PREMATURE EJACULATION ;THE CURE

Premature Ejaculation; The Cure

Premature Ejaculation refers to a situation where the man hits orgasm way before his partner. Usually happening within one minute of penetration. It is so common, happening to 1 out of 3 men at least at some point in their life. If it happens once in a while, it’s no cause of concern. Premature Ejaculation can cause frustration, Anxiety and shame between the partners due to lack of secual satisfaction for both of them. So, what really causes this problem?

Stress ; both Emotional and mental strain can cause premature ejaculation as it makes it hard for the man to focus during sex.

Erectile Dusfunction : this condition makes it hard for a man to maintain hardness for a long time. They end up rushing to ejaculate so as not to lose the hardness before.

Conception Issues : for a couple which has been trying to conceive for a while, sex stops being for pleasure and becomes primarily meant for conception. As a result, the man focuses on ‘cumming’, unknown to many, this can actually make it even harder 2 conceive

Infections of Inflamations either in the prostrate or urethra can also cause this.

Relationship Issues can also cause problems of either ejaculating too fast or erectile dysfunction. If the problem was non-existent till you started having issues, then the issues are the most likely culprit

Anxiety : especially about sexual performance can also be a contributing factor for premature ejaculation

TREATMENT

Oral Medication : some medicines are known to help delay ejaculation significantly, although they really were’nt meant for this purpose. Anti-depresants and Analgesics are among these drugs. Their side effects happen to include delayed ejaculation.

Counselling
Whether the cause was mental strain or relationship issues, a counsellor can help resolve this causative afent and help you put your sex-life back on track.

Topical Anaesthetics these are creams and sprays which cause a mild numbness on the penis, reducing the man’s excitement to managable levels, hence prolonging the sex-duration.

Behavioral Techniques such as masturbating a short while before having sex can help prolong the duration that the intercouse lasts.

The Pause-Squeeze Method: the idea behind this is reducing the an’s excitement levels by sqeezing the ‘head’ of the penis. When having sex and the man is about to ejaculate, pause, and let your partner squeeze the point where the head joins the shaft. Maintain the squeeze for several seconds until the urge to ‘cumm’ passes. Then you can proceed and repeat the exercise until You’ve had enough

Seeking Medical Help:

Although it can be embarrassing to discuss this with someone else, just remember that premature ejaculation is a very common condition which can be treated just like any other health condition. (Chances are, even your doctor has had to deal with it on a personal level at one stage of his life).

Pic Accredit : GettyImages and Jasiaya Respectively 

SWOLEN FEET

Swollen Feet

Foot, leg, and ankle swelling—a.k.a peripheral edema—is an accumulation of fluid in these parts of the body.
______>>The build up of fluid is not usually painful, unless it is due to injury.

CAUSES OF THE SWELLING INCLUDE

*.being overweight

*.standing for prolonged periods of time

*.being confined for long periods of time (especially during car rides or flights)

*.taking estrogen or testosterone

*an infection in the leg area

*.venous insufficiency (when the veins are not adequately pumping blood)

______>>TREATMENT
There are several measures you can try at home if your feet, legs, and ankles regularly swell up.

These can help relieve swelling when it occurs and possibly help to prevent it.

**You should try to elevate your legs whenever you are lying down, to a position above your heart.______* You may want to place a pillow under your legs to make it more comfortable.

______>>You can also:

*.stay active and focus on exercising the legs

*.try to reduce your salt intake

*maintain a healthy body weight

*choose clothing that fits loosely around your thigh area

______>>SEEKING MEDICAL ATTENTION

While swelling in the lower extremities can simply be the result of standing for too long, it can also be a sign of something more serious.

It is a serious health issue if the swelling comes accompanied by the following symptoms

*.pain, pressure, or tightness in the chest area

*.dizziness

*.confusion

*.feelings of faintness

*.trouble breathing or shortness of breath

these may be signs of serious health issues such as an Infection, problems with internal organs (heart, liver, kidney) or venous insufficiency (veins fail to pump enough blood.) so you may need medical attention.

Breastfeeding

Breastfeeding - the first days
Your baby and you are learning about each other and about breastfeeding.Your baby needs to finish at the first breast before being offered the second.Around 8–12 feeds in 24 hours is normal for a new baby.

On this page:Where to get help  Your baby will need at least 8–12 feeds in 24 hours  How to tell when your baby is attached properly to the breast  Signs that your baby is getting enough milk  What to expect in the first days  Establishing natural breastfeeding patterns  If you need help  If your baby remains unsettled  Where to get help  Things to remember 

Learning how to breastfeed is a new skill. Breastfeeding is best started soon after your baby is born. If your baby feeds well straight after birth, they may then sleep for a good stretch. 

Your baby may seem unsettled on day two or three while your colostrum changes to mature milk. Increased breastfeeding is often all that is needed. Letting your baby feed as much as they want in the first few days will help to establish good breastfeeding patterns and prevent breast engorgement.

Your baby will need at least 8–12 feeds in 24 hours

Although frequent feeds may be time consuming, this is normal. The benefits include:The baby receives colostrum, which helps prevent infectionsFull milk production is stimulatedThe risk of breast engorgement is reduced.

How to tell when your baby is attached properly to the breast

Your baby is attached properly if:Their mouth covers the nipple and a large amount of the areola, more on the lower side than the upperTheir chin is touching the breastTheir nose is clear of, or just touching, the breastTheir upper and lower lips are opened out or ‘flanged’ over the breast.Your baby should take a few quick sucks, and maybe a pause, before sucking strongly and rhythmically. You should not feel nipple pain if your baby is attached properly.

Signs that your baby is getting enough milk

Signs that your baby is getting enough milk include:
Sucking action – this should be slow and rhythmical after the initial fast sucking burst. The bottom jaw should be moving up and down with a deep action.
Breast sensations – you may feel a drawing sensation in the breast after the baby has been sucking for a few minutes. Your breasts will feel less full and tight after a feed.
Body language – your baby becomes still and peaceful. They may gently touch a hand against your breast or open and relax their fists.
Wet nappies and bowel motions – these will also indicate how much a baby is getting.

What to expect in the first days

You can expect on:
Day 1 – your baby will receive about half a teaspoon of colostrum at each feed, the poo will be sticky and green-black in colour and there will be one wet nappy.
Day 2 – your baby will receive about one teaspoon of colostrum each feed, have soft green-black poo and two wet nappies.
Day 3 – milk volume is increasing. Poo changes to a greenish-brown colour and there will be three wet nappies.
Day 4 – poo becomes more mustard in colour. There will be four wet nappies.
Day 5 – milk increases to 500–800 ml per day. Poo will be mustard-yellow, soft or liquid and occurs three to four times. There will be five wet nappies.
From day 6 on – you can expect at least five heavy wet disposable nappies or around six to eight pale wet cloth nappies with frequent bowel motions. As your baby gets older, there may be fewer poos.

Establishing natural breastfeeding patterns

To establish natural breastfeeding patterns:Let your baby feed as often as they like, day and night.Offer both breasts at each feed. Whether your baby takes the second breast will depend on baby’s appetite. If the second breast isn’t taken for long, offer that breast first next feed.Allow your baby to finish the first breast before offering the second.

If you need help

In addition to midwives, some hospitals employ lactation consultants who can help you with any breastfeeding problems. You can also contact a privately employed lactation consultant. The Australian Breastfeeding Association offers a free and confidential seven-day-a-week counselling service for breastfeeding mothers.

If your baby remains unsettled

Babies can remain unsettled after your milk comes in if:They aren’t getting enough milk – for example, if they are not properly attached to the breast.You detach them from the breast before they finish – for example, when their sucking slows down. This can deprive them of the later, high-fat milk and leave them unsatisfied. Babies should detach themselves.They haven’t established a good sucking technique – this can take several days to develop. In the meantime, milk may need to be expressed and given to the baby by cup or teaspoon.They are not being given enough feeds– check that your baby is being offered 8–12 feeds per day.Babies may also become unsettled because they are lonely, bored or need attention or comfort. The use of a baby sling may help in this case.

Things to remember

Your baby and you are learning about each other and about breastfeeding.Your baby needs to finish at the first breast before being offered the second.Around 8–12 feeds in 24 hours is normal for a new baby.

TIPS OF CONCEIVING A BABY GIRL

This is an excerpt from a brief discussion we had with colleagues  asking about tips to Conceive a baby Girl and I think I should post it up here for anyone else interested in the info,
The topic about Conceiving a boy/ girl is not an exact science; in that, some people have tried to practice all the tips, and still conceived the gender they were not hoping for, but that said, you can try these tips just for the fun of it.
Ok, 1st I think it’s necessary to explain the science behind this. The gender is determined by the sperm that gets 2 the egg. There are female sperms and male sperms; so to speak.
Female Sperm: it is loaded with more matter, and hence its a little heavier than the male sperm. That means it moves more slowly than its male counter-part. But being packed with more matter means it can survive for longer inside the uterus environment.
So, Tips to conceive Female child

•• having sex some 3 days before the expected ovulation date, and then avoiding unprotected sex after that, for about 6 days. That will mean that the male sperms will have died off, leaving more female than male to compete for the egg.

•• Eat acidic foods, avoid alkaline foods. Sperms survive better in alkaline environment. When you consume acidic foods, you make it harder for both genders to survive, but as we’ve said, the female sperm survives longer, so it still works to our favour. Acidic foods include Chocolate, soda, vinegar, meat, coffee, spinach, white rice, tomatoes, milk,, maize, peanuts, popcorns. Alkaline foods include; Avocadoes, lemons, limes, mineral water, pineapples, kales, mango, cabbages, banana, etc
consuming these foods around the ovulation date (2 days before till 2 days after )influence the environment inside your uterus, so if U want a female, consume acidic, if U want a male, consume Alkaline

•• Avoid hitting orgasm. When females hit orgasm, an alkaline substance is produced in the vagina. That promotes survival of the male sperms so avoid orgasm

•• so, in conclusion, let me just say again, it’s not an exact science, but you lose nothing by trying, right?
••• to increase your chances of conceiving a boy-child, of course you simply perform the opposite, simply, have unprotected sex on a those days surrounding the Ovulation

date, eat the alkaline foods listed and hit ’em orgasms.
Oh, Good Luck dear,

Stress and How to Lower It

You know when you’re stressed out – your body feels tired and your thoughts are spinning. It can also help to know why your body reacts that way, and what you can do about it. Our bodies are designed to handle calm situations, and also exciting or dangerous ones. When you’re in the middle of something scary or challenging, your body gets into a mode that’s better for handling the situation. This is a state of high energy and sharp senses, such as the way you feel when you’re playing a fun sport or doing really well on a test. However, when the situation turns into more than you can handle, that’s when you start to feel the effects of stress. It’s as if your body is shouting “Do something!”, and your brain is shouting back “I don’t know what to do!”

What is stress?

When you’re stressed, you feel changes in your body and your mind. Your heart beats faster, your blood pressure goes up, and your face may get flushed. Your muscles may tighten up, or you might feel anxious. You may feel rushed and confused, or forget things. You may feel sick to your stomach. You might be irritable, and get into arguments with your family and friends.

What causes stress in our lives?

We live in an interesting, but also fast-paced world. There are lots of sources of stress, including:

Homework and projects at schoolFamily tension as you try to be more independent from your parentsPressure from friends to do risky thingsTension with your boyfriend or girlfriendDifficult people in your lifeUpsetting news about disasters, war, or personal tragedyMedia messages that lower your self-esteemNot getting enough sleepChronic illness

What are the effects of stress?

A certain amount of stress is OK if it helps to motivate you to deal with a short term problem. For example; if you’re stressed about writing a paper for school, and your stress causes you to ask your teacher for advice, and you finish the paper, then your stress has done its job.

In the short term, stress can:

Help you focus on a situation or solve a problemTire you outMake you nervous or irritable

On the other hand, if you’re experiencing a lot of stress day after day, your body may start sending you warning signs that something’s really wrong. This kind of chronic stress can take a physical and mental toll on your body and mind.

Long term stress can put you at risk for health problems such as:

Substance abuse
Depression
Anxiety
Insomnia
Self-Injury
Obesity and other eating problems
Digestive problems
Lower immunity to colds and other illnesses

These chronic problems are really your body’s way of telling you “Hey! I’m under way to much stress – something’s got to change!”

If you notice that you feel stressed just about every day, you should take some steps to (1) lessen the number of stressors in your life, and (2) try some techniques that will help you de-stress.

How can I lower my stress level?

Here are some ideas for different activities you can do to lower your stress. Pick a couple that look interesting to you, and try them out. If these ideas help you de-stress, you can include them in your daily or weekly routine. If not, you can try others on the list, or come up with a list of your own. Talk to your parents or another trusted adult about how they de-stress. They might have some good ideas you can try out.

Helpful Hint: Make a list of your favorite stress-reduction activities, and tape it where you’ll see it often, such as on the fridge, in your notebook, or on your computer screen. When you’re over-stressed, stop what you’re doing, pick one thing off the list, and do it!

Stress Reduction Activities

Simplify. You may feel like you’re not in control of everything that’s expected of you. It’s up to you to decide what you can do, and what you can’t. To help simplify your life, sit down and make a list of everything you feel you need to do. Then separate all the items on the list into these three sections:

These can waitThese should get done soonDo these TODAY

If you see that there’s just too much to do TODAY, you’ll have to cut down on some activities to make your schedule more manageable.

Exercise is a great way to lower your stress. While exercising, you can focus on what you’re doing with your body, which helps free your mind from other worries. Vigorous exercise also triggers the release of chemicals in your body called endorphins, which make you feel happier and more relaxed. You don’t have to be a super-athlete to exercise. Even something as basic as walking for half an hour can help you relax and improve your mood. Or, you can sign up for a class at your local YWCA or YMCA, such as dancing( Otieno Jasiaya loves dancing) volleyball, or swimming.

Yoga. These types of movement use stretches and poses for flexibility, strength, concentration, and relaxation. Yoga emphasizes flexibility and strength, while Tai Chi and Qigong help with concentration, balance, and patience. You can do any of these exercises in a class at your local YWCA, YMCA, dance center, or at home on a towel or mat. If you’re shy about taking a class, you can borrow a DVD out of the library, or find one on TV and try the movements at home.

Take a Break. Sometimes your tired brain is just craving a little time off from your busy day. Stop what you’re doing, and find a quiet spot where you can put your feet up. Drink some tea (without caffeine), or take a bath. Read a book or magazine, or even watch TV. These things sounds so basic, you might think, “why bother?”, but when your feet are up, your stress level drops.

Meditation and Prayer offer you ways to calm, focus your thoughts, and feel more positive. Meditation involves sitting still in a quiet place, focusing your thoughts on your breath or on a slow chant, and trying to be aware of what is going on in the present moment, instead of stressing about the past or freaking out about the future. With prayer you focus on feeling connected to a higher spiritual power, and on wishes and hopes you may have for yourself or people you care about. You might like to contact your local church, temple, yoga center, or Buddhist center about a prayer or meditation group. If you’re shy about attending a group, you can borrow DVDs from the library about different meditation and prayer techniques.

Massage can work wonders on a stressed-out body. A gentle massage can untie knotted muscles, and make you feel relaxed all over. A professional massage can be expensive, but even a simple foot-rub or shoulder-rub from a good friend can take the edge off your stress – you can check out local massage schools to see if they offer discounted services.

Journaling. If you enjoy writing(like otieno Jasiaya )this can be a good way to de-stress. Write down what’s been happening with you on a daily basis and how you feel. By writing your thoughts and feelings down on paper, you’ll likely feel less stressed.

Have a good cry. You may know that little kids get upset easily, cry and make a fuss, and then get over it quickly. This approach can work for you too. At the end of a stressful, if you find yourself crying to a supportive friend, family member, or to your pillow, this can help you de-stress. In our culture we often try to convince people not to cry, as if it were a sign of weakness, but that’s really not true. If crying helps you communicate your frustration, vent your stress, and get some support, than there’s nothing wrong with a good cry every now and then.

Sleep. Teens in our culture are often sleep-deprived on a daily basis, and even just a few nights in a row of not-enough-sleep can make you feel irritable and nervous. You actually need more sleep at this time in your life (about 9 hours per night) than you will as an adult. Although your school schedule and social life make it difficult, try to put sleep at the top of your priority list, right up there with eating healthy foods.

Special note: Drugs, alcohol, or binge eating are really harmful ways to try to de-stress. These things may seem to make you feel better in the very short term by numbing your senses, or making you feel silly or forgetful. However, they have destructive effects on your life and your health and are not worth the temporary quick fix they might seem to provide. If you find yourself turning repeatedly to these harmful activities, it’s time to seek counseling to help you deal more positively with your stress.

What should I do if I’m dealing with extreme stress?

Sometimes the stressors in your life are very serious. Some examples of extremely stressful situations are: being in a serious accident; being the victim of a crime or sexual abuse, or experiencing violence in your family life, including daily fighting, yelling, and hitting. These serious stressors can have lasting effects on the way your body and mind handle stress, and this can set you up for mental health disorders such as depression, anxiety, or post-traumatic stress disorder (PTSD).

Here are some resources for coping with extreme stress:

Parents or other trusted adults. If you feel that your stress is more than you can manage on your own, you should definitely seek help. Have an honest talk with a parent(s), guardian, or another trusted adult in your life. Be has truthful as you can about the stress you’re dealing with and the effect it’s having on you. Opening up to a caring adult can help you feel less alone, and that person can help you find ways to manage your stress.Counseling and medication. In addition to help from family members, counseling can be a great resource. It involves meeting with a professionally-trained person; a therapist, social worker, health care provider, or religious leader. This person can help you figure out the cause of your stress, how to minimize it, and how to learn techniques for handling stress in the future. Sometimes your health care provider will prescribe medicine to help you manage the symptoms of your stress, as they work with you on ways you can make your life less stressful.

Throughout your life it’s important to be aware of the signals coming from your body and your mind. If you realize that you’re getting stressed out, remember that you can do something about it now and in the future. However, if you feel that you just can’t manage your stress or that you’re having a hard time coping with something (and it lasts for up to two weeks or more) it’s important to talk with your health care provider.

HIV,OTHER HEALTH CONDITIONS AND OPPORTUNISTIC INFECTIONS

HIV, OTHER HEALTH CONDITIONS AND OPPORTUNISTIC INFECTIONS

When you are first diagnosed with HIV, it is likely that it will be your main health concern for a while. You need time to learn about it and how best to manage it. But, having HIV is only one part of a bigger picture, and thinking about other aspects of your health is important too.

As well as staying healthy by eating well, exercising and getting enough rest, you will need to manage any other health conditions you have with your healthcare professional.

Managing other health conditions

Some people have HIV and another long-term health condition, such as diabetes or epilepsy. This is known as having a co-infection. Many people develop other conditions as they get older, such as cardiovascular disease, osteoporosis, lung disease or kidney disease.1

It’s a good idea to learn about the health conditions that may affect you. In addition to any medication your healthcare professional gives you to treat health conditions, there may be lifestyle changes you can make to improve your health and any symptoms you have.

Talking to your healthcare professional about HIV and other health conditions

When you are managing another health condition alongside HIV, communication with the healthcare professionals treating you is important. Often, you will see one healthcare professional for HIV and another for the other condition. In some cases, drugs for another condition can interact with your HIV treatment, making one or both of them less effective, so it’s important that your healthcare professionals know about the drugs you are taking.2

If possible, the two healthcare professionals could talk to each other directly, but this is not always possible and gaps in communication can happen. The more you learn and understand, the more you can help to keep the flow of information running smoothly. It can be helpful to bring some notes with you to each appointment – such as the names of any drugs you are taking, and any symptoms you want to talk about.

Looking after your mental health

Looking after your health is not just about looking after your physical health. Mental health is also important and mental health problems, particularly depression and anxiety, are very common, although people often find it harder to talk about them.3 Your healthcare professional should take them just as seriously as any physical health problems you experience, and offer advice and treatment if appropriate.

As well as medical help, support from friends and family can also be very helpful in coping with health conditions.

Preventing other health conditions

Certain health conditions are preventable, and there are precautions and lifestyle changes we can take to avoid developing them. For example, you might decide to stop smoking, change your diet or take more exercise to reduce your risk of developing diabetes, heart disease or cancer.

They are also actions we can take to avoid some infections, such as having vaccinations, using condoms to avoid sexually transmitted infections, or using an insecticide-treated bed net in areas where malaria is common.

Common co-infections

Worldwide, tuberculosis (TB) is the most common infection among people living with HIV. It can be very serious and if it is not treated, it can kill. The symptoms of TB include a persistent cough, fever, unintended weight loss and night sweats. Your healthcare professional should test you for TB and if you do have it, you should receive treatment which cures the infection.

Hepatitis B and hepatitis C are also common among people living with HIV. Both are common among people who inject drugs, and hepatitis B is more common in South East Asia and sub-Saharan Africa. Hepatitis affects the liver and can be very serious if untreated. There is a vaccine against hepatitis B, and both hepatitis B and C can be treated.

Opportunistic infections

When someone living with HIV has a weakened immune system (shown by a low CD4 count), they are at risk of other illnesses. These are known as ‘opportunistic infections’ because they take the opportunity of the immune system being weak.

Opportunistic infections include:

cryptococcal meningitis
toxoplasmosis
PCP, a type of pneumonia
oesophageal candidiasis
certain cancers, including Kaposi’s sarcoma.
Cotrimoxazole is a medicine used to prevent infections, and it is commonly prescribed to people living with HIV who have a low CD4 count.

WHO recommends cotrimoxazole for:4

adults with HIV who have a CD4 count below 350, or who are ill because of HIV, until they are on stable HIV treatment
all adults with HIV in areas where malaria or severe bacterial infections are common
adults with HIV who also have active tuberculosis (TB).

Boyfriend Disappears After Impregnating and Infecting Teen With HIV

The girl is defiant. As we stand with hundreds of young women queuing  outside a health Centre, she tells me how she fell pregnant unexpectedly in September 2014 aged 15.

Her boyfriend fled a week after he found out she was expecting. Days later, she learnt that she was HIV positive.

Excluded by many in her community, the girl left school to look after her son who is now eleven months old. She had to give up her dreams of becoming a teacher.

She now sells home-grown vegetables at a market in Alego Usonga Sub County in an attempt to provide for her son.

She doesn't sound like she has much to be grateful for except that her son is not HIV positive.

She is a lucky woman. Many teenage girls in her circumstances fare worse. Unintended pregnancy is one of the biggest causes of death in teenage girls in Siaya County.

Young women aged 15 to 19 are twice as likely to die from complications in pregnancy as are women in their twenties.

For mothers under 18, their babies' chance of dying in the first year of life is 60 per cent greater than that of a baby born to someone aged 19 or older.

The fact that the girl and so many other young women are in this snaking queue is a sign of hope.

Soon she will be injected with a contraceptive implant that will protect her from the risk of another unwanted pregnancy for the next three years.

She will also receive ARVs and more information on how to live positively.

The girl is no longer one of the 215 million women around the world with no means of accessing contraception and family planning services and information.

Women with unmet needs account for 82 per cent of the 75 million unintended pregnancies that occur globally every year.
Access to family planning services could reduce the number of maternal deaths by a third. Like so many of the women around us, the girl says she was too young to have a child when she did.

She looks at her son, now balanced on her hip, and adds quietly: "If I had known about contraceptives before, I would have taken them."

Unlike in developed countries, pregnancy is not primarily a lifestyle in most of developing countries.

Every year 358,000 women die due to pregnancy or childbirth. Many of these women did not plan to be pregnant. Equally tragic is that 47,000 women die every year because of unsafe abortions.

While government policy states adolescents should have access to comprehensive family planning, there is stigma supplying contraceptives to teens, getting them into the clinics and dispelling the myths that surround the services.

In Alego Usonga Sub County almost half of the teenagers have children. According to a senior nurse at the hospital, around 10 per cent of births in Alego Usonga Sub County involve girls under 15 years.

It is estimated that more lives could still be saved every year if there was more family planning provided in the county.

There is actually a need to fund family planning in Siaya County. Teenage pregnancy is a "BIG ISSUE" in Siaya County and needs to be addressed urgently.

In Siaya County, 60-70 per cent of the population are under the age of 30. Family planning is the most important human development intervention because it enables young people to make choices about their lives.

It also ensures women can have the number of children they want and can look after; and it gives them the possibility to protect themselves from infectious diseases.