MY SEX DOCTOR

periods

http://mydoctortells.com (Dr. Ashok Koparday) — Sun, 12 May 2013 09:34:00 PDT

Periods Menses

Periods are those days when a woman bleeds from the vagina. Usually a girl has periods that last for 4 to 6 days.

Periods or menses begin in a girl at puberty. The beginning of menses is called menarche and usually a girl starts her periods between the age 12 years to 14 years. This menstrual flow of blood that occurs at monthly intervals ceases during the period called menopause. Menopause sets in a woman between age 45 years to 55 years.

Periods or menses stop when the egg released from the ovary gets fertilized by the sperm coming from the male. Thus, periods stop for a girl when she is pregnant.

Listen to this audio from kidshealth.org

To prevent blood stains on the clothes sanitary napkins or tampons are used during those days when blood and tissue flows out of vagina. Sanitary napkins sticks to the underwear. Tampons are inserted in the vagina.

The menstrual cycle is described as 6 / 28, meaning the period lasts for 6 days and stops to start again after interval of 28 days. The menstrual cycle may repeat after 21 days or after 45 days. For several years during teenage the menstrual cycles are not regular. This should not be a matter of worry. Girls differ in their pattern of periods.

Parents or teachers are advised to speak to girls aged 12 (standard VI in India) and inform them about menses so that the girl doesn't get upset suddenly seeing blood flow out of her body.

Audio file copyright kidshealth.org

Name: Ashok Koparday
Consultant in Sexual Medicine and Marriage Counselor
Medical Director
SAMADHAN INDIA
SEXUAL HEALTH CENTER SAMADHAN INDIA
Address: 90 Feet Road, Ghatkopar (East),Mumbai 400077 INDIA. Mobile: +91 9867788877
Telephone: 022 25060061
Email: ask [at] mydoctortells [dot] com
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puberty-brain-picture

http://mydoctortells.com (Dr. Ashok Koparday) — Sat, 11 May 2013 08:23:00 PDT

Puberty Picture Brain

Puberty is the time in life when a boy or girl becomes sexually mature. It is a physical change that usually happens between ages 10 and 14 for girls and ages 12 and 16 for boys.

HYPOTHALAMUS PITUITARY BRAIN SIGNALS PUBERTY

How puberty begins

The hypothalamus, an important part of the brain, begins secreting GnRH Gonadotrophin Releasing Hormone. The GnRH Gonadotrophin Releasing Hormone stimulates the pituitary gland and triggers the release of Follicle Stimulating Hormone FSH and Luteinizing Hormone LH. These hormones released by the Queen of Endocrine glands, the Pituitary Gland, initiate changes in ovaries of girl and testes of boys. Cascade of changes begin with the secretions of ovaries and testicles leading to development of reproductive system in the human species.

If you have any questions shoot here.

kegel-exercise-picture

http://mydoctortells.com (Dr. Ashok Koparday) — Fri, 26 Apr 2013 19:59:00 PDT

KEGEL EXERCISE - Pelvic Floor Muscles

Kegel Exercises Picture

Image of Pelvic Diaphragm

Pelvic floor muscles along with pelvic fascia comprises the pelvic diapragm. Just as the abdominal diaphragm (partition) separates the chest and abdomen, so too the pelvic diaphragm is a sling with pelvic organs on top and through the diaphragm pass the outlet for urine (urethra), stools (anus) and menses (vagina).

Perineum

Pelvic Floor

Pelvic Floor comprises of the Levator ani and the Coccygeus muscles. The Levator ani, made up of the illeococcygeus and the pubococcygeus muscles, along with the Coccygeus muscle act as one single muscle.

Nerve Supply:

The muscles of this group are supplied by the perineal branch of the pudendal. The repeated contraction and relaxation of these muscles tones up the pelvic diaphragm and thereby helps in the treatment of number of conditions of leakages from these three passages.

Nerve Supply

The Coccygeus is supplied by a branch from the fourth and fifth sacral nerves.

Source Acknowledgement Copyright

Henry Gray (1821–1865). Anatomy of the Human Body. 1918.

mental-illness-disablity-picture

http://mydoctortells.com (Dr. Ashok Koparday) — Sun, 21 Apr 2013 04:15:00 PDT

Mental Illnesses Cause Difficulty in Living

Click here to listen to the Video Talk on www.ted.com

by Thomas Insel, Director of the National Institute of Mental Health

Call mental illnesses as disorders of the mind or disorders of behavior, but better still is disorders of brain.

Click to see bigger picture

Brain Disorders = Mental Illnesses

100 BILLION NEURONS

Why complexity of brain changes in mental illness is daunting is brain has 100 billion neurons.

100 TRILLION SYNAPSES

We have just begun to understand the functioning of brain. The wiring is complex. In mental illnesses wiring gets disturbed. So Professor Director Thomas Ansel prefers to rename mental illnesses as BRAIN DISORDERS

Click to see bigger picture

DISABILITY CAUSED BY MENTAL ILLNESSES FAR EXCEEDS THAT CAUSED BY OTHER DISEASES

Disability Adjusted Life Years DALY

30% of all disabilities due to all medical causes can be attributed to neuropsychiatric disorders. Quality of life and work output is tremendously affected compared to that affected by all other medical diseases.

ONSET Begins in early age

50 per cent by age 14 years age and 75 per cent by age 24.

One in five suffer from one of the mental illnesses:

Schizophrenia,
Depressive disorder,
Bipolar disorder,
Anxiety Disorder,
Post traumatic stress disorder,
Attention Defecit Hyperactivity Disorder,
Obsessive Compulsive Disorder

More serious than death caused by mental illness is the loss of productive life, quality life in people with mental illness. Source Acknowledgment Copyright

http://www.ted.com/talks/thomas_insel_toward_a_new_understanding_of_mental_illness.html Thomas Insel, Director of the National Institute of Mental Health

kegel-exercise

http://mydoctortells.com (Dr. Ashok Koparday) — Sat, 20 Apr 2013 17:58:00 PDT

Kegel exercises

Do I need Kegel Exercises

Kegel exercises are useful for

1. Getting stronger and longer erections

2. Treatment of Premature Ejaculation

3. Enhancing Female Sexual Satisfaction

4. Parturition (Labor pains)

5. Urinary incontinence in men, especially women who may have incontinence following childbirth.

6. Uterine prolapse

7. Vaginal prolapse

8. Prostate pain/infection/ Benign Prastatic Hyperplasia.

9. Rectal Prolapse

10. Fecal incontinence

What are pelvic floor muscles

The levator ani (the pelvic diaphragm) comprises of pubococcygeus, puborectalis and ileococcygeus. These contract and relax together as one muscle. These are the muscles of pelvic floor, also called as Kegel muscles.

Why are they called Kegel Exercise

Dr. Arnold Kegel first published his studies on the importance of pelvic floor tone and pelvic floor muscle exercises in 1948. Hence, the exercises of pelvic floor muscles are called as Kegel exercises. Arnold Kegel invented the device perineometer to measure and help strengthen the pubococcygeus muscles.

What are other names of Kegel Exercises?

The pelvic floor muscle exercises are also called as perineal muscle exercise, pubococcygeus muscle exercises or pc muscle exercises.

How to do Kegel Exercises

Imagine you have a strong urge to defecate. There is no washroom closeby. In this situation you contract muscles around the anus to hold on and prevent defecation. The same muscles are strengthened by Kegel exercises.

How to begin learning Kegel exercises?

First identify pelvic floor muscles. You are not supposed to contract adductor muscles of thigh or abdominal muscles. To help people identify pelvic floor muscles we ask them to imagine they are holding flatus (gas), stools or urine. She may insert her finger in the vagina or he may insert finger in anus and sense the muscles contracting and squeezing over the finger.

You can begin by learning to pause mid stream, then start, then pause again, then restart.

How often to do Kegel Exercise?

Contract muscles for short time and quickly relax the same muscles. Contract these muscles for longer duration and relax them. Short and long contractions are to be done for few minutes at a time several times a day. Or do these alternate squeezing and relaxing exercises of pelvic floor muscles as advised by your doctor.

Benefits in delaying Premature Ejaculation in men

When pubococcygeal muscles are exercised the tone of pelvic diaphragm increases. Kegel exercises enable stronger erections and bring sexual fitness. Kegel exercise has been used in the treatment of premature ejaculation for delaying ejaculation in men.^[1]

Sexual function benefit for women by doing Kegel Exercises

In 1952, Dr. Kegel published a report in which he claimed that the women doing his exercises were orgasming more easily, more frequently and more intensely: "it has been found that dysfunction of the pubococcygeus exists in many women complaining of lack of vaginal feeling during coitus and that in these cases sexual appreciation can be increased by restoring function of the pubococcygeus."[17] Thirty years after Kegel's article, sex therapist Bryce Britton wrote a book titled The Love Muscle, calling her publication "Every Woman's Guide to Intensifying Sexual Pleasure". There is controversy over the precise effects of the PC muscle on orgasmic response but certain benefits of a strong pelvic floor are well accepted.

How to find if the pelvic floor muscles are weak

This can be assessed by either digital examination of vaginal pressure or using a Kegel perineometer

What gadgets / products will help develop pelvic floor muscle tone

Unfortunately there are a number of products on the market that have no impact at all on the pubococcygeus muscle. A progressive resistance vaginal exerciser is the only form of pelvic toning device available on prescription in the UK to women presenting with symptoms of urinary stress incontinence or pelvic floor weakness.

REFERENCES
[1]

Alan P. Brauer; Donna J. Brauer (2001).

ESO: How You and Your Lover Can Give Each Other Hours of Extended Sexual Orgasm (Revised ed.). Warner Books. p. 59. ISBN 0-446-67762-0. Retrieved April 20, 2013 "Learning to tighten, to relax, and to push out the PC muscle allows a man to control his sexual system the way he controls a car. Tightening is the accelerator, increasing arousal. Pushing out is the brake—it can help stop ejaculation.

lover-personality-types

http://mydoctortells.com (Dr. Ashok Koparday) — Sat, 20 Apr 2013 08:42:00 PDT

Four Personality Types of Lovers

One of the most addictive substances in the world is "Romantic Love".

1. Explorer 2. Negotiator 3. Builder 4. Director

So which love type are you?

HOW TO FIND YOUR MATCH

Type:

1. The Explorer

Traits: Highly curious, creative, energetic, spontaneous.
Type:

2. The Builder

Traits: Calm, social, popular, and good at managing people, networking, and building family and community.
Type:

3. The Director

Traits: Analytical and logical, straightforward, decisive, tough minded, and focused.
Type:

4. The Negotiator

Traits: Imaginative, intuitive, empathetic, and emotionally expressive, and have good verbal and social skills.
Read more: Oprah Winfrey Helen Fisher Talk
Click to find which LOVER personality type you are.
Helen Fisher with Oprah Winfrey

Negotiator Lover

You know the type: Negotiators are imaginative, intuitive, empathetic,
and emotionally expressive, and have good verbal and social skills.
Most strikingly, these people see the big picture with all the options.
Famous examples: Bill Clinton, Gandhi, Carla Bruni-Sarkozy, Sex and the City's Carrie Bradshaw.
Under the influence: Estrogen (the so-called female sex hormone,
though, again, it's found in both genders) plays
an important role in the Negotiator's character.
Longs for: A soul mate.
Bonds well with: Directors (no wonder Hillary and Bill are still together).
If you are a Negotiator: Watch out for your inclination to
be so diplomatic that you appear spineless. And avoid drowning your date
in a verbal deluge. If you have met someone you like, don't over think
the situation, endlessly going over the pros and cons.
Ultimately it's important for you not to settle for anything
but a deeply meaningful, authentic relationship.
If you're dating one: Keep in mind that Negotiators
aren't always direct, so read between the lines. Avoid being
competitive with them. And don't hesitate to talk about yourself:
These people love hearing about what you're thinking and feeling.
Above all, they will fall for you if you stimulate their imagination.

You know the type: Explorers crave adventure and are willing to take risks. Highly curious, creative, energetic, spontaneous, they have many interests—from hiking and spelunking to theater and reading.

Famous examples: John F. Kennedy, Princess Diana, Angelina Jolie.

Under the influence: The Explorer's behavior is largely affected by the brain chemical dopamine, which is a key player in our experience of pleasure and novelty. Longs for: A playmate.

Bonds well with: Other Explorers.

If you are an Explorer: My advice is to go slowly. Because you're so impulsive, you can get romantically involved too fast. And because you hate confrontation, you risk bolting from a relationship that could prove fantastic. If you find someone you are genuinely interested in, check your inclination to go out with others, and focus your energy on him or her.

If you're dating one: Be prepared to live this romance one day at a time. Remain flexible, and know that for your partner, "dullness is a misdemeanor," as novelist Ethel Wilson astutely put it.

mental-illness-new-perspective

http://mydoctortells.com (Dr. Ashok Koparday) — Sat, 20 Apr 2013 01:30:01 PDT

Mental Illnesses

To listen to the video talk delivered on TED.com by Director of National Institute of Mental Health Thomas Insel click here.

New Perspective on Brain Disorders (Mental Illnesses)

Yes, by mental illness, we mean schizophrenia, depression, bipolar disorder, anxiety disorders, obsessive compulsive disorder, borderline personality disorder and some others.

Mental illnesses kill in the form of suicide.

Suicide
Cancer seems serious. Heart disease seems deadly. Suicide kills 38 thousand people in USA every year. This means one suicide every 15 minutes. Suicide is the 3rd most common cause of death among young people between the ages 15 and 25. Suicide kills twice the number of people killed by homicide. More people die due to suicide than due to traffic accidents. It is time to lift the taboo of mental illnesses. One simple method is to call them 'Brain Disorders'.

So let's start with some good news, and the good news has to do with what do we know based on biomedical research that actually has changed the outcomes for many very serious diseases?

Let's start with leukemia, acute lymphoblastic leukemia, ALL, the most common cancer of children. When I was a student, the mortality rate was about 95 percent. Today, some 25, 30 years later, we're talking about a mortality rate that's reduced by 85 percent. Six thousand children each year who would have previously died of this disease are cured. If you want the really big numbers, look at these numbers for heart disease. Heart disease used to be the biggest killer, particularly for men in their 40s. Today, we've seen a 63-percent reduction in mortality from heart disease -- remarkably, 1.1 million deaths averted every year. AIDS, incredibly, has just been named, in the past month, a chronic disease, meaning that a 20-year-old who becomes infected with HIV is expected not to live weeks, months, or a couple of years, as we said only a decade ago, but is thought to live decades, probably to die in his '60s or '70s from other causes altogether. These are just remarkable, remarkable changes in the outlook for some of the biggest killers. And one in particular that you probably wouldn't know about, stroke, which has been, along with heart disease, one of the biggest killers in this country, is a disease in which now we know that if you can get people into the emergency room within three hours of the onset, some 30 percent of them will be able to leave the hospital without any disability whatsoever.

Mental Illness compared to other illness
Leukemia, which spelt death few decades ago now has mortality rate reduced by 85%. Heart disease, biggest killer has now mortality rate reduced by 63%. HIV - AIDS, which was a certain killer, now gives people life of several decades.

Remarkable stories, good-news stories, all of which boil down to understanding something about the diseases that has allowed us to detect early and intervene early. Early detection, early intervention, that's the story for these successes.

Unfortunately, the news is not all good. Let's talk about one other story which has to do with suicide. Now this is, of course, not a disease, per se. It's a condition, or it's a situation that leads to mortality. What you may not realize is just how prevalent it is. There are 38,000 suicides each year in the United States. That means one about every 15 minutes. Third most common cause of death amongst people between the ages of 15 and 25. It's kind of an extraordinary story when you realize that this is twice as common as homicide and actually more common as a source of death than traffic fatalities in this country. Now, when we talk about suicide, there is also a medical contribution here, because 90 percent of suicides are related to a mental illness: depression, bipolar disorder, schizophrenia, anorexia, borderline personality. There's a long list of disorders that contribute, and as I mentioned before, often early in life.

Disability Mental Illness
The disability (morbidity)/ handicap caused by mental illnesses (Brain Disorders) is alarming virtually 30 percent of all disability from all medical causes.

But it's not just the mortality from these disorders. It's also morbidity. If you look at disability, as measured by the World Health Organization with something they call the Disability Adjusted Life Years, it's kind of a metric that nobody would think of except an economist, except it's one way of trying to capture what is lost in terms of disability from medical causes, and as you can see, virtually 30 percent of all disability from all medical causes can be attributed to mental disorders, neuropsychiatric syndromes.

DISABILITY CAUSED BY MENTAL ILLNESSES IS SEVERE
30 percent of all disability from all medical causes can be attributed to mental disorders

Schizophrenia
Depressive disorder
Bipolar disorder
Post Traumatic Stress disorder
Anxiety disorders
Attention Deficit Hyperactivity Disorder
Other

You're probably thinking that doesn't make any sense. I mean, cancer seems far more serious. Heart disease seems far more serious. But you can see actually they are further down this list, and that's because we're talking here about disability. What drives the disability for these disorders like schizophrenia and bipolar and depression? Why are they number one here?

One in five 1 in 5 suffer from mental disorder in their life time.

Well, there are probably three reasons. One is that they're highly prevalent. About one in five people will suffer from one of these disorders in the course of their lifetime. A second, of course, is that, for some people, these become truly disabling, and it's about four to five percent, perhaps one in 20. But what really drives these numbers, this high morbidity, and to some extent the high mortality, is the fact that these start very early in life. Fifty percent will have onset by age 14, 75 percent by age 24, a picture that is very different than what one would see if you're talking about cancer or heart disease, diabetes, hypertension -- most of the major illnesses that we think about as being sources of morbidity and mortality. These are, indeed, the chronic disorders of young people.

Now, I started by telling you that there were some good-news stories. This is obviously not one of them. This is the part of it that is perhaps most difficult, and in a sense this is a kind of confession for me. My job is to actually make sure that we make progress on all of these disorders. I work for the federal government. Actually, I work for you. You pay my salary. And maybe at this point, when you know what I do, or maybe what I've failed to do, you'll think that I probably ought to be fired, and I could certainly understand that. But what I want to suggest, and the reason I'm here is to tell you that I think we're about to be in a very different world as we think about these illnesses.

Age at which Mental Illnesses/Brain Disorders begin
Fifty percent will have onset by age 14, 75 percent by age 24

What I've been talking to you about so far is mental disorders, diseases of the mind. That's actually becoming a rather unpopular term these days, and people feel that, for whatever reason, it's politically better to use the term behavioral disorders and to talk about these as disorders of behavior. Fair enough. They are disorders of behavior, and they are disorders of the mind. But what I want to suggest to you is that both of those terms, which have been in play for a century or more, are actually now impediments to progress, that what we need conceptually to make progress here is to rethink these disorders as brain disorders.

Now, for some of you, you're going to say, "Oh my goodness, here we go again. We're going to hear about a biochemical imbalance or we're going to hear about drugs or we're going to hear about some very simplistic notion that will take our subjective experience and turn it into molecules, or maybe into some sort of very flat, unidimensional understanding of what it is to have depression or schizophrenia.

Onset of mental illnesses

50% Fifty percent will have onset by age 14, 75 percent by age 24,

When we talk about the brain, it is anything but unidimensional or simplistic or reductionistic. It depends, of course, on what scale or what scope you want to think about, but this is an organ of surreal complexity, and we are just beginning to understand how to even study it, whether you're thinking about the 100 billion neurons that are in the cortex or the 100 trillion synapses that make up all the connections. We have just begun to try to figure out how do we take this very complex machine that does extraordinary kinds of information processing and use our own minds to understand this very complex brain that supports our own minds. It's actually a kind of cruel trick of evolution that we simply don't have a brain that seems to be wired well enough to understand itself. In a sense, it actually makes you feel that when you're in the safe zone of studying behavior or cognition, something you can observe, that in a way feels more simplistic and reductionistic than trying to engage this very complex, mysterious organ that we're beginning to try to understand.

Now, already in the case of the brain disorders that I've been talking to you about, depression, obsessive compulsive disorder, post-traumatic stress disorder, while we don't have an in-depth understanding of how they are abnormally processed or what the brain is doing in these illnesses, we have been able to already identify some of the connectional differences, or some of the ways in which the circuitry is different for people who have these disorders. We call this the human connectome, and you can think about the connectome sort of as the wiring diagram of the brain. You'll hear more about this in a few minutes. The important piece here is that as you begin to look at people who have these disorders, the one in five of us who struggle in some way, you find that there's a lot of variation in the way that the brain is wired, but there are some predictable patterns, and those patterns are risk factors for developing one of these disorders. It's a little different than the way we think about brain disorders like Huntington's or Parkinson's or Alzheimer's disease where you have a bombed-out part of your cortex. Here we're talking about traffic jams, or sometimes detours, or sometimes problems with just the way that things are connected and the way that the brain functions. You could, if you want, compare this to, on the one hand, a myocardial infarction, a heart attack, where you have dead tissue in the heart, versus an arrhythmia, where the organ simply isn't functioning because of the communication problems within it. Either one would kill you; in only one of them will you find a major lesion.

As we think about this, probably it's better to actually go a little deeper into one particular disorder, and that would be schizophrenia, because I think that's a good case for helping to understand why thinking of this as a brain disorder matters. These are scans from Judy Rapoport and her colleagues at the National Institute of Mental Health in which they studied children with very early onset schizophrenia, and you can see already in the top there's areas that are red or orange, yellow, are places where there's less gray matter, and as they followed them over five years, comparing them to age match controls, you can see that, particularly in areas like the dorsolateral prefrontal cortex or the superior temporal gyrus, there's a profound loss of gray matter. And it's important, if you try to model this, you can think about normal development as a loss of cortical mass, loss of cortical gray matter, and what's happening in schizophrenia is that you overshoot that mark, and at some point, when you overshoot, you cross a threshold, and it's that threshold where we say, this is a person who has this disease, because they have the behavioral symptoms of hallucinations and delusions. That's something we can observe. But look at this closely and you can see that actually they've crossed a different threshold. They've crossed a brain threshold much earlier, that perhaps not at age 22 or 20, but even by age 15 or 16 you can begin to see the trajectory for development is quite different at the level of the brain, not at the level of behavior.

Complexity of Brain

Difficulty in understanding mental illnesses is because of

100 billion neurons that are in the cortex or the 100 trillion synapses

Why does this matter? Well first because, for brain disorders, behavior is the last thing to change. We know that for Alzheimer's, for Parkinson's, for Huntington's. There are changes in the brain a decade or more before you see the first signs of a behavioral change. The tools that we have now allow us to detect these brain changes much earlier, long before the symptoms emerge. But most important, go back to where we started. The good-news stories in medicine are early detection, early intervention. If we waited until the heart attack, we would be sacrificing 1.1 million lives every year in this country to heart disease. That is precisely what we do today when we decide that everybody with one of these brain disorders, brain circuit disorders, has a behavioral disorder. We wait until the behavior becomes manifest. That's not early detection. That's not early intervention.

Now to be clear, we're not quite ready to do this. We don't have all the facts. We don't actually even know what the tools will be, nor what to precisely look for in every case to be able to get there before the behavior emerges as different. But this tells us how we need to think about it, and where we need to go.

Are we going to be there soon? I think that this is something that will happen over the course of the next few years, but I'd like to finish with a quote about trying to predict how this will happen by somebody who's thought a lot about changes in concepts and changes in technology.

"We always overestimate the change that will occur in the next two years and underestimate the change that will occur in the next 10." -- Bill Gates.

Thanks very much. (Applause)

missed-period-causes

http://mydoctortells.com (Dr. Ashok Koparday) — Thu, 18 Apr 2013 06:18:00 PDT

Definition: Missed Period

Pregnancy

Lactation

Menopause

These three remain the commonest causes of missed period. However, if neither of these is causing missed period, called AMENORRHEA, then the following causes should be searched. By Ashok Koparday
If you have questions click ASK DOCTOR

The post below is as it appears on www.mayoclinic.com/health/amenorrhea/ Retrieved Date April 17, 2013

Amenorrhea: Missed Period - Definition

Amenorrhea (uh-men-o-REE-uh) is the absence of menstruation — one or more missed menstrual periods. Women who have missed at least three menstrual periods in a row have amenorrhea, as do girls who haven't begun menstruation by the age of 16. The most common cause of amenorrhea is pregnancy. Other causes of amenorrhea include problems with the reproductive organs or with the glands that help regulate hormone levels. Treatment of the underlying condition often resolves amenorrhea.

Symptoms Amenorrhea

The main indication of amenorrhea is that you don't have menstrual periods. Depending on the cause of amenorrhea, you might experience other signs or symptoms along with the absence of periods, such as:

Milky nipple discharge
Hair loss
Headache
Vision changes
Excess facial hair

When to see a doctor

Consult your doctor if you've missed at least three menstrual periods in a row, or if you've never had a menstrual period and you're age 16 or older.

Causes Amenorrhea

Amenorrhea can occur for a variety of reasons. Some are part of the normal course of a woman's life, while others may be a side effect of medications or a sign of a medical problem.

Natural amenorrhea

During the normal course of her life, a woman may experience amenorrhea for natural reasons, such as:

Pregnancy
Breast-feeding
Menopause
Contraceptives
Medications Certain medications can cause menstrual periods to stop, including some types of:
1. Antipsychotics
2. Cancer chemotherapy
3. Antidepressants
4. Blood pressure drugs
Lifestyle factors
Stress.
Mental stress can temporarily alter the functioning of your hypothalamus — an area of your brain that controls the hormones that regulate your menstrual cycle. Ovulation and menstruation may stop as a result. Regular menstrual periods usually resume after your stress decreases. Low body weight. Excessively low body weight interrupts many hormonal functions in your body, potentially halting ovulation. Women who have an eating disorder, such as anorexia or bulimia, often stop having periods because of these abnormal hormonal changes. Excessive exercise. Women who participate in sports that require rigorous training, such as ballet, long-distance running or gymnastics, may find their menstrual cycle interrupted. Several factors combine to contribute to the loss of periods in athletes, including low body fat, stress and high energy expenditure.

Hormonal imbalance

Many types of medical problems can cause hormonal imbalance, including: Polycystic ovary syndrome (PCOS). PCOS causes relatively high and sustained levels of hormones, rather than the fluctuating levels seen in the normal menstrual cycle. Thyroid malfunction. An overactive (hyperthyroidism) or underactive (hypothyroidism) thyroid gland can cause menstrual irregularities, including amenorrhea. Pituitary tumor. A noncancerous (benign) tumor in your pituitary gland can interfere with the hormonal regulation of menstruation. Premature menopause. Menopause usually occurs between ages 45 and 55. In some women, the ovarian supply of eggs diminishes before age 40, and menstruation stops.

Uterine Fibroid/Uterine Scarring
Asherman's syndrome, a condition in which scar tissue builds up in the lining of the uterus, can sometimes occur after a dilation and curettage (D&C), cesarean section or treatment for uterine fibroids. Uterine scarring prevents the normal buildup and shedding of the uterine lining.

Structural problems

Problems with the sexual organs themselves also can cause amenorrhea. Examples include: Uterine scarring.

Asherman's syndrome, a condition in which scar tissue builds up in the lining of the uterus, can sometimes occur after a dilation and curettage (D&C), cesarean section or treatment for uterine fibroids. Uterine scarring prevents the normal buildup and shedding of the uterine lining. Lack of reproductive organs. Sometimes problems arise during fetal development that lead to a girl being born without some major part of her reproductive system, such as her uterus, cervix or vagina. Because her reproductive system didn't develop normally, she won't have menstrual cycles. Structural abnormality of the vagina. An obstruction of the vagina may prevent visible menstrual bleeding. A membrane or wall may be present in the vagina that blocks the outflow of blood from the uterus and cervix.

Risk factors Missed Period

Factors that may increase your risk of amenorrhea may include: Family history. If other women in your family have experienced amenorrhea, you may have inherited a predisposition for the problem. Eating disorders. If you have an eating disorder, such as anorexia or bulimia, you are at higher risk of developing amenorrhea. Athletic training. Rigorous athletic training can increase your risk of amenorrhea. Complications - Missed Period:

Complications of amenorrhea may include:

Infertility. If you don't ovulate and have menstrual periods, you can't become pregnant. Osteoporosis. If your amenorrhea is caused by low estrogen levels, you may also be at risk of osteoporosis — a weakening of your bones.

Preparing for your appointment

Your first appointment will likely be with your primary care physician or a gynecologist.

Because appointments can be brief, and it can be difficult to remember everything you want to discuss, it's a good idea to prepare in advance of your appointment.

What you can do

Before your appointment, you might want to write a list answering the following questions:

When did your signs and symptoms begin?

Do you have occasional menstrual periods or no periods at all?
Have any other women in your family had this problem?
What medications and supplements do you take regularly?

Have you ever had an abdominal or pelvic surgery?

Questions you might ask your doctor include:

What might be causing my problem?
What tests do I need?
What treatments are available?
Do you have any informational brochures on this topic?
What to expect from your doctor

Questions your doctor may ask include:

Are you sexually active?
Could you be pregnant?
How much distress do your symptoms cause you?
Have you experienced unexplained weight gain or weight loss?
How often and how intensely do you exercise?
During your appointment, speak up if you don't understand something. It's important that you understand the reason for any tests or treatments that are recommended.

Missed Periods: Tests and diagnosis

During your appointment, your doctor will perform a pelvic exam to check for any problems with your reproductive organs. If you've never had a period, your doctor may examine your breasts and genitals to see if you're experiencing the normal changes of puberty. Amenorrhea can encompass a complex set of hormonal problems. Finding the underlying cause can take time and may require more than one kind of testing.

Missed Period: Lab tests

A variety of blood tests may be necessary, including:

Pregnancy test.

This will probably be the first test your doctor suggests, to rule out or confirm a possible pregnancy.

Thyroid function test.

Measuring the amount of thyroid-stimulating hormone (TSH) in your blood can determine if your thyroid is working properly.

Ovary function test.

Measuring the amount of follicle-stimulating hormone (FSH) in your blood can determine if your ovaries are working properly.

Male hormone test.

If you're experiencing increased facial hair and a lowered voice, your doctor may want to check the level of male hormones in your blood.

Hormone challenge test

For this test, you take a hormonal medication for seven to 10 days to trigger menstrual bleeding. Results from this test can tell your doctor whether your periods have stopped due to a lack of estrogen.

Missed Period: Imaging tests

Depending on your signs and symptoms — and the result of any blood tests you've had — your doctor might recommend one or more imaging tests, including:

Ultrasound.

This painless test uses sound waves to produce images of internal organs. If you have never had a period, your doctor may suggest an ultrasound test to see if all your reproductive organs are present.

Computerized tomography (CT).

CT scans combine many X-ray images taken from different directions to create cross-sectional views of internal structures. A CT scan can indicate whether your uterus, ovaries and kidneys look normal. Magnetic resonance imaging (MRI). MRI utilizes radio waves with a strong magnetic field to produce exceptionally detailed images of soft tissues within the body. Your doctor may order an MRI to check for a pituitary tumor.

Scope tests

If other testing reveals no specific cause, your doctor may recommend a hysteroscopy — a test in which a thin, lighted camera is passed through your vagina and cervix to look at the inside of your uterus.

Missed Period: Amenorrhea - Treatments and drugs

Treatment depends on the underlying cause of your amenorrhea. In some cases, contraceptive pills can restart your menstrual cycles. Amenorrhea caused by thyroid or pituitary disorders may be treated with medications. If a tumor or structural blockage is causing the problem, surgery may be necessary.

Lifestyle and home remedies

Some lifestyle factors can cause amenorrhea, so strive for balance in work, recreation and rest. Assess areas of stress and conflict in your life. If you can't decrease stress on your own, ask for help from family, friends or your doctor.

Be aware of changes in your menstrual cycle and check with your doctor if you have concerns. Keep a record of when your periods occur. Note the date your period starts, how long it lasts and any troublesome symptoms you experience.

REFERENCES:

Rebar RW, et al. Abnormalities of the reproductive years: Amenorrhea. In: Goldman L, et al. Cecil Medicine. 23rd ed. Philadelphia, Pa.: Saunders Elsevier; 2008. http://www.mdconsult.com/das/book/body/191371208-2/0/1492/0.html#. Accessed March 18, 2011.
Amenorrhea. National Institute of Child Health & Human Development. http://www.nichd.nih.gov/health/topics/amenorrhea.cfm. Accessed March 18, 2011.
Martin V, et al. Amenorrhea. In: Bope ET, et al. Conn's Current Therapy. Philadelphia, Pa.: Saunders Elsevier; 2011. http://www.mdconsult.com/books/about.do?eid=4-u1.0-B978-1-4377-0986-5..C2009-0-38984-9--TOP&isbn=978-1-4377-0986-5&about=true&uniqId=236797353-5. Accessed March 18, 2011.
Heiman DL. Amenorrhea. Primary Care. 2001;36:1.
Lobo RA. Primary and secondary amenorrhea and precocious puberty: Etiology, diagnostic evaluation, management. In: Katz VL, et al. Comprehensive Gynecology. 5th ed. Philadelphia, Pa.: Mosby Elsevier; 2007. http://www.mdconsult.com/das/book/body/208746819-4/0/1524/0.html. Accessed March 18, 2011.
Mishell DR. Family planning: Contraception, sterilization and pregnancy termination. In: Katz VL, et al. Comprehensive Gynecology. 5th ed. Philadelphia, Pa.: Mosby Elsevier; 2007.
http://www.mdconsult.com/das/book/body/208746819-4/0/1524/0.html. Accessed March 18, 2011. Welt CK, et al. Etiology, diagnosis and treatment of secondary amenorrhea. http://www.uptodate.com/home/index.html. Accessed March 21, 2011.
Welt CK, et al. Etiology, diagnosis and treatment of primary amenorrhea. http://www.uptodate.com/home/index.html. Accessed March 21, 2011.
Gallenberg MM (expert opinion). Mayo Clinic, Rochester, Minn. March 23, 2011.
Hysteroscopy. The American Congress of Obstetricians and Gynecologists. http://www.acog.org/publications/patient_education/bp084.cfm. Accessed March 21, 2011.

Source Acknowledgment Copyright: The post below is verbatim as it appears on www.mayoclinic.com/health/amenorrhea/ Retrieved Date April 17, 2013 May 17, 2011 © 1998-2013 Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. A single copy of these materials may be reprinted for noncommercial personal use only. "Mayo," "Mayo Clinic," "MayoClinic.com," "EmbodyHealth," "Enhance your life," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research.

romantic-love

http://mydoctortells.com (Dr. Ashok Koparday) — Sat, 13 Apr 2013 08:24:00 PDT

Romantic Love Audio

Listen: "Love Affair" Talk by Helen Fisher

Romantic Love is Addictive

Romantic Love

Radio Talk by Helen Fisher http://llnw.wbez.org/Helen%20Fisher.mp3 2010

love-affair-brain

http://mydoctortells.com (Dr. Ashok Koparday) — Mon, 08 Apr 2013 08:05:59 PDT

Romantic Love Affair

Brain Chemistry

Helen Fisher
TED Talk: Helen Fisher: The brain in love by TED www.match.com www.chemistry.com Why you love one person rather than not another?

privacy-assured

http://mydoctortells.com (Dr. Ashok Koparday) — Mon, 04 Mar 2013 02:50:33 PST

Sexual Health Education Online

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first-sex

http://mydoctortells.com (Dr. Ashok Koparday) — Wed, 20 Feb 2013 07:44:09 PST

फर्स्ट सेक्स
सम्भोग पहेले बार
सुहागरात

इस बात से अचरज नहीं होना चाहिए की पहिली बार सेक्स करते समय मुश्किलें आ सकती है।

ब्लू फिल्म में आप ने देखा वैसे आसन नहीं होता।

जो नव विवाहित वधु है, जिसने कभी सम्भोग का अनुभव नहीं किया, जो कुंवारी है वह अच्छी लड़की मानी जाती है। इस के साथ पहिली बार सम्भोग करते समय सोचना उस लड़की के लिए कितनी मुश्किल होती है। आप का विवाह हुआ है। पहिली रात है। हिंदी पिक्चर जैसे बिस्तर सजाया गया है। कल पूछेंगे दोस्त, "क्या कैसा रहा?"

जो लड़का यह समजता है की सुहागरात, पहिली रात, सम्भोग करना ही चाहिए तो वह गलत समजता है।

जो लड़की कभी अपने खुद के घर में अकेले कभी नंगी आईना के सामने खड़ी नहीं रही आजतक उसे कितनी मुश्किल होगी किसी पुरुष के सामने कपडे उतार कर सेक्स करना। सोचो जरा।

पहिली बार सेक्स / सम्भोग करते समय बहोत बार यह होता है की जब लिंग योनि के तरफ बदने लगता है तब योनि का दरवाजा अपने आप बंद हो जाता है। फिर यदि पुरुष जोर जबरदस्ती करता है तो उस लड़की को दर्द होना स्वाभाविक है। योनि का दरवाजा अभी तो और भी टाइट  बंद हो जाता है। 'प्युबोकोक्सिजिअस मसल' वंहा काम में आते है और योनि का मार्ग बंद हो जाता है। इस तरह से योनि के मार्ग का बंद होना 'वजैनिस्मस' नाम से जाना जाता है । 'वजैनिस्मस' animated picture showing vaginismus which causes unconsummated sexका एनिमेटेड चित्र आप माय डॉक्टर टेल्स डॉट कॊम पे देख सकते है।  इस अवस्था को 'अङ्कनजुमेटेड' कहते है।  जो पुरुष फिर भी जबरदस्ती कर के लिंग को अन्दर डालता है तो दर्द के साथ खून भी बहता है। येसी नौबत न आने देना। यदी सेक्स के समय स्त्री को शुरू मे ही दर्द का अनुभव हुआ तो उसका मन सेक्स को दर्द के साथ हमेशा के लिए जोड़ देता है। इस लिए हमे कई बार सुनाई देता है की ४० चालीस साल की उमर (बहोत सालोंके बाद ) होने पर ही कुछ स्त्रीयों को सेक्स में आनंद होता है यह अनुभव होता है। तब तक वह सहती रहती है क्यों की अपने मुल्क में लड़कियों को सिखाया जाता है की पति को मना नहीं करना चाहिए। पति के ख़ुशी के लिए ही सेक्स के लिए मज़बूरी से स्त्रीयों को तयार होना पड़ता है। सेक्स का सम्बन्ध केवल सुख से है। फिर भी हमारे यंहा की स्त्रीया यह मान लेती है की सेक्स में शुरुवात में दर्द होता है। खून भी जासकता है।

'हाय्मॆन' क्या है?
स्त्री के योनि के द्वार पे एक हल्का पडदा होता है। इसे 'हाय्मेन' कहते है। कुछ देशों में अभी भी यह माना जाता है की सुहागरात को 'हाय्मेन' टूटता है और खून बहता है। यदि पहले सम्भोग में खून न बहे तो कुछ संस्कृति में, कुछ देशों में, अभी भी माना जाता है की वह लड़की कुवारी (वर्जिन)  नहीं है। मेडिकल साएन्स यह जानता है की आज कल खेल कूद में भी, या सायकल चालने से भी, 'हाय्मेन' टूट सकता है। इसी लिए पहले सम्भोग के समय खून बहे तो ही लड़की कुंवारी है यह बात गलत मानी जाती है।

एक बात समज लेना की लड़का और लड़की दोनों के लिए सम्भोग जब नया पहला अनुभव होता है तब कठिनाइय आती है। इस वजह से अपने में दोष है यह मानना गलत है। दवाई की नहीं 'गाइडेंस', 'कौन्सेलिंग', मार्ग दर्शन की आवशयकता है। और निराश तो बिलकुल नहीं होना है।

जब लिंग योनि में अन्दर प्रवेश नहीं कर पा रहा है तो क्या उपाय करें?

पहले जबरदस्ती नहीं करनी है यह समजलेना। एक उंगली धीरे से योनि के  अन्दर डालने का प्रयास करना। एक उंगली डालते समय भी स्त्री को दर्द होता हो तो बहोत समय लगने वाला है लिंग को अन्दर जाने के लिए यह समज लेना। जब एक उंगली सहजता से अन्दर जाने लगे तब दो उँगलियाँ अन्दर डालने के कोशिश करना। यह पति कर सकता है या स्त्री स्वयं कर सकती है। जनानीयों के डॉक्टर (गाय्नेकोलोगिस्ट) के पास भी जाने के जरूरत नहीं है।

यदि पति जबरदस्ती से सेक्स ना करें तो पत्नी उसे बहोत इज्जत देने लगती है और दोनों में दोस्ती, प्यार, महोबत बढता है।

यहे जानकारी हमें ना माँ बाप देते है, ना स्कुल, कोल्लेज में पडाते है। इसी वजह से विस्तार से यंहा जानकारी हम दे रहे है। आशा है की सम्भोग, मिलाप, सुख और प्यार से भरपूर हो और विवाहित जीवन मंगलमय बना रहे।

आप को कोई संदेह हो, या अधिक जानकारी की आवश्यकता को तो आप हम से संपर्क कर सकते हैं।

यदि आप को यह जानकारी उपुक्त लगती हो तो अपने दोस्त यारों को बताइए और हमे भी बताईये।

हमारा संपर्क माय डॉक्टर टेल्स डॉट कॊम यंहा हो सकता है।

suhagrat

http://mydoctortells.com (Dr. Ashok Koparday) — Wed, 20 Feb 2013 03:45:15 PST

First Sex

Newly Wed - What happens? First step what not to do.

सुहागरात

Doctor- please tell me. I am not sure I will be able to do sex properly. Kal meri shaadi hai?
Woh kya sochegi? Main pareshan hun. plz help.

prashn sawwal

डॉक्टर से पूछा जाता है की पहिली बार सम्भोग - सुहागरात - किस तरह करें?

"मुझे लगता है मई ठीक से नहीं कर पाउँगा। उसे मई समाधान नहीं दे सकूँगा।"

doctor ka jawaab my doctor tells

पहली बात यह समजलो की जब आप पहिली बार सुहागरात को सेक्स करने के इरादे से जाते है तो बहोत लोगोंका सम्भोग ठीक से नहीं हो पता।
लिंग अन्दर नहीं जाता। पहेले ही पानी निकल जाता है. फिर बहोत कोशिश के बाद भी लिंग में उत्तेजना नहीं आती।

इस से मायूस न होना।
अच्छे पति का और अच्छे पत्नी का सुहागरात में क्या होता है?

यदि आप को घबराहट सी हो रही है, मन में शंका आने लगे की मई सेक्स ठीक से नहीं कर पाउँगा इस का मतलब आप सज्जन, सीधे, अच्छे आदमी है। आप को सेक्स करने का तजुर्बा नहीं है. यदि आप उन लोगों में से होते जो बहोत बार औरत से सेक्स कर चुके है तो आप को यह डर, यह शंका नहीं होती। आप अच्छे इंसान है, गलत कम आप ने किया नहीं यह बात सिद्ध होती है। उसी तरह से स्त्री को भी घबराहट होती हो तो समाज लेना चाहिए की वह कुंवारी है, उसे सेक्स का अनुभवे नहीं है।

यह मुश्किल बहोत विहाहित पुरुष स्त्री को होती है। लेकिन वह दुनिया को बताते नहीं इस लिए आप को पता नहीं की उनका सम्भोग हुआ या नहि। दोस्त, रिश्तेदार भी सच्ची बात नहीं बताते। इस लिए आप को पता नहीं था की सेक्स न हो पाना स्वाभाविक है।

udaharan example my doctor tells

आप ने कभी कार चलाई नहीं तो क्या पहेले दिन ही आप पत्नी को लेके कार में घुमाने ले जायेंगे? नहि. कर चलाना भी सीखना पड़ता है। समय लगता है।

prashn sawwal

तो डॉक्टर आप का यह कहना है की हम सेक्स पहिली रात को - सुहागरात को - ना करे?

doctor ka jawaab my doctor tells

डॉक्टर:
यार लिंग योनि में डालना क्या सिर्फ यह ही सेक्स है।
पहले कुछ दिन तो ऊपर से जो कर सकते है, छूना, किस करना यह सब मजा लीजिये और आनंद दी जिए। लिंग अन्दर नहीं गया तो मायूस न होन। अपने में दोष है यह नहीं समाजना।

मरे पास आने वाले नवविवाहित लड़के यह शिकायत लेके आते है की उन्हें सेक्स की समस्या है। इरेक्टाइल डिस्फंक्शन, मतलब लिंग में तनाव न आना यह तकलीफ है ऐसा समज के आते है। प्रिमेच्चुअर एजाचुलेशन, मतलब शिग्र पतन होना, यह सेक्स की बीमारी है ऐसा निश्चित मानकर ही मेरे पास इलाज, दवा के लिए आते है।

अभी ध्यान से पड़ना। जब पुरुष और स्त्री दोनों को अनुभव नहीं है तो सेक्स की कोशिश होती है। दो पैर के बीच घर्षण होने पर धात तो निकल जाता है।
अन्दर लिंग नहीं डाल पाया इस से मायूस होता है। "वह क्या सोचेगी मेरे बारे में," इस विचार से घब्राजाता है। फिर कोशिश करने पर लिंग में उत्तेजना नहीं आती। लिंग तो अभी कड़क नहीं हो रहा इस बात से और नाराज हो जाता है। यह आप ही की नहीं बहोत लोगोंकी सच्ची हकीकत है।

तो अभी यह लड़का इन्टरनेट पे इलाज ढूंडने लगता है। ऊपर लिखे हुए शब्द 'नपुंसकता', 'शिग्रपतन' मुझे है यह समजने की गलती कर बैठता है।फिर दवा इलाज के लिए पैसा खर्च करता है।

इस लड़के को किस दवा की जरूरत है? बताइए।
इसे सही क्या है यह सच समझाना जरूरी है। आज तक तो हस्तमैथुन करते समय लिंग तेरा खड़ा होता था। अभी पत्नी के साथ नहीं हो पा रहा है क्यों की यह आप के लिए नया अनुभव है।
इसे यह समझकर धीरज देना बहोत बहोत जरूरी है।

फिर उसे समजाय जाता है की किस तरह से सेक्स करना है। लिंग सहज अन्दर नहीं जाता। कुछ दिन लगते है। उसे कोई दवा नहीं देनी चाहिए। यदि वह दवा लेता है तो उसे लगेगा की सही में वह मरीज है। पूरी जिंदगी क्या दवा खाते रहेगा।

सच्ची घटना - मेरा पेशंट - पढो क्या हुआ।

मेरे पास कुछ दिन पहले पति पत्नी आये थे। ७ साल शादी को हुए और अभी ऐसी हालत है की बिना दवा के सेक्स नहीं कर पाता है। यह दवा से बचाओ और मुझे मेरी खुद की पॉवर से सेक्स करना सिखाओ यह ट्रीटमेंट इलाज के लिए आया था। आप को अभी ही बतादेता हूँ इस का इलाज आसान नहीं है। आप दवा खाने की गलती नहीं करना।

पहली बात याद रहे की बहोत लोगों को शादी के बाद लिंग योनि के अन्दर न जाना यह होता है। धीरज धीरज धीरज - १

दूसरी बात किस तरह से सेक्स करें जिस से लिंग अन्दर जा पायेगा यह समज्लेना। नॉलेज - ज्ञान ज्ञान ज्ञान - २

अभी और कोई शंका संदेह मन में हो तो हम से संपर्क करना। यह निशुल्क सेवा है। डॉक्टर चाहते है की उनके ज्ञान अनुभव से लोगोंका भला हो - ३

Please send your questions to ask [at] mydoctortells [dot]com

sex-toys-online-in-india

http://mydoctortells.com (Dr. Ashok Koparday) — Thu, 17 Jan 2013 18:58:23 PST

Taj Mahal, Agra, India. Deutsch: Taj Mahal im indischen Agra. Español: Vista del Taj Mahal, Agra, India. Français : Le Taj Mahal, à Âgrâ, en Inde. Русский: Мавзолей Тадж-Махал, Агра, Индия. (Photo credit: Wikipedia)

Sex Toys Delivered Any Place in India

Sex products including sex toys, erotic lingerie, lubricants, creams, literature, accessories will now be delivered anywhere in India. Samir Sariya the CEO of the upcoming online marketing venture of sex products expects people in India to be, "more adventurous with their sex lives and at the same time stay discreet".

At present sex products industry pegged at Rs 1,200-1,500 crore is run mostly illegally from Delhi's Palika Bazaar and Mumbai's Manish Market.

Sex toys and westernization in India, the land of Kamasutra

Use of mobile internet in all socio economic classes is increasing in geometric proportion in rural as well as urban India. It is not uncommon to see one person owning two mobile handsets. There is hardly anyone who has not viewed porn at least once on internet. Clandestine love affairs amongst the married and unmarried are becoming far too numerous, thanks to the mobile phone, which gives privacy like never before as well as enviable ease of staying in touch with one another. The metro Indian, unmindful of global recession and dire poverty and scarcity in their own country, is seen to spend lavishly to watch movies, eat outside and buy expensive branded products. This trend is rapidly percolating to rural India. With high spending capacity, exposure to fashion channels on television and relentless westernization of culture it would not be surprising if this venture makes roaring profit beating shady dealers who even use spam to sell sex products in India. The high profile honchos are expected to bring professionalism. Poor services, customer unfriendliness, poor implementation of law has enabled national and multinational companies to proliferate wearing the guise of western modules, which offer poor ‘customer service’ and fallible ‘computerization’. Customers buying sex toys and erotic goodies who suffer due to poor services of pseudo professional enterprises will not even be able to voice any complaints. [caption id="" align="alignright" width="75"] മലയാളം: ഡെൽഹിയിൽ സ്ഥിതി ചെയ്യുന്ന ഇന്ത്യാഗേറ്റിന്റെ ഒരു ദൃശ്യം (Photo credit: Wikipedia)[/caption]

What they say about selling sex products in India?

"The sheer size of the business opportunity was the biggest driver for me to leave the high-paying job in Singapore with an amazing expat life," says Samir Sariya who was lead business developer at Microsoft Singapore. Perry Avary, regional manager (South Asia) at Aramex said, "As soon as he (Saraiya) came up with the idea, we agreed for this arrangement". "It is the right move in the right direction," observes Taraporewalla, the Internet industry veteran.

Sex Products Online in India: Who's in it?

Co-founders and Investors:

Samir Saraiya, who was lead business developer at Microsoft Singapore, also had a stint in Yahoo! India and The Times of India. Samir Saraiya based in Mumbai, India will look after the Strategy across Internet, Mobile and E-Commerce for the sales of sex products. Presently Sariya, who is from S.P. Jain Institute of Management & Research, heads Digital E-Life and Amrut Software Pvt. Ltd. With him are:
Neville Taraporewalla, senior director (emerging markets), Microsoft India;
Jaspreet Bindra, formerly regional director (retail, entertainment and devices), Microsoft India;
Vikram Varma, head of Internet solutions firm Digital Driftwood;
Abhay Bhalerao, chairman of Amrut Software; and
Internet lawyer Lekhesh Dholakia.

Measures for Secrecy of Buyers of Sex Toys in India

Secrecy of buyers will be their prime concern. "Besides the fact that I have asked my employees to sign a bond in this regard to keep the names of our clients secret, I have also tied up with (logistics services firm) Aramex International to ensure that customers can collect the products from Aramex offices in their hometown," says Saraiya.

Legal aspects of sale of sex products in India

About the legal aspect Samir Sariya says, "As long as the products are not 'obscene' and/or displayed or exhibited in a manner which is not 'obscene', there ought not to be any serious concerns in the sale of such products." Below is the verbatim

News published in The Time of India

Ex-Microsoft exec starts online sex products shop

Ullekh NP, ET Bureau Jan 12, 2013, 12.29PM IST NEW DELHI: Here's a startup with a difference - a group of senior corporate executives, headed by a former Microsoft heavy hitter, has launched an online shop for adult products. The products on sale on the site include erotic lingerie, lubricants, creams, literature, and accessories and so on. Thatspersonal.com has tied up with several global brands to exclusively sell their products in India. Sex products in India are illegally sold from Samir Saraiya, CEO of Digital E-Life which runs the site, was formerly lead (business development) at Microsoft Singapore. He had worked with Microsoft and Yahoo in India as well. Other co-founders and investors are Neville Taraporewalla, senior director (emerging markets), Microsoft India; Jaspreet Bindra, formerly regional director (retail, entertainment and devices), Microsoft India; Vikram Varma, head of Internet solutions firm Digital Driftwood; Abhay Bhalerao, chairman of Amrut Software; and Internet lawyer Lekhesh Dholakia. Says Saraiya: "The sheer size of the business opportunity was the biggest driver for me to leave the high-paying job in Singapore with an amazing expat life." He pegs the current size of the sex products industry in India - mostly run illegally from crowded markets such as Delhi's Palika Bazaar and Mumbai's Manish Market - at Rs 1,200-1,500 crore. He expects the industry to grow manifold as people look to become "more adventurous with their sex lives and at the same time stay discreet". Dholakia explains that while certain sex toys may attract punishment for obscenity under Indian laws, the ones that sell won't. "As long as the products are not 'obscene' and/or displayed or exhibited in a manner which is not 'obscene', there ought not to be any serious concerns in the sale of such products," he notes. Taraporewalla, who was earlier director and country general manager at Yahoo India, says he agreed to be an angel investor immediately after going through Saraiya's project plan. "The confidence comes from the team that he (Saraiya) has assembled and with India being on the threshold to have one of the largest online audiences in a couple of years ... it is the right move in the right direction," says Taraporewalla, the Internet industry veteran. The unique selling proposition of the online shop is its stress on keeping secret the identity of the buyer. "Besides the fact that I have asked my employees to sign a bond in this regard to keep the names of our clients secret, I have also tied up with (logistics services firm) Aramex International to ensure that customers can collect the products from Aramex offices in their hometown," says Saraiya. Which means a customer residing with, say, his/her parents can collect the "tamper-proof, unmarked package" from an Aramex office that he/she has specified while placing her order. "As soon as he (Saraiya) came up with the idea, we agreed for this arrangement," says Percy Avari, regional manager ( South Asia) at Aramex. As of now, payments on the site - which was soft-launched recently - are to be made through credit/debit cards or via Net-banking. Saraiya said he soon plans to introduce cash-on-delivery services and extend the reach to small towns. Among others, Digital E-Life has entered into exclusive agreements with well-known global brands such as Shirley of Hollywood, the American lingerie brand. Similar pacts are in place with companies selling adult products such as PJUR ( Germany), Sensuva (US), Shunga (Canada), Male Basics (US) and Premium Bodywear (Germany). Source Acknowledgement http://articles.timesofindia.indiatimes.com/2013-01-12/computing/36295540_1_microsoft-india-jaspreet-bindra-products Retrieved: January 17, 2013

शिग्रपतन

http://mydoctortells.com (Dr. Ashok Koparday) — Sat, 22 Dec 2012 21:10:27 PST

शिग्रपतन

सवाल :

मेरी उम्र 22 साल है। मै ने हैण्ड प्रक्टिस बहोत किया है। मेरा पानी 1 मिनिट में निकल ता हें। मुझे बहोत टेंशन है। मुझे अच्छी दवा बताना। प्लीझ डॉक्टर।

क्या आप को भी जल्दी स्कलन की शिकायत है?

शिग्रपतन किसे कहते है ?

जिसका वीर्य स्क्लन सम्भोग के समय हमेशा एक मिनट से भी कम समय में होता हो और इस बात से वह, या सहचारिणी, या दोनों परेशान / निराश हो तो उसे शिग्रपतन कहते हें ।

शिग्रपतन किसे नहीं कहते है?

जो भी कहे की मेरा जल्दी सकलन होता है उसे शिग्रपतन नही कहते।

आप अपनी मर्जी के समय के हिसाब से (मतलब 10, 20, 30 मिनट तक) हर समय सम्भोग करते रहे और इस से जल्दी वीर्य स्क्लन हो तो अपने को शिग्रपतन हे यह समझे तो उसे शिग्रपतन नही बेवकूफी कहते हें।

क्यों?

नोर्मल याने सही समय क्या होता हें?

क्या आप को पता भी हें की नोर्मल याने सही समय क्या होता हें?

कितना समय नॉर्मल / सही समय माना जाता हे?

हर पुरष का सम्भोग के समय लिंग योनि में जाने के बाद एक मिनट से तीन मिनट तक वीर्य स्क्ल्न होता हे।
उसी पुरुष का कभी एक मिनट के अंदर या तीन मिनिट से ज्यादा समय तक सम्भोग होता हे। एक बार सम्भोग करने के बाद तुरंत दूसरी बार सम्भोग करते हे तो वह भी अधिक समय तक होता है।

यह खेल sex तमाशा दो मिनट का हें भाई ।

इससे ज्यादा समय केवल नंगी पोर्न सेक्स की चित्रपटों में होता हे। गप मारने वाले दोस्त अक्सर अपना समय झूट बोलते हे। उनकी सचाई हम जानते हे।

10 मिनट या आधा घंटा इतनी देर के बाद ही हमेशा सम्भोग के समय सकलन हो यह झूटी आशा करने वाले बहोत डॉक्टर / बैद / हाकिम के पास बहोत दवा, बहोत खर्चा, बहोत समय तक इलाज करने पर भी ठीक नही हो सकते।

और किसे शिग्रपतन नही कहते?

आप की अभी शादी नहीं हुई और आप चिंता ग्रस्त हे की आप को शिग्रपतन हे तो वह भी गलत हे।
क्यों
शादी के पहले उत्तेजना बहोत अधिक मात्रा में होती हे। ऐसा युवा दो चार बार सम्भोग भी कर ले तो जल्दी ही पानी निकलता हे। कयों की हर समय तीव्र उत्तेजना आवेश में यह युवा होता हे।
हाथ से / हैण्ड प्रैक्टिस जो करता हे उसका समय कभी कम कभी ज्यादा हो सकता हे। इस से अनुमान लगाके जो यह समज लेता हे की शादी के बाद भी मेरा ऐसा ही होगा वह भी अनजान हे और निराशा के चक्कर में फस जाता हे।

क्या मुझे शिग्रपतन है ?

जब आप ने सही समय एक मिनट से तीन मिनट ही होता हे यह बात समझली तो आप को बेकार में निराशा और दवा बेचने वाले हकीमों का शिकार नही होना पढ़ेगा।

शिग्रपतन अपने को हे यह गलत फएमी बहुसंख्य लोगों को हे इस का कारण क्या है?

ध्यान देना:

1.
सही जानकारी नही
सही समय क्या हे यह जानकारी किसे भी नही हे। क्या आप के माँ बाप ने आप को कभी इस विषय के बारे में सिखाया हे? क्या आप को विद्यालय में इतिहास, गणित जिस तरह से सिखाया वैस सम्भोग शास्त्र विद्या सिखाई हे? जवाब हे: नही।
2
गलत जानकारी
तो आप को जानकारी कंहा से मिलती हे?

पोर्न सेक्स की चित्रपटों से,
दोस्तों के झूट से,
अकबार में या स्टेशन पे लगाये गये इश्तहार (ऐडव्हरटाइज़मेंट ) "शिग्रपतन का इलाज"

इन सभी से मिलती हे ।

जिस तरह से सलमान खान सिनेमा में अकेला दस गुंडों को मारते हुए दीखता हे उसी तरह सेक्स नंगी पोर्न फिल्म में जो बताया जाता हे वह वास्तव नही होता। देखने वाला थक जाता हे पर पोर्न में सेक्स 20 मिनट - 30 मिनट चलता ही रहता हे। उस 20 मिनट के शूटिंग, स्पेशल इफेक्ट्स, एडिटिंग को 3 महीने लगते हे।
3
जिसने डॉक्टर अशोक कोपर्ड सेक्सोलोगिस्ट से सही जानकारी नही पाई।
इन सभी लोगों को "मुझे शिग्रपतन हे।" यह गलत फैमी होती है।

यह खेल sex तमाशा दो मिनट का हें भाई ।

भ्रम में न रहना। सही जानकारी सेक्स के सुख और स्वास्थ के लिए अत्यंत जरूरी हें।

आप को कोई सवाल पूछना हो तो आप डॉक्टर अशोक कोपर्ड को जरूर पूछ सकते हे। पता हे
मायडॉक्टरटेल्स डॉट .कॉम

हस्तमेंथुन हैण्ड प्रैक्टिस मास्टरबेशंन के बारे में सही जानकारी यहाँ मिलेगी

http://doctortells.blogspot.in/2012/12/blog-post.html
http://mydoctortells.com Dr. Ashok Koparday, Ghatkopar East, Mumbai, Maharashtra ask[at]mydoctortells[dot]com

हस्तमैथुन

http://mydoctortells.com (Dr. Ashok Koparday) — Sat, 22 Dec 2012 21:10:54 PST

हस्तमैथुन

हस्तमैथुन: साएन्स शास्त्र क्या कहता है?

हस्तमैथुन से कभी भी किसी को भी कोई नुकसान नहीं होता । आप ने ज्यादा किया हो, या कम उम्र में शुरू किया हो तो भी अभी या भविष में किसी भी प्रकार की हनी नहीं होती।

हस्तमैथुन: आप क्या सोचते है?

99% लोग हस्तमैथुन को बुरी आदत, बचपन की गलती समजते है।
मै मानता हूँ की बहुत लोगों के मन में यह भ्रम है। फिरभी
यह निशित जानना की हस्तमैथुन से कभी किसी को नुकसान नहीं होता।

प्रश्न

हस्तमैथुन मई करता हूँ| मुजे कमजोरी है। मई झूट नहीं बोलता। अब डॉक्टर साहेब बताना क्या सच है?

डॉक्टर का जवाब

1
जो लोग हस्तमैथुन करते है उनको सबको कमजोरी होनी चाहिए। आप के सभी कोस्तों को कमजोरी होनी चाहिए। पुछ के देखो।
2
जो जवान पुरुष स्कुल कोलेज में पड़ते है उन सब को हस्तमैथुन की वजह से कमजोरी होनी चाहिए।
ऐसा होता हुआ दिखता तो नहीं।
3
जो शादी करके सम्भोग करते है उनको भी सभी को धात निकलने से कमजोरी होनी चाहिए। जो रेलवे में लाखो करोडो लोग यात्रा करते है सभी की भीड़ मेरे पास कमजोरी के इलाज के लिए होनी चाहिए।
ऐसा तो होता नही।

आप अभी सोचो सच क्या झूट क्या।

फिर सवाल मन में आता है की मुझे कमजोरी क्यों आती है ?

डॉक्टर का जवाब :

आप की कमजोरी आपके हस्तमैथुन करने से नहीं, लेकिन "मै गलती कर रहा हूँ" यह चिंता करते से होती है। "हस्तमैथुन मै छोड़ना चाहता हूँ, फिर भी हस्तमैथुन की आदत नहीं छुट्ती है", इस बात से आप परेशान है और यह ही कारण है आप के कमजोरी का।

इतने साल से हस्तमैथुन आप कर रहे है तो कमजोरी अभी ही आनी थी क्या? सोचो जरा। गलत बात क्या है और सही क्या है यह खुद सोचो।

डॉक्टर जानना चाहते है:

आप को कमजोरी है तो मुझे बताओ इस कमजोरी के कारण कितने दिन आप काम पे न जाते हुए छुट्टी लेके घर बैठे रहे?
कमजोरी होती तो सारे शादी शुदा पुरुष भी काम पे छुट्टी लेके घर बैठते। उनकाभी धात निकलता है सम्भोग करने से।
सायंस के पास और भी मजबूत बाते है यह समझाने के लिए की हस्तमैथुन से कभी भी कोई भी शरीर या मन को अभी या भविष्य में हनी नही होती।

और एक ही सवाल है डॉक्टर सहाब। आसाराम बापू कहते की हस्तमैथुन नही करना चाहिए।

परम पूजनीय आसाराम बापू महाराज और भी बहोत कुछ कहते है। यार, वह बाते भी तो तुझे सुननी चाहिए।
जो साधक परमात्मा की प्राप्ती के लिए प्रयत्न कर रहा है उसे संयम की बहोत आवशकता है। हस्तमैथुन ही नहीं  बलकी सारे इन्द्रिय सुख में संयम होना चाहिए। मतलब आप को चटपटी चीजे, स्वाद भरी चीजे भी नहीं खानी चाहिए। पानिपुरी, पकोड़े, मिठाई सब बंद करना होगा।
महंगा, शानदार मोबाइल, बढ़िया कपडे यह सब आप यदि साधक है तो आप को मना है।

आप शादी करने के बाद भी सम्भोग पत्नी से न करे। आप की शक्ति, मन की ताकद क्षीण हो जाएगी ऐसा आप को कोई कहे तो आप मानेंगे क्या? सम्भोग में भी तो धात जाता है ना?

हस्तमैथुन से कभी भी किसी को भी कोई नुकसान नहीं होता । आप ने ज्यादा किया हो, या कम उम्र में शुरू  किया  हो तो भी अभी या भविष में किसी भी प्रकार की हनी नहीं होती।

आप के प्रश्न http://mydoctortells.com यहाँ भेजना।

सोचो।
सोचो।
सोचो।

shigrapatan k bare may jankari k li a click karna

GOD-OF-LOVE

http://mydoctortells.com (Dr. Ashok Koparday) — Sat, 17 Nov 2012 15:35:29 PST

God of Love

Picture of Kamadeva

KAMADEVA - GOD OF LOVE - DIVINITY SEX AND LOVE - HINDU

female-external-genital-image

http://mydoctortells.com (Dr. Ashok Koparday) — Sat, 17 Nov 2012 15:25:06 PST

EXTERNAL GENITALS OF FEMALE

female-external-genital-picture

http://mydoctortells.com (Dr. Ashok Koparday) — Sat, 17 Nov 2012 15:30:29 PST

Female External Genital

VULVA 3 openings 1.Urinary 2. Vagina 3. Anus

ASK-SEXOLOGIST-FREE

http://mydoctortells.com (Dr. Ashok Koparday) — Sat, 17 Nov 2012 05:20:58 PST

ASK SEXOLOGIST FREE

To ASK DOCTOR give as much details as possible. You may not include anything that could possibly reveal your identity. Also send a copy of your query directly to Dr. Ashok Koparday's email address given at the top. YOU MUST INCLUDE

Name
Age
Gender
Menses
Give details:
1. How many days you bleed?
2. How many days is your cycle?
3. Is it regular or regular with variation of how many days?
4. Is it very irregular?
5. For Males: NA Not Applicable)
Married/Just Married/To Be Married Soon/Unmarried/Single;
Details about Menses- how many days you bleed, after how many days you get period, is it regular, if not regular how many days variation
Narrate the problem in detail
give your email. DOCTOR will directly reply on the email you provide.

When did it begin, Onset, Duration, Progress [ODP] till today;
Give maximum details so that the reply you get will be more specific to your particular problem.
What do you believe are the possible causes of your problem?
What results do you expect from treatment? Be specific.
You can write your problem in Hindi, Marathi, Broken English or mix of them.

Please remember that the Doctor's TIME is as much precious as the Doctor's EXPERTISE. If you do not receive reply soon, do send a reminder. NOTE: Is it really free? Yes, Dr. Ashok Koparday gives free expert medical opinion to your sex related problem. The reply will be sent to the email address you provide. People visiting this site will not be able to see the details you give here.

See SITEMAP

See FAQ

See ABOUT DOCTOR

FREE ASK SEXOLOGIST

We are committed to keep all communication TOTALLY PRIVATE, CONFIDENTIAL. See Privacy Policy

Name: Ashok Koparday
Consultant in Sexual Medicine and Marriage Counselor
Medical Director
SAMADHAN INDIA SEXUAL HEALTH CENTER SAMADHAN INDIA Address: 90 Feet Road, Ghatkopar (East),Mumbai 400077 INDIA. Mobile: +91 9867788877
Telephone: 022 25060061
Email: ask [at] mydoctortells [dot] com
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friends

http://mydoctortells.com (Dr. Ashok Koparday) — Thu, 01 Nov 2012 03:20:05 PDT

ALONE

RELATIONSHIP FRIENDSHIP TIPS

By Ashok Koparday
01/11/2012 8:17:59 am

HOW TO MAKE FRIENDS

WHO IS REAL FRIEND

If you want to know about friendship
Wow!
you have selected the best practical, original article on the internet to read. Before you begin dating learn socialising. Make more friends. Influence people. Win love and loyalty.

Learn the way children learn socializing.

LEVELS OF FRIENDSHIP

TYPES OF FRIENDS

People have different levels of friendship. All whom you call friends won't fall in to your concept of "ideal" friend. If you have some definition of friends knock it out. It leads to expectations. Acquaintance - to - Friendship is a gradient. Imagine a scale of 1 to 10.
1 is you saw him in the elevator. He is a visitor (less frequent, more frequent, has office in same building, could be client of a client of a client.). Face is recognizable.

Another guy you know works some where in the same building. You like his face or you may notice his bald head. You would probably say "Hi" to each other when you accidentally meet him at Chennai or Shanghai or Manhattan. So on and so forth.

Fake friends are those who have their own explicit or implicit personal reasons to appear friendly to you. They may abuse you outside. In business one appears as friend. That gets their work done quickly. All different kinds of people from 1 to 10 on the scale are friends. Just don't mistake someone to be a 9 number friend when he is mere acquaintance on scale 3.

10 number on the scale is the one who will leave his office work or even his wedding and rush to help you when you direly need her/him. She/He is your great well wisher - God's messiah. Treasure such people. Cultivate them by you becoming number 10 friend for others.
My wife is always irritated. HOW DO I MAKE HER MY FRIEND
Wife Anita may show irritability. That means NOTHING to you. It will not alter the course of action, words you speak and thoughts you think. Her irritated talk is her problem, not her feedback. Disregard. Use the script I gave you on what to and what not to think, say, do. Stick to the project.

MY FATHER ALWAYS TAUNTS. HOW DO I IMPROVE MY RELATIONSHIP WITH HIM.
Some people can be difficult to cope with because they keep taunting. Disregard their taunts. As long as their taunts disturb you the taunts will continue. Pause PAUSE think THINK what is the appropriate action and DO IT. You may plan the choice of your words, the nature of your actions vis a vis wife or father in advance. FOLLOW YOUR PREDECIDED PLAN/SCRIPT.

Stick to the course of action / project that you have yourself designed.

ACTUAL STORY

OF HOW HE BECAME FRIENDLY AND ALSO BECAME LEADER.
A client of mine put TO DO list of his thoughts, attitude, words, actions and also empowering self affirmations on Excel sheet and kept a measurement scale for each on it. He would check daily how well he is proceeding.

You are doing good if you have read this much. This is the method. It starts by knowing the people. The mind classifies them on gradient scale of 1 to 10. Your behavior with them would be then appropriate. There will be neither clinging nor expectation nor will you get frustrated nor be possessive.

LOVE YOURSELF RESPECT YOURSELF
Important: Love your self. If you can note your positive qualities, make a list. Build upon each. It enhances self esteem. Self respect grows. You value yourself. Others have no choice, but to value you.

What you think about yourself matters. (Usually gets decided in early childhood.)

MY FRIEND REMEMBER THIS

You are UNIQUE. No two clouds, no two leaves, no two pebbles are the same.
INBORN INHERITED BY NATURE HERIDITARY QUALITIES IN YOU
Some trait you have are inherent nature (DNA). Example: Born artist. In primary school also their drawing, music or whatever is extraordinary. They are specially gifted.
Some are late bloomers. Bill Gates and others like him.

Along with (Deoxyribo Nucleic Acid) DNA (Inherited or inherent nature.)
LEARNED ACQUIRED QUALITIES IN YOU
Your CIRCUMSTANCES around you influence you. These are learned traits or qualities. If you were born in USA you would not be speaking English. You would be speaking American just as the American's do.
(Where you are born too is predestined. You are born where you get to learn lessons of life.)

TAKE CARE OF YOUR TAWA

THE CHOICE YOU HAVE IS IN THE PRESENT THOUGHTS,
ATTITUDE, WORDS, ACTIONS.

WHY DO I HAVE DIFFICULTIES IN RELATIONSHIPS

Situations are kept such that you get to learn what you need to learn. If it is relationship building skills that I want to learn, I will have cartoons around me as family members.

As you grow becoming mature means to being bold with elders and assertive in what you choose to say or do.
This is good article. If you have liked it send it to your friend.

Have fun !
Happiness doctor,

Please see http://www.mydoctortells.wordpress.com

http://doctortells.blogspot.in

Dr. Ashok Koparday is a
Fellow Council of Sex Education and Parenthood International Member of Family Planning Association of India Member of Indian Medical Association Accredited Registered Maharashtra Medical Council of India

Name: Ashok Koparday
Consultant in Sexual Medicine and Marriage Counselor
Medical Director
SAMADHAN INDIA SEXUAL HEALTH CENTER SAMADHAN INDIA Address: 90 Feet Road, Ghatkopar (East),Mumbai 400077 INDIA. Mobile: +91 9867788877
Telephone: 022 25060061
Email: ask [at] mydoctortells [dot] com
google By Ashok Koparday website Home page: http://mydoctortells.com

Follow me on FACEBOOK mydoctortells

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POPULAR ARTICLES THAT YOU MAY LIKE TO READ

main-cause-of-sexual-problem-picture

http://mydoctortells.com (Dr. Ashok Koparday) — Thu, 01 Nov 2012 03:35:42 PDT

AUTHENTIC SCIENTIFIC SEX EDUCATION

One of the top most cause of Sexual Problem in men is UNREALISTIC EXPECTATION arising out of outdated misconceptions.

UNREALISTIC EXPECTATION.

SEX MISCONCEPTION:
MYTH
GALAT JANKARI

Wrong belief: "My penis is small". Ling chotta hai.

SAACHAI KYA HAI
SEX FACT:
These people don't know the fact that their penis is ACTUALLY NORMAL.

Penis by nature is shrunken, soft and tiny organ.
Ling chota, naram, sikuda hua hi hota hai.
Maximum size increase happens ONLY during hard on caused by sexual excitement. After discharge it returns to its usual small size.
Uttejana aaney k baad hi ling ut ta hai, khada, lamba hota hai. Pani nikal nay per fir chotta ho jata hai.

MYTH
WRONG BELIEF
GALAT SOCH:
It is not how long, how big, how wide your penis is that matters for female satisfaction.

Jitna ling lamba, bada, chauda utna jaada khushi stree ko milti hai yeh galat soch hai. Sach kya hai?

SCIENTIFIC FACT:
SACHAEE:
It is how well you make love that matters. Ap kitna aur kaisey pyaar kar te ho yeh baat stree ko sab say jyada santosh deti hai.

EXAMPLE
UDDAHARAN
Apna likhnay ka pen kitna lamba, mota hai us say matlab nahi. Aap kitna sunder akshaar likhte ho, kya likhte ho is say prabhav padta hai.
It is not how BIG & BROAD your pen is that matters. What matters is what you write and how beautiful your writing is.

Name: Ashok Koparday
Consultant in Sexual Medicine and Marriage Counselor
Medical Director
SAMADHAN INDIA SEXUAL HEALTH CENTER SAMADHAN INDIA Address: 90 Feet Road, Ghatkopar (East),Mumbai 400077 INDIA. Mobile: +91 9867788877
Telephone: 022 25060061
Email: ask [at] mydoctortells [dot] com
google By Ashok Koparday website Home page: http://mydoctortells.com

safe-sex-picture

http://mydoctortells.com (Dr. Ashok Koparday) — Thu, 01 Nov 2012 03:45:23 PDT

WHAT IS SAFE SEX? BEST ANSWER IS HERE

LEARN A B C OF SAFE SEX

A - Abstinence or Avoid sex (masturbation is best)
B - Be faithful (no extra marital sex)
C - Condom Compulsory

CONTINUE READING ABOUT FIRST SEX SUHAGRAAT

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POPULAR ARTICLES THAT YOU MAY LIKE TO READ

increase-penis-size

http://mydoctortells.com (Dr. Ashok Koparday) — Sat, 27 Oct 2012 07:45:22 PDT

Methods of Increasing Penis Size - ling ka aakar kaisey badaye

TO ASK SEXOLOGIST CLICK HERE

Name: Ashok Koparday
Consultant in Sexual Medicine and Marriage Counselor
Medical Director
SAMADHAN INDIA SEXUAL HEALTH CENTER SAMADHAN INDIA Address: 90 Feet Road, Ghatkopar (East),Mumbai 400077 INDIA. Mobile: +91 9867788877
Telephone: 022 25060061
Email: ask [at] mydoctortells [dot] com
google By Ashok Koparday website Home page: http://mydoctortells.com

See SITEMAP

See FAQ

See ABOUT DOCTOR

FREE ASK SEXOLOGIST

Follow me on FACEBOOK mydoctortells Follow me on TWITTER mydoctortells

love

http://mydoctortells.com (Dr. Ashok Koparday) — Sat, 27 Oct 2012 06:35:23 PDT

ROMANCE

DEFINITION OF LOVE
TYPES OF LOVE
BENEFITS OF LOVE
PAIN OF LOVE
BREAK UPS
MORE ABOUT ROMANTIC LOVE
SIDE EFFECTS OF LOVE A. B. C.
11 LOVE SUTRA
REFERENCES FOR FURTHER READING

Like 'God', 'religion', 'love' is a word that means different things to different people. So let me define 'Love' that we are going to talk about on this page.

DEFINITION OF LOVE

Love is a strong attraction towards other person. [ 1 ] [ 7 ] [ 8 ] SEE THE PICTURE - ART OF MAKING LOVE http://mydoctortells.com/art-of-making-love-picture/ Love is emotional and physical attraction between a male and a female. Love is when one pines to be with the other person for longer time. Remembers the other person fondly. Delights in keeping in touch (communication) with the loved one. There is a great urge (passion) and joy in interpersonal communication and sadness and anger if this does not happen.[ 6 ] Beginning by eye contact, it continues in the form of talking privately, talking on phone, chatting on phone and net, being together. You may call this as 'Romantic Love'. Typically you are said to be 'mad' in love, 'blind' in love because it is reckless. We say, "I fell in love" or "I am dying for him/her", even in vernacular native language the expression has similar meaning "Premat padla" "Pyar may fas gaya", "Kam say gaya" "Us pay mar raha hai" . The madness of love is no one ponders over the word "falling" in love. TYPES OF LOVE

ROMANTIC LOVEThis we discussed above.
WHAT LOVE WE ARE NOT TALKING ABOUT
LUST It is not just 'lust', which could be satisfied by one night stand or by commercial sex worker (prostitute - busy body - gigolo).
LIKING It is not just 'liking' as "I like my colleague or I like blue color.
DESIRE Love is not 'desire' as in desire for diamond or gold or money.
PLATONIC [ 4 ] It is not 'platonic' love as in simple friendship where there is joy in meeting and talking, but the heart doesn't go throbbing or crazy with anticipation of meeting (in person or on phone or internet). It is not 'friendship', which is what one has with person of the same gender too. It is not like friendship between two boys or two girls.
FAMILIAL It is not 'familial' love. That is it is neither brotherly, fatherly, motherly affection, nor fondness, admiration for a teacher. This love that we are talking about is not virtue of compassion, unselfish affection, benevolent caring, kindness, loyalty for another person(s) or animal(s) or tree(s) [ 2 ] [ 3 ].
CRAVING We are not talking about craving for food.
DEVOTION [ 5 ] We are not talking of love for one's work, company, country, prophet or God. We are not talking about 'devotion'.
CRUSH We are not talking about 'crush' with a film star or sports person about whom we are crazy, but have not even met in person or spoken on phone.

MORE ABOUT LOVE

What more does this love mean? It is involvement, attachment with the other person. Lust begins to rise. You are fixated as on a drug wanting to be more and more closer for longer and longer time with the other person. This love is one : to : one. This is possessive. Meaning you would not like the person to have same intimacy with another person. It brings jealousy if another person gets similar affection. This love progresses from eye contact or texting to talking, to touching, to fondling, to sexual intimacy. It has euphoria unlike any other thing. One in such relation is often said to be 'mad' in love and 'blind' in love. The ecstasy in anticipation and on meeting on phone or in person is of the highest order, compulsive or addictive.

CONSEQUENCES OF BEING IN LOVE

THE GAIN It is interesting to know how love is beneficial for health, a sense of overall well being, happiness quotient rises. Love can do miracles it is said. THE PAIN However, don't dismiss the disappointment and frustration that comes on realizing that you are now bound to a worthless person when eventually get married or a leech or you have been tricked into love game for blatant selfish satisfaction by some one. Important is also the pain of 'separation' from the loved one due to natural tragedy as death or social prohibition or plain cheating. NOTE: Just being distanced from the lover or the lover becoming ill is not painful.

BREAK UP

Deprivation or breaking of this relation is one of the most painful events of life giving rise to anger, dejection, depression, lowered self esteem, loss of confidence in the other gender's affectation. It may wreck personal life, adversely affecting other relations in family and friends, study, work and hobbies are badly affected.

WHY DO PEOPLE FALL IN LOVE

Love is a biological phenomenon devised by nature primarily for safe procreation and operates at all ages not just the teens. GO TO TOP

WHY ARE WE TALKING ABOUT LOVE HERE AT http://mydoctortells.com

1. Side effects of Love. Love leading to [A] unwanted pregnancy is the commonest distress phone call I receive.

EASY METHODS OF PREVENTING PREGNANCY - SAFE SEX GUIDE http://mydoctortells.com/topic/birth-control/

HOW TO PREVENT PREGNANCY - CONTRACEPTIVES http://mydoctortells.com/topic/women/women-sexual-concerns/pregnancy/contraception/

[B] Add to it Sexually Transmitted Infections (There are more than 25 STIs) such as HIV - AIDS and [C] Healing the pain of heart break.

"A sad soul can kill you quicker than a germ.” - John Steinbeck

Psychological, social, legal calamity due to 'love affair' or sexual misconduct, managing feelings of love less ness. See Broken-Heart-Syndrome. Also the problems parents face when they find their loved teen in love with a good for nothing mate. Teachers anxiety over promiscuous affairs among school girls and boys. 2. How to attract him/her? Tips and tricks to win your love. 3. How to prevent love from decaying and going stale? 4. Dealing with extra marital affairs.

HOW & WHY EXTRA MARITAL AFFAIRS - INFIDELITY -VIDEO http://mydoctortells.com/topic/affair/

5. How to make Love - enhancing the physical orgasmic quality of love.

11 LOVE SUTRA For every couple to keep love sparkling and alive 1 Get out. Go for outings. Often, and just you two. 2 Stay away from each other at least for a few days. 3. 4. . . 11. Click here to read http://mydoctortells.com/11-love-sutra/

6. Dealing with problems that impede or stifle love - sexual or love deprivation, sexual dysfunctions affecting Men's health and Women's health. 7. Using the power of love for creativity, as health tonic, as a step towards rising to deeper more fulfilling love, which enriches the soul and society. See Love ~ Soul connect at Ecstasy of LOVE ~ DEVOTION SAINT'S SPEAK http://amrutvani.blogspot.in/2007/12/blog-post.html GO TO TOP Stay in touch with Dr. Ashok Koparday on My Doctor Tells on FACEBOOK and My Doctor Tells on TWITTER. (This is an original article by Dr. Ashok Koparday - The Love Doctor - Click here to know ABOUT DOCTOR)

"To study medicine without books is to sail an unchartered sea, while to study medicine only from books is not to go to sea at all." Sir William Osler "Listen to your patient, he is telling you the diagnosis." Sir William Osler

GO TO TOP REFERENCES FOR FURTHER READING: 1. Oxford Illustrated American Dictionary (1998) Merriam-Webster Collegiate Dictionary (2000) 2. Merriam Webster Dictionary 3. Fromm, Erich; "The Art of Loving", Harper Perennial (1956), Original English Version, ISBN 978-0-06-095828-2 4. Kristeller, Paul Oskar (1980). Renaissance Thought and the Arts: Collected Essays . Princeton University. ISBN 0-691-02010-8 .

Be careful about reading health books. You may die of a misprint.” - Mark Twain

5. Mascaró, Juan (2003). The Bhagavad Gita . Penguin Classics. ISBN 0-14-044918-3 . (J. Mascaró, translator) 6."Article On Love" . Retrieved 2011-09-13. 7. Helen Fisher. Why we love: the nature and chemistry of romantic love . 2004. 8. http://en.m.wikipedia.org/wiki/Love

"The art of medicine consists in amusing the patient while nature cures the disease.” - Voltaire

GO TO TOP
CLICK HERE TO ASK DOCTOR

MY SEX DOCTOR

periods

Periods Menses

puberty-brain-picture

Puberty Picture Brain

How puberty begins

kegel-exercise-picture

Kegel Exercises Picture

Image of Pelvic Diaphragm

Perineum

Pelvic Floor

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Mental Illnesses Cause Difficulty in Living

100 BILLION NEURONS

100 TRILLION SYNAPSES

ONSET Begins in early age

kegel-exercise

Kegel exercises

Do I need Kegel Exercises

What are pelvic floor muscles

Why are they called Kegel Exercise

How to do Kegel Exercises

Benefits in delaying Premature Ejaculation in men

Sexual function benefit for women by doing Kegel Exercises

How to find if the pelvic floor muscles are weak

What gadgets / products will help develop pelvic floor muscle tone

Alan P. Brauer; Donna J. Brauer (2001).

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Four Personality Types of Lovers

1. Explorer 2. Negotiator 3. Builder 4. Director

HOW TO FIND YOUR MATCH

1. The Explorer

2. The Builder

3. The Director

4. The Negotiator

Negotiator Lover

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Mental Illnesses

New Perspective on Brain Disorders (Mental Illnesses)

Suicide

Mental Illness compared to other illness

Disability Mental Illness

DISABILITY CAUSED BY MENTAL ILLNESSES IS SEVERE

Age at which Mental Illnesses/Brain Disorders begin

Onset of mental illnesses

Complexity of Brain

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Definition: Missed Period

Amenorrhea: Missed Period - Definition

Symptoms Amenorrhea

When to see a doctor

Causes Amenorrhea

Natural amenorrhea

Stress.

Hormonal imbalance

Uterine Fibroid/Uterine Scarring

Structural problems

Risk factors Missed Period

Complications of amenorrhea may include:

Preparing for your appointment

What you can do

When did your signs and symptoms begin?

Questions you might ask your doctor include:

Questions your doctor may ask include:

Missed Periods: Tests and diagnosis

Missed Period: Lab tests

Pregnancy test.

Thyroid function test.

Ovary function test.

Male hormone test.

Hormone challenge test

Missed Period: Imaging tests

Ultrasound.

Computerized tomography (CT).

Scope tests

Missed Period: Amenorrhea - Treatments and drugs

Lifestyle and home remedies

REFERENCES:

romantic-love

Romantic Love Audio