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Make no bones about this - Men have osteoporosis tooOsteoporosis is a condition in which the bones of the body lose their strength gradually and become thin and brittle. This is most commonly seen in women who have attained menopause. The reason being the decrease in the hormonal levels, particularly estrogen. Studies reveal that 20% of sufferers are men. Falling levels of testosterone are one of the causes for men developing brittle bones. Men's bodies convert some amount of testosterone into estrogen, which is very essential in maintaining the bone mass. Genetic deficiency of the enzyme that helps the conversion of testosterone to estrogen also is a major factor for men developing osteoporosis. Calcium and vitamin D play an important role in developing the bone mass and in helping the bone grow. Exercising helps too. When you exercise, the muscle gets pulled and the bone responds by growing. Too much of indoors and sedentary work may make men get the less of all three and it eventually leads to weak bones and osteoporosis. Studies reveal that 20% of sufferers of osteoporosis are men. Certain medications like anti-seizure drugs, drugs for prostate cancer and steroids have side-effects that make it impossible for the body to use vitamin D. Using them for a long time reduces the bone mass density and leaves the bones brittle making them easily prone to fractures. Smoking is a vice that has to be quit for more reasons than one. An analysis of several major studies on the effects of smoking shows that smokers have a 55% higher risk of hip fractures and low bone mineral density than non-smokers. Nicotine has also shown to have a direct effect on bone cells. A long list of medical conditions like diabetes, rheumatoid arthritis, and digestive and blood disorders can take a toll on your bones. Long term medications for the same also have side-effects on the bones. How to prevent osteoporosis? Exercise- As young boys, men have usually been exposed to a lot of bone building exercises through sports. This helps in building up on the bone strength and comes in handy in the later years. A brisk walk for 30 minutes 5 times a week and moderate impact exercises help in maintain the bone mass and reduce the thinning of bones. Calcium intake- The daily calcium needs for men is the same as women. Hence, the dietary recommendations remain the same too. 1,000 mg of calcium a day from ages 19 to 50 and 1200 mg of calcium a day if you're over 50.Along with this, make sure you get the required dose of vitamin D too, so that the calcium you eat is absorbed properly. The standard recommended dietary allowance is 400 IU. Some doctors advise to increase the intake to 800 IU. Regular medical checkups will help you to know beforehand about the risk factors and the necessary precautions you will need to take.Osteoporosis in men is as much a reality as in women. However, there are ways to avoid it too. Awareness about the condition and about the ways to prevent it can help keep osteoporosis at bay. Bone mass matters. It could mean the difference between a hip fracture later in life - or keeping an active, high-energy lifestyle.
Marrying late in lifeConventionally, the marriage age is determined according to the linear formula of happiness that we have constructed and believe to be true. The formula being: getting married by 24 --> having children by 27 --> working (optional) --> becoming a grandparent (that too, real soon!). However, time and again, men and women wandering in their 40s-50s have woken up from the deep disturbed slumber to realize that maybe- just maybe, they had walked into things too fast. They had been unable to know who they are and to become a self-conscious human being before being ready to fuse their lives with another. The prime point of being single and marrying later in life is not to go on some form of egoistic joy-trip but to be able to know oneself and become ready to be the right person for the other. By marrying late, you give yourself time to experience freely what you like and dislike. You get to explore the world at your own terms- travel whenever you want and involve yourself in festivals and activities that manifest who you are. Marrying early doesn't allow for time to explore one's being, as marriage generally immediately follows the time you finish your studies or begin working. One of the most important aspects of adulthood today is travelling. However, every individual has unique wants of travelling and being a single adult will allow you to experience the world fully. You will also get in touch with yourself, exploring how you would like to live. The decision will arise from a ground of experiences which would clearly tell you what repels and what appeals to you. Such experiences are rarely findable once you begin living with another, as you would have to schedule your days and basically, your routine around the other's life as well. Financially, you have reached a point where you know how to take care and manage finances, allowing you to plan your wedding pragmatically. Marrying at a later point in your life allows you to be clear about when you would like to be a parent. Your experiences also ready you to be a considerate and understanding parent who can guide a child. As you grow older, you tend to become more tolerant and the propensity towards differences turning into unnecessary fights is lowered. As our ways of looking at the world change, every person as an individual has the need to learn to see the world as a home. This feeling of being at home is created only through series of experiences one has to go through as a responsible adult. In the face of inexperience, two individuals coming together often find themselves incapable of being happy with one another. Marrying later allows you to have grown into a wiser person yourself before sharing your life with another.
Are you there for your teenage children?You must be there for your adolescent children so that they know who to turn to when they are confused. Being there does not necessarily mean your physical presence, but even the rules, boundaries, and standards of behavior you might have set should be able to guide them. When the teenager comes under peer pressure, then these rules may help them make the right choices. Teenagers live in fear They are frightened of their teachers, their friends; they are frightened of being mocked at or not being able to cope. They are dealing with a lot of issues, so when they come home, show them you care. They don't need parents screaming and shouting at them about their conduct or studies. The moment they come in, you should greet them with a smile, no matter what your feelings are otherwise. Don't expect your teenage children to be adults because they are still growing. Family is always important Most people think that teenagers no longer need the love, warmth, and support of the family. Your child might be a teenager,not a child to hold hands and show them the way, but they do need your support. A family works like an anchor that can pull back a teenager from being drifted away. Engage them.Speak to them regarding their likes and dislikes, the pressures they feel at studies, among other things. This could help them from the intense emotional turmoil they may be going through. Equation changes As a child you could cuddle your children, scold them, nurture and guide them, but as teenagers the equation might change. You may not cuddle your teenage child, but a warm hug now and then or a pat on the shoulder is enough to let them know that you love them just the same. Listen to them when they share an opinion. They want to prove themselves so follow their advice if it's reasonable so they feel they are an important part of the family and their opinions do matter. Don't treat your teenage children with suspicion.It will drive them away!! Moody If your teenage child is moody and uncommunicative, it does not mean that they don't need their family. It's just that friends might have taken precedence in their lives. Just the feeling that they have your support may encourage them to take their independent decisions. Information It is important to inform your teenage child regarding alcohol, drugs, and sex. However, you must also know they could experiment. So tell them about the dangers, and if they still make a mistake, then be there and do not abandon them. Help them get through the crisis. Teenage behavior Sometimes teenagers can behave erratically. It could be difficult to know if this is teenage moodiness or something more serious. As a parent you need to watch out for this and find out indirectly about what is troubling them. They might not open up immediately, but if you are around when they feel like chatting, they could let you know what is troubling them.
Dehydration: Prevention and curePlaying outside is great for the child's physical as well mental development. But if your child has spent the entire day outside and comes back with fever, diarrhea, or vomiting, and is sweating a lot, then watch out for the signs of dehydration. What is dehydration? Dehydration means abnormal loss of water from the body, especially from illness or physical exertion. Under normal conditions we all lose some body water through sweat, urine, and tears. Kids lose large amount of water and salt from body during fever, diarrhoea, vomiting, or long hours of physical activity or exercise without any water intake. How do I know it is dehydration? If your child has any of the fever, diarrhoea, vomiting or is sweating a lot on hot days then watch for these signs: Sunken eyes Dry or sticky mouth Dark urine or lack of urine output Tiredness, lethargy, irritability or fatigue How can I prevent dehydration? The best way to prevent dehydration is to ensure the child drinks plenty of fluids when they are sick or physically active. Get your kid in the habit of drinking enough water before he/she even feels thirsty.If it is very hot, explain to the kids the benefits of drinking water frequently. If possible, avoid going out in the sun. Give your kids a well-balanced meal to be sure that they are getting all the adequate nutrients. What if my kid gets dehydrated? If the kid is below 1 year, care should be taken to breast feed the baby often. If the dehydration is due to vomiting, feed small amounts frequently for it to absorb in between the vomiting episodes. Give a spoonful of ORS solution every 10 minutes to replace the lost fluids. For kids above 1 year, start with plain water initially when the kid complains of thirst. Later the kids may need drinks containing sugar and electrolytes. Also, the child should be made to rest at home in a cool environment until the lost fluid has been replaced. Once the child is rehydrated, resume to normal routine and diet.
CryophobiaCold or hot can be a very subjective term as every person's tolerance for either heat or cold can vary. When some of us react in an extreme manner to all things cold, then it could be a case of cryophobia - the fear of catching cold or the fear of cold weather. Derived from the Greek "kryos" + phobos gives us cryophobia, which is a mental aberration where the mind develops a nagging and persistent fear of all things cold - be it cold weather, ice-cream, or maybe even a cold shoulder! Jokes apart, a person suffering from this condition could really experience 'hot weather' in his relationships as he will completely avoid any contact with anything cold. If the weather is a bit nippy then that's a veritable disaster for Mr. 'Avoid De Cold' as he will do everything in his power to stay indoors, for instance - turn on the central heating and wrap himself up until the mercury rises to an agreeable level. Though it is decidedly different from your run-of-the mill phobias, cryophobia could be of various types. There are some who are only afraid of cold in the 'weather' sense and are otherwise cool about touching cold objects or even having an ice-cream. While there are some who would probably break out into, if you will excuse the term, 'cold sweat,' even while watching floating icebergs on a Nat-Geo documentary. So, the sensation of cold is quite subjective, and hence the various strains of cryophobia. Generally, this fear would manifest quite logically for those who have occasioned to be trapped under ice accidently or maybe those who have suffered frost bite from exposure to cold weather during a skiing holiday. Under such circumstances, avoidance, though irrational, could be perfectly logical. If you monitor weather reports constantly and experience discomfort even in moderate climates, then you should get yourself checked for cryophobia, as chances are that soon you will be restricting yourself indoors and cutting yourself off from the rest of the world. Some people might just overcome fear or anxiety by wearing an extra layer of the woolens or turning up the central heating. For deep seated fears, it may require long-term counseling or medication. Some people might just have this morbid fear of developing pneumonia from a common cold and hence may take elaborate measures to avoid going out during cold days. This too can be quite normal since most of us don't want to call a day off from work due to a nasty cold. But despite adequate protection if you are still afraid of venturing out to work or are avoiding social contact just because of an irrational fear of catching cold when the weather outside is made for the beach and you are in the middle of summer! Then the catchphrase is - You have cryophobia!
Be positive. Here's howAs someone so very rightly said, "We are the sum total of our thoughts". So the more positive thoughts you have, or are capable of thinking, the more positive will be the outcome of your life journey. Here are a few tips to think more positively and empower yourself: Have a daily positive thinking routine. Generally the time when you are just waking up, i.e., the half awake state, is best for you to start feeding positive thoughts about yourself. The mind is more accepting of suggestion at that time. You can just feed your brain with happy and positive thoughts about your situation and what you hope to achieve for yourself and your family. Creative positive visualization is another great method of positive thinking. At a set time, just picture your life in the way you want it to go. This is different from daydreaming. Creative visualization gears you up for action while daydreaming remains just wishful thinking. If you have difficulty in certain areas of your life, say at work or with your relationship, visualize a positive outcome. This will engage your mind in thinking of various action plans to get about that positive result. Positive affirmations are a great way of reminding yourself that all is well. Have patience with yourself as your mind will probably not even believe half the things that you are affirming. That's what affirmations are all about.They are statements that you feed your mind about what you are and what you can achieve. Positive affirmations can help you reprogram your mind to what your heart really desires. Let go. Feel that delicious sense of surrender as you just indulge in mentally letting go of things. As a busy person you probably end up trying to control the outcomes of every situation and feel bad when things don't go the way you expect them to. Remember things can go wrong from time to time. Like you, life is also not perfect, so why expect perfection from others? Learn to let go of that emotional baggage that you are carrying. The weight of the world needn't rest on your shoulders. Collective consciousness is where you should try to tap into. Think of situations where things can go horribly wrong for someone else. Send out a silent prayer for those unfortunate people in this world. Chances are that your prayers just might help some stranger badly in need of a prayer or two. This can only come back to you manifold. Help someone else become a positive person. This can only reaffirm your faith in positive thinking. Positive energy is what everyone naturally seeks and we can for sometime blame our friends or family for being a negative influence on our lives. This line of thinking will get you nowhere. Instead think what's the next best option? Think of how you can convert negative energy or experiences into positive ones. Initially you might meet with resistance, but remember if you are positive then positivity is yours for keeps.
10 Makeup mishaps and easy ways to avoid themRepercussions of those horrifying blends Astonished? As to why we are staring off with the "after effects" rather than discussing about the problems initially. Well, to understand how to avoid it, we first need to know why to avoid it. Firstly, application of the wrong makeup leads to spoiling your entire look and after that even if you wear any designer collection nothing shall compensate for those miseries. Secondly, applying makeup does not start when you hold that lipstick in your hand or take that brush close, it started way before, when you chose the brand or the type. Understanding your skin type and then choosing the best option is way too important than actually applying the makeup. Thirdly, never be "penny wise and pound foolish" when it comes to your cosmetic brand, as in the pursuit of saving some money, you might end up paying the dermatologist a huge fee for treating tarnished skin. The most awaited party and your make up got totally smudged, nightmarish right? Read on to find ways to avoid it. Keeping the above catastrophic consequences in mind lets know about the 10 makeup mistakes and ways to evade them. How to avoid those 10 makeup mishaps Laying the great  "Foundation" Do you pay all your attention in choosing the matching lipstick and eye shadow and end up paying no heed on the foundation to be applied? If your answer is YES then this is the column you need to stick your eyes to. Wrong foundation type or erroneously mixed foundation can cause more dangerous aftermath than a snow storm. Follow the 3 simple steps to make your foundation always compliment your makeup to the fullest: Chose your foundation color and brand by testing the same on your skin and seeing the texture under good natural lighting. The foundation blend should be always created by adding right amount of water and moisturizer into it to create a suitable mixture. Apply the foundation not only till your face but extend it to your neck and ear area to give a uniform appearance. Blistering of the Blush Have you spent 3 hours to get that right look and 3 minutes in realizing that the makeup was too heavy you stepped out? Well blushes, if not applied in the right amount, will end up making you look too loud for the occasion. The instant solution:  chose a color which compliments your skin tone and apply it under good lighting to know the real effect it has on your skin. Under the dark shadows of the eye shadow Isn't eye makeup your most favorite part of your entire look? Most of the girls will give a big nod to this. Eye makeup can solely make you look like a diva or a devil taking into consideration how you do it. Try to play with colors but do not end up choosing a shade totally different from your eye color and complexion. Chose a shade which compliments your eye color and your outfit. The Mascara Massacre Avoiding dramatic movies and stepping out in the rains is the maximum refuge we take to save our mascara and making us turn into a black-eyed devil. You think there is no way to get rid of this? Then you are wrong for once, as such situations can be avoided just by resisting the application of the mascara on your lower eyelids.  Seal the concealer It may be a magic wand to hide that pimple at the wrong place or those dark circles you got after the late night study sessions but always remember to mix your concealer well with the nearby skin area to give a natural look. Also, create a firm mixture before applying it to avoid lines showing on your face. The eye brow hassles Too less eyebrow hair make you uncomfortable even with good makeup? The solution is simple, move the eyebrow pencil firmly on your eyebrow to give some volume to your eyebrows. Just do not overdo it as it might spoil your entire look. Apply just one or two light streaks of it on the eye brows and you are good to go. Dangerous chronicles of the eyeliner Applying the eyeliner can be a fetish among many women but how to do it and how much is a point to discuss here. Try to apply pencil liners if you are a beginner especially. Dress as per occasion and apply the liner accordingly. Carry wet tissues always and clean up well in case they get grubby.  Lash out those artificial eye lashes Giving volume to your eye lashes can be very beneficial but do you know how much volume is just enough? If no, try to start with very few artificial lashes. Heavy usage of these lashes can make your look go haywire. So start off with less and then move ahead as per requirement.  Right streak of the Lip liner One might always get confused as which lip liner will go well with the lipstick shade you got but always try to chose a lighter liner shade which shall hold your lipstick and give it a neat and tidy appearance. Gloss or Matt-the great dilemma of a Lipstick Do you always sit with just one question before buying the lipstick that should you go with gloss or matt colors, here is the easy answer - chose gloss for informal occasions and ceremonies. Usage of matt can be done for office presentation where you do not have time for instant touch ups. Avoid matt when you are out for weekend parties, as gloss will give you the needed liveliness you need that time. Choose the color which goes well with your skin tone rather than the one matching your dress. Try to experiment and flaunt but do not experiment with anything that might damage your skin.
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.
How to communicate with a patient who has a strokeThe first and the most important thing to communicate with the patient, is to give undivided attention. Give attention to his activities, gestures, his facial expressions through which he may try to communicate so his feelings could be understood. Eye contact is also important but the patient having stroke may look at you square in the eyes but he may not respond to your conversation. While communicating with the patient you should always stand in front and tune out all the other sights and sounds in the room. Maintain full silence around the patient in the room, turn down the volume of the television, radio and ask other people in the room to be silent. You may communicate with the patient by making contact by touching the hand, chin, cheek or areas which are not affected by stroke. As the side which is affected by stroke, does not have any sensations. You may communicate with the patient through his family member by telling the family member to communicate with patient by saying, "Look at my face"; through this we can gain the patient's concentration. You should always speak clearly with the patient in a normal soft volume. Express your ideas in simple terms, form simple sentences, do not use complex words. You may repeat the sentences or an important term again. For example to ask if the patient wants tea, repeat the word 'tea'. More complex thoughts can also be similarly conveyed and repeated. You may also use hand gestures with clarification like doing Hello by waving your hand or through your hand action, you may ask questions like, How are you? Are you ok? What do you want? Through this both caregiver and stroke patient can benefit. You may ask your patient to point out whatever he wants or if he needs anything. And gradually he will develop the habit of pointing the daily items like television, newspaper, remote, eyeglasses radio, drapes an uncomfortable foot, the patient can indicate any pain or headache. Through this communication we can make the patient learn, use mechanical lifts to get in and out of the bed, and with the help of the attendant by demonstrating the patient how to use it. Sometimes when the communication does not work, take a break, give it time and try again, do not get frustrated and reassure the patient that yes, he or she can do it. Good communication with the patient is very important as they cannot speak their basic wants and needs clearly. The patients suffered a stroke also have slurred speech. There is a deviation of the angle of mouth. They are mostly bed ridden and could not carry out the routine activities.
A primer on heart attacksIndians around the world have one of the highest rates of heart diseases. Heart attack, also called as myocardial infarction, is mainly caused by a blockage that prevents oxygen-rich blood supply to your heart muscle. In other words, it is the death of the heart muscle. What causes a heart attack? When cholesterol deposition, plaques of calcium and proteins on the walls of your coronary artery cause blockage of the artery, your heart fails to receive sufficient nutrient-rich blood. This leads to the permanent death of heart muscle, and it is unable to pump the blood to your vital organs. Symptoms that signal a heart attack   Chest pain is a symptom of a heart attack.  This pain can feel like tight ache, pressure on the heart as if an elephant is sitting across the chest. However, you may get confused with the symptom chest pain - whether it is a heart attack or an angina pain. Chest pain lasts for a longer time in heart attack whereas the chest pain in angina lasts for few seconds and goes away after rest. The pain experienced during a heart attack sometimes feels like indigestion or heart burn. Other warning signs of heart attack are: Shortness of breath. Lightheadedness or fainting. Upper body discomfort in arm, the back, neck, and jaw. Nausea, vomiting, dizziness. Sleep problems or fatigue. Not every person will have the same symptoms of the heart attack. But if you have any of these warning signs, you have to act fast and get the right treatment.
The earlier yearsSexual concerns experienced during the drastic body changes and feelings of adolescence are often carried into adulthood. Sexual desires are powerful and frequently go beyond the earlier popular forms of sexual expression - kissing, hugging and petting without being aware of the consequences. Anxiety the commonest case of erectile dysfunction is compounded by the present life style - get-togethers, parties, with alcohol and drugs, visits to sex workers or massage parlours which offer other sexual services leading to unplanned, unprotected sex. Consequently seen are unwanted pregnancy, abortions, drug addiction, sexually transmitted diseases, anxiety and depression leading sometimes to suicide. Males seem to have more concerns then females. A common concern is nocturnal emission (night fall, Swapana Dosh) of semen and length of penis. Nocturnal emission of spermatic fluid is falsely believed to weaken a person. Really all that's happening is that excess of sperms is being thrown out to make place for the new ones. The length of the penis troubles many. Young people fall prey to advertisements that claim to lengthen it. The fact of the matter is that a penis an erection of 2.5 wide (10cms) is enough for a sexual intercourse for a person who knows the art to satisfy a partner. Ignorance about masturbation is widely prevalent among males of all ages leading to guilt, anxiety, depression and at times to suicide. Older men erroneously think their cause of erectile dysfunction or premature ejaculation is masturbation. Masturbation is a highly pleasurable act in males. It does not harm the body or exhaust the sperms. In fact it is a safe way to satisfy. Females also masturbate but the percentage to men is much less. They also seem more comfortable with the activity. Masturbation has gone through years of superstition fear of ill effects, considered as a unhealthy practice and considered sin by some religions. Fifty or more years ago doctors and activities thought it caused harm to the body. It is said that corn flakes, the popular breakfast cereal was specifically formulated by Mr. Keleog to help a person not to masturbate. Today thinking has changed. It is now thought that it is an activity that does not cause any harm to the body. It does not finish all the vital sperms over the years so that it will not hinder having children in future. Its wide misuse is common. Persons use it indiscriminatingly when they cannot sleep, when they are tense for e.g. before an examination, some do it more than four to six times a day, which only indicates their immaturity. When done to satisfy a natural sexual urge it is a healthy activity. It keeps the person safe from infection and is said to teach the person skill for sexual intercourse. Technology has helped in many ways but sometimes it creates problems. A person hooked on to porno sites to arouse his desire is found to cause a loss of self confidence conflict with the partner sexual intimacy and intercourse. Before marriage or a partnership both male and female have concerns. Females if they have a previous partner but are getting married to another worry about the husband finding out of their loss of virginity, others worry about the size of their breasts, excessive hair on body or excessive fear of pain at intercourse. Men worry about whether their penis is long enough whether their long standing masturbation will hinder intercourse or prevent them of being a father. The absent hymen a false notion for virginity can be congenitally absent, split by exercise like swimming, cycling etc. or most commonly by masturbation. The hymen therefore is no proof of virginity. Learning to do with what they have making full use of their points and feeling comfortable and proud of their bodies help a lot to overcome the concern. Adopting a safe sex policy is best achieved by masturbation; avoiding sex with an unknown person and multiple partners; during intercourse with sex workers not using condoms every time and being careful of oral sex. Satisfying each other by caressing, hugging, kissing etc. with clothes on is safe; without clothes extra vaginal sex by mutual masturbation is safe with a trusted partner and finally not so safe is vaginal intercourse unless done with a condom correctly worn.
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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