More than 2 million Americans have bipolar disorder.
More than 5 million people in US are taking Lamotrigine (brand name LAMICTAL© from GlaxoSmithKline)for its antiseizure property. Lamotrigine (brand name LAMICTAL© from GlaxoSmithKline) is an antiseizure medicine as well as mood stabilizer prescribed in the treatment of Bipolar disorder.

Good Day

my boyfriend takes an ENORMOUS amount of oral stimulation to achieve an erection once he gets there he is great. he has epilepsy and takes lamectal. He is 30 is there any coralation here?

Thank you

To see the reply click on READ MORE below

Click on the animated picture


By oral sex I understand that you mean oral - genital sex. In this context it is one person sucking or stimulating penis of another person with mouth. When penis is sexually stimulated by the use of mouth by another person the act is called fellatio. The medical term is 'fellatio' and in slang it is called as 'blow job' or 'oral sex'.

The method is to look for correlation of
sex, specifically oral-genital sex (fellatio) with reference to

* lamectal ©- [Lamotigrine] as well as
* epilepsy.

Lamictal© contains Lamotigrine.
SSRI group of medicines given for treatment of depression can delay ejaculation.
Lamotigrine is not known to delay either erection or ejaculation.
Epilepsy by itself is also not related to the" _ _ _ ENORMOUS amount of oral stimulation to achieve an erection _ _ _"

Sexual arousal by itself is not linked to predisposition of seizure.
Thus there is no evidence showing that seizure is triggered by sex, especially oral sex, which is known to heighten sexual arousal.

* For knowing more about oral genital sex this will help you
oral sex socio cultural aspects
* oral problem sex

oral sex medical aspects
* If you have any other doubt or question about lamectal© [lamotigrine]
at the above site
you can directly ask GlaxoSmithKline Company.

The full prescription information about Lamictal is attached with this email as pdf file.

Over all it is known that whatever pleasurable sexual activity when done with mutual consent is wonderful health tonic. It gives joy par excellence and then it is followed by relaxation.

We are enumerating side effects of Lamotrigine, which is available with the brand name LAMICTAL© from GlaxoSmithKline.
Common side effects with LAMICTAL© [Lamotrigine] include dizziness, headache, blurred or double vision, lack of coordination, sleepiness, nausea, vomiting, insomnia, tremor, and rash. Lamotrigine may cause other side effects not listed here. If you develop any side effects or symptoms you are concerned about or need more information, call your doctor.

Lamotrigine (brand name LAMICTAL© from GlaxoSmithKline)is used daily as a maintenance treatment to prevent or delay or decrease SEIZURE DISORDERS (Epilepsy) and for similar purpose of maintenance for people with Bipolar depressive disorder.
Dr. Ashok Koparday

Although most patients who develop rash while receiving Lamotrigine have mild to moderate symptoms, some individuals may develop a serious skin reaction that requires hospitalization. It is not possible to predict whether a mild rash will develop into a more serious reaction. Rarely, deaths have been reported. These serious skin reactions are most likely to happen within the first 8 weeks of treatment with Lamotrigine. Serious skin reactions occur more often in children than in adults.

Rashes may be more likely to occur if you: (1) take Lamotrigine in combination with valproate [brand names are Depakene®* (valproic acid) or Depakote®* (divalproex sodium)], (2) take a higher starting dose of Lamotrigine than your doctor prescribed, or (3) increase your dose of Lamotrigine faster than prescribed.

If you experience any of the following with or without a skin rash, tell your doctor immediately: hives, fever, swollen lymph glands, and painful sores in the mouth or around the eyes, or swelling of lips or tongue. These symptoms may be the first signs of a serious reaction. A doctor should evaluate your condition and decide if you should continue taking Lamotrigine.

Serious blood problems or liver problems have been reported with Lamotrigine, so tell your doctor if you develop symptoms such as unusual bruising or bleeding, severe muscle pain, weakness, fatigue, yellowing of the eyes or skin, and/or frequent infections.

You should not take Lamotrigine [Lamictal©] if you had an allergic reaction to it in the past.
There is no evidence correlating the effect of Lamotrigine on sexual functions.


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Few know how difficult, even traumatic and definitely time consuming the legal PROCEDURE of divorce is even if both married partners consent and there is no contention about child or property.
contested cases, mutual consent, staying separately, decree, petition, annulment, Indian Divorce Act, the Parsi Marriage and Divorce Act, Muslim Marriage Act, family court in Bandra (Mumbai, India), Japanese Divorce, Federal Welfare Reform (USA), French Civil Code, Federal Divorce Act (Canada)
***Swati Despande/TNN in her report in the Times of India states, "Getting a divorce will take at least 18 months from the day you start living separately".Click here to read
divorce_hazards1 and here to read

The Hindu Marriage Act governs marriages between Hindus, and the Special Marriage Act governs both inter- and same-faith marriages. The Act requires that the couple show that they have been living separately for at least 1 year before they knock the doors of the court. Only after showing the stipulated duration of separation a divorce petition can be filed. The decree of divorce that sets the couple free takes another 6 months. The court keeps the plea alive for 18 months in the hope of possible reconciliation.
The Indian Divorce Act deals with marriages of Christians. Christians have to show two years of separation before initiating the legal process. Similarly two years of separation is a must in England.
The Muslim Marriage Act(1939) allows Muslim women to file for divorce in the family court.
There is no waiting period of six months after a petition has been filed for divorce by mutual consent, though the period of separation of . The divorce court for Parsis is Bombay High Court, which periodically appoints a special judge to hear divorce pleas.
As per Supreme Court of India, the couple could be considered to be residing separately even if they are staying in the same household.
Marriages can also be annulled; this means that the court certifies that there has not been any marriage at all.
Women usually ask for annulment on grounds of
  1. impotency,
  2. non consummation of marriage,
  3. mental disorder,
  4. insanity,
  5. fraud and deception.
Men usually ask for annulment if wife is
  1. frigid or
  2. is already pregnant at the time of the marriage or
  3. suffers from a mental disorder.

If people are considered mature enough at 18 years to be able to vote a leader for the nation, to be able to drive, and if they are considered mature enough to marry, why are they not considered mature enough to get a divorce immediately rather than wait for 18 months, when they both seek divorce with mutual agreement?

Dr. Ashok Koparday

Adultery used to be a commonly cited ground. But it is difficult to prove as it requires a co-respondent and lawyers advise against it.
Either the husband or wife individually file for divorce.
Why women seek divorce?
One of the commonest reasons is cruelty — both physical and mental — and desertion.
Other grounds can be mental illness or disorder, venereal diseases, AIDS, other virulent and incurable diseases, unknown whereabouts for seven years or renunciation of the world by spouse.
Why men seek divorce?
The usual reasons for seeking divorce by men are cruelty, insult, humiliation, wife refuses to wear mangalsutra, throws a fit, misbehaves in public, is hysterical, screams, bangs her head.
The Japanese divorce by mutual consent is one of the easiest divorces in the world. The spouses can go to the town hall and simply register their divorce. The reasons do not matter but they need to be clear about which spouse has the custody of a minor.
A two-year separate stay is a must for divorces by consent.
The couple can live in the same house, but they have to show they ate and slept separately.
France does not have separation period but you have to be married for at least 6 months before you file a divorce plea.
There is also a three-to-nine-month probation period before a court confirms a divorce.
The French Civil Code permits divorce for 4 different reasons:
1]mutual consent (60 per cent of divorces);
3]separation of two years; and
4]because of a partner’s “fault’’ (accounting for most of the other 40 per cent).
The Federal Welfare Reform passed in 1980 has stipulated the creation of child-support guidelines in all 50 states in the 1980s. The duration of separation is 1 year.
Except in Maryland and Pennsylvania, where the wait is 2 years if there is not mutual consent and 1 year if there mutual consent.
Washington D C is more liberal and imposes only a six-month separation period.

The Federal Divorce Act of 1968 standardised the rules of divorce across Canada and introduced the no-fault concept as a ground for divorce as well as fault-based grounds, including adultery, cruelty and desertion.
Thanks to Swati Despande
***The Times of India, Mumbai, Thursday December 20, 2007,
'Times City'
report titled Parting Isn't Easy By Swati Despande|TNN



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Dear friends,
whoever you are, I hope visiting this web space
has helped you. You and I have a common
bond connected by the unbreakable
thread of love energy that is now gaining strength
we are all part of the same family of humans
trying our best to live on this planet in peace.

Pass information about this friendly web space
to friend today. The most important thing is that
this message gets out to those who are ready.

Offered in love

Dr. Ashok Koparday
Season's Greetings

This is a verbatim copy of the closing
lines written and signed by LEWIS CAROLL
in the book, 'Kryon'. The book tells
things stranger than fiction or
any fact heard or read so far.
Thanks to
Kryon and the channel.

It says exactly what I my heart speaks.
My Doctor Tells could not have found better

What is the book KRYON about?
Why don't you ask?


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We respect your privacy by maintaining strict confidentiality regarding any and all information disclosed to us. The information that is personal or intimate is kept absolutely secret. However, the provision of confidentiality does not preclude fulfilling a professional responsibility or duty towards safety of life as in a medical emergency, educational or training programs or when ordered by law.


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Sexual Misconduct
To eschew mis behavior ‘sexual misconduct’ is defined below.
Sexual misconduct includes kissing, sexual intercourse and/or the touching of breasts, genitals or other parts for sexual intimacy. Sexual misconduct is also sexual solicitation, physical advances, or verbal or nonverbal conduct that is sexual in nature, that occurs in the guise of activities or role as a counselor or therapist, and that which is known to be unwelcome, offensive, or that which is sufficiently severe or intense to be abusive to a reasonable person in the context. Sexual misconduct can consist of a single intense or severe act, or of multiple persistent or pervasive acts. For purposes of determining the existence of sexual misconduct, the counseling or therapeutic relationship is deemed to continue in perpetuity.



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A group of alumni, highly established in their careers, got together to visit their old university professor. my-doctor-tells-students-1Dr. Hemant Inamdar has sent insightful,
simple loving story that correctly points out how we choose stress.
Inaugurating the book just released, "LIVING WITH STRESS WITHOUT DISTRESS"
Do not miss this one.

Conversation soon turned into complaints about stress in work and

Offering his guests coffee, the professor went to the kitchen and returned with a large pot of coffee and an assortment of cups porcelain, plastic, glass, crystal, some plain looking, some expensive, some exquisite - telling them to help themselves to hot coffee .

When all the students had a cup of coffee in hand, the professor said: "If you noticed, all the nice looking expensive cups were taken up, leaving behind the plain and cheap ones. While it is but normal for you to want only the best for yourselves, that is the source of your problems and stress. What all of you really wanted was coffee, not the cup, but you consciously went for the best cups and were eyeing each other's cups.

Now if life is coffee, then the jobs, money and position in society are the cups. They are just tools to hold and contain Life, but the quality of Life doesn't change. Some times, by concentrating only on the cup, we fail to enjoy the coffee in it."

Tired-Bored-Shit-Maza Nahi-I need a break
These words mean harmful stress.
(Is there a beneficial stress also?)
And here is the rest of it.


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Unconsummated Marriage is when sexual intercourse does not happen.
One reason is that husband refuses sexual intimacy, though he is cordial in all other ways. The reasons. The Solution.

The girl wonders why, though being a man, the guy does not initiate sexual intimacy. He may be fiance, the boy whom she, fiancee, is going to get married or more often it is the newly wed husband. There are ONLY 3 possible reasons why husband or fiance (boy with whom you are going to marry) avoids physical closeness.


He is Gay , that is homosexual.


He believes he has some sexual problem. THIS CAN BE TREATED BY SEX THERAPIST OR COUNSELOR


There are practically only 2 above mentioned reasons.
If you insist I may say the 3rd reason to avoid intimacy could be rigid social customs, orthodox upbringing. Contacting the girl before marriage is not allowed in their tradition, community or caste.


She starts noticing, her sixth sense tells her something is amiss.

Work pressure, no time, tired, want to sleep, not well, head ache, busy day, tomorrow have to get up early, religious excuses, like priest or clergy has said not to do that - sex - till X'mas or till a year. He bursts into arguments and says why are you so interested in sex. Sex is not the only thing in life. It can be done after marriage. We do not want a baby so till one year no sex.

The conversations on telephone are not daily, usually less than 10 - 15 minutes, His talk is about dull topics and unromantic. She usually sulks and expresses that she is angry because he does not call often.
He gives excuses like study/work pressure.

He often avoids holding hands, forget about kissing.

He avoids taking you out alone. In all trips or holidays other family members or friends are present. If there is some time or privacy he fills the time with boring talk or says he is tired and wants to sleep or read or watch TV or sits with the Computer or takes up some office work to do.

Find if he has married late.
Usually despite their parents persuasion they delay marriage giving excuses. When the age is nearing 30 years, that is at age of 28 or 29 when all his stock of excuses are over, he has to give in to parents pressure and he agrees to marry.
Find if he was forced to marry due to family or society pressure.
Find if has or had close BOY friends
Any sms, emals, chats, telephone conversations that suggest he is in love with someone else.
He is very gentle and loving. You think he is the best husband, best friend, best guy you have met, but _ _ _. Except for his avoiding sexual intimacy he is very loving, eager to fulfill your every desire.

Find if he has fear of failure in doing sex
Find if he (most often) erroneously believes that he has a sexual problem and cannot do sex.
Wherever the word FIND is used it means the girl will very politely plead and inquire. Persuade him to tell the truth by being firm yet kind. Most often they burst with arguments and anger and it is difficult to stay polite with them in this matter.

All the signs of homosexual are present, yet he does foreplay, but stops at a certain limit and avoids sexual intercourse.
Investigate to find

No. There is no medical test to detect or confirm sexual inclination of a person.
Hypnosis or Sodium Pentothal (NARCOANALYSIS)Truth Test is not feasible since they require the person's willingness to undergo the test. They are not done to find homosexuality or to change homosexual attraction.






[1] Telephone calls last for one hour or more.
Bonding is good. Friendship is great. This is called ROMANCE. It is the best period of the couple's life.

[2] Sexual passion being irresistible the boy INITIATES (begins)sexual intimacy when the slightest opportunity is present.

If married FOREPLAY is invariably present. It is absent if the husband is homosexual, bisexual or he believes he has sex problem. Even if present it is NOT INITIATED by the husband. The wife has to initiate.

Lovers meet hold each other, begin hugging, kissing, caressing. This is called foreplay. All the sexually pleasurable part of lovemaking that precedes sexual intercourse is called foreplay. The characteristic difference in love-making between boys and girls is summed up in this short dictum.


SEX BEGINS from the time the two lovers eyes meet, ears listen to each other on the cell phone, chatting on the internet. as when listening to each others voice on the cell phone or words spilling in chat on the internet Passionate sexual



Define a teenager.

Dr. Ashok Koparday's
TEN definitions of teenagers.

Teenage is an age when youngsters find friends outside home and villains inside home.

(1)Mommy! The cursor's winking at me!
(2)Teenager with nose rings, baggy clothing and spiked hair to a friend:
"I don't really like dressing this way, but it keeps my parents from dragging me everywhere they go."
It is not what a teenager knows that worries his parents. It's how he found out.

Teenage is the age at which children discover how wrong their parents are.
A teenager is neither a child, nor a grown up. Just thrown up.
Teenage is a state in the growth of homo sapiens when the young ones defend their
irresponsible erratic behavior and offend their grown up guardians.
Scientific evidence is in favor of the fact that no one ought to blame teenagers for any misbehavior. Instead it is testosterone and the bunch of crooked hormones that should be blamed.
Teenage is the age when one feels they have inherited all the world's wisdom.
Teenagers conveniently behave as a child and expect to be treated as a grown up.
Teenage: Outward manifestation of the inside surge of Testosterone.
Teenage: Time of sexual awakening.TO TOP OF THE POST"
Teenager: Name given to a type of headache, sometimes amounting to extreme distress, experienced by parents when their children start growing to become adults.

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Definition of Teenager
DEFINITION (1) A mammal found extensively throughout the planet, often clustered in groups in front of television sets. Thought to be a member of Homo Sapiens due to physical similarities, though social and emotional behavior leads many researchers to consider Teenagers to be a completely different species altogether. Very territorial.
I found some good definitions.

A teenager lost a contact lens while playing basketball in his driveway. After a fruitless search, he told his mother the lens was no where to be found. Undaunted, she went outside ...
... find it, Mom?" the teenager asked. "We weren't looking for the same thing," she replied. "You were looking for a small piece of plastic. I was looking for $150."

The females, on the other hand, sport striking colors under their eyes, throughout their hair, and on the tips of their fingers. Females often attract males by wearing garments to accentuate chest development. Males indicate their approval by staring at the display. The call of the female is complex and shrill: "Like, O m'Gosh! O m' Gosh!" Males are less vocal, signaling to other males with a salutatory "Yo. Yo. Yo. S'up? S'up? S'up?"

Teenagers line their nests with discarded undergarments. The females hold telephone receivers to their ears an average of six hours a day. When challenged for possession, they snarl and warn intruders, "I'm doing my HOMEWORK. My HOMEWORK. My HOMEWORK." The males lie immobile for hours at a time, conserving energy and listening to violent electronic signals from radios. Male Teenagers concentrate on important information by rolling their eyes, shrugging, kicking dirt and sighing. Females burst into tears and slam doors. Many Homo Sapiens families have a host-to-parasite relationship with one or more than one Teenager. These host families often develop a resistance to the parasite, rejecting them some time in the eighteenth year of life. Often, though, this rejection is merely theoretical, with the Teenager continuing to live off of the host Homo Sapiens family for many years afterward, often at great sacrifice.

DEFINITION (2) Of, relating to, and especially EXPLAINING irrational, intolerable, or inexplicable behavior. ("She's a Teenager.")

DEFINITION (3) A request for sympathy, offered by adult parents to each other in support. ("I have a Teenager at home.") Often accompanied by sighs, head shaking, tongue clucking, and shoulder shrugging.

DEFINITION (4)Teenager (noun)
Teenagers are extraordinarily social animals, seeking contact with their peer groups to such a great extent they will forgo family, chores, food, and responsibility. The males of the species forage for food constantly and can consume three times their weight every day. When in full plumage, the males are usually drab, marked by loose fitting garments which slide off their backsides and look ridiculous.
Other Teenager Definitions


- A person who can't remember to walk the dog but never forgets a phone number.

- A weight watcher who goes on a diet by giving up candy bars before breakfast.

- A youngster who receives her allowance on Monday, spends it on Tuesday, and borrows it from her best friend on Wednesday.

- Someone who can hear his favorite singer 3 blocks away but not his mother calling from the next room.TO TOP OF THE POST

- A whiz who can operate the latest computer without a lesson but can't make a bed.

- A student who spends 12 minutes studying history and 12 hours studying for her driver's license.

- A connoisseur of 2 kinds of fine music--loud and very loud.

- An enthusiast who has the energy to bike for miles but is usually too tired to dry the dishes.

- A young woman who loves the cat and tolerates the brother.

- A romantic who never falls in love more than once a week.

- A budding beauty who never smiles until her braces come off.

- A boy who can sleep till noon on any Saturday he suspects the lawn needs mowing.

- An original thinker who is positive that her mother was never a teenager.


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Can you face it?
This is what the married men really want to say to their wives.

Did you say you are a real head ache?
Take Tylenol [Paracetamol]

Did you say if some one else was in my place she would have left you?
Be the some one else for me, please.

If you think you're fat, you probably are. Don't ask us. We refuse to answer.

Learn to work the toilet seat. If it's up, put it down.

If you won't dress like the Victoria's Secret girls, don't expect us to act like soap opera guys.

Don't cut your hair. Ever. Long hair is always more attractive than short hair. One of the big reasons guys fear getting married is that married women always cut their hair, and by then you're stuck with her.

Birthdays, Valentines, and Anniversaries are not quests to see if we can find the perfect present yet again!

If you ask a question you don't want an answer to, expect an answer you don't want to hear.

Sometimes, we're not thinking about you. Live with it. Don't ask us what we're thinking about unless you are prepared to discuss such topics as navel lint, the shotgun formation, or monster trucks.

Sunday sports. It's like the full moon or the changing of the tides. Let it be.

Shopping is not a sport, and no, we're never going to think of it that way.

When we have to go somewhere, absolutely anything you wear is fine. Really.

You have enough clothes.

You have too many shoes.

Crying is blackmail.

Ask for what you want. Let's be clear on this one: Subtle hints don't work. Strong hints don't work. Really obvious hints don't work. Just say it!

No, we don't know what day it is. We never will. Mark anniversaries on the calendar.

Peeing standing up is more difficult. We're bound to miss sometimes.

Most guys own three pairs of shoes-what makes you think we'd be any good at choosing which pair, out of thirty, would look good with your dress?

Yes and No are perfectly acceptable answers to almost every question.

Come to us with a problem only if you want help solving it. That's what we do. Sympathy is what your girlfriends are for.

A headache that lasts for 17 months is a problem. See a doctor.

Foreign films are best left to foreigners.

Check your oil.

It is neither in your best interest nor ours to take the quiz together. No, it doesn't matter which quiz.

Anything we said 6 months ago is inadmissible in an argument. All comments become null and void after 7 days.

If something we said can be interpreted two ways, and one of the ways makes you sad or angry, we meant the other one.

Let us ogle. We're going to look anyway; it's genetic.

You can either tell us to do something OR tell us how to do something but not both.

Whenever possible, please say whatever you have to say during commercials.

ALL men see in only 16 colors. Peach is a fruit, not a color.

If it itches, it will be scratched.

Beer is as exciting for us as handbags are for you.

If we ask what's wrong and you say "nothing," we will act like nothing's wrong. We know you're lying, but it's just not worth the hassle.

Who the hell is Monica? She is just a moaning low paid secretary.

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Q uestions answered by wise crack women.
My dear Ladies and Gentlemen, Ladies,

I cannot believe that you are thinking so naughty about men.

Here comes the first Question
and its
Click on 'Read more' below
if you want to giggle at gigolo.

Q: How do you keep your husband from reading your e-mail?

A: Rename the mail folder to "instruction manuals".

Q. What should you do if you see your ex-husband rolling around in pain on the ground?
A. Shoot him again.

Q. How can you tell when a man is well-hung?
A. When you can just barely slip your finger in between his neck and the nooose.

Q. What do you call the useless piece of skin on the end of a man's penis?
A. His body.

Q. Why do little boys whine?
A. Because they're practicing to be men.

Q. How many men does it take to screw in a light bulb?
A. One - he just holds it up there and waits for the world to revolve around him. OR
A. Three - one to screw in the bulb, and two to listen to him brag about the screwing part.

Q. What do you call a handcuffed man?
A. Trustworthy.

Q. What does it mean when a man is in your bed gasping for breath and calling your name?
A. You didn't hold the pillow down long enough.

Q. Why do doctors slap babies butts right after they're born?
A. To knock the penises off the smart ones.

Q. Why do men name their penises?
A. Because they don't like the idea of having a stranger make 90% of their decisions.

Q. Why does it take 100,000,000 sperm to fertilize one egg?
A. Because not one will stop and ask directions.

Q. Why do female black widow spiders kill their males after mating?
A. To stop the snoring before it starts.

Q: What's the best way to kill a man?
A: Put a naked woman and a six-pack in front of him. Then tell him to pick only one.

Q: What do men and pantyhose have in common?
A: They either cling, run, or don't fit right in the crotch!

Q: Why do men whistle when they're sitting on the toilet?
A: Because it helps them remember which end they need to wipe.

Q: What is the difference between men and women...
A: A woman wants one man to satisfy her every need. A man wants every woman to satisfy his one need.

Q: How does a man keep his youth?
A: By giving her money, furs, and diamonds.


TOPICS A - to - Z




Can having an affair disqualify her as teacher, even if she be a married woman?

"How many persons in your government have lost their job on this ground? Such a decision of the state government may prove fatal for women in the future. Do not set such precedents."

The aggrieved woman took this matter to the court, which was presided by Honorable Justices Ranjana Desai and Roshan Dalvi. Having an affair ought not to be reason from dismissal from job. The Judges strongly felt that such a move could become a grave and undesirable precedent.

At Mahabeleshwar, a hill station, close to Mumbai, a teacher was terminated from her job by the zilla parishad in 2005. She was dismissed on the grounds that she had an extramarital affair and should not be around children. A division bench of Justice Ranjana Desai and Roshan Dalvi was told by the petitioner that she was appointed as anganwadi assistant in 2001; she also received an 'Ideal Anganwadi Assistant Certificate' in 2002.
Satara Deputy Chief Executive Officer has also filed an affidavit in the high court supporting the zilla parishad decision of dismissal.Top of this post

The lady's lawyer alleged that the zilla parishad forced her and her husband to admit to the alleged illicit affair and obtained her signature confessing to the same.

***Justice Ranjana Desai of the Bombay High Court to the state government
Hindustan Times, Mumbai, December 18, 2007, page 7, Urvi Mahjani Top of this post

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When does naked, the nude become pornography?
The story of Eduard Manet and the reaction of society is fascinating. Who is to decide nude art and pornography? (I guess dictionary!)

To see enlarged picture of Eduard Manet

go to ©

Read ahead

His story featured in spotlight in on his birth anniversary day.

Édouard Manet, born on this date in 1832, was a painter who greatly influenced impressionists, though he chose not to be identified as one himself. Many of his works scandalized the French, who were especially shocked by his paintings of nudes. In his Luncheon on the Grass a young female sits nude, having lunch with several fully clothed men. When the Salon refused to show the painting, Manet submitted it to the Salon des Refusés, where it was hung and still drew criticism for what viewers considered lewd content.

Quote: "There is only one true thing: instantly paint what you see. When you've got it, you've got it. When you haven't, you begin again. All the rest is humbug." — Édouard Manet

Dr. Ashok Koparday
copyright ©

TOPICS A - to - Z




To Know if there is Pregnancy Urine Pregnancy Test can be done at home.
Ask for velocity ® in medical shop. This is manufactured and sold in India by Dr. Reddy's Laboratories. It is legally and medically safe and commonly used even by doctors for their patients

hCG may remain detectable for a few days
to several days after delivery, abortion, or
natural termination.

A number of conditions other than pregnancy,
trophoblastic disease and certain non-trophoblastic neoplasms including testicular tumors, prostate cancer, breast cancer, and lung cancer, cause elevated levels of hCG. Therefore, the presence of hCG in urine should not be used to diagnose pregnancy unless these conditions have been ruled out.

Drugs which contain hCG result in false positive.
Very low levels of hCG (less than 50 mIU/ml) are present
in urine specimen shortly after implantation.

False negative results may occur when the le
are below the sensitivity level of the test.

As a rule, hCG levels, if you are pregnant, are between 5 - 50 mIU a week before your period is due. The hCG levels in your system should double every two to three days.

In normal pregnancy, hCG can be
detected in serum as early as 7 days following
conception. The concentration of hCG continues
to rise rapidly, frequently exceeding 100 mIU/ml by the
first missed menstrual period and peaking in the
30-200,000 mIU/ml range by 10-12 weeks into

UPT gives presumptive diagnosis.
Confirmed pregnancy diagnosis should only be made by a physician

TOPICS A - to - Z



To know whether pregnancy is present Urine Pregnancy Test is done using Urine Pregnancy Test Kit. One brand name that is popular in India is VELOCIT © manufactured and marketed by Dr. Reddy's Laboratories.
In the past

Hence, practically urine pregnancy test can be relied upon not earlier than one week prior to expected date of next period. Commonly UPT is considered sensitive soon after missed period.

to detect pregnancy women used to wait for missed period.

After an embroyo begins to grow, the menses cease. She does not get her period during her expected date.

In case pregnancy is suspected and not wanted as after unprotected sex the couple gets highly strung and immensely worried about the possibility of pregnancy.
Urine Pregnancy Test comes in handy to know whether Pregnancy is present.
How early can it detect presence or absence of pregnancy?
Can it give false results?
Urine Pregnancy Test can be done in secrecy.
In normal pregnancy, hCG can be detected in serum as early as 7 days following
conception. The concentration of hCG continues to rise rapidly, frequently exceeding 100 mIU/ml by the first missed menstrual period and peaking in the
30-200,000 mIU/ml range by 10-12 weeks into pregnancy

How accurate is a urine pregnancy test?
Urine pregnancy test (UPT) kit is sensitive to detect 50 mIU/ml of hCG in urine.
(Some kits detect 25 mIU/ml).

One week before expected period hCG level in urine is between
5 to 50 mIU/ml.

Hence, practically urine pregnancy test can be relied upon not earlier than one week prior to expected date of next period. Commonly UPT is considered sensitive soon after missed period.

In case of doubt repeat the test 72 hours (3 days) later when the hCG further increases in urine. hCG levels double every 2 or 3 days.

The UPT certainly cannot detect pregnancy the day after sexual intercourse, meaning immediately on conception. It takes time for hCG level to rise enough to be able to be detected by urine pregnancy test kit.

For detecting earlier, blood levels of hCG may be done in Pathology Laboratory, which is equipped with the test. It is however not done commonly as it is expensive and does not have the secrecy and ease of doing test at home.

For ensuring that pregnancy should not happen immediately after intercourse
'Emergency Contraception' is legally and medically approved.

Test Name
Lowest hCG detected

AimStick Pregnancy Test Strip
20 mIU

AccuHome Midstream Pregnancy Test
25 mIU

Accuclear Pregnancy Test
25 mIU

Answer Early Result Pregnancy Test
25 mIU

Clearblue Easy +/-
25 mIU

Clearblue Easy Digital (1 piece, blue cap)
25 mIU

Clear Choice w/ Cup
25 mIU

Confirm 1-Step Pregnancy Test
25 mIU

CVS Early Result Pregnancy Test
25 mIU

Dollar Store Brand (mini-strip, cassette, & midstream)
25 mIU

Early Detect
25 mIU

e.p.t. +/- Test
25 mIU

e.p.t. 1-Step Digital Test
25 mIU

e.p.t. Certainty Digital Test
25 mIU

Equate +/- (Wal-mart)
25 mIU

Equate Pregnancy Test (Wal-mart)
25 mIU

Fact Plus Midstream Pregnancy Test
25 mIU

First Response Early Result Pregnancy Test
25 mIU

One Step Be Sure Pregnancy Test
25 mIU

Right Aid Pregnancy Test
25 mIU

Target Brand Pregnancy Test
25 mIU

Walgreen Midstream Pregnancy Test
25 mIU

Walgreen Digital
25 mIU

Fact Plus Cassette
40 mIU

Clearblue Digital
50 mIU

CVS "Early Result" Cassette Pregnancy Test
50 mIU

Drug Emporium Brand Pregnancy Test
50 mIU

early Pregnancy test
50 mIU

Walgreens Cassette Pregnancy Test
50 mIU

Pregnancy Test Sensitivity Chart
Sensitivities checked with manufacturers in July 2007
All rights belong to

TOPICS A - to - Z



Click on the animated image to see tumescence and detumescence of penis.

The picture shows penis during erection. It also shows the process as erection subsides.
The image is licensed under Creative Commons License.
It may be freely used for educational purposes.
It is not to be used for sale or for commercial gain.
It is not to be used with alterations.
Credit for the image "Designed by Dr. Ashok Koparday" should go whereever the image is used.
Designed by Dr. Ashok Koparday.
Date of Creation
12/10/2007 7:02 PM
Image size
750 x 699
559 KB

Click upon the picture to see animation.
The original image is used from Gray's Text book of Anatomy edition 1928, which falls in public domain.

TOPICS A - to - Z



Specially for her who is going to get married.
Useful for the married woman too.
Secrets to win a man.
What men want?
How to win them over to you?
Macho is not mucho!!!
Check this section.

Ask the Doctor. Now or Never.

TOPICS A - to - Z



We make friends even while commuting. It is easy enough.
Maintaining good relations lasting for life is not easy.

The following is specially contributed by
Senior Branch Manager, Saraswat Bank.

What a wonderful story!

-A possible Story ? ? ?
It could be yours ! ! !

You and your best friend have a fight..To Top of the Post
You decide not to talk to him ever.

He smiles at you.
You grind your teeth at him

He speaks nice about you.
You simply ignore him.
He tries to come and talk to you.
But you just push him aside.

He thinks you are a great friend.
You think he is a terrible friend.

He writes nice notes to you,
of the best times you shared together..To Top of the Post
You write about
all the bad times together.

Deep down you know he's sorry.
But all you have now is HATE.

And then you get a note.

It reads:
Dear [yourname],
I tried to tell you,
but you didn't let me speak,
I tried to tell good things,
but you were afraid to listen.

I tried to smile at you, to take away the hate.
But now it's time to tell, although a bit late.


I have a bad condition and it is getting worse.
I'm sorry but I won't be able to see you again.
I wrote this to you today in the hospital.To Top of the Post
My time is up. I should have told you sooner.

I'm sorry about our argument,
you are such a great friend.
I promise I shall watch over you,

Lots of love

You run to the hospital to ...........,
But only his mum is left.
Her hand clasped over her face.
And she was crying.
Down on her knees she prays,
for her son to come back.To Top of the Post

You are too late.
You wish you had come earlier,
and said sorry & goodbye.

All friends have their ups and downs,
and sometimes you need to say sorry.
Don't wait for the other person to do it first.
Because you never know what could happen.

If you really love your friends and would
watch down on them when you pass away,
please send this on and show people
that you really have a heart.

Share this even if it be with one person,

If you don't send this to anyone....
You could have lost yourself a friend,To Top of the Post

Coz if when you needed a friend,
There might not be just that one soul
who could have had read this letter.To Top of the Post

"Fate determines who comes into our lives."
"The heart determines who stays".

TOPICS A - to - Z



A 22-year old body builder took two eight-week courses of
anabolic steroids. He became severely depressed after the
second course, and when the depression gradually receded, he
had prominent paranoid and religious delusions
(Pope and Katz, 1987).

In the previous chapter we saw important dangers and genuine uses of Methandienone.
There is more to it.


Anabolic steroids bind to specific receptors
present especially in reproductive tissue, muscle and.To Top of the Post
fat (Mooradian & Morley, 1987). The anabolic steroids
reduce nitrogen excretion from tissue breakdown in
androgen deficient men. They are also responsible for
normal male sexual differentiation. The ratio of
anabolic ("body-building") effects to androgenic
(virilizing) effects may differ among the members of
the class, but in practice all agents possess both
properties to some degree. There is no clear evidence.To Top of the Post
that anabolic steroids enhance overall athletic
performance (Elashoff et al, 1991).
Main adverse effects

The adverse effects of anabolic steroids include weight.To Top of the Post
gain, fluid retention, and abnormal liver function as
measured by biochemical tests. Administration to children can
cause premature closure of the epiphyses. Men can develop
impotence and azoospermia. Women are at risk of.To Top of the Post
Endocrine and reproductive systems

Small doses of anabolic steroids are said to
increase libido, but larger doses lead to azoospermia
and impotence. Testicular atrophy is a common clinical.To Top of the Post
feature of long-term abuse of anabolic steroids, and
gynaecomastia can occur
(Martikainen et al., 1986;
Schurmeyer et al., 1984; Spano & Ryan, 1984).
.To Top of the Post
Women develop signs of virilism, with increased facial
hair, male pattern baldness, acne, deepening of the
voice, irregular menses and clitoral enlargement

(Malarkey et al., 1991; Strauss et al., 1984).

Elimination by route of exposure.To Top of the Post

After administration of radiolabelled testosterone,
about 90% of the radioactivity appears in the urine, and 6%
in the faeces; there is some enterohepatic recirculation.To Top of the Post
(Wilson, 1992).

Distribution by route of exposure

The anabolic steroids are highly protein bound, and is
carried in plasma by a specific protein called sex-hormone.To Top of the Post
binding globulin.
The metabolism of absorbed drug is rapid, and the
elimination half-life from plasma is very short. The duration
of the biological effects is therefore determined almost.To Top of the Post
entirely by the rate of absorption from subcutaneous or
intramuscular depots, and on the de-esterification which
precedes it (Wilson, 1992).
Case reports from literature

A 38-year old man presented with acute urinary
retention, and was found to have carcinoma of the prostate..To Top of the Post
He had taken anabolic steroids for many years, and worked as
a "strong-man" (Roberts and Essenhigh, 1986).

A 22-year old male world-class weight lifter developed severe
chest pain awaking him from sleep, and was shown to have.To Top of the Post
myocardial infarction. For six weeks before, he had been
taking high doses of oral and injected anabolic steroids.
Total serum cholesterol was 596 mg/dL (HDL 14 mg/dL, LDL 513
mg/dL) (McNutt et al., 1988). Values of total cholesterol
concentration above 200 mg/dL are considered undesirable..To Top of the Post

A 19-year old American college footballer took intramuscular
testosterone and oral methandrostenolone over 4 months. He.To Top of the Post
became increasingly aggressive with his wife and child. After
he severely injured the child, he ceased using anabolic
steroids, and his violence and aggression resolved within 2.To Top of the Post
months (Schulte et al, 1993).

Specific preventive measures

Anabolic steroid abuse amongst athletes, weight.To Top of the Post
lifters, body builders and others is now apparently common at
all levels of these sports. Not all abusers are competitive
There is therefore scope for a public health campaign, for
example, based on gymnasia, to emphasize the dangers of.To Top of the Post
anabolic steroid abuse and to support those who wish to stop
using the drugs.

REFERENCES.To Top of the Post

ABPI Data Sheet Compendium (1993) Datapharm Publications,

Bowman S. (1990) Anabolic steroids and infarction. Br Med J;.To Top of the Post

Cohen JC & Hickman R. (1987) Insulin Resistance and diminished
glucose tolerance in powerlifters ingesting anabolic steroids. J
Clin Endocrinol Metab 64: 960.
.To Top of the Post
Cohen JC, Noakes TD, & Spinnler Benade AJ. (1988)
Hypercholesterolemia in male power lifters using Anabolic
Androgenic Steroids. The Physician and Sports medicine 16:
.To Top of the Post
Dalby JT. (1992) Brief anabolic steroid use and sustained
behavioral reaction. Am J Psychiatry 149: 271-272.

Dewhurst J. & Gordon RR (1984). Fertility following change of
sex: a follow-up. Lancet: ii: 1461-2.
.To Top of the Post
Elashoff JD, Jacknow AD, Shain SG, & Braunstein GD. (1991) Effects
of anabolic-androgenic steroids on muscular strength. Annals Inter
Med 115: 387-393..To Top of the Post

Falk H, Thomas LB, Popper H, Ishak KG. (1979). Hepatic
angiosacroma associated with androgenic-anabolic steroids. Lancet
2; 1120-1123.
.To Top of the Post
Ferner RE & Rawlins MD (1988) Anabolic steroids: the power and the
glory? Br Med J 1988; 297: 877-878.

Frankle MA, Eichberg R, & Zacharian SB. (1988) Anabolic Androgenic
steroids and stroke in an athlete: case report. Arch Phys Med
Rehabil 1988; 69: 632-633..To Top of the Post

Glazer G. (1991) Atherogenic effects of anabolic steroids on serum
lipid levels. Arch Intern Med 151: 1925-1933..To Top of the Post

Kennedy MC. (1992). Anabolic steroid abuse and toxicology. Aust NZ
J Med 22: 374-381.

Malarkey WB, Strauss RH, Leizman DJ, Liggett M, & Demers LM.
(1991). Endocrine effects in femal weight lifters who self-
administer testosterone and anabolic steroids. Am J Obstet.To Top of the Post
Gynecol 165: 1385-1390.

Martikainen H, Alen M, Rahkila P, & Vihko R. (1986) Testicular
responsiveness to human chorionic gonadotrophin during transient
hypogonadotrophic hypogondasim induced by androgenic/anabolic.To Top of the Post
steroids in power athletes. Biochem 25: 109-112.

McKillop G, Todd IC, Ballantyne D. (1986) Increased left
ventricular mass in a body builder using anabolic steroids. Brit J
Sports Med 20: 151-152.

McNutt RA, Ferenchick GS, Kirlin PC, & Hamlin NJ. (1988) Acute
myocardial infarction in a 22 year old world class weight lifter
using anabolic steroids. Am J Cardiol 62: 164..To Top of the Post

Mooradian JE, Morley JE, Korenman SG. (1987) Biological actions
of androgens. Endocrine Reviews 8:1-27.

Murad F, & Haynes RC. (1985). Androgens. in. Ed: Goodman Gilman
A, Goodman L S, Roll T W, Murad F. The Pharmacological Basis of
Therapeutics, 7th edition, Macmillan, New York: 1440-1458.To Top of the Post

Overly WL et al. (1984). Androgens and hepatocellular carcinoma in
an athlete. Ann Int Med 100: 158-159.

Pope GR, & Katz DL. (1988). Affective and psychotic symptoms
associated with anabolic steroid use. Am J Psychiatry 145:.To Top of the Post

Reynolds Ed. (1992) Martindale-The Extra Pharmacopeia. The
Pharmaceutical Press. London.

Roberts JT, & Essenhigh DM. (1986) Adenocarcinoma of prostate in
40-year old body builder. Lancet 2: 742.

Ross RB, & Deutsch S I.(1990) Hooked on hormones. JAMA 263:.To Top of the Post

Ryan A J. (1981) Anabolic steroids are fool's gold. Fed Proc 40:

Schurmeyer T, Belkien L, Knuth UA, & Nieschlag E. (1984).To Top of the Post
Reversible azoospermia induced by the anabolic steroid
19-nortestosterone. Lancet i: 417-420.

Soe KL. Soe M. & Gluud C. (1992). Liver pathology associated
with the use of anabolic-androgenic steroids. Liver 12:

Schulte HM, Hall MJ, & Boyer M. (1993). Domestic violence.To Top of the Post
associated with anabolic steroid abuse. Am J Psychiatr 150:

Spano F, & Ryan W G. (1989) Tamoxifen for gynecomastia induced by
anabolic steroids? New Engl J Med 311: 861-862.

Strauss RH, Liggett MT, & Lanese RR. (1984) Anabolic steroid use
and perceived effects in 10 weight-trained women athletes JAMA.To Top of the Post
253: 2871-2873.

Su T-P, Pagliaro M, Schmidt PJ, Pickar D, Wolkowitz O, & Rubinow
DR. (1993) Neuropsychiatric effects of anabolic steroids in male
normal volunteers. JAMA 269: 2760-2764.

Wagner JC (1989). Abuse of drugs used to enhance athletic.To Top of the Post
performance. Am J Hosp Pharm 46: 2059-2067

Webb O L, Laskarzewski P M, & Glueck, CJ. (1984) Severe depression
of high-density lipo protein cholesterol levels in weight lifters
and body builders by self-administered exogenous testerone and.To Top of the Post
anabolic-andorgenic steroids. Metabolism 33: 971-975.

Wilson J D. (1992). Androgens. In: Goodman Gilman A., Rall T W,
Nies A S, & Taylor P. Goodman and Gilman's Pharmacological Basis
of Therapeutics. McGraw-Hill, Toronto. Pages 1413-1430.


Author: Dr R. E. Ferner,
West Midlands Centre for Adverse Drug Reaction
City Hospital Dudley Road,.To Top of the Post
Birmingham B18 7QH
Tel: +44-121-5074587
Fax: +44-121-5236125

Date: 1994.To Top of the Post

Peer review: INTOX Meeting, Sao Paulo, Brazil, September 1994
(Drs P.Kulling, R.McKuowen, A.Borges, R.Higa,
R.Garnier, Hartigan-Go, E.Wickstrom)

Editor: Dr M.Ruse, March 1998
.To Top of the Post

TOPICS A - to - Z



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