A varicocele is a widening of the veins along the cord that holds up a man's testicles (spermatic cord).
Causes, incidence, and risk factors
A varicocele forms when valves inside the veins along the spermatic cord prevent blood from flowing properly. This causes the blood to back up, leading to swelling and widening of the veins. (This is essentially the same process that leads to varicose veins, which are common in the legs.)
Varicoceles usually develop slowly. They are more common in men ages 15 – 25 and are most often seen on the left side of the scrotum.
The sudden appearance of a varicocele in an older man may be caused by a kidney tumor, which can block blood flow to a vein. This is more common on the left side than the right.
Symptoms
Enlarged, twisted veins in the scrotum
Painless testicle lump, scrotal swelling, or bulge in the scrotum
There may not be symptoms.
Signs and tests
Dr. B C Shah will examine the groin area, including the scrotum and testicles. He may feel a twisted growth along the spermatic cord. (It feels like a bag of worms.)
However, the growth may not be able to be seen or felt, especially when you are lying down.
The testicle on the side of the varicocele may be smaller than the one on the other side.
Treatment
A jock strap (scrotal support) or snug underwear may help relieve the pain or discomfort. If pain continues or other symptoms occur, you may need further treatment.
Surgery to correct a varicocele is called varicocelectomy. You will leave the hospital on the same day as your surgery. During this procedure, you will receive some type of numbing medication (anesthesia). The urologist will make a cut, usually in the lower abdomen, and tie off the abnormal veins. Blood will now flow around the area into normal veins. Keep an ice pack on the area for the first 24 hours after surgery to reduce swelling.
An alternative to surgery is varicocele embolization. This method is also done without an overnight hospital stay. It uses a much smaller cut than surgery, so you will heal faster. A small hollow tube called a catheter (tube) is placed into a vein in your groin or neck area.
Using x-rays as a guide, Dr. B C Shah moves the tube into the varicocele. A tiny coil passes through the tube into the varicocele. The coil blocks blood flow to the bad vein, and sends it to normal veins.
After the procedure, you will be told to place ice on the area and wear a scrotal support for a little while.
Expectations (prognosis)
A varicocele is usually harmless and often does not need to be treated.
If you have surgery, your sperm count will likely increase but it will not improve your chances of getting a woman pregnant. In most cases, testicular wasting (atrophy) does not improve unless surgery is done early in adolescence.
Complications
Infertility is a complication of varicocele.
Complications from treatment may include:
Atrophic testis
Blood clot formation
Infection
Injury to the scrotum or nearby blood vessel

was admitted to this Bhaktivedanta Hospital on 30th Nov, 2012 for hydrocele Surgery Left side.This was infact the third time for the same case (Of course Not here).The first operation was done on 0-05-2012 at Palghat , Kerala (Palana Hospital) when I was on a vacation. I came back to Mumbai by 24th of May. But in course of time , there was again swelling and fluid collection. By September there was heavy swelling and left bladder was hard and reddish. I contacted the Kerala doctor and he advised immediate fluid draining.Hence I went to Kerala on September 30th , and on Oct, 1st met this doctor. He put a tube and fluid was drained. It was done for 8 days.POOR ME TRUSTED THE DOCTOR AND BELIEVED EVERYTHING WAS ALL RIGHT. But it was only beginning of prolonged pain, treatment, uncertainty and agony.


After this October treatment ( the same doctor of Palghat) I came to Mumbai by 14th of October. But when I went to office there was pain and slight swelling.I took some antibiotics as per the advice of Palghat Doctor (10 days) but no effect.

Then I came to Bhaktivedanta Hospital and met Dr. B C Shah (whom I know before, because earlier in 2008 a surgery was done by them). They advised CEFTUM for 7 days and Oflox subsequently. But healing was not there for the wound of second treatment. They suspected some kind of infection of severe type and I was admitted on 30th Nov. On Dec 1st, 2012 a major surgery was done. Lot of muck and some hydrocele was again removed. I was in Surgical care ward, cot no. 3. Biopsy was sent for examination. It took 10 days to get the result .Against all fear (of TB) it was clear. The pus swab taken for culture.(everyday pus and blood was getting discharged unabated found that a bacteria – E coli was responsible for this. This infection was caught at the time of first operation (May, 2012) and it became very powerful by this time and was resistant to majority of antibiotics. Now there is a great relief because we could find out the villan!

Then as per the report an injectios were prescribed & pus discharge stopped on 10th day. But this time I was there for 32 days – A great Hospital Life!!

Dr B C Shah was admirably perseverant, compassionate and balanced. He did not leave me. I have no words to thank Dr Shah and his assistant Dr Sarang.

Behind all this pain and agony what was giving me relief was the spiritual atmosphere in the hospital. Hare Krishna chanting was there 24 Hours.

I was getting up at 4.30 AM in the morning everyday and was gaining enormous strength from the atmosphere.

Hare Krishna

With love to all in this hospital

Email id: srihari1951@yahoo.co.in
Mobile no: 9833851998
Name: K. SREE KV MOHAN

Sex is a part and parcel and basic need of lifeas we feel hunger,thrist, air water,food ,money,pleasure so we require sex.Sex is the basic important factor behind the fact that that whole humanity is grown up because of this only.But,still in our society or any advanced society Sex is always considered as a subject of shame,disgust or embarrsement,something to hide or discussed openly in group or family members or society,any aberration in its performance either changing partner or male to male,female to female with desire and consent voluntarily or on payment or other entucement or without consent with force or under influence of some drug / alcohol or bad condition or using different postures and sites for sex pleasure than normal sex organs sites is taken into very bad sense and we start critising SEX in a way as it is an oofence and crime to perform sex.As crime is a crime whether it is done in Sexual act or in our normal day to day working for any reason,our legislators as of every country of world have dealt it in our Constitution and court is the highest temple to address it.Our purpose is simple, to encourage normal socially accepted SEX and to highlights its benefits in our day to day life.
In a recent survey conducted by kinsley institute of America's Indiana University over 1000 people 0f 1-51 yrs realotinship of different countries found that Woman gets more pleasure by Sex than by cuddles,kisses especially more when children are grown .This shows that how much is the need of Sex and especially in preor postmenopausal period in female where in oir country it seems as sin to talk sex in this age group in females but study shows something else,pleasure and demand are something which our social value cannot vanish but remains persist and gets fullfilled under cover of society .Male,although openly established as demanding partner in this study, gets satisfication by cuddling,kissing and huggging or watching sex on tv / Internet or Cinema but Females considers its of no better pleasure and accepts SEX ias only satisfying medicine.
Major benefits of Sex in our Life is as follows:-------------------------
These beefits are not anecdotal or hearsy AS "DADA-DADI KAHANI" but facts tested scietifically on our physical body and psychologically on our mind ,our vitl recordings as pulse,Bp,ECG,EEG,temperature,Respiration rate,sweating, shivering, change in voice,uttering of sounds our muscular activities as per different recordings on different instuments and now on PET SCAN and our behavioural changes to ourself, partner,family and in society recorded on many scales have established its benefits.
1. Sex Relieves Stress & Strain,calms and pacify us:
A big health benefit of sex is lower blood pressure and overall stress reduction, according to researchers from Scotland who reported their findings in the journal Biological Psychology. They studied 24 women and 22 men who kept records of their sexual activity. Then the researchers subjected them to stressful situations -- such as speaking in public and doing verbal arithmetic -- and noted their blood pressure response to stress.
Those who had intercourse had better responses to stress than those who engaged in other sexual behaviors or abstained.
Another study published in the same journal found that frequent intercourse was associated with lower diastolic blood pressure in cohabiting participants. Yet other research found a link between partner hugs and lower blood pressure in women.

2. Sex Boosts Immunity and power of reactions to protect us:
Good sexual health may mean better physical health. 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. Scientists at Wilkes University in Wilkes-Barre, Pa., took samples of saliva, which contain IgA, from 112 college students who reported the frequency of sex they had.
Those in the "frequent" group -- once or twice a week -- had higher levels of IgA than those in the other three groups -- who reported being abstinent, having sex less than once a week, or having it very often, three or more times weekly.
3. Sex Burns Calories reduces our fat and weight:
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.It doesnot mean we have to do sex for such a long period continuosly but theme is that if we undergo Sex regularly and practice it in good sense then casual approach of performing sex for 02-05 min.withut any preexiciting partners,simple or mere its performance by discharge is no mor good .as we do pray or Puja taking all precautioned ,the same way sex should be planned and executed with a full preparation and with idea of a long duration so that more energy is burnt beside getting fullsatisfication and pleasure by both partners.
"Sex is a great mode of exercise," says Patti Britton, PhD, a Los Angeles sexologist and president of the American Association of Sexuality Educators and Therapists. It takes work, from both a physical and psychological perspective, to do it well, she says.
4. Sex Improves heart & brain ,prevent heart attack & stroke:
While some older folks may worry that the efforts expended during sex could cause a stroke, that's not so, according to researchers from England. In a study published in the Journal of Epidemiology and Community Health, scientists found frequency of sex was not associated with stroke in the 914 men they followed for 20 years.
And the heart health benefits of sex don't end there. The researchers also found that having sex twice or more a week reduced the risk of fatal heart attack by half for the men, compared with those who had sex less than once a month.It is said that a good Sex after proper excitement of both partners being conducted for a good time works as treadmill test to judge our coronary or cerebral arteries to challenge then to high delivery of Blood at rapid rate and to see how effective thes are? And simply putting them to such exercise regulary will increase their capacity to deal stress situation more effectively or other means of making them more stronger by regular excersises.
5. Sex Boosts Self-Esteem,confidence & performance:
Boosting self-esteem was one of 237 reasons people have sex, collected by University of Texas researchers and published in the Archives of Sexual Behavior.
That finding makes sense to Gina Ogden, PhD, a sex therapist and marriage and family therapist in Cambridge, Mass., although she finds 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 tells WebMD. "Great sex begins with self-esteem, and it raises it. If the sex is loving, connected, and what you want, it raises it."Sex is only tool of judging one's performance,many studies have shown that one who either lacks desire or erection,erection for good time,strengthened and tight long penis oe ejaculation or discharge after playing for some time or minutes/ hrs or unable to penetrate,tightening of pelvic floor Muscles and Vagina and erection and congestion of breasts and hotflushes,warming,vaginal lubrications ,abnormal sounding and cry and muscular movements ,hugging etc in Females ,it is being stated either in alone or by opposite partner that he is not a good man or she is not a good partner and so good sex makes you more self relied,more self confident and more energetic it it lacks then self despairness,frustation and depression is a rule and often leads to many psychosomatic diseases that neither Doctor asks such questions of sexual pleasure nor patients states them openly before a doctor as sex is understood as less to talk and reveal openly.
6. Sex Improves Intimacy,personal togetherness & bonds;
Having sex and orgasms increases levels of the hormone oxytocin, the so-called love hormone, which helps us bond and build trust. Researchers from the University of Pittsburgh and the University of North Carolina evaluated 59 premenopausal women before and after warm contact with their husbands and partners ending with hugs. They found that the more contact, the higher the oxytocin levels.
"Oxytocin allows us to feel the urge to nurture and to bond," Britton says.Higher oxytocin has also been linked with a feeling of generosity. So if you're feeling suddenly more generous toward your partner than usual, credit the love hormone.In early puberty or adloscent life we know how partners are made for each other ,they can break any norm ,any relation any bondage against their meeting.but even later in child bearing and rearing ages in single or joint families or in older,premenopausal or postmenopausal period Sex is very important if one practices it regularly will be very attractive and soothing for his her partner always and those who donot practice it but feels desire for it surely in their mind and reacts often violantly or otherwise if donot get chace to perform it by desire or undercompulsion.
7. Sex Reduces Pain of Body,head and Pelvic part & back:
As the hormone oxytocin surges, endorphins increase, and pain declines. So if your headache, arthritis pain, or PMS symptoms seem to improve after sex, you can thank those higher oxytocin levels.In a study published in the Bulletin of Experimental Biology and Medicine, 48 volunteers who inhaled oxytocin vapor and then had their fingers pricked lowered their pain threshold by more than half.
8. Sex Reduces Prostate Cancer/Vag. cancer Risk
Frequent ejaculations, especially in 20-something men, may reduce the risk of prostate cancer later in life, Australian researchers reported in the British Journal of Urology International. When they followed men diagnosed with prostate cancer and those without, they found no association of prostate cancer with the number of sexual partners as the men reached their 30s, 40s, and 50s.
But they found men who had five or more ejaculations weekly while in their 20s reduced their risk of getting prostate cancer later by a third.
Another study, reported in the Journal of the American Medical Association, found that frequent ejaculations, 21 or more a month, were linked to lower prostate cancer risk in older men, as well, compared with less frequent ejaculations of four to seven monthly.Similiary well planned reular sex with pre and post sex hygeine reduces chances of Vaginal cancers too.Makes person more caustioned to take precautioned against Sexually transmitted diseases and AIDS/HIV,use of condom,HPV Vaccine etc are adapted and more consultations for any abnormality in sexual organs are asked for resulting in early intervention and cure for these Diseases in those who practice it regularly than those who practise it occassionally under a shade and hide disease associated with Sex for a long .
9.. Sex Strengthens Pelvic Musclesor muscles of Genitilia:
as we know if we perform regular exercise we develop our muscles or stregthen them but if we donot do regualr exercise our muscles become puffy and swollen up and we feel pain and other problem so reguar exercise or warming is must for them.Similiary our pelvic Muscles or muscles controlling activites of our Genitilia need warming or exercise for better performance but even these are not utilised then a lot of somatic and psychosocial abnormality starts developing as our many hormones which rgulate or body,satisfication are not liberated in full leading to above discrepancies.
For women, doing a few pelvic floor muscle exercises known as Kegels during sex offers a couple of benefits. You will enjoy more pleasure, and you'll also strengthen the area and help to minimize the risk 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. Sex induce better Sleep,relaxing our mind & body:
The oxytocin released during orgasm also promotes sleep, according to research.And getting enough sleep has been linked with a host of other good things, such as maintaining a healthy weight and blood pressure. Something to think about, especially if you've been wondering why your guy can be active one minute and snoring the next.Sex also induces sleep very fast and such sleep are often non rapid eye movement sleep as our body and minds have relaxed but it is only when a good sex giving full satisfication has been performed.
Abnormal organ sites,abnormal methodology, abnormal partners ,abnormal enviornment and surroundings, compulsion, force,entucement,abnormal behaviors and acts never achieve such benefits but rather harms our body physically and mentally and some time we move for a second mistake /crime to cover first one and makes ourselves more entangles in it.
Therfore a good sex in good enviornment with an interesting partner with full consent in full consciousness with well planning with enough time with good arousal or excitement or four play and without interrupting session of sex with fully relaxed and comfortable mind is the prototype for such benefits.
prof.D.ram
07838059592

Falling In Love Is The Best Arthritis Medicine Of All

Here's the good news: People with arthritis who go ahead and have sex, despite the pain in their joints, often report that their joints are pain-free for more than 6 hours afterward. Sexual arousal touches off a cascade of blissful hormonal changes, boosting the production of corticosteriod, a hormone that reduces pain and inflammation in the joints, as well as endorphins, the body's natural opiates. (By some lights, falling in love is the best arthritis medicine of all. Heart surgeon Christiaan Barnard, for instance, suffered from rheumatoid arthritis for years before he married a ravishing young woman named Barbara. "For several years after the wedding," he reported later in a book, "I virtually ceased to be a sufferer.")

Okay, now here's the bad news: About half of the Indians who suffer from some form of arthritis also complain that it interferes with their sex lives. In fact, people with rheumatoid arthritis, a severe form of the disease much more likely to affect women than men, have a higher divorce rate than people with most other kinds of chronic disease.

Some women with rheumatoid arthritis sail through menopause without a care while others experience a full menu of menopause symptoms: hot flashes, insomnia, mood swings, weight gain. Menopause can also increase symptoms of rheumatoid arthritis, such as joint pain and fatigue.

There is actually a slight rise in new diagnoses of rheumatoid arthritis in women around the onset of menopause. The fact that menopause can aggravate rheumatoid arthritis symptoms are probably related to the body’s drop in estrogen, which is believed to affect rheumatoid arthritis. That may also be why pregnant women who have higher levels of estrogen while they're expecting may see their rheumatoid arthritis symptoms get better for a while.

Whether you've lived with rheumatoid arthritis for a while or just been diagnosed, menopause can pose new challenges to sex, intimacy, and overall well-being. You may feel that because menopause signals the end of fertility, it also means the end of sex. But women with rheumatoid arthritis can have a thriving sex life well past menopause. Work closely with your doctor, talk honestly with your partner, and try these strategies to help you move smoothly through this life passage.

Rheumatoid Arthritis, Menopause, and Vaginal Dryness
One of the first symptoms of menopause that many women experience is vaginal dryness. And it can be a special problem if you have Sjögren’s syndrome, a condition often seen with rheumatoid arthritis that includes eye, mouth, and vaginal dryness as well as fatigue and achiness. Vaginal dryness can make sex uncomfortable or even painful.

Lowered Sex Drive
Some women feel less interest in sex during or after menopause. That's true for some women even without rheumatoid arthritis. But living with rheumatoid arthritis can also stifle your libido. For example, if you take high doses of steroids to control inflammation, it may cause you to gain weight which in turn could make you feel less interested in sex.

Worrying about pain during sex can kill desire too. And your partner may hold back from sex out of fear of hurting you.

Not Tonight, Honey. I’ve Got Joint Pain.
Swollen and painful joints can put a damper on having sex, and menopause and aging can increase joint pain and stiffness in some women. For women who have relatively severe disease, finding a comfortable position for intercourse may be challenging. In some instances, when pain is especially severe, a woman may not even feel like having intercourse.

Talking to a doctor can also open up discussion between you and your partner. Discussing sex openly is critical. It gives you both a chance to air your fears and feelings, and can make your relationship stronger.

You Can Enjoy Sex

Here are some other ways to make sex more painless and pleasurable.
Get ready. An hour beforehand, take whatever pain-relieving medication you're using. Avoid painkilling narcotics or other drugs that have sex-inhibiting side effects. Corticosteroids, for instance, may relieve pain in men, but they also suppress erection.

Loosen up. While you relax and get in the mood, try doing a few gentle range-of-motion exercises to limber up your joints.

Warm up. Take a warm bath or shower in preparation- or better yet, invite your partner to join you. Turn it into a slow, soapy, delicious form of foreplay.

Stay toasty. Try an electric blanket- it may keep your limber while it keeps you warm. Or what about a heated waterbed? Some arthritis sufferers say it makes all the difference.

Don’t' forget to touch. Don't forget that physical love doesn't only mean intercourse- there's always kissing, hugging, caressing, stroking, massaging and a thousand other variations on the ecstasy of touch.

Lubricate. Some times women who have arthritis also suffer from Sjogren's syndrome, an unpleasant side effect that causes dryness of the mucous membranes around the eyes, mouth and vagina. It may help to use a germ-free, water-soluble suppository lubricant like K-Y Jelly, Lubrin or Steri-lube, which are available without a prescription in drugstores. (Petroleum jelly products and other oily substances should not be used, because they may harbor germs and cause infection.)

Experiment with times. Most people with rheumatoid arthritis have their most severe symptoms in the morning when they awaken. Symptoms are often lowest in midafternoon and tend to worsen later in the day. Try adjusting your timetable for lovemaking to coincide with the periods during which symptoms are less severe.

Experiment with positions. The usual missionary position may be very uncomfortable if the woman has arthritis in her hip or the man has it in his knee, leg or arm. The Arthritis Foundation puts out a nice little booklet about sex and arthritis called Living and Loving, which (among other things) describes seven positions likely to be more comfortable.

Reducing Fatigue
Menopause can increase fatigue, which you may already be feeling thanks to your rheumatoid arthritis. If that’s the case, the only thing you may want to do in bed is sleep. Menopause can also lead to insomnia, another problem for some women with rheumatoid arthritis.

Other tips: I suggests trying yoga, which may help with sleep, or talking to your doctor about a mild prescription sedative.

Intimacy and Depression
Depression is about twice as common in people who have rheumatoid arthritis as in people who don’t. It’s not uncommon to feel depressed by rheumatoid arthritis pain or by not being able to do some things that you used to do.

Menopause can also bring on or increase depression. Some women, with or without rheumatoid arthritis, find that it takes a toll on their self-image, making them feel old, less attractive sexually, and insecure. Often those feelings pass. But if you’re worried about depression or you're having severe menopause symptoms, you may want to talk to your doctor about antidepressants.

The benefits of antidepressants go beyond relieving sadness and anxiety: They may reduce menopausal symptoms such as hot flashes as well the pain of rheumatoid arthritis. However some antidepressants may reduce your libido, so talk to your doctor if this is a concern.

Get Moving to Get Through Menopause
One of the keys to having a healthy sex life during menopause and beyond is taking care of your overall health. Eating well, keeping your rheumatoid arthritis symptoms under control with medication, and getting enough vitamins and minerals are essential.

Menopause may be a good time to try yoga, if you haven’t before. It has shown promise in promoting joint health and emotional well-being, as well as reducing hot flashes.

The many benefits of exercise can also enhance self-image and that’s good for anyone’s sex life.

Sexual communication- letting your partner know what feels good and what doesn't- is so important. Good communication is important in any sexual relationship, of course, but when you've got arthritis hanging over the bed, there's a great potential for hurt feelings.

The FIRST EVER complete E-Book on Sex Education
written by Indian experts is released on World AIDS Day

Title of the E-Book – THE ULTIMATE SEX EDUCATION GUIDE (288 pages)

Dr. Rajan Bhonsle, M.D., (Hon. Professor & HOD, Department of Sexual Medicine, KEM Hospital & Seth G.S.Medical College) and Dr. Minnu Bhonsle, Ph.D., (Consulting Psychotherapist & Relationship Counsellor, Heart To Heart Counselling Centre) have co-authored the very first E-book on Sex Education that is now available on the website www.hearttoheartindia.net

The book was released on World AIDS Day (December 1, 2010).

The Ultimate Sex Education Guide is a complete Source Book for Value-based, Culture-Specific and Age-Appropriate Education in Human Sexuality. It is meant for the reference of adult sex-educators such as Parents, Teachers, Doctors, Counsellors, Social workers etc., as well as for those adult individuals and couples who seek to educate themselves.

This book endeavors to educate readers about the physiology and psychology of human sexuality. It also discusses social, behavioral, relational, emotional and even legal aspects of human sexuality. It is therefore, a complete and holistic guide for the adult community who needs a ready-reckoner to address all queries from curious children, teenagers as well as adults.

Great care has been taken to respect the sensibilities of all communities/groups/schools of thought in India, and to make it culture-specific yet contemporary, without compromising on the scientific accuracy of the subject.
While we have taken every care possible in making this manual a scientifically accurate and sensitive one, we welcome suggestions from those who are equally passionate about helping create a sexually healthy, responsible and sensitive future generation.

For any further information contact ~
Dr.Rajan B. Bhonsle, M.D.
Senior Consultant in Sexual Medicine
HEART TO HEART FOUNDATION
10 Jerbai Baug, Near Gloria Church,
Byculla (E), Mumbai 400027, India
Tel: 9821093902 / 22184528
www.hearttoheartindia.net