Escape Painful Sexual Intercourse and Vaginal Spasm

Dyspareunia, which is painful or difficult sexual intercourse, and vaginismus, contraction of the opening (mouth) of the vagina, making entry of the penis extremely difficult or impossible, are almost always of psychoneurotic origin. A rape, or a repugnant husband might predispose a woman to these disorders. Other psychoneurotic causes include a religious or rigid upbringing that considered sex shameful, a fear of sex, a defense mechanism against pregnancy, extreme over anxiety to have children, prudery, a woman's counter reactive response to husband whose body odor, bad breath, callousness, or insensitivity is odious, an impotent or anxious husband who infects her with his troubles.

Several physical determinants induce this condition as well, such the improper insertion of a diaphragm or intrauterine device (IUD); a prolapsed uterus or ovary, the remains of a hymen, the results of bad abortion, a marked disproportion of penis and vagina, old vaginal tears and scarring from childbirth, presence of disease such infection, endometriosis, fibroid tumors, dryness of vaginal mucosa resulting from lack of hormones or of proper stimulation, smegma (an ill-smelling, white, cheese like substance found around the external genitalia), and a loss of vaginal elasticity after menopause. In addition, a simple ignorance of sexual anatomy and function may provoke either disorder.

The major symptom, which leads to irritation and pain, is a lack of lubrication (precoital fluid) that is normally produced when a woman is aroused, making entry of the penis smoother and easier for both partners. The precoital fluid also lowers the acidity of the vagina so that the sperm can survive. The classic symptom is, of course, failure to orgasm.

Physical causes should, of course, be corrected. If the disorder is due to ignorance or insensitivity, the only answer is frank discussion or family counseling. If the cause are psychoneurotic, marriage counseling or professional therapy is well advised, particularly if the disorder is long-standing.

In mild cases, soothing ointments, sitz baths, and use of mild lubricant are effective. Feminine hygiene, which includes cleanliness and being clean-smelling, is essential for good health and physical attractiveness. If the labia are inflamed they should be kept clean and dry.

In general, intercourse should be suspended until all scars, inflammations, and irritations are healed. See your doctor immediately you. Sex is for marriage people so can enjoy it well when you have a wife and not a girlfriend.Decision Points

Appropriate Preventive Measure To Avoid Snoring

Have you ever experienced annoyance posed by the sound changes of person snoring before? Can you imagine after stressful day's work if your partner will not allow you to sleep well because of his or her fearful snoring sounds. Snoring annoy to an extent that you will like to put trees into ears.

Snoring is due to vibration of the soft palate or elongated uvula, which is often caused by sleeping on the back with the mouth open and breathing partly through the nose. Any obstruction in the nose will increase likelihood of snoring. In Children, many cases of snoring are due to enlarged tonsils and adenoids. Adenoids are tonsil-like growth in the back of the nasal passage in the throat. Inflammation of the adenoids are called Adenoiditis.

Extremely obese persons and the elderly have a greater tendency to snore; it is also a common feature in drunkenness and in patients under anesthesia. Normally, snoring is harmless but annoying to the listener (subject is never aware of it).

If he is kept from lying on his or her back, he or she will stop. Snoring, however, is a grave symptom when the subject is in coma.

Brain injury: if the patient is unconscious and snoring this is a serious sign. There will usually be bleeding from the mouth, nose, or ears.

Nasal Polyps: polyps are soft, moist, grape-like growths hanging on stem in the mucous membrane of the nose. The cause is usually an allergy. Symptoms are obstruction, excessive nasal discharge, loss of smell, headache, occasionally snoring.

Adenoiditis: the adenoids situate in the back of the pharynx, near the nasal passages at the Eustachian tube. Extreme infection of the adenoids can cause otitis media, fluid collections in the middle ear, and hearing loss. Primary symptoms are breathing through the mouth, nasal speech, lowered mental ability. Antibiotics will relieve mild infections. Drinking or eating anything cold (ice cream) can bring about some relief. Repeated infections may indicate surgery. Gargling is useless.

Stroke: Snoring reflects severity of the stroke if the patient is in coma.

We can save our marriages and relationship if we will pay attention to prevent the way we snore. Try and keep your sleeping partner to sleep without any disturbance. Love your sleeping partner as yourself.

The Most Common Causes of Pulmonary Edema and Its Prevention

One should know what his or her problem is before looking for solution elsewhere. The physician’s inquiry is to know what the problem of the patient is and then go on to determine the degree of the problem. It is always better to at least know some about your own health. Doctors are able to help patients who have an idea about their condition faster than those who don’t know anything about their conditions. We must all endeavor to know a little about our health.
Pulmonary edema is the accumulation of tissue fluids in the lungs. It occurs in the way that edema occurs elsewhere in the body. Any factor that causes the pulmonary interstitial fluid pressure to rise from the negative range into the positive range will cause sudden filling of the pulmonary interstitial spaces and alveoli with large amount of free fluid. The following are the most common causes of pulmonary edema.
Left-sided heart failure or mitral valvular disease with consequent great increases in pulmonary venous pressure and pulmonary capillary pressure and flooding of the interstitial spaces and alveoli.
Damage to the pulmonary capillary membrane caused by infections such as pneumonia or by breathing noxious substances such as Chlorine gas or sulfur dioxide gas.
A unique cause is depression of cough reflex-people who don’t cough often or well and thus allow fluids to accumulate in the windpipe.
Each of these causes rapid leakage of both plasma proteins and fluid out of the capillaries and into both lung tissue spaces and alveoli.
Prevention: the answer is crystal clear, as the air in the lungs should be untainted with fumes. Normal coughing should not be suppressed because the body gets rid of harmful phlegm.
It is better to prevent than to cure. One can only prevent when he or she knows the cause. We should not leave everything in the hands of our physicians because we all involve in taking care of our health.

Ezine

Adequate Tips on Management of Rheumatoid Arthritis.

What is rheumatoid arthritis?
Rheumatoid arthritis (RA) is an autoimmune disease that causes chronic inflammation of the joints. Rheumatoid arthritis can also cause inflammation of the tissue around the joints, as well as in other organs in the body. Autoimmune diseases are illnesses that occur when
the body tissues are mistakenly attacked by its own immune system. Because it can affect multiple organs of the body, rheumatoid arthritis is referred to as a systemic illness and is sometimes called rheumatoid disease. While rheumatoid arthritis is a chronic illness,
meaning it can last for years, patients may experience long periods without symptoms. Typically, however, rheumatoid arthritis is a progressive illness that has the potential to cause joint destruction and functional disability.id arthritis (RA) is an autoimmune disease that causes chronic inflammation of the joints. Rheumatoid arthritis can also cause inflammation of the tissue around the joints, as well as in other organs in the body. Autoimmune diseases are illnesses that occur when the body tissues are mistakenly attacked by its own immune system. Because it can affect multiple organs of the body, rheumatoid arthritis is referred to as a systemic illness and is sometimes called rheumatoid disease. While rheumatoid arthritis is a chronic illness, meaning it can last for years, patients may experience long periods
without symptoms. Typically, however, rheumatoid arthritis is a progressive illness that has the potential to cause joint destruction and functional disability.
Who is at risk for rheumatoid arthritis?
Rheumatoid arthritis is a common rheumatic disease, affecting approximately 1.3 million people in the United States, according to current census data. The disease is three times more common in women as in men. It afflicts people of all races equally. The disease can begin at any age, but it most often starts after age 40 and before 60. In some families, multiple members can be affected, suggesting a genetic basis for the disorder.
What is juvenile rheumatoid arthritis?
Juvenile rheumatoid arthritis (JRA) is arthritis that causes joint inflammation and stiffness for more than six weeks in a child aged 16 or younger. It affects approximately 50,000 children in the United States. Inflammation causes redness, swelling, warmth, and soreness in the joints, although many children with JRA do not complain of joint pain. Any joint can be affected, and inflammation may limit the mobility of affected joints.
What is the difference between normal, healthy joints and arthritic joints?
A joint is where two bones meet to allow movement of body parts. Arthritis means joint inflammation. The joint inflammation of rheumatoid arthritis causes swelling, pain, stiffness, and redness in the joints. The inflammation of rheumatoid disease can also occur in tissues around the joints, such as the tendons, ligaments, and muscles. In some patients with rheumatoid arthritis, chronic inflammation leads to the destruction of the cartilage, bone, and ligaments, causing deformity of the joints. Damage to the joints can occur early in the disease and progress as the individual ages.
What causes rheumatoid arthritis?
The cause of rheumatoid arthritis is unknown. Even though infectious agents such as viruses, bacteria, and fungi have long been suspected, none has been proven as the cause. The cause of rheumatoid arthritis is a very active area of worldwide research. Some scientists believe that the tendency to develop rheumatoid arthritis may be genetically inherited. It is suspected that certain infections or factors in the environment might trigger the immune system to attack the body's own tissues; resulting in inflammation in various organs of the body such as the lungs or eyes. Environmental factors also seem to play some role in causing rheumatoid arthritis. Recently, scientists have reported that smoking tobacco increases the risk of developing rheumatoid arthritis.
What are the symptoms of rheumatoid arthritis?
When the disease is active, symptoms can include fatigue, lack of appetite, low-grade fever, muscle and joint aches, and stiffness. Muscle and joint stiffness are usually most notable in the morning and after periods of inactivity. Arthritis is common during disease flares. Also during flares, joints frequently become red, swollen, painful, and tender. This occurs because the lining tissue of the joint (synovium) becomes inflamed, resulting in the production of
excessive joint fluid (synovial fluid). The synovium also thickens with inflammation (synovitis). In rheumatoid arthritis, multiple joints are usually inflamed in a symmetrical pattern (both sides of the body affected). The small joints of both the hands and wrists are often involved. Simple tasks of daily living, such as turning door knobs and opening jars can
become difficult during flares. The small joints of the feet are also commonly involved. Chronic inflammation can cause damage to body tissues, cartilage, and bone. This leads to a loss of cartilage and erosion and weakness of the bones as well as the muscles, resulting in joint deformity, destruction, and loss of function.
Rheumatoid arthritis and inflammation of organs since rheumatoid arthritis is a systemic disease, its inflammation can affect organs and areas of the body other than the joints. Examples of other areas that may be affected include: Sjogren's syndrome is inflammation of the glands of the eyes and mouth and causes dryness of these areas.
Rheumatoid inflammation of the lung lining (pleuritis) causes chest pain with deep breathing or coughing. Tissue inflammation surrounding the heart, called pericarditis, can cause chest pain that typically changes in intensity when lying down or leaning forward. Rheumatoid disease can reduce the number of red blood cells (anemia) and white blood cells. Decreased white cells can be associated with an enlarged spleen (Felty's syndrome) and can increase the risk of infections. Firm lumps under the skin (rheumatoid nodules) can occur around the elbows and fingers where there is frequent pressure. A rare and serious complication is blood-vessel inflammation (vasculitis). Vasculitis can impair blood supply to tissues and lead to tissue death. This is most often initially visible as tiny black areas around the nail beds or as leg ulcers.
How is rheumatoid arthritis treated?
There is no known cure for rheumatoid arthritis. To date, the goal of treatment in rheumatoid arthritis is to reduce joint inflammation and pain, maximize joint function, and prevent joint destruction and deformity. Early medical intervention has been shown to be important in improving outcomes. Aggressive management can improve function, stop damage to joints as seen on X-rays, and prevent work disability. Optimal treatment for the disease involves a combination of
medications, rest, joint-strengthening exercises, joint protection, and patient (and family) education. Treatment is customized according to many factors such as disease activity, types of joints involved, general health, age, and patient occupation. Treatment is most successful when there is close cooperation between the doctor, patient, and family members.
What medications are used to treat rheumatoid arthritis?
Two classes of medications are used in treating rheumatoid arthritis: fast-acting "first-line drugs" and slow-acting "second-line drugs" (also referred to as disease-modifying antirheumatic drugs or DMARDs). The first-line drugs, such as aspirin and cortisone (corticosteroids), are used to reduce pain and inflammation. The slow-acting second-line drugs, such as gold (Solganal), methotrexate (Rheumatrex, Trexall), and hydroxychloroquine (Plaquenil) promote disease remission and prevent progressive joint destruction, but they are not antiinflammatory agents. Some newer "second-line" drugs for the treatment of rheumatoid arthritis include leflunomide (Arava) and the "biologic" medications etanercept (Enbrel), infliximab (Remicade), anakinra (Kineret), adalimumab (Humira), rituximab (Rituxan), and abatacept (Orencia).
Other treatments for rheumatoid arthritis. There is no special diet for rheumatoid arthritis. Fish oil may have anti-inflammatory beneficial effects, but so far this has only been shown in laboratory experiments studying inflammatory cells. Likewise, the benefits of cartilage preparations remain unproven. Symptomatic pain relief can often be achieved with oral acetaminophen (Tylenol and others) or over-the-counter (OTC) topical preparations, which are
rubbed into the skin. The areas of the body, other than the joints, that are affected by
rheumatoid inflammation are treated individually.
Sjogren's syndrome (described above, see symptoms) can be helped by
artificial tears and humidifying rooms in your home or office.
Medicated eye drops, cortisporine ophthalmic drops (Restasis), are
also available to help the dry eyes in those affected. Regular eye
check-ups and early antibiotic treatment for infection of the eyes are
important. Inflammation of the tendons (tendinitis), bursae (bursitis), and rheumatoid nodules can be injected with cortisone. Inflammation of the lining of the heart and/or lungs may require high doses of oral cortisone.
Why is rest and exercise important?
A balance of rest and exercise is important in treating rheumatoid arthritis. During flare-ups (worsening of joint inflammation), it is best to rest the joints that are inflamed. When joint inflammation is decreased, guided exercise programs are necessary to maintain flexibility of the joints and to strengthen the muscles that surround the joints. Range-of-motion exercises should be done regularly to maintain joint mobility. Swimming is particularly helpful because it allows exercise with minimal stress on the joints. Physical and occupational therapists are trained to provide specific exercise instructions and can offer splinting supports. For example, wrist and finger splints can be helpful in reducing inflammation and maintaining joint alignment. Devices, such as canes, toilet seat raisers, and jar grippers can assist daily living.Heat and cold applications can ease symptoms before and after exercise.
Never forget to see your Rheumatologist. Please don't wait until it is severe that only surgery is the way out.

Tips to Understand and Manage Your Menstruation Without Complications.

I can not imagine myself reading all sorts of romantic books but know little about my own self. I can only contribute very well to my health by studying more about my womanhood. Woman a sex gender created from man is a very complicated personality. The periodic structural and functional changes in the endometrium of uterus are collectively called menstrual cycle. Duration of menstrual cycle: 27 or 28 or 29 days. Duration differ from woman to woman.

The periodic shedding of blood and damaged tissue of endometrium per vagina is called Menstruation. The composition of the menstrual fluid is in two main phases. The first phase is during ovulation cycle and the second is during an-ovulation cycle.
During ovulatory cycle, menstrual fluid contains:
a) Un-clotted blood.
b) Un-fertilised ovum.
c) Tissue from spongy and compact layer.
d) Bacteria.
e) Cervical secretion.
f) Damages of capillaries.
g) Desquamated epithelial cell of vagina.
h) Certain enzymes and catabolised.
i) Prostaglandin.
During an-ovulation cycle: all the above except ovum.

Three phases of menstruation are proliferative or estrogen, secretory or pro-gestational and Menstrual or bleeding. The mechanism of menstruation is what confuses lots of women in our world. One can never understand what is happening he/she is giving the pattern that is why it is very important for all women including their husbands should know the mechanism of menstruation.

Mechanism of Menstruation; decrease of oestrogen and progesterone level due to degeneration of corpus luteum causes vasospastic changes in the endometrial blood vessels. Ischemic necrosis occurs in endometrium specially of blood vessels. Corpus luteum is a folded and collapsed new ovarian structure formed from the remaining portion of Graafian follicle after ovulation. Due to blood pressure blood forces out of the capillaries and collects at the sub-endothelial layer and forms a hematoma which ultimately passes into uterine cavity. It is a clotted blood. As it passes per vagina-plasmin or fibrinolysin acts upon it and the blood become liquefied.

The absence of these enzymes can prevent menstruation since the clotted will not be liquefied. If you miss your menstruation kindly contact your gynaecologist for medical advise. Try to avoid self medication because it will cause complications. Remember that the patient who sees the doctor on time saves his/her life best.

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Breast Milk Production - A Responsibility For Wives and Husbands

Breast milk is the best and safest way of the providing ideal food for the healthy developments of infants.

Knowing well how an object is formed helps you to understand well its usage. How Breast milk is produced is important to health professionals, women and husbands. Breast milk is produced as a result of the action of hormones and reflexes.

1. Hormonal action in breast milk production:

There are two main hormones which help to produce breast milk. They are known as prolactin and oxytocin. These two important hormones prolactin and oxytocin are secreted by a gland in the brain called the pituitary gland. During pregnancy, hormones prepare the gland tissue of the breast to produce milk.

Prolactin enables the breast to make milk and hence is called the secreting hormone. Prolactin also suppresses the activities of the ovaries thereby delaying the return of fertility and menstruation. This is the reason why exclusive breast feeding prevents pregnancy. More breast milk is produced by hormones during the night than the day so you must educate your client to breast feed at night to keep up a good supply of milk.

Oxytocin is also known as the milk-ejection hormone because it helps the milk to flow. Oxytocin makes the muscle cells around the milk- making glands of the breast to contract. The contraction increases the pressure of the milk inside the breast tissue. This pressure enables milk to be ejected or flow. The flow of milk is increased as the baby suckles the breast.

Oxytocin also contracts the womb to expel the placenta after delivery and also controls bleeding after placenta have been removed. A woman who has just delivered may feel this contraction as severe lower abdominal pain when she breast feeds her baby immediately after delivery. Reassure such a woman that it is normal and that it will last for a short period of time.

2. Mechanism of reflexes in producing breast milk:

Reflexes are the involuntary reaction to stimuli. For example when you step on a thorn or a sharp object you quickly remove your foot from the thorn or the sharp object before you become aware of what you have done. In this instance the thorn or the sharp object becomes a stimulus and the quick removal of your foot becomes a reflex action. Breast milk production is also a reflex action and as we provide a stimulus, breast milk production will continue. There are two main reflexes which help in breast milk production. These are milk secreting or prolactin reflex and oxytocin or milk ejection reflex.

As mention earlier, prolactin is a hormone produced by the anterior pituitary gland which is located in the brain. It causes tissue in the breast to secret milk. The nipple has nerve endings so anytime the baby suckles the breast it stimulates the nerve endings in the nipple. These nerves carry messages to the anterior part of the pituitary gland, which makes prolactin. This process of stimulation of the nipple to the secretion of the milk is called the milk secreting reflex or prolactin reflex. This reflex works better when the baby suckles.

The second reflex which helps in the flow of milk from the nipple is known as the oxytocin or the milk ejection reflex. To eject means to 'throw out' so milk ejection reflex is an action that enables milk to be released from the breast. Oxytocin is a hormone which is produced by the posterior pituitary gland in the brain. Its main function is to enable the muscle cells around the breast to contract. These contractions increase pressure on the milk production.

Other factors which help with the production of breast milk is suckling and regular removal of milk. It is very important for you to understand the effect of suckling on milk production. If the baby suckles more, the breast makes more milk.

A mother's thoughts, feelings and emotions affect the secretion and release of milk from the breast. If she thinks lovingly of her baby, or she hears the baby crying her pituitary may produce hormones, she may then feel the pressure in her breast and some milk may flow out. However, certain emotional disturbances can hinder the mother's production of milk.

This happens:

If she is worried or afraid for some reason.
If she is in pain-especially if the breast feeding is painful.
If she is embarrassed.

The above it can be realized that if a mother has good feelings and also is confident that she can breast feed, her milk flows well. This implies that a peaceful marriage leads to healthy baby development as result of a good breast milk production for the baby's nutrition. All husbands must know that the more they worry their wives the less they produce breast milk to feed their babies. Women need a peaceful homes and families to make breast milk for their babies. Breast milk, a food for our babies is the responsibility of all.

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