Monday, 29 February 2016

Prolapsed Uterus

Prolapsed Uterus:

Prolapsed uterus is the descent of the uterus from its normal position in the vagina. A prolapsed uterus refers to a collapsed uterus, or descended uterus, or other change in the position of the uterus in relation to the surrounding structures within the pelvis. The pelvis contains many soft tissue structures vital to normal body functions, supported primarily by the diaphragms, layers of muscles, fibrous coverings called fasciae, and various ligaments and tendons. These soft tissues of the pelvis derive their ultimate support from the bony pelvis.
Uterine prolapse produces a sensation of pelvic discomfort, aggravated in the upright position. Prolapsed uterus is also known as pelvic relaxation or pelvic floor hernia. This condition occurs more commonly in older women who have had multiple vaginal births; Prolapsed uterus is seen also in younger women recently delivered. Caucasian women are more commonly affected by uterine prolapse; African Americans and Asians are affected less often with prolapsed uterus.

Types of Prolapsed Uterus:
A prolapsed uterus or uterine prolapse may be of three types, depending on the severity:
First degree prolpase occurs when the uterus sags downward into the upper vagina.
Second degree prolapse occurs when the cervix is at or near the outside of the vagina.
Third degree proplase (sometimes referred to as total prolapse) occurs when the entire uterus extends outside the vagina.

Primary Causes Of Prolapsed Uterus:
Childbirth: May Injure supportive structures in the pelvis.
►Menopause: Causes estrogen levels to decrease. This drop in estrogen can cause the weakening of pelvic tissues.
►Conditions leading to increased pressure in the abdomen such as chronic cough (with Bronchitis and Asthma), Straining (with Constipation), Pelvic Tumors (Rare), or an accumulation of fluid in the abdomen. 
Obesity
Normal Aging 
Radical surgery in the pelvic area leading to loss of external support
Symptoms Of Prolapsed Uterus:
A Bulge in your vagina that ranges in size from quite small to very large.
Discomfort or pressure in your pelvis or vagina.
Difficulty having a bowel movement.
Trouble emptying your bladder.
Pain while intercourse.
Lower back pain.
Increased discomfort with long periods of standing.
Improved discomfort with lying down.
A feeling as if "Sitting On A Small Ball."

Other Conditions associated with prolapsed uterus:
►Cystocele:A Herniation (or Bulging) of the upper front vaginal wall where a part of bladder bulges into the vagina, which may lead to urinary frequency, urgency, retention, and Incontinence.
►Enterocele:The Herniation of the upper rear vaginal wall where a small bowel portion bulges into the vagina. Standing leads to a pulling sensation and backache and is relieved when you lie down.
►Rectocele:The Herniation of the lower rear vaginal wall where the rectum bulges into the vagina. This makes bowel movements difficult to the point that you may need to push on the inside of your vagina to Empty your bowel.

How Is Prolapsed Uterus Diagnosed?
A pelvic examination with the woman bearing down will show how far the uterus comes down. Uterine prolapse is mild when the cervix drops into the lower part of the vagina. Uterine prolapse is moderate when the cervix drops out of the vaginal opening.The pelvic exam may show protrusion of the bladder in and front wall of the vagina (cystocele) or rectum and back wall of the vagina (rectocele) into the vaginal space. The ovaries and bladder may also be positioned lower in the pelvis than usual.
Specific conditions, such as ureteral obstruction due to complete prolapse, may need an intravenous pyelogram (IVP) or renal sonography. Dye is injected into your vein, and a series of x-rays are taken to view its progre ss through your bladder.Ultrasound may be used to rule out other pelvic problems. In this test, a wand is passed over your abdomen or inserted into your vagina to create images with sound waves.

    Prevention Of Prolapsed Uterus:
    One Can strengthen the pelvic muscles by performing kegel exercises to avoid prolapsed uterus. It can be done by tightening pelvic muscles, as if trying to stop the flow of urine. This exercise strengthens the Pelvic Diaphragm and provides some support.
    Maintain a Healthy Weight
    Avoid beverages that contain caffeine they can increase the urge to Urinate.
    Do not lift heavy objects they can put pressure on your pelvic muscles.


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    Uterine Fibroids

     Uterine Fibroids:
    Uterine fibroids are noncancerous growths of the uterus that often appear during childbearing years. Also called leiomyomas or myomas, uterine fibroids aren't associated with an increased risk of uterine cancer and almost never develop into cancer.Uterine fibroids develop from the smooth muscular tissue of the uterus (myometrium). A single cell divides repeatedly, eventually creating a firm, rubbery mass distinct from nearby tissue. The growth patterns of uterine fibroids vary they may grow slowly or rapidly, or they may remain the same size. Some fibroids go through growth spurts, and some may shrink on their own. Many fibroids that have been present during pregnancy shrink or disappear after pregnancy, as the uterus goes back to a normal size.   
    Symptoms: 
    With fibroids you may have any of the following: 
    ►Able to palpate and feel hard masses in the abdomen. 
    ►Experience gas or bloating 
    ►Cold hands and/or feet 
    ►Cold body 
    ►Acne 
    ►Loose stools during the period due to the increased activity of the area 
    ►Heavy bleeding or thicker blood 
    ►Bright red or very dark colored menstrual blood 
    ►Menstrual blood clots 
    ►Cramping or painful menstruation 
    ►Headaches, dizziness, or fatigue 
    ►Irritability or depression   
    Causes: 
    Genetic changes:
    Many fibroids contain changes in genes that differ from those in normal uterine muscle cells. There's also some evidence that fibroids run in families and that identical twins are more likely to both have fibroids than no identical twins. 
    Hormones:
    Estrogen and progesterone, two hormones that stimulate development of the uterine lining during each menstrual cycle in preparation for pregnancy, appear to promote the growth of fibroids. Fibroids contain more estrogen and progesterone receptors than normal uterine muscle cells do. Fibroids tend to shrink after menopause due to a decrease in hormone production. 
    Other growth factors:
    Substances that help the body maintain tissues, such as insulin-like growth factor, may affect fibroid growth.   If you have been diagnosed with fibroids, you know that cells that create the smooth muscle (myometrium) of the uterus are also growing in other areas other than where it normally belongs.  This could be inside the uterus, inside the muscle tissue of the uterus or outside of your uterus.  The formed fibroids are a firm rubbery mass of cells which can grow fast or slow.  They can be as small as a grape or as large as a cantaloupe or anywhere in between.  Depending on where they are located and the size, fibroids do not usually interfere with becoming pregnant and can even disappear after pregnancy. If fibroids are present, Natural essential formula recognizes that there is a lack of communication or flow of energy in the lower abdominal area. This also applies to any condition that creates any type of blockage in the same region such as endometriosis, polyps, cysts, or other scar tissue. The goal here is to allow the body to relax and break down the tissue that is not supposed to be where it is growing.   
    What to do? 
    ►Learn what you can increase energy flow in the lower abdominal region. 
    ►Learn to eat in a way to support healing. 
    ►Open up the communication in the area with herbal formulas. 
    ►Balance the body with simple techniques.   
    Tests and diagnosis: 
    Fibroids are frequently found incidentally during a routine pelvic exam. Your doctor may feel irregularities in the shape of your uterus, suggesting the presence of fibroids. If you have symptoms of uterine fibroids, you doctor may order these tests: 
    ►Ultrasound:
    If confirmation is needed, doctor may order an ultrasound. It uses sound waves to get a picture of your uterus to confirm the diagnosis and to map and measure fibroids. A doctor or technician moves the ultrasound device (transducer) over your abdomen (Trans abdominal) or places it inside your vagina (transvaginal) to get images of your uterus. 
    ►Lab Test:
    If you're experiencing abnormal vaginal bleeding, doctor may order other tests to investigate potential causes. These might include a complete blood count (CBC) to determine if you have anemia because of chronic blood loss and other blood tests to rule out bleeding disorders or thyroid problems. 
    Other imaging tests:  
    If traditional ultrasound doesn't provide enough information, your doctor may order other imaging studies, such as: 
    ►Magnetic resonance imaging (MRI): 
    This imaging test can show the size and location of fibroids, identify different types of tumors and help deter mine appropriate treatment options. 
    ►Hysterosonography: 
    Hysterosonography  also called a saline infusion sonogram, uses sterile saline to expand the uterine cavity, making it easier to get images of the uterine cavity and endometrium. This test may be useful if you have heavy menstrual bleeding despite normal results from traditional ultrasound. 
    ►Hysterosalpingography: 
    Hysterosalpingography uses a dye to highlight the uterine cavity and fallopian tubes on X-ray images. Doctor may recommend it if infertility is a concern. In addition to revealing fibroids, it can help to determine if your fallopian tubes are open. 
    ►Hysteroscopy: 
    For this, doctor inserts a small, lighted telescope called a hysteroscope through your cervix into your uterus. Your doctor then injects saline into your uterus, expanding the uterine cavity and allowing your doctor to examine the walls of your uterus and the openings of your fallopian tubes.   
    Our Mission Statement: 
    Our mission is to share our valuable knowledge with other couples who are struggling with these problems. If you are in this situation, the most important thing to know is that you are the most powerful player in this game. What you can do for yourself is life changing. Only you have the chance to recover balance naturally.

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    Female Puberty

    Female Puberty:

    Puberty is when a girl grows up into a young woman. Every girl goes through it, but it can be a tough time. Here are the changes to expect.

    When will puberty start?
    Puberty usually starts between the ages of 8 and 14, but every girl is different. We all grow and change at different rates, and there's nothing you can do to make it happen sooner or later. Your body will change when it's ready.Your breasts may grow quickly or slowly. You might have your first period, then not have another one for months. There's no such thing as "normal", so don't panic if your experience is different from other girls.If you feel confused, you're not the only person. Try talking to someone you trust, such as your mum, dad, sister, friends, or a teacher.

    What will happen to body at puberty?
    During puberty, it's normal to experience the following changes:
    ►Growing taller:
    You'll get taller, and this might happen quite quickly.
    ►Breasts and hips get bigger:
    Your breasts and hips get bigger. You might feel itchy or uncomfortable when this happens. This is normal.
    ►Hair grows on your body:
    Hair grows under your arms and around your vagina. Some girls develop hair on other parts of their body, such as their top lip. This is normal.
    ►Periods start:
    Your periods will start at some point during puberty. You might get period pains before or during your period. Find out more about periods.
    ►Vaginal discharge begins:
    You may notice your vagina produces vaginal discharge (fluid). This is normal. It's your vagina's way of keeping clean and healthy. The discharge should be colourless or white, and shouldn't smell. If it looks green or yellow and smells, see a doctor as you might have an infection.
    ►Spots and sweat appear:
    Hormones can make you sweaty or spotty, but as long as you have good personal hygiene, you can still look and feel healthy. Find out about acne. 
    ►Feelings go up and down:
    You might have mood swings and feel emotional, but your feelings will settle down eventually. Find out more about girls bodies, including breast size, dealing with periods, pregnancy and sex. 

    Whats Happening to Brain?
    You may have already noticed that you're changing emotionally. Some changes are really positive others are more challenging. Here are some things you might be feeling:
    ►Your thinking changes:
    It's called cognitive development and it means you're now able to think more abstractly more like an adult than a kid.
    ►You can express your feelings a lot better:
    Your feelings might start to make a lot more sense to you. You may find that you can express what you're feeling a lot better, whether you're feeling happy or sad. This gives you a clearer sense of self  of who you are.
    ►You feel really emotional:
    You may get mad at parents and friends easily. A little thing that wouldn't have bothered you earlier drives you crazy now. Your kid sister might get on your nerves. Feeling angry is normal during puberty because of the hormonal changes. In fact, for the same reason, many of us can become overly emotional right before our periods.
    "Mood swings" are also common throughout puberty. This is when you feel really happy one minute and then really angry or even sad the next minute. So if you're feeling angry, you may want to count to 10 (it works!) and think about it before you yell at your mom or friend.
    ►You cry a lot:
    You may cry because of something very serious that makes you feel sad or disappointed — or you may burst into tears because you left your favorite hair band in the gym. This is also normal! It happens to a lot of women having Premenstural Syndrome too, and will happen to most girls throughout puberty. Just accept that you're a little emotional right now.
    ►You feel a lot more womanly:
    Some girls find that they're feeling more feminine. Whether you prefer playing hockey with the guys or talking about nail polish, remember it's normal!
    ►You think you're weird:
    You probably compare yourself to your friends, and feel like there's something really wrong with you. You may feel unsure of yourself. Well guess what? Everyone else does, too! Your personality is growing and you're becoming even more unique  just when all you want is to fit in more easily! Fortunately, your personality will win this one, and you'll become a self-assured adult. Just remember that everyone else your age is self-conscious too, so chances are they won't be worrying about you!

    It's Only Puberty: Don't Freak Out:
    We keep telling you how normal all of this is for a reason — it really is normal! If you can keep from freaking out, you can use this special time in your life to learn about yourself. Here are some ways to keep from freaking out:
    ►Take care of yourself:Be careful with food cravings (like wanting only ice cream for dinner). Eat plenty of fruits and vegetables. Exercise. This is good for your body and mind. Taking out your anger on a tennis ball or treadmill can make you feel great again, too.
    ►Talk to someone: Amazingly, parents and teachers can be really helpful, and you can count on other adults, too, if you're more comfortable with that. Your friends might really appreciate knowing that you're going through the same thing they are, but don't depend on them for real information. Go to someone who's been through it.
    ►Concentrate on school and hobbies: Your brain is growing, and this is a great opportunity to use it. The hobbies that you liked in the past will be even more fun now, and you'll develop new interests. Do something creative to express all your new emotions.



    Adress: Ghosy azam pak hospital scheme 1 Gujar khan


    contact:00923215006262/00923315006262

    Sexual Aversion Disorder (SAD)

    Sexual Aversion Disorder (SAD): 
    Sexual Aversion Disorder is phobic aversion to and avoidance of sexual contact with a sexual partner, which causes personal distress. This is the most severe form of sexual desire disorder. It involves a fear of sexual intercourse and an intense desire to avoid sexual situations completely.In heterosexual men this is often related to an aversion to a woman's vagina or genitals. He may be repulsed by the outward looks or the smell of her vagina.A man's reaction to his partner's body and sexuality can greatly impact the quality of their relationship.   
    Causes: 
    ►Sexual abuse 
    ►Rape 
    ►Incest 
    ►Parental sexual attitudes 
    ►Anxieties about a person's sexual performance 
    ►Unresolved sexual identity issues 
    ►Relationship problems 
    ►Fear of blood on the penis after penetration 
    ►Fear of transmission of sexually transmitted infections 
    ►Fear of pregnancy   
    Symptoms of Sexual Aversion Disorder:
    Some people naturally have periods in their life when they don't desire sexual activity or pleasure, but when this lack of desire lasts a long time or begins to have serious consequences in a person's life, it may be a sign of sexual aversion disorder. If anxiety and other symptoms associated with panic attacks appear before, during or even at the thought of sexual activity, it may point to sexual aversion disorder being a problem. Ignoring the symptoms of sexual dysfunctions won't make them go away and could make the problems worse. 
    Treatment for Sexual Aversion Disorder:
    It is important to deal with the root cause of this disorder as well as the symptoms that appear - both physical and psychological. The trained therapists who specialize in sexual disorders or traditional psychotherapy with modern technology is a good way to get treatment for sexual aversion disorder when and where it is needed. A healthy sex life is part of the human experience and adds to the quality of life, which is why treatment is recommended.   
    Sex therapy/counselling for Sexual Aversion Disorder may include some of the following: 
    ►Anxiety reduction/desensitization 
    ►Cognitive restructuring techniques 
    ►Sexual myths/psychosexual education 
    ►Enhancing communication 
    ►Promoting sexual intimacy
    ►Behavioural assignments/homework exercises.


    Adress: Ghosy azam pak hospital scheme 1 Gujar khan


    Contact:00923215006262/00923315006262

    Voyeurism

    Voyeurism:
    Voyeurism is a psychosexual disorder in which a person derives sexual pleasure and gratification from looking at the naked bodies and genital organs or observing the sexual acts of others. The voyeur is usually hidden from view of others. Voyeurism is a form of paraphilia.A variant form of voyeurism involves listening to erotic conversations. This is commonly referred to as telephone sex, although it is usually considered voyeurism primarily in the instance of listening to unsuspecting persons.

    Causes and symptoms:
    Causes:
    There is no scientific consensus concerning the basis for voyeurism. Most experts attribute the behavior to an initially random or accidental observation of an unsuspecting person who is naked, in the process of disrobing, or engaging in sexual activity. Successive repetitions of the act tend to reinforce and perpetuate the voyeuristic behavior.
    Symptoms:
    The act of voyeurism is the observation of an unsuspecting person who is naked, in the process of disrobing, or engaging in sexual activity that provides sexual arousal. To be clinically diagnosed, the symptoms must include the following elements:
    ►Recurrent, intense or sexually arousing fantasies, sexual urges, or behaviors
    ►Fantasies, urges, or behaviors that cause significant distress to an individual or are disruptive of his or her everyday functioning.

    Diagnosis:

    According to the mental health professional's handbook, Diagnostic and Statistical Manual of Mental Disorders , two criteria are required to make a diagnosis of voyeurism:
    Over a period of at least six months, an individual must experience recurrent, intense, sexually arousing fantasies, sexual urges, or behaviors that involve the act of observing an unsuspecting person who is naked, in the process of disrobing, or engaging in sexual activity.
    The fantasies, sexual urges, or behaviors must cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.
    In order for a condition to be labeled "voyeurism," the fantasies, urges, or behaviors to watch other persons must cause significant distress in the individual or be disruptive to his or her everyday functioning.

    Treatments:
    For treatment to be successful, a voyeur must want to modify existing patterns of behavior. This initial step is difficult for most voyeurs to admit and then take. Most must be compelled to accept treatment. This may often be the result of a court order.Behavioral therapy is commonly used to try to treat voyeurism. The voyeur must learn to control the impulse to watch non-consenting victims, and just as importanly to acquire more acceptable means of sexual gratification. Outcomes of behavioral therapy are not known. There are no direct drug treatments for voyeurism.
    Voyeurism is a criminal act in many jurisdictions. It is usually classified as a misdemeanor. As a result, legal penalties are often minor. The possibility of exposure and embarrassment may deter some voyeurs. It is also not easy to prosecute voyeurs as intent to watch is difficult to prove. In their defense statements, they usually claim that the observation was accidental.

    Prognosis:
    Once voyeuristic activity is undertaken, it commonly does not stop. Over time, it may become the main form of sexual gratification for the voyeur. Its course tends to be chronic.The prognosis for eliminating voyeurism is poor because most voyeurs have no desire to change their pattern of behavior. Since voyeurism involves non-consenting partners and is against the law in many jurisdicts, the possibility of embarrassment may deter some individuals.

    Prevention:
    Most experts agree that providing guidance regarding behavior that is culturally acceptable will prevent the development of a paraphilia such as voyeurism. The origin of some instances of voyeurism may be accidental observation with subsequent sexual gratification. There is no way to predict when such an event and association will occur.Members of society at large can reduce the incidence of voyeurism by drawing curtains, dropping blinds or closing window curtains. Reducing opportunities for voyeurism may reduce the practice.


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    contact:00923215006262/00923315006262