve excess oil, clogged pores, comedones and other debris on the skin, while softening it at same time Skin type Oily skin Acne Prone skin Combination skin Post-acne scars Products- Saline solution Disincrustation lotion Negative galvanic gel Duration- 6-8 min (Negative ) and 2-3 min (positive) Intensity-2-3 miliamps Procedure- Ensure that machine is in good working order and placed on a stable trolley. Remove all jewellery from client and self Cleanse clients face and neck thoroughly and check for any contraindications. Explain and reassure client of routine procedure, sensation(prickling and warmth ) she may feel Carry out the thermal and skin sensitivity test on face. -apply some petroleum jelly around the eyes -apply the product with the help of mask brush -give the client the bar electrode (with a damp cotton tissue wrapped around it) to hold . this is anode. Make contact with the negative roller/cathode(covered with damp cotton) on the skin and turn up the currently gradually until the client feels a tingling sensation. The movement should start from the chin and move towards the sides in overlapping strokes.Use slow, even, rhythmic movements all over the face. Continue for 6-8 min Lower the intensity and switch off the machine Remove the product and proceed with extractions. Reverse polarity for 2 min and then switch off the machine. Benefits Chemical effects- When sodium chloride is dissolved in water, it produces sodium ions and chlorides ions. The active electrode which is – vely charged , attracts +vely sodium ions. This produces a chemical reaction forming NAoH, which is an alkaline that destroys the acid mantle on the face and emulsifies the sebum on the skin surface. It also neutralizes the sebum. Physical effects- Destroy acid mantle. Soften skin tissue. Open pores. Emulsifies sebum and therefore aiding flow and drawing out impurities Increase vascularity i.e produces erythema y the stimulation action of current. Therefore increases blood circulation, which nourishes the tissues and improves lymph drainage, which aids removal of waste products. Overall improvements of skin condition due to its deep cleansing action.
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    Common sexual problem in the male 1 Erectile dysfunction Erections. Morning erection. Certain drugs may impair libido-b-blockers, spironolactone, metoclopramide, cimetidine, opiates (addiction), butyrophenone, anticholinergic drugs (impair erection). Management 1. Correction of any organic etiological factor-endocrine, vascular, , metabolic, neurological disease, local lesion or alcoholism. 2. Psychotherapy and counselling: emphasis must be on communication between the partners and not on achieving an erection. 3. Approach recommended (masters and Johnson) in stages:(a) the stimulation of each partners body by the other to learn how best to arouse the other genitals must not be touched at this stage. (b) when both partners are non-anxious in the first situation, genital stimulation is introduced. (c) commencing intercourse with the husband lying supine. 4. Androgen therapy if evidence (clinical or biochemical) of hypogonadism: Note: testosterone treatment is contraindicated in men who want to have children because it tends to suppress sperm production. Also it tends to precipitate cancer of the prostate in the elderly. Androgen replacement may enhance libido without improving potency. Sex tonics or aphrodisiacs have little or no effect on sexual function except perhaps by way of suggestion. 5. Other hormones: if increase male sexuality: certain exercises can strengthen muscles of the pelvis, in particular those surrounding the penis. They increase the blood circulation in genital area and may enhance quality of erection. The person is advised to check his flow of urine when urinating and then start again repeating this about 5 times. This can be done at least 3 times a day. Once this is learnt, it can be carried out even without urinating.
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    Myths & Misconceptions MYTHS & MISCONCEPTIONSCausesSexuality is related to obscenity or vulgarity. Therefore there is secrecy. Nobody talks about it openly though there is tremendous curiosity, especially during the adolescence and youth. Secrecy leads to ignorance. They turn to their friends for information, who are equally ignorant and may provide misinformation. Since they cannot dare to ask their parents or teachers, they try it through pornographic literature. They expect quacks to solve their problems. Myths and misconceptions gathered are propagated from generations to generations .Affects Many myths are responsible for Fear, Anxiety, depression Guilt feeling, Poor self esteemOver expectationsSexual dysfunctionsMarital disharmony, conflict, divorceSuicideVictimization by quacks Some of the common myths are mentioned below in italics, followed by their scientific explanations:PenisMen can will an erectionNo. Erection is controlled by parasympathetic part of autonomic nervous system. Like salivation and perspiration, erection is a situational reflex. Therefore sensate focus is the most important factor for getting erection.To satisfy a woman, the man needs a long, thick and straight penis.No. Like the shape of the nose, each penis is different. As a long and big nose does not improve the smell of a rose, A long and thick penis is not required for the pleasure of the self or of the woman. Penis is never straight like the railway signal. In some, it has a shape of banana. Vagina accommodates any shape of penis. Since the length of the vagina is 3.5 inches and only outer one inch is sensitive to touch, any erect penis over 1 inch in length is sufficient.Testes Both the testes should be at the same level. Using tight underwear (Langot) prevents hydrocele and hernia.No, the left testis is usually at a lower level, for some anatomical reasons. If the testes are brought near the body by using tight underwear, their temperature rises and adversely affects the formation of sperms. Semen is a precious fluid.No, semen is like any other secretion to be thrown out of body. Semen is a mixture of secretions from prostate, seminal vesicles and bulbo-urethral glands plus sperms. Semen provides nutrition, helps motility and acts as a vehicle for the transport of sperms.Losing Dhaat in sleep or passing it in urine is a disease. Passing semen Dhaat in sleep is known as wet dreams or nocturnal emission. This is a normal event and a sign of puberty, the beginning of adolescence. It also proves that the reproductive system has started functioning. When the reproductive glands are full with secretions and person gets a sensuous dream, like escape of steam from the cooker, he ejaculates in sleep. This does not cause weakness or loss of vitality.The sphincter of urinary bladder closes during ejaculation. Therefore, semen cannot be mixed with urine. If prostration secretion accumulates in the urethra at night the individual will see milky white secretion of prostate while passing urine next morning. This is physiological. Passing phosphates in the urine is sometimes mistaken for semen. Losing semen through masturbation does not cause not any harm. Masturbation is not a bad habit. It cannot be overdone, since it is controlled by autonomic nervous system. The frequency of masturbation depends upon the hormone, testosterone and the secretions of reproductive glands. Those who have never masturbated since puberty, the ejaculatory reflex do not work after the marriage and hence the man cannot father a child .Masturbation does not cause pimples, weakness, impotence or any other disease. It does not bend the penis. Masturbation or nocturnal emissions are inversely proportional to each other.Not only young people but married persons, old people and the females also masturbate.It is not the loss of semen, masturbation or wet dreams that harm a person, but the anxiety and fear about it harm him. VAGINA.Presence of hymen is the surest test for virginity.No. There is no surest test for proving virginity. A woman may or may not bleed from her vagina at the first intercourse after marriage; even then she could be a virgin. Sports, cycling, horse riding or exercise can be responsible for the tear of the hymen. Hymen, if lax, can remain intact even after the child birth.Hymen is a vestigial structure formed at the junction of external and internal genitals during the embryonic life. It may or may not be present at birth. Character is in the mind and not in the genitals. Secondly, there is a double standard for virginity. Man takes pride in mentioning about the number of women with whom he had sex. Such man deserves no right to ask his wife about premarital sex.Vagina is a sensuous organ. Woman gets orgasm by stimulation of vagina.No. Like esophagus, vagina is developed from endoderm and therefore there is no sensation in vaginal barrel. Vaginal orgasm is a myth. Orgasm in a woman is always clitoral in origin. Clitoris is the homologous organ of penis. The area of vestibule and the outer inch of vagina is developed from ectoderm and hence it is erotically sensitive to touch; only next to clitoris.There is no homologous organ like vagina in man. If men were to have vagina the site of opening would be on the median scrotal raphe, one inch in front of the anus. Vagina is considered as the organ of honor and character. However, physiologically, vagina is a passage for the menstrual flow and baby to outside it is the side of sensuous pleasure for male, where gets maximum erection that terminates in ejaculation for fertility. MENSTRUATION Bad blood is passed out menstruation. Woman becomes impure during menstruation. Menarche (beginning of menstruation) is the first indication that girl has been promoted to become a woman, Every month the inner lining of the wall of the uterus becomes thickened and engorged with blood vessels and mucus glands, ready to nourish the fertilized egg. If the egg is not fertilized, this lining breaks down and is discharged with little blood and mucus through the vagina. This is menstruation. Neither the blood is bad, nor does the woman become impure. A woman can lead a normal and usual life during menstruation. Breasts Small breasts produce less of milk. Their size can be augmented by hormones/ massage. The size of breast has no relation to the production of milk in it.. Even a small breast can produce enough of milk breast- feeding. The size of the breast depends upon the amount of fatty tissue in it.Massage or hormones do not help in increasing the size. For aesthetic reasons, silicon gel implant or fatty tissues injection can help in augmentation of the size of breast. The simplest way is to use a padded bra.Having unequal size of the breast is a normal variation and does not need any treatment. INTERCOURSE The first wedding night is the most sensuous and the most memorable experience. Sex with a virgin woman gives maximum pleasure.No.A virgin woman being a novice may not be able to enjoy sex herself. In fact, love, caring and sharing with the partner is needed. She inhibitions, feel relaxed, establish a loving relationship with partner, engage in foreplay, and then only she will be able to enjoy herself and herself and give the pleasure of sex to him. On the first wedding night, though the expectations are high, both being ignorant about the genitals, having pressure of performance and fear of failure, the intercourse may be unsuccessful and both may disappointed.My friend says that he performs three times every night and each times he lasts for half an hour.He is exaggerating his performance. Researchers have proved that the duration of intercourse from the time of penetration to the time of ejaculation is 1 to 3 minutes. The frequency becomes less and less. However, frequency and duration varies from person to person. For fertility it should be daily or on alternate days especially during the sexual performance is controlled by autonomic nervous system. Man cannot will an erection. If he tries to imitate his friend, nature does not cooperate and he may not be able to get an erection as he desires.Simultaneous orgasm of the two is necessary for pregnancy.No, It is not possible, since every individual has /her own speed. However, women should have orgasm prior to man’s, either by manual stimulation of clitoris or by ‘woman-on-top position. Simultaneous orgasm is not necessary for the pregnancy to occur. A woman is capable of becoming pregnant even without having an orgasm.Sex during menstruation and oral-genital sex are harmful There is no medical evidence to prove that sex during menstruation or oral genitals sex is harmful, provided:1. The mouth and the genitals are cleaned before the act He/she has no dislike or objection to it.Intercourse causes weakness or objection to it.Intercourse causes weakness. Sex tonic improves the performance During the intercourse, the tension in the muscles rises. This is followed by fatigue which recovers in a day. There is nothing like ‘sex tonic’. Masters and Johnson used to say “Sound health, interested and interesting partner is the best sex tonic.Hysterectomy/ menopause is the end of sex life.No. individuals can indulge in sex till the end of life. ‘Use it, or lose it’ is the rule applicable to it. Those who have regular sexual outlet do not find any discomfort or pain during sex.HomosexualityHomosexuality is abnormal. A Homosexual can be identified.A homosexual is normal in every respect except that his sexual orientation is different. There are 4% of male and 2 to 3% of female homosexuals in any society. No definite cause has been found. A homosexual cannot be identified by his look or behavior.Infertility Woman is always responsible for infertility in the couple.In 40 to 50 percent of the couples, man is responsible for infertility.The female is responsible for giving birth to male or female child Male is responsible. It depends on the sex chromosome that fertilizes the egg, If the sperm containing Y sex chromosome fertilize the egg, it will be a boy, and if X sex chromosome fertilizes. It will be a girl.However, this too is not under his control, Whatever the outcome is one has to accept and love the child.Family Planning Pill causes cancer, Coper T leads to profuse menstruation, Papaya causes abortion, and vasectomy leads to impotence.All these are myths. Pill contains minimum amount of hormones. Numerous studies done on the usage of pill show that it does not causes cancer. Copper T may cause little excessive menstrual flow in some cases that too initially only. Papaya or any other food stuff or hormone injection does not cause abortion. Manual vacuum aspiration is the only way (up to 6 weeks) for the termination of pregnancy. Vasectomy does not interfere with person sexual desire, erection or sexual performance. The quantity of semen also remains as before only that it does not contain sperms.STI/ HIV/ AIDSA Person using public toilet, using cloths of the patient or touching him, is liable to get STI or HIV infection NO. These diseases are transmitted through sexual contact. The germs of these diseases do not thrive in open. Using the public toilet, using the clothes or utensils used by the patient cannot transmit these diseases.Miscellaneous female has ten times the sex desire than that in the maleNo. the hormone responsible for the sex desire testosterone is more abundant in the male than in the female. She is interest in love, caring and sharing than in intercourse. For that reason there are no male sex workers to service the females. Hysteria is the female is due to sex starvation. Marriage is the solution Hysteria is a psychological disorder sex starvation does not cause any disease. Marriage in such a mental state complicates the problem.Blood group of both should be matched before marriage.Blood groups need not be matched, but the compatibility of Rh factor in blood of both should be examined. If the female is Rh negative and male is Rh negative, then the second child of this couple may get jaundice and may not survive. To avoid this Rh negative female is given Anti D immunoglobulin injection immediately after first delivery (or after abortion).Posted by Dr. Ramesh Maheshwari, Wnho Clinic, 2014 sadashiv peth, Tilak road, Pune. Free to call for further information.
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