Archive for the 'Men’s Health-Erectile Dysfunction' Category
WHAT IS SYPHILIS?
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WHAT IS SYPHILIS?
It is a chronic, infectious, constitutional disease caused by treponema pallidum. Infection commonly enters through abrasion of the skin and mucous membrane.
What is primary syphilis?
After a period of 21 days following sexual contact the primary lesion of syphilis known as chancre appears. Lesion occurs on the genitals as a hard, rounded, dull red lesion with a button like feel. In the male ulcer is generally at the sides of the frenum. In the female the labia majora and minora or the cervix uteri may be the site while the vagina generally escapes. Lips, tongue and breasts may also develop such type of ulcers.
What is secondary syphilis?
Secondary syphilis, the stage of active dissemination is characterised by the appearance of lesions called syphilides. The syphilides may be macular, papular, vesicular, bullous, pustular or polymorphous. At the end of 45 days the early sore throat and first rash i.e. roseola appears. There is a hard painless enlargement of glands along with headache. Joint pain, mucous patches in the mouth and condylomata in anal region are seen.
What is tertiary syphilis?Tertiary lesions appear after four years or so and cause much deeper damage. These are of 2 types: nodular and gummatous. Gumma develops as a deep, subcutaneous, painless nodule. As the tumor slowly increases in size it becomes attached to the overlying skin which becomes purplish in colour. Ulcerative gumma is usually a large, single, deep punched out ulcer with a slough covered base and irregular edges.Can a new born suffer from congenital syphilis?Yes, if parents are suffering from active syphilis the new born may suffer from this dreadly disease. When the child is between one month and so a generalised dark red or copper coloured eruptions on face, buttocks and neck.*124\301\2*
read comments (0)MANAGEMENT – TREATMENT
Author: admin
The effective management of STDs has four components, namely treatment, counselling, follow-up and contact tracing.
The management of bacterial STDs is one field of medicine where there is
a substantial degree of standardisation of drug therapy. Single dose treatments are available for some STDs and are of particular use for patients unlikely to comply with daily regimens or to attend follow-up. Where specific treatment is available, a full course in accordance with an authoritative recommendation should be prescribed.
Antibiotic regimens in this handbook are representative of contemporary Australian practice. Other effective regimens are available. Whatever treatment is selected, the recommended dose, frequency and duration should be followed; it is essential that practitioners ensure full patient compliance, if necessary by close supervision.
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Another key to their success was their sex life. Both avow that it has remained vital up the the present:
“When Tom is at the office, he’s all business. He’s shrewd, stubborn, aggressive. But when he gets into bed with me, the little boy comes out. I mean, he can be strong and dominating in bed, but he can also be—well—infantile. He throws himself into the lovemaking with complete abandonment, the abandonment of a baby. From the moment he starts, he’s out of it. There’s no self-consciousness there, no intelligent life; he’s primitive. His abandonment carries me along with it, and it’s great.”
“Terry inspires me. I’ve never met a woman as inspiring as she is. When I look at her beautiful, calm, confident eyes, my hormones start doing somersaults, and I’m gone. I’ve never had any sexual problems with her—although I did with women I dated before I met her.”
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In this game, the husband and wife sit naked on a bed, facing one another. (Getting to this first step may be difficult in itself, of course, since the uninterested couple will be resistant to doing anything like this. However, it is hoped that one of them, having read this book, will be able to persuade the other by suggesting, “Try it—you might like it.”) Once they are seated on the bed, they take turns doing things to try to excite each other. This should be done like a scientific experiment— coolly, without emotion. (The emotion will come later.)
“Does this excite you?” the wife might ask, fondling the man’s genitals.
“Not really.”
“How about this?” She tickles his testicles. “Not really.”
“How about this?” She tickles his nipples and fondles his penis at the same time.
“Not really.”
“How about this?” She kisses him on one of his erogenous zones.
“Not really.”
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Emotional abuse most assuredly exists—but it is difficult to research, since it is often subtle in nature. Also, it is like a two-way street in that it affords equal passage to both genders. To say that one sex invariably does it in defense of being abused by the other is very much to say the chicken always comes before the egg. (Most wars begin with both sides claiming they
are merely defending themselves against the other side’s attack.) The breakdown of the family has been facilitated by this radical feminist concept that men are generally guilty and women generally innocent. Please notice that I emphasize that this is a radical feminist concept, not an “all-points” feminist concept. In fact, it is one that many moderate feminists are criticizing.
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Players: Husband and wife. Activist: Husband. Setting: Bedroom.
Aim: Melt wife’s anger by surprising her with an atypical, extremely romantic and erotic gesture.
Game Plan: This game is for couples in which the wife is ostensibly the angriest partner. She may, for example, be one of those types who is constantly enraged at her husband because she does not feel that he is ever truly tender or caring or sexually attentive—or because he is always working,
watching football, going out with the guys, and otherwise keeping her at an emotional distance.
“What’s this?”
“A little something to melt your heart.”
“It’ll take more than a few roses to make up for the years of pain you’ve caused me.”
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Meanwhile, the alcoholic will be stunned by this reversal and confused to see the crusader asking for forgiveness rather than preaching. This confusion is a good confusion that will lead to insight. Both the alcoholic and the crusader will be enabled to see the folly of their standard roles.
The fact that this reversal takes place in bed, during the middle of foreplay, adds an erotic emphasis to the proceedings. We are seldom more vulnerable than when we are in bed, naked and locked in sexual embrace:
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SYFLIS: TESTING RESULTS
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If a person tests positive, then standard practice calls for a second test to be performed to determine whether or not he or she is really infected with syphilis. This second test, called the treponemal antibody test or fluorescent treponemal antibody absorbed test (FTA-ABS), is very specific for syphilis and is intended to detect different antibodies than the tests described earlier. This test occasionally also shows up positive in a person who is not infected with syphilis, but this result is rare. Once a person has a positive FTA-ABS test from infection with syphilis, this test rarely reverts back to normal, even after successful treatment; it is therefore not a good test for monitoring whether or not treatment has been successful.
These tests can also be performed on body fluids other than blood, such as fluid from the spinal canal to determine whether the infection is affecting the neurological system (neurosyphilis).
If all the tests for syphilis are negative and the disease is still suspected, a blood test is usually repeated at about three months from the suspected date of infection; as already noted, it may take up to three months after infection to show a positive blood test.
All partners within the last three months (or possibly within the last year, for those with later stages of the disease) of persons infected with syphilis should be screened. Those who have had sexual contact with a person who is thought to be infectious are usually treated despite negative test results. Anyone diagnosed with syphilis is usually evaluated for other sexually transmitted infections, since the likelihood of infection with other STDs is high. Infants with syphilis are tested in the same ways in which adults are. Syphilis is reportable to the health department in most states, and there are anonymous partner-notification programs, so that persons who may have been infected can be called in for treatment.
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ALTERNATIVE APPROACHES TO HERPES MANAGEMENT
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Of the many nontraditional approaches to the management of herpes symptoms, some are effective, some are not, and many more have not yet been adequately studied. Most people find what works best for them by trying a variety of therapies, and many find that a combination of therapies is effective. Most of the following therapies work best as complementary medicine—that is, they should be used along with standard medical treatment. Be aware that there are no cures for herpes yet: Avoid anyone claiming to offer a cure. Do not pay a lot of money for a treatment whose safety and effectiveness have not yet been studied, especially if doing so means that you will not be able to afford antiviral medications, whose safety and effectiveness have been proven.
Here are several nontraditional approaches to the management of herpes that may help and that (based on all that we know) will not hurt:
Ice. Applying ice directly to the area of an outbreak may help to lessen the severity of symptoms and prevent an outbreak altogether if applied when prodrome or warning symptoms occur. Placing the ice in a plastic bag and then wrapping it in a thin towel may make this treatment more tolerable. It can be used for both oral and genital herpes.
Drying Agents. Agents that dry the skin, such as cornstarch and alcohol, may promote healing, because the drier the lesions are, the more quickly they will heal. However, alcohol may cause pain when it comes into contact with lesions. In addition, wearing loose cotton underwear can promote healing of genital lesions by allowing them to dry.
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STD GENITAL WARTS TREATMENT: IMIQUIMOD
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Imiquimod is a topical cream that has recently been approved for triggering the body’s own immune response in the treatment of external warts (it is not to be used for warts of the vagina, cervix, or inner anal area). It is less painful than some of the other treatments. Imiquimod is applied in a thin layer three times a week on alternating nights, at home, for up to sixteen weeks (though many people clear their warts in much less than sixteen weeks). It is washed off in the morning, six to ten hours after application. The advantages of this treatment, despite the sometimes lengthy treatment time, are that the recurrence rate is lower and that, like podofilox, it can be used at home. One study showed that it cleared the warts in 72 percent of women and 33 percent of men after use for sixteen weeks. Of those whose warts resolved, 72 percent remained wart free after three months. It is not to be used during pregnancy.
Imiquimod is an option for people who are traveling or who for any other reason cannot visit their health care provider for treatments. It is expensive (about $100 for a month’s supply) and should not be used with barrier methods of birth control, such as condoms and diaphragms, because it makes them more likely to break or leak. It can cause a dramatic redness of the skin as well as skin ulcerations, but there is usually less pain than with the other topical treatments.
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