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Oct03
SEXAL DESIRE IN MALE & EMALE,METHODS OF CONTROL & ENHANCEMENT
Gradually as we are more educated by Media,internet,print media,films, social interactions, books,our day to day exposure in family,friends,society to sex from our childhood till Adult period or even we are middle aged or old,Sex either comes spontaneously or otherwise due to above reasons becomes a very need of our life like Anger,fear,Greediness,Love,Hunger,Thirst,Sex is important involuntary demand of our body.
But as becomes more informed on this matter either by family /society or our exposure to different above mentioned information channels,we start asking ourselves as we are competent enough to perform Sex properly and completely qualitively and quantitavely perfect.Mostly A person or his/her are experiencing it ,that is why if partner complains (which is mostly not seen in our Indian society) a person is ofeten left to himself whether he is performing normally or not and he becomes more questening whe he reads or sees videos /stories of betters performing persons who are doing sex for much time ,much frequently and in different postures and styles ,satisfying partner with more satisfications in form of penetrations, cries,return behaviours and demands.But most of such behavioural changes are wrong as Sex performance never means deep or forceful penetrations, excessive strong rigid,fatty and thickened tight Penis or Fatty full Labia with prominent Clitoris or with excessive discharge of Male or Female before or after Coitus or making partner more demanding sex or behaving in abnormal styles,fashions and positions.If these comes in our sexual behaviour these are excess above Normal Sexual behaviour,whether this is pervertion or not is questionable but not a certainly normal behaviour.A normal sex apathy cannot be said at all if these are absent,only need is of a normal sex desire at a proper time,place with a normal partner with or without a fore play and after desire a normal erection with normal penetration,coitus , normal holding,exercise for 1-5minutes and normal discharge inside or outside of few ML of fluid only.Iind arousal may come immediately or may not come for hours it never means less strength or apathy or a partner not interested for second after first in short time.But beside this there are some gray areas where a person in normal condition without under any influence of medicine,addiction or psycho social or organic body diseases never gets sexual desire even after proper stimulation by partner or by books / stories or video and remain apathetic to sex ,these persons whether Male or Female are called Apathetic to Sex or we can say Less desire/Drive/Interst for Sex is seen among them,Mostly it is assumed that Male suffers it most and it is reflected more as Male is Active Partner in Sex but it is not true a freezed Female can damp a normally (not Hyperactive) Male too or a stimulated Female can boost up a borderline or less performing Male too also,so Importance of Both Partners exist and one can supplement and correct other by Physical or Psychosocial stimulation,some time change of partner,time,place,orientation,external stimulation,visualisation and exhibition of Normal Sex and psychosocial support corrects this Low desire so well that in most of cases mere psychosocial correction and support yields very good result needing no medicines .
That is why this article will provide us correct knowledge of Less Desire/ Drive in sex. Mostly we assume that wife is a bit concerned, but it doesn?t bother you too much because she doesn?t speak about it or mentions it. However, deep within, you want to understand how and why you have transitioned from a once energetic young chap who could satisfy his newly-wedded wife in a matter of minutes to a man who no longer yearns to play the game. Deep inside, you also realize that the longer things go on like this, the farther apart you and your wife will drift. However, time and time again, you brush the issue under the carpet.Men often don?t express their personal problems, especially those involved with relationships or sexual in nature, and, therefore, find it difficult to seek help. This eventually leads to breakdown of their relationships and causes stress, which further aggravates the problem.
What is low sex drive?
A man with decreased libido thinks less about sex, loses interest in sexual fantasy and in sexual activity. Even sexual provocation by sights, words, or touches, may fail to induce interest. The man, however, often retains the capacity to have sex. Some men, despite having no desire for sex, continue to engage in sexual activity in order to satisfy their partners. In such cases, women may find the excitement completely lacking and might start feeling that their partners are no longer interested in them.Different men have different levels of libidos. This may range from one extreme, (such as wanting sex everyday) to the other extreme (having sex only once, twice or thrice a month/year). Men also have varying levels of satisfaction with their own sex drives. Therefore, there is no normal range of sexual activity for a coupleProblems may arise when the husband?s libido is persistently low, which causes the wife to remain sexually dissatisfied or unfulfilled or when the man seems to be dissatisfied with his own level of sex drive. Compatibility between spouses, including sexual compatibility and sex drive, is essential to maintain healthy sexual life. While libido may be decreased temporarily by conditions such as fatigue or anxiety, some men experience low levels of sexual desire all their lives.
Medical causes
Low libido may be caused by many different medical conditions. One of the most frequent is low levels of testosterone in the body. Apart from erectile dysfunction and premature ejaculation, which may induce anxiety and as a result, decrease your sexual drive, other unrelated conditions (such as Physical weakness Diabetes,TB,anemia, chronic Disease of Liver,Kidney, Lung,Neurological,spinal Gi Tract,cardiovascular disease, Genitourinary diseases pain due to Bony,Skeletal or Muscular diseases,Hormonal diseases) may also lower your libido.Try to rule out all physical or organic disease possibilities for your reduced sex drive. If you have any condition that might be associated with a low libido, see your doctor. You could have a medical condition that can be easily remedied or controlled. Treating the underlying medical condition may help in improving your sex drive.
Stress
Chronic stress can interfere with the hormones involved in the sexual response. This may result in low libido. Stress may be induced due to a variety of factors such as financial, personal, work?related and so on.if by counselling or psychosocial support or some time by psychiatrist using some medicines to cut depression,fear,mania oranger,anxiety, sleeplessness and once these are corrected a normal drives come,but in most of cases of absent such diseases Less Drive is mostly due to our thinking due to our experience or influence by some incidence or videos or exposures and as these are better explained and cleared Drive comes gradually.In Female,a very orthodox bringing a belief of severe pain,bleeding,tear or shock or loss of virginity or of pregnancy create so much nervousness as she never allows any penetration or sometime even any physical exposure or stimulation,They need support from senior members or friends in Family or Partner or some time psychological counselling or medicines.sometime presence of excessive pain due to infection in Genitourinary system causes them Freezed,a proper control of infection by medicines by a good gynaecologist or Urologist or Family Physician corrects it.In amle,except for presence of infections in genitilia or urinary system mostly corrected by good psychological counselling and support ,medicines have got a little role except to correct infection or psysical diseases. Reduce stress and manage it more effectively. This can range from employing stress-relieving techniques such as prayers, meditation and yoga to delegating more responsibilities to your colleagues and peers, depending upon the cause of stress. Alternatively, have sex to reduce stress! It is a well-known fact that sex is a wonderful stress-buster.
No time for sex
Commonly seen now a days! because of our urge to be more and more busy,to earn more and more and in this race we forget our selves,some basic need of our body as we start less eating,gradually it becomes our diet ,same way no time for sex in early days lead to no sex drive in future leading to complete loss of our social and familial life .Juggling multiple responsibilities of earning and providing to your family, parenting, keeping the household afloat and discharging social responsibilities?whew! You find yourself constantly busy. Having packed schedules daily drains your energy and leaves no time for sex. A busy schedule also means a busy mind ? and having a lot on your mind makes it difficult for you to relax and "get in the mood?. Sex, may, therefore, take a backseat and feel like just one more thing on your extremely-long "to-do list." All of these factors contribute to a lower libido.Remember that sex is an important part of an adult relationship. Just as we need to find time for ourselves, we also need to find time for our partners. Designate a night or two a week to spend quality, romantic time with your wife. You can make it more interesting by bringing something new to the bedroom occasionally.
Emotional causes

Men generally overlook emotional causes of decreased libido such as fear, anxiety and depression. When we are afraid, anxious or depressed, sex is usually the last thing on our minds. Anxiety, fear and depression may stem from a variety of causes, be they work dilemmas, relationship issues, family woes, or money problems, but emotional experiences greatly impact our sex drive. On the contrary, fear and anxiety may occur due to sex itself. This includes the fear of contracting an STD, of making your partner pregnant or of not being able to make her conceive.
All these emotional experiences dampen our sex drive and hamper our chances of having a pleasurable sexual experience. Improving your health and immunity are the primary factors that can ensure that you are able to tackle these emotional experiences. You can manage anxiety, fear and depression by meditating, doing yoga, talking to friends or playing with your kids. When your mind is healthy, there are fewer chances of problems intruding into your bedroom. However, if you feel that these emotional experiences are overwhelming you and you cannot cope with them, seek professional help.
Boredom
After being married for few years, some couples can hardly find any sexual excitement left in their lives. You might also lose interest if your mate doesn?t take care of her looks, body and behavior.
Experiment! Bring back the excitement by trying out stuff that you had been fantasizing about for some time. Gift your wife sexy dresses, which will help bring in some spontaneity to the experience. Talk to your partner about her idea of improving the sexual relationship.

Relationship issues
Having relationship issues with your partner such as unresolved conflicts, resentment or unexpressed anger can dampen your sexual desire. You need to deal with relationship issues with your partner if you want to enjoy sex again.
Communicate. Identify the problem and try to find the solution together before issues explode into huge conflicts. If talking to each other doesn't work, seek help from a therapist.

Body Image
Some people feel unhappy about their bodies and are shy to expose them to their partners. Though, we all love and hate some aspects of our bodies, the key here is to learn to be happy with what you have and feel sexy about it.We can do away with the negative feelings by thinking about the positive aspects that you have. Even if you are overweight, you can try out ways to feel sexy by enhancing your other valuable body aspects. If you are obese, try to shed some weight by seeking professional help.
Aging
With age, men produce less testosterone, which reduces their sex drive. Other concomitant factors that may play a role in reduced libidos are age-associated fear, anxiety, and depression. Testosterone levels may be increased by taking testosterone supplements, but this should be subsequent to consultation with your doctor. Additionally, the dosage of testosterone must be carefully monitored, as high levels of this Hormone can cause depression or other side effects like prostatic or testicular cancers. Long-term safety of testosterone supplements, especially in elderly men, has also not been established. Other temporary alternatives can be the use of Viagra (Sildenafil citrate).But it corrects only erectile dysfunction not libido so it is not very useul here works or work as psycological boosting agent However, prior to initiating any medicine to boost your sex drive, it?s essential to consult your doctor.
Sexual Abuse
If you have been a victim of sexual abuse, you may find it difficult to have normal physical relations. By taking your own time to heal, being patient and getting help of friends and counselors, you can overcome this past issue and resume a normal and healthy sex life. The key here is not to pressurize yourself or get pressured from others to have sex until you are completely healed and ready.
Medication
Some common medicines such as those for high blood pressure, depression, or relieving anxiety can reduce sex drive. Depression can also lower your sex drive and so can the medicines you take to relieve it. Additionally, antidepressants can cause sexual dysfunction, such as delay in orgasm, inability to achieve orgasm or erection or ejaculation. Any of these conditions can have an adverse affect on your level of desire. Before taking any new medicine, talk to your doctor about the possible side effects on sexual activity. Also, make a list of all the medicines that you take and get to know about their side-effects. Talk to your doctor and seek alternatives to the medicines which seem to be the cause of low sex drive or sexual dysfunction. Other options may include taking drug holidays, reducing the dosage or taking antidotes. Some people may benefit from taking supplements such as Gingko biloba or switching to a different medicine. The most important thing to remember here is that you should not stop taking any medicine without first talking to your doctor.
The best approach to this problem is to try and identify the cause of low sex drive .Once we are able to do so, try to eliminate the cause or seek professional help. Remember, putting in the effort and resolving problems now will go a long way in living a sexually-fulfilling and blissful life! But most of time our belief in Less Drive/Desire is not correct as either our mental level has raises or we are under above mentioned physical or psychosocial stress and oce we get corrected it,normal desire comes but it is most true that a normal Sex must be perfomed by partners at regular interval as it increases our cohesiveness and adherance to each other and normally shapes our family and society. Neither we should be overactive or more demanding destroying our social fabrics nor we should be so much busy or shameful of performing Sex inspite of our time, space,place, age,religion,enviornment or any other social factor.
DR.D.R.NAKIPURIA
SILIGURI
09434143550
NACO TRAINED EXPERT ON HIV,SEX & VENERAL DISEASES


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Oct03
AGEING PROCESS REVERSED BY STEM CELL ,CAN MAN BE IMMORTAL?
NEW RESEARCH IN MICE SHOWS AGEING CAN BE REVERSED BY STEM CELLS;-----
Ageing is the process which cannot be reversed as the man or animal who has taken birth has to die one day,maximum age for human being is 100 yrs.Our skin ,nerves,hear lung,intestines,bones ,muscles every part starts showing feature of old age and we becomes older and older these tissue becomes mor older and show signs of decaying and loss in structure,function and minor intracellular biochemical activities and ultimately one has to die.
man has conqured the world by reseach of Dolly by producing a replica of a person 100% by on cells without needing fetilisation from oppisite partner egg by establishing and harvesting stem cells or embroyinc cells of primitive or primodial cells which is the mother cells of every thing.As blood and skin and endothelium of intestines are rapidly replaced every day so here Stem cells does a remarable work ,they remain exist here even in old age and Bone marrow which forms all type of blood cells is the store house of these blood stem cells which produce different type of Blood cells.Bone marrow produce myeloid and lymphoid type of blood cells,Myeloid is concerned for producing immune cells resulting in productions of fighting blood cells which helps us o prevent inflammation by infection and cancer.But some lymphoid cells help our body to repair or rejuvenate old cells or tissue.In young mice Myeloid cells are produced in less number than Lymphoid cells but in old Mice Lymphoid are in less number produced,so repair work in not done properly but after injecting stem cells (or blood )from young Mice is injected in to old Mice it travels to Bone Marrow of old Mice and stimulate it to produce lympoid cells so that repair of old tissue being undertaken very rapidly as old Tissue are repaired Ageing Process is being reversed.
This study has been done in Mice only but not in Human Being but as more research will further clear the picture,Man will be immortal as only limitation OF IMMORTALITY is the fact that all body tissue usually becomes old and self decay and destruction is the cause of death of tissue or human being as Man has conquered over diseases and infections but cannot control self dying process and by such invention the last hurdle of Man Being Immortal will be also removed.
By mixing blood of old people with the blood of young people ,these young bllod cells rejuvenate old blood cells .This has been demonstrated by THE HAVARD STEM CELL INSTITUTE by a recent published study on Mice.When blood from young mice bone marrow injected in old mice,these blood cells after entering into Bone Marow of Old mice revitalise these Blod Stem Cells present in Bone Marrow.Reseacher concluded that usually in old Mice Bone marrow produce that type of Blood stem cells which generate more Myeloid series blood cells which control infection or tumors but less amount of Blood stem cells whch produce Lymphoid series cells that orchestrate or regenerate tissue Repair as seen in young Mice but after the injectionof young blood cells even old Mice started producing stem cells that is doing tissue repair.The study is yet to be done in Human being.
hence such study is most important mile stone in life of Human being as now man can produce own replica by oneself,can kill any infection ,defeat any metabolic,cardivasular,immunological or herditory disese but now by this study old age will be turned into young age and Man will live for years as he wants to live or he will be IMMORTAL.
Dr.D.R.Nakipuria


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Oct03
GARLIC PREVENTS CANCER,ARTHRITIS,ATHEROSCLEROSIS,DIABETIC HARM ON HEART
Garlic (Allium sativum) has been found to exhibit several health benefits, including inhibiting enzymes involved in lipid synthesis, decreasing platelet aggregation, preventing lipid peroxidation, and increasing antioxidant status.From the ancient time eating of Garlic and onion has been demonstrated to reduce bad lipid in our blood leading to prevention of Atherosclerosis of Brain,Kidney Eye and Cardiac microvessels and thus very helpful in these lipid induced hyoertension and related disease of kidney,Brain,Eye and Heart and now a daysit has been shown that Garlic reduced immediate rise of blood sugar in Diabetes after food thus preventing Diabetes bad effect on heart and other organs.

Garlic has got an unique antioxidant property of reducing pain of inflammatory or immunological diorder related pain of Joints,bone and muscles,it is very impotant to heal osteoarthritic changes of Knee ,hip and small joints and rheumatoid arthritis and thus very much helpful to ameliorate Bony joints inflammatory or degenerative pains.

By recent study Ohio state UniversityComprehensive cancer research centre it has been demonstrated that Garlic protects us from cancer induced by some contaminated water or componds which enter in our body by sudden cnsuption or by food adulteration or by mistake these compund by process of nitrosation produce carcinogens,The level of carcinogen found in urine of a patient is less who counsume good garlic as shown in their urine level ,more garlic less carcinogen in urine.thus garlic prevents cancer beside giving us a spicy test to our food stuffs.
Garlic oil can protect against diabetic cardiomyopathy, a form of heart disease in people with diabetes, reveals a novel study.Garlic has an enormous potential to prevent cardiomyopathy, which is a leading cause of death amongst diabetics.
It works by controlling the abnormally high sugar levels that occur during diabetes on a common basis.The study, conducted by researchers from Taiwan, took the help of a few diabetic laboratory rats for the research.The rats were fed either garlic oil or corn oil by the researchers. They were then observed to see which oil led to better prevention of cardiomyopathy.Overall, diabetes related cardiac dysfunctions in the rats were dose-dependently relieved with garlic oil.The changes found in the rats were related to the antioxidant properties of the oil, the researchers found.20 contributing substances found in oil,on analysis, almost 20 substances that may contribute to this protective effect were found in garlic oil.
"Our results show that garlic oil supplementation for diabetic rats leads to several alterations at multiple levels in hearts including cardiac contractile functions and structures, myosin chain gene expressions, oxidative stress, and apoptosis and related signaling activities," wrote the researchers, led by Wei-Wen Kuo from the China Medical University in Taiwan.

"In conclusion, garlic oil possesses significant potential for protecting hearts from diabetes-induced cardiomyopathy," the study authors said in a statement.
Dr.D.r.nakipuria


09434143550


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Oct02
SEX-HOW TO PERFORM ? MODERN PERSPECTIVE & DEFINITION
-HOW TO PERFORM ? A MODERN PERSPECTIVE & DEFINITION
---DR.D.R.NAKIPURIA
SEX although cannot be discussed or expressed openly in our society as it is a topic of intense personal matter and allowed to discuss by grown up or adults or matured in personal couple group or an advice by seniors to upcoming matured adults to practise it as per their experience.Beside this our society think its discussion may destroy social fabric as may stimulate youngster in early sexuality or indulgence of adults and old in abnormal sexuality beside legal partner.SEX has been broadly defined as meeting of two partners of opposite sex or meeting two external genital organs of opposite sex whether any pleasure or satisfication is achieved by this or not.As man has got Penis and it is penetrated in to vagina through introitus by man so he is called active partner and as female simply receives Penis so is called Passive partner but modern detail analysis of patients achieving full satisfication and pleasure by Sex and persons remaining unsatisfied and psychosocially disturbed after Sex has redefined this definition of SEX.
it is very important for a man being active partner realise very much,any defect in performance of Sex either of arousal or desire or LIBIDO or lack of excitement on stimulation by seeing or reading sexual activities or seeing or touching opposite sex partner or her activity or by stimulation through eyes,talk,exhibition or touch of partner or self induced involuntary erection( under influence of body hormones) i.e.,tightening,straightening,thickening and hardening of penis with slight secretion of seminal fluid over glans region with easy slipping of foreskin over it or called as ERECTION or it may be failure of pushing this erect penis in partner’s vagina through introitus or Ext.Genitilia Vulva or discharge of Seminal fluid into vagina immediately after penetration i.e.,EARLY EJACULATION resulting in loss of satisfication and pleasure as strokes gives more and more pleasure which reaches to peak slowly keeping pace with speed and force applied for stroke.by penis.The force is more applied by a thickened, tightened and straight erected penis ,that is why a good erection is mandatory for a good performance of sex.lack of such erection is called Erectile Dysfunction(ED).This enjoyment becomes more excited as partner’ vagina contracts involuntary or by active contraction of Pelvic muscles by partner is increased.Therefore ,apathy of partner,less excitement or lack of attention in sex by partner or deficiency of active cooperation and actions in Sex also result in getting good satisfication and pleasure.Female although by misnomer called as inactive partner but actually her cooperation from the stage of getting desire,attention,environment of Sex to getting aroused or ORGASM either by self excitement or by stimulation by partner by look,touch or reading books or watching video etc.,or after fourplay by partner which is very important in Female as they are less easily excited or reach peak to Orgasm and without her active cooperation Sex remains less pleasant and unfulfilled in satisfication.Role of Accessory or additional Genital organs like Body contour,Pubic Hairs,Moustache,hairs over chest/limbs(in Male),Face color of Body,color of Iris of eye ,shape,size of Eyes,Placement of Eyebrows,straight beak like nose,mouth opening,lips ,fore head,style of hairs over scalp,and contour,fullness,bogginess tightening,size ,shape resistance,compressibility of breast with coloring of areola and stargtening of nipples with shape of belly being scaphoid and centrally placed elliptical umbilicus ,proturbance of buttocks,broadening of Hips with slender slim straight fingers,toes limbs, soft palm and sole with absent of hairs over any part of body except straight small shiny pubic hairs with thickened puffy Labial folds is very important as they play indirect role to either initiate Sex or Libido or later to maintain Sex or good performance or more sustainable play.Early Ejaculation leads to flaccid ,small ,shrunken Penis which freezes immediately a Male partner as female is either at peak of orgasm or getting arousal for orgasm ,such sudden discharge makes her completely dissatisfied and uncomfortable as shrunken flaccid penis cause no dilatation of strchable compressed thickened roomy vagina or touching of cervix of Uterus or deep pockets of vagina around cervix or fournix .So either expressed by modern educated Female partner voluntarily or involuntarily expressed by face or body activities immediately or on subsequent occasion of Sex initiation by male partner who realises this as his biggest failure and suffer from self realised Gilty consciousness leading to Psychosocial disbalance leading to further damage in getting arousal or erection or performance of sex and vice versa.
Therefore,we have realised that sex is no more confined to one partner ,one partner may be less active but other partner can make him co active similiarly an uninterested or freezed partner can freeze or dissatisfy another partner.Previously if one partner is not performing particularly a male doesnot get erection or arousal to perform sex we called it IMPOTENCE and similiary a female doesnot get pregnancy after intercourse we called IMPOTENCE but it should be better termed as INFERTILITY but now a days sex has been better defined as stated above in following stages.
StgageI: Self or stimulated Aroursal and arousal of partner with full Orgasm.
Stage II:Erection of penis with penetration and reception of such erected penis by an active partner.
Stage III;-Mantenance of coital activites by cooperation of both partner ( both are as active no active or passive nomenclature).
StageIV;-Discharge or Ejaculation of Seminal fluid in vagina or condom or ouside gradually allowing partner to cool gradually and slowly.
Sex in different positions or in different openings beside vagina as Anal or oral or Arm pit sex is not called perversion but resource to achieve more pleasure and satisfication in which any of these four stage is fortified depending on which separate methodology we adopt like kissing or messaging of Breast increase stage I and III ,oral ,armpit and anal sex improves stage II,III and IV.Sex with children or old people or desibilated or mentally retarded people or against will of partner forcefully or under intoxification with alcohol ,drugs or sleeping pills is a crime and this needs no discussion as it is always painful .SEX IS A RESOURCE TO BRING JOY, HAPPINESS , SATISFICATION,LIKENESS,ADHERANCHE AND MORE HUMAN BONDAGE WITH LOVE IN LIFE IF IT PAINS EITHER PARTNER DURING OR AFTER PERFORMANCE IT SHOULD NOT BE CALLED SEX.Sex ,how much discarded for discussion openly in society is need of human being to mantain its progeny in universe but Sex is the only simple natural method of producing future generation but every act of Sex is not necessarily mean production as Human has reached highest growth in Animal Kingdom,he has to restrict the number of his progeny,that is why he has learned to enjoy Sex without production by developing so many methods of contraception like Condom,spermicidal jelly tablets,foams ,vaginal condom,pessary jellies,IUCDs ,oral contraceptive pills/injections/patches for female and male,sex during safe period,external ejaculation etc.,
Lack of availability of partner in war time battalions leads to sex with same sex partner and gradually a class of people called as GAY or LESBIANS has evolved in society in good number across the globe,they are perfect Humanbeings with good mental and social judgement but they got enjoyment with same sex or HOMOSEXUAL.They are no more defined as perverted or sexually abnormal persons ,many countries provide their activity as normal as Sex among HETROSEXUAL exist.even in India,their such act is now not under any screeing of unlawful activity.gradual wecome and accept of these Homosexual have added further definition of SEX where in Stage II erection of penis or penetration of Penis may or may not present and partner may utilise aroused finger /hand /toe or any soft compressible toy/instrument after excitement for penetration or simply with external genitilia or with accessory Genital organs as mentioned above completes further stages of SEX where Ejaculation may or may not come avoiding need of any contraception to avoid pregnancy but needed to arrest spread of sexual transmitted disease like HIV,Syphlis,Gonorrhoea,Herpes,Hepatitis B & C ,etc.But in this Homosexual activity which is regarded as abnormal activity by many as it turned very purpose of SEX and human existence of Love for man and woman keeping our social fabrics intact also involves very intimate cooperation of both partners,here both partners are highly active members as lethargy or apathy of one partner cannot initiate this at all and this strong love,affection,intimacy,bondage and physical contact has lead to more increase in their numbers in society .
In modern time if SEX is not performed keeping intact all 04 stages of SEX with strong bondage affinity and adherence of both partners leads to breaking in relations or crimes where SEX is performed by male as simple formality of penetration after slight or full erection knowing nothing about arousal of opposite partner and ejaculation ,satisfication,pleasure,enjoyment is left behind or never asked or taken care of where female is always acts as passive receiver and Male as dominant partner serve as active partner without any question or liking of opposite partner or self realisation of failure covered under social dominance of male over female or a female even unsatisfied either gets satisfication by illegal means or remain unsatisfied but never asks or challenge male partner under social obligation of male dominance and even pay price of Infertility (being discarded by family or divorced ) even having her no fault.Sex can be performed in many style and ways with use of fragrance,sweet smelling scents,powders,lotions,jeelies,perfumes wearing alluring clothes or creating inductive environment like rose petal bathing,swimming or candle light meetings under flower shade ,exorbiant seducing music and video shows,dance with slight intake of stimulants and usual duration of 10-20 minutes(which may be increased in some one who practise its regularly) for stage II-IV performance is regarded as normal Sex ,regarding frequency 1-5 times a day to once a week or month is regarded as normal sex but if its frequency reached more or filthy means of using electric vibrators,binding partner with rods,chains or belts or stimulation by smoking ,alcohol or drugs or burning partners body parts or genitilia or Accessory Genitilia by cigratte butts or by pin pricks or electric or thermal currents is perversion and abnormal sex which comes as obesity hypertension,heart disease comes after over eating.Sex under intoxication of excessive cigarette,alcohol or drug is always perfomed of low category as performance is mostly un coordinated and incomplete,so it is better to avoid it.Enviornment personal privacy and isolation is important for good Sex performance as Sex is always a private personal matter in our society,no body wants its open and frank exhibition and show.and we have been matured in this way through our culture and social rules that sex has been always a private matter of a couple through which person and society both grow,sharing and swaping of partners or multiple partners or prostitutions or Jigglos cannot be termed as normal lawful practice of society and has been regarded as offence in Sex.In no way Sex promotes separations,loneliness ,breaking and divorces and it is not limited to simple enjoyment and satisfication burning and destroying our social fabrics involving two willingful compatible and legal partners .simple meeting and performance of these IV stages where social fabrics is destroyed canot be termed as normal sex.hence sex with animals like horse,dogs,cattles canot be termed as normal Sex,these should be avoided as damage to our external genitilia or body parts may occur as animals are not trained to perform sex with human beings and many sexual transmitted disease can spread through it.As in our many acivities like eating ,reading,sleeping,playing etc we do some time nothing ,some time excess and these are termed abnormal activities ,same way in Sex if we either do apathy or doesnot involve our partner or do which should not be done or praticed or do excess then it is called abnormal sex or perversion which brings many diseases as obesity after excessive eating and Anxiety nervosa after no eating.Sex with children,mentally retarded persons or under pressure against will of even a partner is termed rape and regarded as unabailable offence in our system.

Hence sex requires two active willing legal partners for its true performance,if partners are either excited by oneself or by simple stimulation of each other and a private suitable place and time is selected,Sex can be performed excellently without need of any counselling, advice ,medicine or artificial allurement environmental things as mentioned above.In society so many quack doctors or self styled sex specialist doctors or therapy are advertised in print,electronic and internet media claiming better and best Sex.Nothing like this actually exist,if both partners are really happy and pleasant a good sex has been performed irrespective of its total duration and duration of any stage mentioned above or overlapping of stages,it is a continous live processnot a machnary computer which will always move through stages by giving every stage a good time ,these stages has ben enumerated to uderstnd Sex in better way .if intimacy,adherence and closeness achieved in partners with Conception(reproduction) then Sex has fulfilled its target(reproduction is not necessary as mentioned above) and there is no role of any thing ,instrument,medicine,doctor,counselling or therapy .A rumor is spread regarding penis size,so many instruments,medicines or message oil or sold to increase its size but for a better performance of sex only 2-4 inch penis is enough as only outer 2inch of vagina is sensitive to penetration so such size odf penis will give pleasure to both man and woman and till today no convincing scientific medicines has been discovered which can increase penis size,thickness or tightening.No medicine or therapy has come which increase arousal or libido in male or female (Testosterone helps only those male who have got less its amount in Blood not in normal male where if it used may cause prostatic cancer or toother virilising effect)but so amny are sold in market for increasing desireness or lure for sex .Sex is a totally personal psychological matter which can be easily controlled and maintained by psychological counselling removing childhood fear,apprehension or any doubt about Sex as sex is painful,sex is crime,sex is abnormality,sex always result in pregnancy,sex is discarded things and sex is a formality to be performed after marriage in first night only and after that on demand by husband (wife has go no right to ask sex or question sex),limited sex after child births,no sex after menopause,no sex during menstruation ,no sexual discussion among family or with children or in school ,our external genitilia are dirty parts of waste disposable only so should be never cleaned or cared for.A good development has taken place in some patients of actual Erectile Dysfunction (ED) where Sildefinal or tadalfil gives good result but it has got no effect on many patients of ED too and in normal persons it never increases size or erection of penis but sold like anything and even female takes it where it has got no role ,same way for delayed ejaculation so many medicines and creams and injections are marketed which is better controlled by psychological counselling and gradual practise and learning style of performing sex under guidance of an expert.After unprotected sex to avoid pregnancy I-pill or unwanted 72 are sold openly in market which are nothing but high doses of oestrogen and progesterone which completely disturb a woman’s menstrual cycle and in many woman as suffering from migraine,thrombosis,hypertension,jaundice etc., they are contraindicated so government should ban selling of these drugs with harmful side effects by advertising in TV and printed media as youngsters are now developing live in relations and sexual activities openly with removal of fear of getting pregnancy but risk of developing sexual transmitted diseases like HIV,Gonorrhoea,herpes ,septic abortions and infertility.
DR.D.R.NAKIPURIA

09434143550
***Author is an expert Sex and HIV practitioner


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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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Sep29
NUTRITIONAL NEEDS OF CHILDREN
NUTRITIONAL NEEDS OF CHILDREN

There are two fundamentally different kinds of food needs- energy requirements & structural requirements. The body requires energy for many activities such as beating of the heart, breathing, digestion of the food & voluntary muscular activity. Energy is also needed for growth. This energy requirement expressed in calories is obtained chiefly from carbohydrates & fats.

1. Energy Requirements: The amount of energy needed in terms of calories varies from individual to individual & is dependant upon a number of variables, none of which can be considered independently but rather are part of a constellation. It differs with size. A large child requires more energy producing foods than a small child. It differs with the rate of activity of the body processes while at rest, i.e. with a basal metabolic rate. The faster the rate of basal metabolism, meaning the faster the heart beat, respiration etc. The greater the number of calories used in a given time & conversely, the lower the rate, the lower the number of calories needed.
The energy requirement differs too with the amount of voluntary activity. A very active child requires more calories per day than a quiet one. The same child will need more calories during a day of vigorous activities than during one of quiet activities.
Energy requirements differ also in accordance with the efficiency of the body in using foods. Some bodies are more economical in the use of foods than others. In some cases food is more easily digested & absorbed than in others. In all individuals some food value is lost in bowel elimination, but the amount varies considerably from child to child. Finally, the need for calories depends on the rate of growth. The fast growing child will need more calories than the slow growing child. During the periods of his life when the impetus to grow is more intense, infancy & early adolescence, the amount of energy required for growth will be greatest.
In proportion to their weight, children’s food needs are greater than those of adults because of children’s relatively greater basal metabolism, their tremendous activity & their growth. Boys generally catch up with their fathers in need for calories at 13 years & exceed them by 16 percent at 18. By 10 years of age girls already exceed their mothers by 11 % & at 13 by 16 % in their energy needs.

2. Structural Requirements: the structural requirement covers the need for materials which go to make up tissues & to regulate the functions of those tissues. The necessary food elements or nutrients are 40 in number. They include amino acids from proteins, at least one digestive product of carbohydrates (glucose), some unsaturated fatty acids or acids (derived from the digestion of fats), minerals & vitamins. The body needs all these in adequate amounts for the building & repair of its tissues & for these tissue’s daily activities. Since all foods do not contain all of these nutrients, a balanced diet of “protective” foods, i.e. foods rich in the essential nutrients, is necessary.

3. Importance of Minerals: Minerals serve as constituents of tissues. Calcium & Phosphorus are responsible for the rigidity of the bones & teeth. The softer bones of children contain less minerals than the firmer bones of adults. The process of hardening called ossification demands Calcium & Phosphorus in generous quantities. An inadequate amount of these minerals may result in poor teeth & poorly formed bones. Poor teeth are a barrier to good health & attractiveness. Poorly formed bones detract from the attractiveness of an individual & limit his physical efficiency.
Minerals serve as regulators of body process. The part played by minerals in the beating of the heart & in the activity of the nerves has been mentioned. For coagulation of the blood the body needs calcium in the blood. Phosphorus takes part in the chain of events in muscle activity & in the transfer of energy. The digestive juices such as salivary, gastric & intestinal juices, depend upon minerals for their acidity or alkalinity. Minerals regulate the flow of liquids by means of which substances are absorbed, passed to and from body cells & excreted through kidneys or intestines.

4. Importance of Vitamins: The vitamins, as regulators of body processes, have a vital role to play in keeping children well & furthering their development. The vitamins now recognized as contributing to the health & growth of children are Vitamin A, D ,C, K, Thiamine, Riboflavin, Niacin, B-6, Folic acid & B-12. Vitamin K aids in the formation of prothrombin, which is associated with the mechanism of blood clotting.

VITAMIN –A : is a necessary part of the visual process & thus is associated with the ability to see in dim light. Vit-A is also necessary for maintaining the health of epithelial tissue, namely, the tissue of skin, covering of the eye, the lining of respiratory, alimentary & genitourinary tracts. Deficiency of Vit –A structurally impairs “the body’s first line of defense”. In addition it is necessary for the orderly development of bones & teeth. It is also essential for the formation of enamel of teeth.
Source of Vitamin A - Milk, Butter, Liver, Fish Liver Oils and Egg Yolk.

VITAMIN –D : IS essential for the normal growth & mineralization of the bones & the teeth. The body cannot make proper use of the Calcium & Phosphorus supplied by food unless Vit- D is present.
Source of Vitamin D - Fish Liver Oil, Milk, Butter, and Yeast.

Thiamine (Vit- B 1) : Is one of the vitamins in the B-Complex. Thiamine is essential for the maintenance & normal function of the nervous system. It has been found that Thiamine is necessary to carry carbohydrate metabolism through an essential step.
Source - Cereals, Grains, Beans, Nuts, Pork and Duck.

RIBOFLAVIN (Vit-B 2) : Plays an important role in the internal environments in which the body cells live, where it is involved in the life processes of active cells. Riboflavin is essential to growth & to normal nutrition at all ages. A deficiency produces characteristic changes in the lips, tongue & skin.
Source - Dairy products, offal and leafy vegetable.

NIACIN: Is involved in the life processes of the cells. It prevents Pellagra, with its characteristic skin lesions, digestive & nervous disturbances, provided all other essentials are included in the diet.
Source - Found in many food stuff including plant, meat, (particularly Offal).

VITAMIN –B 6 : Is a member of the enzyme system in certain metabolic processes, including those of neural tissue. Arrested growth & disturbances in functioning of the nervous system have been noted to follow deprivation of B 6 in infancy. Also alteration in tryptophan metabolism in pregnancy has been relieved by administration of B 6 .
Sources - Widely found in animal and plant food stuff.

FOLIC ACID : Has been found to play an important part in the body’s blood forming activities. It is effective in the treatment of certain types of anaemia.
Sources - Found in green vegetables, spinach and Broccoli.

VITAMIN –B 12 (Cyanocobalmine ) : Plays an essential metabolic role & is essential for the prevention or treatment of pernicious anaemia, a disturbance of red blood cell formation.
Sources - It is found in Meat, Fish, eggs and milk but not in plant. It's also found in papayas, cantaloupes, strawberries, broccoli, Brussels sprouts, tomatoes, asparagus and parsley.

VITAMIN C : Is essential to the health of intercellular material which acts as cementing substance in holding the cells of a tissue in their precise positions.
Sources – Lemon, orange, amla, potatoes.

5. Functions of Proteins : Proteins make up a part of all body cells & participate in nearly all life processes; therefore, they are necessary for growth. Through digestion they are broken down into amino acids which are used by the body in building its tissues; bones, muscle, nerves, skin, blood etc. Eight of these amino acids cannot be manufactured in the body & so must be supplied in the diet. Deficiencies in particular amino acid may lead to specific types of injury e.g. when Argimine is deficient there is a decrease in the number of sperms & their motility.
Proteins are necessary for the manufacture of enzymes used in the hormones of the endocrine glands, such as thyroxin of the thyroid gland, epinephrine of the adrenals & insulin of the pancreas. They function in regulating the flow of fluid in & out of cells.

6. Functions of carbohydrates & fats : carbohydrates & fats as the chief sources of energy, are necessary for growth, & they furnish energy for the growth process. Carbohydrates & fats also furnish the body with adipose tissue, which serves as a protection against the loss of heat, act as a cushion to the abdominal organs & is a potential source of body energy. Certain fats perform another important function i.e. they are carriers of vitamin A & D. Glucose, a digestive product of carbohydrates is a constant constituent of the blood.

7. Role of Water: The human being lives in water, even though it is not an aquatic species. Water is a part of every tissue in the body, even of the proverbially dry bone. In children the percentage of water in tissues is higher than in adulthood. Matured bone contains nearly half its weight in water. About 75% of muscle & 80% of the grey matter of the brain are water. No cell can carry on its activities when it is absolutely dry & most cells must be constantly bathed with fluid in order to do their work. These cells have their food brought to them & their waste products removed by the water route, the blood. Many of these waste products are eliminated through the urine. Water serves as a regulator of body temperature. Evaporation from the skin, perspiration, provides one of the most important methods of removing surplus heat from the body. Water protects internal organs. The central nervous system is bathed by the cerebrospinal fluid. Fluid also lubricates joints, thereby making movements at joints easy. Water is therefore tremendously important in life. Rubner estimated that a man could lose most of his stores of glycogen & of fat & even half of his protein without serious danger to life, but a loss of 10% of body water is serious & a loss of 20% is scarcely to be endured.

Dr. Nahida M.Mulla.M.D.
Vice Principal,
Professor of Repertory & PG Guide,
HOD Repertory.
HOD Paediatric OPD,
A M.Shaikh Homoeopathic Medical College, Hospital & PG Research Centre, Nehru Nagar, BELGAUM (Karnataka)

Mobile : 09448814660


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Sep29
Breaking a child's bad habits
Breaking a child's bad habits
Breaking a child's bad habits can be challenging. Bad habits first arise in the elementary school ages. Find out ways to empower a child to let go of negative reactions to stress.
Bad habits form in the best of people. However, compulsive behaviors do not have to rule a life or prevent one from participating fully in social contexts.
In fact, most bad habits such as hair sucking, fidgeting, nail biting and even aggression appear around the ages of 5 to 7. Providing a child with the following interventions can enable a child to let go of negative behaviors. As a child forms more constructive behaviors in its stead, a child's self-esteem increases affording the child with an even greater benefit than what was originally deemed possible.
Researchers believe that the reason for the early onset to most bad habit forming is that around the ages of 5 through 7 a child recognizes that he/she is watched by peers and others in authoritative and assessing positions. A child will pick up a compulsive behavior such as hair sucking in order to release calming hormones through the blood stream. The behavior over time becomes associated with a calm and serene state.
Earlier in toddlerhood, a child might use what psychologists term as a transitional object to produce a similar effect. For instance, some toddlers have a favorite blanket or bear that is associated with comfort. Unfortunately, the child in elementary school knows that a transitional object is fodder for ridicule from one's peers. Hence, the elementary school child will substitute a comforting compulsive behavior for the transitional object in the hope that the behavior will not be noticed as easily as an object.
Be careful of ridiculing this desire. After all, how many of us adults would feel lost without our purses and wallets even when we are aware that the place or person we are seeing does not necessitate needing a purse or wallet or watch or...whatever? Yet, we find ourselves deriving similar comfort from the close proximity of these objects.
How then can a parent or teacher facilitate in the child the breaking of a bad habit?
Behaviorists warn that more important than how to facilitate the breaking of a habit is the how not to approach the negative behavior. For instance, the very reason a child forms a bad habit is that the child recognizes for the first time that his/her performance is being assessed and is, therefore, feeling conspicuous. Calling attention to the behavior in front of the child's peers is the worst thing a parent or teacher can do even if that is what instinctually arises. For instance, a teacher might abhor hair or thumb sucking; however, calling attention to the behavior in front of peers only reinforces the child's fears that he/she is being judged as falling short.
Instead, behaviorists ask that parents and teachers attempt to stop the bad habit. For example, calling attention to when the child is behaving positively is a great way of negating the child's negative thought processes or feeling judged or feeling conspicuous in a negative way.
In this manner, the child will begin to believe that he is being watched in a positive manner and will want to match all behaviors to this ideal. Eventually, the habit will no longer be needed, as the child will assume that his/her behaviors are looked upon in a positive manner, and therefore, the stress associated with feeling watched will disappear.
Moreover, child psychologists also warn against punishing bad habits. Punishment does not teach; instead, punishment stops a behavior in the short-term. meanwhile, the stress increases as the child is now handed two problems instead of the original one. For instance, the child feels stressed and the child has to let go of the behavior that provides the comfort. The use of punishment encourages sneaking of the bad habit. The child has not learned a new constructive behavior in its place. Punishment ends up hurting everyone, since noone feels at peace with the loss. Parents discover that the child still engages in the behavior and the child feels shamed for needing to do it.
Instead, behaviorists suggest that parents, teachers and the child work as allies in the habit breaking. Researchers have found that concrete objects (other than food) that the child enjoys are wonderful tools for habit breaking. However, rather than using these objects as rewards, the child should be given them at the start of each day. If the child does not engage in the negative behavior, he/she will be able to keep all of the objects. On the other hand, if the child engages in the habit (he/she will likely do so in the beginning), then the objects are eliminated one-by-one per the number of times the behavior occurs.
To illustrate, imagine that a child enjoys the sparkle of pennies or fancy looking pencils or buttons that when accrued can be turned in for a special movie viewing. Let us assume that the child bites nails at least 10 times during the day. A parent and teacher can agree that the child is able to start the day with 10 pennies, 10 buttons or 10 pencils at the beginning of the day. As this behavior change is new, the child engages in nail biting 3 times during the day. The child sees by the removal of the desired items how often the child engages or desires to engage in the behavior. This awareness renders the child more aware of the negative habit forcing the child to no longer feel numbed by it. This means that fewer feel good hormones are being released for the purpose of calming.
Moreover, the child also comes to grips with the idea that there are fewer of the chips with which he/she started encouraging a sense of personal disappointment. It should be clarified here that for one child 10 pennies is enough of a reward in itself. However, another child might want to turn in the 10 pennies or whatever token is used for a desired activity such as movie watching, internet use, game playing, etc. Each child is unique and needs to identify to the parents and/or teacher exactly what activity would mean a great deal to him/her. Parent and teacher can then identify to the child how many of the objects need to be accrued for the purpose of accessing the activity. Success of the exercise is determined by the progress of not engaging in the compulsive habit. Over time, parents, teachers and child should be able to see that the behaviors lessened in numbers each day of the experiment. The ultimate reward should come relatively soon after the first day that no negative behaviors were engaged.
Much praise should be given to the child for whatever progress is seen over time. Moreover, some habits are more easily dropped than others. For instance, a child who lives in two different houses is going to require more patience across settings than a child who lives in one. Adults are apt to experience this phenomenon as well. For instance, it is easier to diet at home than it is in a restaurant, office setting, in-laws, etc. The more places in which a child can learn these positive rewards, the more likely that stress will not resurface. So, while it may take longer to learn the new habit forming across settings, the positive behaviors are more likely to be permanently reinforced.
Ultimately, the child needs to see that he/she is encouraged by positive affirmations that he/she can and will surmount the negative habit. The bond that is formed when the child sees that he/she is part of a team is also a precious benefit that arises from working to eliminate the bad habit. Finally, sharing with the child any bad habits that the parent had in childhood also reinforces to the child that he/she is not alone. Isn't that the greatest lesson to be learned?

Dr. Nahida M.Mulla.M.D.
Vice Principal,
Professor of Repertory,
PG Guide,
HOD of Paediatric OPD.
A.M.Shaikh Homoeopathic Medical College, Hospital & PG Research Centre Belgaum – 590010 (Karnataka)

Mobile: 09448814660.


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Sep29
Building self confidence in children
Build self confidence & self-esteem in your children:
Simple ways to build your child’s self confidence and esteem for a happier child and better parent/child relationships.
All Parents want their children to be confident. Reassurance is something we are all aware of as a parental tool to build confidence, but there are other techniques you can utilize to help build your children’s confidence level. There are three simple, yet very important things to remember:
# 1. Praise.
Praise your children daily on a job well done, or a situation you observe them handling appropriately. Let them know that you approve, and why. When your youngest child colors a nice picture and is eager to show it to you, be sure to praise them. But, also be sure to pick out a singular aspect of the picture to comment on. This tells even the youngest of children that you are interested in what they have accomplished. Praise should go beyond your acknowledgement of the piece of art; it should say to the child that you have paid attention to the details in the picture as well. With this method of praising, and singling out particular reasons a child’s confidence can soar.
# 2. Reliability and Consistency.
Children of all ages not only want to know, but need to know that they can depend on their parents or guardians to be consistent. If you have set rules for a specific dinnertime, be consistent. Do not let the teenager (or any member) of your household upset a family routine or set rule due to a preference, such as eating at friend’s house at the last minute, or being late for dinner due to a game. While there will always be exceptions to this practice, if you are consistent in any given family situation or rule your children will know they can rely on you. Although this strategy might not be popular in your home at first, your family will eventually accept and expect certain rules. They will learn to respect your decisions through your dependability as well. Through the child’s confidence in you his own confidence grows.
# 3. Trust
Trust, as we all know is “earned”. You can and should start building trust between you and your children as early as toddler hood. Nothing builds confidence in humans like trust. Be sure to remain consistent (as mentioned above) when you allow your children to venture forth in new areas. It is not always easy for a parent to feel sure of their children’s abilities, albeit a new bike, or riding that bike to the neighborhood store. Start with small and realistic steps that are agreed upon and carried out. Each success is the essential ingredient to building trust between child and parent.
Building self esteem in kids:
A child’s self esteem is one of the single most important things you can help your child to develop. A good self esteem helps a child to be confident, try new things, get along well with other children, do well in school and countless other things. The way a child feels about himself affects nearly every aspect of his life and children look to adults to learn about who they are. If a child is ignored, for example, he will feel unimportant and will act out in either two ways, he will behave badly to attract attention to himself or he will fade into the woodwork, believing that he is not important enough for anyone to take notice of him. Both examples show evidence of low self esteem.
If you want to build good self esteem in your child, you need to start when they are babies. Children begin to learn about themselves from the very beginning and if you start out right, the rest will be easy. Talk to your baby and praise her often, even for tiny victories like learning to drink from a cup, give your baby applause and let her know she is spectacular. When children see that they can accomplish things it boosts their esteem, especially if it is noticed and praised by adults.
Ask your child for his opinion on things: “What do you think of that movie we just saw?” “What restaurant do you like best?” If you ask for their opinion, they will feel important and valuable. Include your child on family decisions and always consider his input. Don’t ever ridicule your child or tell him that his idea is silly, instead, even if the idea is a little silly, you could say, “That’s a different way of looking at it!” or “How creative!”
Basically, you should treat your child with the respect that you would give to any other person and give plenty of praise and acknowledgement of his status as an important part of the family. Your child will gain friends more easily when he feels comfortable with himself and you will have the peace of mind of knowing he feels good about himself.
Oh, how delicate the thing called self esteem can be! As adults, most of us have noticed that if we are told something often enough, we might end up believing it. If those things happen to be negative, it can be so destructive!
It is very damaging for a child to hear negative things about him or herself. Unfortunately, these things often come from avenues other than their peers or the school bully. Haven’t we overheard parents saying things like “take that outfit off, you look awful!” Or saying within hearing range of a child “Johnny will never make anything of himself. He won’t even sit down to do his homework.”
Too many people simply don’t stop to think of the impact their words might have on an impressionable child. If a young teen experiments with makeup, as an example, words to the effect of “wipe it off, you look like a tramp!” will damage for a very long time while saying “I think a lighter shade of that color would look even prettier” builds self esteem because their efforts have been noticed.
It is hard to determine at exactly what age a child starts “taking it all in” and building what is to be their own self image in their mind. Certainly by the time they’re old enough to understand what “if you keep being too lazy to understand that math work, you’ll never make anything of yourself in life” means. If they start believing that life will be a waste, it will be an uphill battle to build self esteem and the desire to succeed in life. It could make much difference to hear instead “I know you’re having trouble with that math work, Billy. Why don’t we sit down together and figure it out? You’re very smart and I know that between us, we can conquer it.”
How a child views himself relies greatly on those he trusts. The parents. There will be enough peer pressure and bullies over the years; and what the child hears from a parent needs to counteract negative things others will say. It only takes a few short breaths to say “I’m so proud of you!” or “You look great today!”
I recently had an interview with a delightful girl of 15. She had been having some problems in many areas of life. She finally mentioned that she was dating and had been for a while. I took the plunge and asked what led to that decision. She thought for a moment and answered, “Oh, that’s easy. My mother told me that no boy would ever want to go out with me.”
Make your children feel good about themselves. It takes little effort to voice the things you admire about a child. Something like “that shirt really brings out the color of your eyes beautifully” just might make the difference between a terrific day or lousy day for them. If there is a decision they can help with, it’s a perfect opportunity to voice something you admire. “Will you help me choose curtains for your room? You have great taste in things like that.”
Remember, a confident child is assured in love and patience. A confident child is a happy child.
Dr. Nahida M.Mulla.M.D.
Vice Principal,
Professor of Repertory & PG Guide.
HOD of Paediatric OPD.
A.M.Shaikh Homoeopathic Medical College, Hospital & PG Research centre, Nehru Nagar, Belgaum – 590010 (Karnataka)

Mobile: 09448814660.


Category (Child Health)  |   Views (14290)  |  User Rating
Rate It


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