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Urinary tract infections in menUrinary tract infections are most commonly seen in the bladder in men. The symptoms include: Pain or burning during urination The urge to urinate often Pain in the lower abdomen Urine that is cloudy or foul-smelling Fever with chills and vomiting If the infection has spread to the kidneys, there may be pain in the back in the region of the kidney along with high grade fever, nausea and vomiting. UTI occurs very commonly and is not a medical emergency, but it is advisable to see the doctor immediately to avoid further complications. Elderly people and people suffering from diabetes should report instantly as they are at a higher risk for complications. The main risk is of the infection spreading up and affecting the kidneys. This could result in severe damage to the kidney and in people already suffering from any kidney disease, it could mean even kidney failure. There is also a small chance of the bacteria entering the blood stream and reaching other organs. Risk Factors for developing UTI: Not drinking enough water Holding in urine for long Kidney stones Taking frequent baths These factors may increase your chances of developing UTI A urine test is the only way to diagnose UTI. It not only checks for bacteria in the urine but also for abnormal cells like pus cells and red blood cells. Dipsticks are accurate. Home test kits are also available but they do not boast of 100% accuracy. Stealth or Asymptomatic UTI is the same as UTI, except that the symptoms are not seen. The bacterial infection is revealed in a routine urine test. This is serious and since it affects elderly people and immune-compromised people, needs immediate treatment. UTI is treated symptomatically. Specific antibiotics are prescribed for killing the bacteria. Symptomatic treatment is offered for the fever and pain if present. Along with this you will be recommended to drink plenty of water and fluids and regularly empty your bladder. Men with diabetes need to take special care due to several reasons. Since their immune system is weak, they are prone to infection easily. The high amount of sugar in the blood and urine may encourage the bacteria to flourish. Also, the diabetic neuropathy affects the nerves of the bladder and there may be no proper signals for emptying the bladder fully. All these add up as potential risk factors for UTI. Urinary Tract Infections are easily preventable. Here's how: Drink Plenty of water Empty your bladder at regular intervals Take showers instead of baths Visit the toilet before and after sex Avoid strong smelling soaps and washes to wash the genitals Wash from front to back.
Mammary duct ectasiaSigns and Symptoms In most of the cases, female patients do not have any symptom. In few cases, women may present with nipple discharge, tenderness or inflammation of the surrounding region. In some cases, there may be a lump over the breast or the nipple may get inverted. Causes Exact cause of mammary duct ectasia is unknown. But few possible cause or risk factors have been proposed by the doctors : Increasing age - Probability of developing mammary duct ectasia increases with age. With ageing, the breast changes its nature. Glandular tissue is replaced by fatty tissue. This change may lead to duct ectasia. Smoking- Milk ducts are widened due to smoking. This increases risk of inflammation which may lead to duct Ectasia. Inverted nipple - Inverted nipple obstructs the milk duct. It may lead to inflammation followed by duct ectasia. Complications Complications of duct ectasia may be may be of varying severity. They are usually minor, but sometimes become serious. Localized discomfort- Discomfort occurs due to pain and swelling around the nipple. Nipple discharge - Ectasia is frequently associated with discharge of thick and sticky fluid from nipple. Infection- Bacterial infection may develop due to stagnation of fluid in the milk duct. If it is neglected, it may lead to localized collection of pus known as abscess. Abscess requires surgical treatment. Abscess is drained surgically. Diagnosis The doctor usually diagnoses duct ectasia by clinical examination. However, few investigations may be required. Mammography- X-ray of the breast tissue is known as mammography. It helps the doctor to evaluate the breast tissue. Ultrasound- Ultrasound enables the doctor to evaluate milk ducts beneath the nipple. Treatment Duct ectasia is usually relieved by treatment. Following are the treatment options : Medications: The doctor prescribes antibiotic therapy for 10 to 14 days. It may be accompanied by mild painkillers like ibuprofen, etc. for initial few days till the remission of the disease sets in. Most of the cases are usually relieved by medications. Surgery: If duct ectasia is not controlled with medications then the doctor chooses to remove the duct ectasia surgically. Surgery is required very rarely.  Self care measures Following self-care measures often provides relief to the patients. These remedies can be adopted at home. The patient may wear a breast pad or support bra. The patient may apply warm compression to the affected region. The patient must stop smoking. The patient may be advised to sleep on the opposite side of the affected breast. Female patients should be educated regarding mammary duct ectasia so that they can detect possible symptoms of duct ectasia themselves. This will help to prevent possible complications of mammary duct ectasia and early diagnosis will provide early cure.
Dehydration: Prevention and curePlaying outside is great for the child's physical as well mental development. But if your child has spent the entire day outside and comes back with fever, diarrhea, or vomiting, and is sweating a lot, then watch out for the signs of dehydration. What is dehydration? Dehydration means abnormal loss of water from the body, especially from illness or physical exertion. Under normal conditions we all lose some body water through sweat, urine, and tears. Kids lose large amount of water and salt from body during fever, diarrhoea, vomiting, or long hours of physical activity or exercise without any water intake. How do I know it is dehydration? If your child has any of the fever, diarrhoea, vomiting or is sweating a lot on hot days then watch for these signs: Sunken eyes Dry or sticky mouth Dark urine or lack of urine output Tiredness, lethargy, irritability or fatigue How can I prevent dehydration? The best way to prevent dehydration is to ensure the child drinks plenty of fluids when they are sick or physically active. Get your kid in the habit of drinking enough water before he/she even feels thirsty.If it is very hot, explain to the kids the benefits of drinking water frequently. If possible, avoid going out in the sun. Give your kids a well-balanced meal to be sure that they are getting all the adequate nutrients. What if my kid gets dehydrated? If the kid is below 1 year, care should be taken to breast feed the baby often. If the dehydration is due to vomiting, feed small amounts frequently for it to absorb in between the vomiting episodes. Give a spoonful of ORS solution every 10 minutes to replace the lost fluids. For kids above 1 year, start with plain water initially when the kid complains of thirst. Later the kids may need drinks containing sugar and electrolytes. Also, the child should be made to rest at home in a cool environment until the lost fluid has been replaced. Once the child is rehydrated, resume to normal routine and diet.
Stress - Even kids cannot escape!Often when we feel overwhelmed with stress, we go back in the past and reflect. We miss our golden days of childhood.We think of those days with fondness, miss the free and carefree times. We feel like becoming kids again. But the truth is that at no age are we free of stress and worries. It is just that with time, we move on to newer situations and every new stressor seems worse than the previous one. Children stress out too, some more than the others. Stressors Simple things like a test in school, a Physical Training class or poem recital could mean a lot of stress for the little ones. The desire to meet the expectations of parents or teachers also creates tremendous pressure on the children. They are eager to do well at all the times and the smallest failures can upset these kids immensely. Peer groups are difficult to manage. In childhood, the social maturity is not sufficiently developed to handle day-to-day conflicts. Trivial fights or comments from classmates and friends can lead to a long-lasting impact on the vulnerable minds. They get easily influenced by their friends. Elder siblings also play a major role. Some act as mentors, some as bullies. Some cause damage unknowingly, some are plain indifferent. Life is full of new things and childhood is a fast-track learning lesson. Every other day, there is something new a child has to do. Meet a new kid, learn a new subject, try to dodge a ball differently or ride a bicycle without side wheels; there is too much to learn. These cause anxiety and may make the child nervous. Performance pressures, technology, precocity, media influences, etc. are some of the other factors that add to the stress in childhood. Signs Watch out for subtle changes in moods and behaviour. With adults, it is easier to identify the stress and hence rectify it. But with children, it is quite a challenge. Most of the children are themselves unaware of the stress they are facing, they don't understand why they are feeling sad or angry or fearful. They are just not at ease. Inordinate crying or screaming is a common sign. Being withdrawn, aloof and quiet is another way by which kids express their tensions. Physical signs can be seen in basic physiological changes - in sleep patterns (oversleeping or inability to sleep), eating habits (not eating or eating too much), frequent aches and pains, especially digestion disturbances and headaches, etc. Managing childhood stress Pay attention to your child. Listen to what he/she is saying, but also try to listen to what he/she is not saying in words, although only in action. Help the kids open up to you, spend quality time with them and talk to them about everything under the sun. Be well connected with their school teachers and parents of their closest friends. If the need be, please don't hesitate to reach out and seek professional help from psychologists and child counsellors. "One of the luckiest things that can happen to you in life is, I think, to have a happy childhood." - Agatha Christie  
Algophobia: The fear of painAlgophobia is the fear of pain:  an abnormal and consistent feeling that is far beyond what would be considered normal. The term is derived from the Greek words, Algos meaning pain and Phobos meaning fear. Our bodies are designed in a way that when there is a painful stimulus it reacts. How the body reacts to the pain is an individualistic phenomenon. Some people have a very low threshold for pain, and even the slightest pain evokes a huge response in them. Where as others can withstand a good amount of physical pain before their bodies give in. Some people dread even the tiniest amount of pain. They foresee situations that will cause pain in them. The way they react to even the smallest amount of pain is far more than the normal level of acceptance. Such people are said to be suffering from Algophobia. Algophobia is a learned behaviour, say behavioral psychologists. For example you may have heard from several people how hitting your shin on the furniture in the dark is the worst possible pain ever. So you tend to keep a watch and if it is dark, you move around extra-carefully to avoid bumping into the furniture and getting hurt. This would be considered normal, cautious behaviour. But if the same thought keeps buzzing in your head continuously and you go to extreme lengths to avoid that pain, you could be algophobic. Old people are the ones who have excessive fear. The age factor along with fear of death plays a vital role in old people developing this fear. For example an old lady may hear about all the ailments and pains that afflict old age people and may become apprehensive about it. She may develop irrational fears that more often than not, are also imaginary. She may start experiencing the pains even before anything actually happens to her. It may seem unrealistic to a normal person, but for algophobics pain can be a severely dreaded thing. Therefore they will go to great lengths to avoid pain at all levels, including day-to-day activities. They will not go into the dark, handle tools, avoid lifting heavy objects or even avoid playing any type of contact sports. If a task has a scope for injury and pain, they will avoid it! Frequently a pathological complaint of Hyperalgesia occurs along with algophobia. Hyperalgesia is a condition of increased sensitivity to pain due to damage to the peripheral nerves and pain receptors. Pain in such cases may be directly in the damaged tissues or in the surrounding areas. An interesting fact is that hyperalgesia can occur due to long term use of painkillers especially strong ones like opium and its derivatives. Algophobia is treated with behavioural therapy, psychotherapy and anti-anxiety medications. Hypnotherapy also has shown beneficial effects.  
CryophobiaCold or hot can be a very subjective term as every person's tolerance for either heat or cold can vary. When some of us react in an extreme manner to all things cold, then it could be a case of cryophobia - the fear of catching cold or the fear of cold weather. Derived from the Greek "kryos" + phobos gives us cryophobia, which is a mental aberration where the mind develops a nagging and persistent fear of all things cold - be it cold weather, ice-cream, or maybe even a cold shoulder! Jokes apart, a person suffering from this condition could really experience 'hot weather' in his relationships as he will completely avoid any contact with anything cold. If the weather is a bit nippy then that's a veritable disaster for Mr. 'Avoid De Cold' as he will do everything in his power to stay indoors, for instance - turn on the central heating and wrap himself up until the mercury rises to an agreeable level. Though it is decidedly different from your run-of-the mill phobias, cryophobia could be of various types. There are some who are only afraid of cold in the 'weather' sense and are otherwise cool about touching cold objects or even having an ice-cream. While there are some who would probably break out into, if you will excuse the term, 'cold sweat,' even while watching floating icebergs on a Nat-Geo documentary. So, the sensation of cold is quite subjective, and hence the various strains of cryophobia. Generally, this fear would manifest quite logically for those who have occasioned to be trapped under ice accidently or maybe those who have suffered frost bite from exposure to cold weather during a skiing holiday. Under such circumstances, avoidance, though irrational, could be perfectly logical. If you monitor weather reports constantly and experience discomfort even in moderate climates, then you should get yourself checked for cryophobia, as chances are that soon you will be restricting yourself indoors and cutting yourself off from the rest of the world. Some people might just overcome fear or anxiety by wearing an extra layer of the woolens or turning up the central heating. For deep seated fears, it may require long-term counseling or medication. Some people might just have this morbid fear of developing pneumonia from a common cold and hence may take elaborate measures to avoid going out during cold days. This too can be quite normal since most of us don't want to call a day off from work due to a nasty cold. But despite adequate protection if you are still afraid of venturing out to work or are avoiding social contact just because of an irrational fear of catching cold when the weather outside is made for the beach and you are in the middle of summer! Then the catchphrase is - You have cryophobia!
Arthritis friendly workoutsRheumatoid arthritis is more common in women over 60, and is the inflammatory type of arthritis where the synovial fluid functioning is disrupted. The synovial fluid maintains the health of joints, bones, and cartilages. Osteoarthritis is the most commonly occurring type in both men and women, and in this type there is gradual wearing away of the bone cartilages, which, in turn, causes stiffness, and pain in the muscles, joints and tendons. There is a classic catch 22 situation in arthritic patients and that is they avoid exercise or are advised extreme caution while exercising. The pain and soreness which comes from exercising can be extremely discouraging, so some shun exercise altogether. Now, the lack of exercise is going to precipitate the condition further, and could even increase the soreness, and lead to deformity. This is what challenges most arthritic patients. Should someone with arthritis be allowed to exercise? And if yes, then what type of exercise will prove to be most beneficial? Main question is: Are there any arthritis friendly workouts? Doctors now recommend that exercising could actually work wonders for arthritis patients. The right method and type of exercise can help ease the inflammation and soreness of the joints, and build overall health, strength and flexibility of the bones, and joints as well. What would be a good exercise routine? The arthritis foundation recommends routines which exercise the flexibility of the joints, and build muscle mass, for better shock absorption, coupled with physical endurance should be specially designed for arthritics. Regular walking: Walking is a great exercise for arthritics. Walking at a steady pace for about 30 minutes, thrice a week, can help keep the limbs active, and could reduce the swelling at the knees, and hip joints. Warm up is absolutely essential in any work out, and here it is of paramount importance that you go through a warm up routine before you begin your walk. Simple leg raises, hand to toe stretches, and light back bends can be done to warm up the muscles and joints for your walking activity. That will also reduce the possibilities of strain or sprains of the ankles along the way. Choose your exercise route to ensure that you don't walk up a gradient, and put unnecessary pressure on your knees and ligaments. Aquatic Exercises: Exercising in water is perhaps the best possible alternative, as water is absolutely low impact. This is great for arthritic patients to reap the benefits of a swimming pool workout. The easiest for chronic arthritis patients would be to simply walk, or wade in water for about 20-30 minutes. This can help greatly with building strength, and endurance in the extremities. For enhancing co-ordination you can even try walking backwards in water, or simply float and relax the body. Avoid water which is too cold, as that might adversely affect your condition. Stretching and Yoga: All easy stretches for the limbs and joints will be helpful to facilitate ease in movements, and dealing with joint pain. Standing leg raises, shoulder raises, wrist rolls are exercises which can be done quite easily, and can help keep the body supple. Though yoga also enhances flexibility, it goes way beyond just that, and actually aims at harmonizing the life force in the internal and external organs as well. No matter what type of exercise suits you, always remember: Proper warm up exercises are a must for the arthritic patient, as that can help reduce, and eliminate the possibility of injuries while working out. Do not force your body into an exercise regimen, if you are experiencing pain. It is quite ok to take a day off if the joints are sore. Get into an exercise routine slowly as your body might take a little longer to recover from it. Always seek the advice of an expert or a doctor before making any alterations to your regimen.
When the grey matters!Greying of hair happens to all of us at some point in life. Some may get it early and other fortunate ones may get it when they are 50. Premature greying and hair fall is a common problem faced by 70% of females in India these days. What are the causes of greying of hair and what can be done if your hair starts to go grey early? What are the probable causes of grey hair and hair fall? Deficiency of nutrients in diet. Excessive stress. Dandruff. Diseases like thyroid disorders, anemia, and vitiligo. Side effects of certain medication. Hair problems are seen more in women who smoke or drink. Childbirth and menopause are the periods of life when most of the women invariably have hair loss. Hereditary pattern of premature greying. Today's beauty procedures like coloring, bleaching, dyeing, perming, and straightening cause hair problems at a young age. Environmental pollution. Treatment and prevention Have a balanced diet. Ensure proper nutrients reach your body in every meal. If you are anemic, treat it with proper medication. This can be an underlying cause. Have a good sleep. Avoid tension and stress. Apply oil regularly and massage. Drink lots of water. Avoid exposure to chemicals. What can be done to hide the grey hair? Apply amla oil to your hair to make it healthy. Apply henna, lemon juice, fenugreek seeds paste, made in an iron container, on your hair to give them a color and reduce greying. Boil gooseberry pieces in coconut oil. When they turn black apply it on the hair. If you have 45-50% grey hair then you can use a permanent hair color.
12 Surprising pain triggersPain, one word that can send shivers down one's spine and can make one go weak in the knees. Such is the effect of pain, you utter the 1st alphabet of this word everyone dreads and you see how the room full of people will stare at you in horror. Now, pain can be of different types, good pains (No! I am not crazy, there is such a thing as good pain, don't get the gist of it, well the good pain is none other than labor pain) and then there is bad pain. Now, bad pain can be caused by a number of things, say you dropping a paper weight on your foot or eating something super cold (that hurts the teeth so much, you can barely talk) worse, pain from an accidental fall. Now, pains are common with both men as well as women, they both have abdominal pains, headaches, muscle pains, and back pains, but there are some forms of pains which are pretty common with the men folks rather than the women. Let's have a look at what those surprising pain triggers are: Wallet: Yes! You heard that right, according to Dr. Mehmet Oz, wallet is known to be one of the major surprising pain triggers. Having your wallet in your back pocket while driving, can cause chronic back pains, pain in the hips as well as shoulders. Since the wallet is in your back pocket, you sit unevenly, with one butt cheek being lower and one higher due to the wallet. So the solution to this problem is to keep your wallet in the glove box of your car or your bag. Phone: Phone, or any kind of technology gadget, is known to be the other surprising pain trigger. Want to know the pain these little gadgets can inflict? Well, it starts from the neck down. Since you are constantly bending down and hovering over your gadget, it can cause back pain, muscle pain, and headaches. Solution: Use a stand to hold these gadgets, so you wouldn't have to bend down or hover over your gadgets. Another cost effective solution happens to be taking frequent breaks and relieving yourself of the pain. Extra weight: Yes, the other evil, this is the one thing that can cause physical as well as mental anguish. Gaining a few extra kilos or pounds especially in the abdominal section, can cause massive stress to your spine and also cause realignment of your body structure. The only solution to get rid of this pain is to lead an active lifestyle, eat healthy food, and exercise to shed those extra kilos or pounds. Work schedule: If you have a hectic work schedule, chances are you aren't getting any rest, due to which the stress increases. The only way to get rid of this problem is to find a way out of your crazy schedule and have some time to relax and do activities that you like and enjoy, so that the stress that is mounting up on you can be relieved. Perfume: Shocked, aren't you? Well, this is another one of the pain triggers that can wreak havoc on you. Perfumes are known to contain certain fragrances and chemicals that can cause headaches. The only solution is to stop using perfumes that have those chemicals and use a fan at work, so that lingering smell of perfume won't give you a headache. Bad weather: This is another one that causes more pain or mental anguish. Bad weather can cause mood swings and terrible headache. The solution to this problem is taking a painkiller on the day of the bad weather to save you further from the throbbing headache. Bright lights: These can often cause a bad eye soar, not only that, they are also responsible for migraines. The solution is use sunglasses whenever out on the sun. Exercise: This might make you men folks go crazy, but the truth is too much of an exercise can also cause pain. Where, you might ask? Well, how about the muscles or headaches or even back pains for that reason. The solution to this problem is to stop exercising, well not totally, but, you should only exercise for the amount of time prescribed by your trainer or doctor. You don't need to go overboard. Cuts of meats: Yeah, these cuts or cold cuts as they are known, are one of the major reasons of causing headaches and stomach aches. The solution to this problem is to avoid eating raw or frozen foods as much as possible. Skipping Meals: You don't need to be an "Einstein" to figure this one out. Skipping meals, whatsoever the reason maybe, causes the blood sugar levels to drop down to a considerably low level which can cause migraines or severe headaches. The solution to this problem is to eat at regular intervals; this way you won't have headaches and your calories will also remain in check. Smoking: Don't be surprised, smoking has a slew of risks attached to it. Well, to begin with it causes asthma, it causes cancer (ranging from the esophagus to the lung), but it also causes frequent headaches. The only solution to help you get rid of these ailments and pains is to stop smoking. Caffeine: The pain related to caffeine is more mental or psychological than anything else. If you are a person who is addicted to caffeine, chances are you can't live without it. The solution to this problem is slowly and steadily cutting down the amount of caffeine you have. Shocked are you at the kind of things that can cause pain? Well, no need to be! Our body can shock us in ways we can't imagine. So don't be surprised the next time you have any sudden outbursts of pains.
All you need to know about angioplasty!Why would you need coronary angioplasty? The walls of the arteries are being constantly lined with a fatty material called plaque. This plaque increases in certain conditions like atherosclerosis. When the build-up is too high, the artery gets blocked and the subsequent tissue receives very less or no blood, causing it to die. The plaque at times may be dissolved by medicines but if it is too big, medicines prove ineffective. This is manifested outwardly as a heart attack. This is the time when the doctor would recommend the coronary angioplasty as a treatment for you. How is it done? A thin catheter with a deflated tiny balloon at one end is inserted into the affected artery. Once the exact location of plaque build-up is reached, the balloon is inflated causing the plaque to get pushed against the artery wall and creating free space for the blood to flow. A small mesh called a stent may be placed to hold the artery in place. Some stents are coated with medicines that prevent the scar tissue formation following the angioplasty procedure. The procedure may be done as an emergency or it may be planned. If it is a planned procedure: You will have to get hospitalized and stop eating or drinking 6 to 8 hrs before the procedure. Once the procedure is done, the doctor would prefer you staying in the hospital overnight to watch for any adverse events that may happen. What happens after the surgery? The surgery lasts for 1 to 2 hours and you would be allowed to go home the next day. You will be advised not to undergo vigorous and strenuous exercises and to rest adequately. Most people are fit to return to work a week after the surgery.
What Is slowing down your sex driveBeing sleep deprived can lower the levels of sex hormones in your body. Are you feeling dull lately and wondering what happened to your sex drive? May be, the stressors in your life are also creeping on to your bed. Find out some of causes that could be the reason behind this. Lack of sleep: Hectic work and busy life takes a toll on everybody. The first hit is your sleep - the hours go down, the quality reduces and the effects are insufficient. Sleeping six hours or less can push down the levels of testosterone in the body. Testosterone is the hormone that influences sex drive for both men and women. Though it is primarily a male hormone, it is also present in small quantities in all women and drives their sexual desires. Emotional problems: Stress, tensions, depressions, irritability, anger are negative emotions that lower the sex drive. Try not to bring the work pressures home. Marital problems or relationship issues may be hampering your bond with the spouse. Weight gain: Being overweight makes you lazy, tires you easy and decreases your self-confidence, especially in bed. When someone is not comfortable with his/her body image, it affects their sex drive. The pill: If the wife is on the contraceptive pills. The period of ovulation is the time in a menstrual cycle when there is a surge of testosterone in a woman's body. During this period, she experiences a strong sexual desire. The pills regulate the hormonal activity and reduce the sex drive to some extent. Alcohol: If you are feeling a little tipsy, be prepared to pass out and fall in deep sleep as you hit the bed. No scope for sex drive here. In the long run, increased consumption of alcohol can affect erections and make you generally dull. Diabetes Mellitus: Uncontrolled high blood sugar levels lead to impotence in men and dryness of the vagina in women. It also increases the risk for urinary infections. This results in lowered sex drive. Medicines: Some medicines like the anti-allergic ones and the antidepressants reduce the sex drive. Don't let complications of life affect the intimacy in your relationship.
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!!
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