₦airaland Forum

Introduction 
Sexual Dysfunction Is the repeated inability to experience the stages in human sexual response i. e (Excitement, Plateau, Orgasm and Resolution phase) after appropriate stimulation in other words, it is the difficulty experienced by an individual or a couple during any stage of normal sexual activity, including physical pleasure, desire, preference, arousal or orgasm. Sexual dysfunction affects both men and women. It occurs in adults of all ages. For women and men it could be physical or psychological. Physical  Problems :In women Physical problems such as hormonal imbalances, cardiovascular diseases, endocrine disorder such as diabetes and other chronic diseases such as kidney diseases or liver failure and alcoholism or drug abuse. Side effects of some certain drugs e.g Antidepressants can affect the libido and function. 
Psychological Problem :These is related to work or stress and anxiety, concern about sexual performance, loss of body function e.g hysterectomy as a result of vesico vigina fistula, infertility concern, marital relationship problems, depression, feeling of guilt or pain or effect of past sexual trauma. 
In men sexual dysfunction can manifest in presentation as follows :
Erectile Dysfunction, Premature Ejaculation, Retarded Ejaculation, Priapism, Anorgasmia and Lack of desire. 
Erectile Dysfunction :Is the inability to attain or maintain an erection that allows satisfactory sexual performances. Impotence :This is the failure to have an erection cause may be physical, psychological, or combination of both. Physical e. g changes in blood flow to the penis or neurogenic dysfunctions due to diseases and stress, Trauma to the pelvic area, Psychological factors e. g fear, anxiety, anger, frustration, performance anxiety and effect of alcohol could be the cause.
Major signs and symptoms of Impotence or erectile dysfunction 
Inability to have an erection. 
Inability to sustain an erection. 
Inability to have an erection form enough for penetration (incomplete erection) . 
Premature Ejaculation :This is a very quick ejaculation, faster than explained in the human stages of response cycle and usually uncontrollable by the person. It is characterized by its persistence or recurrence. In this case a man is unable to exert reasonable voluntary control of his ejaculatory response. The lasting time for ejaculation is 1.8 minute these could be caused by infection of urethra and prostrate, untreated gonorrhea, uncircumcised foreskin. 
Retard Ejaculation :This is prolonged period between excitement and climax resulting in late orgasm. 
Priapism :This is painful, purposeless, prolonged penile erection (longer than 4-6 hours). This can result in penile ischaemia causing permanent Impotence necrosis of the penis. 
Anorgasmia :This refers to a persistent or recurrent delay absence of orgasm following a normal sexual excitement. 
Lack of Desire :This is characterized by infrequent sexual activity or loss of desire, including few or no sexual fantasies. Research suggests that sexual dysfunction is common (43% of women and 31% of men report some degree of difficulty). It is a topic people feel reluctant and embarrassed to discuss. Sexual dysfunction requires a person to feel extreme distress and interpersonal strain for a minimum of 6 months (excluding substance or medication - induced sexual dysfunction). Often level of anxiety increases as sexual dysfunction persists. Couple are therefore advised to talk about it and seek medical treatment as communication with one's partner is important. If there is any type of sexual dysfunction take measures to seek medical treatment. Fortunately, most cases of sexual dysfunction are treatable. Treatment would save you from all the  consequences that usually comes with sexual dysfunction. And you will be able to live a normal sexual life. 
If you enjoyed this article and find it informative, please go ahead and share it with as many men and women as possible.                     Stay Healthy And Excel in Healthy Living!  
Transcend Health Center 
Tel-08092525088, 08186038855.
WhatsApp - 07066830084  
Email- transcendhealthcenter@gmail.com 
Twitter-@transcendhealt 
Facebook- www.facebook.com /transcendhealt

SEXUAL DYSFUNCTION
Introduction
Sexual Dysfunction Is the repeated inability to experience the stages in human sexual response i. e (Excitement, Plateau, Orgasm and Resolution phase) after appropriate stimulation in other words, it is the difficulty experienced by an individual or a couple during any stage of normal sexual activity, including physical pleasure, desire, preference, arousal or orgasm. Sexual dysfunction affects both men and women. It occurs in adults of all ages. For women and men it could be physical or psychological. Physical Problems :In women Physical problems such as hormonal imbalances, cardiovascular diseases, endocrine disorder such as diabetes and other chronic diseases such as kidney diseases or liver failure and alcoholism or drug abuse. Side effects of some certain drugs e.g Antidepressants can affect the libido and function.
Psychological Problem :These is related to work or stress and anxiety, concern about sexual performance, loss of body function e.g hysterectomy as a result of vesico vigina fistula, infertility concern, marital relationship problems, depression, feeling of guilt or pain or effect of past sexual trauma.
In men sexual dysfunction can manifest in presentation as follows :
Erectile Dysfunction, Premature Ejaculation, Retarded Ejaculation, Priapism, Anorgasmia and Lack of desire.
Erectile Dysfunction :Is the inability to attain or maintain an erection that allows satisfactory sexual performances. Impotence :This is the failure to have an erection cause may be physical, psychological, or combination of both. Physical e. g changes in blood flow to the penis or neurogenic dysfunctions due to diseases and stress, Trauma to the pelvic area, Psychological factors e. g fear, anxiety, anger, frustration, performance anxiety and effect of alcohol could be the cause.
Major signs and symptoms of Impotence or erectile dysfunction
Inability to have an erection.
Inability to sustain an erection.
Inability to have an erection form enough for penetration (incomplete erection) .
Premature Ejaculation :This is a very quick ejaculation, faster than explained in the human stages of response cycle and usually uncontrollable by the person. It is characterized by its persistence or recurrence. In this case a man is unable to exert reasonable voluntary control of his ejaculatory response. The lasting time for ejaculation is 1.8 minute these could be caused by infection of urethra and prostrate, untreated gonorrhea, uncircumcised foreskin.
Retard Ejaculation :This is prolonged period between excitement and climax resulting in late orgasm.
Priapism :This is painful, purposeless, prolonged penile erection (longer than 4-6 hours). This can result in penile ischaemia causing permanent Impotence necrosis of the penis.
Anorgasmia :This refers to a persistent or recurrent delay absence of orgasm following a normal sexual excitement.
Lack of Desire :This is characterized by infrequent sexual activity or loss of desire, including few or no sexual fantasies. Research suggests that sexual dysfunction is common (43% of women and 31% of men report some degree of difficulty). It is a topic people feel reluctant and embarrassed to discuss. Sexual dysfunction requires a person to feel extreme distress and interpersonal strain for a minimum of 6 months (excluding substance or medication - induced sexual dysfunction). Often level of anxiety increases as sexual dysfunction persists. Couple are therefore advised to talk about it and seek medical treatment as communication with one's partner is important. If there is any type of sexual dysfunction take measures to seek medical treatment. Fortunately, most cases of sexual dysfunction are treatable. Treatment would save you from all the consequences that usually comes with sexual dysfunction. And you will be able to live a normal sexual life.
If you this article and find it informative, please go ahead and share it with as many men and women as possible. Stay Healthy And Excel in Healthy Living!
Transcend Health Center
Tel-08092525088, 08186038855.
WhatsApp - 07066830084
Email- transcendhealthcenter@gmail.com
Twitter-@transcendhealt
Facebook- www.facebook.com /transcendhealt

Uterine Fibroids

Introduction :
Uterine fibroids are non cancerous abnormal growth (benign), which develops on a woman's uterus. Fibroids sometimes becomes large and they cause severe abdominal pain and heavy bleeding. In some cases, there may not be any signs or symptoms at all. It affects women in their reproductive age(25-40years).According to 2010 World Health Organization report fibroids affects between 20-25% of women, and close to 235 million women which represents 6.6% of global women population are estimated to have been affected worldwide. Fibroids look like potatoes (pinkish). Fibroids could be solitary or multiple. However, the biggest fibroid ever seen weighed about 140 pounds.
TYPES OF FIBROIDS
Intramural Fibroids :This is the most common type of fibroid. These types appear within the lining of the uterus (endometrium). Intramural fibroids may grow larger and actually stretch the womb.
Subserosal Fibroids :This type develops from the outside of the uterus, known as the serosa. They may grow large enough to make the womb appear bigger on one side.
Pedunculated Fibroids :This is when subserosal tumor develop a stem (a slender base that supports the tumor), they become pedunculated fibroids.
Submucosal Fibroids :These types of tumors in the inner lining (myometrium) of the uterus. The Submucosal tumors are not as common as other types, but when they do develop, they may cause heavy menstrual bleeding and trouble conceiving.
CAUSES OR POSSIBLE PREDISPOSING FACTORS
The cause is idiopathic i. e It is unclear why fibroids develop but several factors may influence the formation of the fibroids e.g Hormones, Family History and Pregnancy.
*Hormones :The hormones produced by the ovaries, oestrogen and progesterone could cause fibroids. They cause the uterine lining to regenerate during each menstrual cycle which may stimulate the growth of fibroids.
*Family History :Fibroids could be hereditary. Previous history of family members having it like Mother, Sister or grandmother could make a person at risk of having fibroids as well.
*Pregnancy :Increases the production of oestrogen and progesterone in the body. This aids the rapid growth of fibroids.
Other predisposing factors includes:
*Age:It occurs in women between the ages of 25-40years.
*Race: It is common in African-American descent.
*Obesity (having a high body weight) Increases a person's risk of having fibroids.
SIGNS AND SYMPTOMS OF UTERINE FIBROIDS
The signs and symptoms of depends on the location of the tumor(s) and how many tumors are present in the uterus. If the tumor is small, or when a woman is going through menopause, there may not be any symptoms. Fibroids may shrink during and after menopause. These symptoms may include :
[1] Heavy menstrual bleeding (menorrhagia), Heavy bleeding between or during menses that includes blood clots. Menstrual periods lasting more than a week, Increased menstrual cramps.
[2] Pelvic pressure and pain. Or lower back pain.
[3] Pain during intercourse
[4] Frequent urination
[5] Difficulty emptying the bladder
[6] Pressure or fullness or enlargement of the lower abdomen
[7] Constipation
[8] Leg pains

DIAGNOSTIC METHODS AND TREATMENT
Fibroids are diagnosed with Ultrasound & Pelvic MRI.
Chemotherapy :The drugs regulates hormone levels thereby causing shrinking of the fibroids. Gonadotropin-releasing hormone (GnRH) agonists, will cause the oestrogen and progesterone level to drop. This will eventually stop menstruation and shrink fibroids. Other options which is part of the chemotherapy can help control bleeding and pain, but will not shrink or eliminate fibroids, these Includes: Use of over the counter anti inflammatory pain relievers such as Ibuprofen.
Use of contraceptives or An intrauterine device (IUD) that releases the hormones progestin.
POSSIBLE COMPLICATIONS OF UNTREATED FIBROIDS
[1] Effect on fertility : Fallopian tubes blockage sometimes occur in submucosal fibroid making conception harder. The fallopian tubes connect the ovaries (where the egg is released) to the uterus. Fibroids can sometimes prevent a fertilized egg from attaching itself to the lining of the uterus or prevent sperm from reaching the egg.
[2] Effect on pregnancy :Fibroids leads to recurrent miscarriages and premature labour. Large fibroids could block the vagina, leading to birth by cesarean section. It causes abnormal presentation of the foetus, abnormal presentation of the placenta and leads to hemorrhage.
[3] Effect on cardiovascular system: Loss of blood leads to Anaemia(iron deficiency anaemia.
[4] Urinary tract infections
[5] Urinary cancer
[6] Total hysterectomy i. e removal of the uterus in worse conditions if other treatments are not working.
Refrences
Brindles Lee Macon & Winnie Yu, December 11, 2015,Fibroids[http:www.healthline.com/health/uterine - fibroids. htm] (Assessed August 1, 2016).
Complications of fibroids[ http:www.nhs.uk/Conditions/Fibroids/Pages/Complications.aspx] (Assessed August 2, 2016).
Suzanne C., Brenda G., Janice L.,and Kerry H. Brunner and Suddarth Medical and Surgical Nursing Textbook 12th ed. Wolters Health/Lippincott Williams and Wilkins, 2010.
If you enjoyed this article and find it informative, go ahead and share it with as many women as possible.
Stay Healthy And Excel in Healthy Living!
Transcend Health Center
Tel-08092525088, 08186038855
WhatsApp - 07066830084
Tel- 08092525088, 08186038855
WhatsApp - 07066830084
Email - transcendhealthcenter@gmail.com
Twitter - @transcendhealt
Facebook - www.facebook.com/transcendhealt