Al Rehmat Health Care Centre

Reproductive Specialty Sexual Health

Understanding male sexual health is one way to understand men in general. Men often have concerns about fertility and erections. Male performance is always an issue with many men. Men do not have to worry about fertility and erections any longer. There are products on the market that increase sperm volume and erection enhancers. These products do help men with self-esteem issues and helps build confidence about ones self. With a little help, men can increase the volume of sperm and enhance erections. This means your orgasms will be stronger, longer and intense. The male sexuality is enhanced.

Diagnoses
With the advancement of science, more fertility center offers solutions to the couples problems. However, most of these medical procedures so are very expensive in North American and European countries so most of the couples seek help from foreign countries. Currently, there are countries who offer medical tourism packages. Countries in Latin and South America have reliable doctors, state-of the-art facilities and not to mention, very warm and friendly environment which makes is easy for patients to go through the procedure.

Al Rehmat Health Care Centre

Reproductive Specialty Sexual Health Male Infertility Male Sexual Problems Male sexual Diseases Female Infertility Diagnoses Clinical Diagnoses Pathological Diagnoses Chemical Diagnoses

Microbiological Diagnoses Psychological Diagnoses

Physical Diagnoses

Female Sexual Problems

Female Sexual Diseases

Sexual Health
Male Infertility
Male infertility is nearly hundred percent based on sperm problems. It may either be that the male patient develops poor sperm quality, low sperm count, or worse no sperm at all. Unfortunately enough, there is still no technique that may affect the condition of the sperm cells as presented by the patient. Instead, all treatments focus on how to make the most of the sperm cells that are under study. One of the very first things when checking into infertility is to check for egg production and sperm production in both the man and woman. After both people have been evaluated then there will be a choice of treatments available and choices for you to make. In the choice of male infertility treatment, there are some options to choose from.

Male infertility can be caused from a few different things. Sometimes infertility can be caused from some kind of injury such a spinal injury. In a case such as spinal injury, there may be a problem with ejaculation. In a case such as this, the sperm can be harvested in other ways such as vibratory stimulation. As with other injuries there can be reproductive dysfunction in both the male and female but keep in mind there are other ways to get the eggs and sperm.

Sexual Health
Male Sexual Problems
In the narrowest sense, male sexual difficulties involve getting or keeping an erection, ejaculating too rapidly, or difficulty reaching orgasm. What is hard enough, fast enough, and time enough (or too long) is best decided by the people involved, rather than by a clock or some arbitrary standard. When you are deciding, keep the following in mind: Most men experience difficulty with erections, rapid ejaculation, or delayed ejaculation at some time, and this is entirely normal. When it is frequent or pervasive, one partner or the other usually decides this is a "problem." Uneven sexual desire and dissimilar preferences in sexual style are normal and inevitable in long-term relationships. It is how you handle these that makes the difference. Do not confuse the average guy with the Energizer Bunny. Many men have low sexual desire, too. Just like women, lots of men know what it is like to feel pressured by their spouses larger sexual appetite. Mens sexual difficulties usually decrease intimacy, too. When either partner has frequent dysfunction or low desire, both partners eventually retreat during sex into separate mental worlds of worry and frustration. Mind-reading during sex is not quite "the most intimate thing two people can do."

Sexual Health
Male Sexual Diseases
How Do I Know If I Have an STD? If you or your sex partner has unprotected sex with anyone else, you are at risk. Ask your doctor to test you for STDs during your annual physical even if you have no symptoms. If you test positive, your sexual partners will need treatment. It may be embarrassing, but you must tell them they have been exposed. It is a matter of life and death. HIV/AIDS: Since AIDS is not curable, treatment focuses on keeping HIV levels in check. Antiretroviral drugs are the standard therapy for HIV infection, and usually you will be given several drugs to take, a socalled drug "cocktail." The question of when to begin antiretroviral therapy is still debated. Some doctors believe in an early start to better manage the virus, while others believe it is better to wait since the drugs can cause unpleasant side effects and drug resistance may develop. Talk to your doctor about when you should begin antiretroviral therapy. Chlamydia and Gonorrhea: These STDs are treated with antibiotics. You should begin taking them if tests show you have the infection or if you have been exposed to it, even though you may not have symptoms. Your sex partners will also have to be treated regardless of whether they have symptoms. Certain strains of gonorrhea have become resistant to some antibiotics, so you may have to take more than one drug to fight gonorrhea. Failure to treat these infections can result in permanent damage to your reproductive organs and a womans inability to get pregnant. Syphilis: Penicillin is the preferred treatment for syphilis. Early treatment is crucial to prevent the bacteria from spreading to and damaging other organs. Genital herpes:: Once you are infected with genital herpes, the virus remains in your body for life. After the first outbreak, herpes may flare several times per year, but these flares may lessen over time. Antiviral medication (such as Zovirax, Famvir, and Valtrex) can help reduce the length and severity of both the initial and subsequent outbreaks. If you have outbreaks often, you may want to use suppressive therapy. In suppressive therapy, your doctor prescribes medicine for you to take every day, to prevent you from getting an outbreak.

Sexual Health
Female Infertility
Poly cystic ovarian disease (PCOD) is most common female infertility cause which should be treated before marriage itself, if menstrual. irregularity is noticed. It is the most common ovarian dysfunction / endocrine disorder which affect several women in the reproductive age. Suffering women often have signs and symptoms of menstrual irregularity and weight gain, abnormal hair growth on the face or the body and absent / irregular periods. They have multiple small cysts in their ovaries . These cysts occur when the regular changes of a normal menstrual cycle are disrupted. The ovary is enlarged; and produces excessive amounts of androgen and estrogenic hormones. This excess, along with the absence of ovulation, may cause infertility. Also women with PCOD who conceive have a higher rate of early fetal loss than women without PCOD.PCOD women have fewer chances to conceive, compared to normal women who ovulate every month. Normal women get 12 chances in a year to conceive. But PCOD women hardly get 3-4 chances due to delayed / irregular periods.

Sexual Health
Female Sexual Problem
Intercourse pain, or dyspareunia, can cause problems in a couple's sexual relationship. In addition to the physical pain, there is also the possibility of negative emotional effects, so the problem should be addressed as soon as it becomes evident. Vaginismus. This is a common condition in which there is a spasm in the vaginal muscles, mainly caused by the fear of being hurt. Vaginal infections. These conditions are common and include yeast infections. Problems with the cervix. In this case, the penis can reach the cervix at maximum penetration, so problems with the cervix (such as infections) can cause pain during deep penetration. Problems with the uterus. These problems may include fibroids that can cause deep intercourse pain. Endometriosis. A condition in which the endometrium (tissue lining the uterus) grows outside the uterus. Problems with the ovaries. Such problems might include cysts on the ovaries. Pelvic Inflammatory Disease. The tissues deep inside become badly inflamed and the pressure of intercourse causes deep pain. Ectopic pregnancy. A pregnancy in which a fertilized egg develops outside of the uterus. Menopause. The vaginal lining can lose its normal moisture and become dry.

Sexual Health
Female Sexual Diseases
Sexually Transmitted Infections are widespread on a global scale, affecting several hundred million individuals every year. For example, chlamydia, the most common STI, is estimated to cause up to 100 million new infections per year, while the human papillomavirus (HPV), the most abundant sexually transmitted viral pathogen, causes over 500,000 annual cases of cervical cancer. STIs predominantly affect individuals who engage in high-risk sexual behavior, comprising frequent change of sexual partners, multiple partners and unprotected sex. Sexually transmitted infections. These may include genital warts, herpes sores or other STDs. Injury to the vulva or vagina. These injuries may include a tear from childbirth or from a cut (episiotomy) in the perenium (area of skin between the vagina and the anus) that is made during labor.

Diagnoses
Clinical Diagnoses
Introduction: It was the aim of clinical diagnoses to assess whether the changes in the diagnostic techniques and treatment modalities have altered the epidemiology of male factor infertility in the last decade. Material and Methods: From September 1999 to July 2003, more then 500 patients were evaluated for infertility in Al Rehmat Health care Centre . We divided our infertility patients according to the clinical diagnosis. Results: Most of the patients presented with varicocele, idiopathic infertility ,or had had seminal tract obstruction. Least common but equally important causes found were mumps , pyospermia , systemic diseases , testicular failure , cryptorchidism , ejaculatory dysfunction , genetics , endocrinopathies , testicular cancer , and testicular torsion. Conclusions: Even with the changes in reproductive healthcare in the last years, varicocele and seminal tract obstruction remain the leading causes of male infertility. However, clinicians should not forget other treatable causes of male infertility such as pyospermia, systemic diseases, or testicular cancer.

Diagnoses
Pathological Diagnoses
Infertile men should be investigated and managed in reproductive assistance centres supported by a complementary, specialized team who can apply advanced technology. pitfall in the clinical, laboratory, genetic and pathological diagnosis are highlighted in articles(www.drtayub.spaces.live.com), along with suggestions to circumvent them. Objectivity is advocated, especially in pathological diagnosis. Diagnostic testicular fine needle aspiration with mapping is preferable to an open biopsy and should be performed by the pathologist; this is indicated in cases of Grade A2 (non-obstructive) azoospermia prior to sperm retrieval in the intra-cytoplasmic sperm injection cycle. Along with use of an objective classification system for azoospermia, this can guide sperm retrieval and largely avoid open tissue biopsies. Standardized pathological methods will support evidence-based data to achieve reproducible investigative and treatment results.

Diagnoses
Chemical Diagnoses
Male infertility constitutes a worldwide problem. In order to assess hormonal disturbances in the male infertility we compared male reproductive hormonal levels in human serum and seminal plasma and evaluated the hypothalamic-pituitarytesticular-axis in infertile males. The biophysical semen parameters were assessed by W.H.O. standard manual method. Serum and seminal plasma male reproductive hormones (Leutinizing hormones, Follicular stimulating hormone, Prolactin and Testosterone) were measured by Enzyme Immunoassay (EIA) technique of W.H.O. in sixty (60) infertile adult male (Oligospermic; n = 40 and azoopermic; n = 20) and forty controls of proven fertility (Normospermic subjects; n = 40). The results show that the serum concentrations of gonadotropins (LH and FSH) were significantly higher (P<0.05) in infertile subjects than controls. Patterns of serum prolactin levels were similar. The values of gonadotropins in serum were significantly higher (P<0.05) than those of seminal plasma. Seminal plasma testosterone in infertile subjects was significantly higher (P<0.005) than that of controls but the serum levels of testosterone were significantly higher (P<0.05) in azoospermic than oligospermic subjects and controls. There was no significant correlation between serum hormonal level and seminal plasma hormonal level in all the groups (P<0.05). We concluded that male infertility is characterized by hyperprolactinaemia, raised serum gonadotropins (LH, FSH), and raised seminal plasma testosterone.

Diagnoses
Microbiological Diagnoses
Semen analysis is a basic step in the investigation of several disturbances affecting the male genital tract. Analysis of seminal parameters provides important clinical information on the spermatogenesis and functional competence of spermatozoa, as well as on the secretory pattern of the accessory genital glands. Semen analysis is particularly useful in the evaluation of couples requiring fertility investigation (to detect genital infections and pathologies) and in verifying the influence of environmental factors, drugs, lifestyle, chemical products, and professional activities on several diseases affecting male reproductive health. Measure of semen quality is of substantial interest for diagnoses in clinical urology, andrology, and gynecology. Currently, basic requirements for semen analysis are standardized by World Health Organization (WHO) guidelines that describe several procedures for an objective evaluation of the semen quality with diagnostic purposes. These guidelines include: parameters for the physical and biochemical evaluation of semen; parameters for the analysis of sperm characteristics; and other seminal parameters that can be easily adopted in any laboratory. This report summarizes current concepts on semen analysis and the significance of the seminal parameters for reaching a diagnosis based on the procedures recommended by WHO guidelines.

Diagnoses
Psychological Diagnoses
For psychological causes of sexual dysfunction, such as relationship problems, counseling, either individually or as a couple, may be beneficial. Sexual therapy with a therapist who specializes in sexual dysfunction may also help. Depression or anxiety disorders may need treatment. Any psychological problems that may be affecting sexual function Should be addressed. If a medication for the mental disconrt is interfering with sexual function, it may be possible to change or discontinue the medication.

Diagnoses
Physical Diagnoses
A fertility specialist, usually a urologist, will perform a physical examination. A physical examination of the scrotum, including the testes, is essential for any male fertility work-up. It is useful for detecting large varicoceles, undescended testes, absence of vas deferens, cysts, or other physical abnormalities. Varicoceles large enough to possibly interfere with fertility can be felt during examination of the scrotum. In such cases, they are described as feeling like "a bag of worms." They disappear or are greatly reduced when the patient lies down, so the patient should be examined for varicocele while standing. Checking the size of the testicles is helpful. Smaller-sized and softer testicles along with tests that show low sperm count are strongly associated with problems in sperm formation. Normal testicles accompanied by a low sperm count, however, suggest possible obstruction. The doctor may also take the temperature of the scrotum with a test called scrotal thermography. The doctor will also check the prostate gland for abnormalities. The penis is checked for warts, discharge from the urinary tract, and hypospadias (incorrect location of the urethra opening).

Sexual Difficulties Are Normal

You do not need sexual dysfunctions to fall into this, either. Sexual boredom and low desire are common and inevitable developmentspotentially. Underneath common sexual difficulties, the natural processes of self-development are often playing out. While not enjoyable, they do not necessarily mean something is going, or has gone, wrong. Knowing this can help you relax and appreciate your relationship in new light. Actually, sexual difficulties can be "beneficial" if you heed them as a wakeup call: There is more to sex than removing inhibitions or learning new techniques. Do not blame everything on "hang-ups or the signs of aging or disease. To get the sex and passion many of us want, there is a lot of growing up to do. Treatment Options: Men with sexual difficulties in prior generations had fewer options available. Treating erection problems with surgically, vacuum pumps, and injecting drugs into your penis left much to be desired. Today, erection difficulties, rapid ejaculation, delayed ejaculation, and low desire are all treatable problems. Even now, new medical miracles are on the horizon. But better genital function alone will not solve problems lying dormant in your relationship When To Get Help: You probably do not have to worry about seeking help prematurelythe overwhelming tendency is to struggle along in secrecy for as long as possible. It is always appropriate to consult our therapist those can be of help.

Dr. Muhammad Tayub

D.H.M.S (Sexual Therapist)

Al Rehmat Health Care Centre

http://drtayub.spaces.live.com/

Contact#

+965 99376908