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Category : All ; Cycle : October 2010
Medical Articles
Oct02
SEX DURING MENSTRUATION-HOW SAFE IS IT ?
In INDIAN MYTHOLOGY whether MUSLIM or HINDU religion Menstruation has been casted as bad period in Woman's life,it has been defined as Woman is not fresh or pure to conduct religious ceremony or any good ceremonius activity,even not allowed to cook food,allowed to sleep separtely from her spouse if married ,being served food and water ssepartely and live in complete rest.If we analyse it in moders perspective it is a simple physiological phenomena .An Ovum is liberated by ovulation(by discharge and action of Follicle stimulating hormone FSH) on 10-14 day of 28-30 days Menstrual cycle ,which once not being fertilised by sperm (after intercourse with husband or otherwise )usually dies being embedded in a rich fertile bed prepared first by rupture of Ovum by Luternising Hormone and then under influence of Progesterone .as the dead tissue along with bed is discarded with endometrium of Uterus having small blood vessels,so blood as dark as venous blood with tissue of endometrium comes out and gets itself corrected physiologically in body by hormones.This blood and tissue is as good tissue as are of our heart,lung,brain or kidney or skin or muscles and bone,so purity cannot be argued and the process is as physiological as we feel eat ,respire,sweat, move, look,hear,urinate and pass stool .Urine and stool may be discarded as waste product but inside Body these are as important as Blood.So from where and why such stigma and blot added to Mensturation cycle it is unamazinable to modern science,might in older time women were not given that respect and honour in Men dominated society or they had to work very hard all the time in home our forefathers added such restrictions for giving rest to women during Menstruation period and we carried it badly in our society adding many unscientific litreature to it ,that is why SEX HAS BEEN PROHIBITED DURING MENSTRUATION PERIOD by religios fantics.During Mens woman loose blood so she feels weakness under influence of Hormones as women is also nervous,shaky feeling pain and congestion with mood and behaviour changes before Menstuation called in severe form as Pre Menstruation Syndrome and similiarly after Mens Post menstual Stress is also very important disease for some women who ned hormone therapy for relif,same way post menopausal tension or syndrome is a very serios entity needing calcium,SRMS and hormones for relief.This Menstrual bleeding occurs almost continuosly in very less amount so to keep herself tidy and fresh during all normal activities use of tampoons,sanitary pad, clothe or cotton is mandatory.But otherwise she is as pure and as fresh as before and after Menstruation.
now a days everybody is very much cautioned for contraception,delayed marriage due to extensive study and career building has raised marriage age from 15-18 yrs to 25-30 yrs,society is more exposed to sexual activities and shows through print or electronic media through variuos promotional commercial advertisements where female exhibitionism and exposure has been made an eyecatcher.Modern cameras in mobile.digital and video camera ,modern technolodgy of sending sms,mms,internet conferencing ,video calls and video loading on 2G and 3G spectrum,cable and TV and cinemas and documentaries has further utilised SEX as sellable idea exploiting Human attraction and passion toward it leading to early sexual exposures and meeting in youngsters and adult breaking norm of society having sex after marriage and with in personal husband wife relationship.That is why dangerous post coital pills having high doses of Oestrogen and progesterone( like unwanted72,Ipill 72 ) and prostaglandins with mifeprostine are sold to abort after just missing period are sold by TV and Print media advertisement in our country contrary to its safety advise to be used strictly after advise of doctors.That is why on point of contracption THIS ARTICLE SOUND MORE EFFECTIVE METHOD OF ENLIGHTENING BENEFIT OF SEX DURING MENSTUATION PERIOD.AS DEAD OUM IS EXPELLED SO CHANCE OF GETTING PREGNANCY BY SEXDURING MENS IS ALMOST NIL EXCEPT RARELY BECUSE ISOME TIME DURING LAST DAY OF MENS SEX MAY KKEP SOME SPERM ALIVE FOR FEW DAYS LEADING TO FETILISATION IN NEXT CYCLE BY EARLY OVULATION.
The blood expelled from utreus through Vagina durinMenstruation is sterile so intercourse during this period doesnot cause infection provided proper protection for contamination is taken.During mens Blood may spread on floor or bed during sex putting spots over clothes need precautins of using some disposable cotton or clothe beneath External genitilia or back of female partner and man should use it for washing penis properly before final wash by water or sterile lotions.
To avoid sexual transmitted disease like syphlis, gonorrhoea, herpes,HIV,Ducrey's ulcer,granuloma venerum or inguinum which will occur only when either partner is affected by it ,association of these during Mens doesnot arise and in this condition or avoid contamination with blood one can use Condom for safe sex. Neither By strokes of Penis to cervix during Sex,more blood will be liberated out from Uterus so sex during Mens cause more bleeding also does not hold good.Because uterus expelled Blood under control of Hormones which are not affected by Sex.Similiary Uterus or cervix doesnot open so widely (open just invisible like pin hole aperture)as during delivery so penis cannot enter into Uterus by sex during mens.
As described earlier during mens Pelvic organs and Genitilia is more congested and flushed with blood so Sex by realising some endorphins and kallekarins prevent this and relieves pain which occurs some time in very serius manner to younger women starting Menstruation in their life first time.So some women enjoys sex during Mens.By orgasm and increase libido or desire for sex some hormones secreted leading to relief in pre and post menstuation syndromes.During Sex some endorphins are secreted which elevates mood,removes pain,stress, strain ,cramps,heavyness,lazyness,drpression and irritibality during Menstruation period.
but during menstruation Vaginal Ph is more acidic so chance of infection of woman with bacterial or candida infection is more common so if unprotracted sex (without Condom )is done men can be affected if female is affected.Similiarly if Female suffers from HIV or HepatitisB or Hepatitis C or Hepes or Syphlis or gonorrhoea is infected as direct Blood is coming over penis or passing into urethra chances of spreading these infections is more if Sex without Condom is done but even without condom during normal time these may also spread by Vaginal fluid so if woman is suspected to be suffering from these disease always Condom should be used.
therfore Sex is safe during Menstruation period only either Vaginal condom by Female or Male should mostly use condom during this time.female should always remove tampoons before sex during Mens as it may get infected and pushed inside Vagina hard to remove later by herself and soked blood will invite more infections.During oral sex dental dam should be used.After sex proper washing of genitilia of both partners and near by clothes stained is must a bllod will invite insects and microbes causing infections if not washed immediately and properly by water or strile solutions in hygenic way.
Dr.d.r.Nakipuria

09434143550
*** Author is a Hiv and sex specialist.


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Oct01
MIGRAINE- ITS CAUSE AND TREATMENT
Migraine is a serious type of Headache which occurs with so much robust type of headache mostly in one half of head with throbbing or pulsating type prececded by an aura or a smell or perception of some thing going to happen,blackspots in eye field,flickering movements of eye,face and hands or sensation of tingling type or numbness in head or any part of body preceded by nausea or vomiting feeling or vomiting and patient become very sensitive to light or sound needing a dark room and a noise less enviornment for soothing .This type of Headache is believed to be caused by extreme sensitivity of Blood Vessels and nerves to many chemicals and toxins yet to be discovered or many other physical agents like bad or unpleasant smell or flashing ,extreme cold or hot or un familiar enviornment any psychological insult like fear,apprehension,tension,anger,happiness or grief leading to contraction or dilatation of these blood vessels There is no cure or medications for migraine headache but the drugs can help reduce the frequency and severity of migraines.Migraine usually affects more female than male ,usually middleaged ladies are involved and subsides in intensity after menopause but seen too commonly in male too and involves children too.Migrain attack is severe one and usually last for 12-24 hrs but may last for 2-3 days and usually remission and recurrence are common ,mostly recurs in week or monthly wise but in some days it may occur at days interval.Usually it subsides normally without leaving any spot or complication like paressis or paralysis of any part or any defects in sensory or motor nerves of Body or any epileptic or any other type of slow or rapid movements or uncontrol of bowel and bladder or any type of para or sympathetic alterations.
There are many drugs specifically designed to treat migraine which are given below,some are drugs which abort or stops attack of Migraine once it has started like NSAIDs,Triptans,Ergot derivative,butabital,barbiturates,anxiolytic and sedative with opiates ,others are used to prevent its recurrance like B-Blockers,calcium channel blocker,Angiotensin receptor blockers,major tranquilisers and antivomiting medicines,anti epleptics,anti depressants,serotonin uptake or receptor inhibitors,anti histaminic like Cyprohepatidine,Botulinum and norepinephrine receptor or uptake inhibitors but still after their use recurrence is delayed but not completely inhibited.
Aborting drugs:-------These types of drugs are taken during migraine attacks and are designed to stop symptoms that have already begun. These are taken as soon as symptoms of a migraine occur. It may help if you take rest or sleep in a dark room after taking them.
Nonsteroidal anti-inflammatory drugs (NSAIDs):? Ibuprofen,Paracetamol or Aspirin or Diclofenac sodium or Acllofenac,Rafecoxib, Etorcoxic ,Naproxen,Indomethacin etc., may help relieve mild migraines.Combination of acetaminophen, aspirin and caffeine also may ease moderate migraines .Side effects: can lead to ulcers, gastrointestinal bleeding and rebound headaches.
Triptans: Both oral and injectable preparation even nasal spray is also available,Sumatriptan has been widely used rizatripan is showing promising result.
Used for severe migraine attacks.DRUGS ARE AS FOLLOWS:-Sumatriptan, rizatriptan ,Naratriptan, zolmitriptan, Almotriptan, frovatriptan and eletriptan .Side effects: nausea, dizziness and muscle weakness.They are not used in heart attack and stroke.
ERGOT DERIVATIVES:Used for pain lasting for more than 48 hours.DRUGS ARE'--- Ergotamine,Dihydroergotamine, Antivomiting or nauseating Medications if nausea or Vomiting present : Metoclopramide,prochlorperazine.
Butalbital:It is a sedative which is used in combination with other drugs for migraine attacks. Combination of butalbital with aspirin or acetaminophen Combination with caffine and codeine but rebound headache ,withdrwal symptoms.
OPIATES: Medicines containing narcotics, particularly codeine, are sometimes used to treat migraine pain when people can't take triptans or ergot.
Side effects: Habit-forming and patients are usually addicted.
Preventive medications:
These drugs are taken daily on a regular basis, to reduce the severity or frequency of migraines. Are used when two or more debilitating attacks a month occur and if pain-relieving medications aren't helping or symptoms include a prolonged aura or numbness and weakness.
Cardiovascular drugs:
Beta blockers: Commonly used to treat high blood pressure and coronary artery disease ? can reduce the frequency and severity of migraines.
Calcium channel blockers: Verapamil also may be helpful in preventing migraines and relieving symptoms from aura.
Antihypertensive medications: Lisinopril and candesartan are useful in reducing the length and severity of migraines..Side effects: Dizziness, drowsiness or lightheadedness.
Central Nervous System drugs:
Tricyclic antidepressants: Amitriptyline, nortriptyline and protriptyline .
Selective serotonin reuptake inhibitors (SSRIs) and serotonin and nor epinephrine reuptake inhibitors (SNRIs): Venlafaxine may be helpful in preventing migraine.
Anti-seizure drugs: Divalproex and Topiramate, and Gabapentin .Side effects: Nausea and vomiting, diarrhea, cramps, hair loss, and dizziness.
Major Tranqualisers : Trifluperazine,(Sibelium,no miraine)prochlorperazine(Stemetil).
Cyproheptadine: This antihistamine specifically affects serotonin activity. Doctors sometimes give it to children as a preventive measure.
Botulinum toxin type A: Botulinum toxin type A injections in mutiple sittings over head is sometimes used for treatment of chronic migraines,but relapses are common after 6-12 months of therapy.
Dr.D.R.Nakipuria
,09434143550


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Oct01
SEX-MYTHS LEADING TO WRONG MEDICATIONS AND TREATMENT
Sex is the need of our Physical,mental and spiritual and social health as important as hunger,thrist, sweating,breathing, heartbeating, movement,perception etc., are important for sustaining a life.Without Sex life cannot come to exist on this universe but its practise is mandatory to continue life in existence but still in our civil society sex not a topic of discussion in this part of the world. It is considered indecent to openly discuss issues related to sex. Society tries to avoid discussing certain facts about sex and sexuality, which gives rise to misconceptions about sex.To talk about Sex is considered as a starting point of promiscuity or perversion but it is not true rather sex education brings so much education in youngsters as they avoid getting perversion and bad effects of unprotected sex,or ill effects of sex in early teenager age and restrain themselves from indulging in abnormal seual behaviour,practice and paronography,more we cover something ,more is desire of human being to know about it.Therefore some common myths and their correct answer are mentioned below sothat we can know about them and get ourselves educated and donot suffer from mental agony leading to submission to ourselves to quack doctors,self made sexologist,hakims or false advertising medicines which are sold by advertisement in Newspaper,magazines, Tv and electronic media or by open announcement or commercial shops .

Sr. No Myths Facts
1. Men have stronger sexual urges than women. Sexual urge is equal in both the sexes.
2. For sexual satisfaction a couple should have orgasm simultaneously. It is not necessary for both partners to have simultaneous orgasm during sex.
3. A woman’s sex life ends with her menopause. Menopause marks the end of a woman’s reproductive life. Not her sex life.
4. Wet dreams are experienced only by men. Nocturnal orgasms or wet dreams can be experienced by women as well.
5. Wet dreams are sexual disorders. Nocturnal emissions (wet dreams) are not a sign of sexual disorder. They are a part of normal sexual process.
6. Frequent masturbation makes the penis shrink. The penis does not shrink when men indulge in masturbation.
7. Masturbation leads to nervous breakdown. Masturbation is a normal physiological activity. It is practiced by most of the individuals and does not lead to any abnormal behaviour or nervous breakdown.
8. If men masturbate the fixed quota of semen will be over. There is no fixed quota of semen. From puberty to death, semen will be produced only if the testicles are healthy.
9. One drop of semen is equivalent to 40 drops of blood. This is not true. Semen is produced by testes, seminal vesicles and prostate gland and not directly by blood.
10. Penis will grow big if you have special food and exercise. Whatever that is good for other body parts is also good for sex organs.
11. Sex education to youngsters may lead them to promiscuity. Educating the youngsters on sex and sexual behavior helps them to develop a healthy and positive attitude towards sexuality. Telling them about sex will not lead them to promiscuity. Even without sex education, people indulge in promiscuity.
12. Venereal disease occurs if you have done some misdeeds. No. venereal disease or infection is an infectious disease produced by infective organisms. These are sexually transmitted infections.
13. Venereal disease is cured if the man has sex with a virgin This is absolutely wrong. Infact the infected person will transmit the disease to the virgin.
14. Only homosexuals practice anal sex. No. Heterosexuals also practice anal sex.
15. Only perverts have oral sex. Oral sex is a normal act and can be practiced by both partners as long as they are interested and free from infections.
16. If a women cannot conceive she is not a female. Ability to conceive does not determine the feminity of a woman.
17. Women ejaculate during sexual intercourse. Women do not ejaculate during sexual intercourse.
18. Vasectomy makes a man impotent. Sterilization (vasectomy in male and tubectomy in female) does not diminish sexual desire. In fact, it removes the fear of pregnancy, which in turn may increase sexual desire.
19.Penis size is important for sexual satisfication for both men and women,long,thick,fatty penis is made by using some oil over it or taking medicines.
Vagina's first 2inch is only sensitive part so a 2inch size penis is enough to satisfy a female(A normal penis is 4-6 inches in size )For male size is not important for satisfication,erection and then time interval needed for ejaculation provide satisfication,both by good counselling and practising advise can be corrected,no medicine or oil for message increase size of Penis or increase time interval between erection andejaculation.Onlyin some patients of Erectile Disorder(ED)Viagra or Sildenafil or Tadalafil is important for erection only,in normal person it doesnot have any effect on early or sustained erection.In female it doesnot work,neither it inreases sustainability or delay in ejaculation,no medicines has ben formulated for these, psychocounselling and performance under guidance of expert bring miraculous chang.
20.Libido or desire for Sex is incresed by medicines.No such medicines has been invented,only by psychological counselling and performance under expert guidance with regular pratice brings forth good result with caring of enviornmental,familial ,religious and social factors being controlled and checked.
21.woman has got no sex during Menstrual period,women are bad during this time so donot touch or sex with them during this time.Menstruation is a physiological process where dYING OVUM IS EXPELLED BY UTERUS ,so sex is safe during this period as no chnce of getting pregnancy ,if practiced with protection it neither increase infection nor cause more bleeding in women ,women is as normal in mens as in other day.
22.Sex should not be practised after 50 or later age as it causes cancer or injuries to genitilia.Sex should be practised whenever Body demands it after menopause vagina may be dry soft lubricant jelly bring relief ,Sex burns some energy so it is also a n exercise secondly it binds or emotional relations more closely so needed to maintain famililial and social fabrics.
23.Copper-T or IUDS and Contraceptive Pills are bad as sexual performance is diminished .IUDS and contraceptive pills are safe contraceptive except for bleeding slight excessive during mens by iUDS in some woman and contraceptive pills doing rare damage in heart or jaundice patients they donot cause any harm in sexuality or sex performance in male or female.
24.To have sex with children is more pleasant ,no Children exteral genitilia(Vagina/Anus ) is not roomy or of good size(Small Penis) either to receive or offer sex so any practice with them by an adult result in tear of these parts leading to very sever bleeding and seroius pain resulting into death of child,so never dot it is a heinous crime.
25.Abnormal sex as sex by using candle,Vibrating toys or penis or plastic baloons or pumps or with animals is very soothing and enjoyable.No extra pleasure is received by these,normal sex in different postions and style are enough to provide satisfication even to regular and habitual users,for starter simple sex is enjoyable,never submit to these perversions.
26.Sex under intoxication of Alchohol or drugs / smoking is more satisfactory and rejoiable.Alcohol / intoxication badly affects our coordination and synerism so sexual performance is always of low grade and satisfication.
27.Pornography,videowatching increases sexual libido or desire,in normal life excitement is easily achieved by eye or body contact with partners or otherwise talk and enviornment,these thing may excite early but leads to early discharge resulting in unsatisfication as most time goes without foreplay and one partner is over and another may be under no excitement.
28.Torturing partner by excessive biting,deep penetration,binding partner with wire or chain or injuring by cigratte or by nedles or very abnormal positions give good satisfication and pleasure,no thease are simple perversions they donot have any place in normal sexual behaviour and satisfication,t hese are excesses leading to so many physicial and social hazards,never submit to them or practise them.
29.Young widows and prostitutes are more sexy and sex them provide more enjoy.Widows are part of our society and as good woman as other normal married or spinister woman,no body should be allowed to be remain widow in modern society or even they exist ,one should never think to sex with them against their desire,nothing special present in them.Prostitute whther in compulsion or with will is a crime ,never more sexual pleasure is received from them as mostly sex in in bad enviornment but habitual prostitute may provide some sex therapy if interested to do so as psychological counsellor in countries where prostitution is allowed legally.but it is still crime in our country .
30.Gays and lesbians get more pleasure and enjoyment ,in our society still it is not taken as good practise although these are not now considered as law breakers but one thing is sure Sex is accepted in our society to run progeny or continue human generation so on these points these have got no role ,pleasure is always in male to female or opposite sex if you get it otherwise it may be individual test but collectively no such pleasure present in such activities .
Dr.D.R.Nakipuria

09434143550
**writer is HIV/AIDS and Sex Specialist.


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