Sexual dysfunction, infertility, gynecomastia, and climacteric changes in males can occur due to hormonal imbalances and medical conditions. Sexual dysfunction includes erectile dysfunction and disorders of ejaculation that can be caused by physical injuries, diseases like diabetes, or psychological factors. Infertility is evaluated through medical history, physical exam, and tests of sperm and hormone levels. Gynecomastia is breast enlargement in males caused by high estrogen or estrogen-progesterone imbalance. Andropause is the male equivalent of menopause where declining testosterone levels cause symptoms between ages 40-55 like loss of energy and libido. Management includes lifestyle changes, hormone therapy, and surgery in some
The urethra's main job in males and females is to pass urine outside the body. This thin tube also has an important role in ejaculation for men. When a scar from swelling, injury or infection blocks or slows the flow of urine in this tube, it is called a urethral stricture. Some people feel pain with a urethral stricture.
meaning of small family norms: Small family norm connotes control over the number of children.
The rate of reproduction and the level of acceptance of family control methods are to a large extent influenced by what people consider as the ideal family size.
Adoption of small family norms is today not only desirable but It has become difficult to survive with a large family particularly because of rising cost of living, growing needs and necessities.
It is a fact that a small family is a happy family.
Lesser number of children is a boon not only to their parents but also to the country.
They have better chances of food, clothing and education.
almost a necessity
nature of small family norms
benefits of small family norms
barriers of small family norms
REPRODUCTIVE ISSUES DUE TO LOW SPERM COUNT.
DIAGNOSIS, TREATMENT, MANAGEMENT AND PREVENTION.
For Scientific Free Lectures, Visit - http://bit.ly/VisitZofirAcademy
The urethra's main job in males and females is to pass urine outside the body. This thin tube also has an important role in ejaculation for men. When a scar from swelling, injury or infection blocks or slows the flow of urine in this tube, it is called a urethral stricture. Some people feel pain with a urethral stricture.
meaning of small family norms: Small family norm connotes control over the number of children.
The rate of reproduction and the level of acceptance of family control methods are to a large extent influenced by what people consider as the ideal family size.
Adoption of small family norms is today not only desirable but It has become difficult to survive with a large family particularly because of rising cost of living, growing needs and necessities.
It is a fact that a small family is a happy family.
Lesser number of children is a boon not only to their parents but also to the country.
They have better chances of food, clothing and education.
almost a necessity
nature of small family norms
benefits of small family norms
barriers of small family norms
REPRODUCTIVE ISSUES DUE TO LOW SPERM COUNT.
DIAGNOSIS, TREATMENT, MANAGEMENT AND PREVENTION.
For Scientific Free Lectures, Visit - http://bit.ly/VisitZofirAcademy
The menopause may be
Natural or induced
Natural menopause - the permanent cessation of menstruation for 12 months caused by failure of ovarian function with elevated gonadotropins (FSH, LH).
Average is 51 years
Infertility problem and Fertility managementRotunda TCHR
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In you have any question about infertility treatment so you should read these notes. I tried my best to mention all possible Q and A about infertility treatment.
Congenital anomalies of esophagus-Tracheoesophageal fistula, Esophageal atresia, esophageal stenosis, esophageal duplication cyst, esophageal webs or rings,, diverticulum of esophagus and congenital short esophagus
Deep Leg Vein Thrombosis (DVT): Meaning, Causes, Symptoms, Treatment, and Mor...The Lifesciences Magazine
Deep Leg Vein Thrombosis occurs when a blood clot forms in one or more of the deep veins in the legs. These clots can impede blood flow, leading to severe complications.
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
Navigating Challenges: Mental Health, Legislation, and the Prison System in B...Guillermo Rivera
This conference will delve into the intricate intersections between mental health, legal frameworks, and the prison system in Bolivia. It aims to provide a comprehensive overview of the current challenges faced by mental health professionals working within the legislative and correctional landscapes. Topics of discussion will include the prevalence and impact of mental health issues among the incarcerated population, the effectiveness of existing mental health policies and legislation, and potential reforms to enhance the mental health support system within prisons.
CRISPR-Cas9, a revolutionary gene-editing tool, holds immense potential to reshape medicine, agriculture, and our understanding of life. But like any powerful tool, it comes with ethical considerations.
Unveiling CRISPR: This naturally occurring bacterial defense system (crRNA & Cas9 protein) fights viruses. Scientists repurposed it for precise gene editing (correction, deletion, insertion) by targeting specific DNA sequences.
The Promise: CRISPR offers exciting possibilities:
Gene Therapy: Correcting genetic diseases like cystic fibrosis.
Agriculture: Engineering crops resistant to pests and harsh environments.
Research: Studying gene function to unlock new knowledge.
The Peril: Ethical concerns demand attention:
Off-target Effects: Unintended DNA edits can have unforeseen consequences.
Eugenics: Misusing CRISPR for designer babies raises social and ethical questions.
Equity: High costs could limit access to this potentially life-saving technology.
The Path Forward: Responsible development is crucial:
International Collaboration: Clear guidelines are needed for research and human trials.
Public Education: Open discussions ensure informed decisions about CRISPR.
Prioritize Safety and Ethics: Safety and ethical principles must be paramount.
CRISPR offers a powerful tool for a better future, but responsible development and addressing ethical concerns are essential. By prioritizing safety, fostering open dialogue, and ensuring equitable access, we can harness CRISPR's power for the benefit of all. (2998 characters)
How many patients does case series should have In comparison to case reports.pdfpubrica101
Pubrica’s team of researchers and writers create scientific and medical research articles, which may be important resources for authors and practitioners. Pubrica medical writers assist you in creating and revising the introduction by alerting the reader to gaps in the chosen study subject. Our professionals understand the order in which the hypothesis topic is followed by the broad subject, the issue, and the backdrop.
https://pubrica.com/academy/case-study-or-series/how-many-patients-does-case-series-should-have-in-comparison-to-case-reports/
Telehealth Psychology Building Trust with Clients.pptxThe Harvest Clinic
Telehealth psychology is a digital approach that offers psychological services and mental health care to clients remotely, using technologies like video conferencing, phone calls, text messaging, and mobile apps for communication.
ICH Guidelines for Pharmacovigilance.pdfNEHA GUPTA
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The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
Explore our infographic on 'Essential Metrics for Palliative Care Management' which highlights key performance indicators crucial for enhancing the quality and efficiency of palliative care services.
This visual guide breaks down important metrics across four categories: Patient-Centered Metrics, Care Efficiency Metrics, Quality of Life Metrics, and Staff Metrics. Each section is designed to help healthcare professionals monitor and improve care delivery for patients facing serious illnesses. Understand how to implement these metrics in your palliative care practices for better outcomes and higher satisfaction levels.
3. Sexual Dysfunction
Sexual dysfunction refers to a problem occurring
during any phase of the sexual response
cycle that prevents the individual or couple from
experiencing satisfaction from the sexual activity.
The sexual response cycle includes excitement,
plateau, orgasm, and resolution.
4. Disorders of Male sexual function
Erectile Dysfunction (Impotence)
Disorder of Ejaculation
5. Erectile dysfunction/Impotence
Inability to achieve and maintain erection
necessary to accomplish coitus.
Two main mechanism connected with erection
Vascular
Neurological
11. Infertility
Conception depends on the fertility potential of
the male & female partner.
Infertility is the inability of a couple to become
pregnant after one year of unprotected
intercourse.
13. Contd…
Obstruction of efferent duct-
Congenital-Absence of vas deferens
Young’s syndrome
Acquired-Infective (tuberculosis gonorrhea)
Surgical trauma-herniorraphy, vasectomy
14. Contd…..
Failure to deposit sperms high in vagina.
Impotency
Ejaculatory failure
Retrograde ejaculation
Hypospadias
Bladder neck surgery
Psychosexual
Drug related
16. Assessment findings
History
Age
Duration of marriage
Medical history with STDs
Orchitis after puberty
Any surgery
17. Contd…
Occupational history-exposure to excessive heat
or radiation.
Sexual history, heavy smoking & alcohol
Physical examination-examination of reproductive
system, size & consistency of testicles, presence
of varicocele
18. Investigations
Routine blood and urine examination
Seminal fluid analysis (Coitus to be avoided 2-3
days prior test)
Normal sperm count is over 20 million
spermatozoa per ml & progressive motility is 25%
19. Others
Serum FSH, LH, Testosterone, prolactin & TSH
Testicular biopsy
Fructose content in seminal fluid
Transrectal USG
Vasogram- to evaluate ejaculatory duct obstruction
Karoyotype analysis
Immunological test
* Assure the confidentiality of the couple and
Counselling may require
22. Need of Male contraception
More recognition for the need of shared
contraceptive responsibility
Reduce the burden traditionally placed almost
exclusively on the female partner
Specially in cases where female cannot adapt for
contraception due to medical or surgical problems
24. RISUG
Reversible inhibition of sperm under
guidance (RISUG), formerly referred to as the
synthetic polymer styrene maleic
anhydride (SMA), is the development name of
a male contraceptive injection developed at IIT
Kharagpur in India by the team of Dr. Sujoy K.
Guha. Phase III clinical trials are underway in
India, slowed by insufficient volunteer.
27. Gynecomastia
Gynecomastia is an enlargement or swelling of
breast tissue in males. It is most commonly
caused by male estrogen levels that are too high
or are out of balance with testosterone levels.
28. Etiology
Gynecomastia is most commonly caused by an
imbalance between the hormones estrogen and
testosterone.
Males produce a small amount of estrogen and
females produce a small amount of testosterone.
Male estrogen levels that are too high or are out of
balance with testosterone levels cause
gynecomastia
29. Contd….
Gynecomastia occurs naturally at different times
in a male’s life. These phases are:
After birth- Newborn boys are still under the
effects of the estrogen they received from their
mothers while developing in the womb.
More than half of newborn males are born with
enlarged breasts. The gynecomastia goes away
within two to three weeks after birth.
30. Contd….
At puberty -Hormone levels are changing during
puberty (usually 12 to 14 years of age).
Breast enlargement usually goes away six months
to two years after the start of puberty.
At mid-life and beyond-Breast enlargement often
peaks in men between the ages of 50 and 80.
About one in four men in this age range have
breast enlargement
31. There are many other conditions that can cause
gynecomastia. These include:
Obesity
Lack of proper nutrition
Tumors in the testicles or adrenal glands
Liver disease
Hyperthyroidism
Hypoandrogenism
Hypogonadism
Kidney failure
32. Certain drugs can also cause gynecomastia, including:
Anabolic steroids for improved athletic performance
Estrogens
Finasteride for enlarged prostate
Spironolactone (Aldactone), digoxin, amiodarone
(Cordarone), and calcium channel blockers
Cimetidine and proton pump inhibitors for heartburn
Diazepam (Valium) for anxiety
Ketoconazole for fungal infections
Metronidazole (Flagyl) for bacterial infections
Human chorionic gonadotropin for fertility problems
Amphetamines, marijuana, heroin, methadone (“street”
drugs) and alcohol.
33. Assessment & Diagnosis
Physical symptoms, breast exam, medical history
and medication review
Breast pain and tenderness are common
symptoms
A firm rubbery disk of tissue, located directly
beneath the nipple area, is felt during examination
The lump is easily moveable within the breast
tissue
35. Management
No treatment is needed
Most cases of gynecomastia lessen with time.
Surgery is usually not recommended unless the
gynecomastia is causing severe pain and
tenderness or embarrassment
37. Andropause
Andropause is also known as male menopause or
male climacteric.
It can be defined as a physiological phenomenon.
Most men undergo this between the ages of 40 to
55, there is deficiency of testosterone resulting in
decreased physical, mental and sexual activity.
38. Signs and Symptoms
Some of the signs and symptoms of andropuase
are-
Loss of muscle mass and energy
Obesity, gynecomastia (enlarged male breast)
Osteoprorosis
Cardiovascular problems
39. Contd….
Erectile dysfunction, loss of libido, premature
ejaculation and anejaculation and decreased
penile size
Baldness (Alopecia), varicocele and protastic
hypertrophy
Emotional and behavioural changes or mood
changes
Loss of interest in daily activities like sports,
business, home Improvement and profession
40. Cause and Pathophysiology
Testosterone production begins to slow down (after
late 30s) and the production of sex hormone binding
globulin increases. Rather than stopping, production
of testosterone simply traps and prevents it from being
used by the body. Most men produce more
testosterone hormone to combat the trapping effects
of SHBG. But some men cannot overcome the SHBG.
They will suffer from andropause
44. Precautionary Measures
Check the weight and body mass Index (BMI)
regularly
Undergo annual health check up
Check the level of testosterone
Do regular exercise, sport activity and yoga
Include vegetables and fruits in the diet
Avoid sweet, oily food and high calories