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 are the risk factors for thyroid cancer?

The risk factor for thyroid cancer are - female gender, low iodine diet, exposure to radiation, family history, inherited genetic mutation.rnrn 

Q I am allergic to condom what is an alternative ?

If you are allergic to latex condom you can use polyurethane condom. Other options that you can consider is use of spermicidal gel and withdrawal method. For some the spermicidal gel that are used with condom can cause allergic reaction, hence it necessary to rule out that. If you married than you can ask your wife to start oral contraceptive pills.rnrn 

Q Had anal warts which i got removed, now it has develop near penis, what is the reason?

Warts in genital area are caused due to infection with human papilloma virus infection. The virus is spread through skin to skin contact. Having sexual intercourse with multiple partners or with unknown person increases the risk of developing infection.

Q I want to do ivf and I am hiv ptv is it possble for me

If you are a male, you can go for IVF in which the sperms are washed using medical solution to remove the infected material. And, a single sperm from that pool is picked up for the fertilization. Still, you can not deny the chances of infection. But, if you are a female, then it is not possible for you to prevent the child from the infection as your blood contains the virus.

Q My two year daughter fell from the slide this morning. In evening she passed white stool with bad smell.

Episode of fall and the white stool does not seem to be connected. But at the same time white coloured stool can not be ignored. Stool gets its normal yellow- brown colour due to bile. White colour stool indicate that either the bile is not produced or it is obstructed. Hence it should be evaluated by the doctor. Consult your family physician at the earliest.

Q My 22 months old boy still has anterior fontanelle open. Is it a concern

In most cases anterior fontanelle closes between the age of 7-19 months. Delay in closure can be due to causes like premature birth, intrauterine growth retardation, downs syndrome, etc. I would suggest that you get your child examined by a pediatrician to rule any abnormality.

Q Hi, My son is 5 years old. About a year ago he had adenoidectomy and insertion of grommet in his ear for ear infection. Now one of the grommet is coming out and he is complaining of ear pain. Can you advise if he needs repeat surgery?

If the grommet is coming out and he is complaining of ear pain, there is need of reinsertion of grommet. My advise to you is revisit your ENT surgeon, who have operated your son. Because he is in a better position to advise you and do further management.

Q Can high SGOT and SGPT levels affect pregnancy?

Raised SGOT and SGPT levels indicate that there is some disorder associated with the liver. However whether it will have any effect on the pregnancy or not will be determined by the underlying cause for raised SGOT and SGPT levels. So it is necessary that your wife consult her gynecologist.

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.