Sexual Sadism

                                      Sexual Sadism:

The essential feature of sexual sadism is a feeling of sexual excitement resulting from administering pain, suffering, or humiliation to another person. The pain, suffering, or humiliation inflicted on the other is real it is not imagined and may be either physical or psychological in nature. A person with a diagnosis of sexual sadism is sometimes called a sadist. 

Causes:

There is no universally accepted cause or theory explaining the origin of sexual sadism, or of sadomasochism. Some researchers attempt to explain the presence of sexual paraphilias in general as the result of biological factors. Evidence for this viewpoint comes from abnormal findings from neuropsychological andneurological tests of sex offenders.Some researchers believe that paraphilias are related to such other problems as brain injury, schizophrenia,or another mental disorder. Often, people with sexual disorders or symptoms of paraphilia are diagnosed with other mental disorders.

Another point of view suggests that the person is required to suppress,or squelch,inappropriate sexual fantasies. Because the fantasies are not acted out initially, the urge to carry them out increases. When the person finally acts upon the fantasies, they are in a state of considerable distress and/or arousal. This theory is not accepted by forensic experts at the Federal Bureau of Investigation (FBI) and other researchers who study sexual offenses. Rather than suppressing fantasies, most people who are eventually arrested for crimes involving sexual sadism begin with milder forms of acting on them and progressing to more harmful ways of acting out. For example, the FBI's database indicates that these people almost always males start out by collecting pornographic materials that depict sadistic acts, or they may draw ropes and chains on the photographs of models in swimsuit or lingerie advertisements. They then typically progress to following women at a distance, to hiring a prostitute in order to act out the fantasy, and to asking a girlfriend or other willing partner to cooperate with their fantasy. In other words, the severity of sadistic acts tends to increase over time.

Symptoms:

Individuals with sexual sadism derive sexual excitement from physically or psychologically administering pain, suffering, and/or humiliation to another person, who may or may not be a consenting partner.They may experience distressed or impaired functioning because of the sadistic behaviors or fantasies. This distress or impairment may be due to the fact that the partner is not consenting.

Diagnosis:

The diagnosis of sexual sadism is complicated by several factors, beginning with the fact that most persons with the disorder do not enter therapy voluntarily. Some are referred to treatment by a court order. Some are motivated by fear of discovery by employers or family members, and a minority enter therapy because their wife or girl friend is distressed by the disorder. The diagnosis of sexual sadism is based on the results of a psychiatrist's interview with the patient. In some cases, a person with sexual sadism may be referred to a specialized clinic for the treatment of sexual disorders. In the clinic, he will be given questionnaires intended to measure the presence and extent of cognitive distortions regarding rape and other forms of coercion, aggression, and impulsivity.

DSM-IV-TR criteria for sexual sadism include recurrent intense sexual fantasies, urges, or behaviors involving real acts in which another person is suffering psychological or physical suffering, pain, and humiliation. The victim's suffering, pain, and humiliation cause the person with sexual sadism to become aroused. The fantasies, urges, or behaviors must be present for at least six months.The diagnostic criteria also require either that the person has acted on these urges or fantasies with a nonconsenting person, or that the person has experienced noticeable distress or interpersonal problems because of these urges or fantasies.

Sexual sadism must be differentiated from normal sexual arousal, behavior, and experimentation. Some forms of mild aggression, such as "love bites" or scratching, are within the range of normal behavior during sexual intercourse. Sadism should also be differentiated from sadomasochistic behavior that involves only mild pain and/or the simulation of more dangerous pain. When these factors are present, a diagnosis of sexual sadism is not necessarily warranted.Other mental disorders, such as the psychotic disorders, may include elements of sadism or other paraphilias. For example, patients with psychotic symptoms may perform sadistic acts for reasons other than sexual excitement. In these cases, an additional diagnosis of sexual sadism is not warranted.Persons diagnosed with sexual sadism may have other sexual disorders or paraphilias. Some individuals, especially males, have diagnoses of both sexual sadism and sexual masochism.

Treatments:

Medication may be used to reduce fantasies and behavior relating to paraphilias. This form of treatment is especially recommended for people who exhibit sadistic behaviors that are dangerous to others. The medications that may be used include female hormones, which speed up the clearance of testosterone from the bloodstream, antiandrogen medications, which block the body's uptake of testosterone; and the selective serotonin reuptake inhibitors, or SSRIs.Behavior therapy is often used to treat paraphilias. This approach to treatment may include the management and conditioning of arousal patterns and masturbation. Therapies involving cognitive restructuring and social skills training are also often utilized.

Nonconsensual sadistic behavior often leads to problems with the criminal justice system. Issues related to legal problems may impair or delay the patient's treatment. Persons with sexual sadism may be reluctant to seek or continue treatment because they fear being reported to the police or being named in a lawsuit by an unwilling partner.Treatment of sexual sadism may also be complicated by health problems related to sexual behavior. Sexually transmitted diseases and other medical problems may be present, especially when the sadistic behavior involves the release of blood or other body fluids.

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Frotteurism

Frotteurism:

Frotteurism is a disorder in which a person derives sexual pleasure or gratification from rubbing, especially the genitals, against another person, usually in a crowd. The person being rubbed is a victim. Frotteurism is a paraphilia, a disorder that is characterized by recurrent intense sexual urges and sexually arousing fantasies generally involving objects, the suffering or humiliation of oneself or one's partner (not merely simulated), or children or other nonconsenting persons.Males are much more likely to engage in frotteurism than are females. Females are the most common victims of frotteurism. Most acts of frottage are peformed by those between 15 to 25 years of age. After the age of 25, the acts decline.

Causes:

There is no scientific consensus concerning the cause of frotteurism. Most experts attribute the behavior to an initially random or accidental touching of another's genitals that the person finds sexually exciting. Successive repetitions of the act tend to reinforce and perpetuate the behavior.

Symptoms:

In order for the disorder to be clinically diagnosed, the symptoms must meet the diagnostic criteria as listed in the professional's handbook, the Diagnostic and Statistical Manual of Mental Disorders. These symptoms include:

►Recurrent, intense, or sexually arousing fantasies, sexual urges, or behaviors that involve touching and rubbing against a nonconsenting person.

►The person has acted on these sexual urges, or the fantasies or urges cause significant distress to the individual or are disruptive to his everyday functioning.

Diagnosis:

Most people with frotteurism never seek professional help, but people with the disorder may come into the mental health system as a result of a court order. The diagnosis is established in an interview between the person accused of frotteurism and the mental health professional (a psychiatrist or a psychologist , for example). In the interview, the individual acknowledges that touching others is a preferred or exclusive means of sexual gratification. Because this acknowledgment can bring criminal charges, the disorder is underdiagnosed and its prevalence is largely unknown. In some cases, other people besides the accused may be interviewed, including observers or the victim.

Treatments:

For treatment to be successful, the frotteur must want to modify existing patterns of behavior. This initial step is difficult for most people with this disorder to take.

Behavior therapy is commonly used to try to treat frotteurism. The frotteur must learn to control the impulse to touch nonconsenting victims. Medroxyprogesterone, a female hormone, is sometimes prescribed to decrease sexual desire.Frotteurism is a criminal act in many jurisdictions. It is usually classified as a misdemeanor. As a result, legal penalties are often minor. It is also not easy to prosecute frotteurs as intent to touch is difficult to prove. In their defense statements, the accused often claim that the contact was accidental.

Adress: Ghosy azam pak hospital scheme 1 Gujar khan

contact:00923215006262/00923315006262

Leucorrhea:

Leucorrhea is a thick whitish discharge from the vagina and almost all women would get this during reproductive cycle. Although the vaginal discharge will be normally white in color, for some women it may be yellow or greenish yellow. There are number of factors like hormonal changes, diabetes and anemia which cause leucorrhea. However you need not worry about leucorrhea since it is a routine for every women. You need to pay attention only if the vaginal discharge is accompanied by other symptoms like itching and redness in the vaginal area. In rare cases, this white discharge begun before the first menstrual cycle of a girl.

Types :

There are 2 types of leucorrhea namely physiological leucorrhea and inflammatory leucorrhea.

►The first type is common in almost all women and is caused by the defense mechanism of the body for restoring chemical balance. It also preserves to maintain the flexibility of the vagina and the surrounding tissues. It has got its name “physiological” due to the reason that vaginal discharge occurs when estrogen levels are increased.

►Inflammatory leucorrhea occurs when there is vaginal swelling or congestion of mucosa in that area. Very often the yellowish white discharge gives out a foul smell indicating infection. This type of leucorrhea also includes vaginal discharge caused by sexually transmitted diseases STD and due to lochia (post partum discharge after delivery).

Causes:

The main cause of white discharge in women is hormonal disturbance. Increased secretion of estrogen is the main cause for leucorrhea. It may also occur due to improper hygiene habits and loss of iron in blood.

Women having diabetes may also have increased leucorrhea. Wounds on the vagina can also trigger the secretion of whitish fluid with itching. It is also seen in pregnant women and after childbirth; it will be accompanied with foul smell and mucus of placental tissues. Sometimes, indigestion and constipation also causes leucorrhea discharge.

Symptoms:

A woman who has increased whitish discharge will experience weakness and lethargy. It is seen as thick and sticky white colored discharge from the vagina between the periods. It can also be accompanied by headache for some women. Due to frequent discharge, there may be pain in the calf muscle and in the lumbar region.

Treatment:

Generally, no treatment is required for leucorrhea. In case of increased whitish discharge along with symptoms like weakness and itching, you need to consult your doctor. He may prescribe you tetracycline pills to control the discharge and if needed, you can use metronidazole to manage infection.In case if the infection is due to Chalmydia, then you can take azithromycin, and Tinidazole for curing infections of trichomonas

Adress: Ghosy azam pak hospital scheme 1 Gujar khan

contact:00923215006262/00923315006262

Female health

Anal Sex:

Anal sex has always been a highly controversial subject, and the controversy that surrounds it looks set to continue because evidence is accumulating that this practice may sometimes lead to anal cancer.Indeed, the most anal cancers seem to be linked to infection with HPV'.This is human papilloma virus, which is readily spread from one person to another during sexual contact. The Society also states that 'having anal sex is a risk factor for anal cancer in both men and women'. The risk is greatest if you have had numerous partners.

What is it?

Anal sex means sexual activity involving the bottom – in particular, the type of intercourse in which the penis goes into the anus. It's often referred to as 'rectal sex'.Anal sex is now known to carry considerable health risks, so please read our advice carefully.Our impression is that during the 21st century anal sex has become rather more common in heterosexual couples, partly because they have watched 'blue movies' in which this activity so often occurs.Often, it is presented as something that is both routine and painless for women. In real life, this is not the case. Anal intercourse is often very painful, particularly the first few times.

Other types of sexual activity which involve the anus include:

►'Postillionage' – which means putting a finger into the partner's bottom.

►Insertion of 'butt plugs' – which are sex toys that dilate the anal opening and create a sensation of fullness.

►Use of vibrators on or in the anus (please see cautionary note below).

►'Rimming' – which is oral-anal contact; this carries a significant risk of infection.

►'Fisting' – which means putting the hand into the rectum; this activity is rare among heterosexual couples.

Taboos and infection:

There are taboos surrounding the various types of anal sex – and particularly anal intercourse.These may arouse strong feelings of moral indignation, guilt and anxiety.But research shows that, whether we like it or not, the anal area is equipped with many erotic nerve endings in both men and women.So it's not surprising that many couples (including a lot of heterosexual ones) derive pleasure from some form of 'bottom stimulation'. Most sexual activities carry a risk of transmission of sexually transmitted diseases (STDs) ranging from gonorrhoea and herpes to hepatitis Band HIV. Anal intercourse carries a high transmission risk.

Is it safe?

Anal sex, if practised with care, is possible for most couples.The main health risks, which affect both heterosexual and homosexual couples are described below.

►Human immunodeficiency virus (HIV): There is no doubt that anal intercourse carries a greater risk of transmission of HIV – the virus that can cause acquired immunodeficiency syndrome (AIDS) than other sexual activities, particularly for the receptive partner.

►Human papilloma virus and warts: this virus can be transmitted during anal intercourse and that may lead to anal warts.

►Hepatitis A (infectious hepatitis): this is a viral infection that can cause jaundice. Hepatitis A is not usually a life-threatening illness, although sufferers can feel quite ill. It can be transmitted by oral-anal contact.

►Hepatitis C: is a cause of progressive and sometimes fatal chronic liver disease. Hepatitis C may be transmitted by anal intercourse, although this seems to be a rare occurrence. Sharing of equipment for intravenous drug use is a far more important risk for transmission.

►Escherichia coli (E. coli): may sometimes cause mild to severe, or even (very rarely) fatal, gastroenteritis. It is one of many viruses and bacteria that can be transmitted by oral-anal contact. Some E. coli strains (uropathic E. coli) can also cause urinary tract infections (UTIs), ranging from cystitis to pyelonephritis – a serious kidney infection. E. coli very readily crosses the short distance between the female anus and the female urinary opening, so causing a urinary infection. Anal intercourse can facilitate this transfer, particularly if it is immediately followed by vaginal intercourse.

Protection:

►There are other, safer sexual practices that can be exciting and rewarding, but many couples may still wish to try the anal route.

►The use of condoms and water-based lubricants, such as K-Y Jelly, will offer some protection.

►Oil-based lubricants, including Vaseline, may cause condoms to split, as will over-energetic thrusting without adequate lubrication.

►Specially toughened condoms designed for anal intercourse may offer more protection.

Adress: Ghosy azam pak hospital scheme 1 Gujar Khan


Contact:00923215006262/00923315006262

Azoospermia

What is Azoospermia? 

It is the complete lack of sperm in the ejaculate. It occurs in 5% of infertile men. If this is the case, then one or both of two conditions may be present:

►There is a problem with sperm production.

►There is a blockage such that sperm production, although normal, cannot reach the ejaculate.

Azoospermia Diagnosis:

One important point concerning this diagnosis is that although no sperm are found in the ejaculate, there are often usable sperm found in the testis, as not all sperm that are made in the testis actually make it into the ejaculate. There is a “threshold” effect with sperm production, such that if production of sperm is high enough in the testis, then sperm “spill over” into the ejaculate. However, if that critical level of sperm production is not met, there may still be mature sperm in the testis that do not make it into the ejaculate. Hence absent sperm in the ejaculate doesn’t mean there is no production of sperm in the testis.

Azoospermia Evaluation:

First, a thorough review of medical problems, exposures, past surgery, medications, and family history is undertaken in the office to help define causes of azoospermia. Then, a brief, well-performed physical examination is performed. Third, blood tests are taken that include testosterone and follicle stimulating hormone (FSH). Fourth, two semen samples are needed. With each sample, a standard semen analysis is performed. If no sperm are found, then the semen sample undergoes an additional evaluation in which the sample is “spun” down in a centrifuge to concentrate small numbers of sperm at the bottom of the tube. If 10 sperm or even 1 sperm is present in the pellet analysis, then conditions such as reproductive tract obstruction can be ruled out.

 Again, the value of finding even a small number of sperm in the pellet analysis is very significant because:

1) It means that complete obstruction is unlikely, and
2) It means that men may have the production of sperm intact and the homeopathic medications just need to stimulate and increase the sperm production above the threshold level.

Causes for Azoospermia:

If at all possible, treating the specific condition that is causing the azoospermia may reverse the process and lead to sperm production. This is especially true for azoospermia due to hot tubs or hot baths or testosterone supplements.

Conditions That Cause Azoospermia are:

►Primary testicular failure Klinefelter syndrome

►Y chromosome microdeletions

►Genetic infertility due to abnormal chromosomes (karyotype)

►Unexplained genetic infertility

►Secondary testicular failure Kallman Syndrome

►Unexplained gonadotropin deficiency

►Hypothalamic/pituitary tumor

►Hyper-prolactinemia

►Cancer treatment (chemotherapy, radiation, surgery)

►Varicocele effect

►Pituitary suppression Drug induced (anabolic steroids, alcohol, glucocorticoids)

►Testosterone supplements

►Congenital adrenal hyperplasia

►Severe illness (cancer, kidney or liver failure)

►Diabetes mellitus

►Sickle cell anemia

►Hemachromatosis

►Sperm autoimmunity

►Pesticide/toxin exposure (including hot tubs and baths)

►Undescended testicles at birth

►Obstruction Congenital absence of the vas deferens (CAVD)

►Ejaculatory duct obstruction

►Epididymitis

►Scrotal trauma or surgery

►Young syndrome

►Vasectomy

Azoospermia Treatment:

The good news, Gosy azam pak Hospital  Natural Essential Treatment offers Medicines for Azoospermiaand we have successfully helped men with zero sperm count to father their own child.If sperm are not found in the ejaculate, then there is either obstruction or blockage in the reproductive tract or sperm is not being made at levels sufficient to get into the ejaculate. A blockage can be due to prior infection, surgery, prostatic cysts, injury or congenital absence of the vas deferens (CAVD).At Gosy azam pak hospital, we make a 360 degree evaluation of each couple visiting us for conception problem and devise a treatment protocol to target the root cause. We have experienced that a 6 months of treatment usually leads to a natural conception.

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.

Adress: Ghosy Azam Pak Hospital Scheme 1 Gujar Khan


Contact:00923215006262/00923315006262