Q What services do family planning clinics provide?

Family planning clinic are also called as contraception clinics. They provide wide range of services and can provide. These include: 1. confidential advice on contraception. 2. the combined oral contraceptive pill. 3. the progesterone only pill. 4. removal and insertion of contraceptive implant. 5. limited supplies of free condoms. 6. emergency contraception. 7. confidential advice on STD. 8. advice on unplanned pregnancy. 9. cervical screening, 10. free pregnancy test. 11. Pre-pregnancy advice and fertility awareness information. 12. Fitting and checking of caps, diaphragm, IUDs. 13. Counselling for incest, rape, sexual abuse. 14. vasectomy counselling and procedure. 15. pre-abortion and post-abortion counselling and referral. 16. female sterilization counselling and referral. 17. menopause clinic.

Q Is it normal for a 12-year-old boy to play and fondle with his penis?

Its normal for kids of of all age groups to play with genitals out of curiosity about their growing body. This is seen in both boys and girls. Younger kids do it because they feel good about the way it feels. It is not harmful or abnormal in anyway. Do not get angry or reprimand your child. Try and educate them that it might lead to infection sometimes. Some kids even do it to seek attention but this is rare.

Q Hi doctor, what is infertility? Is infertility just a womens problem?

Infertility is defined as not being able to get pregnant after at least one year of trying. Women who are able to get pregnant but then have repeat miscarriages are also said to be infertile. No, infertility is not always a Womens problem. In only about one-third of cases is infertility due to the woman. In another one third of cases, infertility is due to the man. The remaining cases are caused by a mixture of male and female factors or by unknown factors.

Q If unwanted-72 is taken 12 days before the expected menses, will menses be regular and on time and it is taken within 72 hours of sex?

In some females the pill can cause menses to be delayed or early or it can even come on time. Some people might even get spotting which may even continue till next normal period.

Q Can people get infections from animals?

Yes. Diseases passed from animals to man are called zoonoses or zoonotic illnesses. The animals can pass some bacterial, viral and fungal infection either by direct contact or by the contamination of the food and water. They may also lead to allergic reaction in some cases. Infections from animals can be particularly dangerous to babies and young kids, pregnant women, elderly people, and people whose immune systems have been weakened by illness or disease

Q Are condoms 100% effective?

No condom can be effective in preventing pregnancy or sexually transmitted diseases (STDs) 100% of the times.n Condoms fail to provide protection sometimes from infections spreading from sores on the skin uncovered by a condom, for eg. at the base of the penis or scrotum. But a properly used condom can protect against STDs better than anything else. Some factors to consider in order to ensure the efficacy of condom are: check date of expiry, use latex, keep them away from heat, use water-based condoms, open carefully to avoid tearing, remove holding at the base of penis, choose condom with reservoir tip to hold semen after ejaculation. Consult a doctor if the condom breaks or slips off. Although not 100 % perfect, condoms are the best way of protection if one is going to have sex.

Q How to avoid dandfuff?

There are many reasons for dandruff - Stress, nutritional deficiencies, excessive dryness of the scalp, fungal infection, vitamin C deficiency, pregnancy, long illness, thyroid imbalance, as well as hair damage caused by procedures like hair coloring/dyeing, bleaching, straightening, perming, etc. You can do following things to prevent hair loss: Getting proper nutrition is essential for healthy hair. Water, protein, biotin (part of the vitamin B complex), vitamins A, B6, B12, C, copper, iron, omega 3 fatty acids, zinc, calcium, folic acid, and magnesium all play a part in maintaining a healthy scalp, skin, and hair. Using your fingertips to massage your scalp will increase circulation in your scalp which is important for hair growth. Take 10-12 jaswand (hibiscus) flower +200gm methi (fig) seeds soaked in coconut oil for 7 days then boil it sleeve it and use it daily for head massage it prevent hair loss, promote new hair growth and hairs become thick and restrict dandruff formation. In a week massage your scalp with yoghurt(curd) or aloe-Vera pulp or neem leaves paste which has antibacterial properties which help to clear dandruff formation. Instead of using chemical shampoo, use rita to wash the hairs; take 7-8 rita soaked for whole night boil in the morning in water gently massage and wash the hairs with this mixture.Gentle combing or brushing of your hair will help break up hardened oils that clog your pores. It is recommended that you comb or brush 100-200 strokes in the morning and at night. Avoid excessive wind, sun, and heat (such as from hair dryers, hot showers, and curling irons) on your hair. Tight fitting caps and hats will cause poor circulation in your scalp and will also cause buildup of sweat and grime. Take plenty of water keep yourself hydrated. Take care.

Q How to deal with acute stress?

Relaxing or chilling out as they say is the easy and excellent way to deal with acute stress. The aim is to do something which would help you reorient yourself away from stress and get back to the normal state, similar to what you were before the stress hormones kicked in. You can do this by taking in some deep breaths and breathing the stress out. A quick warm bath can do the trick. Brisk walk or a small jog drains the stress. Speak the stress out to a friend. Count backwards from 10 to 1.This not only works in case of anger but also dissolves stress well. Figure out the acute stressors and incorporate meditation or yoga into routine to keep your calm through any stressful situation.

Q I am 69 year old, my hands start trembling whenever I am writing any thing which medicine should I take? what is parkinsons disease?

Trembling or shaking of hands is called as tremors. There are variety of tremors found and so variety of causes are there for its occurance. If you are suufering from tremors only when you write something, then these can be: Intentional tremors that occur at the end of any purposeful movements, Cerebellar tremors represented as intetional tremors, postural tremor that occur in particular posture of hand or leg against gravity, benign essential tremors occuring at older age and are inherited from family, tremors due to increased thyroid functioning, tremors due to reduced blood sugar levels, tremors as a result of alohol withdrawal or due to alcohol consumption, it can be a side effect of certain medicines, or it can be a task specific tremors. To prescribe you any medicines, it is necessary to evaluate your symptoms in more detailed way including evaluation by physical examination, which will be best achieved if you see your physician or a neurologist. Perkinsons disease is a degenerative disorder of central nervous system, where brain cells and nervous tissue undergo degeneration, resulting in dopamine deficiency in a patient. If you are trying to link your tremors with parkinsons, then the main differentiating point is parkinsons tremors are observed at rest and not at the time of movements. Further evaluation is needed for proper management.

Q Though it takes lots of courage to commit suicide why suicidal people are called coward?

Committing suicide is considered wrong and unjustifiable. Suicide gives up all your future, everything you could have done, because you cant put up with the past or the present. People usually commit suicide when they lack the courage to go on. Its like giving up on the hope that things will ever get better. Under the influence of emotional despair, a suicidal person kills himself in total disregard for those who care for him, those who would have helped him. However at the same time, it is not right to call suicidal people cowards. In fact, they need maximum help and support from those around them. One should lend them a helping hand until they start feeling better about themselves and the situations in their life. There is light at the end of the tunnel. It is important for suicidal people to remember, "this too, shall pass."