Posts Tagged ‘animal’
Monday, August 9th, 2010
* I am able to create limits (to say no to anything when I want to as well as yes) and can and do trust my partner to respect them. My partner can do same, and can trust me in regard to limits and boundaries.
* I feel I can assess what I want for myself, and separate it from what my partner, friends or family want.
* Sex of any kind is absolutely optional for us both: it isn’t or doesn’t feel like a requirement. If I had to put sex on hols at any time, for any reason, or we had to wait a little longer for it, it’d be no big deal.
* I am able to trust my partner, and am trustworthy myself.
* I can tell my partner what I want sexually and emotionally, and when I do and do not like something, and I feel my partner can do the same. I can talk to my partner about sex comfortably, and be honest and forthright — even when it’s awkward — and they can do the same with me.
* I am comfortable being unclothed with my partner and physically intimate and affectionate with them, as well as comfortable with and able to be honest and accepted about my gender identity and gender roles with my partner.
* Both myself and my partner can be honest with each other about our sexual history.
* I care about my partner’s health, emotions and general well-being, and act — not just talk — accordingly, and can say the same for them. Any kind of sex between us so far feels balanced, like it is about pleasure for both of us, not just one of us.
* I feel like the emotional and intellectual maturity levels of my partner and myself are the same or similar.
* I feel I have a good handle on what consent to sex is and also what non-consent is.
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Friday, August 6th, 2010
These usually occur in the same place every time as the virus stays in a specific nerve root. Recurrent bouts are usually triggered by one of several factors:
* During upper respiratory tract infections like the common cold hence the term “cold sores”
* Exposure to sunlight. The UVR (Ultra violet ray) component that seems to “activate/irritate” the virus
* Menstruation
* Stress
* Other viral or bacterial infections
* After surgery
* Poor diet
* After intercourse when there is mucosal abrasion
The recurrent episode starts with tingling, burning or even pain and within a few hours redness develops followed by the tiny blister (vesicles) which enlarge and fill with pus. It starts to rupture and crust within 1-2 days and heals within 10-14 days.
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Wednesday, October 1st, 2008
STDs affect women of every socioeconomic and educational level, age, race, ethnicity, and religion. The CDC 2002 Guidelines for Treatment of Sexually Transmitted Diseases recommend that pregnant women be screened on their first prenatal visit for STDs which may include:
Chlamydia
Gonorrhea
Hepatitis B
Hepatitis C
HIV
Syphilis
In addition, some experts recommend that women who have had a premature delivery in the past be screened and treated for bacterial vaginosis at the first prenatal visit.
Pregnant women should ask their doctors about getting tested for these STDs, since some doctors do not routinely perform them. New and increasingly accurate tests continue to become available. Even if a woman has been tested in the past, she should be tested again when she becomes pregnant.
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Sunday, September 21st, 2008
See your doctor if you’re at risk for having an STI or if you have any concerns about whether you have one. Most STIs can cause further problems if not treated.
Chlamydia can lead to pelvic inflammatory disease (PID) in women (a disease that can cause women not to be able to have children) and epididymitis in men (painful swelling of the tubes that carry sperm from the testicles).
Gonorrhea can lead to arthritis and PID. HPV (the virus that cause venereal warts) can lead to cancer of the cervix or penis, and syphilis can lead to paralysis, mental problems, heart damage, blindness and death.
Most STIs can be diagnosed through an exam by your doctor, a culture of the secretions from your vagina or penis, a blood test or a urine test, depending on the type of infection.
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Friday, September 19th, 2008
In most cases you can’t prevent CMV, and you wouldn’t even want to. It’s best to be infected when you are young to reduce the risk of getting it for the first time during pregnancy. Pregnant women who get CMV infection ma pass the virus along to their unborn baby. How can you prevent this? Unfortunately, I can’t offer any easy answers.
One expert suggested that pregnant mothers with children younger than two who attend group child care should avoid intimate contact with their toddlers during the first six months of pregnancy. I find this utterly unrealistic. But you can make a point of washing your hands well after changing diapers and wiping noses. Disposable wipes are handy when frequent running to a sink becomes impossible.
Pregnant nurses at the Children’s Hospital of Philadelphia had to do their best to avoid CMV. We advised them to assume that all babies and toddlers were shedding CMV in their urine and to use care when handling urine and saliva. Some wore gloves while others preferred to wash their hands carefully after handling a young patient. If you are pregnant and work with small children, or have a toddler attending day care, you can request a test for CMV antibodies when you begin prenatal care. Babies born to mothers with prior immunity are at less risk of congenital CMV infection.
In the future, we hope to learn more about why some babies who are infected with CMV become sick while most others don’t, and we will likely develop better medicines to fight this infection. In the meantime, strange as it seems, the best protection is to be infected young.
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Thursday, September 18th, 2008
There is no cure for congenital CMV because the virus damages the baby before birth. Antiviral drugs cannot undo this damage once the baby is born. Doctors have good results with two antiviral drugs—ganciclovir (Cytovene) and foscarnet (Foscavir)— for treating and curing CMV disease in AIDS patients. Both these drugs are used to treat CMV retinitis and must be given by IV.
Nursing Care
Babies with congenital CMV need hospital care. Nursing care will depend on which organs the virus has damaged. Transplant patients and AIDS patients also need hospital care. Patients with serious CMV pneumonia require intensive care.
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Saturday, September 13th, 2008
You catch CMV from close, intimate contact with infected urine; saliva; respiratory, vaginal, or cervical secretions; breast milk; or semen. It can be sexually transmitted, but most people get CMV through close household contact. Poor people are much more likely to be infected as young children, probably because they live in crowded conditions.
Babies get it from their mothers before birth, during delivery, or in the first few weeks of life. The baby is infected during pregnancy if its mother has either a first-time CMV infection or a reactivation of a past one.
Women who have toddlers attending child care are often infected. CMV transmission is rapid in these places because urine and saliva are passed from child to child on dirty hands. Young children rarely have symptoms, but they excrete the virus in their urine and saliva for months to years. Anyone working in child care or in any area with lots of young diapered children is exposed to CMV.
It is often transmitted from blood transfusions because so many people, including blood donors, have CMV infections with no symptoms.
Most people are infected with CMV before they reach adulthood, but very few people experience any symptoms or signs of illness. People with AIDS and organ transplant recipients are at highest risk for serious CMV infection—either pneumonia or retinitis, an eye infection. Often, their own latent CMV infections will reactivate as their immune systems either weaken or are suppressed by drugs to prevent organ rejection.
People who need organ transplants are tested for antibodies to CMV. Doctors will try to match CMV-negative organ donors to CMV-negative organ recipients. But a match isn’t always possible and the CMV-negative organ recipient faces a risk of serious CMV infection from the transplanted organ weeks to months later. To prevent this, the doctor will give the transplant recipient an injection of CMV antibody.
CMV-negative organ recipients who need blood transfusions will receive CMV-negative blood. This blood is hard to come by and is saved for people who really need it. If no CMV-negative blood is available, the blood can be filtered to remove the cells containing CMV. Otherwise, transplant patients may become ill if they receive CMV-infected blood.
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Wednesday, September 10th, 2008
Genital herpes is spread only through direct skin-to-skin contact or mucous membrane contact. It can be transmitted through penile-vaginal intercourse, anal intercourse, oral-genital sex, and other sexual body-to-body contact.
To reduce the risk of transmitting genital herpes, people who have the virus should avoid sexual contact from the time they first feel any symptoms until their lesions are completely healed. During times when there are no symptoms, using latex male condoms for genital-to-genital contact reduces the risk of transmission, according to the American Social Health Association. But condoms are only effective if they cover or prevent contact with the area of the body that has a lesion or active virus.
In one study of more than 400 monogamous couples in which one partner had genital herpes and the other didn’t, condoms were found to offer significant protection against HSV-2 infection in women, says study leader Anna Wald, M.D., medical director of the virology research clinic at the University of Washington in Seattle. Since women shed the virus from a wide genital area, condoms may be less protective for men than for women, says Wald, whose study was published in the June 27, 2001, issue of the Journal of the American Medical Association. However, more studies are needed to address how well condoms work for men, she says.
Lambskin or other natural membrane condoms should not be used for disease protection because the naturally occurring pores in the material are large enough to allow some viruses to pass through. The FDA recommends latex condoms or polyurethane condoms for those sensitive to latex.
Partners can be infected with different strains of herpes, but are highly unlikely to reinfect each other, says Ashley. Even if they did, each person’s symptoms are unlikely to change. “You’re not going to be suddenly having twice the attacks because you have [your partner's] strain too.”
The virus is not transmitted through the air, nor are there any documented cases of a person getting genital herpes from an inanimate object such as a toilet seat or hot tub. “Herpes doesn’t do well in chlorinated water,” says Ashley. “The virus can be present in a hot tub, but it won’t be active.” The virus doesn’t survive well in the environment, even on a wet towel, says Ashley. However, she advises to avoid sharing razors, especially with someone who has an active cold sore. The virus can be transmitted from the razor to the skin. Other viruses, such as hepatitis C, also can be transmitted by sharing razors.
Spreading herpes from one part of your body to another (autoinoculation) is possible, but unusual. To be safe, wash your hands with soap if you touch a herpes sore.
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Thursday, August 28th, 2008
What is Herpes Zoster?
Herpes Zoster, also called herpes zoster or zoster, is a painful skin rash caused by the varicella zoster virus (VZV). VZV is the same virus that causes chickenpox. After a person recovers from chickenpox, the virus stays in the body. Usually the virus does not cause any problems; however, the virus can reappear years later, causing Herpes Zoster. Herpes zoster is not caused by the same virus that causes genital herpes, a sexually transmitted disease.
What does Herpes Zoster look like?
Herpes Zoster usually starts as a rash on one side of the face or body. The rash starts as blisters that scab after 3 to 5 days. The rash usually clears within 2 to 4 weeks.
Before the rash develops, there is often pain, itching, or tingling in the area where the rash will develop. Other symptoms of Herpes Zoster can include fever, headache, chills, and upset stomach.
Are there any long-term effects from Herpes Zoster?
Very rarely, Herpes Zoster can lead to pneumonia, hearing problems, blindness, brain inflammation (encephalitis) or death. For about 1 person in 5, severe pain can continue even after the rash clears up. This pain is called post-herpetic neuralgia. As people get older, they are more likely to develop post-herpetic neuralgia, and it is more likely to be severe.
How common is Herpes Zoster in the United States?
In the United States, there are an estimated 1 million cases of Herpes Zoster each year.
Who gets Herpes Zoster?
Anyone who has recovered from chickenpox may develop Herpes Zoster, including children. However, Herpes Zoster most commonly occurs in people 50 years old and older. The risk of getting Herpes Zoster increases as a person gets older. People who have medical conditions that keep the immune system from working properly, like cancer, leukemia, lymphoma, and human immunodeficiency virus (HIV), or people who receive immunosuppressive drugs, such as steroids and drugs given after organ transplantation are also at greater risk to get Herpes Zoster.
How often can a person get Herpes Zoster?
Most commonly, a person has only one episode of Herpes Zoster in his/her lifetime. Although rare, a second or even third case of Herpes Zoster can occur.
Can Herpes Zoster be spread to others?
Herpes Zoster cannot be passed from one person to another. However, the virus that causes Herpes Zoster, VZV, can be spread from a person with active Herpes Zoster to a person who has never had chickenpox through direct contact with the rash. The person exposed would develop chickenpox, not Herpes Zoster. The virus is not spread through sneezing, coughing or casual contact. A person with Herpes Zoster can spread the disease when the rash is in the blister-phase. Once the rash has developed crusts, the person is no longer contagious. A person is not infectious before blisters appear or with post-herpetic neuralgia (pain after the rash is gone).
What can be done to prevent the spread of Herpes Zoster?
The risk of spreading Herpes Zoster is low if the rash is covered. People with Herpes Zoster should keep the rash covered, not touch or scratch the rash, and wash their hands often to prevent the spread of VZV. Once the rash has developed crusts, the person is no longer contagious.
Is there a treatment for Herpes Zoster?
Several medicines, acyclovir (Zovirax), valacyclovir (Valtrex), and famciclovir (Famvir), are available to treat Herpes Zoster. These medications should be started as soon as possible after the rash appears and will help shorten how long the illness lasts and how severe the illness is. Pain medicine may also help with pain caused by Herpes Zoster. Call your doctor as soon as possible to discuss treatment options.
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Friday, August 22nd, 2008
Herpes simplex is a viral disease caused by Herpes simplex viruses; both herpes simplex virus 1 (HSV-1) and herpes simplex virus 2 (HSV-2) cause herpes simplex. Infection with the herpes virus is categorized into one of several distinct disorders based on the site of infection.
Oral herpes, the visible symptoms of which are colloquially called cold sores, infects the face and mouth. Oral herpes is the most common form of infection. Infection of the genitals, commonly known as herpes, is the second most common form of herpes. Other disorders such as herpetic whitlow, herpes gladiatorum, ocular herpes (keratitis), cerebral herpes infection encephalitis, Mollaret’s meningitis, neonatal herpes, and possibly Bell’s palsy are all caused by herpes simplex viruses.
Herpes viruses cycle between periods of active disease—presenting as blisters containing infectious virus particles—that last 2–21 days, followed by a remission period, during which the sores disappear. Genital herpes, however, is often asymptomatic, though viral shedding may still occur. After initial infection, the viruses move to sensory nerves, where they reside as life-long, latent viruses. Causes of recurrence are uncertain, though some potential triggers have been identified. Over time episodes of active disease reduce in frequency.
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