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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.
Pamper the newborn without forgetting yourselfIf you are a new mom, chances are you are busy 24/7. The baby's complete dependence on you helps you bond with him/her and makes you aware of the responsibility that is now on you. But, your own health is an equally important responsibility. So, you need to give yourself permission to take care, or even pamper yourself from time to time. Here are simple ways for you to look out for yourself. Eat your favorite breakfast: As your day starts, you need fuel to keep your energy levels high. So, grab your hands on healthy and tasty breakfast options like whole grain cereal, skim milk and sliced strawberries or a banana. The combination of lean protein, whole-grain foods, and nutrient-rich fruit allows the brain to form more feel-good chemicals. Don't let stress come near you: We know that a lot of changes in your life have transpired, due to the entry of a baby in your world. The difficulty to cope with the changes may cause stress and depression. Try to avoid stress by asking for your husband's and relatives' support. Take a walk with your baby: Walking with your baby in nearby parks will give you fresh air and it is an excellent form of exercise. Don't be sleep deprived: Having a baby doesn't mean that you have to always sacrifice your sleep. Never miss an opportunity to sleep or take rest. This will keep your energy levels high for the day. Sleep when your baby sleeps. Delegate baby care: Parenting is not your sole responsibility. Ask your husband to lend a hand in taking care of the baby for some time. Not just the husband, if you live in a joint family, you can ask other relatives for help as well. Don't be a multi-tasking person: We know a woman has so many roles to play. But, it doesn't always have to be that way. Being a new mom, you must focus on one activity at a time. You can prioritize your tasks, if you have a lot of things to do. Exercise regularly: Add exercise to your daily routine. Choose the exercise which you love and enjoy, like walking, cycling, yoga, swimming or aerobic dance. Consult a doctor before starting any exercise program.    
Dilemma of a working woman - How to stay healthy!Women want to be healthy and beautiful. But most of us are not able to find the time to exercise or plan our meals. We pay more attention and money on therapies to look good externally. But good looks come from good health, and good health is an outcome of a healthy lifestyle. Healthy lifestyle helps in preventing illnesses and makes us more efficient. Improper and irregular diet, lack of physical activity, and stress are the chief causes of poor physical and mental health. Most working women today are occupied with their desk jobs, and as a result have a sedentary lifestyle. Eating junk food most of the times makes the matter worse. So if you want to stay healthy, here are some changes you can make. Add movement to life. Activities like walking, gardening, swimming or aerobics help build endurance and relieve stress. Choose something which you think you can consistently - Yoga, aerobics, cycling or even dancing. Balanced diet plays a pivotal role in fitness. Fruits, vegetables, and whole grains are a must in your diet. Antioxidants in fruits have an anti-ageing effect. Choose to eat in order to satisfy hunger and build healthy body, and not to feed your emotions. Avoid junk and processed food. They are empty calories. Drink water. Dehydration affects metabolism. Drink 8-10 glasses a day to flush out the toxins. Add liquids like milk, fruit juices to your diet. Positive thoughts help build a healthy mind and a healthy mind ensures healthy body. Do not smoke cigarettes or drink alcohol to deal with stress. Try yoga, meditation, listen to music, or take a nice shower to relax. Rest and relaxation helps to cope with daily stress. Making these lifestyle changes as a regimen will surely help working women to live a life of health, wellness and fitness.  
Pediatric diet formula food vs traditional foodAccording to the World Health Organisation, it is unnecessary to give your baby rice cereals at the age of four months as breast milk can provide all the nourishment a baby needs in the first year. No other solid food is required. Breast milk has all the nutrients like fats, protein, cholesterol, carbohydrates, vitamins and minerals which are required in the first year of life. According to most studies,formula foods are not the healthiest option to begin solid foods on. Doctors prefer that babies be given boiled vegetables and mashed fruits like bananas and not formula cereals that contain simple carbohydrates. It is not a good idea to give babies processed and refined foods that are found in all formula foods. Formula foods do have nutrients, but they are not as easy to absorb as nutrients from foods prepared at home. You can also ensure quality in food that is prepared at home. Formula foods cannot imitate the natural taste of foods. Babies like to choose foods according to taste just like the adults and you can give them a wide variety of choices like offering them different fruits and vegetables rather than the similar tasting formula. You will be surprised to know that mother's milk has the taste of the foods she eats and so babies develop taste for a variety and may like the insipid taste of formula. Another reason why formula foods may not work that well is that they contain cereals. However, the enzymes that are required to digest carbohydrates are not fully developed in babies until they are more almost three years old. Cereals and breads are very difficult for babies to digest. Undigested grains can throw off the balance of bacteria in the gut and this is the reason for a lot of digestive issues once they are grown up. Solids should not be introduced until six months of age, as studies now reveal that if solid foods are given early on then it increases the likelihood of allergies, especially of those foods introduced. Babies produce only few enzymes and digestive juices that are mainly required to digest protein and fats. This is because mother's milk has 50 to 60% healthy fat which is a must for the babies' mental and physical growth. Most baby infant nutritionists feel that formula feed is not a complete food. Babies will get deficiency,such as iron, as it is difficult to absorb them from formula foods. The debate continues as many feel that the marketing gimmicks are what selling these foods and not the nutritional value they provide to babies. A note of caution, excessive amount of juices are harmful for babies as these can lead to obesity.
Dealing with obsessive thinking and worriesAn old adage goes - 'Worry is like a rocking chair. It gives you something to do but it doesn't get you anywhere'. This is absolutely true for many of us who have developed the habit of worrying unnecessarily over outcomes and circumstances. Thinking about things and over our course of action is a good thing because you should always think twice before acting. What about obsessive thinking? Is it good for you? Anything in extremity is a bad thing, whether it is your favorite food or your thoughts. Worrying incessantly is a part of obsessive thinking where you cannot let go of negative thoughts and they circulate in your mind continuously. Obsessive thinking is a negative infinite loop, a broken record that is stuck without having anyone to click the stop button. So how should you deal with this obsessive thinking that is sure to spell your doom in the long run? Though psychologists have devised various scientific methods of overcoming obsessive thoughts and worries, here we have listed down some easy to follow rituals that will help you deal with such worries and thoughts. Meditation - Yoga swears by the art of meditation as it is thought to release all negative energy from the mind and soul. Concentrating on your breathing and also absorbing a positive source of energy is the essence of meditation. So whenever you are obsessed about something, sit down, calm your nerves and meditate. Physical activity - Exercising always helps. Engage in physical activity which increases the body's metabolism and requires effort. Indulge in those dance lessons or swimming or maybe cycling and you will divert your mind from those negative thoughts. Indulge in your hobbies - So you thought you don't have time for your hobbies, but your hobbies relax your mind and body. Moreover, a hobby also takes out the creative side in you. So, whether you like to collect coins or stamps, or lean towards arts and crafts, a hobby is sure to occupy your mind and take you away from worries. Socialize - Friends and relatives are your lifeline as they help you in those tough situations. Even if you are mentally not at peace, making social calls on your friends and relatives will take the edge off.  Try to meet people who can empathize with you and help you move out of it. Socializing will give you that much needed break from the vicious cycle of your thoughts. Though a short-term relief, going out for movies or taking a weekend getaway with your near and dear ones or even indulging your wife in shopping, can be helpful. Confide - Talking to someone close who understands you helps you in expressing your troubles. Thinking obsessively, you usually tend to ignore your feelings and emotions. Your mind remains trapped in the net of those obsessive thoughts and your emotional well-being takes a backseat. When you talk to another person, he or she will hear you out and help you relieve the stress that is on your mind. They would understand your state of well-being and support you emotionally. Be mindful - You may find it easy to go back into the same negative thought process. Don't let your mind chatter. Stop your mind by standing up for yourself. Stand in front of the mirror and say, "I am not a victim. I have the power and strength to move ahead" Do this whenever you become aware that you are going back into the same thought process.  This will give you the mental strength needed to come out of it.  Be mindful and aware but don't be too harsh on yourself. Be responsible -Your mind can make you or break you. If you understand this truth you will find it easier to manage your thoughts. Take responsibility of your thoughts good or bad.  The mind can create thoughts to project blame or judgments about others.  When you own your thoughts, you will find it easier to shape them the way you want. Create a higher vision of your life - When you keep a higher vision in your life, you can move ahead easily.  By developing a higher vision, you are asking yourself, who am I?and finally working towards it. You take positive actions and thus there would be more gratitude for what you have and less resentment for things that do not work.   This stops your mind from working unnecessarily. Obsessive worrying is a psychological disorder which in extreme cases has to be dealt with pathologically. Do not let your condition to reach the extreme end of the spectrum. Follow the above mentioned suggestions and try to deal with those thoughts yourself. It may take some time but rest assure, it will be effective in the long run.
Communicate to strengthen the family tiesA family that talks to each other stays together. Sounds easy? But how often does your family sit down together in the week to spend time with each other? How about breakfasts and dinners? Are you all able to match your meal times or are you catching each other by the end of the coats in the fast paced world that has us spinning us on our heels constantly? As the family members run in and out of the house, like in a hotel, engulfed in their daily routines they slowly start drifting away from each other. Somewhere pushed to the depths of the heart are old connections and affections with the family. Ideal conversations during childhood, encouragements received during tough times, sibling squabbles in adolescence and many a wonderful memories tug at the heart keeping the family from disintegrating altogether. On the contrary, improper communication and bottled feelings singe the heart in such circumstances and lead to the tumbling of the family ecosystem. Understanding how to build effective communication within the family is important as it helps build a stronger, inseparable family. Here are some effective practices: Communicate Frequently:With the limited time that you have with your family, make communication a common and frequent activity.  While traveling in the car, during meal times, replace TV time with talking, talk to your young ones at bedtime. Keep designated time for informal family meetings and encourage conversations among the family members. Keep the cell phones and laptops in the other room when the whole family is sitting together. Communicate Clearly and Directly:Develop an environment where the family members feel okay to communicate clearly and directly. Allow them to express their thoughts and feelings without having to mask and filter them. This is important in a parent-child relationship and sibling-sibling relationship. It also helps build confidence, family intimacy and bonding among the family members. On the other hand, veiled, indirect or vague communication is ineffective and harmful as it increases confusion and communication gaps. Active Listening:Open and free communication flows only when it is received well and the other person's perspective is acknowledged and respected. Active listening is the cornerstone of effective communication. Whether listening to your partner or child, it is necessary to pay attention to not just the words but tell-tale signs in the tone of communication and non-verbal messages too. Nodding of the head, or words of acknowledgment like, "I understand" make the other person feel that what they are saying is valued and received. Asking questions and requesting clarifications for the parts of the message you do not understand is a very important part of active listening. Trust and Honesty:Only when the family members feel that they can trust each other, can they communicate honestly. Trust is the key for strong familial relationships. Trust is propagated through openness and honesty. Understanding the Individual:The way each individual of the family feels and communicates is different. The way you communicate with the different family members should vary accordingly. Especially in case of young children, as their maturity levels are different than the young adults and adults in the family. The unspoken messages:Not everything might be said in words. Learning to read non-verbal communication such as expressions and body language are very important in understanding the entire message being conveyed to you or the parts being held back. Stay Positive:Many complications and problems between family members can be avoided or solved by effective communication. When dealing with undesired or negative situations, it is important that the words and tonality of the communication is positive. Avoid engaging in negative communication like criticism, defensiveness or contempt. Such negative communication patterns discourage communication.Communication is essential to successful family functioning. Taking inventory of how well the family is doing and readjusting course and practices will help improve the family environment and build a happy family that shares openly and honestly with each other.
The age of nutritionAdvantages of Healthy Eating: Increased mental acuteness Resistance to illness and disease Higher energy levels More strong immune system Faster recuperation times Better management of chronic health problems Eating Obstacles for Seniors:  Lifestyle changes: Lifestyle changes can be an eating obstacle. For example single seniors may not know how to cook or may not like eating alone. Activity level: Seniors often cut back on activity for physical and medical reasons. Weight gain can result from the decrease in calories burned. Metabolism: Every year over the age of forty, our metabolism slows down. This means that even if you continue to eat the same amount and kinds of food as when you were younger, you're likely to gain weight because you're burning fewer calories. In addition, you may be less physically active now. Taste and appetite: The senses of taste and smell diminish, so one may be inclined to season one's food more heavily than before even though seniors need less salt than younger people. One may struggle with loss of appetite due to lifestyle, loneliness or a medical condition. Health Issues: Physical ailments and prescription medications, become a daily exercise, and ends up often negatively influencing appetite. Digestion:Due to changes in your digestive system, you generate less saliva and stomach acid as you get older, making it more difficult for your body to process certain vitamins and minerals, such as B12, B6 and folic acid, which are necessary to maintain mental alertness, a keen memory and good circulation. Emotional Factors: Emotional factors such as loneliness and depression can affect your diet. For some, feeling down leads to not eating and in others it may trigger overeating. Specific Nutritional Recommendations for Seniors: Some important guidelines for seniors include Reduce sodium (salt) to prevent high blood pressure, Monitor fat intake in order to maintain healthy cholesterol levels Consume more calcium and vitamin D for bone health Eat more fibre-rich foods to prevent constipation Cut back on sugar and on dry foods Ensure getting recommended amount of important vitamins and minerals Increase water intake, and Perform regular physical activity Eating well as you age is easier than you think: Focus on good carbohydrates. Opt for whole grain nutrition (brown rice, whole wheat bread, rolled oats, barley, and millet), not refined "white" products, such as white bread, white rice, or products made with white flour. To manage weight and maintain optimum health, focus on eating efficiently. This means choosing foods that maximize nutritional value, not calories. Whole, natural, fresh foods such as fruits and vegetables, whole grains, nuts, legumes, healthy sources of protein (poultry, fish, eggs, and tofu) and dairy products that contain calcium constitute efficient eating. Highly processed and refined foods usually contain more calories and fewer nutrients. Raw equals roughage! Aim to eat at least one daily serving of your fruits and vegetables raw. This not only preserves their nutritional value, it's an easy way to eliminate constipation. Steaming is the best way to cook vegetables; it preserves nutrients. Light sauting is next. Bone up on calcium. All dairy products are not created equal. Milk, cheese and yogurt retain their calcium content; cream cheese, cream and butter do not. As part of a healthy senior diet, choose fat-free or low fat dairy products. Choose first-rate fats. Get your "good" fats from oils such as olive oil and sunflower oil, avocados and avocado oil, nuts and seeds. Keep it moist. In addition to drinking enough water each day, aim to consume foods with high water content. Staying properly hydrated flushes toxins from your body, relieves constipation, helps keep your joints flexible and your mind clear. High water content foods include melons, grapes, cucumbers, onions, apples, cabbage, and, of course, soup.
Muscle build up dietYou may think that you need fatty foods to bulk up, but this is not true. Fatty foods will do just that make you fat. Lean meats, fruits and vegetables will actually build muscle. Take a balanced diet of vegetables and lean meats to achieve your muscle building goals. Changing your diet to build muscle will help with your overall health. Eating food that helps build muscle will ensure that you are not wasting all that hard work you are doing in the gym. Workout utilizes considerable energy. Food is the only way to replace this energy. So what happens if you fail to eat the right type of food to build muscle mass? It will take longer to build muscle, and it may even prevent muscle building altogether once you reach a certain point. Is protein important or not? You bet it is. Protein provides the building blocks to build that muscle. What types of protein are best? Chicken, eggs, steak (with the fat cut off), fish, cheese (especially cottage cheese), and nuts are all great sources of protein. Finding out how much protein to eat when you are interested in building muscle fast is actually not difficult. First, you will need to find out your lean body mass weight in kilos, and then you simply multiply that figure by 2.75 to determine your daily protein requirement. Calculating your lean body mass uses some complex formulae, so ask a professional at the gym if you do not already have this figure. Carbohydrates, in moderation, are also essential when finding foods that build muscle. Do not eat too much, though, unless you choose high fibre carbohydrates, and then you can indulge in much larger amounts. High fibre carbs include rice, potatoes, oatmeal and bananas. Reducing fat in your diet is of course necessary to build bigger muscle on a body that appears lean and has a low body fat ratio. If you are focusing on what foods build muscle mass, you also need to bear in mind that it pays to reduce fat as well. Although proteins are essential, it is really important to select proteins that are low in fat, or that you can cut the fat off. So eat your chicken without the skin, and go for lean steaks rather than more fatty cuts of meat. Opting for cottage cheese or other reduced fat cheeses, and low fat milk also helps reduce your fat intake. You may argue that drinking has no effect on what to eat to build muscle. But you would be wrong. Hydration is critical to general health and wellbeing. Two litres of water a day is what most experts recommend for maintaining optimal health. To drink that amount, you need to drink up to 12 glasses of water a day, which is quite a lot. So start early in the day, and space your water consumption out throughout the day. Foods that build muscle are great and an essential component of your bodybuilding program. But do not be lulled into a false sense of security and think you can slow down on your workouts. Both bodybuilding exercises and bodybuilding diets are required to get a body to die for as quickly as you possibly can. Even if you are working on improving your physique slowly, you should combine a bodybuilding diet with bodybuilding workouts for best results. Sample Diet: 7:00am: Breakfast: 4 eggs + toast or oatmeal + milk with protein powder mixed in (a lot). 9:30am: Snack: 1 Meal replacement supplement + milk. 12:00: Lunch: Tuna sandwich (1 whole can) + green apple. 3:00pm: Snack:  2 Meal replacement supplement + milk. 5:30pm: Workout: Have water (or carb drink if you want), within 30 mins of end of workout (on workout days only) Meal replacement supplement + milk. (If you are going to have Creatine - put it in this Meal replacement supplement at the end of your workout). 8:30pm: Dinner: A chicken breast (aprox 8 oz + some rice or other starch carb + if you want also eat some veggies) Before Bed:  Meal replacement supplement + milk.
Stinky feet? Learn why!Most of us have experienced a bad smelly foot at least once in our lives. We all have that one friend or relative who has such smelly feet that he can clear off a room as soon as he kicks off his shoes! With more than 250,000 sweat glands in each foot, the feet are the most highly sweating parts of the body. What causes this bad smell? The feet contain thousands of sweat glands. During warm days or when you wear socks and tight shoes, the sweating increases in due proportion. The resulting sweat does not find an outlet and starts accumulating in the spaces available and this warm and moist area breeds bacteria. The bacteria start feasting on your sweat and dead skin. They digest their food and release the waste products. These waste products are toxic organic acids that cause the feet to smell so bad. About 10 to 15% of people suffer from this horribly bad smell. Why? This is because their feet are extra sweaty and become a home ground for certain bacteria called as Micrococcus sedantarius. Along with stinky organic acids, the bacteria produce volatile sulphur compounds. Sulphur compounds are powerful and extremely awful smelling almost like a dirty rotten egg. Teenage years also see extra amounts of sweating on the feet. Medical conditions like Hyperhidrosis can also make your feet sweat more. If you are suffering from a fungal infection of the foot, then rest assured that your feet will smell horrible. Smelly feet can be an embarrassing problem. It puts everyone in a spot. Hence, foot hygiene is important to avoid smelly feet. Always wash and dry your feet well every morning. Dab some antiperspirant powder on your feet and between the toes to soak the perspiration. Never wear the same shoes for more than 2 days in a row. Wear a fresh pair of socks daily. Keep your feet exposed to fresh air. Avoid tight-fitting shoes. Use an antibacterial soap to wash your feet if you have smelly feet. Visit your doctor if simple home measures do not prove very effective. Excessive sweating is often considered the cause for foot odor. This is not true. Sweating in itself is harmless; it is the bacteria that grow there that are responsible for the awful odor.
Treating sore throatTest and diagnosisPatients with sore throat are examined by ENT specialists. At first, the doctor performs a local examination of throat. Clinical examination usually guides the doctor towards diagnosis. Although in order to confirm the diagnosis, the doctor may ask for culture and sensitivity test of the throat swab. Treatment Home remedies: Mild cases of sore throat are usually cured by home remedies. Following remedial measures can be adopted at home: Warm saline gargle – Gargle with warm saline water helps to relieve the discomfort and irritation of the throat. Half to one teaspoonful of salt is added to one full glass of warm water and the patient is advised to gargle. This process may be repeated 3 to 4 times a day to have a soothing effect on throat. Additionally, smoking and use of other tobacco products must be avoided. The patient must drink adequate amount of fluids. Warm liquid and semi-solid food must be consumed to provide a soothing effect on the throat. Cough lozenges to help relieve irritation and pain in the throat. Seeking advice of the doctor: If the signs and symptoms persist and are not adequately controlled by home remedies, the patient must seek advice of a specialist doctor. Viral infections usually do not require treatment. They are usually cured in 5 to 7 days. Bacterial infections require treatment as per the advice of a specialist doctor. Bacterial infections may require treatment by antibiotics. The treating doctor selects an antibiotic which is suitable for the patient depending on factors such as the age of the patient, report of the culture and sensitivity of throat swab, previous drug history of the patient, etc. Antibiotics usually effective in bacterial infection with sore throat are from the group of penicillins, cephalosporins, and macrolides. PreventionViral and bacterial infections are contagious. Good hygienic lifestyle and habits help prevent infections. Following things to be noted are: Frequent and thorough hand washes before consumption of food, after using toilet, and after sneezing and coughing. Use of a hand sanitizer during consumption of food outside home. Avoid sharing food and drinks from same glasses and utensils. Use a tissue paper or handkerchief while sneezing and coughing. Avoid close contact with patients with sore throat. If sore throat develops, few home remedies may prove to be curative. If sore throat persists, advice of a specialist doctor must be sought.
Is sex linked to self esteem?Man is a curious creature, full of quirks and contradictions. Sexual intercourse, something that most people consider an intimate and private experience, is spoken about in hushed tones and often, with some discomfort. We don't reveal or talk about our sexual desires, as readily we discuss our salary packages or food habits. This is quite ironic seeing how sex is an important gauge for a person's self esteem and also an indicator of his/her social desirability. The very thing that we do under covers, we somehow choose to "keep under cover". The Link between Sex and Self Esteem: Self esteem is an important factor that determines the mental & physical well-being of an individual. All of us have a craving to be understood, liked and appreciated; and these form the equivalent of our basic needs on the inverted pyramid- Food, clothing and shelter. For a human being to flourish and prosper, consumable food, without the mental food of appreciation, is not enough; and sexual intercourse or an intimacy with the opposite sex, is one way of validating that need. Sex therefore, ceases to be just a physical need instilled by nature for the perpetuation of the species, but goes into the larger emotional cum psychological dimension of self actualization and realization. Though some of us might be embarrassed to broach the topic of 'whether or not we are getting enough', the truth is that every human seeks to achieve his sexual potential, even while he or she might, not be aware of it. Most of us have the ability to get the foods matching our taste preferences onto our plates, but with sex, this could be a little difficult, since sex, is a complex subject with a lot of social, moral and religious links. The truth is evident in the number of marriages (the very cornerstones of civil society) that fail on the basis of sexual compatibility, either by setting unrealistic sexual expectations or by not owning up to, or even identifying, one's sexual needs. This has repercussions on the psyche and self-esteem of a person, and this is especially true in the case of men in particular, as they may feel completely inferior for not being able to attract a sexual partner matching his desires. In some people, this also leads to a case of self-loathing, for having sexual needs which a partner doesn't understand, or much worse, needs which are considered taboo and sinful (Homosexuality, Anal Sex, Group Sex, Fetishes, etc.) These complex emotions can wreak  havoc on a person's self-esteem, by creating severe internal conflicts and serious self-doubts. Now socially, sex can either liberate a person, or hold him prisoner. At times, the unfulfilled needs may get repressed and banished to the shadows, only to be played out later, in the form of sexual adventurism and crime. Just one look at the sexual crimes in our society today, and we can clearly understand just how healthy our collective self esteem is! The very society that frowns upon prostitution, is actually responsible for creating it, though everybody would like to pretend otherwise. The crux of the matter is that "sex" and "self esteem" are closely related; and one should not shy away from addressing any issues one might face regarding one's sexuality. Physical love is necessary for the survival of a relationship and one needs to make time and efforts to successfully create one's own sexual space. The positive effects of a good sex life can be seen in an increased work productivity, fewer illnesses and an increase in one's overall efficiency. Some people are haunted by sexual guilt and confusion and when they keep it all locked up, they suffer from unexplained physical pains and feel 'down in the dumps' mentally. Another problem with appreciation from the opposite sex, is the addiction to  external validation. Some people feel utterly worthless until they receive positive feedback about their looks or abilities on a regular basis. This can be downright devastating, as in these cases, there is a great dependence on external factors for one to feel good. While no one denies the "feel good factor" of sexual appreciation, it is up to each one of us, to decide just how much of control one must be giving to external factors, to determine our personal self-esteem. The appreciation may be theirs, but the esteem is entirely of the self and only the self can decide how much of appreciation and sex is enough.
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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