BPH

Mr Raju age 31 y m .cpmplemts night time head Acha since a week.blood test shows . hyperthyroidism. vitals normal.what treatment is best for Parmanant solutions pl help

33 y/o male presented for a well male visit with numerous painless, firm scrotal nodules. Onset 8 years with progressive growth of additional nodules. The nodules are present only on the scrotum. Both testicles were freely mobile and of normal size and shape without adherence to surrounding tissue. The patient denies any discomfort, urinary s/s, or sexual dysfunction. Family history positive for maternal DM. PMH is negative. Patient takes no medications.

Friends today I am disscussing about a very serious problem now a days women are facing. Reasons can be many Low Sex Drive in Women: Hypoactive sexual desire disorder (HSDD), now known as female sexual interest/arousal disorder, is a sexual dysfunction that causes a lowered sex drive in women. Many women will pass off the symptoms of HSDD as the inevitable effects of aging or changes in their body. If your sex drive is affecting your quality of life, it may be time to talk to your doctor. What are the symptoms of HSDD? While it’s healthy for sexual desire to fluctuate, a woman with HSDD will usually experience a lack of sexual desire for six months or more. If changes in sexual desire are so extreme that it’s affected your relationships or self-esteem, it could be HSDD. Symptoms associated with HSDD include: little to no interest in sexual activity few to no sexual thoughts or fantasies disinterest in initiating sex difficulty getting pleasure from sex lack of pleasurable sensations when the genitals are stimulated How do doctors diagnose HSDD? Unlike other medical conditions, there is no specific test to diagnose HSDD. Yet, there are a few methods used by doctors to diagnose the condition. Start by telling your doctor about your symptoms. Your doctor may ask questions about how your low sex drive is impacting your well-being. Your doctor will try to identify an underlying cause for the condition. These causes could be physical, emotional, or a combination. Physical causes of HSDD can include: arthritis coronary artery disease diabetes decreased estrogen or testosterone levels hormonal changes during or after pregnancy fatigue or exhaustion due to a grueling work, family, or school schedule taking certain medications that affect sex drive Emotional causes of HSDD include: a history of anxiety, depression, or low self-esteem a history of sexual abuse trust issues with a sexual partner Your doctor may also conduct a pelvic exam to identify any changes that might have affected your sexual desire. A blood test to check for affected hormone levels might be performed, as well. However, sometimes there is no specific underlying cause for HSDD. This does not mean that HSDD cannot be treated. How do doctors treat HSDD? There are various methods used to treat HSDD. To find the right treatment, it’s key to understand the underlying cause of your symptoms. Your doctor may ask if you’re currently taking any medications. Certain medicines can negatively affect sex drive. For example, some antidepressants may cause a lowered sex drive. In such cases, a doctor may suggest a prescription with fewer side effects. Do not stop taking antidepressants without a doctor’s approval. If it seems that emotional issues are the root of your symptoms, your doctor may suggest counseling. Not only can a specialist teach you how to communicate better with your partner, but they can also help you identify sexual techniques for a more pleasurable experience. It’s common for premenopausal and postmenopausal women to experience changes in estrogen levels. This is due to a reduction of blood flow to the vagina. If lowered estrogen levels are causing your symptoms of HSDD, estrogen therapy may be suggested. Your doctor will recommend applying a cream, suppository, or ring that releases estrogen in the vagina. This can increase blood flow without the unwanted side effects that come with taking an estrogen pill. Another treatment option is the FDA-approved pill flibanserin (Addyi). This medication has been shown to boost sex drive in women with low sexual desire. However, the drug is not for everyone; side effects include hypotension (low blood pressure), fainting, and dizziness. Lifestyle changes could also relieve stress and help improve a woman’s libido. These include: exercising regularly setting aside time for intimacy sexual experimentation (such as different positions, role-playing, or sex toys) avoiding substances that affect sexual desire, like tobacco and alcohol practicing stress-relieving techniques, such as mindfulness-based interventions Don’t underestimate the effect a decreased sexual desire can have on your well-being. If you feel symptoms of HSDD have impacted your quality of life, talk to your doctor. There are treatment options available. Onsomodium, staphisgaria, sepia, Berberis vulg. Are few homoeopathic medicines which can be used in such cases.

diagnose the condition and discuss the management.

7 CAUSES OF IMPOTENCE---Embarrassing condition that men fear the most. It is linked to masculinity. Inability to get and maintain erection can significantly affect man's self-esteem. In order to avoid preventable causes, it is important to understand what may cause the condition. 1-HEART TROUBLES:--There are number of heart-related conditions which can cause erectile dysfunction(ED) like high blood pressure, high levels of bad cholesterol, clogging of arteries, heart disease etc 2--DIABETES--: impotence  as a complication of diabetes is common among men. Erectile dysfunction in men is closely related to high blood sugar levels. Men with diabetes have difficulties with normal erections. Diabetic males are three times more likely to get ED and that too early in life. This is a big damage to sex life. 3--BRAIN DISEASES AND HORMONES TROUBLE:--- Diseases like stroke, Parkinson’s disease, and multiple sclerosis have been found to be associated with ED. Problems of pituitary gland lead to high prolactin (hormone) levels low testosterone (hormone) levels and low testosterone levels might lead to impotence. 4-- INJURIES AND TRAUMA:-- Nerve damage due to spinal cord injuries and trauma to pelvic area may cause erectile dysfunction. Additionally, surgeries involving colon, prostate, rectum (usually done for cancer treatment) and some orthopedic surgeries can lead to ED. Vasectomies do not cause erectile dysfunction.  5--MEDICINES AND DRUGS:-- Antidepressants, allergy medication, blood pressure pills, Parkinson’s disease treatments affect the erection and cause dysfunction in men. The effect of these drugs varies in men. Some might suffer sexual dysfunction and impotence while others may not. 6--IT'S IN THE MIND TO:-- Depression, stress, relationship issues amongst couples, performance anxiety, lack of communication are some of the mental conditions which can mess with the sexual feelings, desires and performance and can lead to or make erectile dysfunction worse. This is called as psychological impotence. 7--CHOOSE GOOD:-- All the causes of impotence are not preventable, but making smart choices like exercise, balanced diet, saying no to alcohol and smoking can make a big difference. Improvement in relationships, counseling, and right habits can help outwit the chances of developing erectile dysfunction.