JOCK ITCH or INGUINAL ITCH

It is common fungal infection that effects the skin, inner thighs, buttocks and genitals. It also called as tinea cruris or ringworm of the groin and is one of the most common infections of groin area. This fungal groin infection mainly targets men and adolescent boys. Jock itch can be triggered by friction from clothes and prolonged wetness in the groin area, such as from sweating.

It mostly restricts itself to the creases of the upper thigh, and does not invade the scrotum or the penis. However, it may spread to the anal region and cause itching, pain and burning sensation.

Symptoms

Symptoms include Itching in groin, thighs, skin folds, or anus. There may be red, raised, scaly patches that may blister and ooze. The patches often have sharply-defined edges and are often redder around the outside with normal skin tone in the center. Abnormally dark or light skin is also symptom in this condition. Flaking, peeling or cracking skin in your groin. In long standing infections, the rash becomes less itchy and less red and plaques may fuse together.

Generally, people tend to ignore the symptom, then as it aggravates, there is a tendency to buy the creams from the chemist over the counter. This subsides the itching for some time but as the exact cause is not known, generally after some days, again the infection comes back. People keep on trying different creams for years together but they are shy to go to the doctor. There should be the scientific approach to tackle the situation. Seeking doctor’s help in time can cure the infection well in time and further complications can be avoided.

You must have seen, Males standing in a group, talking to their companions & unknowingly scratching their groins areas. Many times they do not know what they are doing, but for others it is very embarrassing particularly when females are there!

There is a continuous distraction due to the itching. The person cannot concentrate and thus undergoes stress. This may disturb the life of the sufferer. So, it is important that such infections should be treated in time.

CAUSES OF JOCK ITCH: –

• Fungi causing jock itch is present on human skin and feed on dead skin. The moist and damp area provides them a perfect environment to grow and breed, particularly people having active life or those who sweat a lot suffer with jock itch frequently.
• People having been weaker immunity or suffering from diseases like diabetes HIV/AIDS are prone to suffer great jock itch.
• People sharing towels, clothes and people involved in activities where they cannot keep groin areas dry most of that time like sportsperson and people in sitting jobs are also at risk of catching jock itch.
• People suffering from other types of fungal infections like athletes foot may also suffer from this condition.
• Infection caused by Candida albicans is also responsible for causing jock itch
• Allergy to soap, washing powder, perfumes (chemical irritants) may also cause jock itch
• Senile pruritis – In old age the sebaceous glands in the skin becomes less active ,the skin looses its natural moisture and tends to become dry which leads to itching
• Jock itch may be contagious. It may be passed from one person to another by skin to skin contact our contact with unwashed clothing
• The presence of public lice, pthirus pubis can be one of the reasons
• Diabetes is marked by high levels of blood sugar which may give rise to groin itching
• Jock itch can also be triggered by friction from clothes and prolonged wetness in the groin area such as sweating
• Normally healthy skin secretes acid on its surface. This acid necessary for health and integrity of the skin, which also acts as a protective barrier. However through malnutrition, constant showers, harsh soaps, lotions and shampoos that removes the acid layer, toxins, poor blood circulation, low oxygen levels in the blood etc, health of the skin is compromised leaving it more vulnerable to fungal outgrowth.
• Eczema may be a cause of itchy groin, particularly in infants. It is described as the inflammation caused by a hypersensitive reaction in the skin. Eczema generally tends to run in families which often have a history of asthma or hay fever.
• Lichen Simplex is a skin condition that results in scratchy and itchy groin area. It may be accompanied with other skin disorders such as eczema and psoriasis.
• Allergic Reaction the chemical irritants such as detergents, body sprays, creams, ointments, fabric softeners, contraceptive foams or jellies can trigger an allergic reaction in your body. This may, in turn, lead to the formation of itchy, red rashes in groin area.

Examinations and Tests

Eczema, Lichen Simplex and Allergic Reaction are also reasons for if :-

The Doctor can usually diagnose jock itch based on how your skin looks.

Tests are usually not necessary. If tests are needed to confirm the diagnosis, either a culture or a skin lesion biopsy (for example, a scraping of the skin) may be done.

Complications :

• Permanent change in the skin colour of the affected area may occur.
• Secondary bacterial skin infections may occur.

Treatment

Topical treatment is of great importance in treating jock itch. This includes a variety of treatments available in form of creams, lotions, paints, shampoos and medicated powders. The treatment given is in accordance with the severity of the infection.

Mild fungal/jock itch is often treated by a combination of: –

• Washing the groin twice daily with antifungal shampoo.
• Using its topical antifungal cream.
• Severe jock itch is treated by combination of antifungal shampoo, antifungal cream and antifungal oral medicines.

AYURVEDIC TREATMENT FOR JOCK ITCH :-

First and foremost, the cause of itching must be ascertained. Without knowing this no treatment would be efficient. Based on the cause, follo wing Ayurvedic treatment can be prescribed:-

 If itiching is due to eczema, paradadi balm can be applied locally on the skin. For severe eczema RASA MANIKYA can be used. Also Dadrughna lepa gives excellent results.
 Shuddha Gandhaka or Gandhak rasayana is an internal medicine to be used with external agents
 Take few neem leaves and grind them with water to make a paste. Add some turmeric to it. Use this paste for local application to the affected area and let it dry for at least 2 hours. Jock itch usually responds promptly to treatment.
 For fungal infections in females YONI PICHU is a therapy whereby cleaned sterilized cotton is dipped in medicated oil and placed within the vaginal passage. The swab/ cloth roll should be retained for a long time so that it exhibits action locally.Ulcers if present heal, pain subsides and local hygiene improves. This treatment is particularly useful in case of a vaginal infections and can be done using Bala taila (oil), Ashwagandha taila (oil), Phala ghruta, Triphala ghrut etc.
 YONI PRAKSHALANAM is also ayurvedic therapy for females. By this method by Vaginal area is cleaned with medicated oils and decoctions. PRAKSHALANAM the means washing /cleansing. Thus it is a gentle cleansing measure of genital organs to avoid fungal or yeast infections.For this a decoction of Triphala or Dashmoola can be used.
 Another Ayurvedic effective therapy is YONI DHUPAN. Groin Area is exposed to fumes of medicinal herbs (dhup). Herbs such as Daru Haridra, Lodhra Turmeric, Mangistha, Sariva etc.

Some Ayurvedic medicines which work as blood purifiers are used for skin itching such as Kishor guggal, Raktadoshnta kadha, khadiraristham, Nimbadi Kashayam, Maha Manjisthadi Kadha etc.

Home Remedies

These are some simple home remedies which the patient should try for any skin ailments. It gives effective results and prevent further infections.

• Avoid overexertion and workout routines, which may cause excess sweating.
• Keep your genital and groin area clean and dry.
• Saltwater tub bath is one of the simplest and effective home remedies for jock itch. Sought had still trying the infection and also inhibits the spread and growth of fungi.
• Increase in take of Garlic, fruit and vegetables is supportive diet during infections.
• Have a cup of yoghurt daily.
• Change undergarments twice or thrice daily.
• Alcohol can be used as a topical application for treating jock itch but it aggravates the infection if taken internally and hence completely avoid alcohol intake during infection.
• A decoction of licorice when applied locally with a cotton swab is also effective
• Use coconut oil in the affected areas as often as possible
• Wash the groin with the diluted juice of a freshly squeezed lemon which can help to dry rash
• Keep your blood sugar level under control if you have Diabetes.
Avoid using substances that you suspect contain the chemical allergens.
• Do not share cloths, bath suits and towels with anyone.
Wear clothes after the groin area is completely dry after bathing.
• Lose weight in case you are overweight. This will provide you relief from itchy groin.
• Resist the urge to scratch or itch as they will only aggravate the condition.

Prevention

Since fungi tend to thrive in warm, dark, damp conditions, minimizing these conditions can help treat and prevent this rash. Some useful measures are:

1. Thoroughly clean the area is bit a hand-held shower and mild soap.
2. Keep your groin clean and dry at all times. If you are prone to jock itch, then cover your groin with antifungal or drying powders after you take a bath.
3. Avoid clothing or underwear that irritates the area. Choose loose fitting clothes with smooth fabrics that let your skin breath (like 100% cotton) rather than synthetic fibers. Wearing boxer underwear or no underwear, increasing air-flow by sleeping near a fan, wearing loose sleepwear or no sleepwear etc.
4. Exposing the area to wind and sun.
5. Take utmost care of personal hygiene
6. Refrain from scratching as it will irritate the rash and break the skin, creating the potential for infection.
7. Keep your blood sugar under control if you have diabetes
8. Do not share towels, hair brush, comb or clothes.

Today 26th september is the world contraceptive day. Sex is a basic human right. But to have sex safely and without fear of unwanted pregnancy should be the priority. Many women across the world die everyday as a result of unwanted pregnancy, mostly due to unsafe abortion.

So, couples can avoid pregnancy and enjoy sex life fully, only if they can follow safe and effective contraceptive advice. Let me clarify some popular myths and misconceptions abut contraception.

1. one contraception is useful for all

While the ideal contraceptive is necessary but it does not exist. So, what may seem suitable for a couple may not be useful for another couple. We need to assess various points like number of children they have, wish to have further children and plan to have children, general health of wife and husband (and any diseases they suffer from), frequency of intercourse, chance of infection, age of the partners etc.

2. Regarding barrier methods
Most popular barrier method is male condom. But the myths are that" condoms reduce sexual pleasure" and" condoms get easily damaged leading to failure.

Condoms are specially useful for those who are at risk of infections, who do not have very frequent intercourse and who are not suitable for other methods. Condoms do not decrease sexual pleasure, some of the condoms have medicated products which can increase the duration of intercourse and also act as lubricant to facilitate intimacy.

But men should know how to use it properly. It should be worn in erect penis expelling all the air and projecting the tip beyond the tip of penis. While withdrawing penis after intercourse, the condom should be held at the base of the penis. Actually failure/ rupture of condoms occur because of mishandling of condom or not knowing proper use of it. So, before use, please make sure that you know its correct use.

Definitely some men can feel latex allergy and they have to use non-latex condom, which are widely available.

There are barrier methods for females also- like female condom, diaphragm and cervical cap etc. But they are not very ease to use and are not so popular.

3. Oral contraceptive pills (ocp)

Myths-" ocp causes increase in weight" ocp causes cancers.

Facts- ocp seldom causes gain in weight. The gain in weight is coincidental, that means you have some other reason of gaining weight- like not having exercise, ignoring diet control and some other diseases.

Ocp rather reduces risk of cancer- especially ovarian cancer (which is very difficult to diagnose and very lethal), cancer of colon, cancer of endometrium (inner lining of uterus). Of course, there is little risk of breast cancer, but the risk is not very high, it can be easily detected by examination by doctor. So, if you take ocp, get rid of all the fears. Just try to have self- breast examination every month.

4. Intrauterine contraceptive devices (iucd)-

Most popular is copper t. Medicated iucds are also available, that contains hormonal drugs.

Copper t does not increase risk of infection, a common misconception lies among woman.

5. Emergency contraceptive pills (i pill etc).

Often couple uses these pills regularly after intercourse. Remember these pills contain very high content of hormonal drugs, which can lead to serious side effects like hormonal imbalance, irregularities in periods (and thus can prevent you from getting pregnant in future, even when you want pregnancy), ectopic pregnancy (pregnancy outside tubes that are life-threatening) etc. So, use regular contraception if you want to prevent pregnancy. I pill is not meant to be taken for every time of sex.

6. Ligation-

Ligation of male (vasectomy) and female (tubectomy) is done as permanent contraception for couples having more than 2 children. Ligation in male does not disturb sexual activity. It is easier than female ligation. Again, female ligation is also a very safe technique.

So, please remove all misconceptions and myths about contraception. Have safe sex, enjoy life.

Sexual dysfunction refers to a problem during any phase of the sexual response cycle that prevents the individual or couple from experiencing satisfaction from the sexual activity. The sexual response cycle has four phases: excitement, plateau, orgasm and resolution.

Causes of sexual dysfunction
Physical causes Many physical and/or medical conditions can cause problems with sexual function. These conditions include diabetes, heart and vascular disease, neurological disorders, hormonal imbalances, chronic diseases such as kidney or liver failure, and alcoholism and drug abuse. In addition, the side effects of certain medications, including some antidepressants drugs, can affect sexual desire and function. Psychological causes These include work-related stress and anxiety, concern about sexual performance, marital or relationship problems, depression, feelings of guilt, and the effects of a past sexual trauma.

The most common problems related to sexual dysfunction in men include ejaculation disorders, erectile dysfunction and inhibited sexual desire.

Ejaculation disorders
There are different types of ejaculation disorders, including:

Premature ejaculation
This refers to ejaculation that occurs before or soon after penetration.

Inhibited or retarded ejaculation
This is when ejaculation does not occur.

Retrograde ejaculation
This occurs when, at orgasm, the ejaculate is forced back into the bladder rather than through the urethra and out the end of the penis. In some cases, premature and inhibited ejaculation are caused by psychological factors, including a strict religious background that causes the person to view sex as sinful, a lack of attraction for a partner and past traumatic events . Premature ejaculation, the most common form of sexual dysfunction in men, often is due to performance anxiety during sex. However, organic causes are sometimes present. Certain drugs, including some anti-depressants, may impair ejaculation, as can nerve damage to the spinal cord or back. Retrograde ejaculation is most common in males with diabetes who suffer from diabetic neuropathy (nerve damage). This is due to problems with the nerves in the bladder and the bladder neck that allow the ejaculate to flow backward. In other men, retrograde ejaculation occurs after operations on the bladder neck or prostate, or after certain abdominal operations. In addition, certain medications, particularly those used to treat mood disorders, may cause problems with ejaculation.

Erectile dysfunction
Also known as impotence, erectile dysfunction is defined as the inability to attain and/or maintain an erection suitable for intercourse. Causes of erectile dysfunction include diseases affecting blood flow, such as atherosclerosis nerve disorders; psychological factors such as stress, depression and performance anxiety; and injury to the penis. Chronic illness, certain medications and a condition called Peyronie’s disease (scar tissue in the penis) also can cause erectile dysfunction.

Inhibited sexual desire (reduced libido)
Inhibited desire, or loss of libido, refers to a decrease in desire for or interest in sexual activity. Reduced libido can result from physical or psychological factors. It has been associated with low levels of the hormone testosterone. It also may be caused by psychological problems, such as anxiety and depression; medical illnesses such as diabetes and high blood pressure; certain medications, including some anti-depressants; and relationship difficulties.
Tests help evaluate sexual dysfunction include:
Blood tests These tests are done to evaluate hormone levels. Vascular assessment This involves an evaluation of the blood flow to the penis. A blockage in a blood vessel supplying blood to the penis may be contributing to erectile dysfunction. Sensory testing Particularly useful in evaluating the effects of diabetic neuropathy, sensory testing measures the strength of nerve impulses in a particular area of the body.

How is male sexual dysfunction treated?
Many cases of sexual dysfunction can be corrected by treating the underlying physical or psychological problems. Treatment strategies may include the following:
Homeopathic management
Impotence is the inability to maintain an erection long enough to engage in normal sexual intercourse. Many factors can contribute, including emotional issues, dietary factors, use of alcohol or drugs, and level of physical fitness. Homeopathic remedies sometimes help with temporary difficulties. If the problem is constant or recurrent, a doctor should be consulted to check for physical, hormonal, or nervous system problems. A constitutional remedy and the guidance of an experienced practitioner may help bring balance to a person’s system, both emotionally and physically.

PROF.DRRAM ,HIV/AIDS,SEX DIS.,SEX WEAK.& ABORTION SPECIALIST
profdrram@gmail.com,+917838059592,+919832025033,DELHI –NCR,IND
HIV/ AIDS,CANCER LATEST MEDICINES AVAILABLE AT CHEAP RATE.
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Every two years, researchers, implementers, policy makers, and community activists come together at the International AIDS Conference to take stock of the pandemic: Where are we now? Where have we been? Where are we heading? Discoveries are heralded and strategies dissected. There are always more questions than answers, but there is one question that needs to be answered at AIDS 2014 and beyond: Do we conssider fot diagnosis,care and treatment of key poor aafected persons like flying or commercial sex workers,stigmatised and criminalised members of LGBRT ,many fall prey to MEN to MEN SEX ,drug injectors,trangenders,migratory labors and even truck drivers who move from one place to another for lifehood and ultimatelyfall prey to unsafe sex?
On a basic level, the answer must be a resounding and unequivocal “YES!” Every human life counts. Every life has equal value. Yet, while an affirmative chorus may echo in the halls of the conference, easy rhetoric will not be enough.Data analysis by UNAIDS indicates that as many as half of all new HIV infections globally occur in key populations. This should come as no surprise. The disproportional concentration of the virus in these groups is hardly news.Though we are frequently reminded that we are in the era of evidence-based public health, data-driven decision-making, and performance-based metrics, the evidence on HIV vulnerability in key populations is routinely ignored. We aren’t even counted in many places. Surveillance fails to find us. Not surprisingly, funding for HIV services responsive to our needs remains slight.

On July 11, 2014, the World Health Organisation released a long-awaited and rapidly developed publication, Consolidated Guidelines on HIV Prevention, Diagnosis, Treatment and Care for Key Populations. It is an impressive document written and reviewed by a Who’s Who of experts working with and representing these groups.

There can be no doubt about the sincerity or good intentions of the guidelines’ authors, and this document has the potential to influence policy and practice globally. Yet questions persist in the willingness of institutions — governments, donors, development agencies and civil society — to embrace their fundamental responsibility to the health of key populations and invest accordingly in a sustained and broad-based effort to end the unremitting toll of HIV and AIDS on our lives.
As existenec of UNO under which WHO works compromised in this world politics where nations are fighting with each other with no listening to UNO and its world bank and financial institutions are many time politicall driven as their funds decide on poerful countries like USA,UK,GERMANY, AUSTRALIA,FRANCE,CHINA ,RUSSIA ETC which provide fund for the welfare of hiv people in south usa,african and asian countries where such poor key persons of HIV RESIDE

HIV /AIDS: HIV VIRUS IN HUMAN BEING MUTATE OR CHANGE SO BADLY IN SIDE BODY THAT DRUGS ONCE BEING STARTED IF NOT TAKEN REGULARLY THEN DRUG RESISTANCE OCCURS BECAUSE VIRUS CONFIGURATION OR PROTEIN OR ITS VARIETY CHANGES AND DRUG BECOMES LESS EFFECTIVE .
PROF.DRRAM ,HIV/AIDS,SEX DIS.,SEX WEAK.& ABORTION SPECIALIST
profdrram@gmail.com,+917838059592,+919832025033,DELHI –NCR,IND
HIV/ AIDS,CANCER LATEST MEDICINES AVAILABLE AT CHEAP RATE.
FOLLOW ON FACE BOOK:www.facebook.com/drramkumar
FOLLOW ON TWITTER:www.twitter.com/profdrram
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SUCH MUTATION OR CHANGE IN VIRUS IS MORE AS IT IS A SIMPLE VIUS HAVING A SMALL PROTEIN AS NULCEAR MATERIAL WHICH CHANGES SO THAT DRUG CANNOT KILL IT MORE AND THAT IS WHY EVEN VACCINE PODUCTION AGAINST VIRUS IS NOT POSSIBLE.
AS VACCINE WORKS FOR ONE VIRUS AND AS VIRUS CHANGES OR MUTATES SO NEW STAIN PRODUCED SO THIS VACCINE BECOMES INEFFECTIVE SO VIRUS REMAIN GROWS.SAME FOR DRUG ,THEREFORE WE GIVE TWO OR THREE DRUG COMBINATIONS SO THAT VIRUS CANNOT MUTATE EASILY AND ONE AND ANOTHER DRUG WILL KILL IT UNLIKE IF WE USE ONE DRUG TO WHICH IT WILL MUTATE EASILY,SAME WAY NEW DRUGS ACTING DIFFERENTLY AS NULEOSIDE OR NUCLEOTIDE REVERSE TRANSVERSE INHIBITORS as Lamivudine ,NON NUCLEOSIDE REVERSE TRANSCRIPTOR INHIBITORS Efavirenz ,PROTEASE INHIBITORS as ritonavirFUSION INHIBITORS,RECEPTOR BLOCKERS as Raltegravir used
HIV VIRUS OCCUPIES SOME CD4 CELLS OF HOST WHICH HIDE WELL INSIDE BODY AND REMAIN SO FOR YEARS HARD TO KILL THESE CELLS WHICH ARE HIDDEN INSIDE BODY SO CANNOT BE ERADICATED COMPLETELY WHENEVER DRUG IS ABSENT OR PATIENT IMMUNITY COMPROMISES THE THIS VIRUS AGAIN GROWS AND PRODUCE SYMPTOMS,SO ONCE TREATMENT STARTS THEN IT IS FOR LIFE WITH ADVICE OF GOOD LIFE FULL OF EXCERCISE AND NUTRITION SO THAT IMMUNITY REMAINS HIGH.
SAME WAY IF PERSON AFFECTED CONTINUE TO SEX WITHOUT CONDOM WITH MULTIPLE PARTNERS WHETHER HOMO GAY OR LESBIN OR HETERO OR MSM THEN NEW STAIN ENTERS MIX WITH ANOTHER OF PT AND PRODUCE A NEW STRAIN HRD TO BE CONTROLLED BY ARV MEDICINES USED AND PATIENT BECOMES RESISTANT TO ALL DRUGS SO PATIENT SHOULD LIVE A LIFE LOYAL TO PARTNER AND USE CONDOM DURING SEX WITH WIFE EXCEPT FOR TAKING CHILD ONCE OR TWICE UNDER MEDICAL GUIDANCE COMPLETELY WITH VERY VIRAL LOAD AND FULL ARV COVERAGE OF MEDICINES.