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PSORIASISPsoriasis is red scaly (silvery white) patches which can appear any where on the skin.Cause: Unknown.Possibly genetically determined.Common between 15-30 years.Precipitating factors are:–Psychological emotional stress.–Cold weather.–Injury.–Septic focus.–Drugs like Steroids, Brufen, Lithium, Antimalarials and Beta - adrenergic blockers.Sign and symptoms:Usually affects both sides of body symmetrically.Well circumscribed red, dry plaques(flat areas on the skin) of various sizes, covered with scales.Removal of scales gives rise to pin-point bleeding points.Sites can be anywhere on the body especially on e.g. elbow, knees, sacrum and occiput.Lesions are coin shaped or circular with central clearing.Joints can get affected especially finger joints.Nails frequently become pitted and thick with brownish black discoloration.Dietary management:Avoid:Avoid precipitating or trigger factors.Avoid food you are allergic to.Avoid smoking and alcohol.Avoid foods high in fat or sugar.Avoid non-vegetarian food – meat, poultry.Do:Warmth may help to control relapses.Do regular exercise helps by improving blood circulation.Practice yoga will help in reducing stress.Consume:Drink plenty of water.Eat fresh and raw fruits and vegetables as they provide antioxidants and flavanoids which help in reducing inflammation and boosting up immunity.Consume figs and fish oil might help you feel better.Eat a well-balanced diet - Proper nutrition will improve general health and reduce the severity of the disease.Do not over eat even healthy foods.Limit intake of red meat and dairy products.Eat foods that contain psoralen before you walk out in sun - Celery, carrots, citrus, figs, fennel, and parsnips. It makes the skin more sun-sensitive to the positive effects of UV light. But do not over expose to sun.Consume oily fish, may help reduce the inflammation associated with psoriasis - mackerel, salmon, black cod, albacoretuna, herring and sardines.Have a low-calorie diet if you are over weight - about 1, 200 calories per day. Some researches have shown relations between psoriasis and obesity.Consume gluten free diet, it benefits individuals with psoriasis (Gluten is a mixture of proteins found in some cereals, particularly wheat) – avoid wheat, rye, barley and oats they contain gluten.Increase intake of vitamin D.Increase intake of omega 3 fatty acids and reduce intake of omega 6 fatty acids (ratio of 2:1), omega 3 fatty acid has anti-inflammatory properties.Food rich in omega 3:–Canola oil, flaxseed, flax seed oil, walnuts and green leafy vegetables like purslane, fish - Atlantic salmon, Atlantic halibut, Atlantic mackerel, Atlantic and Pacific herring, sardines, bluefish, tuna and cold water fish.Reduce (do not completely avoid)intake of food rich in omega 6:-Cereals, vegetable oils, whole-grain breads, baked goods and margarines, eggs and poultry.Consume diet rich in vitamin A and zinc, helps in regeneration of the skin.Increase intake of vitamin C, it helps maintain healthy skin.Have coriander leaves frequently, its high in vitamin C and helps to maintain healthy skin.You can have 3-4 strands of saffron in milk, it is beneficial for skin.Basil leaves (tulsi) are said to be helpful in skin ailments, eat 3-4 fresh leaves daily.Consult physician:You can take vitamin and cod liver oil supplements under guidance of your physician.In case of prolonged duration or change in rash pattern take physicians opinion immediately.If symptoms get worse or if you see any Signs of infection (fever, redness of the affected area, pain) occur, see your physician immediately.
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Depression: How It Affects Your Sex LifeTip ImageDepression is a very common disease and affects every aspect of your life including your physical relation to your partner. Depression and some antidepressants curb sexual drive. This has a negative effect on the depression as sex releases 'happy hormones'. Thus, depression and your sex life share a cyclic relationship. The effect of depression on your sex life is a result of both brain functioning and physical changes in the body. Women are more likely to suffer from a reduced libido as an effect of depression. When it comes to depression and your sex life, there is no universal form of treatment. However, it is important not to stop treatment for depression in fear of a lowered libido. The sexual side effects can be addressed later.Here are a few things you can do to improve your Sex life:Ask your doctor to adjust medicationIn cases where the antidepressant curbs libido, lowering or adjusting the drug dosage can be a solution to treat the depression without curbing sexual desire. Do not attempt to adjust your medication on your own. Your doctor may also change the drug to another that does not affect your sex drive. You could also try adjusting the schedule of drug intake such that you medicate yourself after sex. Alternatively, you could ask your doctor to prescribe medication such as Viagra to boost your libido. If your curbed libido is an effect of the depression itself, antidepressants may help you enjoy sex more. You should know that anti depressants can take a few months to have an effect.Break the patternDepression often makes a person withdraw from others and cease to enjoy any experience. This becomes a thought pattern that cannot be cured with medication. Talking to a counselor can help unlearn these thought patterns and help people form new social bonds. As part of the treatment, the patient will need to find and explore new ways of enjoying sex that can strengthen strained relationships. Talk to your partnerHaving an open conversation with your partner is key to improving relationships and one's sex life. Talk about your sexual needs and help your partner understand your mental barriers to sex. Find forms of foreplay that appeal to both of you. It is also important for you and your partner to understand that there is no 'standard' to how often you should have sex or how you should feel after it.
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Depression: How It Affects Your Sex LifeDepression is a very common disease and affects every aspect of your life including your physical relation to your partner. Depression and some antidepressants curb sexual drive. This has a negative effect on the depression as sex releases 'happy hormones'. Thus, depression and your sex life share a cyclic relationship. The effect of depression on your sex life is a result of both brain functioning and physical changes in the body. Women are more likely to suffer from a reduced libido as an effect of depression. When it comes to depression and your sex life, there is no universal form of treatment. However, it is important not to stop treatment for depression in fear of a lowered libido. The sexual side effects can be addressed later. Here are a few things you can do to improve your Sex life:Ask your doctor to adjust medication In cases where the antidepressant curbs libido, lowering or adjusting the drug dosage can be a solution to treat the depression without curbing sexual desire. Do not attempt to adjust your medication on your own. Your doctor may also change the drug to another that does not affect your sex drive. You could also try adjusting the schedule of drug intake such that you medicate yourself after sex. Alternatively, you could ask your doctor to prescribe medication such as Viagra to boost your libido. If your curbed libido is an effect of the depression itself, antidepressants may help you enjoy sex more. You should know that anti depressants can take a few months to have an effect.Break the pattern Depression often makes a person withdraw from others and cease to enjoy any experience. This becomes a thought pattern that cannot be cured with medication. Talking to a counselor can help unlearn these thought patterns and help people form new social bonds. As part of the treatment, the patient will need to find and explore new ways of enjoying sex that can strengthen strained relationships.Talk to your partner Having an open conversation with your partner is key to improving relationships and one's sex life. Talk about your sexual needs and help your partner understand your mental barriers to sex. Find forms of foreplay that appeal to both of you. It is also important for you and your partner to understand that there is no 'standard' to how often you should have sex or how you should feel after it.
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Myths & MisconceptionsMYTHS & 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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5 Ways to Enlarge Your PenisTip ImageMen are always concerned about their size and in extreme cases, this concern is also a cause of anxiety disorders. Even though, a large penis does not provide men any edge in terms of sexual pleasure, still it is big cause of concern for most of them. Other factors like erectile function and length of sexual intercourse play a more important role in sexual pleasure.Here are the 5 ways to enlarge your penis:Have lots of fruits and vegetables: For a healthy and long penis, you need to have fruits and vegetables high in antioxidants. These elements are very helpful in fighting free radicals (elements that damage your body) that form in the blood vessels. Additionally, antioxidants also help in strengthening the blood vessels.Say yes to exercise: Exercising regularly can significantly affect your penis size and cause you to have a long and healthy penis. By exercising from time to time, you end up improving blood flow to the organ as well as clearing up the blood vessels.Cut down on your stress levels: Stress and anxiety can also reduce the size of your penis. This happens as negative feelings cause blood to flow from the penis. As a result, it becomes very difficult to increase the size of the organ. Another reason that can contribute to the small size of your penis may be sexual performance anxiety.Quit or reduce smoking: Smoking can considerably affect the size of your penis due to the blockage that small tobacco smoke particles create in the arteries that supply blood to the penis. Moreover, since smoking is associated with heart diseases, the flow of blood to several organs in the body gets affected including the penis.Take a warm shower: A warm shower can aid in increasing blood flow to not only your body but also the penis. The warmth of the water aids in augmenting blood flows into the organ, enabling the growth of the penis. 4567 people found this helpful
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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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Medico Legal Aspect of Sex TherapyTip Image Medico legal aspects of sex therapyIntroductionSex and human sexuality are sensitive subject. To deal effectively with any problem of human sexuality, one has to constantly evaluate its merits and demerits from social, scientific, moral, ethical and most importantly from the legal angle. Following are some of the guidelines for therapist to keep in mind while dealing with clients with sexual problems.ConsentTaking informed and expressed consent is of utmost importance while managing any patient. Examining and / or treating a patient without consent would amount to assault and battery which is punishable under criminal law irrespective of absence of negligence or successful outcome of treatment. The consent should be free willed, informed, intelligent, specific and express. Person giving consent should be competent to do so, failing which, consent should be obtained from the lawful guardian of the patient (in cases of minor and/or mentally retarded).Examinition of a female clientBesides obtaining a valid consent, in case of female patient, the therapist should always have a female assistant present when examining a female patient this is important for the therapist in order to protect himself from a possible charge of indecent behaviour molestation or even sexual offence like rape ect. Being llevelled against him. Mere presence of husband or any male companion of the female patient is not enough. A sex therapist, in particular, is most vulnerable and therefore should be most careful.Use of surrogate partnersUse of surrogate partners for sex therapy is questionable both ethically as well as legally. Sexual involvement of the therapist is universally accepted as unethical. There have been a number of cases where the therapists themselves, having acted as surrogates, have been punished for sexual molestion of their patients. It may also invite a criminal charge of adultery in some countries, including india. There are cases on record where the therapists have been charged with and convicted of rape.Unlike some other countries, the socio cultural set up in india is different. The laws governing sexual behaviour are neither liberal nor evolved as much as in some of the western countries. Besides, surrogacy is likened to prostitution by many. Even if one were to consider surrogate partner as a therapist, then the ethical code prevents a sexual relationship with a client. Moreover, there is every possibility of a disease being transmitted. Particularly the hiv infection, in view of sex with multiple partners by a surrogate person.Therapist should have uppermost in mind the special values of intimacy and love that our culture teaches us to nurture.Professional competencyIt is the ethical responsibility of every sex therapist to maintain high standards of professional competence and integrity. Competence without integrity or integrity without competence is an unsatisfactory compromise of professionalism. It is most important to protect the public and the other professionals from persons who represent themselves as sex therapists who are in fact lacking in competence and intergrity.Competence in another primary discipline such as psychology, psychiatry or counselling is not equivalent to competence in sex therapy.A sex therapist should possess adequate knowledge of the following: 1. Sexual and reproductive anatomy and physiology.2. Developmental sexuality from a psychobiological point of view.3. Marital, family and interpersonal relationship and socio-cultural factors in sexual values4. Physiological and medical factors that may influence sexual functions such as pregnancy, contraception and fertility, illness, disability, medications.5. Multimodel techniques and theory of sex therapy and psychotherapy.6. Pharmacology of the medications used to treat sexual dysfunctions particularly with respect to their adverse effects and interactions with the drugs being consumed for other ailments.7. Ethical issues in sex therapy and principles of evaluation and referral.8. Laws related to sexual behaviour. Points to bear in mind all forms of sex therapy which violate the local laws should be handled with care recommending oral sex as a part of therapy is violative of section 377 of the indian penal code which deal with unnatural sexual offences.the hippocratic oath forbids the physician to take advantage of the therapeutic context in order to engage in either homosexual or heterosexual relationship.it is a universal rule that whenever dealing with reproductive functions is involved, express consent of both the spouses should be obtained.proof of competence is the ability to provide objective and responsible services to the clients.there does exist a potential liability under the laws of the land prohibiting consensual conduct such as prostitution, fornication, lewd and lascivious behaviour and adultery which might arise from therapeutic or non- therapeutic sex research activities.sex between therapist and client is always unethical. No matter how therapeutic the rationale might appear, there is no justification for a therapist having sex with a client. The purpose of sex therapy is to improve function, not to change values or beliefs of the client.
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Premature Ejaculation 5 TipsPremature 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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Alert! 6 Sex Drive KillersA healthy sex life means good health and well being. However, it is not easy for all to keep it going good at all times. Here are 6 major sex drive killers you should try to avoid/ work on:Stress : Its one major killer of sex drive. Stress at work, home or in relationships can occur with anyone. Learning how to handle it in a healthy way really helps. You can do a lot of this yourself, or a doctor/counselor can also help.Unhappy Partner : Inharmonious relationship with your partner is among the top sex drive killers. It's important for women to feel loved to make love. Men and women both need warmth, beware of fallout from fights, poor communication, being acidic, feeling betrayed, or other trust issues. Take professional help from a counselor if required.Lack Of Intimacy : Sex without feeling close to each other can cut desire. Intimacy is much more than sex. Not much touching or being busy with work can impact closeness. Try spending some "we" time - talking, snuggling, giving a massage or just having fun together. Feeling closer brings out desire for each other.Poor Body Image : You feel sexy if you can appreciate yourself. Feeling good about yourself puts you in good mood. If your partner has low esteem, assure him/her that he/she is sexy.Too Little Sleep : Fatigue saps the want of sex. So make sure you get enough time to relax.Too Much Alcohol : Although drinking helps to get in mood and makes you loosen up, too much alcohol can numb your sex drive. Drink in moderation.
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