Friends today I am discussing about a serious problem which most of the people shy to share with their doctor which is Hypoactive Sexual desire disorder. What Is Hypoactive Sexual Desire Disorder? If you have little interest in sex, and it's causing distress in your life, you may have hypoactive sexual desire disorder. Learn about treatment options for this sex disorde Just because you aren’t interested in sex doesn’t mean you are sexually dysfunctional. However, if your disinterest is causing distress in your life, then you may be diagnosed with hypoactive sexual desire disorder (HSDD). An estimated 30 to 39 percent of women in any given population will report little or no interest in sex at any given time in their lives. This may not cause personal problems or constitute a sex disorder, especially if the woman is single and not actively engaged with a partner. When a lingering lack of desire, however, is coupled with distress, which is believed to be the case in about 12 percent of women and a roughly estimated 5 percent of men — and if other issues, such as an abusive partner are ruled out — then HSDD may be diagnosed. Although “lack of sexual fantasy” used to be included in the official HSDD definitions, this is no longer universally used as a determinant of healthy sexuality; not all sexually healthy adults fantasize. “Some people don’t want to have sex. If it’s not causing distress, it’s not dysfunction,” “The most important clinical determinant for HSDD in women is when the woman is unreceptive. She has a good relationship. She likes her partner. But she’s not able to respond to overtures. She says, ‘I feel nothing. I feel numb. I feel empty.’” Because of the personal nature of sexual desire, HSDD can be difficult to track, quantify, and treat. Studies do consistently show that HSDD can affect both women and men. Prevalence within the male population is less studied, but some researchers believe women may be at least twice as likely to have HSDD, which is why much of the research is pointed at women. Why Do More Women Have Hypoactive Sexual Desire Disorder? Some researchers believe the greater number of female HSDD cases may be related to the way most women approach sexuality: hypoactive sexual desire disorder can be psychologically, as well as physically, based. A woman’s desire for sex is often predicted by a greater number of factors in both realms working together — including relationship satisfaction and health, personal and partner well-being, and physical and emotional responses to lovemaking. The same researchers speculate that sexual disinterest among some women may be related to sexual inhibition, conditioned in women by longstanding cultural tradition. In addition, they suggest that a lack of sexual desire in some women may not constitute a disorder at all, but rather may be a natural protective mechanism against having too many children, which has evolved over time. Hormones. Hormone and other changes during menopause can make HSDD more prevalent for middle-aged, post-menopausal women than for younger, pre-menopausal women. Men can also experience hormonal changes, specifically low testosterone levels that can interfere with sexual desire Being in an active relationship. Most people living with HSDD who seek help are in a relationship. Sometimes a man or woman will seek help at the request of his or her partner. Nine out of 10 women who seek help do so because their partner is in distress. Emotional or mental health issues. This can include partner dissatisfaction, sexual communication and sexual performance issues, general life stress, and such potentially complicated psychological problems as body image issues and depression. Physical health conditions. These can include diabetes, arthritis, heart disease, hypothyroidism, and menopause. Treatment Options for Hypoactive Sexual Desire Disorder Sometimes just having a frank conversation with your partner can solve your HSDD. You also may choose to talk with your doctor, who may ask you about your relationship history and about past psychological issues related to your sexuality. Your doctor may also look for underlying medical conditions. You may ultimately be helped by: Individual or couples sex therapy. Treatment of an underlying medical condition. Hormone therapy. Hormone balancing therapy for women and testosterone supplementation for some men with low testosterone levels can increase sexual desire.

Friends today I am discussing about a serious problem which most of the people shy to share with their doctor which is Hypoactive Sexual desire disorder. If you have little interest in sex, and it's causing distress in your life, you may have hypoactive sexual desire disorder. Learn about treatment options for this sex disorde Just because you aren’t interested in sex doesn’t mean you are sexually dysfunctional. However, if your disinterest is causing distress in your life, then you may be diagnosed with hypoactive sexual desire disorder (HSDD). An estimated 30 to 39 percent of women in any given population will report little or no interest in sex at any given time in their lives. This may not cause personal problems or constitute a sex disorder, especially if the woman is single and not actively engaged with a partner. When a lingering lack of desire, however, is coupled with distress, which is believed to be the case in about 12 percent of women and a roughly estimated 5 percent of men — and if other issues, such as an abusive partner are ruled out — then HSDD may be diagnosed. Although “lack of sexual fantasy” used to be included in the official HSDD definitions, this is no longer universally used as a determinant of healthy sexuality; not all sexually healthy adults fantasize. “Some people don’t want to have sex. If it’s not causing distress, it’s not dysfunction,” “The most important clinical determinant for HSDD in women is when the woman is unreceptive. She has a good relationship. She likes her partner. But she’s not able to respond to overtures. She says, ‘I feel nothing. I feel numb. I feel empty.’” Because of the personal nature of sexual desire, HSDD can be difficult to track, quantify, and treat. Studies do consistently show that HSDD can affect both women and men. Prevalence within the male population is less studied, but some researchers believe women may be at least twice as likely to have HSDD, which is why much of the research is pointed at women. Why Do More Women Have Hypoactive Sexual Desire Disorder? Some researchers believe the greater number of female HSDD cases may be related to the way most women approach sexuality: hypoactive sexual desire disorder can be psychologically, as well as physically, based. A woman’s desire for sex is often predicted by a greater number of factors in both realms working together — including relationship satisfaction and health, personal and partner well-being, and physical and emotional responses to lovemaking. The same researchers speculate that sexual disinterest among some women may be related to sexual inhibition, conditioned in women by longstanding cultural tradition. In addition, they suggest that a lack of sexual desire in some women may not constitute a disorder at all, but rather may be a natural protective mechanism against having too many children, which has evolved over time. Hormones. Hormone and other changes during menopause can make HSDD more prevalent for middle-aged, post-menopausal women than for younger, pre-menopausal women. Men can also experience hormonal changes, specifically low testosterone levels that can interfere with sexual desire Being in an active relationship. Most people living with HSDD who seek help are in a relationship. Sometimes a man or woman will seek help at the request of his or her partner. Nine out of 10 women who seek help do so because their partner is in distress. Emotional or mental health issues. This can include partner dissatisfaction, sexual communication and sexual performance issues, general life stress, and such potentially complicated psychological problems as body image issues and depression. Physical health conditions. These can include diabetes, arthritis, heart disease, hypothyroidism, and menopause. Treatment Options for Hypoactive Sexual Desire Disorder Sometimes just having a frank conversation with your partner can solve your HSDD. You also may choose to talk with your doctor, who may ask you about your relationship history and about past psychological issues related to your sexuality. Your doctor may also look for underlying medical conditions. You may ultimately be helped by: Individual or couples sex therapy. Treatment of an underlying medical condition. Hormone therapy. Hormone balancing therapy for women and testosterone supplementation for some men with low testosterone levels can increase sexual desire.

*Hypothyroidism* *☝ all about☝* – also called underactive thyroid – is the most common thyroid disorder. It happens when your thyroid gland doesn’t produce enough thyroid hormone, which is essential because thyroid hormone helps regulate important body processes, such as your metabolism. But with low thyroid function, these body processes slow down. Pathophysiology The hormones produced by the thyroid gland are T3 and T4. These hormones have an action on almost all parts of the body. The secretion of these hormones is regulated by TSH or thyroid stimulating hormone that is secreted by the pituitary gland. The secretion of thyroid hormone occurs only from this particular gland. The presence of iodine and amino acid tyrosine are a must for the production of thyroid hormones. Hypothyroidism and low levels of the thyroid hormones can occur if there is a deficiency of iodine for thyroid or thyroid stimulating hormone (TSH). The hypothalamus of the brain secretes TRH thyroid releasing hormone which acts on the pituitary gland and initiates the release of TSH or thyroid stimulating hormone. TSH then acts directly on the thyroid gland to release thyroid hormones T3 and T4. The normal functioning of the thyroid (healthy thyroid) is regulated by negative feedback mechanism where the levels of thyroid hormones increase or decrease under the influence of TSH. Causes Hashimoto’s thyroiditis: This autoimmune disease is the most common cause of hypothyroidism. Medications: Certain medications, such as lithium, can cause hypothyroidism. Pregnancy: Hypothyroidism can develop during or after pregnancy. Treatment for hyperthyroidism: People who have hyperthyroidism (overactive thyroid) are treated with radioactive iodine therapy, which impairs thyroid function and can cause hypothyroidism. Thyroid surgery: If your thyroid gland is removed, you can’t make thyroid hormone, so you’ll need to take thyroid hormone replacement. Radiation therapy: Radiation used for the treatment of cancer in the head or neck, lymphoma, or leukemia, may slow or halt the production of thyroid hormone. This will almost always lead to hypothyroidism. Risk factors There are two main factors to consider – age and sex. The chances of being hypothyroid increase with age, and they are greater if an individual is a woman. You have a family history of thyroid disease or any autoimmune disease You have type 1 diabetes or rheumatoid arthritis, or other autoimmune disorders As mentioned in the causes section medications and thyroid surgery also a major risk factors Signs and Symptoms in adults Women who are over age 60, as well as men who are aging, should look out for these potential symptoms of hypothyroidism: Weight gain Fatigue Sensitivity to cold temperatures Depression Dry skin Thinning hair Heavy menstrual periods (in women) Trouble sleeping Difficulty concentrating Pain or swelling of the joints Constipation High cholesterol levels Muscle weakness Signs and symptoms in Children and teen Symptoms of hypothyroidism in children and teens are similar to symptoms in adults and can include: Poor growth or short stature Delayed puberty Slow reaction time Weight gain Coarse, dry hair or skin Muscle cramps Delayed mental development Increased menstrual flow for girls Signs and Symptoms in Infants Symptoms of hypothyroidism in infants may include: Jaundice (yellowing of the skin and whites of the eyes) Frequent choking Puffy face Constipation Complications Heart disease and stroke Hypothyroidism can lead to insulin resistance The myxedema coma Goiter Mental health issues Peripheral neuropathy Low levels of thyroid hormone can interfere with ovulation, which impairs fertility Birth defects Diagnosis and test Medical evaluation Your doctor will complete a thorough physical exam and medical history. They’ll check for physical signs of hypothyroidism, including: Dry skin Slowed reflexes Swelling A slower heart rate In addition, your doctor will ask you to report any symptoms you’ve been experiencing, such as fatigue, depression, constipation, or feeling constantly cold. Blood test There are several types of blood tests – the most definitive one is called the TSH test (thyroid-stimulating hormone). However, in some cases, physicians may refer to the free thyroxine or T4, free T4 index, or total T4 to aid in the diagnosis. TSH Test A thyroid-stimulating hormone or TSH is a blood test that measures the amount of T4 (thyroxine) that the thyroid is being signaled to make. If you have an abnormally high level of TSH, it could mean you have hypothyroidism. 0.4 mU/L to 4.0 mU/L is considered the reference range (there may be a slight variation depending on the laboratory), TSH >4.0/mU/L with a low T4 level indicates hypothyroidism. T4 (thyroxine) Test The thyroid gland produces T4 (thyroxine). The free T4 and the free T4 index are blood tests that, in combination with a TSH test, can let your physician know how your thyroid is functioning. Anti-thyroid Microsomal Antibodies Testing A third hypothyroid test is for anti-thyroid microsomal antibodies—anti-thyroid peroxidase (anti-TPO). These antibodies, which are produced by the immune system, may attack thyroid cells. If a blood test determines their presence, it shows that there has been thyroid damage which could potentially lead to hypothyroidism. Differentiation of Hypothyroidism Primary hypothyroidism Primary hypothyroidism is due to disease in the thyroid; thyroid-stimulating hormone (TSH) is increased. The most common cause is autoimmune. It usually results from Hashimoto thyroiditis and is often associated with a firm goiter or, later in the disease process, with a shrunken fibrotic thyroid with little or no function. The 2nd most common cause is post-therapeutic hypothyroidism, especially after radioactive iodine therapy or surgery for hyperthyroidism or goiter. Secondary hypothyroidism Secondary hypothyroidism occurs when the hypothalamus produces an insufficient thyrotropin-releasing hormone (TRH) or the pituitary produces insufficient TSH. Sometimes, deficient TSH secretion due to deficient TRH secretion is termed tertiary hypothyroidism. Subclinical hypothyroidism Subclinical hypothyroidism is elevated serum TSH in patients with absent or minimal symptoms of hypothyroidism and normal serum levels of free T4. Subclinical thyroid dysfunction is relatively common; it occurs in more than 15% of elderly women and 10% of elderly men, particularly in those with underlying Hashimoto thyroiditis. Treatment and medication Medications Hypothyroidism is a lifelong condition. For many people, medication reduces or alleviates symptoms. Hypothyroidism is best treated by using levothyroxine (Levothroid, Levoxyl). This synthetic version of the T4 hormone copies the action of the thyroid hormone your body would normally produce. The medication is designed to return adequate levels of thyroid hormone to your blood. Once hormone levels are restored, symptoms of the condition are likely to disappear or at least become much more manageable. Animal extracts that contain thyroid hormone are available. These extracts come from the thyroid glands of pigs. They contain both T4 and triiodothyronine (T3). If you take levothyroxine, you’re only receiving T4. But that’s all you need because your body is capable of producing T3 from the synthetic T4. These alternative animal extracts are often unreliable in dosing and haven’t been shown in studies to be better than levothyroxine. For these reasons, they aren’t routinely recommended. Thyroid Hormone Replacement Therapy The main goal is to compensate for the lack of hormone secreted by the thyroid gland. In most cases, an affected individual will take a daily dose of T4 (or T3 and T4) in a pill taken orally. But it’s important to understand that every patient’s therapy may be different. There is no cookie-cutter dosage or treatment plan when it comes to thyroid hormone replacement therapy. How the body absorbs the hormones, along with the number of hormones needed to help the body function properly is very varied. Prevention Taking iodine supplements can prevent hypothyroidism. Exercises and alternative therapies may prove more than effective in minimizing symptoms of thyroid imbalance than traditional treatments. Get a screening test every five years if you are 50 years old or older. Get regular screenings if you: Have Type 1 diabetes Have infertility (females) Take certain medications Natural remedies Do not use non-stick cookware Eliminate Soy: Soy restrains functions of the thyroid, imbalances hormones & it has been appeared to cause goiters Balance Estrogen Levels: Excessive consumption of estrogen slows down the thyroid organ. This implies disposing of anti-conception medication, expanding the fiber in the eating routine & keeping away from all non- organic meats. Adhere to an Alkaline Diet: This is greatly useful when curing any severe issue. Exercise: Find a physical movement activity that is fun & does it regularly. Iodine: The thyroid requires iodine to work appropriately & loads of individuals now experience the ill effects of iodine lacks. To test yourself, put some iodine on your stomach. In case it vanishes in 12 hours, at that point you are lacking iodine. Continue including iodine in increased amounts, until it doesn’t vanish in a 12-14 hours’ time. This works because of the way that the body trans-dermally absorbs iodine at the rate at which it is required. Avoid all types of fluoride Move for natural diet: To enable the body to recuperate itself, take away the loads on its immune system. This implies every single processed food, synthetic flavors, hues, additives, white sugar, white flour, table salt, hydrogenated oils, aluminum and etc. ought to be removed from the diet chart. Organic food is perfect. Chlorophyll: Including chlorophyll gives fundamental copper, oxygenates the body, adds healthy RBC’s, and in general helps with skin health. Chlorophyll is a safe strategy for the oral supplement of copper. Pears and Apples: Pears help most when combined with or mixed with apple juice. Try this pear juice formula, and drink it routinely. Zinc and Selenium: Studies demonstrate that serious zinc or selenium insufficiencies would cause diminished thyroid levels. Never take zinc first thing in the stomach. Brazil nuts are high in both zinc and selenium. Coconut Oil: Buy natural, fresh squeezed, coconut oil from a health store. Take around 1 teaspoon every day. You can likewise use it in cooking, yet be cautioned that it smokes at low cooking temperatures, so it should just be utilized for low-warm cooking. Coconut oil speeds up the digestion improve thyroid hormone generation and cut down candida yeast. Avoid Canola Oil: Canola oil meddles with the generation of thyroid hormones, among its numerous risks. Treat canola oil like the evil, genetically engineered hereditarily designed poison.

Age:35 years Gender:Male Patient Prakriti: Vata-Kapha Desha: Jungle Desha.. A patient is suffering from ED(Erectile Dysfunction) from 15 years. He doesn't have any serious problem regarding anything.. What is the main cause behind ED in ayurveda? Mention Hetu,Linga,Aushadh for ED.

male pt of 50 yrs comes with this condition as in pictures with itching and pain in Lt ankle medial aspect. same condition since 1 yr, history of hypothyroidism, no dm previously the lesions give watery discharge on scrapping now after treatment there is mild bleeding after itching..same condition is on neck and some times on face but is very less itching and spots at neck an face..plz advice dd and treatments