male infertility- causes & treatment

Infertility is a serious problem & considered as social stigma in 3rd world countries like India. People don't understand that sexual relation between couple may be normal & infertility is due to other causes related to sperms & fallopian tube anomalies, etc. They just think that man is impotent.
1st one has to find out the cause.

Cause of male infertility -

1. Low sperm count
2. Poor quality of sperm - reduced motility, defective morphology, etc
You should get sperm count done & let me know. Get it done in a well reputed laboratory. Consult andrologist ( urologist specialized in male sexuality & infertility).
Follow following simple measures
1. Don't wear very tight & very dark underwears
2. Quit smoking, bear & alcohol. All these reduce sperm counts
3. Don't use very hot water for bath. Have bath with cold water
1, 2 & 3 can reduce sperm count.
Avoid stress in any form.
The doctor whom you have consulted has told you that you can have normal intercourse. This is good thing. You can read more at --

Sex Education - Erectile Dysfunction And Treatment


Sex-related-issues-solutions
Treatment of infertility takes a long time & needs evaluation of both. husband & wife. So don't be nervous otherwise this can affect your sex life also. Be patient. In spite of all tests reports showing normal values, 10% of couples remain infertile due to unknown reasons.

Read more -

Infertility

Headache- Causes & treatment

Headache is one of the most common symptoms reported. in medical practice. Every individual gets it at some time during life. From adults to old age, everybody gets it. Nowadays children are also getting headache. Let us try to know about it in detail.
Types of headache
1)Migraine – This is a very severe headache. It may or may not be preceded by ‘Aura”
Aura means –may see some figures,etc which indicate that he is going to get an attack.
It is called as “hemicranial headache’i.e. half-sided headache. It may be associated with vomiting, giddiness. After vomiting, patient may feel better. It is caused by changes in dimensions blood vessels in the brain.
Rx options-
1) NSAID-nonsteroidal anti-inflammatory drugs – for milder pain
2) ergot alkaloids- for acute attacks
3) calcium channel blockers like flunarizine- for prophylaxis of acute attacks. These will not help in relieving pain during acute attacks

2) Headache due to serious conditions like brain tumors-

3) Headache due to eye problems- can be due to
1) uncorrected refractive errors - Mainly hypermetropia (hyperopia)i.e "+" glass power
2) glaucoma especially acute attacks
3) keratitis
4) excessive eye strain - This is again due to uncorrected refractive errors, excessive use of computer

4) Tension ,Mental stress
5)Serious body diseases – septicemia, encephalitis, meningitis, vasculitis –giant cell or temporal arteritis
6) ENT conditions- deviated nasal septum , sinusitis, cold
Management
Talking to the patient, taking detail history, asking about causes of stress is important part of management. Referral to physician , ENT specialist is required depending on the case.
Routine tests like hemoglobin, blood cell counts,urine exam, check up for refractive errors are needed. In some cases CT scan brain is required. Headache which is long lasting, severe & not relieved by analgesics needs investigations.

Analgesics like- paracetamol, combiflam may help in relieving symptoms but they don’t cure the basic cause.

How to solve sex related problems & impotence?

Sex is an important part of our life & determines a person's mental health. A sexually satisfied person is generally mentally stable. Remember that sex is a skillful act. Practice makes one perfect

Causes of impotence in men & low sex desire in lady

. Psychological stress & anxiety
. Bad previous experience about sex -
Girl might have got raped, sexual abuse, molestation, etc or she might have been cheated in love affair
. Fear of sexually transmitted disease(STD)

Why foreplay is so important?

Both partners should like each other ( physically & emotionally) to have good sex. Initially get introduced to each others sex organs. Remember ladies like if partner cares & shows affection. Touch sex organs. Cuddling is important
Foreplay is the beginning of sexual intercourse. This is as important as warm-up before exercise. It should be done in a proper way & for adequate duration. Both partners should be comfortable, relaxed & stress-free. Before starting sex, wash genitals with soap. Ideally this should be done daily so that genitals will be clean. Pubic hair should be shaved / trimmed. Clean genitals attracts partner. Men should retract prepuce ( foreskin at tip of penis covering glans penis) & remove smegma ( accumulated secretions). This reduces risk of penile cancer. Circumsized men have low risk of penile cancer.
Start at the top ( lips- hot wet kisses, breast), then go down. Keep saying to yourself that you are going to have good stormy sex. If one thinks positive, he can do better sex. Don't distract yourself. Avoid phone calls, etc. Remember that sex starts at brain level & hormones, chemicals then make body work accordingly. Talk sexy with partner. Tell what you expect from him. Tell when you feel good, which part he should kiss, etc. This will excite partner. If you divert attention, you may lose erection

Precautions to take before kissing

. Before kissing, brush properly.
. Use tongue cleaner to clean tongue
. Use chlorhexidine, betadine mouthwash.
. Avoid smoking, alcohol drinking.
. Avoid eating garlic, onion as this can give foul smell to breath.
. Eat mint or scented souf
. One shouldn't have gingivitis as this can give foul smell to mouth. Use gum tone powder to strengthen gums.
Kissing & hugging are one of the best ways to express love. Never miss a chance to kiss partner. Its one of the best ways to express love. Kiss & hug conveys love signals (message). Kiss as long as you can. Mouth to mouth kisses, French kisses, kissing at thighs, neck, shoulders, below umbilicus are really exciting. After this, undress each other. Massage each others body using scented oil. Its very exciting & romantic
Then start oral sex. One can safely suck vagina & penis which is clean without fear of any sexually transmitted disease provided partner is reliable & healthy. If partner is a stranger, use condom for penis & vagina as risk of sexually transmitted disease exists with oral sex. This is due to minor cuts present in oral cavity. Oral sex can be made extremely pleasurable if both partner know how to do it. Lips, tongue should be used effectively for oral sex. A man should touch clitoris with tongue. Lady should suck penis & scrotum both

Precautions to take before handling sex organs

Breasts (nipples & areola) are very sensitive due to rich nerve supply. Handle female sex organs carefully. Remember that before touching breasts, your hands should be warm. Touching breasts can be painful especially during premenstrual period. Vulva & vagina are very sensitive due to rich nerve supply.
Same is true for man's genitalia. Testes are very sensitive & shouldn't be pulled forcefully. Penis fracture can occur during vigorous intercourse & it becomes emergency. Surgery may be needed. It can lead to penile curvatures & permanent impotence
Read more about premenstrual syndrome at-
Menstrual Cycle Problems- Premenstrual Syndrome -PMS – Causes, Symptoms & Treatment
Once these are stimulated, she will get good secretions. Vagina takes time to get wet. Once it gets wet, lady is yours. A good foreplay stimulates vaginal secretions as it has direct action on hypothalamus & pituitary. Vaginal secretions act as lubricants and thus lady will have less pain during actual penetration. Lesser the pain, more cooperative will be the lady, better will be her hip (pelvis) movements & she will achieve orgasm. If secretions are less, use gels. Xylocaine gel gives lubrication & reduces pain. Remember that 1st intercourse is very painful. So be patient & slow during honeymoon. If lady remembers this pain, she may develop vaginismus i.e. involuntary contraction of vagina even before penetration & sex becomes difficult. As time passes, vagina gets adjusted & pain reduces. If lady doesn't get adequate secretions, use vaginal gels for lubrication.
Remember that orgasm gives sexual satisfaction for lady. Ejaculation alone does not gives sexual satisfaction for lady. After intercourse & ejaculation, don't withdraw penis immediately. Let it be inside vagina for some time. She will feel better. Keep on kissing her neck & ear lobes
. Remember that penis size is not an important factor to satisfy a lady. Average penis gets sufficiently large after erection. Its the way how one performs the sex is important

What to do if sex becomes boring?

This may happen after a few years of marriage. Common reasons are-

1. Similar methods used during foreplay

2. Couple needs change of environment

3. Day to day life stress

4. Change perfumes. Have bath together with bath salts & essential oils. Everyone likes to hug a partner with good fragrance. Burn scented candles. This starts the fire in body
5. Change locations where you have sex. Change bedroom arrangement. Bedroom should be clean & neat
6. Have a bath together. Massage each other using good oils. Create good environment. Decorate bed with rose, jasmine flowers. Use nice color bedspreads & scented candles. Play good romantic music
Go for a tour. Take your wife to good hotels, picnic spots, etc. Everybody needs a change. Just don't make her sit inside house & kitchen. Take her for shopping. Buy lingerie for her. Give surprise gifts like dress, perfumes to her on birthdays, marriage anniversaries. Never forget her birthday, marriage anniversary. Remember that you should keep her happy & healthy. Enquire about her health, if she has any problem in house, at work place & help her to solve her problems
. Try changing positions during sexual intercourse. A lot of books are available. One can consult a sexologist. This will add spices to your sex life
. Discuss problems with partner. Lady shouldn't be shy. Ask her to be bold & take lead
. Play some games like playing cards, badminton together

Various positions during sexual intercourse are

. Missionary positions (man above lady)
. Doggy positions
. Lady above man-
This position stimulates clitoris in a better way & lady achieves orgasm.
. Don't try each & every position mentioned on internet. For these positions, body has to be very flexible

Sex Toys

. Various vibrators & stimulators are available to increase sensations during sex. These are useful in bringing variety & adding spice to sex life. Clean vibrators properly before using to avoid any infections
. Sexual fantasies are sometimes useful to get out of routine
. Masturbation
Self stimulation by girl herself is needed sometimes to achieve orgasm

What is orgasm?

Orgasm is the feeling of immense sexual sensations and pleasure. Read more about G spot, clitoral stimulation, etc

Issues related to condom

1. Nowadays variety of condoms are available- scented, dotted, ultrathin, extra-tight, etc. condom can be combined with spermicidal gels to decrease chances of pregnancy. condom can be combined with lubricant gels.
Condom does reduces sensations & sexual pleasure which one get during sexual intercourse. So many couples (especially newly married) don’t prefer condom. In such cases, couples can go for oral contraceptive pills. In a young lady who is newly married, oral contraceptive pills are very safe and reliable.

2. If you wear a condom; you get protected against sexually transmitted diseases ( STD’s) like syphilis, gonorrhoea, urethritis, trichomoniasis, candiasis. Condom will protect you unless and until it gets torn.

3. If condom gets torn, it loses the reliability about contraception for that particular time. In such case, the lady should take post-coital pill ( PCP). PCP is also known as emergency contraceptive (EC). PCP should be taken within 3 days of the sexual intercourse but preferably within 12 hours of sexual intercourse.

4. Various varieties of condom are available. Thin, ultrathin, etc. These are designed with the purpose of maintaining sexual sensations and pleasure.

5. condom can be used during oral sex
Don't be too aggressive while having sex. Handle your lady carefully. Sex organs are delicate. Don't compare yourself with porn movies in which penis is shown as very large with some photographic technique. Average size penis is sufficient to satisfy a lady

Kegel's exercises for delaying premature ejaculation

Kegel's exercises strengthen pubococcygeus muscle & pelvic floor muscles. This helps in delaying premature ejaculation in men & improving vaginal tightness in lady. If vagina is tight, it holds penis tightly & gives more pleasure to man
premature ejaculation is seen in about 50% of men some or the other time. Many a times, its due to anxiety & gets relieved with proper relaxation techniques. In some cases, medicines are needed
. Both partners should love each other & have mutual trust. This helps in reducing problems like impotence. Lady should feel emotionally closer to man. Don't be shy. Be bold & express your feelings
. Keep weight in control. Obese people have difficulty doing sex. They can't perform all positions.
. Be active. Do yoga which keeps body flexible

Health benefits of sex

. It burns a lot calories & helps in maintaining one's waistline smaller
. Sex reduces risk of heart attack
. Couple should have mutual trust & excellent understanding to solve sex related issues. Sex therapist consultation may be necessary in some cases
To avoid sex related problems, sex education should be included in school syllabus after 8th std. This will also help in reducing incidence of sexually transmitted diseases like syphilis, gonorrhea, etc. In most of the Indian families, parents don't talk about sex.
. Avoid getting over-weight. It will make sex difficult
Sex education is not included as a part of school curriculum in many countries. Actually it should be included after 8th standard syllabus. This will help in reducing teenage pregnancies, sexually transmitted diseases which occur as many teenagers are curious & do intercourse for enjoyment without knowing what will be the effects of it. For enjoyment, they may visit prostitutes, call girls & suffer from sexually transmitted diseases
Problems related to teenage sex
. Teenage is common in developed European countries. At the age of 12-13, sex organs are not fully developed & mature. Teenage pregnancies, abortions have become a major problem in developed European countries. It leads to socioeconomic burden on nation
. sexually transmitted diseases like chlamydia, gonorrhea, etc can affect male & female genital organs (fallopian tubes, epididymitis) & lead to infertility, etc.
. sexually transmitted diseases like syphilis causes genital ulcers on penis & vulva (female genitals). syphilis affects other organs also e.g. eye (choroiditis, uveitis, iritis), brain (nervous tissue).
. Teenagers see blue films due to curiosity & this leads to many misunderstandings about sex, size of sex organs, etc. Ignorance leads to all these problems. This can lead to problems in sex life like premature ejaculation, etc. Teenagers may think that penis size is smaller & use wrong techniques to enlarge penis size. Actually penis size has nothing to do with sexual satisfaction. Proper foreplay & methods of intercourse (positions, etc) will help one achieve orgasm
Sex shouldn’t be done casually. In developed European countries, parents do tell children about Sex education, physical changes occurring in body during puberty. In developing countries, parents don’t tell children about Sex education, physical changes occurring in body during puberty, etc. So in developing countries, Sex education must be included as a part of school curriculum. This will make parents job easier. Textbooks must include chapters about Sex education, physical changes occurring in body during puberty, sexually transmitted diseases, condoms, etc. Adolescent sexual health is very important. Healthy youngsters play an important role in nation's economy.
In developing countries, Sex is not considered as an important part of life. Parents rarely discuss it with children.
During orgasm, both men & women get excited & multiple waves of happiness pass throughout the body. Various chemicals are released in brain which make a person very happy. Adequate physical rest & stressfree mind are essential to have good intercourse & achieve orgasm with sexual satisfaction. Adequate physical rest & stressfree mind gives good long-lasting erection in men & produces good vaginal secretions in women. Stress leads to problems like premature ejaculation & frigility in women. Drugs like viagra provide long-lasting erection but these are needed for men who have some problem with erection due to aging or diabetes, atherosclerosis, etc. Generally these are not needed for young men
Studies have proven that people who have sex regularly live longer & have less chances of death due to heart attacks. This is due to following reasons-
1. Intercourse helps in burning a lot of calories & this prevents one from becoming obese (overweight).
2. Intercourse acts as a stress buster. Health experts & sexologists recommend to have intercourse at least once or twice a week after age of forty years depending on lifestyle & 2-3 times or more a week when person is less than 40 years
Physical fitness plays an important role in quality of intercourse. A couple who is active physically & does regular exercise will have flexible bodies & can perform better during intercourse than a couple who is not active physically. A couple with flexible bodies can try different positions during intercourse & will have better hip & waist movements. Different sex positions have been designed which help in achieving orgasm in men & women. Clitoris & G spot are supposed to play an important role in achieving orgasm in women. Men should know where Clitoris & G spot are located & how to stimulate these 2 sensitive areas in a woman's body
Physical fit Partners will not feel tired during intercourse. Regular exercise, swimming, jogging & even dancing helps in maintaining fitness. Excess fat reduces testosterone (male sex hormone).
obese (overweight) people who are above 50 years of age should be careful during intercourse. Vigorous intercourse can excite them too much & this can induce heart attacks. This happens due to excess stimulation of heart. People who already have history of heart attacks & chest pain should be extra careful & should avoid Vigorous intercourse. Some people with compromised heart function have died due to heart attacks during intercourse. Such people should avoid drugs like viagra which provide long-lasting erection & other aphrodisiac drugs (sexually stimulating drugs)
Couple who has healthy sexual relations generally has good overall relationship though exceptions do exist. Both partners should take efforts to understand each other's likes & dislikes as far as sex is concerned. This also applies to other aspects of life. This helps in developing a healthy relationship. Discussion between partners is very important. They should tell each other openly what they like during foreplay, etc.e.g. Lady may like if man touches breast or clitoris. So she should tell her man.




Certain foods stimulate one & increases sex desire. Such foods are-
. Avocado fruit - Shape of cut section of the fruit resembles vagina (female sex organ).
. Chocolates
. Ginseng in men
. Strawberry
. Pomegranate in men -
Pomegranate contains a lot of antioxidants & substances which improve blood flow to penis. This helps in achieving good erection
. Horny goat weed
. Tomato
. Banana- Its shape resembles that of penis

Breast cancer- Causes & prevention

Risk factors and doubts about for breast cancer

1. Family history of breast cancer in mother, sister

2. Ladies who don’t breastfed their children

3. Ladies who never have children ( nulliparous)

4. Oral contraceptive pills ( OCP) containing hormones slightly increases the risk of breast cancer. Ladies who have family history of breast cancer should be given low dose pills. The risk reduces again once the lady stops OCP.

5. Breast development is an interplay between hormones. Females are at more risk of breast cancer than males. This risk is approximately 100 times more.

6. A lady having breast cancer in one breast is more likely to develop it in another breast. She is also more likely to develop more tumors in the same breast. This has been proved by scientific research.

7. Fibroadenoma doesn’t increase the risk for breast cancer.

8. Early menarche and late menopause makes a lady more prone to get breast cancer.

This happens as the estrogen remains in circulation for more years.

What is tamoxifen?

Tamoxifen is a selective estrogen receptor modulator (SERM)

Tamoxifen is having antiestrogenic effects. So it is used to treat estrogen receptor-positive breast cancers.

How breast cancer in young women differs from breast cancer in old women?

Breast cancer in young women may advance faster.

Does estrogen has neuroprotective properties?

This is the topic of research.

Sex Education -Erectile Dysfunction Treatment

Erectile dysfunction

In this condition, male is unable to maintain “ Erectile function “ for a longer time & may lose erection before penetration in vagina.
. pomegranate juice improves erection. It contains antioxidants & improves blood supply to penis
. Detail sexual history & discussion with couple is very important & helps in solving the problems.
. Any prior bad sexual experience can affect one's performance in bed
. Mental, financial, physical stress can affect sex desire ( libido) & cause erection problems

. Fear, shyness will hamper one's performance in bed.
. Remember that couples who have better sex relations generally have better over all relations & understanding

Viagra - What is Viagra?

Viagra ( manufactured by Pfizer) is a drug used in male impotence. Males who have erectile dysfunction may get benefited with Viagra.
The Food and Drug Administration's approval of Viagra -- on March 27, 1998 -- was a landmark day in the history of sex.

This is a drug which has brought a lot of hope in lives of males with erectile dysfunction and is widely marketed in Western countries.

Sildenafil - adverse events

Investigators have suspected relationship between central serous chorioretinopathy (CSR / CSCR) and sildenafil ( Viagra) therapy.
This is important as sildenafil is used in young patients and CSR is also seen in young patients. So physician should be able to distinguish whether CSR is due to sildenafil (Viagra) therapy or some other cause.
If Ophthalmologists, physicians see patients with refractory CSC, they should consider recommending cessation of sildenafil therapy.

Read more about CSR at ---
Central-Serous-Retinopathy

In which conditions, Sildenafil generally should not be used?

A. Increased cardiac risk-
Investigators are studying the effects of Viagra on heart and cardiovascular system. In patients with cardiac diseases, there is an increased risk of getting heart attack associated with sexual activity. So any treatment for erectile dysfunction like Viagra, LEVITRA, generally should not be used. Some cardiac diseases like -
1. Left Ventricular Outflow Obstruction
2. Unstable angina .
3. Myocardial infarction (within the last 6 months). This is commonly known as “ heart attack” in layman’s language.
4. Cardiac arrhythmias


B. Recent history of stroke

Caution

1. Caution is advised when PDE5 inhibitors are prescribed with alpha-blockers.
Phosphodiesterase Type 5 (PDE5) inhibitors, including LEVITRA, and alpha-adrenergic blocking agents are both vasodilators with blood-pressure lowering effects. When vasodilators are used in combination, an additive effect on blood pressure may be anticipated.

2. Treatment for erectile dysfunction should generally be used with caution by patients with anatomical deformation of the penis (such as angulation, cavernosal fibrosis, or Peyronie’s disease) or by patients who have conditions that may predispose them to priapism (such as sickle cell anemia, multiple myeloma, or leukemia).

What is priapism?

Priapism means painful penile erections greater than 6 hours in duration .

What one should do if one gets priapism?

The patient should seek immediate medical assistance. If priapism is not treated immediately, penile tissue damage and permanent loss of potency may result.

Controversies related to Viagra

1. Pfizer even got warnings from FDA on “Viagra videos”. Read more in my next resource.

Success rate

93% of patients with mild to moderate erectile dysfunction (ED) had successful intercourses with completion in the 50-mg dose.

Drug-related adverse effects are mild to moderate

1. Headache in up to 23% of patients
2. Dyspepsia in up to 11%
3. Back pain in up to 4.7 %
4. Myalgia in up to 4 % mostly.

What is Vardenafil?

Vardenafil, a new selective phosphodiesterase type 5 inhibitor.

How is it available?

Vardenafil is available as Levitra ( brand name) 2.5 mg, 5 mg, 10 mg, and 20 mg tablet . It is an oral therapy for the treatment of erectile dysfunction.

Safety profile of Vardenafil?

No drug-related serious cardiovascular adverse events or color vision disturbances were encountered.

What are the advantages of Vardenafil?

1. Long half-life (>17 h),
2. Long duration of action, releases couples from the need to plan sexual activities and stress associated. It provides the highest amount of spontaneity for sexual activities.

When to take Vardenafil?

LEVITRA should be taken approximately 60 minutes before sexual activity. Patients should be counseled to report sudden loss of vision in one or both eyes. This may be due to non-arteritic anterior ischemic optic neuropathy (NAION) which is reported as a rare side effect. This is a condition which affects optic nerve blood supply..

Vardenafil adverse events

1. Headache (7-15%),
2. Flushing (10%)
3. Dyspepsia - 7%
4. Rhinitis 7%.
5. Single oral doses of phosphodiesterase inhibitors have demonstrated transient
6. Dose related impairment of color discrimination (blue/green).

Summary

Vardenafil treatment results in a high efficacy and low adverse-event profile

What precautions one should take?

Patients with Renal and Hepatic Insufficiency should take lower doses and inform their physician, sexologist.

Lower starting dose of LEVITRA (5 mg) in patients =65 years of age should be considered.

Which company produces LEVITRA?

“BAYER” pharma

Read more at -

Erectile dysfunction

Common causes of impotence are

. Diabetes ( as it affects nerves),

. Arteriosclerosis ( as it affects arteries and affects blood supply to genital organs)
Depression.

Some natural herbal sexual stimulants

. Ginseng-
Its used in Chinese medicines since long
. Tongkat ali-
It leads to increase testosterone production in body
. Amino acid arginine-
This is antioxidant & helps in erection due to increased blood flow in penis

Acne vulgaris, comedones, black heads, pimples

Acne vulgaris is a problem encountered by many adolescents.
common names-blackheads, pimples

Causes

1)This occurs due to hormonal changes.

2)sebaceous glands get blocked & oily secretions accumulate.

3)diet rich in fats & carbohydrates

4)stress-causes stimulation of adrenal gland & increased hormones

5)propionibacterium acnes-bacteria

Common sites -

on face, nose, upper chest & back

This is a annoying problem & takes longer time to get cured. Also recurrence is common.

Types Of Acne

Adult Acne

Acne fulminans (Too Much Testosterone Acne)

Acne rosacea

is a variant of acne.

Acne medicamentosa (Drug Induced Acne) - Acne brought on by medications. Common culprits include

Phenytoin (Dilantin) -This is a drug used in Rx of epilepsy ( fits)

Isoniazid - This is a drug used in Rx of TB Lithium

Lithium worsens acne vulgaris and can bring on acne in persons who have never experienced acne.
Bromides
Iodides
Androgens and corticosteroids.

Oral contraceptives

Premenstrual acne

Acne provoked by hormonal changes prior to menstruation

Do’s and Don’ts for Acne

Avoid high carbohydrate diet, excess of coffee, chocolates and junk food

Why And How Acne Form?

Within every hair follicle there are sebaceous glands. These glands produce an oil called as sebum

What is rhe function of sebum?

Its function is to oil the hair shaft and to spread out over the top of the skin, It maintains skin healthy, soft, youthful and wrinkle free. The sex hormones are made from the same basic nutrients as is the oil made by the sebaceous glands. When there are not enough of these nutrients to do both, the production of sex hormones takes all the nutrients and the skin begins to suffer as the result of a poor quality of oil being produced by the sebaceous glands.The bacteria become trapped in the pores that are clogged with the thick and sticky oil.

Acne And Menstrual Period

Most women find acne gets a lot worse in the week before their menstrual period.
Pre-Menstrual Syndrome( PMS) - Studies have demonstrated a link between the skin’s pore size and the menstrual cycle. For example, the study showed that the skin’s pores are smallest in days 15 to 20 of a 28-day menstrual cycle. Facial oil secretion increased in days 21 to 26 of the cycle If diet is supplemented with 50 mg of Pyridoxine (Vitamin B-6) each day, it eliminated this pre-menstrual flare up of symptoms. When Vitamin E is low, glutathione peroxidase in the skin drops to a low level. This means there is a loss of effective prostaglandin regulation of skin cells that resulted in an increase of acne.

What Is The Role Of Diet?

“What you are eating and drinking today, is determining what the state of your health will be ten years from now!”

The modern teenage diet which is not correct as far as proportion of fat, protein and carbohydrate is considered. The diet of the teen consists of excess simple carbohydrates and junk food.

Psychological Effects Of Acne - Self Esteem Suffers When Acne Is Present

Acne is considered as a cosmetic blemish.Many teenagers feel inferior and develop inferiority complex. They are unable to concentrate in studies and career. They should be counseled and told that this is a common condition and many adolescents get affected.

Rx methods include

Good hygiene-

Cleansing lotions -

Washing face 2 times in a day is recommended and not 5-6 times.



Oral tetracyclines , minocycline

Creams -

Eyrthromycin and benzoyl peroxide cream /ointment

Tretinoin (vit A ointment )

Vit A and E supplements

Consultation with a skin specialist is must.

Role Of Macronutrients and Micronutrients (Vitamins And Minerals)

Several micro nutrients (vitamins and minerals) are important in preventing the development of acne. The most important is Vitamin A.

Why Vitamin A Is So Important?

Vitamin A is essential for the conversion of the fatty acids in the blood stream into the oil of the sebaceous gland in a form that is normal and healthy. In other words, oil that flows smoothly out of the glands and pores of the skin and provides a thin protective barrier over the skin.

Following vitamins and minerals are recommended for treating acne.

Vitamin A is to be taken in an amount in International Units that is 100 times greater than that of milligrams of Riboflavin. For example, 5000 IU of Vitamin A would need to be balanced by 50 mg. of Riboflavin.

Deficiency of Niacinamide - Taking it 200 mg 3 times a day is very important.

Zinc is absolutely essential for good skin health. 60 mg. Of zinc and 200 mg. of lipoic acid three times per day is recommended for treating acne.

50 mg of Pyridoxine (Vitamin B-6) each day

Magnesium -supplements of about 500 mg. of this mineral each day

1,000 mcg. per day of Chromium in the Picolinate form

Selenium - 400 mcg. per day as selenomethionine

Myths

Sun exposure helps acne. - Wrong. While small amounts of sun exposure may initially improve acne, continuous sunbathing often increases plugging of the pores.

Face Hygiene techniques

Moisturize your face in the morning and evening with natural oils. In addition to the acne fighting oils listed above, you can mix essential oils such as frankinsense, myrrh, neroli and rose to help encourage the growth of new skin cells. Massage your face daily when you apply your facial oil.

Many Rx options are available

1. oral tetracycline

2. local creams-
erythromycin,
tetracycline,
vit.A-tretinoin

3. Vitamin A & E supplements

4. Cleansing lotions

5. Oral vit A supplement
During healing it may leave scars behind & creates cosmetic problems.

Acne rosacea

is a variant of acne.

The natural way to get rid of acne is to eat a balanced diet full of fiber and green vegetables. Include spinach, fenugreek in your diet. This will give you relief from constipation & also gives you necessary vitamins and proteins which will keep your metabolism functioning properly and help regulate the hormones.
It is necessary to avoid milk fats, vegetable fats and animal fats. Fats will tend to block the escapes of glands further and make things worse. Avoid meats. Meats contain toxins which may elongate the problem.
Drink a lot of water. This will detoxify body by removing toxins and unwanted hormones from the body through urine and sweat and also reduce inflammation. Do your exercises regularly.

Consultation with a Dermatologist is essential

sex education for children

If children get sex education at proper age from proper people like parents,teachers or good books,they will not get wrong information from movies,bad books,etc. Otherwise children with their friends keep on seeing blue films or read some books which don't give proper sex education & misguide the children .