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Health Franchise In India Business Opportunity.Health Care & Fitness - One of the most revenue-generating business sectors -WNHO HEALTH CARE PROJECT.As people are becoming more health conscious than ever, they are ready to look for options to exercise more, improve their diets, de-stress, lose weight and explore a variety of other methods to improve their health. Well, this is why there are more franchise options for gyms, wellness centers, weight loss concepts, personal care outlets, health management clinics, medicine outlets, skin treatment clinics, women fitness centers, diet clinics, Preventive clinics, and so on. Thus, health care and fitness franchise has become a lucrative business opportunity for prospective investors and entrepreneurs. With brand value of franchising, WNHO- Fit For Life is Managed by WNHO Health Care Private Limited, Govt. Certified Startup it is a must to look for a reputed name in health care and fitness franchise business opportunity. Call for Details Phone 02024463540/02041211108 mobile 9822006427. Application Form For Fellowship. Of WNHO ONLINE DISTANCE LEARNING COURSE IN SEXOLOGY/COSMETOLOGY /PREVENTIVE CAREINSTITUTE OF COMPLEMENTARY MEDICINE(ICM)Affiliated-IBCM-INTERNATIONAL BOARD OF COPMLEMENTARY MEDICINE & GLOBAL EDUCATION(WNHO) AUTONOMOUS EDUCATIONAL TRUST REGISTRATION NO.382/11985GBBSD BPT 1950F-10581, MUMBAI. Run by Govt. Certified Startup. WNHO Health Care Pvt. Ltd.APPLICATION FORMI wish to apply for online certificate coursesFellowship in Sexology and Psychosexual medicine.
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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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Evaluation of Male Erectile Dysfunction INTRODUCTION In recent years, the importance of physical factors in the enteropathogenesis of male erectile dysfunction has become incontrovertibly established. It is now know that erectile dysfunction can occur as a result of psychological factors, physical factors or both. HISTORY- TAKING Too often, history taking is performed very cursorily; this can lead to great blunders. Because of the intimate admixture of psychological and physical issues in erectile function, a detailed psychosexual, marital and social history is mandatory. Such a history not only improves the diagnostic yield but also goes a long way in planning proper treatment. Importantly, it can help avert many a post- operative disaster should the candidate require surgery. A detailed sexual history is invaluable. Direct questions should be asked about the rigidity and duration of erection during sleep, masturbation and sexual intercourse. History- Taking should also include a systematic check list for contributory organic factors (Table 1) often; a good history alone can lead the clinician to a working diagnosis of the relative preponderance of psychological or physical factors in any given patient. PHYSICAL EXAMINATION Although physical examination often contributes very little to the eventual diagnosis and treatment plan, the importance of its thoroughness cannot be over- emphasized. A thorough general and local examination must be performed. A complete neurogenic impotence is still made mainly by elimination of other causes coupled with a high index of clinical suspicion. INVESTIGATIONSa) General Systemic investigations contribute little to the diagnosis and management of impotence per se. However, these must be performed in the interest of the general health of the patient and to identify contributory underlying causes. Monitoring of diabetes, for example, does little to alter the continuing impact of the diabetic process on the erectile apparatus. The same is perhaps true for other systemic diseases associated with erectile dysfunction. It must be noted that even endocrine disorders usually affect the libido rather than the erection itself. Hormonal measurements, therefore, do not obviate the need for more specific tests. b) Specific The armamentarium of diagnostic gizmos and devices flooding the impotence market is quite confusing to the newcomer dabbling in impotence. While some of these are indubitably useful, many are mere research tools that contribute little to an objective diagnosis. Besides, the international literature on the subject is very contradictory and clear standards have not been enunciated for many of these tests.It is still possible, however, with the modalities available today to make a fairly accurate diagnosis of the predominant causal factor/s in any patient. It is not necessary to perform all tests on all patients. The work-up should be tailored according to the individual needs of the patient. Apart from the patient’s economic capacities, time is an important consideration especially in case of the patients coming from faraway places. The psychological make-up and the attitude of the patient are also important. An invasive test should be eschewed in favor of non-invasive ones in especially anxious. The ultimate goal of the investigative work-up is to determine whether the cause of the impotence is psychological, arterial, venous, neurological or endocrinological. It is important to remember that often many factors may co-exist in the same patient. 1) The Injection TestIf performed correctly, this test alone can enable a working diagnosis within one day. Drug used are prostaglandin or papaverine hydrochloride. Prostaglandin is preferable when the patient has to travel within a few hours because of the much lesser risk of priapism. Many other vaso-active substances and their combinations (most notably papaverine – phentolamine have been described. However, these are not indispensable and their non –availability should not be a deterrent to an accurate diagnosis. Papaverine hydrochloride alone is adequate for most purposes. It is cheap and freely available throughout India. Prolonged erections and priapism, should they occur, are very easy to treat. The biggest enemy of papaverine is the anxious patient. For these reasons, it is very important that the patient’s anxiety should be allayed. If necessary, the test should be repeated on more than on occasion. If there is no suspicion of neurological disease, it is safe to start with a dose of 45-60mg. A 26-30 gauge needle is used to inject the drug directly into the corpora cavernosa at the mid-shaft level. The patient should always be given the privacy of a quiet, relaxed room. This test should never be performed in a busy out- patient setting with people walking in and out. This is certain to affect the outcome of the test. The patient should be seated upright during the injection. Pressure on the puncture site should be very gentle or it can have a retrograde milking effect on the penis. This can lead to false-negative results even after appropriate dosage and can cause drug-related systemic side effects as well. After injection, the penis should be gently stroked in order to distribute the drug and facilitate the lubricating jelly help. Visual Sexual Stimulation (VSS) using erotic literature, computer software or video films may be used but doesn’t always help. Unlike in the west, erotica does not have the same effect on the Indian male. This is probably because of socio-cultural and attitudinal differences. Lastly, it must be remembered that erotic literature and films are prohibited by law in India. For these reasons, VSS can be safely omitted without notable compromise in diagnostic yield.Likewise, it may or may not be very helpful to keep the patient in his sexual partner’s company during the conduct of this test. Many men are embarrassed in their partner’s presence and this might affect the outcome of the test. The patient remains seated throughout the test, it is best to seat the patient on a large bed with his back propped against a back- rest or a wall. The legs should be stretched out on the bed. These simple precautions will prevent accidental injuries which could arise from the systemic effects of papaverine hydrochloride. If the patient is relaxed and a suitable does has been injected, a good erection will occur within 10 minutes. Erectile dysfunction secondary to arterial disease may take several minutes longer to produce an erection. Patients with neurogenic importance may develop priapism with very low doses of papaverine but this should not be a deterrent to using adequate dosages. If the erection is unequivocally rigid and the penis cannot be buckled, vasculo genic importance can be virtually eliminated and no further investigations are necessary. If the erection is not rigid enough, a second does may be employed at the same setting. This is quite safe and systemic side effects are uncommon. However, it must be emphasized that this should be performed in a hospital setting with full infrastructural back-up rather than in an office environment. Any curvature of the penis can be studied at the same time. If the erection is still not rigid enough, vascular disease must be eliminated using more sophisticated tests. A Doppler study can be easily combined with the injection test. If an objective measurement of the erection is desired either for academic, medico-legal or psychotherapeutic purpose, a real- time Rigiscan monitoring may be performed at the same session. 2) The Rigiscan Test The Rigiscan is the gold standard for NPTR (Nocturnal Penile Tumescence and Rigidity) measurement. It is the test of choice for non-invasive diagnosis.It is especially suitable for anxious patients since it can be performed in the privacy of their own bedrooms. Its ability to objectively quantify erectile rigidity and establish physical normalcy makes it an important, reassurance providing device to the patient with purely functional problems. It is also useful in medico-legal cases. Time and cost are two relative deterrents.A Rigiscan tracing showing a good number of erectile episodes with rigidity levels of 80% or more and a duration of 20 minutes or more in a single episode almost effectively rules out serious vascular disease. Arterial insufficiency and venous leaks can also be suspected on the basis of the Rigiscan graphs. Patients with purely arterial disease generally have low levels of maximum rigidity but of adequate duration. Patients with predominant venous leakage will have varying rigidity levels depending on the severity of the leakage but the duration is almost always shortened. These patients must be evaluated using other means. The erectile response to vaso-active injection can be objectively studied by the concomitant application of the Rigiscan monitor. This is called a Real time study.1 Abnormal NPTRShowing few ill sustained episodes with inadequate rigidity. All in all, the Rigiscan is an extremely useful device. In an era where many doctors as well as patients continue to believe that most impotence is predominantly due to psychological factors, it is important to eliminate psychological causes first even though such a policy grossly violates conventional medical teaching according to which organic disease must always be eliminated first. 2) Penile UltrasoundA Doppler evaluation of the penile arteries is indicated if the erectile response to the injection test is inadequate or if the patient’s Rigiscan study is suggestive of arterial insufficiency. Pure arterial disease or trauma.Ultrasonograpic evaluation of the cavernosal arteries can be performed with varying degrees of sophistication once cavernosal smooth muscle has been effectively relaxed by vaso-active injection. A simple acoustic Doppler probe, which is inexpensive and portable, emits auditory signals which can effectively eliminate gross cavernosal arterial disease. Duplex Doppler and Colour Doppler studies can help visualization of the cavernosal arteries and measurement of flow.They can also hint at the presence of venous disease. But while these are useful for quantifying penile arterial flow and help diagnose abnormalities in the main cavernosal arteries, they cannot altogether eliminate arterial insufficiency because of their inability to image the microvasculature. Thus, a normal arterial study does not eliminate arterial disease. This is important to bear in mind. 3) DICC (Dynamic Infusion Cavernosometry & Canvernosography) The DICC is an useful hemodynamic test for the diagnosis of CVOD (Corporal Veno-Occlusive Dysfunction). In its simplest form, two cannula are inserted into the corpora cavernosa after smooth muscle relaxation has been achieved with a vaso-active injection. One cannula is connected to a pressure transducer; the other conducts saline or radio-opaque contrast solution at controlled flow rates through an adjustable flow pump. Pressures are measured after injection and 30 seconds after a pressure of 150 mm Hg has been induced. Flow rates are measured in order to induce erection and attain 150 mm Hg, to maintain erection at150 mm Hg; the study is then repeated at a pressure setting of 90 mm Hg. The Convernosal Artery Systolic Occlusion Pressure (CASOP) is also measured at the same time using a Doppler device. These are also the only universally accepted standards for DICC evaluation. There are some centers that perform an 8 or 9 track multi- phasic DICC. Radiologic visualization of leaking penile veins (cavernosography) is performed at the same sitting in many centres. Such radiologic studies are useful only if site-specific, selective ligation is planned as a surgical option. 4) Neurologic Evaluation Many tests have been used for the evacuation of neurogenic impotence. These include nerve conduction studies, biothesiometry and corpus cavernous electromyography (CCEMG), among others. None of these is 100% reliable. The diagnosis of neurogenic impotence continues to be based on elimination of vasculogenic causes, a high index of clinical suspicion and a thorough neurological examination. In any case, tests for neurogenic impotence, whatever their results, will not alter treatment options.
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SHOCKWAVE THERAPY• Mechanism of Action• Medical Effects• Indications• Therapy Sequence• FAQShockwave therapy is a multidisciplinary device used in orthopedics, physiotherapy, sports medicine, urology and Sexology. Its main assets are fast pain relief and mobility restoration. Together with being a non-surgical therapy with no need for painkillers makes it an ideal therapy to speed up recovery and cure various indications causing acute or chronic pain. MECHANISM OF ACTIONShockwave is an acoustic wave which carries high energy to painful spots and myoskeletal tissues with subacute, sub chronic and chronic conditions. The energy promotes regeneration and reparative processes of the bones, tendons and other soft tissues. Shockwaves are characterized by jump change in pressure, high amplitude and non-periodicity. The kinetic energy of the projectile, created by compressed air, is transferred to the transmitter at the end of the applicator. MEDICAL EFFECTS• New Blood Vessel Formation• Reversal of Chronic Inflammation• Stimulation of Collagen Production• Dissolution of Calcified Fibroblasts• Dispersion of Pain Mediator“Substance P”• Release of Trigger PointsAcoustic waves with high energy peak used in Shockwave therapy interact with tissue causing overall medical effects of accelerated tissue repair and cell growth, analgesia and mobility restoration. All the processes mentioned in this section are typically employed simultaneously and are used to treat chronic, sub-acute and acute (advanced users only) conditions. New Blood Vessel FormationNutrient blood flow is necessary to start and maintain the repair processes of damaged tissue. The application of acoustic waves creates capillary microruptures in tendon and bone.Learn moreReversal of Chronic InflammationMast cells are one of the key components of the inflammatory process. Their activity may be increased by using pervasive acoustic waves.Learn moreStimulation of Collagen ProductionThe production of a sufficient amount of collagen is a necessary precondition for the repair processes of the damaged myoskeletal and ligamentous structures. Shockwave therapy accelerates procollagen synthesis. Learn moreDissolution of Calcified FibroblastsCalcium build-up is most often the result of micro-tears or other trauma to a tendon. Acoustic waves break up the existing calcifications. Learn moreDispersion of Pain Mediator “Substance P”Substance P is a neurotransmitter that mediates pain information through the C-fibers. This neuropeptide is generally associated with intense, persistent and chronic pain.Learn moreRelease of Trigger PointsTrigger points are the principal cause of pain in the back, neck, shoulder and limbs. Delivered acoustic energy unblocks the calcium pump and thus reverses the metabolic crisis in the myofilaments and releases the trigger points.Learn moretherapy is different, as it targets the erectile mechanism so that men are more likely to have erections on their own.To administer shockwave therapy, a clinician applies a probe to the penis, which is coated in a special gel. Different areas of the penis are usually targeted. Treatment sessions may last for fifteen to twenty minutes. Men usually don’t need anesthesia or experience pain, although they might have a tingling sensation in the treated area.Clinical trials of shockwave therapy for ED have had encouraging results. The process has been well tolerated by patients. Many men have found that their erections have improved and they are able to have intercourse. Men with more severe ED may still need to take ED medication in addition to having shockwave therapy.However, shockwave therapy is still considered an experimental treatment. Scientists need to conduct further research to confirm current findings. They also need to learn more about how the therapy works with different types of ED and develop treatment protocols. Such protocols can guide praJumper’s Knee Jumper’s KneePainful ShoulderTennis ElbowHeel SpurInsertional PainChronic TendinopathyMedial Tibial Stress SyndromeCalcificationsHip PainTHERAPY SEQUENCEShockwave therapy is a non-invasive treatment. The application is simple and easy. Initiate therapy in 3 steps: 1stLocation of the area to be treatedThe area to be treated is located using palpation in order to deliver the therapy precisely. 2ndGel applicationSufficient amount of gel is applied to the area located in step 1. Use of gel is necessary to transfer the acoustic waves efficiently and smoothly. 3rdTherapy initiationThe Shockwave applicator is slightly pushed against the area to be treated and the start button is pressed. Watch SWT in actionIf you or your partner has struggled with erectile dysfunction, often called “ED, ” you have likely tried many different treatments.Have they worked? If they did, did it last?From pills to vacuum constriction devices to implants, there are numerous options, but they all have a significant flaw: they don’t address the cause of the problem, only the symptoms. Pills don’t allow for spontaneous sexual activity, and many treatments have major side-effects.We’d like to present an innovative new option: shock wave therapy, commercially known as GAINSWave.What is Shock Wave Therapy? The procedure itself is actually quite simple. At a healthcare facility, a clinician applies a handheld device that sends mild sound waves through the penis, stimulating the growth of new blood vessels. The treatment does not require anesthesia, making it more affordable, more convenient, and quicker to complete.Shock wave” might sound intense, but during the treatment, you’ll only experience a slight tingling in the penile region; the overall the process is completely painless!After the treatment is complete, you can get back to your daily life, with no downtime and no need for extra rest. You could easily complete a session in the morning and play a round of golf in the afternoon!In most cases, the full treatment process will involve six therapy sessions over three weeks. However, it can take up to 12 treatments, spread out over as much as a year to see the full results.This is a drug-free treatment that does not require surgery, has no downtime and has no major adverse side effects. Delivering lasting results with higher-quality erections, greater sensitivity, and increased spontaneity, shock wave therapy can increase your confidence in the bedroom and in your life.Who Might Benefit from GAINSWave Therapy?So who would be a good candidate for this innovative, drug-free treatment? Studies have shown positive results for the use of shock wave therapy in many men, including men with mild to severe erectile dysfunction.In most cases, men who have struggled with ED and have not seen success from other treatments will want to consider shock wave therapy. If Viagra®, Cialis®, and other pills have failed, shock wave therapy may be the solution you’ve been looking for. The treatment can be especially effective for diabetic men with “arteriogenic impotence, ” which is the formation of fatty acids in arteries. These fatty acids can disrupt blood flow to the penis, but shock wave therapy can help alleviate the condition.GAINSWave therapy can actually cause the body to develop new blood vessels, so patients with a lack of penile arteries can see improvements from the drug-free treatment. However, it appears that men with penile implants or men with anticoagulant therapy are typically not good candidates for the procedure. No matter what your medical history, it’s essential that you discuss the treatment with your doctor before proceeding.GAINSWave therapy has been well-received by many different patients. Men have reported that shock wave therapy provides immediate improvement to sensitivity, with maximum results within 8 to 12 weeks. Although moderate to severe ED can require additional therapies, such as supplements, shock wave therapy can be extremely effective for men of all types.For more on this innovative, drug-free, pain-free ED treatment, contact us today. We’ll reach out to you with information so you can start reclaiming your sex life and your passion in the bedroom!One in 10 men worldwide suffer from ED* due to physical, psychological or emotional reasons. Many of which are seeking a holistic and natural solution with long-term results. GAINSWave™, an evidence-based, clinically proven procedure, was specifically developed for men seeking improved sexual perfoErectile Dysfunction A NEW HOPE FOR MEN WHO SUFFER FROM ERECTILE DYSFUNCTIONRevolutionary Erectile Dysfunction Treatment For Improved PerformanceWhat is EDSWT?Erectile Dysfunction Shock Wave Therapy (EDSWT) is an innovative approach to vasculogenic ED, delivered by Medispec’s ED1000, a device that uses advanced acoustics technology. This technology has proven to be effective in cardiology, with recent success in reversible ischemic tissues of the heart. EDSWT utilizes low-intensity extracorporeal shock waves, focusing on blood vessels and encouraging neovascularization in the penis shaft and crus. The low-intensity shock waves help relieve vascular deficiency, a common cause of erectile dysfunction.EDSWT: New Effectivness For More PatientsVasculogenic and diabetic ED patients will benefit from EDSWT – those who are responsive to PDE5 inhibitors as well as those who are unresponsive. For the latter, which includes a substantial number of severe ED patients, the only solution to date are vacuum pumps, injections and perhaps implants. EDSWT therapy brings hope to those patients, by allowing more than 70% of them to become responsive to PDE5 inhibitors. As “end-stage” ED patients, they will be able to enjoy normal sexual functionality. With over 50% of men aged 40-70 suffering from ED, and even more from transient ED, Medispec’s breakthrough therapeutic system can bring lasting improvement in erectile function and new sexual spontaneity to millions – painlessly, naturally and safety. Watch VideoOvercome Erectile Dysfunction Permanently with a Non-Invasive, Painless TreatmentProven effective in clinical testing, the ED1000 is a unique mobile system that performs the EDSWT protocol in a safe, efficient manner. Vasculogenic and diabetic ED patients, who are responsive to PDE5 inhibitors as well as those who are unresponsive, can receive shock wave therapy from the ED1000 and experience improved erectile functionality. The system is available in two models, ED1000 and ED1000 Desktop. ED1000 Desktop is designed based on Medispec’s accumelated experience and expertise, enabling physicians to extend treatment availability to additional small facilities, and at home treatments. The system is light-weighted, modular and mobile, yet offers the same clinical advantages of the company’s successful ED1000 system. The same device can also be used for treating additional urology applications such as Prostatitis (CPPS) and Peyronie’s disease.Effective Without MedicationUnlike conventional ED treatment, such as PDE5 inhibitors, EDSWT does not involve the use of any pharmaceuticals. Moreover, the shock wave treatment causes no side-effects or systemic load on other organs and healthy tissues. The non-invasive, painless EDSWT procedure is performed during a series of brief visits to the urology office, and requires no sedation or anesthesia. Discernable improvement in the erectile function of the penis can be visible within two weeks after therapy begins. Recent clinical studies revealed that patients reported a high rate of satisfaction for more than two years after treatment – all without reliance on PDE5 inhibitors. In clinical tests, EDSWT has shown significant long-term effectiveness. These results are confirmed by a double-blind placebo controlled study of a large group of patients. Benefits• Proven clinical results• Light, compact & mobile• Patented & exclusive technology• Long-term effect• Based on angiogenesis – triggers the body’s natural repair mechanism• Pain free, short treatments with no reported side-effects• Suitable for additional urology applicationsIn the USA: ED1000 is limited by federal law to investigational use.rmance due to ED.
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