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Male infertility : An overview of the causesWhy men shy away from infertility tests? However, it is ideal for both the man and woman of a relationship to get infertility tests done. This would not only avoid unnecessary tests and expenditure later and could also result in prompt medical treatment of the problem. Following an appointment with a urologist/andrologist, the patient is instructed to provide a semen sample for analysis of the quantity and quality of the sperms in the semen. An additional semen test might be recommended for confirmation of the initial results. The semen analysis is an effective method of knowing what is going wrong in the reproductive system : No-sperm count (azoospermia) - Absence of production of sperms or the non-appearance of sperms in the semen. Sperm Morphology Issues - Issues related to the structure and form of the sperm. Low-Semen Production (oligospermia) - Production of low amount of sperms. Sperm Motility Problems - Abnormal movement of sperms resulting in incapacity to fertilize egg. Did you know that use of laptops placed on your thighs can result in increase of scrotal temperature? This could lead to abnormality with sperm production. Thus, using laptops is best when they are located on table or desks, away from constant contact with your genital region. There could also be a primary medical condition, the symptom of which could be manifested reproductively. The physician will suggest blood and urine tests, among others, for the same. There can be 10 major causes of male infertility : Semen : Semen refers to the ejaculated fluid containing sperms during sexual intercourse. There could be low or no count of sperm. It is also possible that the mobility of sperm is restricted. Sterilization : The cutting and sealing off the vas deferens (the tubes which carry the sperms from testicles to the semen) ensuring that your semen does not contain sperms is known as vasectomy. Though this process can be reversed, they are mostly not fruitful. Lack of sperms : Even though the testicles are producing quality sperms, it is possible that they do not reach the semen. The lack of sperms in the semen is medically known as obstructive azoospermia. Such a condition could be caused due to the blocking in one of the constitutive tubes of the reproductive system. This could be further resulting from an infection or a previous surgery. Ejaculation issues : Some men might find it challenging to ejaculate normally due to retrograde (ejaculation of semen into bladder) or premature (ejaculation in very short period of sexual activity) ejaculation. Medicine and drugs : Certain medications have been found to catalyze the onset of infertility. These include sulfasalazine, chemotherapy, anabolic steroids, and herbal remedies (for instance, the consumption of root derivates of Tripterygium wilfordii). The quality of semen can also be negatively affected by illegal drugs like cocaine and marijuana. Testicles : The function of production and storage of the semen lies with the testicles. In case of injury to them, the quality of the semen could be negatively affected. Causes of injury to testicles include a congenital defect, testicular infection, physical trauma, testicular surgery or cancer and undescended testicles (case where one or both of the testicles do not descend into the scrotum). Hypogonadism : This refers to the presence of a very low level of testosterone (male sexual hormone) which plays a major role in production of sperms. This could be due to tumors, Klinefelter's syndrome, or consumption of illegal drugs. Sexually transmitted diseases (STDs) : A series of sexually transmitted illnesses can result in male infertility, for example, chlamydia. Alcohol and weight : Consumption of over 3 to 4 units of alcohol per day can result in infertility in men. Both men and women are affected adversely due to obesity. Occupational factors and stress : Contact with certain types of pesticides, solvents, and metals can result in deterioration of sperm quality. Stress has also been associated with the loss of sexual drive resulting in lesser instances of sexual intercourse. Moreover, in case of severe stress, sperm production can be unfavorably affected.
Aging milestonesChanges in old age depends on attitude as much as person to person. In young old age some changes begin to take place in a person’s appearance. Wrinkles, warts, age spots begin to form on the body. Hair begins to thin or becomes grey and even height lessens because the bone density decreases. While in ‘old‘ old age these changes are already permanent. Men might look distinguished if in good health, but women all look grandmotherly. In ‘young’ old age, cells begin to decay and muscle mass declines and immunity is no longer as strong as it used to be. People lose energy as the age progresses.  ‘Old’ old age brings in a lot of physical decline, profound changes in appearance and motor abilities, as also in sensation. Skin gets less elastic and becomes thin and blood vessels can break under the skin. The senses also begin to become dull. Eye lenses get affected and color perception and reading ability becomes very low. Hearing loss may lead to paranoia and ‘old’ old age people begin to think everyone is plotting against them because they can’t hear properly about what others are saying. Sense of smell also declines, but the taste remains almost intact. In ‘young’ old age, reflexes also slow down and so do the motor abilities. By the time they reach ‘old‘ old age most adults find that their response time has become quite reduced. This can be seen most in driving situations where it is difficult for ‘old‘ old aged adults to operate their vehicles as they have poor spontaneous responses. The ‘young’ old adults do not lose as much of their motor abilities as the ‘old‘ old adults, especially when holding small things like needles and pins. Of course, there are changes in sexuality and there may be a decline in the ability to have sex as men may not have an erection and women become dry due to lack of female hormones. Cognitive decline in 40% to 60% of older adults can be arrested with remedial training. Despite all the changes, most people even in their 70s remain comparatively active if they do not suffer any illness. Mental, physical, and social activity is necessary to maintain the quality of life. Old people begin to withdraw from work and other important roles and allow the younger people to take over. They are a lot happier as is also advised in Vedic literature as vridhashram. While activities are important, disengagement is equally important. Memory loss becomes aggravated and other cognitive abilities begin to decline and there are many ‘old‘ old adults who get Alzheimer’s and lose the ability to look after themselves. Old people also dwell on questions of death and sometimes go through a phase of denial and then anger that they have so little time left. Acceptance of death comes, but after a struggle and the idea of losing the family saddens them. Old people require support in their declining years as they begin to lose their faculties.
Marrying late in lifeConventionally, the marriage age is determined according to the linear formula of happiness that we have constructed and believe to be true. The formula being: getting married by 24 --> having children by 27 --> working (optional) --> becoming a grandparent (that too, real soon!). However, time and again, men and women wandering in their 40s-50s have woken up from the deep disturbed slumber to realize that maybe- just maybe, they had walked into things too fast. They had been unable to know who they are and to become a self-conscious human being before being ready to fuse their lives with another. The prime point of being single and marrying later in life is not to go on some form of egoistic joy-trip but to be able to know oneself and become ready to be the right person for the other. By marrying late, you give yourself time to experience freely what you like and dislike. You get to explore the world at your own terms- travel whenever you want and involve yourself in festivals and activities that manifest who you are. Marrying early doesn't allow for time to explore one's being, as marriage generally immediately follows the time you finish your studies or begin working. One of the most important aspects of adulthood today is travelling. However, every individual has unique wants of travelling and being a single adult will allow you to experience the world fully. You will also get in touch with yourself, exploring how you would like to live. The decision will arise from a ground of experiences which would clearly tell you what repels and what appeals to you. Such experiences are rarely findable once you begin living with another, as you would have to schedule your days and basically, your routine around the other's life as well. Financially, you have reached a point where you know how to take care and manage finances, allowing you to plan your wedding pragmatically. Marrying at a later point in your life allows you to be clear about when you would like to be a parent. Your experiences also ready you to be a considerate and understanding parent who can guide a child. As you grow older, you tend to become more tolerant and the propensity towards differences turning into unnecessary fights is lowered. As our ways of looking at the world change, every person as an individual has the need to learn to see the world as a home. This feeling of being at home is created only through series of experiences one has to go through as a responsible adult. In the face of inexperience, two individuals coming together often find themselves incapable of being happy with one another. Marrying later allows you to have grown into a wiser person yourself before sharing your life with another.
Your bundle of joy comes with bundles of fascinating facts Blue-eyed wonder: Most babies are born blue-eyed. The melanin pigment that decides the color of the eyes is not developed at the time of birth. So the babies are born with blue/light eyes irrespective of the genetic makeup. By the time the baby is 6-7 months old, the pigments start developing and the baby's eye colour changes as per the genetic makeup of the parents. Marked for life: One in every three infant is born with a birthmark! No tears: That is true! New born babies do not shed any tears. The lacrimal duct and the tear glands are well developed but they produce just enough tears for lubrication. Actual tears start appearing after one month of age. Crawling wonders: New research has found that babies can crawl almost as soon as they are born. When left to themselves, they are quite capable of using their limbs and find their way to food i.e. the mother's breast.And we thought that they are tiny helpless creatures! Temperature sensitivity: Babies are much more sensitive to temperature changes and body heat.Though the baby can't throw off the clothes to cool down, it is smart enough to do other things. When the baby is cold, it will move around more and if it is too hot it may just lie still as if sunbathing. Touch therapy: Touch is the most highly developed sensation in babies, even in premature ones. The touch sensation develops from head to toe with the mouth being the most sensitive. No wonder they tend to put everything in their mouths. Short-sighted: Babies are short sighted at birth. Their vision is set to a limit of 8-to-12 inches. They can see people and objects clearly only if they are within this range. Brain size: The brain grows at such a rate in newborns that by the end of the first year,the brain is double the birth size and half its final size! Palmar Grasp: New born babies have a strong grip, as strong as a monkey's. The grip is so strong that if you dangle them on one hand, they can support their own weight. This probably originated from the primitive survival instinct. This strong grasp reduces after a couple of months. Taste buds: Babies have more than 10,000 taste buds situated all over the tongue and even at the roof and sides. As they grow, these extra taste buds disappear.
Teach your kid to stand up to bulliesAlmost everyone has heard of the beach bully who goes around kicking sand in the face of the skinny lad. That's the quintessential imagery associated with bullies and it has stayed with us for over 3 decades since the first ads came out. The ads generally endorsed body building products using the classic 'Before' and 'After' construct, i.e. before you got your face sandblasted by the beach bully and after you took that protein shake or muscle builder to get even. Bullying is a phenomenon where a person or group wilfully targets someone with the intention of troubling them over a specific thing. (Bullies generally pick on someone they perceive as physically, mentally, financially, socially or racially inferior.) There is no age-limit for bullies as the bully could be a school going kid with an attitude problem or a fully grown adult, who could indulge in it from sheer force of habit or due to a mental problem. Again there is no age limit for the victim as well. Anybody could really be a target for the bully menace, right from school children, teenagers, disabled or even old people. Well bullying has changed considerably in these times and you also have the e-bully version where insecure bullies go about harassing people, especially teenagers over the internet. Bullies resort to tactics like causing public humiliation or embarrassment to hapless victims or resort to threats or other control-based abusive behaviour. Ok so everyone has undergone bullying from time to time but the question is should you allow it to happen to your teenaged son or daughter? Mind you, here it isn't simply a question of some leg pulling by friends or teachers but some serious malice that could well destroy your teenager's confidence and cause permanent scars on his self-esteem. Yes, if your teenager is being subjected to bullying then teach him how to kick the sand right back in the bully's face. Before we learn how to do that let's see the types of bullying that your kid could be subjected to: Verbal bullying This includes teasing or making caustic remarks directed at someone on a regular basis. The school bully does that, doesn't he? As you would probably remember from your own school days that fat lout who made you quiver with fright as he snatched your lunch box away to feed the dogs. Yes, the very same guy who pulled your sister's pig-tails and called you names which made you go red in the face. You could do nothing but pray he wouldn't notice you somehow. Well so something similar could be happening with your teenager. Verbal bullying need not be done by a school friend. Even a responsible teacher could target someone for deprecatory remarks causing much embarrassment, ridicule andfeelings of inadequacy to a teenager. Sometimes kids look up to their teachers for encouragement and support and those very people could actually damage a child's self-esteem by unjustified criticism and bullying behaviour.Teenage girls could suffer taunts and remarks about certain physical traits and since they are at a delicate age where their bodies are undergoing changes, such verbal abuse can indeed cause long-term depression or personality issues. Physical bullying Physical bullying is where your teenager could be subjected to physical harassment at the hands of the bully. Whether it is a simple case of holding your teenager's hand or unprovoked physical assault, the end result is the same-injuries to the body and mind. The bully may not go as far as inflict any visible scars on the teenager's body but the episodes could certainly cause great fear and trauma to him. Even teenage girls are not spared physical abuse at the hands of bullies. In certain cases, teens suffering from long-term bullying actually took some extreme measures by committing suicide or breaking down completely. Internet bullying Internet bullying is where your teenager is probably most vulnerable. At least school bullying is restricted to school, but here your teenager is at the mercy of just about everyone - from the school bully to the earnest paedophile! Causing embarrassment on public forums, threats of physical or sexual harm is the most common and as a parent you have to take every step possible to not just protect your child but also help him take care of himself or herself. The bully menace The school bully is comparatively easier to deal with than the internet lout! Well, one can't be too sure of that statement either since these days,school kids are known to blow up their own classmates or participate in a heist with adult precision. Always watch out for the classic signs of bullying. If your child appears withdrawn or disturbed after school hours then gently probe and encourage your child to tell it all. If you feel there is enough reason to think your child is being subject to bullying then bring it to the notice of the school immediately as others could have similar complaints. Do not admonish your child or scold him as it could cause him to withdraw in to the shell that the bully provided him in the first place. Parents and elder siblings can be bullies too so remember that. Teach your child to stand up to bullies. The bully is generally an insecure person who uses brute force to feel good about himself, at the cost of others. The school bully generally has his way and is not used to being challenged. Teach your child to look the bully in the eye and register protest. This will go a long way in teaching your child how to fight back and not take any nonsense from others.If the situation worsens, then always keep a track of your teenager's whereabouts especially if it is a girl. Once the bully realizes that he is being tracked he generally lies low or picks on someone else. Internet bullying requires different measures. You can monitor your child's online activities and teach them to never ever share any personal information or photographs online or on forums which are off-limits for children and adolescents. You can complain to the authorities if things get out of hand. If someone repeatedly issues threats to your teenager, either online or in real life, is a cause for real concern and one must take them seriously. If your child does not learn to cope with bullies it could affect him well in to adulthood, where he will feel helpless and easily scared by imposing people or even develop a hatred for authority figures. Bullying can fuel an already weak personality in to gaining an inferiority complex; the flip side is that kids who have been subjected to bullying can repeat the same patterns on their younger siblings or at school. So a bully creates another bully if continued unchecked. Mental problems in children are on the rise, so bullying is also no longer an innocent joke but could be a serious crime. Bullies whether children or grown-ups, suffer from some personality disorder or a serious inferiority complex which makes them compulsive trouble makers and their victims are generally people who cannot hit back or are vulnerable. Take Hitler for instance. Wasn't he just a bully who was unhappy in his own life? Look what he did to millions of innocent people. Wasn't that a bully gone berserk?  
Boost your mood after a long day at workUp before the sun rise, rush to get ready, say hurried goodbyes to the family and crawl like a tortoise through traffic to get to work. Go through a long day of meetings, calls, deadlines, reviews, and then crawl back again through traffic at a snail's pace. Does this sound like a day out of your life? Then surely, weekends go by faster for you than you can say lickety-split, leaving with no time for yourself, your family or your hobbies. Social life is definitely a far cry from possible. This rigorous schedule eventually catches up with the mind and body and lethargy sets in, discouraging any sort of activity that breaks the monotony of day-to-day life. Is there no escape from this? Yes, there is. At the end of the day, when your mind is tired, you do not feel like taking anything more than you already have on your plate. Only the warmth of your bed allures you. However, if you were feeling fresh and enthusiastic, surely, you'd be ready to do a lot more - move mountains or at least drive to meet friends, anyway. An energetic life full of happy times with families without the constant desire of solitude after a long day's work is what you seek, then try these mood boosters to uplift your mood and get your feet tapping right away! The Aroma of Good Mood:Scents play a great role in the way we feel. They have the power to turn the mood around completely. Light a few scented candles or set up an oil diffuse of your favorite oil and you will feel lighter and De-stressed soon enough. You can also mix a few drops of rosemary and bergamot to create an energizing and refreshing infusion. Walk it Off:Most of us work in functional buildings in temperature-controlled environments. The lack of windows makes natural light and ventilation scarce and aids the buildup of gloom and tiredness. A good way to turn the mood around is to walk it off. A short walk around the block or in the building compound can bring you back in touch with nature. If you are lucky to be living in a green community, you have the added benefit of watching the trees and bird life in them. The exercise also helps release hormones in the body that uplift your mood immediately. A Good Deed Begets Good Mood:Giving is the greatest joy! So perform a good deed - if you see someone who needs help on the way back from work, stop for a few moments and help them. Or simply help your spouse, children, parents or neighbor out. And voila! You will find yourself feeling a lot better than how you did when you entered the house. Clear the Clutter:Organizing things and creating neat, clean spaces is a great mood booster. As you clean the clutter, you will find the clutter of thoughts in your head also clearing. Neat, well-kept spaces invite good vibes and energies, which again makes you feel better in turn. Petting a Furry Friend:Petting a dog for even 15 minutes releases the feel good, happy hormones. It does wonders for the stress level too. So the next time your furry friend comes rushing to the door, to welcome you back home, take time to give it some love. The Human Touch:We spend 10-12 hours a day away from our family and familiar touch. The human touch releases uplifting hormones such as serotonin and reduces heart rate and blood pressure making you relaxed. So when you get home, remember; a nice warm hug to your spouse or children will make you both feel better.Remember you work to live and not the other way. So when you get home from a long, tiring day, just boost your mood so you can thoroughly enjoy life with your family!
Building self confidence by improving body languageSo what have they told you? That only physically attractive people have the right to self-confidence? That you either have it in you or you don't? Let's face it, confidence is the key to anything and everything. Right from driving a car to handling work to dating, confidence is what separates the proverbial wheat from the chaff. What you need to remember is that the mind speaks the body language. Conversely if you change your body language, then it has an impact on the mind as well. Mr.Hunched Over This guy is the classic example of a person who just doesn't like himself. The world is a mighty dangerous place for him. Just look at the way he walks. Shoulders all hunched over, head down as he shuffles rather than walk. Mr. Hunched Over generally finds it difficult to look people in the eye as he speaks and he last is handshake is as limp as his mind. He crosses his arms tightly, touches his nose all the time to see if it has grown since he lied through it. Mr. Walk the Walk and Talk the Talk This chap is diametrically the opposite of the first kind. He exudes an air of confidence in his walk, manner and speech. He has a confident stride which is helped by the fact that he stands to his height with his head held high, chin tucked in and shoulders squared back. This is what gives him the confidence as this posture is designed for efficiency. Mind you, he isn't ram rod straight, just straight enough so that his ears are in line with his shoulders and hips. The chest is also out since the shoulders are drawn back towards the hip. This facilitates deep, even and diaphragmatic breathing which prevents anxiety. His hand shake is firm. As he offers his hand, he exerts just the right pressure on the other person's hand to indicate a strong grip. This is no wrestling bout, so the confident man always exerts just the right kind of pressure in a hand shake.  He maintains eye contact with the person he is talking to; not a staring about, but normal eye contact, one which won't make the other person conscious of being stared at. He looks away from time to time to give his eyeballs a rest. This is why he comes across as genuine and not shift eyed and restless. To be Mr.-Or- Ms. Walk the Walk Always square your shoulders and keep your head held high when you walk. You might seem imperious or high handed at first, but then it will work wonders on your self-esteem and you will begin to feel differently about yourself. You needn't even be a tall person to come across as cool and confident-just stand up to your own height and see the miracle. Breathe slowly steadily and deeply. Use your abdominal muscles to draw in your breath rather than engaging your neck muscles which end up making you a shallow breather and plus you also tend to hunch easily if you don't feel your rib cage and stomach expand as you breathe in. Practice standing and speaking in front of the mirror. It will show you exactly how you appear to others. Practice your walk in front of a video camera and keep a record of your metamorphosis.
Sleep tight at every good night!A good night's sleep! Oh, what would some of us give for that luxury! Sure, you can blame it on the fast paced world and the things you have to do to keep the competition off your turf, and millions of other reasons to be sleep deprived. Yes, sleeping soundly and regularly is well within our control. Maybe it has eluded you so far and you are caught in a vicious circle of staring at the ceiling for hours on end; so read on to see what simple things you can do to gently drift off in to the arms of nature's greatest restorative- beauty sleep. Do's and don'ts for beauty sleep Fix a regular bed time, so that your brain will adjust to this by sending sleep signals to the body. If your bedtime is completely at the mercy of your activities then even as fatigue sets in the body will refuse to obey. So, even as your body is screaming for rest, the mind does otherwise. This is where good old discipline comes in to play. Take in to consideration the activities which are absolutely necessary to do and note the frequency with which they are likely to interfere with your bedtime before setting a realistic bed time. Initially the mind will refuse to obey, and you are most likely to get up, after tossing and turning in bed, to switch on the computer or whatever it is that you do when you cheat your bedtime. Rest assured, in a couple of days the brain will get used to this sleep routine and prepare you for shut down. Sleeping well also largely depends on how stress free you are. If the mind is in a state of constant excitement or anxiety, sleep will elude you. So when you lie down to sleep you need to fade out and blank everything out- joy and sorrow; expectations and ambitions, all of these out for later access! Tell yourself that tomorrow is another day and what you need today, is a state of neutrality! That's what most Indian philosophers would want you to do anyway. A good eight hours of sleep may depend largely on our minds but external factors can matter too. Sleep comes easily when your mattress is comfortable and not too soft or too hard. Use a pillow that won't give you neck pain, as any discomfort in the neck is likely to throw sleep off gear. Wearing clean night clothes can give you better quality of sleep. That goes for the bed spread as well.  Try this for yourself. Tight and uncomfortable night clothing is not recommended as this will only make you wriggle about for comfort. A cozy blanket and some clean nightclothes make great bedtime mates. Some people have a nightcap to help them sleep better while others still, drink themselves to sleep. Alcohol in large doses can only numb but does not help you sleep and you will only find yourself waking up frequently. Sleeping pills can be habit forming and might have serious side effects in the long run. So try simple remedies like a glass of warm milk or hot chocolate before bedtime to help you sleep better. Avoid stimulants like coffee, tea or nicotine before bedtime as that can keep your nerves all hyper thus making sleep quite difficult to come by. Computers and television are also largely responsible for us staying up late and disrupting our sleep patterns. We often find ourselves mechanically flipping channels or browsing without any real need for it. Try and go offline before bedtime, especially if you want to be able to schedule your sleep time. Television or movies can excite the brain and then you will find it difficult to fall asleep. So about an hour before bedtime switch off the telly or computer and just sit quietly and do some deep breathing exercises. Just sit cross legged for about ten minutes and relax your body. You are now ready for a deep slumber.
10 bedtime beauty essentials! Here are the beauty essentials you need to take into consideration, before you hit the bed: Baby-soft soles :Before you sleep, apply Vaseline on the sole of your feet. This will adequately moisturize your soles and you can wake up to the great opportunity of wearing those heels you have been dying to try out! Healing the puffy eyes : If you are worried about waking up with puffy and tired eyes (even after 6 to 8 hours of sleep), then put on a little eye cream. You can also keep an extra pillow and make sure you sleep on your back. This will allow the fluids around your eyes to drain easily and reduce the puffiness. Trying out wavy hairstyle : Bedtime is the best time to work on your hairstyle. Before you sleep, shower and fashion your hair into the style you want. Apply a styling cream on your hair gradually, after having air-dried it. Now, decide if you would like to put them up in buns or braids. Stylize them into the pattern and wake up to wavy hair! Let your skin breathe : Those who are suffering from dry skin can apply moisturizer. A humidifier is also a great accessory for help in these cases. You can switch on the humidifier before you go to sleep. This will help your skin to retain its moisture through appropriate hydration. Keep aging at bay :Did you know that sleeping on cotton pillowcases can increase the chances of creases and wrinkles on your skin? Prevent wrinkles by using silk or satin bed clothing. This will also reduce hair breaking. Wake up, miss white smiles: If you want to take off the yellows from your teeth, then brush some baking soda and let them stay for about 8 minutes. Afterwards, thoroughly rinse your mouth. Do not perform this beauty tip more than once a week, it will negatively affect the structure of your enamel. Work on your complexion :During the day, sunlight might disable some face creams from working effectively on your complexion. Make the most use of night and apply a face cream containing retinal and vitamin C. Lengthen your lashes : Eye lashes depth and grace to your eyes. You might feel that working on your lashes will require way too much effort. But, much to your surprise, everything your lashes need is contained in a natural ingredient - castor oil. Consisting of Omega-3 fatty acids, which are highly hydrating, they will avoid your lashes from breaking and also strengthen them. Apply castor oil on your lashes before you sleep and watch them grow thick and healthy within a few weeks! Taking care of your hair : Skim leave-in conditioner through your hair in the evening and let them stay on till the morning. This will let them become soft and shiny. You can also use coconut oil as an alternate conditioner. Readying your nails for polish : Depending on the skin type, the nails of certain people become dry. If you are one of them, it would be best to apply a cuticle cream or oil on them before you sleep to wake up to polish-ready nails.
How to communicate with a patient who has a strokeThe first and the most important thing to communicate with the patient, is to give undivided attention. Give attention to his activities, gestures, his facial expressions through which he may try to communicate so his feelings could be understood. Eye contact is also important but the patient having stroke may look at you square in the eyes but he may not respond to your conversation. While communicating with the patient you should always stand in front and tune out all the other sights and sounds in the room. Maintain full silence around the patient in the room, turn down the volume of the television, radio and ask other people in the room to be silent. You may communicate with the patient by making contact by touching the hand, chin, cheek or areas which are not affected by stroke. As the side which is affected by stroke, does not have any sensations. You may communicate with the patient through his family member by telling the family member to communicate with patient by saying, "Look at my face"; through this we can gain the patient's concentration. You should always speak clearly with the patient in a normal soft volume. Express your ideas in simple terms, form simple sentences, do not use complex words. You may repeat the sentences or an important term again. For example to ask if the patient wants tea, repeat the word 'tea'. More complex thoughts can also be similarly conveyed and repeated. You may also use hand gestures with clarification like doing Hello by waving your hand or through your hand action, you may ask questions like, How are you? Are you ok? What do you want? Through this both caregiver and stroke patient can benefit. You may ask your patient to point out whatever he wants or if he needs anything. And gradually he will develop the habit of pointing the daily items like television, newspaper, remote, eyeglasses radio, drapes an uncomfortable foot, the patient can indicate any pain or headache. Through this communication we can make the patient learn, use mechanical lifts to get in and out of the bed, and with the help of the attendant by demonstrating the patient how to use it. Sometimes when the communication does not work, take a break, give it time and try again, do not get frustrated and reassure the patient that yes, he or she can do it. Good communication with the patient is very important as they cannot speak their basic wants and needs clearly. The patients suffered a stroke also have slurred speech. There is a deviation of the angle of mouth. They are mostly bed ridden and could not carry out the routine activities.
Flash the pearliesRemember the lines from the song, Words? Smile an everlasting smile, a smile can bring you near to me.  Well, ideally, you wouldn't want your teeth to be yellow when you flash that smile. So for those who have shades of yellow on their teeth, here's how you can go back to white. It's first important to understand what causes yellowing of the teeth. Eating habits: Carbonated drinks dissolve teeth enamel. Tea, coffee and other caffeinated drink stain the teeth yellow.In addition, alcohol and cigarette smoking too can stain teeth. Tobacco chewing especially produces stains that are difficult to remove.Food rich in artificial sweeteners are harmful for teeth. They not only make the teeth yellow but also produce cavities. Chocolates, pastries, ice-creams and all such sugar-rich foods are sticky. They stick to teeth and have corroding effect on tooth enamel and dentin and cause yellow teeth, decay and toothache. Oral hygiene: Poor hygiene of oral cavity leads to stains and caries. Take good care of your teeth. Brush teeth twice. Floss them and use a mouthwash. Ageing: Gradual loss of enamel and wear and tear lead to yellow teeth. Medicines: Medicines like iron tablets, tetracycline too can lead to yellow teeth. Injury: Trauma to teeth can sometimes lead to yellowing. This is common amongst kids. Preventing yellowing of teeth Maintain a good dental hygiene. Brush twice for atleast 3-4 minutes. But be gentle while brushing teeth. Gargle every time after you eat.This removes the leftover food particles and keeps the teeth clean. Avoid use of local powders or corrosive substances. They damage enamel. Fruits like apple, cucumber, and carrot act like cleansing agents and keep teeth clean. Fruits like sweet lime are rich in vitamin C and help to keep gums and teeth healthy.
Psychological impotenceSex is not just physical but just as equally mentally involved. Mental stimulation and response are responsible for arousal and overall enjoyment; and therefore any sort of psychological disturbance or mental issues like stress, tension, or anxiety can lead to psychological impotence. Stress or exhaustion are most possible explanations for psychological impotence. Depression and post-traumatic stress disorder also may result in impotence. A mental trauma of sexual or physical abuse, guilt due to sexual relationship, problems amongst partners contribute too. Confusion over one's sexual identity is also a major cause for impotence. Impotence results from underlying physical disorders, especially if the people choose to stay unaware of it. Absence of knowledge of this disorder leads to anxiety and stress building up over a period of time.  So when determining factors rule out physical causes first and then go for identifying mental causes. Psychological impotence can be sometimes situational or only with a particular partner and the treatment approach differs with the cause. Counseling works wonders in the case of psychological impotence. For example, depression or anxiety may require treatment to improve condition. Post-traumatic stress disorder or abuse needs therapy on coping skills. Sometimes simply explaining underlying cause of physical condition resulting in impotence and comfort and reassurance are sufficient. So don't hold back, share to get your mojo back!!
Sex at 50 for womenAs you age, your reflexes slow down. The passion to love and to be loved is never dying and just because you have grown in age, you should not stop enjoying sex. The body, especially in case of women also undergoes many changes after the menopausal period. Although it may take you more time to become aroused but the desire to have sex is always there. Moreover, with no children and no worry of getting pregnant you can enjoy sex uninterrupted without any tension. Women who continue to remain sexually active after their menopause retain their ability for enjoying normal orgasms. But this does not mean that there is no difference in the enjoyment factor. Several factors can be detrimental in continuing sex activity. However, there are solutions that can help the couple in their fifties still enjoy sex. Better sex can be possible even during the fifties but for this, you should be ready to take some extra efforts and make your body more comfortable for sex. Using lubrication After the menopause, the body of a woman starts producing less female hormone-estrogen. Lower estrogen level leads to physical changes such as less elasticity of vagina, dryness in vagina and so on. Your vagina may also take more time to swell and lubricate; in turn making intercourse painful or uncomfortable. Instead of getting discouraged by such occurrence, you should try to find out a remedy for it. For overcoming the dryness of vagina, you can use different sexual lubricants that are specifically prepared for the older women. You get them in suppositories or gel forms, which you apply liberally to the vaginal area before having sex. There are certain vaginal moisturizers also available in the market that makes vaginal penetration easier by maintaining elasticity and lubrication. Increase the frequency The more often you have sex, the easier it is for you to maintain elasticity and lubrication. So, go for it more often to enjoy it more now. Hormonal therapy treatment If you are suffering from distressing menopausal symptoms like hot flushes, you can opt for hormonal therapy treatment. This will help to relieve the vaginal dryness. Some doctors also suggest local intra-vaginal therapy to avoid discomfort and dryness during penetration. Application of local estrogen into the vagina enhances the blood flow to this area and ensures more sensation and lubrication. Intra-vaginal estrogen treatment This treatment is carried out in three different ways: A small ring of silastic is inserted high inside the vagina and is kept there for three months. This ring release estrogen in right amount to promote optimum vaginal health. A small tablet of estrogen is inserted inside the vagina twice in a week. Conjugated estrogen cream is applied with small applicator twice in a week. So, there are different methods for increasing responsiveness, vaginal lubrication and elasticity that help you enjoy sex better even in your fifties. Overcome awareness about your body The body of women in fifties is saggy and wrinkled. However, if you have a young heart and passion for sex, you should not let the body image spoil your enjoyment. It is your response towards your partner that matters the most as both of you are going to age slowly and get more wrinkles as the age progresses. Like someone said, it's the imperfections and not the perfections that we fall in love with.
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