The blog is about health and gives useful information on health and disease.

Archives for the day Friday, May 8th, 2009

While on the subject of testosterone, how are things for your husband or partner at this time? As men don’t menstruate, they can’t technically be said to have a menopause, but from about their mid-forties, the level of testosterone in a man starts to fall gradually. Unlike women’s oestrogen, it doesn’t drop dramatically in their middle years, and sperm and testosterone production continue in men indefinitely, albeit at reducing levels. This is why men can father children right into old age. It seems rather unfair, doesn’t it, that if a man in his fifties leaves his wife to have a new relationship with a younger woman, he can start a second family: the wife in her fifties can start a new relationship with a younger or an older man, but there will be no children of that union.

Falling levels of testosterone can decrease a man’s sexual desire, and this in itself may make him irritable and depressed. He may find he can’t get an erection so quickly, or sustain it for so long, and his wife may interpret this as a loss of interest in her, or that she is no longer attractive to

him. If his falling hormone levels reduce his ability to perform as well sexually as he used to, his self-esteem may suffer. Add to this the fact that he may now be putting on weight, losing his youthful vitality, stuck in his job just for the pension, and feeling that it is now too late to make changes, and he may well try to revive his flagging self-esteem by playing energetic games of squash, starting a body-building course, or having an affair with a younger woman.

Perhaps he doesn’t realise that both he and his wife are suffering from falling levels of their sex hormones, and it is having much the same effect on both of them. If his wife no longer wants sexual intercourse because a dry vagina makes it painful, and if her body no longer responds to the stimulation they have both enjoyed in the past, then he might feel rejected by her. It doesn’t mean she doesn’t love him, just that her hormones are affecting the way she feels, just as his are affecting him. Impotence in middle-aged men often happens as their wives reach the menopause: her lack of arousal and his inability to sustain an erection may make him feel frustrated, inadequate and even angry, and he needs her love and consideration at this time just as much as she needs his.

Many a wife gets into bed at night with her beer-bellied husband who is unshaven, slightly drunk, smelling of stale cigarettes, and who then complains that his wife ‘doesn’t want sex any more’. Well, can you blame her? The typical Englishman shaves when he gets out of bed in the morning, not when he gets into bed at night – what does that say about his efforts to make himself attractive to his wife?

Once you and your partner get out of the habit of sharing sex together, you may find it very difficult to start again. If you find sexual arousal is taking longer, try allowing yourself more time; or perhaps it might be more satisfying to have sex in the morning or afternoon when you are not tired or have not had too much food or drink to dull the senses. Try sharing a warm bath with pleasant additives, or using sensual massage on each other.

When he finds an erection difficult to sustain, and she has a less well lubricated vagina, it’s all too easy to give up a form of sharing that is unlike any other. But don’t feel you have to go along with society’s view that ‘people don`t do it when they get older’. They can and they do, and if that’s what feels right for you, so can you.

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A yellow and unpleasant smelling vaginal discharge can occur if the wound at the top of the vagina (produced during an abdominal or laparoscopically assisted hysterectomy) becomes infected. This wound generally takes longer to heal than an abdominal scar and the moisture of the vagina can encourage bacterial growth. It is quite normal to have a red- or brown-staining discharge for anything from two to eight weeks after a hysterectomy. But if it becomes smelly and yellow, or persists beyond this time, it should be checked by a doctor. Sometimes a small amount of flesh forms along the edge of the wound and this can be removed painlessly by diathermy.

Time spent in hospital and recovering. Most women having an abdominal hysterectomy will spend about seven to ten days in hospital, with a somewhat shorter stay (one to four days) if they have a laparoscopically assisted hysterectomy. Two out of three women having an abdominal hysterectomy resume pre-hysterectomy activities in about three months, with the remainder needing longer, perhaps up to a year.

Vaginal hysterectomy avoids the pelvic incision of abdominal hysterectomy and consequently postoperative pain may be reduced. The hospital stay (about seven days) and recovery period (four to six weeks) also tend to be shorter. Laparoscopically assisted hysterectomy requires an even shorter hospital stay (usually less than four days) and usually ensures a more rapid return to full function.

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There are many reasons why benzodiazepine is so well received. The drug is significantly more safe than barbiturates. There are fewer cases of death from overdose, and the withdrawal symptoms are less dramatic than with barbiturates. It has both hypnotic and sedative properties, so, if you cannot sleep, take a pill; if you are under stress, take a pill; if you are tense, take a pill; and so on. Benzodiazepine became the solution to a lot of psychological problems. For a while it seemed that there was no need for psychologists or psychiatrists. Patients who normally saw an analyst daily felt that benzodiazepine had helped them. Benzodiazepine became the magic answer for us members of an increasingly busy and stressful world. The days of working on the farm, milking a few cows, and having an afternoon nap are disappearing fast. Society is becoming more and more competitive, and we are not well equipped to deal with this. Most doctors are not trained to sort out or help patients with problems of stress or insomnia, and their patients are too impatient to see doctors for lengthy counselling anyway. They want instead instant answers to their very complicated problems. Benzodiazepine seemed to be the answer.

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