<h1>Archives</h1>
    Diagnosis

    Why You Might Not Realize You Have an STD

    December 10, 2018

    There are several reasons why screening for sexually transmitted diseases (STDs) isn’t an infallible way to avoid STDs. That said, it is still one of the best things you can do to lessen your risk of acquiring an STD (together with practicing safe sex), even though it isn’t ideal.

    Part of taking responsibility for your sexual health is admitting that even if you do everything correctly, sexual action still has risks.

    Condoms and dental dams can neglect.  STD tests do not necessarily provide the entire picture. 

    Reasons Why You May Not Know You Have an STD

    You may think that if you come from your yearly doctor’s visit using a clean bill of health, you do not need to be worried about whether you have an STD. That’s a misconception that is dangerous, and here’s why:

    1. You may not have ever been tested.  A great deal of people think their doctor screens them for STDs as part of the annual exam. That is, regrettably, untrue. Many doctors don’t regularly screen their clients for STDs, even when practice guidelines state they should. The only way to be certain you’re getting tested for STDs would be to ask your doctor to test you and provide him or her a list of what you want to be tested for. Bear in mind, your fresh STD test results simply show that you’re most likely damaging for diseases you actually got tested for.
    2. You might have been tested too soon.  Some STD tests aren’t successful for a recently acquired infection. Recent studies have, as an example, revealed that the standard blood test for syphilis is unsuccessful at detecting early cases of this disease. The kinds of HIV tests and other STD tests which look for an antibody reaction rather than searching for the pathogen itself might be particularly susceptible to this issue. It takes time for an antibody response to develop.
    1. The evaluation gave an inaccurate outcome.  When designing a diagnostic test, there’s always a trade-off between sensitivity and specificity. Almost no test is going to be absolutely able to ascertain whether or not someone is infected. The ability of an STD evaluation to predict your wellbeing is dependent, in part, on the people that evaluation is being used in (see this example about the truth of herpes blood tests.) Most evaluations are made to be pretty good, and there are almost always ways to make their diagnoses more accurate. Both false positives and false negatives can be an issue. That problem you need to be worried about depends on the disorder in question and the evaluation that is used to discover it.
    1. You’re given the wrong test.  There isn’t always a ideal evaluation, but sometimes there’s a wrong one. As stated above, every diagnostic evaluation has trade-offs. There are often tests which are more or less accurate depending upon the circumstance as well as the population. The dilemma is that the best test isn’t always practical or available. Therefore, physicians will sometimes wind up needing to use a less precise method of identification.
    2. Your physician did not test for the STD you might have.  There are some diseases for which there aren’t any business tests, or for which doctors just don’t bother to test because the disease is rare or because it’s not likely to cause serious problems if it is left untreated. By way of instance, doctors don’t try for molluscum contagiosum because they assume that anyone infected will have signs and because a disease will usually run its course without any serious side effects.

      On the other hand, doctors are most likely unlikely to test for rectal chlamydia, rectal cancer, and other rectal STDs for different explanations. They might not offer the evaluations because of the relative rarity of those conditions or because they are uncomfortable asking the sexual background questions that would permit them to determine that you’re in danger. Even when reasonably accurate tests can be found, they don’t do any good if they are not being used.

      A Word in Verywell

      Regular STD screening is an important tool for reducing the likelihood you’ll have an undetected and untreated STD you could transmit to other people. However, it is important to remember that regular STD testing and consistently practicing safe sex doesn’t make sex a safe activity. Reduced risk, yes, but STD tests are not 100 percent effective and neither is safe sex. 

      With appropriate precautions, sex is a relatively low-risk method to experience pleasure and connection and show your affection for someone. That does not mean sex can’t have consequences. Part of being responsible for your sexual health is keeping these possible consequences in your mind.

      STD testing is a good tool for creating better decisions about what degrees of risk you find appropriate in any particular situation.

      Using the Pill

      Can Birth Control Pills Cause High Blood Pressure?

      December 10, 2018

      How Many Women Use the Pill?

      The pill is your number one birth control method utilized by girls ages 15-44. Four of five sexually experienced women have used the birth control pill — 26 percent of women in this age category also have high blood pressure. Is there some connection between the tablet and high blood pressure?

      Birth Control Pills and High Blood Pressure

      Birth control pills contain synthetic hormones.

      Combination birth control pills are created from estrogen and progestin. The mini-pill is a progestin-only contraceptive. These hormones are the reason that the pill works to prevent pregnancy — but sadly, they can also increase your risk for high blood pressure. Should you use the pill and are older than 35, heavy, and/or smoke, then you may be at even more risk. Birth control pills may increase your in blood pressure in slightly to potentially harmful. When using this pill, you may also have a slight increase in the risk of developing a blood clot. Sometimes, if your blood pressure gets too high while using the tablet computer, you might have to switch to some other birth control method.

      High Blood Pressure Risk Factors

      The danger of high blood pressure increases with your age. When women stop taking the pill, their blood pressure generally becomes diminished. But some research claims that birth control pills may lead to a small (yet significant) increase in diastolic pressure — and this can continue in elderly women who have been off the pill for ages.

      The actual risk of developing high blood pressure while using birth control pills isn’t known. It’s believed that the estrogen in the pill can activate the release of other hormones which can cause your blood pressure to rise. Progestin has also been shown to influence blood pressure but it does not seem to increase blood pressure to the same degree that estrogen does.

      We do know there are some risk factors which may also make it more probable that birth control pill usage will raise your blood pressure. These risk factors include:

      • A history of elevated blood pressure when you’re pregnant.
      • A family history of elevated blood pressure (especially in female relatives).
      • A history of heart issues or blood vessel issues.

      Could I Use the Pill when I Have High Stress?

      The answers to this question is yes and no. Before you begin using the pill, your doctor should conduct a thorough personal and family medical history (this should include paying attention to cardiovascular risk factors). It is very important that you’re honest with your physician in this time. It’s also advisable to have your blood pressure checked — that can establish a baseline measurement.

      Once you begin to use the tablet computer, you need to have your blood pressure checked frequently. If your blood pressure starts to rise while you’re using the pill, this doesn’t necessarily mean you need to quit taking the pill. If your blood pressure can be successfully handled (either through diet and exercise or medication), your physician will probably allow you to keep your pill use.

      If you do seem to develop high blood pressure after starting the pill, initially, your physician may decide to just track your blood pressure more often.

      Based on your symptoms (in case you have some ), other risk factors, and also the results of your own blood pressure checks, your Physician can:

      • Have you continue as ordinary — and keep you around precisely the same birth control pill.
      • Choose to change your prescription to a pill manufacturer that includes a lesser (or different form ) or progestin or into a pill manufacturer that does not contain any estrogen.
      • Have you quit using the pill and have you change to another birth control method.

      If you are worried about your pill use and higher blood pressure, then you are able to go over the risks of staying on hormonal birth control with your doctor. There is.

      Birth Control for High Blood Pressure

      Should you decide that you would like to stop taking the pill as a result of elevated blood pressure, there are other birth control methods that you can safely use.

      • It is possible to choose any over-the-counter process. These include: condoms, spermicide, the sponge, and female condoms.
      • There are also prescription choices which you may try. These include: a IUD (like hormone-free ParaGard) or a diaphragm. Your doctor might also be fine with you using a progestin-only method like Mirena IUD, Skyla IUD, Nexplanon, or Depo Provera.
      • If you know that you’re finished having children (or you don’t want to have any kids), it is also possible to safely research permanent techniques like tubal ligation or even Essure.
      Causes & Risk Factors

      What Are the Risks of Getting Oral Sex Performed by a Prostitute?

      December 10, 2018

      There are risks in paying a prostitute for oral sex. While unprotected fellatio is not the hardest sexual action, it’s still potentially insecure for any guy who receives it. And, it’s not just risky those who see prostitutes and other commercial sex workers.

      STD Risks Immediately With Oral Sex

      The risks of oral sex are numerous. Unprotected oral sex can spread many different STDs.

      Major risks for unprotected oral sex comprise herpes, syphilis, HPV, and gonorrhea. Very rarely, an unprotected blowjob may also result in HIV.

      Men who visit prostitutes in the developing world along with other high-risk areas tend to be particularly worried about contracting HIV. HIV may be transmitted through oral sex, although these cases are rare. The probability of contracting HIV is a lot higher during other types of intercourse. Still, as oral sex does comprise a chance of HIV, it’s almost always a good idea to use a condom during oral sex. That is particularly true with an untested partner or a partner who’s high-risk, such as a prostitute. Condoms are very effective at reducing HIV risk.

      Practicing Safe Oral Sex

      However, HIV is not the main reason people may want to consider using a condom when getting a blowjob. Bear in mind, HIV is not the only possible negative consequence of getting oral sex from a prostitute or other partner.

      Syphilis, gonorrhea, HPV, and herpes can also be transmitted during a blowjob. Just like HIV, practicing safe oral sex will reduce your risk. Cover your penis using a non-lubricated latex condom, or a plastic condom if you or your partner is allergic to latex. If doing oral sex on the anus or vagina, use a dental dam.

      However, condoms may not be 100 percent effective at preventing the diseases which can be spread in the skin to skin.

      Get Screened for STDs

      Under no circumstances should you simply wait to find out if you develop symptoms to ascertain whether your sexual encounter has exposed you to an STD. Most men with STDs never show any apparent symptoms. They could nevertheless suffer long-term health consequences or pass the infection onto their partners.

      Luckily, except for HPV, all the above diseases can be screened for using urine or blood testing. Nevertheless, it may take several months to be sure your results are dependable as it takes that long to your body to make the embryo the tests detect.

      There is not any practical method to measure your level of risk after you have gotten an unprotected blow job from a prostitute. The most accurate answer is it is likely that they have been exposed to and infected with one or more STDs. The only way to make sure is to have tested, and also you can not be certain you are negative if you are examined too soon for antibodies to possess grown.

      Men who have taken a danger need to should think about the chance they are putting their sexual partners at risk through future sexual encounters.

      Therefore, they ought to talk about their risk and practice safe sex so.

      Unpaid Sex May Not Be Safer

      Some commercial sex workers are consistent in practicing safer sex and undergoing routine testing. In fact, at the U.S. commercial sex workers might be better about those precautions than many people who simply have lots of sexual partners without getting paid.

      That’s why, if you don’t do your own homework, you need to assume every sex partner is potentially a source of risk. It doesn’t matter whether you’re paying them not. Someone who constantly has protected sex is probably going to be a decrease risk partner than someone who simply does so infrequently.

      If nothing else, always having safe sex demonstrates that they are aware of the dangers of sex. That’s especially true when they’re also engaging in routine testing.

      Uterine Conditions

      What Are Uterine Fibroids and What Causes Them to Grow?

      December 8, 2018

      What Are Fibroids?

      Fibroids are benign tumors or growths of your uterus. They are extremely common and more than half of girls (some reports say as high as 80 percent ) will have fibroids by age 50. That being said, not all fibroids are symptomatic.

      Another frequent medical term for uterine fibroids is leiomyoma or simply myoma. A favorite slang term for fibroids is”fireballs”, which you may see is actually a really great description of everything fibroids seem like along with the symptoms they can cause.

      As I am sure you understand your uterus has yet another important role in your body and that is to allow you to carry a pregnancy.  The lining of the uterus or endometrium changes to support the developing embryo while the walls of the uterus develops to accommodate the developing embryo and contracts in the onset of labor. The wall of the uterus can do these things as it is a muscle and that is what muscle does, expand and contract.

      Knowing your uterus is a muscle is important because uterine fibroids are tumors made up of muscle fibers. We do not know just what causes fibroids to grow but we do know that they come out of a single smooth muscle cell.  What this signifies is that there’s some cause or triggers (still unknown to investigators ) that cause one smooth muscle cell in your uterus to replicate and generate a tumor or growth.

      These altered smooth muscle fibers grow upon themselves producing a round mass using a whirled appearance.

      In reality, in the event that you cut open a uterine fibroid it appears that the inside of a baseballmatch.

      What Causes Fibroids?

      As just mentioned, the precise cause of fibroids is unknown.

      We do know that hormones and genetic factors likely play a role in the development of fibroids.   Probably ecological factors contribute as well.

      We’re beginning to understand the effect of environmental toxins in our reproductive health and exposure to estrogen disrupting chemicals may contribute to the development of the tumors too.

      We also know There Are certain factors which increase your risk of developing uterine fibroids including:

      • Age: Fibroids are common between the ages of 40-50. They are rare before age 20. Fibroids will shrink after menopause.
      • Hurry: Fibroids are considerably more common in Black ladies. Again the reason why is not known. Besides occurring more often, they frequently develop quicker. Also, Black women may present with symptoms sooner often around age 30.
      • Fat: Fibroids are 2-3 times more likely in women that are obese
      • Family History: You are at an elevated risk of developing fibroids when other women in your family have or have had fibroids.
      • Parity: There’s an association between never being pregnant and developing fibroids

      Kinds of Fibroids

      There’s only one”type” of fibroid but fibroids are further classified based on their location. Your healthcare provider may have employed these terms:

      • Subserosal– The fibroid is at the outermost aspect of the uterine wall and distorts the shape of the uterus
      • Pedunculated– The fibroid developed in the outer wall of the uterus but has grown away from the uterus and is directly connected to the uterus by a stalk
      • Intramural– The fibroid is located in the wall of the uterus it usually doesn’t distort the shape of the uterus
      • Transmural– The fibroid extends through the whole wall of the uterus and probably distorts the shape of the uterus
      • Submucosal– The fibroid developed at the innermost part of the uterus and develops to the lining of the uterus. This sort of fibroid distorts the interior of the uterus or thoracic cavity.
      • Parasitic– An uncommon kind of fibroid. It happens when a fibroid that developed in the uterus detaches itself from the wall of the uterus and attaches someplace else in your body.

        The size and location of your fibroids will impact the symptoms you could be experiencing.

        A Word From Verywell

        It is likely that you were diagnosed with fibroids as you complained to your doctor about pelvic pain or heavy periods. But, it is also likely that you’re diagnosed with fibroids at a regular doctor’s visit and are getting no symptoms at all. In any event, make sure you go over any questions or concerns you have with your physician so you can reside verywell with uterine fibroids.

        Talking About Birth Control

        The Way to Prevent Pregnancy With the Right Contraceptive Choices

        December 7, 2018

        Several factors come into play when deciding which method of birth control is best for you to prevent pregnancy. Your overall health, age, the frequency of sexual intercourse, the number of partners you have, and if you desire to have children later on should be considered before settling upon a birth control technique.

        The Pill

        The pill is the first contraceptive that most girls think of when contemplating birth control.

        Today the pill is available as combined oral contraceptives (COC) which contain both estrogen and progestin or in progestin-only tablets (POP).

        COCs function by suppressing ovulation and may make periods more regular. According to an FDA Consumer file, they also supply a protective effect against pelvic inflammatory disease (PID) in addition to ovarian and endometrial cancers. These pills are considered safe for most women, however, women who smoke and are over 35 or that have a significant family history of heart disease shouldn’t use oral contraceptives because of an increased risk of cardiovascular disease.

        Girls with a medical history of blood clots or breast or endometrial cancers also shouldn’t use combined oral contraceptives. Potential side effects which may subside after a couple of months include nausea, headache, breast tenderness, weight gain, irregular bleeding, and depression.

        POPs work by lowering and thickening the cervical mucus to prevent sperm from reaching the egg and by maintaining the uterine lining from thickening to prevent implantation of a fertilized egg.

        Because these pills contain no estrogen the risk of blood clots isn’t present as with the combined oral contraceptives.

        This type of birth control pill is a good alternative for women who cannot take estrogen as they are breastfeeding or because of headaches or high blood pressure issues associated with estrogen.

        The progestin-only pill may cause menstrual changes, weight gain, and breast tenderness.

        Injectable Progestins

        Pregnancy could be prevented up to three months by injection of Depo-Provera. Depo-Provera prevents pregnancy by inhibiting ovulation, changing the cervical mucus to prevent sperm from reaching an egg and by changing the uterine lining so that a fertilized egg will be not able to implant.

        This way is extremely powerful since all that is required of a woman would be to come back to her healthcare provider to get a shot every three months. Benefits and side effects of Depo-Provera are much like those of progestin-only pills.

        Intrauterine Devices (IUD)

        The IUD has undergone some bad publicity in the past as soon as the Dalkon Shield was associated with a high incidence of pelvic infections, infertility, and some deaths. However, today’s IUDs have among the lowest failure rates of any contraceptive method.

        An IUD is a T-shaped device that is inserted into the uterus with a healthcare professional. There are two types of IUD accessible, the Paragard T 380A, that protects against pregnancy for ten decades, and the Progestasert Progesterone T, that must be replaced each year. The IUD is an appropriate choice for those in longterm monogamous relationships that aren’t at high risk for sexually transmitted diseases or illnesses.

        The Sponge

        The sponge works by releasing aloe vera within the vaginal mucus while the sponge creates a barrier to kill or immobilize sperm before it can get to the cervix and also enter the uterus. The sponge may be inserted several hours before intercourse and may be left up to 12 hours after sex.

        It doesn’t need to be replaced if sexual intercourse is repeated. Women that are allergic to nonoxynol-9 or who have had toxic shock syndrome shouldn’t use the sponge. 

        Diaphragm

        The diaphragm is available by prescription and is sized by a health care professional to ensure a proper fit. The diaphragm works by covering the cervix using a dome-shaped rubber disk with a flexible rim to stop sperm from getting into the uterus.

        A spermicide is placed on the diaphragm before insertion to kill sperm.

        The diaphragm could be left in position for half an hour. For repeated sexual intercourse or intercourse after six hours, then spermicide should be inserted into the vagina while the diaphragm remains set up. Diaphragms should not be left in for more than 24 hours due to the danger of toxic shock syndrome (TSS).

        Cervical Cap

        The cervical cap is very similar to the diaphragm. It is a soft rubber cup with a rounded rim and can be sized to match with a healthcare professional, closely around the cervix. Like the diaphragm, spermicide is required using the cervical cap.

        It protects against pregnancy for 48 hours and for multiple acts of sexual intercourse in this time period. Prolonged use (over 48 hours) can raise the risk of TSS and may produce a foul odor or release.

        Vaginal Spermicides

        Vaginal spermicides are available over the counter in the kind of cream, jelly, foam, film, vaginal suppository or tablets. These products contain a sperm-killing compound. There is a debate about the efficacy of using vaginal spermicides alone but it is thought that they have a failure rate of approximately 21 per cent per year.

        Women who choose this technique of contraceptive ought to be sure to follow the package directions exactly, as every item differs. Permit the spermicide to stay in the vagina for six to eight hours following intercourse and do not douche or rinse the vagina during this time to ensure that all sperm are killed.

        Becoming aware of your fertility is just another method of reducing your chances of becoming pregnant.  Natural family planning is the only method accepted by several religions and it takes intense attention and an extremely motivated couple for it to succeed. It operates by not having sexual intercourse on the days when you are most likely to ovulate. These methods estimate a female’s fertility based upon changes in the cervical mucus or changes in your body temperature.

        Withdrawal

        The effectiveness of withdrawal depends on the man’s capacity to withdraw his penis from the vagina before he ejaculates. This method does not ensure that pre-ejaculatory semen has not been discharged into the vagina and doesn’t provide protection from AIDS, sexually transmitted diseases or illnesses.

        Lactational Amenorrhoea Method (LAM)

        Women who are breastfeeding exclusively may be protected against pregnancy for up to six months following the birth when her period has not returned. This method is extremely effective when used correctly.

        LAM works by preventing an egg from being released from the gut. Once you start to feed your infant food other than breast milk or whenever your period returns, you need to pick another means of birth control.

        Surgical Sterilization

        When you are sure that your pregnancy days are over for good, sterilization is an option that might be considered.  Either partner may select surgical sterilization–tubal ligation for the girl, or vasectomy for your male.

        It is important that you do not consider this a temporary way of contraception which may be reversed if you change your mind. Sterilization reversal is major surgery that is frequently ineffective.

        Emergency Contraception

        Emergency contraception works by preventing pregnancy in a few hours or days of unprotected sex. Methods employed for emergency contraception include combined oral contraceptives, progestin-only tablets, and insertion of an IUD.

        When Unplanned Pregnancy Occurs

        When birth control methods are practiced reliably, many methods of contraception are highly effective against an unplanned pregnancy happening. However, sometimes other aspects come in to play and contraception will neglect.

        If you find yourself faced with an unplanned pregnancy you will need to make a decision about how you are going to proceed. Are you going to choose abortion, parenting or adoption? It is a decision that nobody can make for you and one which you will have to live with for the rest of your life. Be sure to select what feels right for you, and don’t let yourself be influenced by others’ feelings.

        An Important Message About Condoms

        Condoms should always be used, in addition to some other birth control methods, by anyone who’s not in a long-term monogamous relationship. Care should be taken to not use oil-based lubricants (petroleum jelly, lotions, or baby oil) with latex or lambskin condoms, because they may weaken the material.

        Women today have the option of utilizing the traditional male condom or using the female condom. The Truth ® condom is approved by the FDA and can be shaped similar to the male condom.

        The closed end has a flexible ring that’s inserted into the vagina, up to eight hours before sexual intercourse, while the open end remains partially outside the vagina. The female condom should never be used at precisely the exact same time your partner is using a male condom.

        Condoms, whether female or male, are meant for one-time use and should never be reused. In case the cost of condoms is an issue for you, visit the regional family planning practice. Many family planning clinics will happily provide you as many condoms as you want.

        Do Not Be Fooled

        Perhaps you have heard that you cannot get pregnant on your period or if you don’t have a climax or if your partner pulls out before ejaculation. This isn’t correct! Maybe someone has told you that douching will wash away the sperm before pregnancy can occur. Not only does douching not function to avoid pregnancy, it can also lead to pelvic inflammatory disease and increase your risk of other STDs and ailments. 

        Don’t be fooled–the only 100 percent effective method of preventing pregnancy is abstinence.

        Using the Pill

        What To Do If You Forgot to Take Your Birth Control Pill

        December 5, 2018

        While the birth control pill has an extremely higher rate of success, in many instances where it does neglect, it’s almost always due to user error. In reality, being 12 hours late in taking your birth control pill increases your odds of becoming pregnant.

        If you miss some of the first 21 pills on your package you want to use another birth control method, such as a condom, for another seven days.

        Less Than 24 Hours

        If you are less than 24 hours late taking your birth control pill, take your pill immediately and then restart your usual pill schedule. But should you remember to take your pill the following day and realize that you forgot it the day before, take both pills at the same moment.

        Never take more than two pills in 1 day, unless directed to do so by your healthcare provider.

        Over 24 Hours

        If it’s been over 24 hours since you took your last birth control pill, then take the last pill you missed and take the next tablet as scheduled. If you’ve missed more than one pill, throw off the ones you missed and take the rest of your oral contraceptive package as scheduled.

        Throughout the Third Week

        In the event you forget to take a birth control pill throughout the next week of your package, complete each of the oral contraceptives on your package and bypass the previous seven (non-hormonal) pills. Instead of taking those past seven tablets, instantly start a new birth control pill package, knowing you could not have another period till you’re finished with this new bundle.

        Use another method of birth control until you’ve taken 7 tablets from the brand new oral contraceptive bundle.

        Using Alternative Methods

        As stated above, you need to use a condom for seven days after you’ve missed a pill. And if you’ve missed two or more pills in one cycle, then you need to use a condom for the rest of your cycle, until you end up back on track.

        Using a condom and spermicide with a diaphragm or cervical cap during your fertile period can also be a lifesaver. It’s been demonstrated to result in nearly 100 percent contraceptive success.

        It is also possible to call your doctor and ask for an emergency contraceptive if you understand you’ve had unprotected intercourse. You have 72 hours after unprotected intercourse for emergency contraceptives to work.

        Reproductive Health Issues

        How Soon Can I Have Sex After a Vasectomy?

        December 4, 2018

        Vasectomy is a large step. For many guys, its purpose is to avoid impregnating a sexual partner–it makes sense to wonder how soon you’ll have sex after the procedure is complete. There are two reasons for waiting some time following a vasectomy to have sex. The first is you will have at least some pain after surgery, and it is a fantastic idea to give yourself time to cure.

        The next is that you won’t be instantaneously sterile.

        Wait a Week for Healing

        You can have sex when you think you are prepared, but most men will be too sore for a few days following a vasectomy. Plan on waiting a week to give your body time to heal and the swelling to diminish. Remember, too, that sex is vigorous exercise that engages all your muscles. Before saying”yes,” make sure you’re not too sore.

        If you’re eager to have intercourse straight away despite the risk of pregnancy, then you need to use an alternative means of contraception, like a condom. This will be crucial for birth control before it has been verified that there are no longer active sperm within your seminal fluid. You are able to get such verification via a semen analysis, but that may be weeks following operation. Meanwhile, strategy which birth control method you and your spouse wish to use.

        Post-Vasectomy Semen Analysis to Confirm Sterility

        Following a vasectomy, then your health care provider will want to run at least one post-vasectomy semen analysis to determine whether your semen includes sperm.

        The length of time it takes until there is not any longer any active sperm on your ejaculate can vary, even though it’s generally recommended that you wait for eight to 16 weeks. It is recommended you wait this long as, for the first 15 to 20 ejaculations you have after this process, there’ll continue to be active sperm within your system.

        Ask your physician when you need to come back. Doctors also often recommend that men require a sperm evaluation once a month for 3 months to make sure that sperm are no more present in their semen.

        As for the process of semen analysis, you’ll have to provide your doctor with a specimen of your semen by masturbating into a container supplied at your doctor’s office. You can masturbate to a cup at home, but your semen must be sent to the testing facility within 30 to 60 minutes of leaving the entire body, and have to be kept at body temperature.  It’s also advisable to prevent infertility for 24 to 72 hours before this test.

        This fluid will then be examined under a microscope to see whether there are any active sperm. The laboratory will be studying several variables as the technologist examines your semen, but the most essential factor is sperm motility. This describes is the motion of the sperm. This bit of the puzzle is the most important since sperm has to have the ability to travel so as to fertilize an egg.

        Vasectomies Success for Birth Control

        The majority of vasectomies are effective after the very first operation. Have patience, however. Whether you only went through the procedure, or whether your initial sperm analysis still shows active sperm, then you really do have other choices in the meantime.

        Sexual Health

        Should Viagra Be Available for Ladies?

        December 3, 2018

        Ever since its popularization in the early aughts, female erectile dysfunction (FSD) has been a firebrand issue, with drug companies and specific medical professionals (think the Berman sisters) heralding and deploying its own cause. All this interest makes sense; way back in 2005, the market for FSD merchandise was estimated at $1.7 billion.

        To date, there’s been no pill approved by the FDA for the treatment of FSD.

        However, believe me, no FDA approval is not for a lack of trying. To begin with, Pfizer attempted to demonstrate that its juggernaut drug Viagra could help with FSD. Secondly, in 2004, P&G attempted to sell the FDA on its testosterone patch, Intrinsa. The timing could not be worse. Fresh from the setback of Vioxx, a circumspect FDA cited concerns about Intrinsa’s clinical meaningfulness and security. Most recently–and to no avail–Sprout Pharmaceuticals tried to receive its own neurotransmitter-acting medication, flibanserin, approved.

        In an effort to provide a comprehensive review of proposed treatments for FSD, I’ve had to analyze three interventions directed toward this condition in 3 distinct articles.  This article examines Viagra’s usage by girls, a second article examines the testosterone patch, and a third article examines flibanserin. Naturally, despite P&G quitting its trials on Viagra in women in 2004, along with the FDA shut down Intrinsa the exact same year, some physicians still prescribe Viagra off-label and testosterone treatments for women with FSD.

        Flibanserin, however, has not yet been approved.

        How Does Viagra Work?

        Viagra is a phosphodiesterase type 5 (PDE5) inhibitor.which enriches the creation of guanosine monophosphate. Guanosine monophosphate relaxes smooth muscle tissues and vasodilates and increases blood flow to the genitals. As most of us know, in men, Viagra’s result is an erection.

        But, PDE5 is also expressed in smooth muscle of the vagina, clitoris, and labia resulting in vaginal engorgement and clitoris erection. It is believed that in girls with an organic cause of FSD, blood flow to the genitals is diminished.  On a related note, study proves that in some women with atherosclerosis, blood circulation to the genitals is diminished.

        Like all drugs, Viagra has adverse effects such as a headache, flushing, nausea, visual disturbance and so forth.  What’s more, individuals taking nitrates for the treatment of angina should prevent Viagra for fear of hypotension or dangerously low blood pressure.

        Female Sexual Dysfunction (FSD) Definitions

        Currently, any female usage of Viagra involves women with a particular kind of FSD known as female sexual interest/arousal disorder. This terminology is comparatively fresh and introduced in the DSM-5. Female sexual interest/arousal disorder could be defined as the following:

        • Distressing deficiency of (or much reduced) sexual interest and arousal sensations involving sexual fantasy. Sensual thoughts, interest in sex, physiological arousal, sex initiation etc;  
        • Lasting six or more months;
        • Not better clarified by other diseases or ailments;
        • Either lifelong or acquired;
        • Either generalized or situational;
        • Of moderate, moderate or severe severity.

        As is sometimes the case with an emerging field of research, sooner postings in definitions of sexual ailments obfuscated research results. Especially, earlier studies involving female sex drugs went with earlier terminology which divide problems with arousal and problems with desire into two different groups: female sexual arousal disorder and hypoactive sexual desire disorder respectively. 

        On a related note, other types of FSD contain female orgasmic disorder, genito-pelvic pain/penetration disorder, and substance/medication-induced erectile dysfunction.

        (Evidently, the DSM loves slashes.)

        Research on Viagra in Women

        The most obvious research that indicates Viagra may benefit women with FSD was done by Dr. Jennifer Berman, a sex and relationship therapist, and Dr. Laura Berman, a sexual health expert and urologist, while they were in academia. Outcomes from their findings suggest that Viagra may enhance sexual function in women with arousal problems but not girls with want issues. Additionally, the results of this study were burdened by the heavy placebo effect.  

        It should be said that the Berman sisters definitely have their critics such as Dr. Heather Hartley, a”people” and medical sociologist and women’s health advocate who famously contested the medicalization of sex. Regrettably, Hartley died at age 39. (Hartley’s has been a life cut short.)

        In a 2006 article titled”The’Pinking’ of Viagra,” Hartley heavily criticizes the Berman sisters. She criticizes the sisters as”adept at using media to advertise their own industry.” Hartley also criticizes the Bermans’ marked taste for medicine over therapy. Moreover, she claimed that the Berman sisters'”continued insistence on prescribing Viagra and other’male’ sex drugs off-label for women illustrates the departure from a science-based clinic along with the embrace of a Viagra culture”

        Lately, Hartley also paints a picture of the Berman sisters as opportunists charging exorbitant costs in their exceptionally commercial practices. Hartley claims that the Bermans’ success is fueled with a combined media perspicacity intent on nurturing”a sense of familiarity with their viewing public, as evidenced, for instance, by the link in their website to a’medically explicit’ movie of Jennifer’s elective cesarean birth, complete with her personal descriptions of her recovery procedure.”

        In recent years, the Berman sisters have enjoyed a ubiquitous media presence. Presently, Jennifer Berman is one of The Physicians , and Laura Berman is tight with Oprah and  Dr. Oz.

        With the notable exception of the Berman study, other studies show Viagra to be ineffective in treating arousal and desire issues. For instance, one randomized-control trial conducted by Basson and colleagues revealed that Viagra caused no substantial changes in bodily response during sexual activity in both premenopausal and postmenopausal women. Another study demonstrated that because of a lesser concentration of PDE5 from the vagina and clitoris as compared with the manhood, the effect of Viagra is reduced in women.

        In the event that you or a loved one suffer from female sexual interest/arousal disease according to the DSM-5, you may be thinking about whether to take Viagra. With respect to the particular concern, I give you the conclusion of a 2014 commentary by Lo Monte and colleagues in the journal Drug Design, Development and Therapy:

        “FSAD [female sexual interest/arousal disease ] is a intricate disorder, whose underlying cause is difficult to diagnose.  Preliminary evaluation of the sexual, psychological, and medical history is mandatory to exclude possible systemic diseases and also to identify the type of FSAD.  Generalists should pursue a worldwide strategy to the patient with sexual problems, while non-hormonal treatment like PDE5 inhibitors (eg, sildenafil citrate) [Viagra] should be kept as a last option.”

        In other words, you may want to consider Viagra just as a last-line treatment after an intensive and multifactorial overview of your feminine sexual interest/arousal disorder by a primary care physician [or expert ].

        PMS & PMDD

        The Benefits of Hormonal Birth Control for PMDD

        December 3, 2018

        If you have premenstrual dysphoric disorder (PMDD), then you might want to consider looking into hormonal birth control to help fight the unwanted side effects. Although selective serotonin reuptake inhibitors (SSRIs) are considered the first line of therapy for PMDD, lots of women do not wish to take them would prefer to combine their need for contraception with their dependence on relief in PMDD.

        Recognizing PMDD

        PMDD is a severe and relatively rare form of the common premenstrual syndrome (PMS), which influences around 75 percent of women. With PMS, you might experience a vast assortment of bodily and/or emotional symptoms around five to 11 days until your monthly menstrual cycle begins.

        The severe PMDD is a condition that adversely affects the psychological well-being, social interactions, and relationships of approximately 3 percent to 8% of women of reproductive age. Its primary features are anger, irritability, depression, and nervousness.  Hormonal birth control procedures, for example extended-cycle tablets, have been demonstrated to provide some relief and may function as a treatment for PMS in addition to PMDD.

        Treatment With Hormonal Contraception

        Hormonal contraception, like the Pill, is a remarkably popular contraceptive choice for a lot of women, however women using this type of birth control may not know about its own non-contraceptive advantages.

        Various hormonal imbalances have shown some ability to diminish PMDD symptoms, as well as provide some PMS relief.

        You may react differently to particular contraceptive methods; therefore, this advice is intended to be a general overview. Also, bear in mind that the chief reason to use hormonal birth control is to get contraception (to prevent an unintended pregnancy).

        Options

        If you and your physician are considering the non-contraceptive advantages of birth control for curing your PMDD, there are a range of hormonal methods to think about.

        Listed below is a listing of pharmaceutical birth control techniques Which Have Been demonstrated to be effective as treatment for PMDD as well as PMS:

        • Particular combination birth control pills may provide some relief for PMDD symptoms. In randomized controlled trials, the combination pills that have demonstrated the most improvement in PMDD symptoms are those using a combination of ethinyl estradiol and drospirenone (such as Yaz, Ocella, and Beyaz).  Yaz is the only birth control FDA-approved to treat PMDD.  These pills have been shown to offer relief from the physical and psychological PMDD symptoms, together with improvement in health-related quality of life. Furthermore, they decrease premenstrual mood corrosion in reproductive-aged women getting treatment for depression.
        • Blend birth control pills that contain levonorgestrel and ethinyl estradiol also have been shown to assist PMDD symptoms when taken regularly without the placebo.
        • Because extended-cycle pills can lower your number of periods to 4 times a year (Seasonique) or suppress ovulation altogether (Amythest) for the year, these pills can provide some PMDD and PMS relief.
        • Girls on cyclic hormonal contraception (21-day busy pills/7-day placebo) may experience premenstrual symptoms as well as pelvic pain, headaches, breast tenderness, and bloating throughout the hormone-free period. Extending the typical 21-day cycle of contraceptive pills was shown to reduce nasal congestion and headaches while improving general mood.
        • Because you have fewer periods when using them, protracted use of the contraceptive patch and the contraceptive ring may offer similar benefits as the extended-cycle pills. Notice: The Ortho Evra contraceptive patch was stopped in the USA. A generic form, Xulane, is available.
          Birth Control

          Pulling or withdrawal Method Out During Sex

          December 3, 2018

          Review

          Withdrawal (also known as pulling out) is the behavioural activity in which a guy pulls his penis from the vagina before he ejaculates during intercourse (this is the moment when semen starts to spurt from the penis). This form of contraception is regarded as a natural birth control process.

          Reliability

          The withdrawal method is not super reliable as a birth control method.

          This is because of a few explanations. When he is stimulated (and still inside the vagina), a guy actually ejects pre-ejaculate fluid. Even though pre-ejaculate fluid might just consist of a few drops, this fluid may still have at least 300,000 sperm inside — and it just takes ONE of those sperm to find and fertilize an egg). Plus, pulling out really relies on a person’s self-control. When he is at the”heat of the moment,” a man must have sufficient hands to pull out before he ejaculates. This can be extremely difficult. Ultimately, even when he pulls out and ejaculates from their vagina, sperm can still float. So even though this is rare, semen landing everywhere on the exterior of the vagina may still potentially cause pregnancy.​

          Advantages

          • Pulling out is secure and has no medical or hormonal side effects.
          • The withdrawal process doesn’t require a medical prescription.
          • A man can pull out as a way to avoid pregnancy when no additional birth control system is available.
          • Pulling out permits for sexual spontaneity.
          • Withdrawal doesn’t cost anything.
          • In case you have great self-control, expertise, and there is trust between spouses, pulling out can be used more reliably.

          Cons

          • The pull out method is not a fantastic contraceptive for men who ejaculate prematurely.
          • Necessitates expertise and a high level of self-control.
          • The withdrawal procedure isn’t recommended for sexually inexperienced guys or for teens.
          • Pulling out isn’t a reliable method for men who do not understand their own body’s sexual response. You ought to have the ability to realize and predict the moment when you’re reaching the point in your sexual excitement when ejaculation can no longer be stopped or postponed.

          Effectiveness

          The withdrawal method is 82% to 96 percent successful. This means that with perfect use, 4 out of every 100 women who’s spouse pulls out will become pregnant in one year. With average use, 18 out of every 100 women using the withdrawal method will become pregnant in 1 year.

          Men who have more expertise, self-control, and understand their own bodies will make using the withdrawal method more effective. Effectiveness may also be increased by peeing between ejaculations (prior to having sex ). The thinking behind that is that peeing can”wash” the cervix. This helps to decrease the amount of sperm on your pre-ejaculate fluid.

          Does Withdrawal Provide Any STD Protection?

          The withdrawal method does not protect you against sexually transmitted diseases.

          What Research Reveals

          The withdrawal method (pulling out)  is sometimes referred to because the birth control method that is far better than doing nothing whatsoever .

          However a 2009 article printed in the Contraception journal suggests that the withdrawal method ought to be referred to as a method that’s almost as effective as the male condom.

          The researchers of this article examined evidence from several studies. They arrived at the conclusion that withdrawal is virtually nearly as effective as condoms when it comes to preventing pregnancy. The efficacy rates of withdrawal seem to be very much like the perfect and typical-user prices for the male condom, which are just 2% (for ideal use) and 18 percent (for typical use).

          This article also explains that use of this withdrawal process may be underestimated.

          This Might Be because girls may be more likely to use withdrawal combined with another birth control method:

          • 31% of women reported current use of withdrawal as well as current condom use.
          • 19 percent stated that they use pulling out together with a hormonal contraceptive method.
          • 5 percent of women claim they now use the withdrawal process with normal family planning.

          It seems that among 18-30 year old ladies, roughly 21% use the pull out method regularly. Not many women said they utilize either pulling out or condoms independently. Sixty-eight percentage of users report that they used male condoms in the last month, and 42 percent of condom users also said that they were using the withdrawal method. It seems that girls may be more inclined to combine pulling out with another method — like using condoms in their more fertile days.

          The article suggests that the withdrawal method could possibly be an effective backup method for couples — particularly ones who suffer with other birth control methods… such as women who have trouble remembering to taking the pill regularly, and couples that do not consistently use condoms. As a result of this, the investigators indicate that individuals become more educated about the pull out method. Though the withdrawal process may be less effective as other birth control procedures, it is still substantially more effective than using no contraception. They recommend that doctors discuss the withdrawal process with their patients, so there’s more awareness of the being a”legitimate” contraceptive alternative for couples who will properly and reliably practice it.