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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.
10 pregnancy risk factors that every pregnant woman should be aware ofFollowing are the possible risk factors for pregnant women: Hypertension: Blood pressure rises during pregnancy due to changes in osmotic level. Persistent high blood pressure leads to a condition called as pre-eclampsia. It retards the growth of the baby in the womb and can even result into death of foetus. It can lead to convulsions in mother. Exposure to medicines and drugs: Self medication is a strict NO NO during pregnancy. Certain drugs have harmful effect on the growth and development of baby. Take gynaecologist's opinion and ask a doctor before taking any medication.  Smoking: Smoking retards the growth of foetus (baby in womb). Moms who indulge in smoking give birth to babies with a very low birth weight. It also increases chances of miscarriage. Mother's weight: It is important to make sure that there is a steady weight gain during pregnancy. A weight gain of 11 kilograms is expected over a period of 9 months. Watch for a steady weight gain for a healthy pregnancy sake. Anaemia: There is an increase in blood volume during pregnancy. This can cause the iron levels to drop down resulting in anaemia. Haemorrhoids add further to the iron loss. Iron and folic acid are therefore prescribed. Haemorrhoids: Haemorrhoids are common during pregnancy and after pregnancy due to constipation which is because of hormone induced reduced motility of intestine. The pressure of gravid uterus on intestine may also cause it. Increased consumption of green leafy vegetables and laxative would relieve it. Alcohol: Drinking can cause a harmful effect on the growth and nourishment of child. Child may be born with a serious medical problem. Sexual intercourse: It's strictly not advised during last trimester. Radiation exposure: Exposure to radiotherapy or chemicals in the surrounding should be avoided. Bleeding per vagina: Consult your gynaecologist soon, if you have problem of bleeding per vagina. It could be a sign of abortion.  
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.
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.  
Be positive. Here's howAs someone so very rightly said, "We are the sum total of our thoughts". So the more positive thoughts you have, or are capable of thinking, the more positive will be the outcome of your life journey. Here are a few tips to think more positively and empower yourself: Have a daily positive thinking routine. Generally the time when you are just waking up, i.e., the half awake state, is best for you to start feeding positive thoughts about yourself. The mind is more accepting of suggestion at that time. You can just feed your brain with happy and positive thoughts about your situation and what you hope to achieve for yourself and your family. Creative positive visualization is another great method of positive thinking. At a set time, just picture your life in the way you want it to go. This is different from daydreaming. Creative visualization gears you up for action while daydreaming remains just wishful thinking. If you have difficulty in certain areas of your life, say at work or with your relationship, visualize a positive outcome. This will engage your mind in thinking of various action plans to get about that positive result. Positive affirmations are a great way of reminding yourself that all is well. Have patience with yourself as your mind will probably not even believe half the things that you are affirming. That's what affirmations are all about.They are statements that you feed your mind about what you are and what you can achieve. Positive affirmations can help you reprogram your mind to what your heart really desires. Let go. Feel that delicious sense of surrender as you just indulge in mentally letting go of things. As a busy person you probably end up trying to control the outcomes of every situation and feel bad when things don't go the way you expect them to. Remember things can go wrong from time to time. Like you, life is also not perfect, so why expect perfection from others? Learn to let go of that emotional baggage that you are carrying. The weight of the world needn't rest on your shoulders. Collective consciousness is where you should try to tap into. Think of situations where things can go horribly wrong for someone else. Send out a silent prayer for those unfortunate people in this world. Chances are that your prayers just might help some stranger badly in need of a prayer or two. This can only come back to you manifold. Help someone else become a positive person. This can only reaffirm your faith in positive thinking. Positive energy is what everyone naturally seeks and we can for sometime blame our friends or family for being a negative influence on our lives. This line of thinking will get you nowhere. Instead think what's the next best option? Think of how you can convert negative energy or experiences into positive ones. Initially you might meet with resistance, but remember if you are positive then positivity is yours for keeps.
Expression forbidden! - Human emotionsSome people have a perpetual 'bee in their bonnets'! They maintain a demeanor and a mask which is virtually impenetrable. They are generally highly competent and efficient and occupy high positions of authority. They believe in living life set to a routine, and the worst part is that they expect others to adhere to it as well! God help those who have a boss like that, as their immediate liberty is at stake, and unless they are honing to be perfectionists, life is going to be a series of disasters with Captain Ice around! Nothing wrong with perfectionism per se, but when someone is a hard task master then he could well earn himself the epithet of being "a crashing bore," especially if he doesn't allow others to express themselves properly. Take a more intimate scenario - Mr. Bright Harry meets tepid Sally. The sparks fly only on Harry's side with Sally stonewalling his every effort to get to know her mind, body, and soul. A tough ask for poor Harry, as he is yet to touch first base with Sally. Know what? They have been married 5 years and she seems to be fond of him, yet has never as much admitted it to him. Quite frankly, the two could pass off for siblings rather than 'man and wife.' Why are some people such rotten spoilsports, especially where emotions are concerned?  It may well be a natural mindset for some to have an emotional guard up and emote, or have an emotional connect only with certain types of people. Fair enough and good show, we say! After all one can't be wearing one's emotions on a sleeve or you end up been taken advantage of. That's a mask that most 'tough guys with soft centre' wear anyway. Nowadays with the rules being somewhat relaxed with men been given liberty and allowances to display their gentler feminine emotional side, we find men going over the top with the sheer display of emotional expression. One is at sea wondering which one was worse off-the tough, cynical cop look or the "let me weep my heart out for you" kind of contrived emotion. That apart, it is bad enough for us having to contend with a person who has difficulty with expressing himself properly. We don't mean articulation or even well-developed linguistic ability - we mean being able to be spontaneous and congenial and a little forthcoming and nice to be with sort of an emotional person. So, unless someone has a romantic angle towards this guy (there are weirdoes all over the world, who go asking for it!) or girl, he is going to be feared, hated, despised, unloved, and uninvited by everybody. So why do people behave like they are going to be flogged for even attempting a ghost of a smile or a cheerful greeting to a fellow co-worker? Why do some people find it difficult even to open up on a psychiatrist's couch? The Mask The most common reason for Mr. or Ms. Grumpy is that they have probably been emotionally brutalized in their formative years by an authoritative parent and this has caused them to lock themselves up double quick in a shell and throw away the key. Now, that can be tough and extremely painful. It is a prison of their own making through which nobody can see that once bright-n-chirpy personality frozen, much like the curse of the wicked witch in those fairy tales we read. The person is dying to let his emotions out and let people see who he is, but since very little light escapes out due to the tough mask and veneer, that it is an uphill task. Then the sheer anger at not being understood, subconsciously plays havoc and then he gets to be the more demanding boss at work or that sullen wife or lone stranger staring in to nothingness on the park bench. These are the people that have a series of relationship disasters as their defence mechanisms are too solid to be penetrated. Some people may be naturally distant, and for them the finer and higher emotions probably don't register as much as they do in the average person. These guys are cut out for careers ranging from lighthouse keepers to morgue attendants to hangmen, where being emotional has no place. There are still others who swing the other extreme by showing so much of emotion that it is scary for others to take them on. Their emotional side is so overwhelming and demanding that it is actually a clever subterfuge on their part to drive people away as they subconsciously do not want people to get to know their real side. They generally don a mask of humor and good cheer and are great fun to be with. In reality, they are alone and scared and perhaps hurt emotionally. So, they feel safe to display emotions to masses rather than individuals. These people make good evangelists and rock stars as they can safely display and get an emotional discharge without running the risk of a one-on-one emotional exchange where they are afraid they would be hurt. If you encounter such a person who looks askance at you displaying your emotions, then it is better for you to talk things out and maybe put things in perspective. Of course, this all depends on whether you are emotional enough to maybe give someone a chance by understanding what drives them to do the things they do. Let me assure you the ice will thaw if the intention is genuine and well meant.
10 Makeup mishaps and easy ways to avoid themRepercussions of those horrifying blends Astonished? As to why we are staring off with the "after effects" rather than discussing about the problems initially. Well, to understand how to avoid it, we first need to know why to avoid it. Firstly, application of the wrong makeup leads to spoiling your entire look and after that even if you wear any designer collection nothing shall compensate for those miseries. Secondly, applying makeup does not start when you hold that lipstick in your hand or take that brush close, it started way before, when you chose the brand or the type. Understanding your skin type and then choosing the best option is way too important than actually applying the makeup. Thirdly, never be "penny wise and pound foolish" when it comes to your cosmetic brand, as in the pursuit of saving some money, you might end up paying the dermatologist a huge fee for treating tarnished skin. The most awaited party and your make up got totally smudged, nightmarish right? Read on to find ways to avoid it. Keeping the above catastrophic consequences in mind lets know about the 10 makeup mistakes and ways to evade them. How to avoid those 10 makeup mishaps Laying the great  "Foundation" Do you pay all your attention in choosing the matching lipstick and eye shadow and end up paying no heed on the foundation to be applied? If your answer is YES then this is the column you need to stick your eyes to. Wrong foundation type or erroneously mixed foundation can cause more dangerous aftermath than a snow storm. Follow the 3 simple steps to make your foundation always compliment your makeup to the fullest: Chose your foundation color and brand by testing the same on your skin and seeing the texture under good natural lighting. The foundation blend should be always created by adding right amount of water and moisturizer into it to create a suitable mixture. Apply the foundation not only till your face but extend it to your neck and ear area to give a uniform appearance. Blistering of the Blush Have you spent 3 hours to get that right look and 3 minutes in realizing that the makeup was too heavy you stepped out? Well blushes, if not applied in the right amount, will end up making you look too loud for the occasion. The instant solution:  chose a color which compliments your skin tone and apply it under good lighting to know the real effect it has on your skin. Under the dark shadows of the eye shadow Isn't eye makeup your most favorite part of your entire look? Most of the girls will give a big nod to this. Eye makeup can solely make you look like a diva or a devil taking into consideration how you do it. Try to play with colors but do not end up choosing a shade totally different from your eye color and complexion. Chose a shade which compliments your eye color and your outfit. The Mascara Massacre Avoiding dramatic movies and stepping out in the rains is the maximum refuge we take to save our mascara and making us turn into a black-eyed devil. You think there is no way to get rid of this? Then you are wrong for once, as such situations can be avoided just by resisting the application of the mascara on your lower eyelids.  Seal the concealer It may be a magic wand to hide that pimple at the wrong place or those dark circles you got after the late night study sessions but always remember to mix your concealer well with the nearby skin area to give a natural look. Also, create a firm mixture before applying it to avoid lines showing on your face. The eye brow hassles Too less eyebrow hair make you uncomfortable even with good makeup? The solution is simple, move the eyebrow pencil firmly on your eyebrow to give some volume to your eyebrows. Just do not overdo it as it might spoil your entire look. Apply just one or two light streaks of it on the eye brows and you are good to go. Dangerous chronicles of the eyeliner Applying the eyeliner can be a fetish among many women but how to do it and how much is a point to discuss here. Try to apply pencil liners if you are a beginner especially. Dress as per occasion and apply the liner accordingly. Carry wet tissues always and clean up well in case they get grubby.  Lash out those artificial eye lashes Giving volume to your eye lashes can be very beneficial but do you know how much volume is just enough? If no, try to start with very few artificial lashes. Heavy usage of these lashes can make your look go haywire. So start off with less and then move ahead as per requirement.  Right streak of the Lip liner One might always get confused as which lip liner will go well with the lipstick shade you got but always try to chose a lighter liner shade which shall hold your lipstick and give it a neat and tidy appearance. Gloss or Matt-the great dilemma of a Lipstick Do you always sit with just one question before buying the lipstick that should you go with gloss or matt colors, here is the easy answer - chose gloss for informal occasions and ceremonies. Usage of matt can be done for office presentation where you do not have time for instant touch ups. Avoid matt when you are out for weekend parties, as gloss will give you the needed liveliness you need that time. Choose the color which goes well with your skin tone rather than the one matching your dress. Try to experiment and flaunt but do not experiment with anything that might damage your skin.
Aerobics: dancing your way to healthAerobic exercise is any comprehensive activity that makes you breathe hard while exercising your large muscle groups at a standard, even pace. The body uses stored carbohydrates and fats for energy. What is aerobics? Aerobic literally means having or providing oxygen or an activity that takes place only in the presence of oxygen. What is aerobic exercise? Aerobic exercise is any comprehensive activity that makes you breathe hard while exercising your large muscle groups at a standard, even pace. The body burns stored carbohydrates and fats for energy. Thus aerobic exercises help the body to utilize oxygen efficiently with increase in respiration and heart rate. What are the best ways to do aerobic exercises? There are number of ways by which you can exercise aerobically. Some easy and best ways are: walking, running, biking, using stationary bike, using stair stepper, elliptical machines or rowing machines, or joining an aerobic exercise class Benefits of aerobic exercises Fat reduction: Aerobics burns calories and body fats directly while using oxygen to produce energy. So this is the healthiest way to get rid of extra fat.  Strong heart: Aerobic exercises not only use your larger muscle groups like hamstrings, but also strengthen the heart muscles. This improves heart function resulting in improvement of blood and oxygen supply to all body parts, which provides healthy nourishment to body cell and removes toxins. Improves breathing: Exercises improve your lung capacity and function,which improves oxygenation, or competence of respiratory system to deliver oxygen to all body parts. It also improves overall health of the respiratory system. Cholesterol control: LDL cholesterol is bad cholesterol mostly responsible for clogging of arteries and HDL is good cholesterol. Aerobic exercises invariable increase the amount of HDL and lower LDL cholesterol thus preventing fat deposition and plaque formation and maintaining optimal blood supply to heart. Other benefits: Aerobics is the best exercise when it comes to prevention of various diseases like hypertension, diabetes, stroke and arthritis and osteoporosis. It helps to keep mood elevated and cures depression and boosts immunity. Make sure to incorporate some form of aerobic exercise in your daily routine.  
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.
Some tips to prevent night blindnessHere are some foods and eating tips, which will help improve vision and prevent night blindness: Eat dark green leafy vegetables like spinach and collards. These contain high amount of lutein and zeaxanthin, the nutrients for healthy eyes. Do not smoke. A glass of red wine daily is fine but drinking is not. Stay away from hydrogenated oils, refined carbohydrates and sugars in excess. Always wear sunglasses while going out in bright light to avoid potential sun damage to eyes.  Amber and grey-coloured lenses are effective against ultraviolet rays. See an eye specialist and get prescription glasses for driving at night, if required. Do not ride in dim light at night and see if you can postpone the work until next day. Even good lighting conditions at night even in a big city, can be troublesome to someone with night blindness. Vitamin A rich foods like spinach, carrot, papaya, broccoli, and mangoes should be added to your daily diet. Fish oil is a great source of vitamin A. Cod-liver oil is used as medicine too. Some wild plants are said to be rich in vitamin Abut they are seasonal, available in small quantities and there isn't much known about them. Beans are another fairly common source of vitamin A. These are consumed especially during autumn. Eggs are a good source of vitamin A. Eat eggs daily. People with high cholesterol should, however, limit their egg intake. Hot pepper is contains vitamin A too, but the preservation method, sun-drying, decreases the vitamin A content. Carrots are another good source. They are high in vitamin A and arenot expensive as well.
Busting misconceptions about homosexualityIn the past few years, homosexuality has become a subject of public discourse in India. Thanks to gay pride marches and the Delhi High Court's historic ruling decriminalizing same-sex intercourse in 2009, more people today are willing to accept homosexuality as normal. However, there are still a large number of people who are still confused about whether homosexuality is normal. Homosexuals are people who get attracted to people of the same gender. Gay is a term used for both male and female homosexuals, but some prefer the term 'lesbian' when it comes to women homosexuals. Some misinformed people consider homosexuality as a purely decadent western phenomenon which is far from the truth. Homosexuality finds its place in recorded history throughout the world. So is homosexuality abnormal? A few decades ago a gay person would have ended up on a psychiatrist's couch where attempts would have been made to re-orient him/her towards the heterosexuality. However, as the American Psychology Association notes, "No, lesbian, gay, and bisexual orientations are not disorders. Research has found no inherent association between any of these sexual orientations and psychopathology. Both heterosexual behavior and homosexual behavior are normal aspects of human sexuality." Some scientists are trying to find a genetic link to homosexuality. Results so far have not established a definite link. A whole lot of factors could play a role in deciding sexual orientation - genetic, hormonal, developmental, social, and cultural. One cannot safely conclude that being "gay" is in one's genes and is therefore, hereditary. Legalizing gay marriages Same-sex marriage is legally recognized in several jurisdictions within the United States. As of April 2013, nine states—Connecticut, Iowa, Maine, Maryland, Massachusetts, New Hampshire, New York, Vermont, and Washington—as well as the District of Columbia and three Native American tribes[1]—have legalized same-sex marriage, representing 15.7% of the US population.
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