Migraine Headache during Sexual Intercourse.

Question: For past three weeks when I have sex with my girlfriend I’m getting extreme, throbbing pain on the left  side of my neck to back of my head. It comes fast just before I am ejaculate. It is so painful, because of that i have to stop and lay down and not able to finish the Intercourse. This is really strange and has never happened to me before, I’m worried about it.

Sex during pregnancy

As long as your pregnancy is proceeding normally, you can have sex as often as you like. Its better to avoid it in first 3 months and last 3 months. There is an increase in vaginal lubrication; engorgement of the genital area helps some people become orgasmic for the first time or multi-orgasmic. Unexplained vaginal bleeding is an absolute contraindications for sex during pregnancy.

Is it ok to have sex during pregnancy?

As long as your pregnancy is proceeding normally, you can have sex as often as you like.

But you may not always want to.

Ø At first trimister, hormonal fluctuations, fatigue and nausea may sap your sexual desire

Ø During the second trimester, increased blood flow to your sexual organs and breasts may rekindle your desire for sex

Ø During the third trimester, weight gain, back pain and other symptoms may once again dampen your enthusiasm for sex

But there are many reasons why sex during pregnancy can be more enjoyable, even if you are doing it less.

There is an increase in vaginal lubrication; engorgement of the genital area helps some people become orgasmic for the first time or multi-orgasmic

Can sex during pregnancy cause a miscarriage?

Most of the early miscarriages are usually related to chromosomal abnormalities or other problems in the developing baby.

·        But it is always better to avoid sex during first trimester (12 weeks), though the chances of miscarriage are less, few
cases of have been reported

·        It’s better to avoid sex in last trimester (last 3 months) as rupture of bag of membranes can cause premature labor

Does sex during pregnancy harm the baby?

Your developing baby is protected by the amniotic fluid in your uterus, as well as the mucous plug that blocks the cervix throughout most of your pregnancy.

Sexual activity won’t affect your baby.

What are the best sexual positions during pregnancy?

As long as you’re comfortable, most sexual positions are OK during pregnancy

As your pregnancy progresses, experiment to find what works best Rather than lying on your back, you might want to lie next to your partner sideways or position yourself on top of your partner or in front of your partner

Safe sexual positions in pregnancy

·        Woman on top- this allows you to control the depth of penetration, and the majority of the movement

·        Spooning- usually its best if the man is behind allowing his penis to go between your thighs and enter you from behind

·        Hands & Knees- this is a very good position for pregnant women again because of the lack of direct pressure on the abdomen

What about oral and anal sex?

·        Oral sex is safe during pregnancy. There’s a caveat, however

·        If you receive oral sex, make sure your partner doesn’t blow air into your vagina

·        Rarely, a burst of air may block a blood vessel (air embolism) — which could be a life-threatening condition for you and the baby

Generally, anal sex isn’t recommended during pregnancy.

Anal sex may be uncomfortable if you have pregnancy-related haemorrhoids.

More concerning, anal sex may allow infection-causing bacteria to spread from the rectum to the vagina.

Should my partner use a condom?

Exposure to sexually transmitted diseases during pregnancy increases the risk of infections that can affect your pregnancy and your baby’s health.

Use a condom if your partner has a sexually transmitted disease, you’re not in a mutually monogamous relationship or you choose to have sex with a new partner during pregnancy.

Can orgasms trigger premature labour?

Orgasms can cause uterine contractions.

But these contractions are different from the contractions you’ll feel during labor.

If you have a normal pregnancy, orgasms — with or without intercourse — don’t seem to increase the risk of premature labor or premature birth.

Are there times when sex should be avoided?

ü You are at a risk of premature labour

ü Unexplained vaginal bleeding

ü Leaking amniotic fluid

ü Cervical incompetence

ü Placenta previa

ü Active sexually transmitted disease of partner

After the baby is born, how soon can I have sex?

ü Whether you give birth vaginally or by C-section, your body will need time to heal

ü It’s recommended to wait for four to six weeks before resuming intercourse

ü This allows time for your cervix to close and any tears or a repaired episiotomy to heal

Bleeding during sex

v Post-coital bleeding is bleeding from the vagina after sex. It is not a normal phenomenon and warrants medical attention. If you notice that you tend to bleed during or after intercourse, consult a doctor at the earliest.

v Bleeding during sex may be noticed in thecourse of, or after intercourse (post-coital bleeding). It is not a normal phenomenon and warrants medical attention. If you notice that you tend to bleed after making love, consult a doctor at the earliest.

v The most serious cause of post-coital bleeding is cervical cancer or early cancerous changes in the cervix.

Some common causes of bleeding during sex

The causes of post coital bleeding can be broadly divided into four groups:

v Cancerous or precancerous conditions 

·        Cervical cancer

·        Cervical dysplasia

·        Vaginal cancer

v Trauma or injury

·        A cut or sore in the vagina

·        Vigorous sex resulting in injury

·        Vaginal dryness resulting in injury during normal sex

·        Intrauterine devices can cause bleeding from irritation and friction

·        Lowered estrogen level as in perimenopausal or post menopausal woman.

·        Drying and narrowing of the vagina

·        Hymen rupture during first intercourse — this is normal, So dont worry

v Infections

·        Chlamydia infection

·        Gonorrhea infection

·        Vaginitis or cervicitis

·        Trichomonas vaginalis

·        Vaginal yeast infection

v Abnormal growths

·        An abnormal growth in the vagina or cervix such as polyps

·        Endometritis or adenomyosis

·        Uterine polyps

·        Fibroid tumors

Diagnostic tests

Your doctor may need to do a few tests to determine the cause of bleeding.

Ø Physical examination

Ø Pap smear

Ø Vaginal or cervical swab

Ø Vaginal speculum examination

Ø Pregnancy test

Ø Colposcopy

Ø Dilatation and curettage

Ø Endometrial sampling

Ø Cervical biopsy

Ø Blood tests

Treatment depends on the underlying cause. Ifit is due to infections treatment of infection is required. If it is due to vaginal dryness at menopause, use of lubricants is advised.

Information for women

It is important for you to understand the following points about post-coital bleeding.

Ø Commonest cause or causes of bleeding

Ø Whether further investigation is indicated

Ø Information about investigations, if needed

Ø The chances of a serious cause like cancer

Ø Chances of other causes being present

Ø When to come for follow-up if symptoms persist or recur

Ø Cervical smear is a screening test that will indicate the cancer in 80 to 90% cases but may miss it in the remaining 10 to 20% of them.

Sexual Myths and Facts

• Because erections usually aren’t controllable, there’s not much you can do to avoid getting them. Unless the penis is stimulated enough to ejaculate, time is the only thing that will help them go away. 
• As your hormones settle down and you advance through puberty, the frequency of unexpected erections and wet dreams should decrease.

• Duct blockage – Infection like gonorrohea, TB, filariasis; on surgery for hernia/hydrocele may lead to blockage of the passage between the testes and the penis. In this case sperms will be absent from the
  semen(azoospermia). 
• Hormonal imbalance – Hormonal imbalance due to pituitary or adrenal gland can lead to infertility.
• Substance Abuse – Exessive intake of alcohol and/or drugs leads to decrease in liver function and increase in levels of the
  hormone Estrogen which in turn suppresses sperm production.
• Testicular factors – like twisting of testis leading to compromised blood supply; undescended testes when the testes lie in the abdomen; and damage due to exercise or heat can decrease sperm production. Testes lie outside the body in the scortum because they can produce sperms in a cooler environment. So clothes like tight jeans, nylon briefs, and hot baths/saunas, lead to damage to sperm production.

• Abstinence from sex or masturbation for 4-5 days prior to the day of test.
• The sample given should not be more than half hour old
• It should be collected in a wide-mouthed, clean jar by masturbation.
• The sample is to be kept at room temperature.

• Protect your testicles. Always wear an athletic cup or athletic supporter when playing sports or participating in strenuous
  activity. Athletic cups are usually made of hard plastic, are worn over the groin area, and provide a good degree of shielding and safety for the testicles. Cups are best used when participating in sports where your testicles might get hit or kicked, like football, hockey, soccer, or karate. An athletic supporter, or jock strap, is basically a cloth pouch that you wear to keep your testicles close to your body. Athletic supporters are best used when participating in strenuous exercise, cycling, or doing any heavy lifting.
• Check your fit. Make sure the athletic cup and/or athletic supporter is the right size. Safety equipment that’s too small or
  too big won’t protect you as effectively.
• Keep your doctor informed. If you play sports, you probably have regular physical exams by a doctor. If you experience testicular pain even occasionally, talk to your doctor about it.
• Be aware of the risks of your sport or activity. If you play a sport or participate in an activity with a high risk of injury, talk to your coach or doctor about any additional protective gear you should use.

• PMS consists of various physical and/or emotional symptoms that occur in the second half of the menstrual cycle, after ovulation. It is characterized by premenstrual discomfort in the lower abdomen and back, and in the breasts. All these features precede the period by a week or ten days. Fortunately, a woman obtains relief when her menstrual period begins. Another feature of PMS is a symptom-free time for several days every month, in the first half of the menstrual cycle.
• Features: these include physical features like acne, backache, bloating, sore breasts, and headache. Emotional symptoms might include changes in sexual desire, difficulty concentrating, irritability.
• Women may gain upto a kg. of weight or more in the latter part of the menstrual
  cycle due to water retention in the body. Emotional stress often contributes to the symptoms.
• The only saving grace in this problem is that few women experience all these symptoms! Most have a few that recur each month.
• The symptoms of certain medical conditions can resemble PMS. These conditions include allergies, depression, diabetes, dysmenorrhea (painful periods), endometriosis, fibrocystic breast disease, and thyroid problems.

• Tonsils and adenoids are masses of tissue that are similar to the lymph nodes or “glands” found in the neck, groin, and armpits.
• We will loss the immunity, and then the infection directly enters the “Mid Chest”.
• After effects of operation some time we have loss of voice and change in tones
• Tonsils are the two masses on the back of the throat. Adenoids are high in the throat behind the nose and the roof of the mouth (soft palate) and are not visible
• Through the mouth without special instruments.
• Tonsils and adenoids are near the entrance to the breathing passages where they can catch incoming germs, which cause infections.
• Scientists believe they work as part of the body’s immune system by filtering germs that attempt to invade the body and those they help to develop antibodies to germs.
• This happens primarily during the first few years of life, becoming less important as we get older. Children who must have their tonsils and adenoids
• Removed suffer no loss in their resistance.

• The most common problems affecting the tonsils and adenoids are recurrent infections (throat or ear) and significant enlargement or obstruction that causes breathing and swallowing problems.
• Abscesses around the tonsils, chronic tonsillitis, and infections of small pockets within the tonsils that produce foul-smelling, cheese-like formations can also affect the tonsils and adenoids, making them sore and swollen. Tumours are rare, but can grow on the tonsils.

• Redder than normal tonsils
• A white or yellow coating on the tonsils
• A slight voice change due to swelling
• Sore throat
• Uncomfortable or painful swallowing
• Swollen lymph nodes (glands) in the neck
• Fever
• Bad breath

• Breathing through the mouth instead of the nose most of the time
• Nose sounds “blocked” when the person speaks
• Noisy breathing during the day 
• Recurrent ear infections
• Snoring at night
• Breathing stops for a few seconds at night during snoring or loud breathing (sleep apnoea)

• Tonsils may be considered as two guards standing at the entrance (throat) and protecting the human system against a wide range of intruders such as bacteria, virus, allergens, etc.,
• Tonsils are natural protectors and vital organs of self-defence mechanism of the body. They are like the soldiers fighting on the border who get injured (inflamed) protecting the country.
• Surgical removal of the tonsils (tonsillectomy) is a medico-surgical controversy since years.
• The homoeopathic medical fraternity has always believed in the philosophy of conserving, supporting and encouraging the body’s own defence powers. With correct homoeopathic medication, it becomes possible to SAVE TONSILS.

• Major cause is the infection. Certain bacteria (Most common being streptococcal group), viruses, and allergens are known to produce Tonsillitis. Tonsillitis may also occur as a result of certain allergy to food-preservatives, artificial colours, etc.
• The commonest cause of tonsillitis is infection of the tonsils by micro-organisms. Certain bacteria (most common being the streptococcal group of bacteria), viruses, and allergens are known to produce tonsillitis. Allergens are usually in the form of certain food articles.
• Common food articles that can trigger tonsillitis are artificially

• Environmental factors that may trigger an attack of tonsillitis are exposure to excessive cold weather, damp climate or change of weather. It must be borne in mind that bacteria and viruses tend to flourish in crowded areas and hence patients who are prone to  tonsillitis can easily catch the infection in schools, parks, theatres, etc.
• All these factors contribute to lowering the immunity of the body and thus the tonsils got to infection by the micro-organisms.
• Another causative factor that can be of importance in the diagnosis of recurrent tonsillitis or chronic tonsillitis is genetic tendency. Recurrent tonsillitis is frequent in patients whose parents have also suffered from the same condition during childhood or adolescence.
• Thus it is not just one, but multiple factors that combine together to lower the immunity of the body and this in turn causes recurrent and chronic tonsillitis in patients.

• Recurring infection of the tonsils leads to frequent episodes of tonsillitis, which is a common paediatric disorder found world over.
• Frequent infections leads to certain changes in the lymphoid tissues of the tonsils making them enlarged in size. They may get enlarged to an extent that they may touch each other. They are called ‘kissing tonsils’! Recurring septic tonsillitis may lead to some scarring on the tonsils making them less capable to fight against the future infection.

Kidney Stones Causes

• Heredity: Some people are more susceptible to forming kidney stones, and heredity certainly plays a role. The majority of kidney stones are made of calcium, and hypercalciuria (high levels of calcium in the urine), is a risk factor. The predisposition to high levels of calcium in the urine may be passed on from generation to generation. Some rare hereditary diseases also predisposecystine (an amino acid), oxalate, (a type of salt), and uric acid (as in gout).
  Some people to form kidney stones. Examples include people with renal tubular acidosis and people with problems metabolizing a variety of chemicals including
• Geographical location: There is also a geographic predisposition in some people who form kidney stones. There are regional “stone belts,” with people living in the Southern United States, having an increased risk. This is likely because of the hot climate, since these people can get dehydrated, and their urine becomes more concentrated, allowing chemicals to come in closer contact and begin forming the nidus of a stone.
• Diet: Diet may or may not be an issue. If a person is susceptible to forming stones, then foods high in calcium may increase the risk, however if a person isn’t susceptible to forming stones, nothing in the diet will change that risk.
• OTC products: People taking diuretics (or “water pills”) and those who consume excess calcium-containing antacids can increase the amount of calcium in their urine and increase their risk of forming stones. Patients with HIV who take the medication indinavir (Crixivan) can form indinavir stones.

Kidney Stones Symptoms

• Renal colic (renal is the medical term for things related to the kidney) has a classic presentation when a kidney stone is being passed. 
• The pain is intense and comes on suddenly.
• It is usually located in the flank or the side of the mid back and radiates to the groin. Those affected cannot find a comfortable position, and many writhe in pain.
• This is opposed to non-colicky type pain, like appendicitis or pancreatitis, where movement causes increased pain and affected persons hold very still.
• Sweating, nausea and vomiting are common.
• Blood may be visible in the urine because the stone has irritated the ureter. Blood in the urine, however, does not always mean a person has a kidney stone. There may be other reasons for the blood, including kidney and bladder infections, trauma, or tumors. Urinalysis with a microscope may detect blood even if it is not appreciated by the naked eye. Sometimes, if the stone causes complete obstruction, there may be no blood in the urine because it cannot get past the stone.

• Heredity
• Emotional stress
• Climatic conditions
• Use of certain drugs
• Use of certain medicines

• Skin turns reddish
• Irritation on the skin
• Itching

• Blind (open on one end only, but connects to two structures)
• Complete (has both external and internal openings)
• Horseshoe (connecting the anus to the surface of the skin after going around the rectum)
• Incomplete (a tube from the skin that is closed on the inside and does not connect to any internal structure)
• Fistulas may occur in many parts of the body.