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Jun19
sex myths -enjoy sex remembering misbliefs of sex
SEXUAL MIS BELIEFS WHICH MAY HAMPER SEX-READ & ENJOY SEX
profdrram@gmail.com,+917838059592,author is sex specialist for any query on sex or its related diseases or weakness in both male and female including abortion are answered.
1. Men Reach Their Sexual Peak at 18, and Women Reach Theirs at 28
TRUE: With regard to their supply of sexual hormones, at least. Testosterone peaks at age 18 in men; women's estrogen hits its high point in their mid-20s. "But peak hormones don't mean peak sexual performance," says Marc Goldstein, M.D., a professor of reproductive medicine and urology at Cornell University's Weill Medical College. So it has got nothing with performance ,performance comes from desire ,enviornment,feeling towards each other,participation of both partner joyfully and wilfully without any harassment,mental agony or pain ,peak of hormones does not mean peak of performance small hormonal trigger at puberty push both partners for active and hard sex.

2. Semen is Low-Carb
FALSE: "Semen is mostly fruit sugar [fructose] and enzymes—not low-carb," says Dr. Goldstein. Which finally explains why many even eats or swallow it as it is tasy but not a sex diet as explained by many ,may creat harm to person swallowing it as it may be infected as person as genitourinary infection,so donot swallow it let it do the work it designed for i.e.,carrying male sperms to fertilise egg of woman for a production of baby.

3. Masturbation Yields the Strongest Orgasm
TRUE: But it's not a hard-and-fast rule, as it were. "It depends on the individual," says Jon L. Pryor, M.D., a professor of urologic surgery at the University of Minnesota. "For some it does, but for others, there's nothing that beats good ol' intercourse."excessive masturbation leads to early ejaculation or discharge of semen in intercourse so cause less satisfication by partners so should not be practised too much as habit forming may disturb satisfication and can lead to erectile dysfuction of failure of erection too if being practised in session repeatedly speially in mane above 50 and even cause infection to women if infected fingers or toys used by female for masturbation.But good if done occasionally to discharge excessive excitement and partner is absent.

4. The Average Erection Measures 8 Inches
FALSE: Relax, Shorty. It's closer to 6. and even less 4 inch,size of penis for early simple sex doesnot matter as lower 1/3rd or first 2 inch of vagina gives pleasure to female but for hard sex touching of cervix by penis gives more pleasure so here if length of penis more than woman may get more pleasure.

5. No Penis is Too Large or Too Small for Any Vagina
TRUE: But perception still wins the game in the end. "I was once at a dinner meeting with seven other sex doctors—six men and one woman," says Dr. Pryor. "The men all agreed that size doesn't matter. The woman looked at us and said, 'Think what you want. Size matters.' We all left dejected."As stated above we have explained why this lady opined for good size but excessive lengthy penis as more than 8 inch may rupture corners of vagina around cervis or called"culex" as strong stroke will damage them.

6. Oysters Make You Horny
FALSE: You make you horny. "There is no scientific evidence that oysters increase libido," says Dr. Pryor. there are many other substances like onion,garlic,dalchini,eggs,chillies,keshar said to be more sex stimulant same way many medicines prescribed until thereis prroved hormonal imbalance these drug may help otherwise "But there may be a placebo effect, so if it works, great!"

7. Green M&Ms Make You Horny
FALSE: Unless they do. Then it's true. Isn't the mind wonderful?as stated above they play slight role in arousal more it is psychological so mental status,relation between partners and enviornment is important than these medicines,never dependent upon them

8. Men Think About Sex Every 7 Seconds
FALSE: That number is tossed around a lot, but the truth is that only 23 percent of men claim to fantasize frequently. But maybe the rest are just too distracted to check the clock.sex arosal more common inmen than women but it doesnot mean so frequently and even some female get arousal frequently.

9. Cutting Out Broccoli Will Make Your Semen Taste Better
TRUE: Semen is naturally bitter with sweetness of fructose , and eating broccoli and drinking coffee can make it worse. many drugs and vegetable secretion after their digestion in blood excreted as excreted in milk of woman, urine,bile ,sweat ,differnt other discharge of our body ,so such prejudiced idea simply reflect mind set and marketing stategy rather than fact.A ray of hope for the Oral Sex Diet! can not be simplified by such advertisement.

10. Having Sex Before an Important Event—the Big Game, the Critical Presentation—Can Ruin Your Performance in the Event
FALSE: Swiss researchers performed stress tests on people 2 and 10 hours after the subjects had had sex, and found that by 10 hours, the participants were fully recovered. There was only a small dip in performance 2 hours after sex.

11. Having Sex in Water (Swimming Pool, Hot Tub, Shower) Will Kill Sperm
TRUE: Some of your swimmers may die, but it isn't an effective method of birth control, according to Dr. Pryor. Though a hot tub can overheat your testicles and kill sperm, there should be plenty left for the egg hunt.as sex in bath tub or swimming pull or in standing position may not yield good discharge in vagina so less travelling in uterus so less chance of pregnancy but very trick so millions sperm few can travel too and may bring pregnancy as for this only one sperm needed,so nver true about it do safe sex using condom even in swimming pool.

12. You Can Become Addicted to Web Porn
TRUE: But the risk is low. Only 1 percent of all people who check out Internet porn will become addicted. If you're sporting a ring, be careful: 38 percent of addicts are married.But most of internet user click these sites at least once a day or two interval so they are loved by amny although publically most cricise it and are against it ,even block for childrens and teen agers they move cybercafe to enjoy it more or MMS OR SMMS OR CHATING ON MOBLE IS RAMPANT AND BEYOND CONTROL and a silent addiction persist in most persons.


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Jun18
BENEFIT OF SEX IN OUR LIFE
BENEFITS OF SEX IN OUR LIFE;---------------

SEX is a demand of body like anger,thirst,hunger,laugh ,urination,digestion, eating,excretion only voluntary in nature but guided by intense desire and temptetaion on stimulation or to get pleaure or to continue progeny but beside these scientist has revealed as stated on portal Web Md .following are its benefits on physical and mental and social health of us.

1. Less Stress, Better Blood Pressure
Having sex could lower your stress and your blood pressure.
That finding comes from a Scottish study of 24 women and 22 men who kept records of their sexual activity. The researchers put them in stressful situations -- such as speaking in public and doing math out loud -- and checked their blood pressure.People who had had intercourse responded better to stress than those who engaged in other sexual behaviors or abstained.Another study found that diastolic blood pressure (the bottom number of your blood pressure) tends to be lower in people who live together and have sex often.
2. Sex Boosts Immunity:
Having sex once or twice a week has been linked with higher levels of an antibody called immunoglobulin A, or IgA, which can protect you from getting colds and other infections. A Wilkes University study had 112 college students keep records of how often they had sex and also provide saliva samples for the study. Those who had sex once or twice a week had higher levels of IgA, an antibody that could help you avoid a cold or other infection, than other students.
3. Sex Burns Calories
Thirty minutes of sex burns 85 calories or more. It may not sound like much, but it adds up: 42 half-hour sessions will burn 3,570 calories, more than enough to lose a pound. Doubling up, you could drop that pound in 21 hour-long sessions."Sex is a great mode of exercise," Los Angeles sexologist Patti Britton, says. It takes both physical and psychological work, though, to do it well, she says.
4. Sex Improves Heart Health
A 20-year-long British study shows that men who had sex two or more times a week were half as likely to have a fatal heart attack than men who had sex less than once a month.And although some older folks may worry that sex could cause a stroke, the study found no link between how often men had sex and how likely they were to have a stroke.
5. Better Self-Esteem
University of Texas researchers found that boosting self-esteem was one of 237 reasons people have sex.That finding makes sense to sex, marriage, and family therapist Gina Ogden. She also says that those who already have self-esteem say they sometimes have sex to feel even better."One of the reasons people say they have sex is to feel good about themselves," she says. "Great sex begins with self-esteem. If the sex is loving, connected, and what you want, it raises it."Of course, you don't have to have lots of sex to feel good about yourself. Your self-esteem is all about you -- not someone else. But if you're already feeling good about yours.
6. Deeper Intimacy
Having sex and orgasms boosts levels of the hormone oxytocin, the so-called love hormone, which helps people bond and build trust.In a study of 59 women, researchers checked their oxytocin levels before and after the women hugged their partners. The women had higher oxytocin levels if they had more of that physical contact with their partner.Higher oxytocin levels have also been linked with a feeling of generosity. So snuggle up -- it might help you feel more generous toward your partner.
7. Sex May Turn Down Pain
Oxytocin also boosts your body's painkillers, called endorphins. Headache, arthritis pain, or PMS symptoms may improve after sex.In one study, 48 people inhaled oxytocin vapor and then had their fingers pricked. The oxytocin cut their pain threshold by more than half.
8. More Ejaculations May Make Prostate Cancer Less Likely
Research shows that frequent ejaculations, especially in 20-something men, may lower the risk of getting prostate cancer later in life.A study published in the Journal of the American Medical Association found that men who had 21 or more ejaculations a month were less likely to get prostate cancer than those who had four to seven ejaculations per month.The study doesn't prove that ejaculations were the only factor that mattered. Many things affect a person's odds of developing cancer. But when the researchers took that into consideration, the findings still held.
9. Stronger Pelvic Floor Muscles
For women, doing pelvic floor muscle exercises called Kegels may mean more pleasure -- and, as a perk, less chance of incontinence later in life.To do a basic Kegel exercise, tighten the muscles of your pelvic floor as if you're trying to stop the flow of urine. Count to three, then release.
10. Better Sleep
The oxytocin released during orgasm also promotes sleep, research shows.Getting enough sleep has also been linked with a host of other health benefits, such as a healthy weight and better blood pressure. That's something to think about, especially if you've been wondering why your guy can be active one minute and snoring the next.


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Jun17
CHANGING PATTERN OF SEX BEHAVIOUR & ATTITUDE TOWARD SEX IN SOCIETY
CHANGING PATTERN OF SEX BEHAVIOUR & ATTITUDE TOWARDS SEX IN SOCIETY
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Now a days,Sex is no more a phenomena of celebration in a closed room of four walls,people of all age enjoys it in own way but yet a bit conservative way in our country than west (as Exhibitionism or pump and show of sexual activity in public place like park,gardens ,auditorium,meeting halls,bus,train,railway airport etc and younger and female still hesitate to talk before parents an elders what to talk of doing any sexual activity.But Attitude of Sex has completely changed in youth,most teenagers have boy or girl friend,chating on mobile,social
Sites,talking,sending sms/mms iscommonly seen ,even before adult hood they have experience of sexual intercourse and after adulthood many youth both male and female enjoy toghetherness with sexuality and beside marriage leading to a family life a common understanding of living relation with intercourse is also seen .Widows are mostly remarried and even sex is performed and most wanted after 70 yrs as expectancy of life has increased markedly in both male and femalethan previous almost hidden sex infamily after 40-50 yrs when children are adult and married.
Gays and lesbians as wellas sex with trans geneder is not looked down upon as in past people listen with their association ‘s demand of recognition of society more silently and some even advocates for these.
Study conducted recently have shown that most boys and girls of school even know some thing about sex,by collge most of them are well acquainted with effects and side effects of sex,abnormal sex and sex without condom or un safe sex,even theyknow methods of contraception and even medical pills post pregnancy are known to them due to open advertisement of these over media in newspaper,social sites and TV.Some also know about many sexually transmitted diseases and its effect and methods to prevent them.
Picture for representation.
SOME SHOCKING RESULT OF SEX STUDY RECENTLY CONDUCTED ARE:----
• India Today Sex Survey 2012: Women are no more shy and submissive. With changing times, to watch sex seens,videos of normal and abnormal sex in different positions and ways i.e., pornography is mostly seen by youths and even older age people while on mobile or computer net ,this pornography is almost a part of most computer and mobile surfers ,an most click once or twice on these sites in day or two, pre-teen sex is no more a taboo or is much done as they mostly want to explore what it is really a SEX is so much served now adays in different magazines even photo on third page of different national and big news aper on different advertisement on tv,radio and net easily accessible on mobile and computer.
• India Today Sex Survey 2012: sex is no more expected as work of male and female a passive partner,never speaking any thing aginst male parner,woman desparately seek satisfaction and complain to husband for getting it corrected by doctor or talk to friend and even complain to parents needing its immediate correction ,it is even seen in women from small town and thes woman have broken their popular coy image
• India Today Sex Survey 2012: I want to do 'frandship' with you is still the norm in small town India, the men don't date they just ogle and even after friendship not only male and female doesnot hesistate to make sexual relation even in small town whereas it is never seen with surprise in cities and educated class.
WOMEN ARE MORE CONCERNED TO PURCHASE CONDOM FOR THEIR MALE PARTNER TO PROTECT THMESELVES FROM PREGNANCY AND SEXUAL TRANSMITTED DISEASE LIKE HIV/AIDS,SYPHILLIS,GONORRHOEA etc.,Men seem ready to get laid at any time of the day, but when it comes to buying condoms they are surprisingly shy - even in a city like Delhi.Now, more and more women are taking upon themselves to equip their partners with necessary protection for safe sex.
In a recent survey, Jamia Hamdard University's Department of Management has found that the use and awareness of condoms is still low in males in the Capital which is forcing women to take the lead. The survey included more than 2,000 women, with many of them revealing that their partners were yet to overcome hesitation to buy condoms.
Too shy to ask

"Women are coming forward to buy con-doms because their partners don't want to buy them. In our study, we found that 62 per cent of couples were using condoms, while 54 per cent of women had had a sexual relationship at least once in their lifetime where their partner did not use condoms because of shyness to buy them," said Dr. N. Ravichandran, head, Department of Management, Jamia Hamdard.
Smita Rajan, a housewife, says she often buys con-doms for her husband.
"It's been just eight months for our marriage. My husband works in a call centre, and he wants to make love to me at odd hours, just like his job. He says he doesn't get time to buy condoms, but the truth is he is shy of buying it... Now I have started buying these from grocery stores. I keep con-doms in the basket and give them along with other items for billing."
AIDS /HIV ;Sheena Shah, a student, learnt the lesson of safe sex the hard way. Shah, staying away from her family in the city, had several boyfriends.Unwilling to use condoms, she contracted HIV/AIDS last year, leading her into depression.
"I personally never wanted to use condoms because they reduced my pleasure. My boyfriends never brought condoms because they felt shy about buying them," she says.
Another housewife doesn't want to get pregnant after bearing two kids, because of the 'irrational' sexual behavior of her husband, a marketing professional. She now orders condoms from the nearby chemist shop along with other things.
Women are increasingly coming forward to safe-guard their sexual health.
While conducting the study, researchers found that in Delhi, 6 per cent women in the age group of 19-22 bought condoms because their partners felt shy, while 10 per cent women in the age group of 26-30 did so. The figure was 22 per cent in the age group of 31-36."While female condoms seem to be proving a flop show, women have started choosing condoms for their partners as per their choice to have different pleasure every time," said Ravichandran.

"Condom use particularly among individuals and high-risk population, should be promoted as one a health product rather than a spacing device as they not only protect pregnancy but prevent many diseases like HIV /AIDS/WHITE DICHARGE,SYPHILLIS,GONORRHOEA,LYMPHOGRENULUM VENERUM,GRANULAM INGUINALE,HERPES SIMPLEX,DUCREY’S ULCER That is why NACO IS DISTRIBUTING FREE CONDOMS TO ALL HIGH RISK GROPUS LIKE MIGRATORYY PEOPLE AS TRUCK DRIVERS,LABOURERS FLYING AND COMMERCIAL SEX WORKERS,HIV POSITIVE PERSONS IN ART CENTRES,DRUG USERS AND MEN TO MEN SEX WORKERS ATTENDING STD CLINIC IN ICTC CNTRES,ART CENTRES AND DROPPING OUT CNTRES AND OTHER SURVEILLNACE CENTRES.
FOR CONDOM SIPLE CONDOM SOLD BY GOVENRN OF INDIA OR HINDUSTAN LATEX/RUBBER COMPANY IS GOOD ONE AS IT IS VERY LESS COSTLY BESIDE IT MANY FLAVOURED SCENTED SHINING AND ARTIFICIALY SILICONE AND OTHER SOFT CONDOMS ARE ALSO AVIALABLE AND ADVERTISED IN TV OR NEWS PAPER.IF CONDOM IS NOT TORN OR BROKEN IT WORKS NICELY AND IT IS EASY TO USE ONLY THING IS THAT WE SHOULD USED TO PRACTICE IT FEMALE PARTNER SHOULD COMPELL TO MALE PARTNER TO USE IT IF HE HESISITATES TO USE IT IN NAME OF LESS SATISFICATION OR NO TIMEOF PATIENCE AFTER AROUSAL AS THESE AR NOT ALL IMPORTANT EXCEPT PSYCHOLOGICALLY FELT ANF ARTICULATED.
(Names have been changed to protect the identity of women)


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Jun13
SAFE SEX IS BEST SEX;ALWAYS USE CONDOM
SAFE SEX IS BEST SEX ALWAYS USE CONDOM
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Most people know that condoms help prevent the spread of HIV and sexually transmitted infections (STI). But in many parts of the world, condoms aren't very popular. Here are five novel campaigns launched by nonprofit organizations and condom companies to encourage wider use.As it is very important to use them to protect sexually transmitted disease like HIV /AIDS,Gonorrhoea,Syphillis,Ducrey's Ulcer,Granuloma Inguinale,Lymphogranulum Venerum,Herpes Simplex,HPV,White Discharge,,cervicitis and vaginits caused by trachoma,Chlamydia ,candidal and other fungal infections in female beside urethritis and cystittis caused by e.coli,pseudomonas and other Bacterial infections.
Condom is best protection for these diseases and also protect from un wanted pregnancy and it is one hundred percent safe and it does not cause any irritation and even sexual desire and satisfications are not affected by it,mostly it does not leak or become loose if fitting is good and material is good but still in many parts and even during excitement most of the persons who donot sex commercially in good hygenic condition donot use as they say it kills excitement and cannot wait for its wearing after excitement and even their female partner donot insist for this but in high society or licensed prostitute always ask for it .Even Female condom has been also in use and government supplies to Pros centres or commercial sex workers it to check STDS or HIV/AIDS and it is easily fitted by female inside vagina by her self only thing is its cost it is slightly costly. Even dring mating within family condom should always to be used and practised as it protects both men and women even tubectomy or vasectomy done.

1. A RING TONE TO REMEMBER

In India, people stigmatize condoms and refuse to wear them because they believe only prostitutes must use prophylactics. Leave it one of the world's richest men to find a solution—the Bill and Melinda Gates Foundation donated money for a national condom ring tone. An a cappella group sings "Condom, Condom"—in the style of doo-wop like the contagious pop song "Barbara Ann"—when one receives a phone call. Despite its bubblegum sound, officials hope that the people who have the condom ring tone appear smart and responsible. Since the ring tone's August launch, more than 60,000 people downloaded it. Yvonne MacPherson, country director of the BBC World Service Trust (which the Gates foundation funded), sums it up best when she said to the Associated Press: "A ring tone is a very public thing. It's a way to show you are a condom user and you don't have any issues with it." Right, nothing attracts the amorous attention like announcing loudly that you have a condom.

2. PERKS YOU RIGHT UP

Ethiopians claim they hate condoms because the smell of latex sickens them. To combat the odor, DKT International, a United Sates nonprofit, created coffee condoms. These dark brown condoms allegedly (I'm not testing the products) taste and smell like the favorite coffee of Ethiopia—the macchiato, an espresso with cream and sugar. One college student claimed the smell reminded him of the beauty of Ethiopian women (it's not clear if that's a compliment). These condoms bolster national identity because Ethiopians claim to have invented coffee. DKT International also created flavored and scented condoms for Indonesia (durian fruit) and China (sweet corn).

3. CONDOM TREES

In western Australia, the rate of HIV infection and STI is the highest in the nation. When public health nurses were looking for an effective way to distribute condoms, someone suggested trees. Young people in the countryside hang out under trees, making it the perfect place for nurses to hang condom-filled canisters. Over 3,000 condoms are taken each month. Residents said grabbing condoms from trees was convenient and private. Additionally, officials in Australia piloted programs where Aboriginal teens sold packets of condoms and kept half of the proceeds. Official tout these programs as a success because STI rates have lowered, yet nurses wonder how they will convince people that they shouldn't have multiple partners. Maybe a monogamy tree is in the outback's future.

4. SCARE TACTICS

Perhaps some safe sex programs skirt the issue—unprotected sex causes HIV, which leads to AIDS and often death. It's not surprising that a condom company would resort to scare tactics. The Tulipan Company launched its "Be Careful" ads in Argentina. Showing skeletons positioned in flagrante delicto, these ads make no bones about how important it is to wear a condom while engaging in coitus (see the campaign here). No word if the skeleton ads have had the desired impact, though the graphic skeletons appear more popular than recent Trojan ads, which depict men as swine.

5. SPRAY-ON PROTECTION

Since his teens, Jan Vinzenz Krause struggled to find a condom that fit correctly. He thought the pursuit of the perfect prophylactic was hopeless—until he went to the carwash. Inspired by the spray-on soap and wax, the German Krause developed a spray-on latex condom, which he claims always fits perfectly and feels natural. However, many men find the design off-putting; the spray-on condom comes in a hard phallic case. Men slide themselves into the cylinder and layer on the latex, providing full coverage. The Jolly Joe, as Krause dubbed it, frightened many men during the testing phase—they only put the case on their fingers. (Spray on gloves anyone?) Others felt the loud hissing wasn't sexy and the latex takes too long to dry—three minutes. Krause explains to Time, "It needs to be ready in five to ten seconds." So for now, Krause is waiting for a quicker-drying latex.
photos to show skeleton like condition if condom not used and condom tree used in some country to popularise condom and use of chocolate condom condom used with spray and spindle (4 photos)


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May23
SEX BETTER PERFORMANCE -SOME TIPS OF SEX MISBELIEFS
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MAN SHOULD BE THE SEXUAL LEADER;
Sexual leader means the partner who has taken responsibility for arousing both oneself and other partner .But,this responsibility should be shared by both partners .if man is not doing so, he is losing the pleasure of sex and extra stimulation then that could be given to him by his partner. EVERY TIME PARTNER SHOULD CHANGE THEIR ROLE to get full pleasure and satisfication.
WOMEN SHOULD NOT INTIATE SEX;
Sex is a two way interaction and it should always be mutual. Both partners should have equal rights to play active role in sex.It is more pleasurable if female partner starts sexual act. MOST OF TIME WOMEN SHOULD INTIATE SEX AND IT IS BENIFICIAL FOR BOTH as female is passive partner and take a long time for arousal by man who oftern discharges before female is aroused so if Female initiates process then satisfication and pleasure will be unquestionable for both as man usually get aroused easily nd femal touch sparcks it better than reading story or watching mobile sms or video.
MEN SHOULD NOT EXPRESS THEIR EMOTIONS:
Those men are more emotional in their sexual act, are usually found to be good partners. Relations between man and woman should be emotionally very strong.MEN SHOULD EQUALLY EXPRESS THEIR EMOTIONS WITHOU EMOTIONS AND STRONG INTEREST IN PARTNER SEX IS INCOMPLETE AND IT IS A SIMPLE FILL UP BLANK AND EMOTION SHOULD BE EQUALLY RESPECTED AND RESPONDED BY FEMALE.
WOMAN SHOULD ALWAYS HAVE SEX WHEN HER PARTNER MAKE SEXUAL APPROCHES;
Women should right to say no, when she does want to have sex.As it is already mentioned sex is mutual act, both should mentally and physically ready.WOMAN’S NO MEANS NO.IT SHOULD BE NEVER BE AGAINST WILL OF ANY PARTNER AS SEX PROVIDES RELAXATION AND SATISFICATION ANY PHYSICAL OR MENTAL INJURY AFTER SEX IS UNWANTED AND BLAME THE WHOLE PROCEDURE.
ALL PHYSICAL CONTACT MUST LEAD TO SEX:
Touching , kissing and cuddling one’s partner can be very fulfilling and always leads to sex.PARTNER SHOULD ALWAYS GIVE EQUAL IMPORTANCE TO ALL PHYSICAL CONTACTS.INTRUSIVE SEX OR PENETRATION IS NOT ALWAYS RULE BUT END RESULT OF SEX.
GOOD SEX LEADS TO WILD SEX:
In reality , during sexual act concentration and arousal can be extremely difficult to maintained for lengthy periods and more typically they wax and wane throughout a sexual encounter.A more relaxed approached to sex, in which both partners take the time to talk, laugh and communicate can be equally or more satisfying.WILD SEX, MOST OF TIME IS TRAUMATIC FOR ONE OR OTHER PARTNER.VAGINAL UP DOWN POSITION IS BEST ONE ,DIFFERENT POSITIONS AND POSTURES MAY BE ACCEPTED BUT BESIDE IT ALL OTHER FORMS ARE ABNORMAL SEX BEHAVIOUR AND PRVERSIONS EVENAnal Sex and Oral Sex is not part of Normal sex and pleasure,these are more part of porn stars and videos whereabnormality is shown mostly for our excitement ,repeation 1-2 times at a time or 2-3 times may be accepted if decided by both partner in good seduce fearless non apprehensive cool and calm environment as possible with wife or loyal partner and here BIRTH of an Institution like Marriage took place.Sex with animals,using toys,giving pain and binding partners or with multiple partners or children or against will of partner or under influence of alchoholor drug or any alluration or within member of same sex (sodomy,phidophils,lesbianism and gay ) are considered as abnormal or perverted sex in India and many states of the world today.
A MAN FEELS LIKE SEX AT ANY TIME:
Life is often hectic , stressful and tiring and man should say ,”Not tonight,darling.i am feeling a bit too tired.Let’s just cuddle”.MAN SHOULD HAVE SEX WHEN HE IS MENTALLY AND PHYSICALLY SOUND not exhausted and tired .sex is essential but not necessarily daily,may be practsed once or twice a week in a Family or at more gap as married life increases in years.
SEX EQUALS INTERCOURSE:
Intercourse is a very pleasurable and very important aspect of sexual act ,however sex does not necessary require intercourse. Manual and oral stimulation can equally pleasurable and may provide a slightly different and noval stimulation, so intrusion or penetration is not always desirable as during mens of wife or pregnancy or any other disease of male or female private parts.
SEX HAPPENS AUTOMATICALLY:
Most of what we know about sex is learned from media, our parents, our friends.Much of this information promotes biased or unrealistic beliefs that may actually interfere with our enjoyment of sex.SEX EDUCATION AND INFORMATION SHOULD BE TAKEN FROM QUALIFIED PERSON.Sex is a wise act necessary to maintain Human race,every body needs a family which comes through sex but it should be planned and done with the consent of both partners in cool calmmy environment without any stress,not simple arousal and do it as formality as it never relaxes us and we became more tense or un satisfied looking for sex from another partner through out whole day and unnecessarily waste our time ,money and peace.
A ‘RESPECTABLE’ WOMAN SHOULD NOT ENJOY SEX TOO MUCH AND SHOULD CERTAINLY NEVER MASTURBATE.:
A respectable woman of any age is asexual being. She should feel free to experiment sexually in any way that feels comfortable.ENJOYMENT OF SEX IS HEALTHY, NATURAL, AND TO BE ENCOURAGED.social respect and position hasgot nothing to say in Sex ,it is involvement of two willing partners in seductive and peaceful environment.female can masturbate too if very much aroused and partner is away to cool themselves in hygienic manner.
ALL OTHER COUPLES HAVE SEX SEVERAL TIMES A WEEK AND HAVE ORGASM EVERY TIME THEY HAVE SEX & ORGASM SIMULTANEOUSLY:

This is not fact & this description of sex may hold in early stages of relationship, it becomes less true as relationship progress.COUPLES MAY BE LEFT WITH A SET OF UNREALISTIC EXPECTATIONS THAT MAY TRIGGER/EXCERBATE SEXUAL PROBLEMS.DO SEX WITH CONSENT OF PARTNENER INVOLVE EMOTIONS NOT FREQUECY OR QUANTITY MATTER BUT IT IS QUALITY WHICH BRINGS SATISFICATION AND PLEASURE.

THERE MUST BE SOMETHING WRONG WITH THE RELATIONSHIP IF SEX IS NOT GOOD:
While a bad relatiohship is unlikely to have good sex, the reverse is not true.A loving couple with stable and communicative relationship may have specific sexual difficulties. REMEMBER THAT GOOD SEX DOES NOT ALWAYS HAPPEN AUTOMATICALLY AND THAT SOME DEGREE OF LEARNING OR RELEARNING MAY BE REQUIRED.ANY DISESE IN MALE OR FEMALE GENITAL ORGANS OR MENTAL CONDITION MAY NOT YIELD GOOD SEX BUT HERE RELATIONSHIP IS RATHER STRONG IN COUPLES.
FORMATION OF SEMEN:
Semen is formed from blood and loss of it will lead to weakness.Like tear ,sweat,Cough it is formed by cells of Testes and seminal vesicles as egg of man to meet egg of female “ovum” formed in ovary during 5th -9th day of Mens cycle anddischrged in uterus on 9th 14th day so sex during this time only yield pregnancy but sperm is secreted 24x7 after stimulation or arousal.
MASTURBATION IS WRONG:
It is commonly believed that masturbation is wrong and leads to mental illness,physical weakness and decrease potency.IT SHOULD BE CLARIFIED THAT THERE IS NO SCIENTIFIC EVIDENCE TO SUPPORT THIS.However excess masturbation leads to early discharge during sex if practiced often.
ROLE OF ‘PHYSICAL STRENGTH’ OR ‘MUSCLE POWER’ IN SEXUAL PERFORMANCE.:
It is a common belief that muscular men or MACHO or ABBS can perform better than averagely built man. IT SHOULD BE CLARIFIED THAT THERE IS NO RELATION BETWEEN MUSCLE POWER AND SEXUAL PERFORMANCE AND WHAT MATTERS IS THE MOTIVATION AND PROPER KNOWLEDGE ABOUT SEX with emotions and cooperation of partners.
SIZE OF THE PENIS:
Very often males are preoccupied with the fact that larger penis are more effective.NORMAL SIZE PENIS IS APPROX. 5-7 INCH LONG but 2-5 inch is also normal .Female enjoys penetration in first 2 inch of her vagina only so these size penis is actively involved in sex pleasure .NO DRUG,ALLOPATHIC,HOMEO OR AYURVEDIC OR OIL OR ANY VIBRATOR CAN INCREASE PENIS LENGTH OR WIDTH so never use them.never get depressed with small size of penis.Similiary deep vagina is also not pleasurable as stated above,large penis or deep fast and strong stroke may rupture vaginal wall or cuffs around cervix or opening of uterus or womb of female in vagina causing serious problem,tightening of vagina is pleasurable so can be aske if repeated child birth has rlaxed vaginal floor muscles but never dilated permanently by ordinary sex.
BENDING OF PENIS.:
Some males are very much distressed with the curverture of penis.IT SHOULD BE NOTED THE SLIGHT CURVATURE OF SHAFT OF PENIS IS PERFACTLY NORMAL AND DOES NOT HARM INTERCOURSE.During sex blood fills in cavernous or venous space of covering of penis and that is why it gets straight and become large.No drug VIGARA OR TADALAFIL is needed to expedite such enlargement ,rather may cause prolonged erection or priaprism leading to fracture of penis if not treated immediately,similiarly female are always excited emotionally and physically ,no drug has got any role.Psychological or emotional roleis important in sexual desire and libido or orgasm or arousal only.
VASECTOMY/TUBECTOMY DECREASES SEXUAL POTENCY:
It is common disbelief.IN FACT USE OF CONTRCEPTION OR SUCH OPERATIONS ENSURE PREVENTION OF FERTILIZATION AND POSSIBLE CHANCE OF PREGNANCY AND HENCE ALLOW THEM TO ENJOY SEX MORE FREELY.EVEN HYSTRECTOMY AND OOPHORECTOMY doesnot decreses sex if our emotions are in place.
DRUGS ENHANCE SEXUAL POTENCY:
It is a common belief that alcohol and/or opioids,Ghaza,Afim, or other drugs improve potency.IT SHOULD BE CLARIFIED THAT THESE DRUGS may TEMPORARILY INCREASE A MEN’S SEXUAL DESIRE, BUT THEY DEFINITELY DECREASE THE SEXUAL PERFORMANC as distract our brain during performance,they create a seductive environment without any role in physical performance,so never use them in sex.
WRITER IS SEX SPECIALIST 07838059592,CONTACT FOR ANY PROBLEM RELATED TO SEX DISEASES OR WEAKNESS.


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May23
SOME MODERN SCIENTIFIC FACTS OF HIV/AIDS INFECTIONS
SOME MODERN SCIENTIFIC FACTS OF HIV/AIDS INFECTIONS;
------prof.drram ,******@gmail.com,07838059592(HIV/AIDS SPECIALIST)
It is caused by a RNA virus Human Immunodeficiency Virus which cripples our immunity or fighting system (by depleting T Lymphocytes or CD4 cells and increasing killer cells CD8 cells and later decresing our Humoral antibodies too) and invites multiple infections of bacterial,viral,fungal in origin like Pneumonia,Diarrhoea, meningitis and even tumors in side our body and very serious infections affecting any system of our body and killing human being but its symptoms does come after 6-10 yrs of its first entry either by unprotected sex (without condom with ulcers over vagina or cervix or during mens or ulcers or bleeding from penile or glans area,some time simple semen also transmit it if person has got advanced disease but here it spread only one in 1500 in male and one in 2500 female in vaginal sex but one in 3000 in anal sex,it also spread by kissing,or sucking of breast or female genitilia and vice versa but spreads more if puncture by needle as with drug injectors one in 150 but if contaminated by blood of patient by blood transfusion or by coming in contact with needle of pt whois highly infected mostly with doctors,nurse or relative of patient then chances is one in 50,here i mention that hepatitis B spread by such encounter one in 30 and Hepatitis spread one in 15 (so their chance of spread is much more than HIV )AND THEY TOO ARE TYPICALLY VERY BAD TOO AS ARE NEVER CURED and may cause chronic damage to Liver and its cancer.
Inspite of such damage if pt comes to a Doctor within 72 hours and take POST EXPOSURE PROPHYLAXIS (PEP) MEDICINES then it is completely checked,this virus is very heat labile simple wash with bleaching powder,phenol or simple heating or sun exposure kills it,so proper washing and cleaning afte sexual encounter is also very helpful.But if no such precautions taken so for first few days after encounter it cause mild fever pain in joint ,muscles etc and can subside it self usual serious ymptos comes not before 2yrs after exposure but mostly after 8-10 years so patients usually forget every thing but its virus remain patent inside his body and gradually weakens immunity and gradually invite many infections called opputunistic infections and if patient doesnot take medicines then usualldies within 2-3 yrs but if he starts treatment when his CD4 count is below 350 or 500 then with modern medicines which are called ART OR anti retroviral therapy ( as HIV IS a RNA RETROVIRUS as per viral classification Biologically)then his conditions improved Viral Load or quantity in blood decreases,CD4 or protective cells quantity increases in Blood and with this therapy which is taken daily and for whole life without any break in between from Government sponsored ART CENTRES opened in many medical colleges of our country and every district hospital of country or through HIV/AIDS specialist running private clinic.These medicines are safe and usually gives good control over virus and pt can be away from serious disease manifestation for life but it never cures the disease,he has to liva a good life with no unprotected sex,these patient usually maintain abarrier of mixing their blood,semen with others but sweatt,tears or eating playing or mixing or sharing food in same plate or talking or sharing cloth didnot transmit diseases provided if no ulcer or blood oozing present in patients body which can contaminate the nearby.
Therefore,these patients should be never discriminated from society,every body should welcome and mix with them.Even patient should never feel isolated or depressive as continuos treatment under care of ART CLINIC or HIV/AIDS specialist completely keeps disease under control and patient lives a normal life.after first detection of HIV patient in year 1980,much research has been done and Man has developed many good medicines and knowledge abot this virus and disease as a result of this today a patients lives a normal life with these medicines.Before 2-3 months back in Mississippi in US a child was declared completely cured of HIV as his treatment sarted with this ART medicines within 30 hrs of birth,similiarly 14 French patients who were given ART therapy within 10weeks of infection of HIV remains disease free till today even stopping their medication when viral loas was veryvery low but in these patients virus will remain present but if they lives a good healthy life taking precautions for sex,good hygenic food,excercise and prevention for seasonal diseases.
Therefore we say that any mishappening of unprotected sex under influence of alcohol or any reason stimulating it by mistake or by alluration ask for PEP within 72 hrs,consult HIV/AIDS SPECIALIST and then strat ART THERAPY AS SOON AS CD4 count less tha 500 ,in ART CENTRES ART not given if CD4 count less than 200 as it is Government programme so meicines given free and also first generation drugs and many tests like viral load and sensitivity not done but those who can pay get may consult good HIV /SPECIALIST and may start with few new combined good ART thearpy available in market with CD4 count less as stated above and even viral load,sensitivity,HIV GENOTYPE study etc can also be done and tests for many oppurtunistic infections can be also taken to check them by preventive prophylaxsis.
This Virus replicate and transmutes or changes its strain most rapidly then any other virus discovered so to develop an effective vaccine as we developed for small pox,measels,chicken pox ,polio is not possible.Every year 1-7 millions people dies due to this virus inspite of so much developed health infrastrucuture and treatment modalities.Therefore no effective vaccine against this Virus has developed even recently tried the HVTN 505 VACCINS STUDY ALSO FAILED TO CURE DISEASE AND PREVENT OCCURANCE OF THESE DISEASE IN MASS AS WE CONTROLLED POLIO ,INFLUENZA,SMALL POX.
iNDIA BECAME THE THIRD LARGEST COUNTRY AFFECTED WITH THIS VIRUS so its danger is very alarming in our country as modern urbanisation,modern life style,living in relations,our improving economical and social status ,boon in our it and computer sector and advanced internet surfing and mobile connectivity and developed transport ,more intake of alcohol/drug or other sducive advertisement or stimultants ,more modern parties singing,dancing and mating has brought more sexual exposure of young and middle and any unprotexted sex or even protected hasty sexual exposure definitely increases risk of this disesase in our society and many our health projects are conducted in civil hospitals or medical colleges where our middle or urban educated youths hardly go for checkups,didnot yield real picture of this virus incidence or prevalence where our Government is always insisting on hiding statistics and data to earn good name and fame to digest many government and international aid funds for this disease,so we,the people ,have to be more cautious to save ourselves from this disease or its threat to curb this virus nipped into bud by early reprting to HIV/AIDS SPECIALIST for its entry ,detection and treatment.


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May23
Benefit of good and relaxed sex on our body-male/female
BENEFIT OF SEX;--------
******@gmail.com
THERE ARE MANY BENEFIT OF GOOD SEX,MEANS A SEX IN FREE AND FAIR TENSIONLESS ENVIORNMENT WITH CONSENT OF BOTH PARTNERS IN SOUND BRAIN AND ENVIORNMENT BETWEEN TWO MATURED ADULTS IF INDULGE IN SEX WITH ONE'S WIFE OR CLOSE LOYAL PARTNER OR LIVING IN RELATION WHERE BOTH GET SATISFICATION AND RELAXATION DURING AND AFTER THE ACT BUT IF INDULGE IN SEX WITHOUT CONDOM AS COMMON NOW A DAYS,NOW PORN IS AVAIALBLE FREE ON NET BUT HERE YOU CAN DO ONLY OBSEVATORY SEX NOT INTRUSIVE SEX SO SEX RELATED DISEASES DONOT OCCUREXCEPT HABIT OF MASTURBATION MAY CHANGE YOUR SEXUAL SATISFICATION OR BEHAVIUORBUT NOW A DAYS ESCORT SERVICE,REV PARTIES OR INDULGING WITH YOUR CO WORKER OR PARTNER OR YOUR OFFICE MATE OR NEIGHBOUR UNDER INFLUENCE OF ALCOHOL OR MEGA SOUND MUSIC PARTY OF NEW YEAR ,BIRTH DAY OR ANY GOOD OCCASSION OR OTHERWISE COMMERCIAL AVALABLE FLYING OR COMMERCIAL SEX WORKER OR HOUSE MAID AS ADVERTISED ON EVERY NEWS PAPER BOLDLY ,YOU MAY GET AIDS/HIV.HEPATITIS B,HEPATITISC,HERPES,GONORRHOEA,SYPHILLIS,UTI ETC.SO ALWAYS DO PROTECTED AND SAFE SEX.
The BENEFITS of SEX.

Did you know that we can determine if a person is sexually active just by looking at his/her skin?person becomes more cool,calm and relaxed away from depression,anxiety and stress and better composed to take day long activities normally .
1. Sex is a beauty treatment. Scientific tests have shown that when a woman has sex she produces large amounts of estrogen which makes her hair shiny & soft.

2. To make love in a soft & relaxed way reduces the possibility of suffering from dermatitis & acne. The sweat produced cleans pores & makes the skin shine.

3. To make love always allows you burn all the calories accumulated daily.It is agood excecise to burn our extra calories.

4. Sex is one of the safest sports. It strengthens & tones all the body muscles. Its more enjoyable than doing 20 laps in the swimming pool & you don't need special shoes!

5. Sex is an instantaneous cure against depression & stress. It frees endorphines in the blood flow, creating a state of euphoria & leaves us with a feeling of well-being.

6. The more we make love, the more we have the capacity to do more. A sexually active body releases a higher amount of pheromone. This subtle aroma excites the opposite sex !

7. Sex is the safest tranquilizer in the world. ITS 10 TIMES MORE EFFICIENT THAN VALIUM.it endorses good and relaxed sleep.

8. To kiss everyday allows you to avoid the dentist. Kissing produces saliva in cleaning teeth & lowers the quantity of acids causing enamel weakening.

9. Sex relieves headaches. Each time we make love, it releases the tension in our brain veins.

10. To make love a lot can heal a nasal congestion. Sex is a natural antihistaminic. It helps fight asthma & spring allergies.

11.it kills your bad habit of masturbation,voyerism,sodomic behaviour,abnormal sex and doing crime in society in want of sex.
But this sex should be a simple good sex not what shown in porn films and shoot out,meeting after fore play and then proper stimulation,penetration,playing and then relaxation where no partner is hurt and both get good satisfication.


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May06
Hemorroidectomy
What are hemorrhoids?
Hemorrhoids are veins, normally present in and around the anus and lower rectum, that have become swollen due to stretching under pressure. These are very common in both men and women, and about half the population have hemorrhoids by age 50. Hemorrhoids are also common in pregnant women due to the pressure of the fetus in the abdomen, as well as hormonal changes, which cause hemorrhoidal vessels to enlarge. The process of childbirth also puts severe stress of these vessels.
Hemorrhoids are either internal (inside the anus) or external (under the skin around the anus).
What causes hemorrhoids?
Hemorrhoids may develop as a result of repeated straining during bowel movements, pregnancy, heredity, aging, and chronic constipation or diarrhea.
What are the symptoms of hemorrhoids?
The following are the most common symptoms of hemorrhoids. However, each individual may experience symptoms differently. Symptoms may include:
Bright red blood present on the stool, toilet paper, or in the toilet bowl
Irritation and pain around the anus
Swelling or a hard lump around the anus
Itching
The symptoms of hemorrhoids may resemble other medical conditions or problems. Always consult your doctor for a diagnosis.
How are hemorrhoids diagnosed?
The presence of blood in the stool can be indicative of other digestive disorders, including colorectal cancer, so thorough evaluation and proper diagnosis is important.
Diagnosing hemorrhoids may include:
Physical examination: This is done to check the anus and rectum and look for swollen blood vessels that indicate hemorrhoids.
Digital rectum examination (DRE): The doctor inserts a gloved, lubricated finger into the rectum to check for abnormalities.
Anoscopy: A hollow, lighted tube useful for viewing internal hemorrhoids is inserted into the anus.
Proctoscopy: A lighted tube, which allows the doctor to completely examine the entire rectum, is inserted into the anus.
Sigmoidoscopy: A diagnostic procedure that allows the doctor to examine the inside of a portion of the large intestine, and is helpful in identifying the causes of diarrhea, abdominal pain, constipation, abnormal growths, and bleeding. A short, flexible, lighted tube, called a sigmoidoscope, is inserted into the intestine through the rectum. The scope blows air into the intestine to inflate it and make viewing the inside easier.
Colonoscopy: A procedure that allows the doctor to view the entire length of the large intestine, and can often help identify abnormal growths, inflamed tissue, ulcers, and bleeding. It involves inserting a colonoscope, a long, flexible, lighted tube, in through the rectum up into the colon. The colonoscope allows the doctor to see the lining of the colon, remove tissue for further examination, and possibly treat some problems that are discovered.
Treatment for hemorrhoids
Specific treatment for hemorrhoids will be determined by your doctor, based on:
Your age, overall health, and medical history
Extent of the condition
Your tolerance of specific medicines, procedures, or therapies
Expectations for the course of the condition
Your opinion or preference
Medical treatment of hemorrhoids is aimed at relieving symptoms and may include the following:
Sitting in plain, warm water in the tub several times a day
Ice packs to reduce swelling
Application of hemorrhoidal creams or suppositories
Dr. B C Shah may also recommend increasing both fiber and fluids to soften stools. A softer stool lessens pressure on hemorrhoids caused by straining. Good sources of fiber include fruits, vegetables, and whole grains. Bulk stool softeners or fiber supplements, such as psyllium (Metamucil) or methylcellulose (Citrucel), may also be recommended.
In some cases, it is necessary to treat hemorrhoids surgically. Several surgical techniques are used to remove or reduce internal and external hemorrhoids. These include the following:
Rubber band ligation: A rubber band is placed around the base of the hemorrhoid inside the rectum to cut off circulation to the hemorrhoid. The hemorrhoid then gradually shrinks and withers away within a few days.
Sclerotherapy: A chemical solution is injected around the blood vessel to shrink the hemorrhoid.
Electrical or laser coagulation or infrared photo coagulation: Techniques that use special devices to burn hemorrhoidal tissue.
Hemorrhoidectomy: A surgical procedure that permanently removes the hemorrhoids.


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May04
Hydrocelectomy
WHAT IS A HYDROCELE, A SPERMATOCELE, AND AN EPIDIDYMAL CYST?
A hydrocele is an abnormal fluid collection between the outer tissue layers of the testicle. These tissue layers naturally secrete fluid and when this fluid is not reabsorbed, as it usually would be, a fluid collection or hydrocele forms. The cause of most hydroceles is unknown, although some may be related to trauma, infection, or past surgery.
A spermatocele is a cyst-like sac that is usually attached to the epididymis, the tube that sits behind the testicle and stores sperm. The sac of a spermatocele is filled with sperm. The exact cause of a spermatocele is unknown but it is thought that injury and obstruction may play a part in their formation.
An epididymal cyst is much the same as a spermatocele. However, the sac attached to the epididymis is a true cyst and is filled with cystic fluid and not sperm.
WHAT IS A HYDROCELECTOMY, SPERMATOCELECTOMY AND AN EPIDIDYMAL CYSTECTOMY?
A hydrocelectomy is an operation to treat a hydrocele. An incision is made in the scrotum and the testicle containing the hydrocele is lifted out. The sac is then removed and the remaining tissue edges are stitched back. The tissue edges then heal onto themselves and the surrounding vessels naturally reabsorb any fluid produced.
A spermatocelectomy is an operation to remove a spermatocele from the epididymis of a testicle. An incision is made in the scrotum and the testicle with its attached spermatocele is lifted out. The spermatocele is then removed from the epididymis and any bleeding areas are sealed off.
An epididymal cystectomy is an operation to remove the cyst from the epididymis. The operation is performed in exactly the same way as a spermatocelectomy.
After all three types of surgery, once the operation is complete, the wounds are stitched closed with dissolving stitches that dissolve slowing in the weeks following surgery. No wound drains are usually required.
Hydrocelectomy, spermatocelectomy and epididymal cystectomy are usually not performed unless the hydrocele, spermatocele or epididymal cyst are causing pain or social embarrassment. All three operations are usually simple day stay procedures and complications are rare. Haematoma (blood clot collection), wound infection, abscess, and recurrence, are all very uncommon complications and success rates for surgery usually approach 100%.
YOUR CONSENT
We need your permission for your operation to go ahead. Before you sign the consent form it is important that you understand the risks and effects of the operation and anaesthetic. These will be discussed with you by Dr. B C Shah and the nurse, should you have any questions, Dr.B C Shah would be happy to answer these.
If you would like any testicle tissue returned to you for personal reasons, please discuss this with your family and inform Dr. B C Shah before your operation.
ABOUT YOUR ANAESTHETIC
You will NOT be allowed to eat or drink anything for at least six hours before your surgery. This includes chewing gum and sweets.
Before your operation you will be able to discuss the type of anaesthetic with your anaesthetist, who will see you prior to your operation.
There are two main types of anaesthetic used for this surgery; • General Anaesthetic: You will be asleep throughout the operation and remember nothing of it.
Regional Anaesthetic e.g. Spinal, Epidural or Caudal: A needle is placed into your back and a solution is injected that will numb your body from the waist down. You will be awake but you maybe sleepy and you will not feel the operation.
Feel free to discuss these options and your questions with the anaesthetist.
You must not drive any vehicle or operate any machinery for 24 hours after having an anaesthetic. You will have to arrange for someone to drive you home if you go home within 24 hours of your surgery.
YOUR OPERATION
On admission you will be informed of your approximate time of surgery and prepared for theatre by your nurse.
Any shave of the surgical site is done in theatre once you are asleep.
You may be given some tablets before theatre. These are charted by your anaesthetist and may include tablets for tension, nausea and pain prevention.
You will be escorted to theatre where you will be transferred to the theatre table. Anaesthetic staff will then insert a drip in your arm and will attach various monitoring devices.
Once you have been completely prepared and given your anaesthetic, surgery will begin. The operation usually takes about 30 minutes to perform.
When the operation is completed you will go to the recovery room for a short while where you will be cared for until you are ready to be transferred to the ward.
AFTER SURGERY
Dr. B C Shah will check your blood pressure, pulse and your wound routinely.
You may still have the drip in your arm so you get enough fluid until you are drinking. You can usually eat and drink when you return to the ward.
You may have a scrotal support in place, which is a special pair of underpants that support the scrotum. These underpants help prevent bleeding and keep you comfortable.
Once you have recovered from your anaesthetic you will be able to be up and about, but you must take things very quietly in order to avoid causing any bleeding or bruising at the operation site.
Our aim is to keep you as comfortable as possible, so please tell Dr. B C shah if you have any pain or discomfort so you can be given the appropriate care. At all times, your nurse is there to help you, please ring your bell if you need assistance and your nurse is not nearby.
GOING HOME
Once you are up and about, eating and drinking and you have passed urine you will be able to return home. This may be later on your operation day or the following morning.
Before leaving the ward you will be given a discharge information letter which contains helpful information for when you get home.
Dr. B C Shah will give specific instructions about caring for your wound. You can shower daily to wash your wound but avoid soap and powders directly on the wound until it has healed. The area should be kept clean and dry and you will be given some dressings to take home that are to be placed over the wound to collect any slight ooze.
You will be given appointment to return to see Dr.B C Shah. The appointment is usually about 6 weeks after your operation.
ONCE HOME
If you were a daystay patient, it is important to take things quietly for the rest of the day as the anaesthetic can still have some effects on your body.
You should wear your scrotal support or your own supportive underpants for as long as you need for comfort after your surgery.
Your wound should heal within about 3 to 5 days. During this time your wound may ooze very slightly. However, if your wound continues to ooze or you have any signs of an infection such as a red, hot, swollen, or painful wound please contact Dr. B C Shah as soon as possible.
You should avoid any heavy lifting, straining or strenuous activity for 2 to 3 weeks after your surgery. This includes things such as any digging and strenuous sports as these activities can cause the stitches below the skin to pull apart.
Before discharge Dr. B C Shah will inform you about taking mild pain relievers, should you have any pain or discomfort after you return home.
This is routinely a straightforward operation, after which most patients have a speedy recovery and experience little pain.
While you are in hospital we will do everything we can to make your stay as comfortable as possible. The nursing and medical staff are always available to help with whatever needs you have. If you are worried about anything before or after your surgery, or if you have any further questions or would like more information, please do not hesitate to ask Dr. B C Shah who will be more than happy to help.


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Apr25
Testicle Fixation
What is it?
From what you tell us and from what we have found, it looks as if your child's testis is twisting round (undergoing torsion). The twisting nips the artery and veins (the pipes that give and drain blood respectively) of the testis and slows down or stops completely the blood flow to it. This gives pain and swelling of the testis.
The testis may die if it is not operated on. In fact, the whole testis may not be twisted, just a small tag on the testis can give the same picture.
Sometimes infection around the testis mimics a twist or torsion. However it is safer for your child to have an operation than to risk loss of the testis.
The operation
Your child will have a general anaesthetic, and will be asleep for the whole operation.
After your child goes to sleep with the anaesthetic, a cut is made in the scrotum. Dr. B C Shah has a look at the testis through the opening. If it is twisted, he untwists it. He fixes it with stitches under the skin so that it cannot twist again. He does the same to the other testis, so that this one will not twist at a later date.
If the testis is already dead, it is best to take it out and it will be sent to the laboratory to be examined under a microscope. The other testis should be enough for all your son's needs in the future. If Dr. B C Shah finds something else instead, he will deal with that as needed. He will let you know the result of examination and the test.
Usually you can take your child home one or two days after the operation.
Any alternatives?
If you leave things as they are, the testis is very likely to die. The same can happen to the other side, leading to serious hormone problems.
Special ultrasound tests can be helpful, but an operation is the only way of being certain. Massaging and trying to untwist the testis through the skin rarely works and can offer some comfort but there is a very high chance that the testis will twist again soon. Therefore, an operation is the only reliable and definitive solution.
Before the operation
Your son will be welcomed to the ward by the nurses or the receptionist. He will have his hospital details checked. He will be put to bed in a gown. He will have some basic tests done to make sure that he is well prepared and that he can have the operation as safely as possible.
You will be asked to hand in any medicines or drugs he may be taking so that his drug treatment in hospital will be correct. Please tell Dr. B C Shah of any allergies to drugs or dressings.
Your son will be seen by Dr. B C Shah who will examine him. You and your child will have the operation explained to you and you will be asked to fill in an operation consent form.
Before you sign the consent form giving permission for the operation to go ahead, make sure that you fully understand all the information that was given to you regarding your child’s health, the possible and proposed treatments and any potential risks. Feel free to ask more questions if things are not entirely clear.
The operation site will be marked with a skin pencil. Your son will be seen by Dr. B C Shah who will be doing the operation. He will check that all the necessary preparations have been made.
After – in hospital
Your child will be sleepy after the operation and is likely to sleep for an hour or more afterwards.
The drugs given for a general anaesthetic will make your child clumsy, slow and forgetful for about 24 hours. This happens even if your child feels quite all right. The nurses will support you to help him with everything he needs until he feels better.
Your child will probably not notice any significant pains. If necessary he can take a painkiller by mouth, such as paracetamol in a liquid form. By the end of one week the wound should be virtually pain-free.
Your child will be able to drink again two to three hours after the operation. He should be able to eat normally the next day. There will be dissolvable stitches in the skin. They slip out after 7 to 10 days.
The wound will have a cellulose dressing rather like nail varnish. There may be some swelling of the surrounding skin which improves in two to three days. This can happen and you and your child should not worry about it.
After 7 to 10 days, slight crusts on the wound will fall off. The cellulose varnish will peel off. Occasionally minor matchhead sized blebs (blisters) form on the wound line. These settle down after discharging a blob of yellow fluid for a day or so.
If stitches are still there after 10 days, phone Dr. B C Shah because they may have to be removed. Do not try to remove them yourself.
Your child can wash but try to keep the wound area dry until the stitches are out. Baths or showers with ordinary soap and water are all right. Salted water is not necessary.
You will be given an appointment to bring your child to the outpatient department, after leaving hospital for a check up.
Some hospitals arrange a check-up about one month after leaving hospital. By this time, the results of the laboratory examination of the removed testis (if this was the case) will be ready. Others leave check-ups to the general practitioner.
After – at home
Your child may need frequent sleeps for a day or two. Although it is usually difficult to limit what he does, try to help your child avoid any excess physical activity for four to six weeks after the operation.
You need to make sure that he is careful and doesn’t aggravate the wound. This can be very painful, cause bleeding and, sometimes, an infection.
If your child goes to school he can return to lessons after about 10 days. He can restart any sport after about four to six weeks.
Possible complications
As with any operation under general anaesthetic, there is a very small risk of complications related to the heart and the lungs.
If the testis is twisted and very painful, the risk from the anaesthetic is slightly higher when the operation is done as an emergency. The tests that your child will have before the operation will make sure that he can have the operation in the safest possible way and will bring the risk for such complications very close to zero.
If you think that all is not well, please let Dr. B C Shah know. There is often some swelling and even some redness around the wound. These usually settle in three or four days.
Bleeding is very rarely a problem and is usually stopped with some extra pressure on the wound area. Extremely rarely, another operation is needed to stop the bleeding. Infection in the wound area is a rare problem and settles down with antibiotics in a week or two.
There is also a chance that your child can experience some swelling of the testis. This also gets settled by taking antibiotics for a week or two.
There is a chance that the testis will stay alive after the operation but will have some shrinkage (atrophy). This can happen because the blood supply to the testis was affected for a long time while it was twisted or because after the operation the blood flow did not return to normal.
If the testis in fact dies despite the operation, the wound will get quite painful and swollen. Phone Dr. B C Shah for advice if you are in doubt. This situation will require prompt medical attention and another operation might be needed to deal with the problem.
Another rare complication that can happen during this operation is damage to the structures that carry the sperm from the testis. This can have an affect on your child’s fertility in the future (his ability to father children) since one of his testes will not contribute sperm. You should discuss the possibility of this rare complication with Dr. B C shah.
General advice
The operation to untwist, fix and save the testis is successful in 80 to 100 per cent of cases if it is done within four to six hours from the moment the problem started and your child developed pain.
If the operation takes place six to eight hours after the initiation of the problem the chances of success are dramatically smaller and after 12 hours are diminished. Therefore, in the future, it is important to know that if you have even the slightest suspicion that one of your children develops a similar problem, it is vital to come to the hospital urgently.
These notes will help you and your son through your child's operation. They are a general guide. They do not cover everything. Also, all hospitals and surgeons vary a little.
If you have any queries or problems, please ask Dr.B C Shah.


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