how-to-ask-doctor
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Did you have similar problem earlier? Provide details about it.
What treatment/advice you have taken so far?
What did the doctor say? What did your partner say about the problem?
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Mention any other details, even if they appear small matters to you. This can be important if you want expert medical opinion that is specific to your problem.
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What outcome do you expect from the treatment?
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IN WOMEN
In women, if the doubt is related to periods, details of menses that include:
How many days you bleed? How many days cycle you have? Is it regular? What was the shortest cycle and the longest cycle during the last one year? Do you have unbearable pain during periods? What medication you take? Give past history of problems and treatment taken.
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ALWAYS PRIVATE AND CONFIDENTIAL
Dr. Ashok Koparday
MBBS, FC SEPI
Medical Director
Samadhan India
Center for Therapy, Education, Research in
Sex, Marriage, Relationships
Ex. Teaching Faculty
Seth G. S. Medical College and K. E. M. Hospital and
Grant Medical College and Sir J. J. Group of Hospitals
University of Mumbai, India
ASK ON MOBILE
ASK SEX DOCTOR IN "POST A COMMENT BOX" BELOW
smart-things-to-say
Specially Contributed by Sangita.
How ONE sentence makes a difference.
Martin wakes up at home with a huge hangover. He forces himself to open his eyes, and the first thing he sees is a couple of aspirins and a glass of water on the side table. He sits down and sees his clothing in front of him, all clean and pressed. Martin looks around the room and sees that it is in perfect order, spotless, clean. So is the rest of the house.
He takes the aspirins and notices a note on the table.
'Honey, breakfast is on the stove, I left early to go shopping. Love You!'
So he goes to the kitchen and sure enough there is a hot
breakfast and the morning newspaper. His teenage son is also at the table, eating. Martin asks,
'Son, what happened last night?' His son says,
'Well, you came home around 3 AM, drunk and delirious. Broke some furniture, puked in the hallway, and gave yourself a black eye when you stumbled into the door.'
Confused, Martin asks,
'So, why is everything in order and so clean, and breakfast is on the table waiting for me?' His son replies,
'Oh, that! Apparently Mom dragged you to the bedroom, and when she tried to take your pants off, you said,
Get your hands off me, bitch! I'm married!'
Moral of the Story
Self-induced hangover -- $100.00
Broken furniture -- $2,000.00
Breakfast -- $10.00
Saying The Right Thing to your wife when you are Drunk- PRICELESS!
The happiest business in all the world is that of making friends and no investment on the street pays larger dividends
Source:
Sent by Sangita
Dr. Ashok Koparday
MBBS, FC SEPI
Medical Director
Samadhan India
Center for Therapy, Education, Research in
Sex, Marriage, Relationships
Ex. Teaching Faculty
Seth G. S. Medical College and K. E. M. Hospital and
Grant Medical College and Sir J. J. Group of Hospitals
University of Mumbai, India
ASK ON MOBILE
How ONE sentence makes a difference.
Martin wakes up at home with a huge hangover. He forces himself to open his eyes, and the first thing he sees is a couple of aspirins and a glass of water on the side table. He sits down and sees his clothing in front of him, all clean and pressed. Martin looks around the room and sees that it is in perfect order, spotless, clean. So is the rest of the house.
He takes the aspirins and notices a note on the table.
'Honey, breakfast is on the stove, I left early to go shopping. Love You!'
So he goes to the kitchen and sure enough there is a hot
breakfast and the morning newspaper. His teenage son is also at the table, eating. Martin asks,
'Son, what happened last night?' His son says,
'Well, you came home around 3 AM, drunk and delirious. Broke some furniture, puked in the hallway, and gave yourself a black eye when you stumbled into the door.'
Confused, Martin asks,
'So, why is everything in order and so clean, and breakfast is on the table waiting for me?' His son replies,
'Oh, that! Apparently Mom dragged you to the bedroom, and when she tried to take your pants off, you said,
Get your hands off me, bitch! I'm married!'
Moral of the Story
Self-induced hangover -- $100.00
Broken furniture -- $2,000.00
Breakfast -- $10.00
Saying The Right Thing to your wife when you are Drunk- PRICELESS!
The happiest business in all the world is that of making friends and no investment on the street pays larger dividends
Source:
Sent by Sangita
Dr. Ashok Koparday
MBBS, FC SEPI
Medical Director
Samadhan India
Center for Therapy, Education, Research in
Sex, Marriage, Relationships
Ex. Teaching Faculty
Seth G. S. Medical College and K. E. M. Hospital and
Grant Medical College and Sir J. J. Group of Hospitals
University of Mumbai, India
ASK ON MOBILE
TO ASK SEX DOCTOR CLICK "COMMENTS" BELOW
for-better-sex-what-not-to-do
Simple things to know if you care to have better sex.
Nothing if you do not care about sex.
THE TIMES OF INDIA
Source:
THE TIMES OF INDIA
Dr. Ashok Koparday
MBBS, FC SEPI
Medical Director
Samadhan India
Center for Therapy, Education, Research in
Sex, Marriage, Relationships
Ex. Teaching Faculty
Seth G. S. Medical College and K. E. M. Hospital and
Grant Medical College and Sir J. J. Group of Hospitals
University of Mumbai, India
ASK ON MOBILE
Nothing if you do not care about sex.
THE TIMES OF INDIA
Enough has been said about what women and men want when it comes to sex but how about what they ‘do not want’?REFUSALS could very easily be interpreted as rejections, which can directly hit the person's self - esteem, and unfortunately pave the way for him/her to feel inadequate and unwanted.
Yes, not most couples would know that their little ‘unintentional’ acts can prove to be really big turn-off for their partners.
Those cosy moments that are meant to bring ultimate joy and pleasure in bed can go drastically wrong before you even realise what’s happening.
WHAT IS THE PROBLEM ACTUALLY?
Picture this: Your lover is caressing you all over, trying to build up the heat and suddenly you decide to ask: How was your day at work? Or your lover is trying best to control himself to ensure that you are equally satisfied and you abruptly remind him of the protection pill that you forgot. What a turn-off indeed!
Wait! It’s not only women who tend to irk their men by these unwanted gestures. Men are equally responsible for dampening things in the bedroom by their little acts – such as going off to sleep immediately after the act or not bothering with foreplay at all, leaving her to work on that herself.
Dr. Sanjay Chugh opines, “Any sexual act holds a certain meaning and has its own significance for the partners. When we are deeply involved in any kind of work, interruptions are always seen as irritating, annoying and frustrating and it’s no different when it comes to making love. Refusals could very easily be interpreted as rejections, which can directly hit the person's self - esteem, and unfortunately pave the way for him/her to feel inadequate and unwanted.”
Agrees Rita Gangwani, image enhancer and personality architect, “Sometimes you can put off your partner without even realising where you went wrong. It could be a physical, mental or an emotional reason. They can include: Fear of pregnancy and constant reminders of it during lovemaking, pretending to have a headache, blatantly pointing out on some body flaw, avoiding sex by putting it on having a tiring day at work, insisting on conditions of keeping the light off or not stripping completely, and so on.”LOVE MAKING is a very intimate act where people connect with each other physically, sexually, emotionally and spiritually.
And if this is not enough, there are several other turn-offs that include hygiene issues, acts and positions in bed, thoughts that rule your mind during sex ...the list is endless.
Model cum actor Suchitra Pillai feels, “Couples today tend to get involved in their own lives so much so that they forget what the other partner wants. Specially while having sex, they can’t just talk about their tiredness and hectic day. You have to take out quality time to enjoy without interruptions.”
Model Ramneek Pantal shares, “Problems are there in everyone’s life but ‘happy mood’ is not the right time to discuss. I make sure that I clear everything with my husband before we sleep. Otherwise I don’t let him sleep, because, it ultimately affects our sex life too, as you can’t talk clearly and openly about sex when you’re having problems.”
THE WAY OUT
Now that you’ve got the point about what not to do to turn off your partner in bed, how do you go about it?
Rita recommends, “Expand your sexual horizons and learn new ways to turn each other on. Some ideas may seem like basic romance but let's be honest and ask when was the last time you actually practised them? The only way for this to work is to put the ideas into practice.”
Dr. Chugh suggests, “Understand that love making is a very intimate act where people connect with each other physically, sexually, emotionally and spiritually. Respect each others needs, wants and desires and mutual satisfaction at every level is important to keep the fire burning! Try to understand what your partner enjoys, what is exciting for him, what stimulates him and toying with certain new ideas and concepts would help the couple look forward to those love-making sessions.”
Source:
THE TIMES OF INDIA
Dr. Ashok Koparday
MBBS, FC SEPI
Medical Director
Samadhan India
Center for Therapy, Education, Research in
Sex, Marriage, Relationships
Ex. Teaching Faculty
Seth G. S. Medical College and K. E. M. Hospital and
Grant Medical College and Sir J. J. Group of Hospitals
University of Mumbai, India
ASK ON MOBILE
ASK SEX DOCTOR IN "POST A COMMENT BOX" BELOW
abortion
LAW WINS OVER HUMAN WISDOM
Medical Science can help the distressed couple with Medical Termination of Pregnancy introduced legally in 1971. The story of the debated 'abortion' case as appeared in
THE TIMES OF INDIA
NEW DELHI:
Government on Monday ruled out amending the abortion laws in consideration of cases like that of Niketa Mehta who wanted to terminate her 26-week pregnancy as the child would be born with a congenital heart defect.
"As it is today going by just one case, I do not think the law can be amended," Union Health Minister Anbumani Ramadoss told reporters on the sidelines of a meeting of the National Rural Health Mission here.
He, however, said a broad discussion would take place on the issue and all aspects of such cases would be taken into consideration.
"We sympathise with her case and would discuss all other avenues," he said.
The Bombay High Court on Monday disallowed aborting a 26-week foetus with a heart defect after observing that the plea by the young mother to terminate her pregnancy was equivalent to "mercy killing."
Dismissing an application by Niketa Mehta torn between trauma and ethical issues, the court observed that medical experts did not express any "categorical opinion that if the child is born it would suffer from serious handicaps."
Source of the above report:
THE TIMES OF INDIA
Dr. Ashok Koparday
MBBS, FC SEPI
Medical Director
Samadhan India
Center for Therapy, Education, Research in
Sex, Marriage, Relationships
Ex. Teaching Faculty
Seth G. S. Medical College and K. E. M. Hospital and
Grant Medical College and Sir J. J. Group of Hospitals
University of Mumbai, India
ASK ON MOBILE
Medical Science can help the distressed couple with Medical Termination of Pregnancy introduced legally in 1971. The story of the debated 'abortion' case as appeared in
THE TIMES OF INDIA
NEW DELHI:
Government on Monday ruled out amending the abortion laws in consideration of cases like that of Niketa Mehta who wanted to terminate her 26-week pregnancy as the child would be born with a congenital heart defect.
"As it is today going by just one case, I do not think the law can be amended," Union Health Minister Anbumani Ramadoss told reporters on the sidelines of a meeting of the National Rural Health Mission here.
He, however, said a broad discussion would take place on the issue and all aspects of such cases would be taken into consideration.
"We sympathise with her case and would discuss all other avenues," he said.
The Bombay High Court on Monday disallowed aborting a 26-week foetus with a heart defect after observing that the plea by the young mother to terminate her pregnancy was equivalent to "mercy killing."
Dismissing an application by Niketa Mehta torn between trauma and ethical issues, the court observed that medical experts did not express any "categorical opinion that if the child is born it would suffer from serious handicaps."
Source of the above report:
THE TIMES OF INDIA
Dr. Ashok Koparday
MBBS, FC SEPI
Medical Director
Samadhan India
Center for Therapy, Education, Research in
Sex, Marriage, Relationships
Ex. Teaching Faculty
Seth G. S. Medical College and K. E. M. Hospital and
Grant Medical College and Sir J. J. Group of Hospitals
University of Mumbai, India
ASK ON MOBILE
ASK SEX DOCTOR IN "POST A COMMENT BOX" BELOW
love-is-medicine-for-heart
EXPRESS LOVE
The Doctor Who Scientifically Proved That Love, Intimacy, Healthy Life Style
HEALS HEART, Removes Blocks in Heart Blood Vessels
No wonder that
Dr. Ornish was recognized as
"one of the most interesting people of 1996" by People magazine, featured in the "Time 100" issue on alternative medicine, and chosen by LIFE magazine as "one of the 50 most influential members of his generation."
Lifestyle changes can reverse even severe coronary heart disease, without drugs or surgery.
Dr. Dean Ornish has an alternative treatment program whereby BY PASS SURGERY can be avoided.
He has proved that
Dean Ornish M.D.'s Lifestyle Program
ABOUT DEAN ORNISH
Dean Ornish, MD, is the founder, president, and director of the non-profit Preventive Medicine Research Institute in Sausalito, California, where he holds the Bucksbaum Chair. He is Clinical Professor of Medicine at the University of California, San Francisco. Dr. Ornish received his medical training from the Baylor College of Medicine, Harvard Medical School, and the Massachusetts General Hospital. He received a BA in Humanities summa cum laude from the University of Texas in Austin, where he gave the baccalaureate address.
For the past 25 years, Dr. Ornish has directed clinical research demonstrating, for the first time, that comprehensive lifestyle changes may begin to reverse even severe coronary heart disease, without drugs or surgery. He is the author of five best-selling books, including
New York Times' bestsellers
Dr. Dean Ornish's Program for Reversing Heart Disease,
Eat More, Weigh Less, and
Love & Survival.
He recently directed the first randomized controlled trial demonstrating that comprehensive lifestyle changes may affect the progression of prostate cancer.
The research that he and his colleagues conducted has been published in the Journal of the American Medical Association, The Lancet, Circulation, The New England Journal of Medicine, the American Journal of Cardiology, and elsewhere. A one-hour documentary of his work was broadcast on "NOVA," the PBS science series, and was featured on Bill Moyers' PBS series, "Healing & The Mind." Their work has been featured in virtually all major media, including cover stories in Newsweek, Time, and U.S. News & World Report.
Dr. Ornish is a member of the board of directors of the U.S. United Nations High Commission on Refugees, the Quincy Jones Listen Up Foundation, and the Wheelchair Foundation. He was appointed to The White House Commission on Complementary and Alternative Medicine Policy and elected to the California Academy of Medicine.
He has received several awards, including the 1994 Outstanding Young Alumnus Award from the University of Texas at Austin, the Jan J. Kellerman Memorial Award for distinguished contribution in the field of cardiovascular disease prevention from the International Academy of Cardiology, the Golden Plate Award from the American Academy of Achievement, a Presidential Citation from the American Psychological Association, the Beckmann Medal from the German Society for Prevention and Rehabilitation of Cardiovascular Diseases, and a U.S. Army Surgeon General Medal. Dr. Ornish has been a physician consultant to The White House and to several bipartisan members of the U.S. Senate and House of Representatives. He is listed in Who's Who in Healthcare and Medicine, Who's Who in America, and Who's Who in the World.
© 2004 WebMD Corporation. All rights reserved.
Dr. Ashok Koparday
MBBS, FC SEPI
Medical Director
Samadhan India
Center for Therapy, Education, Research in
Sex, Marriage, Relationships
Ex. Teaching Faculty
Seth G. S. Medical College and K. E. M. Hospital and
Grant Medical College and Sir J. J. Group of Hospitals
University of Mumbai, India
ASK ON MOBILE
ASK SEX DOCTOR IN "POST A COMMENT BOX" BELOW
love-for-heart-attack-treatement
SINCE THE TIME I SAW YOU MY HEART DOES NOT BEAT, IT SINGS
THE DAY I STOP LOVIN U IS THE DAY MY HEART WILL STOP 4EVER
HEARTS R LIKE GLASS, B CAREFUL THEY CAN BREAK
LOVE AND INTIMACY
Healing Power of Love and Expressing Love is used as an alternative to by pass surgery in people with blocked coronary arteries. It does prevent heart problems.
Dr. Dean Ornish has scientifically proved LOVE HEALS HEART ATTACKS.
You would think it is COMMON SENSE THAT LOVE HEALS HEART ACHES.
Learn to Love and to Communicate Love & Intimacy
DR. DEAN ORNISH'S PROGRAM CONSISTS OF
Nutrition | Exercise | Stress | Love
Stress Reduction Through Meditation
YOGA for reducing Sress!
Meditation Can Lower Cholesterol
De-stress Without the Cigarette
Love has Healing Power.
No wonder Jesus and Saints can heal people. Do we have the right attitude to LOVE. Remember,Communicating Love is vital.
Dr. Ashok Koparday
MBBS, FC SEPI
Medical Director
Samadhan India
Center for Therapy, Education, Research in
Sex, Marriage, Relationships
Ex. Teaching Faculty
Seth G. S. Medical College and K. E. M. Hospital and
Grant Medical College and Sir J. J. Group of Hospitals
University of Mumbai, India
ASK ON MOBILE
THE DAY I STOP LOVIN U IS THE DAY MY HEART WILL STOP 4EVER
HEARTS R LIKE GLASS, B CAREFUL THEY CAN BREAK
Healing Power of Love and Expressing Love is used as an alternative to by pass surgery in people with blocked coronary arteries. It does prevent heart problems.
Dr. Dean Ornish has scientifically proved LOVE HEALS HEART ATTACKS.
You would think it is COMMON SENSE THAT LOVE HEALS HEART ACHES.
Learn to Love and to Communicate Love & Intimacy
DR. DEAN ORNISH'S PROGRAM CONSISTS OF
Nutrition | Exercise | Stress | Love
STRESS REDUCTION
Stress Reduction Through Meditation
YOGA for reducing Sress!
Meditation Can Lower Cholesterol
De-stress Without the Cigarette
LOVE AND INTIMACY
No wonder Jesus and Saints can heal people. Do we have the right attitude to LOVE. Remember,
Dr. Ashok Koparday
MBBS, FC SEPI
Medical Director
Samadhan India
Center for Therapy, Education, Research in
Sex, Marriage, Relationships
Ex. Teaching Faculty
Seth G. S. Medical College and K. E. M. Hospital and
Grant Medical College and Sir J. J. Group of Hospitals
University of Mumbai, India
ASK ON MOBILE
ASK SEX DOCTOR IN "POST A COMMENT BOX" BELOW
removing-uterus-newer-methods
1. MINIMAL INVASIVE SURGERY
or LAPROSCOPIC REMOVAL OF FIBROID OF UTERUS AND 2. HYDROTHERMAL ABLATION
Every Gynecologist carries a laproscope, this being the popularly chosen method today.
Source
Study published by
S N Mukherjee©
ALTERNATIVE SURGICAL METHODS
Abdominal or open myomectomy is a standard and accepted form of treatment of symptomatic fibroids in women who wish to retain their uterus and reproductive function. With technical advances in minimal access surgery, myomectomy can now be performed laparoscopically for intramural and subserous fibroids. Although laparoscopic myomectomy is technically difficult and takes more operating time, it offers significant benefits of less postoperative pain and shorter recovery time in comparison to open myomectomy. Recurrence of fibroids after laparoscopic myomectomy remains a concern. Hysteroscopic resection of submucous fibroid is indicated in symptomatic women presenting with heavy bleeding or reproductive failure. It is a day care procedure with very little risk.
The procedure can be used as a minimally invasive alternative treatment to myomectomy in women who do not wish to have children and have large symptomatic fibroids. The procedure involves laparoscopic use of neodymium: yttrium-alluminium-garnet (ND : YAG) laser to coagulate the myoma. Alternative energy sources have subsequently been used, such as diathermy, and a cryoprobe has been used to carry out myolysis.
It is rather a popular alternative treatment to myomectomy/hysterectomy. It has been observed to be safe and effective, has fewer major complications and a shorter hospital stay. The technique involves percutaneous insertion of an angiography catheter via a femoral artery into the ipsilateral or contralateral uterine artery, by an interventional radiologist assisting the gynaecologist. Polyvinyl alcohol particles 300-500 mm in size are injected into the vessel until blood flow ceases. Embolisation may affect myometrial integrity leading to uterine rupture during pregnancy.
It is a promising alternative minimally invasive therapy for fibroids. Under local anaesthesia, four magnetic resonance-compatible 18-gauge needles are placed within the target fibroid under MRI guidance. Laser fibres are threaded into the outer needle sheath until the laser tips are within the fibroid substance. An infrared di-iode laser is used for thermal ablation of the fibroid. A 41% reduction in mean fibroid volume was observed at 12-month follow-up. The quality of life and satisfaction scores were similar to those seen in women after hysterectomy.
The principle is the same as for magnetic resonance guided laser ablation, but the laser fibres are placed in the fibroids under laparoscopic guidance. It can be performed by any gynaecologist-laparoscopist without the need for expensive equipment to monitor thermal changes.
This non-invasive approach of treatment of symptomatic fibroids has generated great interest. Under MRI guidance, an ultrasound beam of approximately 1.0-1.5 mHz delivered the energy directly to the targeted tissue for fibroid ablation. HIFU has an excellent safety profile. In contrast to more diffuse necrosis caused by UAE, the targeting ability of HIFU produces few adverse effects.
Hydrothermal Ablation
Hydrothermal ablation methods, based on their safety and efficacy, are being used as an alternative to hysterectomy in selected women presenting with heavy periods, provided future fertility is no longer an issue.
These are endometrial resection, rollerball coagulation and endometrial ablation. These approaches afford shorter hospital stay, faster recovery and financial savings. Transcervical resection of endometrium (TCRE) using electrical or laser energy and a rectoscope is a simple procedure under local, epidural or general anaesthesia. The rollerball ablation is tried with a roller of 2 mm diameter sphere on the rectoscope wire which can roll freely on its axis and a unipolar coagulating current is applied to the endometrium21. Laser vaporisation with Nd: YAG laser is used to systematically destroy the superficial layers of endometrium. In expert hands, the results are impressive with a success rate of 93%, 74% become amenorrhoeic and 14% reported satisfactory results.
These techniques aim to induce permanent thermal damage to basal endometrium by applying heat/cold from a variety of sources eg, heated fluid, microwave, radiofrequency, cryocautery or laser energy. Hydrothermal ablation devices, introduced in 1994, have undergone several modifications. These devices are less operator-dependent and easier to use than first generation techniques.
Source
Study published by
S N Mukherjee©
DGO, MD, FACS, FAMS, FICOG, FICMCH, Senior Consultant Obstetrician and Gynaecologist, New Delhi 110092 and Ex-Professor and Head of the Department of Obstetrics and Gynaecology, JIPMER, Pondicherry 605006, Indira Gandhi Medical College, Simla 171001, UCMS and Safdarjung Hospiral, New Delhi 110095, Maulana Azad Medical College and LNJPN Hospital, New Delhi 110002
[J Indian Med Assoc 2008; 106: 232-6]©
http://www.blogger.com/post-create.g?blogID=1134362955981090624
Dr. Ashok Koparday
MBBS, FC SEPI
Medical Director
Samadhan India
Center for Therapy, Education, Research in
Sex, Marriage, Relationships
Ex. Teaching Faculty
Seth G. S. Medical College and K. E. M. Hospital and
Grant Medical College and Sir J. J. Group of Hospitals
University of Mumbai, India
ASK ON MOBILE
ASK SEX DOCTOR IN "POST A COMMENT BOX" BELOW
removing-uterus-medical-method
ALTERNATIVES TO HYSTERECTOMY.
source:
PROF. S N Mukherjee
Uterine fibroids and DUB affects millions of women for which total abdominal hysterectomy (TAH) is performed by gynaecologists. It is a fact that all surgery carries risks. Before deciding in favour of hysterectomy, both the surgeons and patients should consider the treatment options or alternatives for the ailment that
In recent years, there has been a trend towards medical treatment of symptomatic fibroids largely because of changing attitudes of women towards child-bearing and uterine conservation. In this era of evidence-based medicine, a thorough assessment of available research data is necessary to determine the place of new therapies in clinical practice.
1. Non Aggressive Management –
Wait and watch policy without doing any harm is a good norm in the management of some fibroids. Asymptomatic women or whose symptoms do not influence their general health or lifestyle may be kept under surveillance. Regular/periodic clinical follow-up and ultrasound scans need be done to detect any deterioration of symptoms or increase in fibroid size or volume so that proper timely care can be provided.
2. Antifibrinolytics —
Epsilon aminocaproic acid (EACA) and tranexamic acid as well as ethamsylate decrease blood loss by 50% in menorrhagic women. Although ethamsylate reduces capillary fragility, the exact mode of action is not clear. Caution is advised by Shaw10 before prescribing these drugs to women with history of, or risk factors from, thrombic disorders.
3. Non-steriodal anti-inflammatory drugs (NSAIDs) —
Administration of prostaglandin synthatase inhibitors ie, NSAIDs can reduce bleeding in menorrhagic women11. NSAIDs decrease menstrual blood loss by an average of 30% when given to women complaining of heavy periods. These are most effective in reducing blood loss in ovulatory patients, specially when used with oral contraceptives, or they can be used alone in women with DUB who wish to conceive.
4. Progestogens, oestrogen-progestogen combination and combined oral contraceptive pills —
Hormones play a major role in the treatment of DUB in reproductive age. Norethisterone is preferred for cyclical therapy in younger women for its better effect. It serves to reduce blood loss and act as a contraceptive as well.
5. Danazol —
A synthetic derivative of ethisterone is more effective than norethisterone in controlling menorrhagia. There is a substantial reduction in menstrual blood loss and it provides time for consideration to patients awaiting hysterectomy. But, danazol has significant side-effects, expensive and its effect is temporary.
6. Laevonorgestrel releasing intra-uterine system / device —
It is used as a contraceptive and in conservative treatment of menorrhagia with considerable success. It can also be used in carefully selected women with menorrhagia caused by fibroids. It should only be offered to women whose uterus does not exceed 12 weeks in size without any distortion of the cavity. The results appear to be promising showing a reduction in blood loss as well as fibroid shrinkage12.
7. GnRH analogues —
These are commonly used to control fibroid-related menorrhagia. Used pre-operatively, they reduce fibroid volume and control excessive bleeding. Their use is normally limited to a maximum of six months because long term use is associated with menopausal adverse effects and bone density loss. GnRH agonists are valuable for short term use in DUB, particularly if the patient is infertile and keen to conceive. A combination of depot GnRH agonist and cyclical hormone therapy is a successful and acceptable treatment of DUB13.
Source
STUDY AUTHOR
S N Mukherjee
DGO, MD, FACS, FAMS, FICOG, FICMCH, Senior Consultant Obstetrician and Gynaecologist, New Delhi 110092 and Ex-Professor and Head of the Department of Obstetrics and Gynaecology, JIPMER, Pondicherry 605006, Indira Gandhi Medical College, Simla 171001, UCMS and Safdarjung Hospiral, New Delhi 110095, Maulana Azad Medical College and LNJPN Hospital, New Delhi 110002
See
http://jimaonline.org.in/Apr%202008/April2008_5.htm
Dr. Ashok Koparday
MBBS, FC SEPI
Medical Director
Samadhan India
Center for Therapy, Education, Research in
Sex, Marriage, Relationships
Ex. Teaching Faculty
Seth G. S. Medical College and K. E. M. Hospital and
Grant Medical College and Sir J. J. Group of Hospitals
University of Mumbai, India
ASK ON MOBILE
source:
PROF. S N Mukherjee
Uterine fibroids and DUB affects millions of women for which total abdominal hysterectomy (TAH) is performed by gynaecologists. It is a fact that all surgery carries risks. Before deciding in favour of hysterectomy, both the surgeons and patients should consider the treatment options or alternatives for the ailment that
In recent years, there has been a trend towards medical treatment of symptomatic fibroids largely because of changing attitudes of women towards child-bearing and uterine conservation. In this era of evidence-based medicine, a thorough assessment of available research data is necessary to determine the place of new therapies in clinical practice.
MEDICAL TREATMENT
Wait and watch policy without doing any harm is a good norm in the management of some fibroids. Asymptomatic women or whose symptoms do not influence their general health or lifestyle may be kept under surveillance. Regular/periodic clinical follow-up and ultrasound scans need be done to detect any deterioration of symptoms or increase in fibroid size or volume so that proper timely care can be provided.
Epsilon aminocaproic acid (EACA) and tranexamic acid as well as ethamsylate decrease blood loss by 50% in menorrhagic women. Although ethamsylate reduces capillary fragility, the exact mode of action is not clear. Caution is advised by Shaw10 before prescribing these drugs to women with history of, or risk factors from, thrombic disorders.
Administration of prostaglandin synthatase inhibitors ie, NSAIDs can reduce bleeding in menorrhagic women11. NSAIDs decrease menstrual blood loss by an average of 30% when given to women complaining of heavy periods. These are most effective in reducing blood loss in ovulatory patients, specially when used with oral contraceptives, or they can be used alone in women with DUB who wish to conceive.
Hormones play a major role in the treatment of DUB in reproductive age. Norethisterone is preferred for cyclical therapy in younger women for its better effect. It serves to reduce blood loss and act as a contraceptive as well.
A synthetic derivative of ethisterone is more effective than norethisterone in controlling menorrhagia. There is a substantial reduction in menstrual blood loss and it provides time for consideration to patients awaiting hysterectomy. But, danazol has significant side-effects, expensive and its effect is temporary.
It is used as a contraceptive and in conservative treatment of menorrhagia with considerable success. It can also be used in carefully selected women with menorrhagia caused by fibroids. It should only be offered to women whose uterus does not exceed 12 weeks in size without any distortion of the cavity. The results appear to be promising showing a reduction in blood loss as well as fibroid shrinkage12.
These are commonly used to control fibroid-related menorrhagia. Used pre-operatively, they reduce fibroid volume and control excessive bleeding. Their use is normally limited to a maximum of six months because long term use is associated with menopausal adverse effects and bone density loss. GnRH agonists are valuable for short term use in DUB, particularly if the patient is infertile and keen to conceive. A combination of depot GnRH agonist and cyclical hormone therapy is a successful and acceptable treatment of DUB13.
Source
STUDY AUTHOR
S N Mukherjee
DGO, MD, FACS, FAMS, FICOG, FICMCH, Senior Consultant Obstetrician and Gynaecologist, New Delhi 110092 and Ex-Professor and Head of the Department of Obstetrics and Gynaecology, JIPMER, Pondicherry 605006, Indira Gandhi Medical College, Simla 171001, UCMS and Safdarjung Hospiral, New Delhi 110095, Maulana Azad Medical College and LNJPN Hospital, New Delhi 110002
See
http://jimaonline.org.in/Apr%202008/April2008_5.htm
Dr. Ashok Koparday
MBBS, FC SEPI
Medical Director
Samadhan India
Center for Therapy, Education, Research in
Sex, Marriage, Relationships
Ex. Teaching Faculty
Seth G. S. Medical College and K. E. M. Hospital and
Grant Medical College and Sir J. J. Group of Hospitals
University of Mumbai, India
ASK ON MOBILE
ASK SEX DOCTOR IN "POST A COMMENT BOX" BELOW
removing-uterus-risks
Onehysterectomy every minute (costing over $5 billion): In United States, approximately 6,00,000 hysterectomies are performed each year [1] .
Hysterectomy is second only to caesarean section operation among women of reproductive age.
25-30% of American women have undergone hysterectomy by the age of 60 years.
In United Kingdom, women have a one in five chances of having a hysterectomy by the age of 55 years. [2]
source:
PROF. S N Mukherjee
Fifty-five per cent of hysterectomies were performed in women between the ages of 35 and 49 years old. The average age at hysterectomy is 44.5 years. [3]
Most hysterectomies are performed for non-cancerous conditions. In many of these, no disease in present and the term DUB is used to describe these cases. The indications of hysterectomy for benign gynaecological causes are numerous – common are uterine fibroids, DUB, uterine prolapse, endometrosis and pelvic pain. McPherson et al6 noted that the most common indication for surgery was DUB (46%), followed by fibroids (19%) and prolapse (19%), while other indications were endometriosis and adenomyosis (5%) and pelvic mass (3%).
Leiomyomas, DUB and chronic pelvic pain were responsible for 60% hysterectomies in reproductive aged women4. One report7 estimates that nearly 16% of Indian women between the ages 20 and 50 years have fibroids and they are mostly treated with hysterectomy.
WHAT ARE THE TYPES OF HYSTERECTOMIES?
Three main types of hysterectomy are now performed
IS HYSTERECTOMY ALWAYS SAFE AND NECESSARY?
Hysterectomy is associated with a long-term risk of death? Hysterectomy rarely leads to death during or just after surgery. The incidence of severe morbidity complicating hysterectomy is stated to be low.
Long-term outcomes of hysterectomy are important to patients
In UK,
Hysterectomy is a well established and relatively safe operation with an overall visceral damage rate being 0.5-2% and an overall mortality rate of 0.5 to 2 per 1000. Hysterectomy rarely leads to peri-operative death.
In a national large hysterectomy study in UK, Maresh et al9 observed that operative complication rate was 3.5% and postoperative complication rate was 9%. There was no operative death, but 14 deaths were reported within six-week postoperative period – a crude mortality rate soon after surgery of 0.38 per thousand.
Hysterectomy for
[1] Lepine LA, Hillis SD, Marchbanks PA, Koonin LM, Morrow B, Kieke BA, et al — Hysterectomy serveillance-United States: 1980-1995. MMWR CDC Surveill Summ 1997; 46: 1-15.
[2] Vessey MP, Villard-Mackintosh L, McPherson K, Coulter A, Yeates D — The epidemiolog of hysterectomy : findings in a large cohort study. Br J Obstet Gynaecol 1992; 99: 402-7.
[3] Jain A, Santoro N — Endocrine mechanisms and management for abnormal bleeding due to perimenopausal changes. Clin Obstet Gynecol 2005; 48: 295-311.
Source
STUDY AUTHOR
S N Mukherjee
DGO, MD, FACS, FAMS, FICOG, FICMCH, Senior Consultant Obstetrician and Gynaecologist, New Delhi 110092 and Ex-Professor and Head of the Department of Obstetrics and Gynaecology, JIPMER, Pondicherry 605006, Indira Gandhi Medical College, Simla 171001, UCMS and Safdarjung Hospiral, New Delhi 110095, Maulana Azad Medical College and LNJPN Hospital, New Delhi 110002
See
http://jimaonline.org.in/Apr%202008/April2008_5.htm
Dr. Ashok Koparday
MBBS, FC SEPI
Medical Director
Samadhan India
Center for Therapy, Education, Research in
Sex, Marriage, Relationships
Ex. Teaching Faculty
Seth G. S. Medical College and K. E. M. Hospital and
Grant Medical College and Sir J. J. Group of Hospitals
University of Mumbai, India
ASK ON MOBILE
Hysterectomy is second only to caesarean section operation among women of reproductive age.
25-30% of American women have undergone hysterectomy by the age of 60 years.
In United Kingdom, women have a one in five chances of having a hysterectomy by the age of 55 years. [2]
source:
PROF. S N Mukherjee
Fifty-five per cent of hysterectomies were performed in women between the ages of 35 and 49 years old. The average age at hysterectomy is 44.5 years. [3]
WHY ARE HYSTERECTOMIES DONE?
- Uterine fibroids and
- Dysfunctional Uterine Bleeding (DUB) are the two most common benign conditions for which total abdominal hysterectomy is performed by gynecologists.
Most hysterectomies are performed for non-cancerous conditions. In many of these, no disease in present and the term DUB is used to describe these cases. The indications of hysterectomy for benign gynaecological causes are numerous – common are uterine fibroids, DUB, uterine prolapse, endometrosis and pelvic pain. McPherson et al6 noted that the most common indication for surgery was DUB (46%), followed by fibroids (19%) and prolapse (19%), while other indications were endometriosis and adenomyosis (5%) and pelvic mass (3%).
Leiomyomas, DUB and chronic pelvic pain were responsible for 60% hysterectomies in reproductive aged women4. One report7 estimates that nearly 16% of Indian women between the ages 20 and 50 years have fibroids and they are mostly treated with hysterectomy.
WHAT ARE THE TYPES OF HYSTERECTOMIES?
Three main types of hysterectomy are now performed
- abdominal,
- vaginal and
- laparoscopic.
IS HYSTERECTOMY ALWAYS SAFE AND NECESSARY?
Hysterectomy is associated with a long-term risk of death? Hysterectomy rarely leads to death during or just after surgery. The incidence of severe morbidity complicating hysterectomy is stated to be low.
Long-term outcomes of hysterectomy are important to patients
- quality of life,
- sexual function,
- pelvic pain,
- bowel and
- urinary function and
- vaginal prolapse.
In UK,
- 67% hysterectomies are performed by abdominal route,
- 30% by vaginal route and
- 3% laproscopically.
Hysterectomy is a well established and relatively safe operation with an overall visceral damage rate being 0.5-2% and an overall mortality rate of 0.5 to 2 per 1000. Hysterectomy rarely leads to peri-operative death.
In a national large hysterectomy study in UK, Maresh et al9 observed that operative complication rate was 3.5% and postoperative complication rate was 9%. There was no operative death, but 14 deaths were reported within six-week postoperative period – a crude mortality rate soon after surgery of 0.38 per thousand.
Hysterectomy for
- fibroids had highest risk of complications, operative 4.4% and postoperative 1.2%,
- DUB carried risk of 3.6% and 1%,
- prolapse of 2.7% and 1.1%,
- endometrosis / adenomyosis of 3.1% and 0.8%, and
- pelvic mass of 3.7% and 0.8%.
[1] Lepine LA, Hillis SD, Marchbanks PA, Koonin LM, Morrow B, Kieke BA, et al — Hysterectomy serveillance-United States: 1980-1995. MMWR CDC Surveill Summ 1997; 46: 1-15.
[2] Vessey MP, Villard-Mackintosh L, McPherson K, Coulter A, Yeates D — The epidemiolog of hysterectomy : findings in a large cohort study. Br J Obstet Gynaecol 1992; 99: 402-7.
[3] Jain A, Santoro N — Endocrine mechanisms and management for abnormal bleeding due to perimenopausal changes. Clin Obstet Gynecol 2005; 48: 295-311.
Source
STUDY AUTHOR
S N Mukherjee
DGO, MD, FACS, FAMS, FICOG, FICMCH, Senior Consultant Obstetrician and Gynaecologist, New Delhi 110092 and Ex-Professor and Head of the Department of Obstetrics and Gynaecology, JIPMER, Pondicherry 605006, Indira Gandhi Medical College, Simla 171001, UCMS and Safdarjung Hospiral, New Delhi 110095, Maulana Azad Medical College and LNJPN Hospital, New Delhi 110002
See
http://jimaonline.org.in/Apr%202008/April2008_5.htm
Dr. Ashok Koparday
MBBS, FC SEPI
Medical Director
Samadhan India
Center for Therapy, Education, Research in
Sex, Marriage, Relationships
Ex. Teaching Faculty
Seth G. S. Medical College and K. E. M. Hospital and
Grant Medical College and Sir J. J. Group of Hospitals
University of Mumbai, India
ASK ON MOBILE
ASK SEX DOCTOR IN "POST A COMMENT BOX" BELOW
is-it-love-or-lust
How to find if it is TRUE LOVE or just LUST
THE TIMES OF INDIA
Is it love or lust?
21 Jul 2008, 0047 hrs
IST, MUMBAI MIRROR
Here are some signs to help you find out which of the two you are experiencing.
Love and lust are inextricably intertwined. Lust is ground zero for hormones — it's nature's way of bringing the opposite sexes together. In fact, without lust, it's doubtful that love between a man and a woman would have a chance to prosper at all; which is also the reason why sexless marriages fail.
However, love is the most ennobling of human emotions — transcendental, exalted and capable of engendering emotional states.
But how can you tell the difference between lust and love? Read on to find out.
It's lust if:
• You're totally focussed on looks and body
Even before you know your crush's name, you're already fantasising about them and drooling over their looks.
• You don't care about anything they have to say
It wouldn't make a difference to you if you never had a conversation with your crush. Furthermore, you don't bother to return calls promptly and you can easily go for days without talking to this person.
You don't mind checking out other hotties, or looking at other people, like friends, to satisfy your emotional needs.
• You spend most of your together time in 'action'
You make excuses not to spend time, unless it's in the confines of a room. And if they ask you for a favour, you say you're too busy. But if you have to be together and not have sex, you find them boring and look forward to doing something else like going shopping by yourself.
• You leave after sex
After having sex, you look for the easiest way to leave. No cuddling, no breakfast the next morning, just "I gotta go".
It's love if:
• You have great chemistry
You get lost in your conversations and the hours pass like minutes. You're more than willing to listen to each other and sex rocks too. The chemistry between you is remarkable.
• You like the way they look
Even if you catch them on a bad hair day and in the worst of their clothes, they still look gorgeous to you.
• You want to spend some time together
All you want to do is to be with them, while you're having sex and even when you're not.
• You see a future together
You experience the strange feeling that your life would be totally empty without that person. You tell your friends and family that he/ she may be 'the one', and you're even thinking about marriage.
• You introduce them to your friends and family
It becomes very important to you that your parents like him/ her, and that he/ she gets along with everyone close to you.
• You include them in all your plans
Whether you're going out with your friends or taking your dog for a walk, you want them there with you.
And if they're not there, you can't get them off your mind and sneak off to give them a quick "I miss you" phone call.
• You are more romantic
All of a sudden you find yourself listening to cheesy romantic songs and thinking of him/ her. You send them flowers and set up romantic evenings candlelit dinners.
source:
THE TIMES OF INDIA 21 Jul 2008, 0047 hrs
IST, MUMBAI MIRROR
Dr. Ashok Koparday
MBBS, FC SEPI
Medical Director
Samadhan India
Center for Therapy, Education, Research in
Sex, Marriage, Relationships
Ex. Teaching Faculty
Seth G. S. Medical College and K. E. M. Hospital and
Grant Medical College and Sir J. J. Group of Hospitals
University of Mumbai, India
ASK ON MOBILE
ASK SEX DOCTOR IN "POST A COMMENT BOX" BELOW
sexology-conference-india
24 th National Conference of Sexology
The Theme of The National Conference of Sexology to be held in Rajasthan this year, September 19 to 21, 2008
Sexual Well Being for Enrichment of Life
In this Conference the following Topics will be covered:
1. Adolescent and Geriatric Sexual Health
2. Adolescent Sex Education
3. Principals of Sex Therapy
4. Child Abuse
5. STD & HIV/AIDS
6. Premarital and Marital Counseling
7. Medical Management of Sexual Problems
8. Andropause and Menopause Management
9. Life Style Disorders
10. Male and Female Infertility
11. Misconceptions about Sex
12. Recent Advances in Erectile Dysfunction Management
13. Management of Erectile Dysfunctions in various Cardiovascular Disorders
14. Sexual Problems with Chronic Illnesses
15. Integration of Sexual Medicine in Modern Era
my sex doctor: national-conference-of-sexology
Abstracts may be sent to the Organizing Secretary
Dr. Ajay Gupta
Sexual Health Care & Research Center
E-28, Shastri Nagar, Jaipur - PIN 302016, Rajasthan, INDIA
Annual Conference of Sex Education & Parenthood
International
and
The 4th National Conference of Indian Andropause Society
From 19th to 21st September, 2008
Rajasthan, India
International
and
The 4th National Conference of Indian Andropause Society
From 19th to 21st September, 2008
Rajasthan, India
The Theme of The National Conference of Sexology to be held in Rajasthan this year, September 19 to 21, 2008
Sexual Well Being for Enrichment of Life
In this Conference the following Topics will be covered:
1. Adolescent and Geriatric Sexual Health
2. Adolescent Sex Education
3. Principals of Sex Therapy
4. Child Abuse
5. STD & HIV/AIDS
6. Premarital and Marital Counseling
7. Medical Management of Sexual Problems
8. Andropause and Menopause Management
9. Life Style Disorders
10. Male and Female Infertility
11. Misconceptions about Sex
12. Recent Advances in Erectile Dysfunction Management
13. Management of Erectile Dysfunctions in various Cardiovascular Disorders
14. Sexual Problems with Chronic Illnesses
15. Integration of Sexual Medicine in Modern Era
my sex doctor: national-conference-of-sexology
Abstracts may be sent to the Organizing Secretary
Dr. Ajay Gupta
Sexual Health Care & Research Center
E-28, Shastri Nagar, Jaipur - PIN 302016, Rajasthan, INDIA
child-sex-rave-party
U hve boyfriEND?
Girls BEWARE of sex traps
smart girls know when they themselves are in danger
stupid girls do not know true friend/true love.
Stupid girls need to read this report that is published in
THE TIMES OF INDIA
For school and college girls: What is a rave party?
Girls spend hours choosing a good dress. They ask their parents, brothers, sisters, friends how the dress looks. "Tell me really, does this dress suit me?" However, they do not check out if the boy friend really suits them. He could be life partner or life ruin-er as the stories below show.
VADODARA/AHMEDABAD:
The lure of a rave party was irresistible for Neelam Shah (name changed), a schoolgirl from Vadodara. It was a 'cool' thing to do, she was told by her friends. But once there, she got high on drugs and liquor and ended up having sex with a friend. When the high wore off, she went into a depression.
Psychiatrists have sounded an alarm over increasing number of minor girls landing up at rave parties and indulging in sex and drugs even before they step out of school.
Psychiatrist Yogesh Patel, who runs a de-addiction centre in Vadodara, says: "In the past fortnight, I have come across three cases from Vadodara and one from Ahmedabad of minor girls suddenly being exposed to drugs and sexual abuse at rave parties."
The girls have told him the parties are organised by adults from neo-rich families. They were lured by promises of careers in modelling and Bollywood by men claiming to have contacts in the glamour industry. Patel has also alerted Vadodara police commissioner Rakesh Asthana about the new trend. "It is a sensitive matter. We are looking for more details," Asthana told TOI.Smart girls can find out which boy friends can be dangerous to their body and mind. Do you want to be a smart girl. Read True Stories!
In the last case, the girl's music teacher took her to a private party near Umeta Bridge where she was exposed to certain chemicals.
TOI spoke to a 25-year-old girl in Vadodara who comes to Ahmedabad to attend raves. On condition of anonymity, she said: "Schoolgirls turn up at raves out of curiosity and often get hooked on. For any first-timer, the free-flowing drugs and liquor can be a shocker. Many of them end up in bed after a high."
"I had treated a schoolgirl who attended a rave party without informing her parents. After ending up in bed with a friend, she was guilty and depressed and then came to me," says psychiatrist Dr Sandeep Shah.
"I've treated six schoolchildren, four of them girls, hooked to deadly drugs after going to a rave party. The girls took 'Ecstasy' tablets, after which they started physical relations with boys," says Ahmedabad-based doctor Vishwamohan Thakur, who runs a private de-addiction centre.
Inputs by Ankur Jain
Raves sex-traps for schoolgirls-Ahmedabad-Cities-The Times of India
sex-facts
SEX FACTS
* Average energy in a tablespoon of semen: 2-7 kcalories, 8-29 kilojoules
* Average number of sperm cells in the ejaculate of a healthy man: 40 million to 600 million (avg. 250 million)
* Distance sperm travels to fertilize an egg: 7.5-10 centimeters or 3-4 inches
* Sperm lifespan: 2.5 months from development to ejaculation
* Sperm lifespan after ejaculation: 30 seconds to 6 days depending on conditions
* Sperm is the smallest cell in of the human body. Which is the largest cell?
* Ovum is the largest cell of the human body.
* The size of the ovum is just about the same as a small dot on paper.
More to come
On Fast Track
with
Dr. Ashok Koparday
MBBS, FC SEPI
Medical Director
Samadhan India
Center for Therapy, Education, Research in
Sex, Marriage, Relationships
Ex. Teaching Faculty
Seth G. S. Medical College and K. E. M. Hospital and
Grant Medical College and Sir J. J. Group of Hospitals
University of Mumbai, India
ASK ON MOBILE
* Average energy in a tablespoon of semen: 2-7 kcalories, 8-29 kilojoules
* Average number of sperm cells in the ejaculate of a healthy man: 40 million to 600 million (avg. 250 million)
* Distance sperm travels to fertilize an egg: 7.5-10 centimeters or 3-4 inches
* Sperm lifespan: 2.5 months from development to ejaculation
* Sperm lifespan after ejaculation: 30 seconds to 6 days depending on conditions
* Sperm is the smallest cell in of the human body. Which is the largest cell?
* Ovum is the largest cell of the human body.
* The size of the ovum is just about the same as a small dot on paper.
More to come
On Fast Track
with
Dr. Ashok Koparday
MBBS, FC SEPI
Medical Director
Samadhan India
Center for Therapy, Education, Research in
Sex, Marriage, Relationships
Ex. Teaching Faculty
Seth G. S. Medical College and K. E. M. Hospital and
Grant Medical College and Sir J. J. Group of Hospitals
University of Mumbai, India
ASK ON MOBILE
ASK SEX DOCTOR IN "POST A COMMENT BOX" BELOW
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