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Weight gain and prostate cancerOne of the hormone therapies involves increasing the production of LH-RH. Luteinizing Hormone-Releasing Hormone (LH-RH) is a hormone which is produced by your body. This lessens the production of testosterone. The drug given induces the generation of this hormone. One of the side effects of this therapy is weight gain. Along with this, breast pain, hot flashes, nausea, and growth of male breast tissue might occur. Apart from hormone therapy side effects, the presence of fatigue can also stop a patient from regularly exercising, thus, resulting in gaining weight. However, it is important that this weight gain is averted as the chance of cancer returning is a possibility. You can keep your weight in check by following these tips: Ask your doctor if your hormone therapy can lead to weight gain. If you receive an affirmative answer, then ask for a diet chart to be followed. You can also keep a food and activity journal to get an idea of how your body is reacting to the treatment. Inculcate physical activity in your schedule. This will not only help to reduce fatigue, but also keep at bay the chances of becoming constipated or feeling nauseous. Medical studies have shown that cancer patients must have at least 2-1/2 hours of moderate physical exercise per week. Have about 2.5 cups of fruits and vegetables every day. Also, shift to whole grain food items. You should also consume at least a cup of legumes, for example, beans, to keep up your protein levels. It is best to opt for lean protein snacks like yogurt and chicken. You must stay adequately hydrated during your treatment. Drink about 10 to 12 glasses of water everyday. Do not consume excessive amount of sweetened beverages like coffee and cola. Have a small portion of nut and nut seeds. If you feel distressed due to the therapy, go for a massage. These have been proved to reduce anxiety and stress caused during the treatment of cancer. Most importantly, keep up with your appointments with the doctor and convey the bodily changes that you may notice. Have an optimistic outlook towards the treatment and do not repress any emotional disturbance. Weight gain in men who had been previously healthy often leads to depression regarding weight issues. Being proactive and focusing on keeping your weight under check is the key here. You could also approach a psychologist if you have been feeling low. The LH-RH therapy is also known as Androgen Deprivation Therapy (ADT). This therapy leads to a weight gain of around 9 pounds within a year of starting treatment. You can make sure that your weight is controlled by altering your lifestyle and getting adequate physical exercise everyday.
Too much of these can be detrimental to healthModeration is the mantra for everything in life. There are a lot of things in our daily life that we do. Excess of these can be detrimental for your health. Let's see how: Television, Laptop, Mobile: That screen is torture for your eyes. Looking at the TV/ laptop/ mobile screen for too long can cause dryness of the eyes. It also makes the mind dull and inactive. Even though you have not done anything much, you feel tired. It is also unhealthy for your social and personal life. Gadgets are meant to add convenience to your life, and not alienate you from real people. These also lead to sedentary lifestyle which further triggers obesity, hypertension, diabetes and other chronic ailments. Travelling: Many of us travel for work, for education. Frequent meetings are a part of work life. Some like to holiday a lot. But too much traveling upsets routine for the body. It changes schedules too often, adds new stressors to an ordinary day. Food options also get limited and sleeping patterns are influenced. If your job demands excessive travel, make sure you consciously put an effort to choose a healthy lifestyle when away from home. Worrying: Worry is unavoidable. Think of a day you did not worry about anything, isn't it difficult? Normal stress is a part of life, but if you are worrying too much, you are weakening your immune system in more ways than one. It makes you weak, susceptible to infections, prone to lifestyle diseases, and also affects your social life and relationships. Vitamin supplements: Supplements are not your daily diet. Have them in moderation and with due consultation from a doctor. Some vitamins get stored in the body when taken in excess quantities. This can result in condition called as hypervitaminosis and various health problems. Exercise: Body is not a mechanical machine that can keep functioning at the click of a switch. Even a machine needs oiling and repairs. If you love to exercise, that's great. But don't do it all day. Too much physical exercise is strain on the body. It can lead to muscle exhaustion, weakness, breakdown and may even damage the kidneys. Sleeping: Sleeping is the rest the body needs but too much of rest means rusting. Oversleeping makes you dull and may even trigger your migraines. It annoys the body clock and may create metabolic disturbances Social Networking: This is not good for your mental health. Those two hundred friends who like and comment are not your world; the one whom you call when you want to cry is your friend. Posting images and sharing updates on social media is fine, but it is more important to talk to those who live with you, who are physically around. Many peer pressures and image issues also arise from excessive social networking and people may tend to live in a 'make believe' world.
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.
A baby - proofed guide to childcareCaring for kids is an important task. Everyone wishes to nourish kids in a loving and caring yet protective atmosphere. Initial stages of development call for more care and attention. Health, hygiene and safety at home and outside are important when it comes to kids. Here are a few helpful tips to all the parents: Nurture your infants with massage. Learn a right way or get it done from a professional. It is a great therapy to make muscles strong and bond with the baby. Prolonged crying bothers parents a lot. Usually continuous crying for long hours is suggestive of colic or stomach ache. It is the most common problem in kids, the reason being immature gastric system. Do not panic. Keep medicines at hand and give them as per instructions by your kid's doctor. Toddlers often insist on being carried even when they know how to walk well. Make sure to hold them comfortably. Diapering a baby is a skill that must be mastered especially when the baby is fidgety. Holding baby in right position flat on the back simplifies the task. Parents adapt to doing the job effortlessly with practice. Transition period of swapping from breastfeed to bottle known as weaning is a tough task for most of the babies. Consider gentle weaning strategies advised by the doctors. Do not be abrupt. Go slow! Some Safety Tips: Cap and lock the medicines, detergents, chemicals etc. in containers keeping them far away from the children. Bathingwater should be always checked before bathing the baby. Do not leave kids alone near water tub or any water source alone. Avoid leaving baby in a highchair to prevent injuries such asbaby climbing out, falling, or sliding. Lock up all the knives, matches, and plastic bags away from children to prevent poisonings, bleeding injuries, burns and suffocation.
Where does your happiness lie? - Importance of emotional well-beingAn emotionally well person is characterized by ability to handle and adapt to changes, to efficiently deal with stress, has a positive self-image and can take decisions independently to cater to his needs. Striving forward with a sense of purpose, an emotionally strong person has the capacity to build and sustain fruitful relationships without over-dependence. Being emotionally well does not imply that you do not experience pain and suffering. Pain and suffering is an essential part of every person's life. The strength of your emotional well-being is determined by how you look at and react to them. Those who are emotionally well can treat their adversities as opportunities to change and move ahead with greater strength. Signs of an emotionally ill person include stress, frustration, discomfort with changes, negativity in thoughts, and unreasonable paranoia about the intention of other's actions, discontent, and depression. There is also the feeling of guilt over inability to hold relationships and of not being able to keep others happy. You may also find yourself unworthy and feel that you do not deserve to be happy. Such sensation of low self-worth fuels the need to look for other ways to feel relaxed - thus, resulting in substance dependence. In cases of severe emotional ill-being, one could experience sleeplessness, hopelessness, suicidal, and uncontrollable negative thoughts. Relation between emotional and physical well-being: Emotional well-being is closely related to your physical body. They share a symbiotic relation with one another.By taking care of your body, you allow balanced production of hormones and smooth functioning of the other body parts - allowing them to respond efficiently during tough situations and also assisting the body to cope with physically challenging conditions. By being emotionally strong, you will also contribute towards faster and effective treatment of your body from illnesses. Your emotional well-being is determined by the following factors: family background, companionships, past history of relationships, sensitivity to nature and genetic dispositions. Those who come from troubled family background find it harder to associate in a healthy way with others during their adulthood. In many cases genetically, a person has greater propensity towards being emotionally weak - though this can be controlled and molded into strength by one's own actions. Depending on the type of educational institutions you attended, your companionships could be those which built your self-image positively or which hindered your capacity to take care of yourself (due to instances of bullying and teasing). Past romantic relationships also determine how you deal with your emotions in the present. Those who are sensitive to nature have been found to have greater consideration for human beings as well as non-human beings around them. Every factor is a condition which can be shaped by the efforts of the individual. Emotional well-being is primarily built on the belief that you can create your own reality by choosing your actions. How to promote your emotional well-being? Be optimistic :  Emotional and mental well-being is majorly decided by how you look at your life. Even though you have many sufferings, are you able to accept them and find ways to get through them, knowing that the good is yet to come? Flip through the inspiring stories of people around you to motivate optimism. Find your beauty : Listen to the needs of your body and do not impose your mental ideas of beauty on it. Beauty of each person is determined by their unique characteristics. Do not let the conventional standards of beauty pull you down. Know that you are unique and beauty is not necessarily an external but an inner state of mind. Stay with those who care for you : You might see the need to sacrifice your happiness for others in some instances. However, if you find yourself doing that 8 out of 10 times in any relationship, it is time to seriously reconsider how you wish to live. Is your happiness being taken for granted? Are you running this relationship because you are afraid of being alone, knowing that it is going nowhere in the future? Those who care for you will show it through their actions. The best way to love yourself is by being able to see yourself through their eyes. Take care of your body :  Get adequate sleep daily and make sure your body gets lots of nutritious food. Don't let the advertisements decide the needs of your body. Try out different cuisines and let your body tell you which one it feels is most suitable. Exercise moderately everyday by taking a walk in a green area with your loved one (Remember that the point of exercising is not only to lose weight, but to sweat away your stress daily in fun ways!) Follow your heart : Do what you love. There is nothing that could harm your emotional well-being more than doing something which you know is not right and which you do not want to do. Confucius has dropped us a fortune cookie of happiness when he said that in choosing a job you love, you will never have to work a single day of your life. Get a pet companion :  Adopt an animal and take care of it. In taking care of the pet, you will realize and gradually get in touch with yourself, becoming aware of who you are as a human being. This could be the starting point of discovering your true potentials. Volunteer at social services : Let your creativity and emotions flow by connecting to those around you. Depending on your interests, choose a type of social service - old age home, orphanage, animal shelter, being with terminally ill people, and so on. Such activities will help to positively channelize your emotions.
Balancing marriage and work: The top 5 tricksFor women juggling between home and work is very difficult. Yet, the number of women choosing to go out and work, while managing their homes, has increased over the years. This is because a successful career helps a woman establish her identity in society, gain respect and do justice to her inherent qualities, passions and dreams. So, a successful working woman, is a happy woman and statistics show that such women also keep their kids and spouses happy. More stable marriages During the seventies, when women started entering the workforce in large numbers, there was an instant rise in the divorce rates. However, over the past decade, the divorce rates among working couples have actually declined. Today, men have extensively adjusted to the idea of having a working woman, as a partner. In many countries, men actually share the domestic chores and devote time to childcare, so that their women can successfully handle both, work and home. However, the main responsibility of the home and the kids is still primarily, in the hands of the women. Here are the six keys to manage your work and marriage successfully: Find the right job You can ease out the stress of managing the work and home front, if you make the right decisions. Studies indicate that couples having access to less demanding work, have better sex and better relationships and hence, are less likely to be stressed out. However, in case the working hours are long, the situation can become the opposite. Hence, it is important to find an exciting job, over which you can still have control, especially when you have small kids at home. Adjust the working hours Most women have to leave their careers halfway because their husbands work for long hours and there is no one available to care for the kids. If the wife too is good at work then, the couple should take up jobs that provide an opportunity for both of them to work, since doing this will keep both of them satisfied. There is a possibility that the husband, or the wife, may lose a bit on the income in this adjustment, but ultimately it increases the chances of having a happier marriage. The negative impact of leaving work If a career-oriented woman leaves her job due to family demands, it can shake the very base of the marriage, while also leaving her, depressed. Also taking a break, means you have to catch up very fast when you want to restart your career, which in reality, is quite difficult. In these situations, there is also a huge wage gap, between what you used to get before your break, and what you are getting after, that can lead to depression. Working moms help fortify the relationships between kids and their fathers When the father spends time babysitting the children, a closer bond develops between the kids and the father, which is usually not possible in families where the dad goes to work, full time. Studies show that children raised with equal devotion from both father and mother, have higher goals and aspirations and are even more empathetic. Feel less guilty A working woman usually feels guilty because she cannot spend as much time with her children, compared to the dedicated housewives. However, if the husband shares the duties related to bringing up the children both parents can be happy while playing their parts well for their kids. A woman with a successful career is positive and confident about everything she does, which ultimately makes her family happier.
21 foods for a healthy heartFollowing is a list of heart-healthy food substances: Garlic: Did you ever think that the commonly available garlic in your kitchen can be heart healthy? It may be smelly for some, but for the heart it is a soothing substance. Garlic is known to control blood pressure, serum triglyceride level & cholesterol level. Carrot: Carrots, though taste sweet, have the ability to control blood sugar levels because of high level of antioxidants in them. So include carrots in your diet, especially in salads. Orange: This juicy fruit has cholesterol-lowering ability because of fibre pectin in it and also helps control blood pressure. Almonds: Though all nuts are believed to be nutritious, almonds are considered to be heart healthy. Almonds are rich in vitamin E, calcium, plant sterols, fibre and antioxidants. Almonds help in lowering LDL cholesterol and reducing risk of diabetes. Walnuts: Walnuts are rich in omega 3 fatty acids, monounsaturated fats which help in lowering cholesterol levels.  Oatmeal: Oats are very healthy & help in lowering the bad LDL cholesterol. You can have one bowl of oatmeal mixed in milk along with nuts as breakfast. Flaxseed: This honey coloured shiny seeds contain substances which are heart healthy, such as lignans, ALA and omega 3 fatty acids. It helps in lowering cholesterol level and controlling diabetes. Tofu: It is a type of soybean protein which can be replaced with paneer. Tofu is rich in fibre and polyunsaturated fats which prevent clogging of arteries.  Barley: The fibre in barley is believed to lower cholesterol and blood glucose levels.  Tuna fish: Tuna fish is rich in omega 3 fatty acids which helps in lowering cholesterol levels.  Salmon: It is very good for heart as it is rich in omega 3, EPA and DHA. It lowers and reduces the risk of inflammation in arteries. It is also believed to maintain the ratio of good cholesterol to bad cholesterol. Red wine: Red wine contains catechins and resveratrol, good for heart health.  Black beans: They are a rich source of magnesium which helps in lowering blood pressure. It also contains folate, antioxidants and fibre which is helpful in controlling blood sugar and cholesterol levels. Fresh herbs: If you are hypertensive and want to control your salt intake then try using fresh herbs as a substitute for salt. It also contains antioxidants which are good for heart. Herbs include rosemary, sage, oregano and thyme. Extra virgin olive oil: This is rich in heart-healthy polyphenols & monounsaturated fats. As it's very costly you can use it as a topping for bread or salad. Sweet potatoes: White potatoes are believed to increase glycemic index so you can replace them with sweet potatoes. It is heart healthy as it has low glycemic index and also contains fibre, vitamin A and lycopene. Low fat yoghurt: You can include this in your breakfast safely as it contains calcium & potassium which helps in lowering blood pressure. Dried cherries: They are rich in anthocyanins and antioxidants which help in neutralizing the action of enzymes which cause plaque formation. In winter you should opt for strawberries, blueberries for a healthy heart. Cayenne chili pepper: Your blood sugar normally increases post a meal. By sprinkling cayenne chili pepper over your food can help preventing insulin level spike post meals. Hot cocoa: Coffee helps in patients with type 2 diabetes. Hot cocoa contains antioxidants helpful for heart. Kosher salt:  This is very beneficial for heart patients as it contains half the amount of sodium as compared to table salt and thus helps in controlling high blood pressure.
Good and bad calories-How do they affect weight loss?Not all calories are bad calories. Surprisingly very few people are aware that good calories are quintessential for burning fat and can rather help you in losing weight. So, it's very important to know how to differentiate between good calories and the bad ones. What is a Calorie? In scientific terms, one calorie equals to one unit of energy. When the term calorie is being used in relation to nutrition, it means consumption of energy through what you drink and eat and use of energy for carrying physical activity. Many people think that in nutritional terminology, calories are only associated with drink and food; but the truth of the matter is that everything has energy is calories. For example, since coal provides you energy it contains calories. 7,004,684,512 calories are equal to energy produced by 1-ton of coal. Coming back to weight loss, 100 calories of fiber and protein is not similar to 100 calories of a cake. This is because there are good and bad calories and much like us humans all calories are not equal. Calories are the measuring units of energy that are produced by the food once it reaches your body. This energy works on the law of physics and hence less energy intake leads to weight loss and vice versa. Varying types of Calories Different types of food provide varying calories or energy amount to the body. The analysis of a tightly scrutinized weight loss experiment has revealed that when people of two different groups were fed the same measure of calories albeit from varying food sources, the weight loss was almost similar. However, the effects of weight loss were variable; like uncontrolled emotions, cravings, hunger and more. This happened for the same reason that some calories are good and some calories are bad. Good and bad calories Sugar is a powerhouse of energy. But if you keep on eating only sugar all day long it will be suicidal. This is because; the calories present in the sugar are devoid of any nutrients and your body cannot function without the right balance of different minerals, nutrients and vitamins. Most food not only carry calories but they also constitute a complex mixture of additives, fiber and nutrients. These mixtures of varying components directly affect the leptin hormone that controls the hunger trigger in your body. These hormones tell the body to either burn the fat or store it. The process of weight loss is made complicated by the fact that biologically our body is programmed to protect the fat stores so that they can be utilized during starvation. So, the question remain, which calories should you eat to lose weight but still keep on getting the required amount of energy? Eating lean protein, healthy fats and unrefined and unprocessed carbohydrates such as fruits, beans and vegetables are the best for losing weight. Calories with more nutrients are the best The foods that do not store fat and make us eat again and again, are the ones you should eat as good calorie food. Choosing them is simple. These are the same food that humans used to eat before processed food was invented. For example; avoid using the processed whole grains and switch over to brown rice instead of the polished white rice. Also, stone-ground whole wheat, oats or quinoa bread is much better than the white bread. Replace the processed carbohydrates from your platter with whole grains and vegetables to lose weight, control hypertension and blood sugar. Use fats derived from plant sources such as olive oil or nut oil. Eat lean protein more such as chicken and fish.
Bile block - Understanding gallbladder problemsRavi was a young intern working the night shifts in a government hospital when he was asked to examine a patient who had just been brought in. The patient was a 45-year-old, a fat man, who was complaining of pain in the right side of the abdomen along with nausea and vomiting. On inquiry it was revealed that he had eaten a very heavy fat-laden dinner. Remembering what his surgery professor had taught him about cholelithiaisis, Ravi immediately guessed what the diagnosis could be. He, however, sent the patient for a blood test and an abdominal scan. The reports confirmed Ravi’s suspicions- cholelithiasis, gallstones. The gallbladder is a tiny pear shaped organ that lies just below the liver. It is responsible for storing the bile that is produced by the liver for digesting food. It ensures the smooth outflow of the bile from the bile ducts. When the bile components aggregate in the gallbladder, they build up to form gallstones, similar to kidney stones. The gallstones are usually small enough to pass on to the intestines and be eliminated without causing too much trouble. At times, these stones may be big enough to block the outflow of the bile and give rise to a variety of symptoms depending on the size of the stone and severity of the block. The symptoms include -  Intermittent colic. A bloated sensation with constant nausea. Inability to tolerate fats. Vomiting.  Fever with chills if the stone becomes infected. Gall stones though found in both sexes, is more common in females. The risk factors for developing gallstones include - Diabetes. Organ transplant. Diseases like hemolytic anemia, sickle cell anemia. Liver cirrhosis. Failure of the gallbladder to empty properly, e.g., during pregnancy. Rapid weight and nutrition loss due to any reason. Gallstones are confirmed by a blood test to check the liver function and by an abdominal scan. Medications to dissolve the stones, and surgery in case of large stones that do not dissolve with medications, are the treatment options.
Stress-free sex: Know your safe period!Having sex is a pleasurable thing; and the nicest way to enjoy it, is to give in without being bogged down by the fears of getting pregnant. Not every act of sexual intercourse will result in pregnancy. There are days when your chances of conception are very high, just like there are days when the chances of getting pregnant are almost nil. Identifying these days will help you enjoy a better and a more stressfree sex life! A woman's menstrual cycle starts from the first day of  bleeding and ends about 28 days after that, on an average. Ovulation occurs on the 14 day of the menstrual cycle. The 14th day is the ideal day, theoretically. Since every woman's menstrual cycle differs, the day of the ovulation also differs. Hence doctors calculate the fertile period from the 12th to the 18th day of the menstrual cycle. This is the period when the chances of ovulating and hence getting pregnant, are optimal. The 1st to the 7th day and the 19th day to the start of the next cycle, are the days when the ovulation chances are very low. This means if you make love during these days, there are very little chances of you getting pregnant. This is the case with women who have regular period cycles. In case your cycles are not regular, then you would need to do a bit of math to calculate your safe period. For example, if your shortest cycle is of 26 days and the longest cycle has been of 31 days, then: 26-18= 8 and 31-10=21, which means the 8th to the 21st day of your cycle, are the most fertile days. The 1st to the 7th day and then the 21st day to the start of your next cycle, are the days that are safe for you to enjoy sex, without fear of getting pregnant. Opting to have sex during the 'safe period', isn't always fool-proof though. A lot of women have irregular cycles and the cycle length can vary from woman to woman; which is why the so-called 'safe period', is in truth, not 100% safe. It is always better to use condoms or other contraceptive methods like the oral pill to prevent unwanted pregnancies.
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.
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