Q Can I get a vasectomy reversal at NHS ?

Vasectomy is known as male sterilisation. The procedure works by preventing sperm from the testes, reaching the semen that is ejaculated during orgasm. This is achieved by cutting or blocking the tubes that carry sperm from the testes to the penis. Vasectomy reversal is not usually available on the NHS. You need to talk with your gynecologist regarding this.

Q how to do anal sex? does it creat any problem?

Anal sex is practiced by many heterosexuals, as well as homosexual couples. The anal area has many erotic nerve endings in both men and women. Because of this, many couples (heterosexual or homosexual) can derive pleasure from some form of bottom stimulation. Anal sex should be avoided by couples in which one of the partners has been diagnosed with an STI until the treatment has proven to be effective. In order to make anal sex safer, the couple must ensure that the anal area is clean and the bowel empty and the partner on whom anal penetration occurs should be able to relax. Regardless of whether anal penetration occurs by using a finger or the penis, the condom is the best barrier method to prevent transmission of STI. Since the rectum can be easily damaged, the use of lubricants is highly recommended even when penetration occurs by using the finger. Especially for beginners, using a condom on the finger is both a protection measure against STI and a lubricant source. Most condoms are lubricated and they allow less painful and easier penetration. Anal stimulation with a sex toy requires similar safety measures to anal penetration with a penis, in this case using a condom on the sex toy in a similar way. It is important that the man washes and cleans his penis after anal intercourse if he intends to penetrate the vagina. Bacteria from the rectum are easily transferred to the vagina, which may cause vaginal infections. When anal-oral cos ntact occurs, protection is required since this is a risky sexual behavior in which illnesses as Hepatitis A or STIs can be easily transmitted, as well as enteric infections. The dental dam or the plastic wrap[citation needed] are effective protection means whenever anilingus is performed. Anal sex has a number of health risks. Anal intercourse is the riskiest form of sexual activity for several reasons, including the following: The anus lacks the natural lubrication the vagina has. Penetration can tear the tissue inside the anus, allowing bacteria and viruses to enter the bloodstream. This can result in the spread of sexually transmitted infections including HIV. Exposure to the human papillomavirus (HPV) may also lead to the development of anal warts and anal cancer. Using lubricants can help some, but doesnt completely prevent tearing. The tissue inside the anus is not as well protected as the skin outside theanus. Our external tissue has layers of dead cells that serve as a protective barrier against infection. The tissue inside the anus does not have this natural protection, which leaves it vulnerable to tearing and the spread of infection. The anus was designed to hold in feces. Repetitive anal sex may lead to weakening of the anal sphincter, making it difficult to hold in feces until you can get to the toilet. The anus is full of bacteria. Even if both partners do not have a sexually-transmitted infection or disease, bacteria normally in the anus can potentially infect the giving partner. Practicing vaginal sex after anal sex can also lead to vaginal and urinary tract infections.

Q What is attention deficit hyperactivity disorder(adhd)?

ADHD is a common neurobehavioral disorders diagnosed in childhood and often lasts into adulthood. The primary cause behind ADHD is heredity. Symptoms include lack of attention, easy distraction, boredom, careless mistakes, daydreaming, non completion of tasks, forgetfullness, constant fidgeting, talking excessively, difficulty waiting for anything and physical restlesslessness- always moving about from 1 activity to another. There is no single test to diagnose ADHD. It is usually treated with a combination of medication and behavioral therapy.

Q hi, My husband underwent piles surgery on last tuesday and was there in hospital for 2 more days. He got discharged yesterday(thursday). but he is having great problem in passing the stools. He almost faints and become soo weak after going to bathroom. He is havings sitz bath, applying cream and taking tablets also. But still the problem exists. Please help and tell us how can he reduce pain while passing the stool.

He will have the pain and difficulty for more 3-4 days. You have to give him more liquid diet and water which will ease the stool formation and relieve the pain. Give him more fibre containing food to prevent the constipation. Take the medicines regularly as prescribed. Give him a glass of buttermilk or a small bowl of yogurt everyday proper digestion of the food. Let him do some exercise for about 30 min a day regularly like walking, cycling or swimming etc after the recovery. Avoid the alcohol and smoking. If the problem persists longer, then consult the surgeon.

Q How to control thyroid in pregnency

Thyroid control will require intake of thyroid medication. Medication will depend upon the type of thyroid disorder such as hyperthyroidism or hypothyroidism. Hence you should consult your family physician at the earliest as uncontrolled thyroid disease can affect the fetus.

Q What can you tell me about Borderline Personality Disorder?

Borderline personality disorder (BPD) is a Mental Health disorder that generates significant emotional instability. This can lead to a variety of other stressful mental and behavioral problems. When you have borderline personality disorder, you often have an insecure sense of who you are. Your self-image, self-identity or sense of self often rapidly changes. You may view yourself as evil or bad, and sometimes you may feel as if you dont exist at all. An unstable self-image often leads to frequent changes in jobs, friendships, goals and values. This is because people with borderline personality disorder often have difficulty accepting gray areas; things seem to be either black or white. The common symptom of borderline personality disorder are overwhelming feelings of distress, anxiety, worthlessness or anger, difficulty managing such feelings without self-harming, for example by abusing drugs and alcohol or taking overdoses, difficulty maintaining stable and close relationships, sometimes, periods of loss of contact with reality, in some cases, threats of harm to others. Treatment may involve a range of individual and group psychological therapies (psychotherapy) carried out by trained professionals.

Q my right testicle became loose and is hanging......with dis my right side body is becoming fat than left side body.......what should i do...?

There is absolutely no problem with you. It is normal for one testes to hang lower than the normal. The position of the testes has no effect on the fat accumulation on the body. It is also normal for the dominant side of the body to be slightly different in proportion. For eg: if you are right hand person your right hand biceps measurement may slightly vary form left hand.

Q Can Sexually transmitted diseases like AIDs and Herpes be contracted just by kissing?

Kissing on mouth can transmit herpes. It is believed that the risk of catching HIV by kissing is relatively low but there is a chance of infection if a person has cut or sore in the mouth. Sexually transmitted diseases can spread from almost all types of sex including oral sex.

Q I am diabetic and having erectile dysfunction and very late ejaculation. I do not have babies planning due to it. Why is erectile dysfunction caused in diabetes? What can I do?

Uncontrolled diabetes causes damage to small blood vessels and the nerves that control erection. Damage to these blood vessels and nerves leads to the development of erectile dysfucntion. As far as fathering a child is concerned if you have healthy sperm quantity and quality you need not worry. For erectile dysfunction it is necessary that you keep your blood sugar levels under control. Treatment options include oral medications, penis pumps, surgery and implants. Consult an andrologist to know what treatment option will suit you best.

Q Can asanas be performed after having morning tea or coffee?

Yoga asanas should preferably be done on an empty stomach. However, a cup of tea/coffee/milk is allowed before Yoga. You should not eat anything for about 30 minutes after performing Yoga.