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Is male menopause a reality?As opposed to the sudden drop in ovulation and hormonal levels in women, menopause in men is a gradual process. The consequences in men aren't that clear. The health risks, though, are significant and it is important to recognize the symptoms of male menopause early on. Read along to know more. A testosterone level of 300-1200 ng/dL is considered normal in a healthy male. As one ages, the testosterone levels too drop gradually. After 30 years of age, the levels drop by 1% per year. By the time a man crosses 50 years of age, he is in menopause. Look out for the following signs to know if your testosterone levels are dropping : Low Libido : A low sex drive or decrease in inclination to have sex is the first sign of decreasing testosterone levels. Erectile Dysfunction : Testosterone is responsible for releasing nitric oxide that leads to erection. As the levels of testosterone decrease with age, getting an erection and maintaining it for longer periods of time may become difficult. Low Semen Level : The normal amount of semen ejaculated each time varies between 0.1 and 10 mL. This normal level is due to the efficient functioning of the testes, seminal vesicles, and prostate, all of which work under the influence of testosterone. As you age, the testosterone levels drop and the amount of semen ejaculated also drops. Orgasm Troubles : As you age, having an orgasm every time may be a bit difficult due to the dropping testosterone levels. Mood Swings : This happens in men as much as in women! The interesting thing here is that the man who suffers from it is the last one to note it and acknowledge. So, if you find yourself snapping and getting irritated at the smallest of things, get your testosterone levels checked. Depression : When you feel dull and demotivated at all times, and even doing the slightest of activity seems like a chore, it means that your testosterone levels have dropped to a significantly low level. Abdominal Fat : This is again an early sign of decreasing testosterone level. Belly fat is a sign of advancing age. Low testosterone levels are a sign of advancing age. Not all men who have low testosterone levels may show symptoms. In such cases, there is no need for any kind of treatment. Low testosterone may also be due to some other conditions like thyroid disease, excessive alcohol use, sleep apnea, etc. After 30 years of age, the levels of testosterone drop by 1% per year. By the time a man crosses 50 years of age he is in menopause. Identifying and eliminating these causes will restore the testosterone levels to normal. However, if no cause can be attributed to the low testosterone levels, it is a clear indication of normal aging and 'menopause.' As with women, men too have the option of hormone replacement therapy. However, this treatment is controversial. In some men, the testosterone replacement may relive several symptoms, but the risks far outweigh the benefits. An increased chance of heart attack, prostate cancer, and other health problems are associated with testosterone replacement therapy. Herbal supplements for problems associated with decreasing testosterone levels are generally considered safe, but they too have no proven health benefits and are known to increase the risks for prostate cancer. Male menopause isn't as dramatic and abrupt as the menopause in women, but it is a reality. It happens gradually over a period of several years.
Career advice for menGetting a job these days is extremely difficult. What is even more difficult is sticking around long enough at the job. No one is indispensable, and if you don't perform well, there are hundreds more waiting to get the job! Being the bread winner, men have to face this pressure more. Here are some tips that would do you good, if followed: Cracking The Interview: The golden rule here is to be honest. The interviewers do not want to hear what will please them; So, do not try to butter them up. They are also put off by boasting . Therefore, be honest about your views and opinions. Age:wise Attitude- When you are young, and have just entered the company, it is highly advisable to observe and learn as much as you can. Find yourself a professional mentor who can guide you. Try and build on your professional presence. Be active, spend more time with your boss, be helpful to your juniors. The golden advice for all, irrespective of seniority, is to stay clear of office gossip and politics. Keep a check on the attitude: There is no need to be arrogant, and a know-it-all. Be friendly, confident, and genuine. Learn to say no: You need to have a pleasing personality. But, avoid trying to please all. Try and learn the art of saying no firmly. Too much of 'yes' will make people take you for granted, and you will find yourself overloaded with a lot of work. Do not under price yourself: If you feel that you deserve a raise, go ahead and ask for it. Do not be afraid to ask for your worth. Often at interviews, employers cancel out candidates who under price themselves, as it shows that they will probably not perform to the expected levels. Blow your trumpet: With all humility make sure you take what is rightfully yours. If you don't take credit for the work, no one will give it to you. Worse, someone else may take it! Create boundaries: Keep your work at office. Do not bring work home. Often at the outset, to please bosses, one ends up working overtime or worse, working at home. It is important to keep both the parts of your lives separate. Keep fit too: Don't let your job take a toll on your health. Working late, sitting at the same place for hours, can be harmful for the heart. Learn to unwind periodically. Setting goals is easy. What is needed is the determination to follow the rules you have set for yourself. The way to success at work is taking the ladder, one step at a time. There is no elevator here.
Infertility at workplaceSince infertility among the younger age is increasing, it is important that a couple decides an early suitable date to attempt conception. Time and again it has been found that infrequency of intercourse is the cause of delayed pregnancy. It is advisable that the woman has a thorough examination by the gynecologists to identify the ovulation dates and for the man to have a thorough spermatic fluid check.  If both are normal then they could wait for a suitable date later. Should there be a problem the quicker it is attended to better. Also, early in the marriage they should start a fund which could be utilized for matters related to conception. For the male, the main treatment covers his personal sex life and a detailed examination of his spermatic fluid. It is the female who has to undergo many detailed tests and possibly surgeries which are expensive. It is often seen that not only the procedures for both take a toll on their personal and intimate relationship but also severely affect their finances which may come to a point that it does not allow them to complete the treatment as for e.g. the woman undergoing IVF may costs several lakhs of rupees. The treatment of infertility has improved greatly, but interferes severely with the work schedule. Working couples particularly women may have a hard time keeping to their schedules. Depending on their infertility diagnosis, many workplace challenges exist including the need to take time off to undergo tests and other appointments. It is difficult to balance the medical and surgical procedures with daily life and work. This is a difficult issue for many people as they fear their employer may discriminate against them for taking time off from work. Sadly in India there are very few employers who include medical benefits and cost of treatment for infertility. Suggestions have been given on stress dealing with infertility treatment and work. Here are few pitfalls to avoid: Do Your Homework: Review your organization's HR policies so you understand the amount of leave you have and other policies that pertain to your situation. You may be able to arrange for flex time or work from home on the days of your appointments, so that you do not actually miss any work. Be Honest:  Go to supervisor and let her or him know that you will be using your leave time and will give as much notice as possible. Honesty is the best policy. Remember people are inherently curious about the disease of infertility. If you feel the questions are invasive and make you feel uncomfortable, remember you do not have to answer the questions. You can respond nicely and let them know that you appreciate their concern but you are not ready to answer any questions. Your co-workers are asking question because it is human nature to be curious. In conclusion, not everyone needs to know what is happening with your reproductive health. At work place should medical help be available do take advantage of it.  This treatment has nothing to do with your performance at work. Go to work feeling confident that you will be able to perform your job and handle your workload during this time.
Importance of breastfeedingBreastfeeding is a natural act and that is why it is also one of the most beneficial acts for a baby. Breastfeeding provides essential nourishment and is the best food for the baby's stomach to digest. No matter how many infant formulas enriched with vitamins and minerals you provide to your baby, it can never replicate mother's milk. As for the mother, there is nothing more joyous than providing your baby with the best start that it can get in the long journey of life. The bond that the mother and the baby share through breastfeeding is one of the most special bonds. For the first six months, breastfeeding your baby is recommended for all mothers whether they are working or at home. Most working mothers are given leave, whether paid or unpaid, so they must ensure they provide their babies with regular breast milk. Breast milk protects the child against diarrhea, respiratory infections, pneumonia, ear infections, and helps to reduce chronic constipation and colic that the babies are prone to. Research also points to the fact that breastfed babies are immunized and protected against allergies, asthma, sudden death, diabetes, and obesity. They remain much healthier than those babies who are formula fed. In India, only 41% mothers begin early breastfeeding even though it has so many benefits. Mothers who exclusively breastfeed their babies help them to survive better. They also gift them with better brain development and these babies are likely to perform well intellectually. No matter which economic section of society the mother comes from, she can provide her baby with the best start in life by breastfeeding it and make sure that the child develops to its full potential. Breastfeeding is natural, simple, and cost-effective way to ensure your baby is healthy and continues to develop healthily. Since the breastfeeding campaign began on a large scale, child mortality has decreased. Immediate breastfeeding within one hour of birth has helped to significantly reduce sudden baby deaths. The colostrum, the first thick yellow breast milk is what protects babies from many diseases as it is filled with goodness. Lack of nutrition or malnutrition is another aspect that leads to infant deaths. Breastfeeding can significantly lower infant deaths from malnutrition as the mother's milk is one of the most nutritious foods provided by nature for the baby's healthy growth. A mother has the full ability to provide adequate nutrition for the baby, therefore breastfeeding needs to be encouraged fully. Employers need to create an appropriate space within their premises and should encourage new mothers to breastfeed their child. Breastfeeding also has a number of benefits for the mother. It helps to burn calories and the mother can return to her former pre-pregnancy state. Breastfeeding helps mothers to reduce their risk of breast, uterine, and ovarian cancer;high blood pressure;diabetes; and heart diseases. So for the first six months, mothers must make sure to breastfeed their baby and do not substitute it with baby food products.
Bow legsCauses: Physiological - As mentioned before, bow legs are normal below 18 months of age. Thereafter as the child continues to grow the bowing begins to improve slowly. By the age of 3 to 4 the deformity usually gets corrected. Blount’s disease - This disease results in bowing of legs due to abnormality of the growth plate of the upper part of shinbone known as tibia. Growth plates are the growing end of the bones. It is diagnosed after the child is 3 to 4 years old. Rickets - Rickets is a group of diseases that occurs due to deficiency of vitamin D. Rickets is characterized by bow legs and other bony deformities. Most commonly rickets occurs in children due to deficient intake of vitamin D. Signs and symptoms: The bony deformity becomes visible when the affected child walks or stands. The uncommon walking pattern of the child is the commonest symptom. Bow legs usually do not cause any pain. However, persistent and severe bow legs cause discomfort to other bony structures like spine and hip. Test and diagnosis: The doctor at first asks questions to the parents regarding the development of the child. This is followed by physical examination of the child. Physical examination often suggests bow legs. If the doctor suspects an underlying disease, necessary laboratory tests are done. The doctor always asks for an x-ray of the affected legs to evaluate the severity and extent of bowing. Treatment: If the bow legs persist after 3 to 4 years or an underlying disease is detected, treatment is undertaken. Medical and non-surgical treatment- In cases of physiological bow legs, no treatment is required. The parents are reassured by the doctor and spontaneous resolution takes place by the age of 2 years. Continuous followup is advised for borderline cases. Children with Blount’s disease need treatment with a brace. Children with rickets need medical management by a specialist doctor. Additionally, they need advice and regular followup by an Orthopedic surgeon. Surgical treatment  - If the bony defects persist in children with bow legs even after medical and nonsurgical treatment, surgery is required to correct the bowing. Two types of surgery is advocated to correct bony deformity of the legs. Guided growth:  Growth of the healthy part of the growth plate is stopped and that of the abnormal part is promoted. This allows straightening of the legs. Tibial osteotomy: The shinbone (tibia) is cut and reshaped to correct the deformity. Then bone is fixed with screws and plate. In both surgeries a cast is applied to promote healing of the bone. Crutches may be required for a few weeks to prevent weight bearing on the limb. Later, physical therapies are advised for complete recovery of range of movements and regular activities. Prevention The parents need to be vigilant about appearance of any bony deformity in legs of their child. The child must be given adequate amount of vitamin D in diet or vitamin D supplementation to prevent development of rickets.
Obesity is not just an adult problemWith fast food chains multiplying in the country faster than you can say Maharaja Mac, there is an urgent need to monitor our diet. While most of the nutritional advice is directed at adults, kids too are exposed to the dangers of empty calories. Childhood obesity is on the rise across the world including India. How does obesity affect children? And what can parents do to ensure this doesn't happen? We will try to answer some of your questions. What are the causes of obesity in children? Lack of physical activity: Nowadays, children spend more time sitting at home - doing their homework, watching TV, and playing games on PC, console tablets or smartphones. Play time on the ground outside has shrunk. As a result, they don't get enough exercise. Unhealthy food choices: Our busy lifestyles leave us with little time to plan for or prepare every meal. The alternative is to go for quick-to-cook food like Maggi. Food ordered from outside too is invariably unhealthy. While having it once in  few days is not a problem, making it a way of life leads to problems. Overweight parents: The eating pattern and lifestyle of parents has a big influence on a child's health and weight. Obesity can be hereditary. Lifestyle and environment: When parents are unable to pay much attention on their children due to their busy schedules. As a result children rely more on ready-to-eat food or junk food. Genetic factors:  For some kids, genetic factors may be the reason behind obesity. A rare genetic disorder called as Prader-Willi syndrome causes severe weight gain in kids. What health problems can obesity cause among children? Type-2 diabetes Eating disorders like bulimia or binge eating (excessive eating or drinking) Problems with foot structure Liver problems Respiratory disorders - breathlessness during exercise Difficulty in breathing while sleeping causing snoring or poor sleep What can parents do to prevent or control obesity in children? Parents must make kids understand the ill-effects of eating junk food. They must limit their snacking on junk foods. Encourage the kids to participate in physical activities and outdoor games. Make exercising a routine for the children. Join them during exercising to make it a fun time for the family. Set an example for your kids by following a healthy diet and eating habits yourself. Limit TV time and playing videogames. Parents must include whole grains, fruits and vegetables in the diet of their children. Limit fats intake to not more than 25%-30% of total calories. Make sure to go through the nutritional label while purchasing any processed food.  
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.
Dealing with obsessive thinking and worriesAn old adage goes - 'Worry is like a rocking chair. It gives you something to do but it doesn't get you anywhere'. This is absolutely true for many of us who have developed the habit of worrying unnecessarily over outcomes and circumstances. Thinking about things and over our course of action is a good thing because you should always think twice before acting. What about obsessive thinking? Is it good for you? Anything in extremity is a bad thing, whether it is your favorite food or your thoughts. Worrying incessantly is a part of obsessive thinking where you cannot let go of negative thoughts and they circulate in your mind continuously. Obsessive thinking is a negative infinite loop, a broken record that is stuck without having anyone to click the stop button. So how should you deal with this obsessive thinking that is sure to spell your doom in the long run? Though psychologists have devised various scientific methods of overcoming obsessive thoughts and worries, here we have listed down some easy to follow rituals that will help you deal with such worries and thoughts. Meditation - Yoga swears by the art of meditation as it is thought to release all negative energy from the mind and soul. Concentrating on your breathing and also absorbing a positive source of energy is the essence of meditation. So whenever you are obsessed about something, sit down, calm your nerves and meditate. Physical activity - Exercising always helps. Engage in physical activity which increases the body's metabolism and requires effort. Indulge in those dance lessons or swimming or maybe cycling and you will divert your mind from those negative thoughts. Indulge in your hobbies - So you thought you don't have time for your hobbies, but your hobbies relax your mind and body. Moreover, a hobby also takes out the creative side in you. So, whether you like to collect coins or stamps, or lean towards arts and crafts, a hobby is sure to occupy your mind and take you away from worries. Socialize - Friends and relatives are your lifeline as they help you in those tough situations. Even if you are mentally not at peace, making social calls on your friends and relatives will take the edge off.  Try to meet people who can empathize with you and help you move out of it. Socializing will give you that much needed break from the vicious cycle of your thoughts. Though a short-term relief, going out for movies or taking a weekend getaway with your near and dear ones or even indulging your wife in shopping, can be helpful. Confide - Talking to someone close who understands you helps you in expressing your troubles. Thinking obsessively, you usually tend to ignore your feelings and emotions. Your mind remains trapped in the net of those obsessive thoughts and your emotional well-being takes a backseat. When you talk to another person, he or she will hear you out and help you relieve the stress that is on your mind. They would understand your state of well-being and support you emotionally. Be mindful - You may find it easy to go back into the same negative thought process. Don't let your mind chatter. Stop your mind by standing up for yourself. Stand in front of the mirror and say, "I am not a victim. I have the power and strength to move ahead" Do this whenever you become aware that you are going back into the same thought process.  This will give you the mental strength needed to come out of it.  Be mindful and aware but don't be too harsh on yourself. Be responsible -Your mind can make you or break you. If you understand this truth you will find it easier to manage your thoughts. Take responsibility of your thoughts good or bad.  The mind can create thoughts to project blame or judgments about others.  When you own your thoughts, you will find it easier to shape them the way you want. Create a higher vision of your life - When you keep a higher vision in your life, you can move ahead easily.  By developing a higher vision, you are asking yourself, who am I?and finally working towards it. You take positive actions and thus there would be more gratitude for what you have and less resentment for things that do not work.   This stops your mind from working unnecessarily. Obsessive worrying is a psychological disorder which in extreme cases has to be dealt with pathologically. Do not let your condition to reach the extreme end of the spectrum. Follow the above mentioned suggestions and try to deal with those thoughts yourself. It may take some time but rest assure, it will be effective in the long run.
5 cardinal sins for the skinWhile cigarettes may not constitute food in the strictest sense, it does have a profound effect on skin complexion, health, color and tone. We eat that we may live, but sometimes we eat way too much and consume stuff that may be extremely hazardous to our health. Since we are talking about skin, here are 5 most hazardous foods for your skin: Grease adds to the crease Since healthy skin is all about healthy blood circulation, any food which is likely to clog up the blood vessels internally is deemed bad for skin tone. Packaged snacks like potato chips may have edible oil written in bold but this contributes significantly to the slowing down of 'collagen and elastin syntheses' which in turn causes the skin to appear aged and all wrinkly. The french fries that we consume as a TV snack can also cause an acne outbreak on the skin and face. Gluten Glutton Gluten is a substance found in wheat and other food grains. We may not even be aware that some of the food grains have gluten as a main constituent. Gluten intolerance can also cause inflammations on the skin in the form of rashes or acne. Bad news is that the pizzas, pastas, cakes and bread that we get off the rack may be heavy in gluten (Surprised that they don't say that on the pack) and that may be the reason for you to lose precious skin tone. So seek gluten free foods, though that might not be the easiest of tasks, but for your skin, it certainly will be worth it. Caffeine - the skin coffin If you are one of those coffee addicts then you may as well write an obituary column lamenting the loss of your skin tone and complexion. It's not without reason that health freaks love bashing coffee beans and caffeine rich beverages, as they are truly hazardous. How? Studies have proven that just 2-3 cups stimulate pituitary-adrenocortical response. Yes, but what does that have to do with your skin? Well this leads to the hormone cortisol to increase in our bodies. Cortisol is known as the stress hormone! So now here's what it does to your skin -it accelerates the ageing process which means wrinkled skin and causes dehydration causing the skin to show an unusual pallor. So before you turn the coffee faucet on think twice. Fad to Black How fad diets are not skin friendly? Some people go on a high protein, low-carb diet which could sound the death knell as far as complexion goes. Dieting depletes calcium levels, which means your bones are going to suffer and what's the point of having skin on bad bone density? Besides low-carb diets can utterly wreck the complexion as the delicate PH balance in the skin is ruined. Some of the meat, poultry and dairy products too can have artificial chemicals injected in them which cause a hormonal imbalance in our bodies leading to skin disasters. Fruits and vegetables have chemicals injected too sometimes! Beware! Cereal Killers Cereal killers are those people who ignore the need of a proper diet for skin health. So anybody who indulges in too much sugar, caffeine and greasy food stuffs is a 'Cereal Killer' A lack of cereals in the diet can literally kill your skin. Cereal foods have high fiber and antioxidants for moisturizing the skin and protecting it from skin damage. For great skin other than cereals which are simply fabulous for keeping skin hydrated and breathing easily, one can eat fruits, olive oil, healthy fats, almonds, tofu, grains, nuts and the good old vitamin B rich products. Ceramides in raw food diets, organic foods, wheat germ and brown rice protect the epidermis of the skin and make it impervious to external attacks and pollutants while maintaining their tone and beauty.
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.
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.
Treating sore throatTest and diagnosisPatients with sore throat are examined by ENT specialists. At first, the doctor performs a local examination of throat. Clinical examination usually guides the doctor towards diagnosis. Although in order to confirm the diagnosis, the doctor may ask for culture and sensitivity test of the throat swab. Treatment Home remedies: Mild cases of sore throat are usually cured by home remedies. Following remedial measures can be adopted at home: Warm saline gargle – Gargle with warm saline water helps to relieve the discomfort and irritation of the throat. Half to one teaspoonful of salt is added to one full glass of warm water and the patient is advised to gargle. This process may be repeated 3 to 4 times a day to have a soothing effect on throat. Additionally, smoking and use of other tobacco products must be avoided. The patient must drink adequate amount of fluids. Warm liquid and semi-solid food must be consumed to provide a soothing effect on the throat. Cough lozenges to help relieve irritation and pain in the throat. Seeking advice of the doctor: If the signs and symptoms persist and are not adequately controlled by home remedies, the patient must seek advice of a specialist doctor. Viral infections usually do not require treatment. They are usually cured in 5 to 7 days. Bacterial infections require treatment as per the advice of a specialist doctor. Bacterial infections may require treatment by antibiotics. The treating doctor selects an antibiotic which is suitable for the patient depending on factors such as the age of the patient, report of the culture and sensitivity of throat swab, previous drug history of the patient, etc. Antibiotics usually effective in bacterial infection with sore throat are from the group of penicillins, cephalosporins, and macrolides. PreventionViral and bacterial infections are contagious. Good hygienic lifestyle and habits help prevent infections. Following things to be noted are: Frequent and thorough hand washes before consumption of food, after using toilet, and after sneezing and coughing. Use of a hand sanitizer during consumption of food outside home. Avoid sharing food and drinks from same glasses and utensils. Use a tissue paper or handkerchief while sneezing and coughing. Avoid close contact with patients with sore throat. If sore throat develops, few home remedies may prove to be curative. If sore throat persists, advice of a specialist doctor must be sought.
Sex after 40Sexual changes in normal aging after 40: Erection takes longer time Require manual stimulation, particularly by partner Erection may subside during foreplay or coitus Decreased frequency of nocturnal erection Pre-ejaculatory fluid decrease or absent Ejaculation less forceful Seminal fluid volume decreases or absent Frequency of desire for sexual release decreases with age. Aged couples learn to cope with their own sexuality. Some are happy with foreplay and self masturbation, others insist on more usually it is the male. Frequency of sexual intercourse between 20-95 years : Sexual intercourse decreases with age as the study shows. Decreased during 5year interval after 34 years Weekly frequency: 30 - 34 years 2.2%; 60 - 64 years 0.7%; 65  - 74 years 0.4%; 75 - 79 years 0.3% Do we need to change this pattern with Viagra? I would say yes - sex can be  joyful till the last days. Nobody needs to be impotent now. Home devices like rubber bands, ribbons are also used to hold the blood back in the penis when the erection is not adequate. Vacuum pump to draw blood into penis with an application of a ring after erection is also found suitable by some. Active intervention by drugs (both allopathy, ayurvedic and unani) have been successfully developed. They may be applied topically (minidoxil), inhaled (amyl nitrate) inserted into the urethral passage, injected into the corpus cavernosa or taken orally (Sildenafil, Tadalafil, etc.). Finally if all fails silastic rods can be implanted in the penis to give permanent erection. The joy of living lasts a life time.
Internet and sex : Decoding virtual pornographyPornography is broadly categorized as softcore or hardcore. While hardcore contains intensive and highly graphic forms of sexual content, softcore constitutes less intensive form of sexual content. Genres of pornography are determined on the basis of the type of content and the status of the participants. The common sub-genres are ethnic, fetish, reality, group, and amateur. There are also sexual content specially created for different sexual orientations: heterosexual, homosexual, and bisexual. While sexual needs are natural and part of our biological set-up, the use of pornography is widely criticized for putting forward a partial portrayal of who a human being is. Majority of the pornographic material express a human only in sexual terms- as being someone looking for sexual endeavors- without paying attention to and inclusion of the person's emotional and mental state. The explication of human beings as purely sexual beings closes the eyes of the viewers many a times to the emotional and mental aspect of sexual intercourse, thus perverting the way they look at sexual intercourse in their relationships. Since sex is not holistically discussed on public platform as part of a healthy relationship and one only has access to understanding sexual practice through pornography which portrays a certain mechanistic and physically-induced aspect of sexual acts, viewing of pornography comes with the risk of sex addiction. Moreover, since pornography generally engages participants whose possess bodies which are conventionally considered sexually appealing, the viewers could implicitly get dissatisfied with their sex lives due to non-duplication of the same form of bodies in real life. Medical researches have also found that apart from having unreal expectations from one's partners, the viewer might find themselves lowly in sexual matters due to the sexual practices performed on the pornographic content that can be difficult to duplicate or are disliked. The portrayal of women in pornography is generally of persons who have no issues with being dominated over and who find such domination also sexually arousing. However, such a view is overwhelmingly false and a viewer on a regular fodder of such pornography could end up with deeply flawed perspective on women. Lastly, pornography also expresses various types of perverse forms of sex which are harmful to society, especially vulnerable groups. These include child sex, office-related sexual content, rough and rape sex, and public sexual acts. While pornography is a sure avenue to possibility of sexual perversion, healthy ways of satisfying one's sexual needs must be acknowledged and taken up. Moreover, it is integral that socially, sexual intercourse is recognized as a healthy part of emotional relationship. It needs not only absorbed as a purely physical act which is morally judged and shunned- the latter approach only increases the probability of pornography being seen as a last resort to learn about sex. In talking about sex as a natural process between mutually approving adults and as part of emotional relationship, we reduce the chances of sex being seen as a non-emotional activity and allow for there to be holistic understanding of sexual intercourse. For adolescents who are entering the age of sexual maturation, it is integral to introduce the physical relation between persons as being a result of emotional relationships, with understanding of the body holistically - as a harmony between physical and mental states. In the case of non-presence of holistic guidance, the chances of teenagers falling prey to pornography to understand sexual intercourse is high and as has been earlier explored, such an understanding of sex as activity between solely sexually-charged beings could result in perverted view of emotional relationships as well.
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