Improving Your Sex Life

Revive Her Drive

Be ready to go through a complete transformation in the way that you think and feel about having sex with your wife or girlfriend! Revive Her Drive is like a Cheat Sheet to woo your woman the way she secretly wants you to, and simply cant express. The solution is based on female-friendly, easy-to-learn strategies that she will love! How nice will that moment be when shes lying in your arms, happy and spent, and she actually Thanks You for helping her to rediscover her sensual self? Shell be grateful that you, Her Man, now that you have the vision and skill to guide her into new, electrifying experiences even if she fights you or resists you now. Women Are sensual creatures. We women want pleasure, intimacy, connection, sensation as much as you do! Ill prove this to you. Once you know how to captivate her, you can turn her into a pleasure-seeking device within 24 hours. Getting that kind of responsiveness is the feedback you need to feel confident this program is working. Discover how Robert rekindled his relationship with Lauren using the tools within Revive Her Drive by watching this short presentation that lays out the whole strategy youll use to transform your intimate life into one of passion, surrender and fantasies-come-true. Read more here...

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Mistaking Deductive Validity for Truth

Example I just read a book that proves that that book's author can have sex with his clients without causing any harm. He has done research with his own clients, kept careful records, and even interviewed them. His statistical analysis shows that the clients he has sex with are no worse off and some may be significantly better off than the clients he doesn't have sex with. He even has a chart showing how safe, ethical, and clinically helpful it can be to have sex with a client as long as it is done carefully and in accordance with his decision rules. Who am I to argue with scientific proof like that

Estimation of Stature

The height or stature of any adult can be separated into the contributions of five body segments head, thorax, pelvic region, leg, and foot. If the skeletal elements representing those parts of the body are present (i.e., skull, vertebrae, sacrum, femur, tibia, and calcaneus and talus), stature can be estimated by measuring each element and adding the measures to yield skeletal height, then correcting this estimate to account for missing soft tissue, which will then yield an estimate of stature (20,21,22). By using all the body segments that contribute to stature, the Fully method is generally believed to provide accurate estimates of stature. This method also has the advantages of not requiring information about sex and ancestry to obtain an estimate of stature (see Subheading 4.1.).

Stigma and Quality of Life

A community-based research programme 11 explored the feelings of exclusion secondary to FI. This study ran over the course of 5 years and involved a group of women suffering from multiple sclerosis (MS). Some of the main concerns in this group were in managing double incontinence, the effects of MS on sexuality and sexual relationships, and trying to live well despite their chronic illness. The shared group experience gave them the freedom to talk openly about sex and incontinence, subjects about which they had previously felt compelled to be silent. Norton and Chelvanayagam 12 ran two focus groups at St. Mark's Hospital in the UK to develop a research questionnaire titled Effects of Bowel Leakage. For many participants, this was the first time they had ever spoken openly about their FI, and it was found to be mutually supportive to be able to speak openly to peers about the ever-present stress and risk of potential humiliation. As with Australian women 11 , access to...

Ovulation and Ejaculation

During sexual intercourse, millions of sperm are deposited into the vagina. They travel through the cervix and uterus to the fallopian tubes. Sperm can live within a woman's body for up to three days. Each sperm contain three distinct parts, the head, mid-piece, and tail. Each of these parts has a distinct purpose. The head of the sperm is composed of the nucleus (containing the chromosomes), an acrosome cap (containing enzymes crucial in fertilization), and an outer membrane. The mid-piece contains energy-producing mitochondria, and the tail is the mechanism for movement. Despite the ingenious design, fewer than 1 percent of the sperm released in an ejaculation ever make it to the egg. Factors inhibiting the success of sperm include abnormal formation and premature death from exposure to acidic vaginal secretions. Sperm can also be blocked by excess mucus covering the cervix, or they may travel to the fallopian tube that does not contain the egg. Fortunately, only one sperm is...

Mechanisms Of Accountability

In some cases, psychotherapists and counselors may feel that these different standards clash. They may, for example, feel that the law compels them to act in a way that violates the welfare of the client and the clinician's own sense of what is ethical. A national survey of psychologists found that a majority (57 percent) of the respondents had intentionally violated the law or a similar formal standard because, in their opinion, not to do so would have injured the client or violated some deeper value (Pope & Bajt, 1988). The actions reported by two or more respondents included refusing to report child abuse (21 percent), illegally divulging confidential information (21 percent), engaging in sex with a patient (9 percent), engaging in nonsexual dual relationships (6 percent), and refusing to make legally required warnings regarding dangerous patients (6 percent). That almost one out of ten of the participants reported engaging in sex with a client (see Chapter Thirteen) using the...

Discharge And Home Healthcare Guidelines

To prevent recurrence, advise the patient to engage in safe sexual practices. Teach her strategies to avoid STDs and pelvic infections that could cause further damage to the fallopian tubes. POSTOPERATIVE INSTRUCTIONS. Give the patient the following instructions Limit activity and get plenty of rest. Increase fluid intake. Keep the incision clean. Refrain from sexual intercourse for 2 weeks until the follow-up appointment with the physician occurs. Delay pregnancy for at least 3 months to allow for tubal healing. Determine that she has a method of birth control prior to leaving the hospital.

Gender Ethnicracial And Life Span Considerations

The symptoms may also change over time. The major symptom is dysmenorrhea (pain associated with menses) that is different from the normal uterine cramping during the woman's menstrual cycle. This cramping has been referred to as a deep-seated aching, pressing, or grinding in the lower abdomen, vagina, posterior pelvis, and or back. It usually occurs 1 to 2 days before the onset of the menstrual cycle and lasts 2 to 3 days. Other possible symptoms are pain during a bowel movement around the time of menstruation, a heaviness noted in the pelvic region, menorrhagia, nausea, diarrhea, and pain during sexual intercourse (dyspareunia) or exercise. Some women may have no symptoms at all, and endometriosis is diagnosed during infertility testing.

Primary Nursing Diagnosis

Teaching Safe sex Medication management Fertility preservation Treatment of gonorrhea is primarily pharmacologic, with antibiotic regimens. The Centers for Disease Control and Prevention (CDC) recommends that treatment for gonorrhea include concomitant therapy for chlamydia, because it is found in 20 to 40 of all patients with gonorrhea. Both partners should be treated at the same time and instructed to avoid sexual activity until negative cultures are obtained. If the male partner is symptomatic, the female should be treated even before culture results are obtained to prevent infertility. If a woman has an intrauter-ine device (IUD) in place, it may be removed. In addition to explanations of all current treatments, teach patients strategies to prevent reinfection with gonorrhea because no natural immunity develops. Additional instruction focuses on transmission of gonorrhea and identification of symptoms of other STIs. Because of the confidential and private nature of...

Cervical Mucus Method

Most women notice that their vaginal area is fairly dry just after menstruation. A few days later, a thick, cloudy, and sticky mucus usually appears. Just before ovulation time, the mucus in that region typically becomes clear, wet, and slippery resembles egg whites and can be stretched easily between your fingers. The mucus stays this way for several days, and ovulation occurs near the end of this time. Be sure to have sexual intercourse during these critical few days. On the day following ovulation, the mucus usually become thick, cloudy, and sticky again or may even go away entirely and the vaginal area will become dryer.

Chlamydia trachomatis Infection

Complicated chlamydial urethritis cervicitis were included in the study. Chlamydial infection was diagnosed by direct immunofluorescent test (DIF), Microtrac (Syva) or Chlamyset (Orion), Patients with gonorrhea, trichomoniasis, syphilis, or epididymitis were excluded. A single dose of azithromycin (Sumamed, Pliva) was administered orally, at least 1 h before or 2 h after a meal. Clinical examination, microscopy of urethral or cervical swab, and DIF were repeated 8-14 days after treatment. All patients were asked to avoid sexual intercourse until the completion of follow-up examinations.

Pharmacologic Highlights

Inform patients that the risk of acquiring human immunodeficiency virus (HIV) is double that for HSV-2-infected persons. Help the patient understand that this is a minor problem with which she or he will be inconvenienced from time to time. Adherence to strict guidelines when active lesions are present allows the patient to have a normal sexual relationship. Healthcare workers with active herpes are prohibited from working with immunosuppressed patients or in a nursery setting because of the complications that result in the neonate if HSV transmission occurs.

Patterns Of Perpetrators And Victims

According to these pooled data, about 4.4 percent of the therapists reported becoming sexually involved with a client. The gender differences are significant 6.8 percent of the male therapists and 1.6 percent of the female therapists reported engaging in sex with a client. Data based on therapists' reports of engaging in sex with patients or on therapists' work with patients who have been sexually exploited by a prior therapist have been supplemented with national survey data from patients who have been sexually involved with a therapist. In one study, about 2.19 percent of the men and about 4.58 percent of the women reported having become sexually involved with their own therapists (Pope & Feldman-Summers, 1992). Holroyd and Brodsky's landmark research (1977) was followed by a second national study focusing on not only therapist-patient but also professor-student sexual relationships (Pope et al., 1979) When sexual contact occurs in the context of psychology training or...

When The Therapist Is Unsure What To Do

What can the therapist do when he or she doesn't know what to do The book Sexual Feelings in Psychotherapy (Pope et al., 1993) suggests a ten-step approach to such daunting situations, which are summarized here. A repeated theme of that book is that therapists lack easy, one-size-fits-all answers to what sexual feelings about patients mean or their implications for the therapy. Different theoretical orientations provide different, sometimes opposing ways of approaching such questions. Each person and situation is unique. Therapists must explore

Polyploidy in Animals

Fthan plants because animals have a more complex development, with more organ systems that are fine-tuned to dosages of genes. Any given gene is represented three times in a triploid. If the amount (dosage) of gene product causes a heart, brain, or other vital organ not to form, the embryo will abort. When these developmental genes produce too much or too little of the products that induce organ formation, as they might if there are too many or too few copies of the genes, events occur too soon or too late to be coordinated. Muller raised the possibility that the sex chromosomes serve as a barrier to polyploidy in most animals. Plants, by contrast, do not usually have sex chromosomes, and thus this sexual reproductive barrier is not a problem for them.

Interventions That Work

In view of the serious consequences of early sexual activity and teen pregnancy, the need for explicit prevention and intervention efforts is clear. A prevention or intervention is a specific activity (or set of related strategies) with an intended outcome such as reducing teen pregnancy. For an intervention to have the desired characteristic of scientific soundness (i.e., demonstrates it produces intended results, or works), it should have a distinct process and outcome goals as well as corresponding procedures or steps for implementation (Stoiber & Kratochwill, 2002). As the most prominent public institution having the potential to influence teen pregnancy rates, schools play a critical role. However, schools face difficult choices in determining the best way to systematically address the issues surrounding adolescent sexual development and activity. The intervention approach implemented in a school should reflect the values and priorities of the surrounding community and the...

Epidemiology and Associated Risks

The current age-adjusted prevalence of HSV-2 in the USA is 20-25 . Individuals with genital HSV in the USA range between 40 and 60 million (one in five adolescents and adults) and new cases occur at a rate of c. 0.5-1 million per year. These estimates may be low, because the disease is not reported and many individuals do not seek medical attention, are misdiagnosed, or shed virus while asymptomatic. Factors that influence acquisition of HSV-2 include gender (women greater than men), race (blacks more than whites), marital status (divorced versus single or married), place of residence (city greater than suburb), and number of sexual partners (higher number has increased risk). Female prostitutes and homosexual men have the highest seroprevalence (75-98 ). Women are The major risk to the fetus is maternal primary or initial genital infection, the rate of which is 0.5-10 per year. The incidence of HSV-2 shedding at delivery is 0.01-0.6 , irrespective of past history and time of...

Cohesion species concept

Ske Tegninger Til Fargelegging

The cohesion species concept defines species as ' the most inclusive group of organisms having the potential for genetic and or demographic exchangeability' (Templeton 1989). Templeton (1989) argued that one of the main weaknesses of the biological species concept was its lack of applicability to either asexual organisms or to taxa belonging to syngameons. In Templeton's (1989) terminology the difficulty resulted from either 'too little' or 'too much sex'. Templeton (1989) proposed the cohesion species concept to address problems with the biological species concept as well as other species concepts. The cohesion species concept was thus designed to accommodate all of the microevo-lutionary processes thought to contribute to specia-tion (Templeton 1989). 'Genetic exchangeability' incorporated the process of gene flow and 'demographic or ecological exchangeability' the processes of genetic drift and natural selection (Templeton 1989). Specifically, '. genetic exchangeability is the...

Urinary frequency and urgency

Cystitis Symptoms Women

And nocturia in the absence of infection or other obvious pathology 2 . The urethral pain syndrome can occur at any age. There are believed to be two basic causative factors - a bacterial and a urethral element. The bacterial element is thought to be due to migration of Escherichia coli across the perineum and up the urethra for which Smith 258 has recommended perineal hygiene, especially after sexual intercourse. In the case of an acute attack many authorities suggest a high fluid intake combined with bicarbonate of soda to alter the pH of the urine and short courses of antibiotics such as co-trimoxazole, nitrofurantoin or, more recently, norfloxacin. Prolonged low dose chemotherapy is sometimes necessary for relapsing and chronic cases. Norfloxacin 400 mg nocte taken for 3 months can be employed. Chlamydia trachomatis is a possible causative organism 259 in which case doxycycline 100 mg nocte for 3 months is an effective antibiotic. Many women develop an urgent desire to pass urine...

Genital tract malformations

Partial Septate Uterus

All patients with abnormalities of the lower genital tract should have the renal tract investigated. Some 40 of patients with lower genital tract abnormalities will be found to have renal abnormalities, 15 of whom have an absent kidney. All patients should have a renal ultrasound performed to determine whether there is absence of a kidney and if more detailed analysis of the urinary tract is required this may be performed by intravenous urography. It is extremely rare for laparoscopy to be required to determine the abnormality and great care must be taken when performing a laparoscopy in case a pelvic kidney should exist because this may be injured with the trocar or laparoscope at the time of entry. Once the diagnosis is certain management may be divided into two sections, the first devoted to psychological counselling and the second aspect which involves the creation of a new vagina. Occasionally, patients present having already attempted intercourse and it may be that the sexual...

Detrusor overactivity

Cystometrogram Picture

Most women with an overactive bladder exhibit a multiplicity of symptoms, including urgency, urgency incontinence, stress incontinence, enuresis, frequency and especially nocturia and sometimes incontinence during sexual intercourse. There are no specific clinical signs and the diagnosis can only be made urodynamically when there is a failure to inhibit detrusor contractions during cystometry.

Does Icsi Hurt And What Are The Risks

The man experiences essentially no risk or discomfort when sperm is collected, usually through masturbation or sexual intercourse with a special collection condom. However, as previously stated, in the case of severe male fertility problems, a testicular biopsy may be required to obtain sperm.

Modes of Transmission

Unprotected sexual contact is the predominant mode of HIV transmission throughout the world. Despite a relatively low efficiency of transmission per sexual act, numerous factors can enhance transmission. Receptive anal intercourse often results in microtrauma to the rectal mucosa and therefore facilitates HIV transmission by exposing damaged mucosa to HIV-infected semen. Likewise, receptive vaginal intercourse probably transmits HIV (male-to-female) more efficiently than insertive vaginal intercourse. In general, concurrent sexual partners (and not simply the absolute number of partners) augment HIV's spread in a community. The probability of sexual transmission is also augmented by factors that affect the infectiousness of the source partner and the susceptibility of the recipient partner. A high HIV viral load, genital ulcerative disease (and other sexually transmitted diseases), and blood contact during sex (due to trauma or menstruation) can all increase the probability of...

Scenarios For Discussion

You have been working with a fourteen-year-old client for several months. During one session, the client suddenly discloses having sex with a parent for the past four years. The client, who has been chronically depressed, threatens, If you tell anyone about this, I will find a way to kill myself. You believe that this is not an idle threat. You are working with a client who engages in unprotected sex with a variety of partners. Two months ago, the client became infected with HIV. Recent sessions have focused on many topics, one of which is the client's decision not to begin using protection during sex and not to disclose the HIV status to any partners. The client shows no likelihood of changing this decision. 3. Under what conditions, if any, would you act against the client's wishes and communicate information about the client's HIV status and sexual activity to third parties What information would you disclose, to whom would you disclose it, and what are the likely or possible...

Hiring Screening and Supervising

Those who work within health maintenance organizations, hospitals, and other structures hiring clinicians have a responsibility to attend carefully to the risks that staff may sexually exploit clients. Carefully structured and adequately comprehensive forms and procedures (verifying education, supervision, licensure, employment, history of licensing or ethics complaints, and others) for screening potential personnel, establishing and monitoring policies prohibiting sex with clients, and so on have long been advocated as important in minimizing the risk that organizational personnel will sexually exploit clients (see Pope & Bouhoutsos, 1986 Pope, 1994). More recently, however, the usefulness of such forms and procedures that operationally define screening procedures and policy implementation has been recognized as an important component of malpractice risk management not only in hospitals but also in clinics, group practices, and similar settings. As defense attorney Brandt Caudill...

Significant Impairment in Functioning

Other disorders may occur along with PTSD. These include attention problems, depression, anxiety, substance abuse, and defiant or antisocial behavior. School failure and high-risk behaviors such as drug use, sexual activity, and reckless driving may occur with PTSD. Severe trauma resulting in PTSD can even contribute to long-term personality changes.

Urinary Tract Infections

Urinary Tract Patient Value

Different risk factors have been discussed maternal age, socioeconomic status, antecedents of UTI, sexual intercourse, hemoglobinopathies, diabetes, immunodepression of HIV infection, multiparity, and race (Connolly and Thorpe 1999 Ovalle and Levancini 2001 Pastore et al. 1999a, b).

Neoplastic Transformation

Numerous seroepidemiologic studies have associated HSV-2 infection with an increased risk of human squamous cervical cancer. The exact role of HSV-2 in cervical carcinogenesis is unclear. Current opinion is that HSV-2 is a cofactor, or infection reflects the increased sexual activity of cervical cancer patients. However, HSV-2 is a tumor virus. It causes neoplastic transformation, also of human cells, and tumor formation in animals. Both are achieved with inactivated virus, temperature sensitive mutants, sub-or supraoptimal infection temperatures, sheared viral DNA and subgenomic fragments. Depending on conditions, the transformed cells retain and express the viral DNA or not, suggesting that viral genes cause increased cell proliferation or they initiate the transformation process which can subsequently progress independently. HSV-2 DNA sequences have both immortalizing and neoplastic functions, the latter mediated by the unique PK-encoding 5' terminal of RR1 (HSV-2 oncogene)....

Transmission and Tissue Tropism

Transmitting vehicles of herpesviruses may include such materials as respiratory secretions, blood, saliva, contact with infected lesions and sexual intercourse. Both herpesvirus papio and herpesvirus pan are readily transmitted in nature to their respective natural host animals via respiratory secretions. Experimental production of tumors, however, has been limited to the inoculation of marmosets with large numbers of herpesvirus papio-producing baboon cells. Cotton top marmosets develop an acute, widely disseminated lymphoproliferative disease. In view of the possible need for another virus (STLV-1, other ) to help in the production of baboon tumors, it would be of interest to determine whether herpesvirus papio alone is responsible for tumor production in marmosets.

Oncology Legitimates an Experimental Procedure

Enthusiasm for HDC ABMT was also demonstrated in a press release of ASCO at its 1992 annual meeting (ASCO 1992). Bone Marrow Transplants Increase Survival for Breast Cancer Patients read the lead.10 Dr. Rein Saral of Emory University School of Medicine was quoted as saying It is clear from these studies that high-dose chemotherapy supported by bone marrow transplantation is superior to current conventional treatments for high-risk breast cancer patients (p. 1). He was referring to two studies, one a trial by Dr. A. M. Gianni of Milan, Italy, involving 85 patients, with 93 of those receiving HDC ABMT relapse free after a median time of 2 years compared to 43 of those in the conventional treatment historical control group. The other was Peters's Cancer and Leukemia Group B study at Duke, also of 85 patients 72 of those receiving HDC ABMT were event free after a median follow-up of 2 years compared to 30 in the historical control group. The results of these studies are in line with...

Sexual Attraction to Patients

In light of the multitude of books in the areas of human sexuality, sexual dynamics, sex therapies, unethical therapist-patient sexual contact, management of the therapist's or patient's sexual behaviors, and so on, it is curious that sexual attraction to patients per se has not served as the primary focus of a wide range of texts. The professor, supervisor, or librarian seeking books that turn their primary attention to exploring the therapist's feelings in this regard would be hard pressed to assemble a selection from which to choose an appropriate course text. If someone unfamiliar with psychotherapy were to judge the prevalence and significance of therapists' sexual feelings on the basis of the books that focus exclusively on that topic, he or she might conclude that the phenomenon is neither wide-spread nor important Pope, Sonne, & Holroyd, 1993, p. 23 . These national surveys suggest that a sizable minority of therapists carry with them in the physical absence of the client...

Tract Infection DRG CategoT 320

During their lifetime, and acute UTIs account for approximately 7 million healthcare visits per year for young women. About 20 of women who develop a UTI experience recurrences. Women are more prone to UTIs than men because of natural anatomic variations. The female urethra is only about 1 to 2 inches in length, whereas the male urethra is 7 to 8 inches long. The female urethra is also closer to the anus than is the male urethra, increasing women's risk for fecal contamination. The motion during sexual intercourse also increases the female's risk for infection.

Sexually Transmitted Diseases Introduction

Sexually transmitted diseases (STD) are a diverse group of viral, bacterial, protozoal, and ectoparasitic infections that have a common route of transmission through sexual intercourse. Infectious organisms associated with STDs include Chlamydia trachomatis Neisseria gonorrhoeae bacterial vaginosis, vulvovaginal candidiasis, trichomoniasis syphilis herpes simplex papillomavirus (genital warts) genital herpes and HIV. Infection by each of the above organisms has its own pattern of clinical patterns medications treatments prognosis transmission dynamics host response to infection and patterns of sexual contact.

Lower urinary tract obstruction

Lower urinary tract obstruction (LUTO) is a heterogenous condition that affects 1 5000-8000 newborns. The aetiology can vary depending on the fetal sex with posterior urethral valves being most common in male infants and urethral atresia being more common in females. Complete obstruction of the lower urinary tract can lead to massive distension of the bladder and back pressure on the kidneys leading to destruction of the renal cortex as well as the resultant oligo anhydramnios causing pulmonary hypoplasia and limb deformities. The rationale for in utero therapy is to alleviate the obstruction and therefore prevent bladder and renal damage and restore liquor volume to allow pulmonary development. Careful patient selection is crucial and involves serial bladder aspiration and analysis of urinary electrolytes to confirm normal renal function, as well as confirmation of karyotype and exclusion of other major structural anomalies on detailed ultrasound scan.

Normal secondary sexual characteristics

Patients with an absent uterus require special psychological counselling and their care should be managed in a centre able to offer the complete range of psychological psychosexual and gynaecological expertise. These young girls will have major problems with future sexual activity and their infertility. They require very careful counselling. At the appropriate time a vagina may be created either non-surgically or surgically. In 85 of cases the use of vaginal dilators is successful (see Chapter 37).

Clinical presentation of urinary incontinence

Urge incontinence, dribble or giggle incontinence or incontinence during sexual intercourse. Nocturnal enuresis (bed wetting) may occur on its own or in conjunction with other complaints. Symptoms of voiding difficulty include hesitancy, a poor stream, straining to void and incomplete bladder emptying.

Positive and Negative Eugenics

Isolated from normal society, these people were also segregated by sex within the institution to prevent procreation. Segregation through incarceration, however, proved too costly to be applied to all but the most severely handicapped. Compulsory sexual sterilization of those individuals deemed feebleminded or slow promised eugenic and economic benefits for society. Once sterilized, such individuals posed no eugenic risk sexual intercourse would never result in pregnancy. Sterilized individuals could therefore return to society and work, rather than remaining an economic burden in an institution. Many social reformers argued that compulsory sterilization was more humane than locking people away during their childbearing years.

Female Sexual Dysfunction

Female sexual dysfunctions (FSD) include persistent or recurrent disorders of sexual interest desire, disorders of subjective and genital arousal, orgasm disorder, pain and difficulty with attempted or completed intercourse. The scientific knowledge on sexual dysfunction in women with diabetes is rudimentary. Sexual dysfunction was observed in 27 of women with type 1 diabetes. FSD was not related to age, BMI, HbAlc, duration of diabetes, and diabetic complications. However, FSD was related to depression and the quality of the partner relationship (71). Recently, the prevalence of FSD in premenopausal women with the metabolic syndrome was compared with the general female population. Women with the metabolic syndrome had reduced mean full female sexual function index score, reduced satisfaction rate, and higher circulating levels of C-reactive protein (CRP). There was an inverse relation between CRP levels and female sexual function index score (72). Problems affecting sexuality in...

Diagnostic Criteria for Sunct Syndrome

3History and physical and neurological examinations do not suggest any of the disorders, such as trigeminal neuralgia, idiopathic stabbing headache, cough headache, benign exertional headache, headache associated with sexual activity, or hypnic headache, or history and or physical and or neurological examinations do suggest such disorder but it is ruled out by appropriate investigations, or such disorder is present but attacks do not occur for the first time in close temporal relation to the disorder.

Chronic paroxysmal hemicrania

There is no suggestion of one of the disorders such as trigeminal neuralgia, idiopathic stabbing headache, cough headache, benign exertional headache, headache associated with sexual activity, or hypnic headache. 1. There is no suggestion of one of the disorders such as trigeminal neuralgia, idiopathic stabbing headache, cough headache, benign exertional headache, headache associated with sexual activity, or hypnic headache.

The Causes of Infertility

Medical research has shown that if you are a healthy young couple and have sexual intercourse a couple of times each week, your chances are about one in five (that is 20 percent) of becoming pregnant during any one menstrual cycle. This figure starts to decline in a woman's late 20s and early 30s and decreases even more after age 35. A man's fertility also declines with age, but not as early.

Avoid Artificial Lubricants

Instead of using a lubricant, try to lengthen the amount of time you and your partner spend on sexual foreplay. For most women, more foreplay ensures arousal and increases their own natural vaginal secretions. If you still feel that you need an additional lubricant, try egg whites. Strange as it sounds, egg whites closely mimic your own fertile phase cervical mucus and have been shown to encourage sperm mobility.

Basal Body Temperature Bbt Method

Your doctor will ask you to bring in a couple of months of your BBT charts for review. You and the doctor can discuss them and perhaps determine whether you are ovulating regularly. If you are ovulating regularly, it's essential that you have sexual intercourse on the days surrounding your most fertile time period.

Dementias With a Prominent Dysexecutive Syndrome

A history from a reliable informant often reveals major changes in the patient's personality and social conduct, with inappropriate, embarrassing, or impulsive behaviors. Such disruptions often punctuate behaviors that are otherwise characterized by apathy and withdrawal. Changes in appetitive behavior such as eating or sexual activity are common. Patients tend to present in the presenile years (less than 65 years of age). Mental state examination often reveals compromise of the so-called executive functions, including attention, judgment, and insight. Compared to patients with probable AD, patients with

Human Demographics and Behavior

HIV is mainly spread through sexual activity between an infected and a noninfected person, and is most common in those who indulge in high-risk sexual behavior with multiple partners. It can also be transmitted by direct contact with infected blood, and is common in persons who indulge in intravenous drug use, particularly when needles, syringes, or equipment used to prepare drugs for injection are shared. It is therefore an example of a virus disease which is dependent on risky human behavior for its maintenance in the human population.

Genitourinary Complications

With associated soft tissue injury accompanying pelvic and acetabular fractures, late genitourinary sequelae are common, but have been poorly documented in the literature. The largest study consisting of a retrospective review and questionnaire found that physiologic problems with arousal or orgasm were rare in females. However, female patients with pelvic fractures had a significantly higher rate of urinary complaints (21 vs. 7 ), a significantly higher rate of gynecologic pain (19.6 vs. 9.5 ), and a significant increase in the rate of postinjury cesarean section than the general female population (99).

Transmission and Epidemiology

PV infections are only stable when the pathogen reaches basal layers of an epithelium, for example, in wounds. PV infections result from physical contact between healthy and infected epithelia that peripherally release PV particles (e.g., during desquamation of the skin). As sexual intercourse leads to physical contact between genital epithelia, infections by many HPV types are considered sexually transmitted diseases. Epidemiological data support this mechanistic concept and document a rapid increase of genital PV infections in male and female individuals after commencement of sexual activity. Epidemio-logical evidence also supports the view that the risk to develop cervical carcinomas increases with young age at the start of sexual activity and with the number of sexual partners per lifetime. Additional risk factors are long-term use of anti-ovulants, multiparity, and tobacco smoking. Epidemiology provided a foundation for the concept of 'high-risk' and 'low-risk' HPV types. Both...

Surveillance of Hivaids

In the UK and some other countries with data protection acts, HIV infection, as with other STIs, is not notifiable. Special confidential surveillance systems through clinicians and GUM clinics, as well as laboratories, are in place. These are especially important for assessing risk factors. Inclusion of risk factors is essential for targeted intervention - for example, the proportions and rates of new diagnoses attributed to men who have sex with men, heterosexual sex, mother-to-infant, blood transfusion, IVDUs, and other needlestick injury. Laboratory reporting is essential. Death certification is useful, though it has been shown that men who have sex with men, and probably those with other risk factors, are under-represented. In the UK, matching reported cases with death certificates is very important, as it allows for detection of deaths due to AIDS (such as pneumonia) as well as deaths associated with AIDS, and which are seen now in HIV-infected individuals - these include liver...

Physical Contact with Clients

Therapists who do not otherwise typically touch their patients at a rate different from other therapists (except when mutually initiated). Sexual intercourse with patients is associated with the touching of opposite-sex patients but not same-sex patients. It is the differential application of touching rather than touching per se that is related to intercourse (p. 810). Our responsibility to be sensitive to the issues of nonsexual touch and explore them carefully extends to other therapeutic issues conceptually related to the issue of therapist-client sexual involvement. Our unresolved concerns with therapist-client sexual intimacies may prompt us to respond to the prospect of nonsexual touching either phobically avoiding in an exaggerated manner any contact or even physical closeness with a client or counterphobically engaging in apparently nonsexual touching such as handshakes and hugs as if to demonstrate that we are very comfortable with physical intimacy and experience no sexual...

Ovarian Tissue Donation And Transplant

It may soon be possible to transplant ovarian tissue from one woman to another. This would allow one woman to donate a piece of her ovary and have it transplanted into another woman. The recipient would use the donor ovarian tissue to ovulate and become pregnant using natural sexual intercourse. The eggs would have the genetic material from the donor, but the pregnancy would be fertilized and grown within the body of the recipient. Ovarian tissue transplant is generally acceptable even for women who are forbidden to receive egg donation for religious reasons because it is viewed as an organ transplant and not a human egg or embryo donation.

Clinical Application Questions

A 45-year-old man seeks your advice regarding lesions on the penile shaft that have recurred four times over the preceding 6 months. He is recently divorced and has participated in unprotected sexual activity with two partners. He is concerned about possible genital herpes. Exam reveals a single lesion on the left mid-penile shaft with what appear to be dry crusted vesicles on an erythematous base. Regional lymph nodes are normal. 3. The rapid immunofluorescence (RIF) test for herpes is positive and confirms the presence of HSV-2, but a serologic test for syphilis is negative, as are the HIV titers. What counseling will you give the patient regarding future sexual activity

Aphrodisiacs

SESAME seed, soaked in sparrow's eggs, and cooked in milk, also bore this reputation, and so did GINSENG. The name is Chinese, Jin-chen, meaning man-like, a reference to the root, which, like those of mandrake, was taken to be a representation of the human form, and it was this supposed resemblance that resulted in the doctrine of signatures stating that the plant healed all parts of the body (W A R Thomson. 1976). The more closely the root resembled the human body, the more valuable it was considered, and well-formed examples were literally worth their weight in gold as an aphrodisiac (Schery Simons). It was the the Dutch who brought the root to Europe, in 1610, and its reputation as an aphrodisiac came with it. The court of Louis XIV in particular seemed to value this reputation (Hohn). AMBOYNA WOOD (Pterocarpus indicus) once had this sort of reputation, or at least was used as a man-attracting charm (C J S Thompson. 1897), as was PATCHOULI perfume, too (Schery)....

Latin America

And HIV testing, and to provide anti-retroviral therapy halted HIV's expansion. Overall, the adult prevalence has remained stable at 0.5 . The majority of HIV infections in South America is occurring among men who have sex with men and injection-drug users. Incarcerated men, in particular, are at high risk for infection. Recently, rates of HIV have also increased among poor women from unprotected heterosexual sex with injection-drug users and men who also have sex with men.

Gene Transfer

While bacteria do not have sex like multicellular organisms, there are several processes by which they obtain new genes conjugation, transformation, and transduction. Conjugation can occur between two appropriate bacterial strains when one (or both) extends hairlike projections called pili to contact the other. The chromosome, or part of one, may be transferred from one bacterium to the other. In addition, plasmids can be exchanged through these pili. Some bacteria can take up DNA from the environment, a process called transformation. The DNA can then be incorporated into the host chromosome.

Sexuality

Of 80 report ongoing sexual activity with a partner (Laumann et al 1994). If these facts are dubious, more subtle motivations and manifestations must be well beyond reach. Bedevilled by its subjectivity and imperilled by proximity to social mores, the prospects for more objective research into male sexual activity in the general population seem remote. Yet large lacunae in understanding of male sexuality remain, among them the role of prostitution which, given its ubiquity and pervasiveness, is remarkably little studied. If prostitution is the oldest profession, then use of its services must be the oldest male pastime. While the sociology of prostitutes is widely studied, their male clients remain obscure and ignored. It is hard to imagine that studies of such a ubiquitous and pervasive facet of male sexuality would not enlighten the understanding of male sexuality.

Fertility

MANDRAKE had the power, it was said, to put an end to barren-ness, even quite independently of sexual intercourse. See also Genesis 30 14-16, where Rachel bargained for the mandrakes with her sister Leah. (see Hartland. 1909). Amulets, as figures made from mandrake root, were worn by Palestinians, both men and women, to promote fertility (Emboden. 1979). In the early part of the 20th century, American Jews still believed in the power of the mandrake to induce fertility. They used to import specimens of the root from the Near East just for this purpose (Randolph). CUCUMBERS, being phallic emblems, will naturally symbolize fecundity.

Hivaids

Adolescents and young adults are particularly vulnerable to infection for a variety of developmental reasons. Nearly all of the risk factors for infection are behaviors that begin during the teen years. Because of youths' imagined invulnerability, most young people do not perceive themselves to be at risk, even when participating in behaviors likely to lead to infection. Sexually active young people often fail to use proven means of protection, such as latex condoms, when engaging in risky behavior. Adolescents who have older sexual partners are at particular risk because these older partners typically have more risk factors for infection, and young people in these relationships tend to rely on the older partner to make decisions and are less likely to use protection. Adolescents have the population's highest infection rate of other sexually transmitted diseases (STDs), and the effects of having another STD make an individual more likely to develop HIV. In addition, the immature...

Gonorrhea

Gonorrhea, which now is a much more common disease (250 million cases a year worldwide, 400,000 in the United States) than syphilis, is a bacterial disease caused by the gram-negative diplococci (spherical cells in pairs), Neisseria gonorrhea. It mainly affects the urethra, and in women also the reproductive organs pelvic inflammatory disease (PID) , leading potentially to sterility. It is most often spread through contact with the mucous membranes of an infected person during sexual activity, although a newborn may also acquire it (usually, as an eye infection) from an infected mother during birth.

How Does hCG WORK

Depending on which assisted reproductive technology you are using, either you will be advised to have sexual intercourse or your fertility specialist will perform intrauterine insemination or egg retrieval. You must accurately time this event because precise timing is required for successful egg fertilization.

Neurotransmitters

Oestrogen has clear effects on several neurotransmit-ters, including serotonin, acetylcholine, noradrenaline and dopamine. It cumulatively acts as an agonist on serotonergic function by increasing the number of serotonin receptors, serotonin (5-HT) postsynaptic responsiveness and neurotransmitter transport and uptake. It also increases serotonin synthesis and boosts the levels of the metabolite 5-hydroxy indole acetic acid (5-HIAA). It is well known that the serotonergic system plays a substantial role in regulating mood, sleep, sexual activity, appetite and cognitive ability. Serotonin is a major component in the development of depression. Our knowledge of the role of serotonin in depression has been extended into PMS research 4 and several studies demonstrated altered 5-HT metabolism in these patients. Blood levels and platelet uptake of 5-HT have been found to be low in PMDD patients, and acute depletion of trypto-phan, the precursor of serotonin, aggravates symptoms of PMS and...

Specific History

Surgical procedures on the lips in older adults, but spontaneous cyclical attacks are uncommon. Recurrent herpes genitalis is associated with sexual activity, and is encountered mainly in young and middle-aged adults. Occasional cases are encountered in sexually active persons in the sixth and seventh decades. Herpes genitalis is generally caused by HSV-2, and is usually acquired during sexual activity. Primary infection may take the form of a severe vulvovaginitis in female patients. Infrequently male patients may develop a diffuse balanitis. Infection may occur as a primary inoculation lesion in either sex. Men have a lower incidence of symptomatic primary infection and recurrent lesions than women. Genital pain, papules, pustules, crusts, ulcers, or fissures with regional adenopathy may be signs of a primary episode. In male patients, bacteriologically negative cases of nonspecific urethritis have cultured both types of HSV. Other uncommon signs of a primary episode include...

Contributing Factors

Adolescence is generally conceptualized as the developmental period ranging from 13 to 19 years of age. Approximately 25 of sexually active individuals in the United States are adolescents. According to the Alan Guttmacher Institute (AGI) (2004), most teenagers become sexually active by their late teens. Sexual activity during this developmental time is linked to a number of risks one of the most far-reaching is teen pregnancy. During adolescence many factors affect the youth's decision to engage in sexual activity. There appear to be two broad categories of factors that contribute to teen pregnancy (a) dispositional characteristics, and (b) situational factors. Situational factors refer to educational, family, and economic conditions that may promote or lead to whether the adolescent engages in sexual activity or becomes pregnant. Poverty is the primary situational condition related to adolescent childbearing. Race and ethnicity also emerge as critical situational factors related to...

M87 M88

Meccanismo Importo Nucleare

The seroprevalence of MCMV in free-living mice can be up to 100 , particularly when mouse population densities are high. Transmission of the virus is presumed to be via saliva, possibly as a result of biting and grooming. However, MCMV is found in urine and breast milk, as well as the reproductive tract of male and female mice. This suggests additional modes of transmission, such as from mother to pup during feeding and by sexual activity. Interestingly, infection with multiple strains of MCMV is common, suggesting that mice are either infected simultaneously with multiple MCMV strains or that the lack of sterilizing immunity allows sequential reinfection of mice.

Semen Analysis

Many fertility specialists recommend that the male partner refrain from sexual activity for at least three days prior to this test. That's because this is a reasonable amount of time to accurately evaluate an average sperm sample. However, because sperm counts and quality can vary, this test will likely be performed on several different occasions over the next few months.

Syphilis

The usual mode of transmission for this disease is direct contact with an infective lesion during sexual activity (although a pregnant woman may also infect her fetus). The spirochete enters the new host through small breaks in the skin, multiplies at the site, and forms a sore known as a chancre. This primary stage is highly infective but heals on its own. However, by this time the bacteria have spread to other areas throughout the body, causing secondary lesions that are also infective. Eventually, sometimes after 20 or more years, the disease may enter a tertiary stage that can affect the heart or brain, and without treatment may be fatal almost 10 of the time.

Treatment

Pessary Ring Removal

Pessaries such as the ring can normally allow sexual intercourse without problems although a few women prefer to remove the pessary. Space occupying pessaries such as the shelf pessary preclude normal sexual relations and are therefore unsuitable for sexually active women. The shelf pessary may be particularly helpful for uterine or vaginal vault prolapse. The shelf pessary may be quite difficult to change and can become embedded in the vaginal wall. Careful examination, at least every 6 months is advisable and topical oestrogens may reduce the risk of ulceration and erosion.

Etiology

As almost 90 of cases have a genitourinary cause, it is particularly important for the urologist to prevent autonomic dysreflexia. When treating patients with SCI, the urologist should be aware of the possibility of autonomic dysreflexia. When performing instrumentation of the lower urinary tract, for example changing a catheter, local anesthetic jelly and an aseptic technique (to avoid urinary tract infection as a precipitant of autonomic dysreflexia) should be used. If the instrumentation takes more than a few minutes (cystoscopy, urodynamic investigation) sufficient blood pressure monitoring should also be provided. It should also be noted that even sexual intercourse can effect autonomic dysreflexia. Therefore the andrologist should keep in mind this risk when applying vibroejaculation to a SCI patient. Sexual intercourse

Sexual Functioning

Using a questionnaire consisting of 24 items that assessed medical history, urinary function, and male sexual function. Three groups were surveyed those who had a pelvic fracture and received BIIAE (group 1), those who had a pelvic fracture and did not receive BIIAE (group 2), and a healthy control group (group 3). There were 16 subjects in each group. Items assessing male sexual function included subjective rankings of sexual drive, erection firmness, ejaculatory function, and overall sex life. Additionally, subjects were queried regarding how personally problematic they found their sex life. Sexual and genitourinary functions following pelvic injury has not been as extensively studied in females as it has in males. However, studies suggest that pelvic injury does affect female sexuality and genitourinary function. A study of 223 women with pelvis fractures only (n 84), a pelvis fracture and lower extremity fracture (n 39), and a lower extremity fracture only (n 110) indicated that...

Latchkey Children

Currently, there are 15 million latchkey children in America. During these after-school hours, the juvenile crime rate triples and these children are more apt to use drugs and or alcohol, and be victims of accidents and abuse. After-school hours are also the most likely time for adolescents to engage in sexual intercourse, and children ages 10 to 15 years are most at risk of becoming involved with a gang. Furthermore, research indicates that children who return to empty homes are less likely to complete their homework instead, they spend time doing their preferred activity, watching television.

Erectile Dysfunction

Penile Neuropathy

Erectile dysfunction (ED), defined as the consistent or recurrent inability of a man to attain and or maintain a penile erection sufficient for sexual activity (15), is one of the most common sexual dysfunctions in men. ED is more common with advancing age, and since the aged population will increase, its prevalence will continue to rise (16). Diabetes mellitus is the most frequent organic cause for ED, the onset of which starts about 15 years earlier in the diabetic than in the nondiabetic population. In the Massachusetts Male Aging Study (MMAS), the age-adjusted prevalence of minimal, moderate, or complete ED was 17, 25, and 10 among 1238 men without diabetes and 8, 30, and 25 among 52 treated men with diabetes, respectively (17). Thus, although the number of diabetic subjects in the MMAS was low, this population based study showed an increased prevalence particularly of complete ED among men with diabetes. In the Cologne Male Survey (18) the prevalence of ED was threefold...

Mandrake

This was the reason it was dedicated to the goddess. So also, it should be gathered on a Friday, the day of the goddess (Bonser). Theo-phrastus, in the 4th century BC, recommended the root, scraped and soaked in vinegar, as an aphrodisiac (Dyer. 1889). One of the Egyptian names means phallus of the field, and an Arabic name was devil's testicles (Ellis). It was the fruit that was to be used it had the power, so it was said, to put an end to barrenness, quite independently of sexual intercourse. See Genesis 30 14-16. Rachel bargained for the mandrake with her sister Leah (by giving up her husband to her). She afterwards bore, though she had previously been barren, her first-born, Joseph (Hartland. 1909). The plant had been found in the fields by Reuben, and given by him to his mother Leah on the night of the conception of Issachar (Bonser). Palestinian women quite often used to bind a piece of the root to their arm (for it could only exert its magical influence if...

Assessment

Cent report the behavior to a licensing board (see Pope & Vetter, 1991). The percentage appears to be significantly lower when the number of instances of abuse estimated from anonymous surveys of clinicians (who report instances in which they have engaged in abuse) is compared with complaints filed with licensing boards, ethics committees, and the civil and criminal courts. Using the higher 5 percent reporting estimate, assume that you conduct research in which a licensing board refers ten offenders to you for rehabilitation. You work with the offenders for several years and are convinced that you have completely rehabilitated all ten. You assure the licensing board of your complete confidence that none of the ten will pose any risk to future clients. But also assume that your rehabilitation effort fails miserably all ten offenders will engage in sex with a future client. What are the probabilities that any of the ten future abuse victims will file a complaint If each client has...

Western Europe

In the 1980s, HIV spread widely among men who had sex with men and injection-drug users in Western Europe. Subsequent prevention programs have had success in reducing the incidence of HIV in these risk groups although the HIV prevalence in injection-drug users in Southern Europe remains high. The major modes of HIV transmission are now unprotected heterosexual sex (56 ), unsafe sex between men (35 ), and injection drug use (8 ). Although heterosexual transmission has emerged as an important mode of HIV transmission in Western Europe, there is no evidence of a generalized epidemic. In many Western European countries, including Belgium, Sweden, and the United Kingdom, immigrants from sub-Saharan Africa account for the majority of heterosexually acquired infections. Unprotected sex with injection-drug users or men who have sex with men represents the other major risk for heterosexual transmission.

Limits of Consent

At least one case has suggested that there are limits to what a patient can validly consent to. In that case, several adults were treated with a form of psychotherapy that involved physically beating them. The defendants argued they could not be sued because the plaintiffs had consented to the treatment however, the Court of Appeals refused to accept the consents as a defense. This decision implies that a patient's consent will not be deemed valid if acts consented to would otherwise be illegal or contrary to public policy (such as a sexual relationship between therapist and patient). An earlier case held that whether touching is therapeutic or nontherapeutic goes to the essence of the act and may vitiate a consent Caudill & Pope, 1995, pp. 553-554 .

Polyploidy

Ploidy refers to the number of chromosomes in an organism's genome. A haploid organism has just one copy of each chromosome (A, B, C, and D). Diploids have two of each, and may have sex chromosomes (X and Y). Triploids have three, which prevents proper pairing and separation of chromosomes in meiosis.

Definition of Terms

H) Sexual harassment includes either or both of the following (i) The use of power or authority in an attempt to coerce another person to engage in or tolerate sexual activity. Such uses include explicit or implicit threats of reprisal for noncompliance, or promises of reward for compliance. (ii) Engaging in deliberate and or repeated unsolicited sexually oriented comments, anecdotes, gestures, or touching, if such behaviours are offensive and unwelcome create an offensive, hostile, or intimidating working, learning, or service environment or, can

Sexual Issues

Supervisors also have an ethical responsibility to ensure that a sexual relationship between supervisor and supervisee does not occur. The ethics code of the American Psychological Association (2002), for example, states in Section 7.07 (Sexual Relationships with Students and Supervisees), Psychologists do not engage in sexual relationships with students or supervisees who are in their department, agency, or training center or over whom psychologists have or are likely to have evaluative authority. (See also Standard 3.05, Multiple Relationships.) The ethics code of the Canadian Psychological Association (2000) states in Section 11.28 that psychologists should not encourage or engage in sexual intimacy with students or trainees with whom the psychologist has an evaluative or other relationship of direct authority. (Also see Standard III.31.) Anonymous surveys have gathered information about sexual involvements between psychologists and their trainees (Glaser & Thorpe, 1986 Harding,...

HIV Prevention

In Zimbabwe, sexual behavior change (increased condom use, delayed onset of sexual activity, and a reduction in sexual relations with nonregular partners) has contributed to declines in HIV prevalence. Successful behavioral interventions incorporate educational messages with prevention skills such as how to negotiate and use condoms and how to refuse sex. These interventions have been successfully implemented in school-based sex education classes, peer-led small group discussion groups, in the context of HIV counseling and testing, and as national structured interventions, such as Thailand's '100 Condom' program. For successful implementation, prevention programs must identify and engage high-risk populations.

Symptoms

Uterovaginal prolapse in all but the most severe cases regresses when a woman is lying in bed. Prolapse often does not interfere with normal sexual activity. However, many women feel unhappy with the vaginal discomfort experienced through the day and the presence of the prolapse can inhibit couples from continuing normal sexual activity for mainly aesthetic reasons but also from concern about causing harm. Additionally, concern about continence or other urinary and bowel symptoms may be inhibiting. Some couples find that the loss of tone in the vagina leads to sexual dissatisfaction for both parties. The growth in interest in cosmetic vaginal surgery and drugs for male impotence may be influencing this area.

Taraxacum

That most species of Taraxacum reproduce asex-ually via agamospermy (Brock 2004) indicates a possible preadaptation for invasiveness plants with uniparental reproduction may be more likely to colonize and spread than would individuals requiring a sexual partner. While agamospermy is associated with polyploid Taraxacum species, sexual reproduction (and self-incompatibility) characterizes the 2n 16 diploid lineages (Richards 1970 Brock 2004). However, experimental crosses among some apomictic (agamospermous), polyploid forms and

Summary

In the fetus, priority should be given first to long-bone lengths, then to whatever other measurable bones are available or for which data exist. Whether measurements are obtained through radiography or direct measurement of isolated bones, it is important to use appropriate data, conversion methodology, or both. Long-bone diaphyseal lengths and other bone measurements continue to be important in age determination procedures through childhood, although measurements of soft tissue can also be useful. With increasing age, the appearance, growth, and union of epiphyses can prove important sources of information in juveniles, especially in soft tissue cases. Also, with increasing age during adolescence, information about sex and population variation become significant factors and must be considered when available.

Tropism

Differences in the susceptibility of males and females to particular viral infection may be due to differences in the risk of exposure or the mechanism of viral transmission. For example, in the US, HIV infection is far more common in men than women. Similarly, the risk of transmission appears higher when the infected sexual partner is male rather than female. In some cases, sex-related differences in susceptibility cannot be accounted for by obvious epidemiologic factors such as exposure risk or mode of transmission. For example, neurologic complications of mumps infection are two to three times more common in boys than girls. Similarly, following exposure to hepatitis-B-virus-contaminated blood during hemodialysis, men are twice as likely to become chronic HB carriers as women. Striking differences in the nature of and susceptibility to viral infection also occur during pregnancy. These may be related to differences in levels of sex or steroid hormones or to pregnancy-related...

Antenatal education

At an early stage in the pregnancy women require lifestyle advice, including information on diet and food, work during pregnancy and social aspects, for example, smoking, alcohol, exercise and sexual activity. Continuing moderate exercise in pregnancy or regular sexual intercourse does not appear to be associated with any adverse outcomes. Certain physical activity should be avoided such as contact sports which may cause unexpected abdominal trauma. Scuba diving should also be avoided because of the risk of fetal decompression disease and an increased risk of birth defects.

Biology

H. ducreyi preferentially infects keratinized stratified squamous epithelium. Epidermal microabrasions formed during sexual intercourse or otherwise damaged skin is the portal of entry for infection. After entry into the skin, the bacteria stimulate target cells such as keratinocytes, fibroblasts, and endothelial cells to secrete IL-6 and IL-8. 1 Polymorphonuclear cells are recruited within 24 hr to the epidermis and dermis and form small micropustules. A dermal infiltrate of T cells, macrophages, and some B cells evolves. 2 A tender erythematous papule may develop 4-7 days after initial infection, which can progress to the pustular stage. The bacteria remain extracellular through the pustular stage and resist phago-cytosis. 3,4 Pustules often rupture after a further 2-3 days to form painful shallow ulcers with granulomatous bases and purulent exudates. 5 In the absence of effective antimicrobial therapy, the chancroid ulceration can take several weeks to months to resolve. Inguinal...

Turmeric

Where the simplest preparation is still in use, in the Pacific islands and New Guinea, it serves mainly for cosmetics or for painting wood, etc., (Buhler). Body painting of one form or another was the main use of the yellow powder in Polynesia, and there are distinct sexual overtones to its use. On the Marquesas it was used in quantity by adolescents, particularly during orgiastic ceremonies and other situations involving sexual activity. The smell was supposed to have a sexually stimulating effect (Suggs). To the Muria, of India, the yellow colour makes it both a ghost scarer and a sexual symbol. The oil with which it is mixed is another sex symbol, recalling the oil traditionally put on a lover's mat to make it slippery (Elwin). The rubbing of turmeric and oil on the bride and groom is an essential part of a marriage festival in India (Pandey).

Previous Vasectomy

Treatment for unexplained infertility presents a challenge for both the couple and the fertility specialist. Some fertility doctors recommend a treatment of Clomid, gonadotropin, or both to stimulate egg follicle production. This is followed by sexual intercourse at the time of ovulation or artificial insemination with the partner's sperm. If pregnancy still does not occur, then various assisted reproductive technologies, such as in vitro fertilization (IVF), may be performed.

Rhythm Method

Once you determine the approximate date that you ovulate each month, you should have sexual intercourse surrounding that day. For example, if you seem to ovulate on day 14 of your cycle, you should have sex from about day 12 through day 16, so your timing will coincide with your most fertile phase.

Ovulation

In most cases, ovulation occurs about 14 days before the start of your next menstrual period. That means if you have an average 28-day menstrual cycle, ovulation will occur on about day 14. If you have a 30-day cycle, ovulation will probably occur on day 16, and so on. Timing is critical for pregnancy to occur. Pregnancy can only occur if you have sexual intercourse during or near the time of ovulation. Once the egg has been released, it is able to be fertilized during that specific 12-to-24-hour period. Given that sperm may live as long as 72 hours, you have approximately a three-day window each month to conceive.

Assume The Position

Certain sexual positions may make it more likely that you will become pregnant. The missionary position is sexual intercourse with the man on top. This position is probably the best to boost fertility because it allows deep penetration and sperm is deposited closest to the cervix.

Timing Is Everything

Of course, you already know that you should have sexual intercourse during your most fertile time of the month that is, around the time of your ovulation. But did you also know that some holistic practitioners suggest that a couple's most fertile time of day is between 3 p.m. and 7 p.m.

Bestiality

Though the term bestiality originally referred to a broad notion of earthy and often distasteful otherness, its meaning is nowadays confined to sexual relations between humans and nonhuman animals. Bestiality is also described as zoophilia, zooerasty, sodomy, and buggery. It can occur in a wide variety of social contexts, including adolescent sexual exploration, typically by young males in rural areas eroticism, a rare event where animals are the preferred sexual partner of humans cruelty, especially by young males or in cases of partner abuse and commercial exploitation, as in pornographic films or in live shows of women copulating with animals in bars or sex clubs. In some societies, such as in New England from the Puritan 1600s until the mid-19th century, bestiality was regarded with such alarm that even the very mention of it was condemned. It is thus also referred to as that unmentionable vice or a sin too fearful to be named or among Christians a crime not to be named....

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