Monthly Archives: May 2020

post bariatric abdominoplasty

Post-bariatric abdominoplasty and recommendations

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Procedure indicated for patients with great weight loss promotes aesthetic and emotional improvements

Only those who have undergone bariatric surgery in Delhi know how uncomfortable the weight loss process can be, with physical and emotional discomfort involved that can arise during the entire evolution of the postoperative period.

These conditions are further aggravated after weight stabilization, which in most cases results in excess residual skin and small deposits of localized fat.

Such a situation, unfortunately, cannot be resolved only with training and good nutrition. It is necessary to resort to a post-bariatric abdominoplasty to get rid of the abdominal volume, as well as improve the appearance of the region and body contour.

What is post-bariatric abdominoplasty?

It is a procedure performed with the aim of removing excess skin and small deposits of localized fat caused by excessive post-bariatric weight loss.

Considered a reconstructive surgery, abdominoplasty performed in patients with these conditions promotes not only an aesthetic improvement, but also provides benefits related to quality of life and health.

This is because the excessive amount of tissue in the abdomen can cause physical discomfort – allergies, dermatitis and infections – and emotional discomfort, mainly linked to low self-esteem, insecurity and problems in interpersonal relationships.

Who is this procedure indicated for? 

Indicated for patients with large accumulation of skin in the abdominal region, resulting from post-bariatric weight loss, tummy tuck in Delhi is recommended mainly when, in addition to the aesthetic factor, other issues are at stake.

Health, well-being and quality of life are equally considered when post-bariatric abdominoplasty is suggested by plastic surgeon in East Delhi during the evaluation where the requirements for post-bariatric abdominoplasty will be analyzed.

When is it safe to have the surgery? 

In addition to a careful evaluation of the clinical examinations and physical status of the patient, the best plastic surgeon in Noida usually only recommends performing the procedure after stabilizing the weight loss.

Normally, the post-bariatric weight loss process takes around 6 to 9 months, which is the most indicated period to perform the abdominoplasty in East Delhi, and the patient must not show any indication that he may gain weight again.

Therefore, maintaining good health, with a balanced diet and a routine of physical activities is essential if you want to perform this procedure.

Are there any contraindications? 

Patients with abnormal tests, unhealthy diets or risk factors such as obesity and advanced age are not considered eligible for post-bariatric abdominoplasty surgery.

However, it is always important to make an evaluation with a professional plastic surgeon in Mumbai specialized in post-bariatric reconstructive surgeries. Only he can determine whether your case is likely to operate or not.

Always look for a plastic surgeon in Noida you can trust, who has the necessary qualifications to perform his function, deliver a good result and prioritize your health.

If you still have questions about this procedure or any other plastic surgery, contact best plastic surgeon in Nagpur and schedule your appointment. It will be a pleasure to help make this dream come true and improve your quality of life!

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Sexuality in old age

Sexuality in old age

Many people want and need to have a close relationship with others as they get older. For some people, this includes the desire to continue an active and satisfying sex life. With aging, that may mean adapting sexual activity to accommodate physical, health, and other changes.

There are many different ways to have sex and achieve a feeling of intimacy, alone or with a partner.

The expression of your sexuality could include many types of intimate contact or stimulation. Some adults may choose not to engage in sexual activity, and that’s normal, too.

Here we explore some of the common issues older adults may face with sexuality.

What are the normal changes?

Normal aging brings physical changes to both men and women. These changes sometimes affect the ability to have and enjoy sexual intercourse.

A woman may notice changes in her vagina. As women age, the vagina can become shorter and narrower. The vaginal walls may become thinner and a little stiffer. Most women will have less vaginal lubrication, and it may take longer for the vagina to lubricate naturally. These changes could make certain types of sexual activity, such as vaginal penetration, painful or less desirable. If vaginal dryness is a problem, using a water-based lubricant or lubricated condoms can make penetration more comfortable. If a woman is using hormone therapy to treat hot flashes or other symptoms of menopause, you may want to have sex more often than you did before hormone therapy.

As men age, sexual impotence (also called erectile dysfunction or ED) becomes more common. ED is the loss of the ability to achieve and maintain an erection. ED can make it take a man longer to get an erection. His erection may not be as firm or as big as it used to be. Loss of erection after orgasm may occur more quickly, or it may take longer before another erection is possible. ED is not a problem if it happens once in a while, but if it happens often, talk to the best sexologist in Delhi.

Talk to your partner about these changes and how you are feeling. The sexologist doctor in Delhi may have suggestions to help make intercourse easier.

What causes sexual problems?

Some illnesses, disabilities, medications, and surgeries can affect your ability to have and enjoy sex.

Arthritis. Joint pain from arthritis can make sexual contact uncomfortable. Exercise, medication, and possibly joint replacement surgery can help alleviate this pain. Rest, warm baths, and changing the position or timing of sexual activity may help.

Chronic pain. Pain can interfere with intimacy among older people. Chronic pain does not have to be a part of aging and can often be treated. However, some pain medications can interfere with sexual function. Always talk to your doctor if you have side effects from any medication.

Dementia. Some people with dementia show increased interest in sexuality and physical closeness, but may not be able to judge what sexual behavior is appropriate. People with severe dementia may not recognize their spouse or partner, but still want sexual contact and may seek it out with another person. It can be confusing and difficult to know how to handle this situation. In this case, it may also be helpful to talk to a psychiatrist in Delhi, nurse, or social worker who is trained in caring for people with dementia.

Diabetes. This is one of the diseases that can cause erectile dysfunction in some men. In most cases, medical treatment can help. Less is known about how diabetes affects sexuality in older women. Women with diabetes are more prone to vaginal yeast infections, which can cause itching and irritation and make intercourse uncomfortable or undesirable. Fungal infections can be treated.

Heart disease. The narrowing and hardening of the arteries can change the blood vessels in such a way that blood does not flow freely. As a result, men and women can have problems with orgasms. For both men and women, it can take longer to become aroused, and for some men, it can be difficult to get or keep an erection. People who have had a heart attack, or their partners, may fear that having sex will cause another attack. Although sexual activity is generally safe, always follow your doctor’s advice. If your heart problems get worse and you have chest pain or shortness of breath even while you rest, your sexologist in Rohini may want to change your treatment plan.

Incontinence. Loss of bladder control or urine leakage is more common as people, especially women, get older. The extra pressure on the belly during sexual intercourse can cause urine to leak. Changing positions or emptying your bladder before and after intercourse can help with this situation. The good news is that incontinence can usually be treated by urologist in Rohini.

Stroke. The ability to have sex is sometimes affected by a stroke. A change in positions or some medical devices can help people with ongoing weakness or paralysis to have sexual intercourse. Some people who are paralyzed from the waist down are still able to orgasm and feel pleasure.

Depression. Lack of interest in activities you used to enjoy, such as intimacy and sexual activity, can be a symptom of depression. Sometimes it’s hard for a person to know if they are depressed. Talk to the best psychiatrist in Delhi; depression can be treated.

Surgery. Many of us worry about having any type of surgery; it can be even more problematic when it comes to the breasts or genital area. Most people go back to the kind of sex life they enjoyed before surgery.

Hysterectomy is surgery to remove a woman’s uterus for pain, bleeding, fibroids, or other reasons. Often when an older woman has a hysterectomy, her ovaries are also removed. Deciding whether to have this surgery can cause women and their partners to worry about their future sex lives. If you are concerned about any changes you may have with a hysterectomy, talk to your gynecologist or surgeon in Delhi.

Mastectomy is surgery to remove all or part of a woman’s breast due to breast cancer. This surgery can cause some women to lose interest in sex, or it can make them feel less desirable or attractive to their partners. In addition to talking with the sexologist in Pitampura, it is sometimes helpful to talk with other women who have had this surgery.

Prostatectomy is surgery that removes all or part of a man’s prostate due to cancer or an enlarged prostate. It can cause urinary incontinence or erectile dysfunction. If you need this operation, talk to your urologist in Delhi about your concerns before surgery.

Medicines. Some medicines can cause sexual problems. These include some blood pressure medicines, antihistamines, antidepressants, tranquilizers, medicines for Parkinson’s disease or cancer, appetite suppressants, medicines for mental problems, and medicines for ulcers. Some can lead to erectile dysfunction or make it difficult for men to ejaculate. Some medicines can reduce sexual desire in women or cause vaginal dryness or difficulty in achieving arousal and orgasm. Check with your sexologist in Patel Nagar to find out if there is a different medication that does not have this side effect.

Alcohol. Drinking too much alcohol can cause erection problems in men and delay orgasm in women.

Am I too old to worry about safe sex?

Age does not protect you from sexually transmitted diseases. Older people who are sexually active may be at risk for diseases such as syphilis, gonorrhea, chlamydia infection, genital herpes, hepatitis B, genital warts, and trichomoniasis.

Almost anyone who is sexually active is also at risk of contracting HIV, the virus that causes AIDS. The number of older people with HIV/AIDS is increasing. You are at risk for HIV/AIDS if you or your partner have more than one sexual partner, if you are having unprotected sex, or if you or your partner share needles or syringes. To protect yourself, always use a condom during sex that includes vaginal or anal penetration.

Men need to have a full erection before putting on a condom.

Talk to your sexologist in Rajendra Nagar about ways to protect yourself from all sexually transmitted diseases and infections. Get regular checkups and tests. Talk to your partner. A person is never too old to be in a risky situation.

Can emotions play a role?

Often sexuality is a delicate balance of emotional and physical issues. The way a person feels can affect what they can do and what they want to do. Many older couples find greater satisfaction in their sex life than they did when they were younger. In many cases, they have fewer distractions, more time and privacy, don’t worry about causing a pregnancy, and enjoy greater intimacy with a person who has been their life partner.

As we age, our bodies change, including our weight, skin, and muscle tone, and some older adults are not very comfortable with their aging bodies. Older adults, both men and women, may worry that their partners no longer find them attractive. Aging-related sexual problems like the ones mentioned above can cause stress and worry. This concern can make it difficult for a person to enjoy a fulfilling sex life.

Older couples face the same daily stresses that affect people of any age. They can also bring additional concerns of illness, retirement, and lifestyle changes, all of which can lead to sexual difficulties. Talk openly with your partner and try not to blame yourself or your partner. It may also help to talk to a sex therapist, either alone or with your partner. Some therapists have special training to help with sexual problems. If you feel changes in your partner’s attitude toward sex, don’t assume it’s because they’re no longer interested in you or an active sex life. Talk to your partner about the situation. Many of the things that cause sexual problems in older adults can be remedied.

What I can do?

There are things you can do for yourself to have an active and enjoyable sex life. If you have a partner you’ve been with for a long time, take time to enjoy each other and understand the changes you’re both facing.

Don’t be afraid to talk to your doctor if you have a problem that affects your sex life. The sexologist in Delhi can suggest a treatment. For example, the most common sexual difficulty in older women is painful intercourse caused by vaginal dryness. Your sexologist in Uttam Nagar may suggest that you use over-the-counter vaginal lubricants or moisturizers. Water-based lubricants come in handy when needed to make sex more comfortable. Moisturizers are used regularly, every 2-3 days. Or, the doctor might suggest a type of vaginal estrogen.

If the problem is erectile dysfunction, it can often be managed and perhaps even reversed with medication or other treatments. There are pills that can help, but they should not be used by men taking medications that contain nitrates, such as nitroglycerin. The pills have possible side effects. Be wary of dietary or herbal supplements that promise to treat erectile dysfunction. Always talk to your sexologist in Delhi before taking any herb or supplement.

Physical problems can change your sex life as you get older. If you’re single, going out and meeting new people may be easier later in life when you’re more sure of yourself and what you want. If you’re in a relationship, you and your partner may discover new ways to be together as you get older. Talk to your partner or partners about your needs. You may find that displays of affection, such as hugging, kissing, touching, and spending time together, may be just what you need, or they may be a pathway to greater intimacy and sexual relationships.

chronic kidney failure

What is chronic kidney failure?

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We call kidney failure the condition in which the kidneys lose the ability to carry out their basic functions. Kidney failure can be acute, when there is a sudden and rapid loss of kidney function, or chronic, when this loss is slow, progressive and irreversible.

Therefore, chronic kidney failure, also called chronic kidney disease (CKD), is a disease characterized by the slow and continuous loss of kidney function, a fact that causes, among other changes, the progressive accumulation of toxins and metabolic waste in the blood. It is currently a worldwide public health problem, due to its increasingly high incidence in the population.

The kidneys are complex organs, responsible for multiple functions in our body. Among the main ones, we can mention:

  • Elimination of toxins.
  • Elimination of useless or excess substances in the bloodstream.
  • Control of levels of electrolytes (mineral salts) in the blood.
  • Control of body water level.
  • Blood pH control.
  • Production of hormones that control blood pressure.
  • Vitamin D production.
  • Production of hormones that stimulate the production of red blood cells by the bone marrow.

According to the best nephrologist in Delhi, patient with chronic kidney disease has deficiencies in each of these functions, which leads to serious health problems in the advanced stages of the disease.

Symptoms

As the onset of chronic renal failure usually occurs slowly, our body has time to adapt to this kidney malfunction, meaning that we do not have signs or symptoms until the very late stages of the disease. The main characteristic of chronic kidney disease is that it is a silent disease.

Many people think they can identify a diseased kidney by pain or a decrease in urine volume. Nothing more false. The kidney has little innervation for pain, so it only hurts when it is inflamed or dilated. As in most cases of chronic renal failure neither one nor the other occurs, the patient may very well find out that he needs dialysis without ever having felt a single kidney pain in his life.

Urine volume is also not a good indicator of kidney health. Unlike acute renal failure (ARF), in which reduced urine production is an almost always present factor, in chronic renal failure, as the loss of function is slow, the kidney adapts well, and the ability to eliminate water remains stable until very advanced stages of the disease. In fact, most patients who need to go on dialysis still urinate at least 1 liter a day.

Therefore, in most cases, until very advanced stages of the disease, chronic renal failure does not cause any symptoms or signs, says the best nephrologist in Delhi.

Patients with CRF in advanced stages may present with anemia and worsening blood pressure values ​​and lower limb edema. When the kidney enters the terminal phase, the symptoms that arise are fatigue, nausea and vomiting, loss of appetite, weight loss, shortness of breath, strong breath (with the smell of urine) and generalized edema.

Diagnosis

As there are no symptoms until advanced stages of the disease, chronic renal failure is usually detected through blood tests, through the dosage of urea and creatinine.

Creatinine is the best marker of kidney function. When the kidneys start to lose function, your blood values ​​rise. However, an elevated creatinine value can occur in acute contexts and alone is not enough to define the diagnosis of chronic kidney disease.

For confirmation of CKD, there must be alterations in renal function or structure, maintained for at least three months. Among these changes we can highlight:

  • Presence of protein loss in the urine (proteinuria or albuminuria).
  • Changes in the simple urine test, such as hematuria.
  • Changes in the structure of the kidneys detected in imaging tests or anomalies in renal biopsy.
  • Changes in blood electrolytes related to renal tubular disease.
  • Presence of reduced glomerular filtration rate below 60ml/min.
  • Presence of kidney transplant.

Blood urea and creatinine research give us information about kidney function, while urine tests, imaging and kidney biopsy provide important data about structural changes in the kidney tissue, which when present for a longer period than three months, are also sufficient to classify the patient as chronic renal failure.

Urinalysis may indicate kidney disease by revealing protein leakage, bleeding, or inflammation of the urinary tract.

Laboratory analyzes also make it possible to detect complications of chronic kidney disease early, such as initial degrees of anemia, changes in electrolytes (mainly calcium, phosphorus and potassium), changes in the PTH hormone (which controls bone health), blood pH values, etc.

Ultrasonography of the kidneys is also an important exam, as it shows the renal morphology, which can indicate whether the kidneys already have signs of atrophy or anomalies such as polycystic kidney disease. However, it is important to point out that a renal ultrasonography without alterations is in no way sufficient to rule out the hypothesis of CKD.

Finally, we have the renal biopsy that can confirm the involvement of the renal tissue even when the urea and creatinine values ​​are still at normal levels.

Risk factors

Several diseases can attack the kidneys and lead to permanent loss of their function. In general, chronic kidney disease appears when the kidney suffers continuous and prolonged aggression, as in the cases of patients with diabetes or poorly controlled arterial hypertension.

The diseases that most often lead to chronic kidney failure are:

  • Arterial hypertension.
  • Diabetes mellitus.
  • Kidney polycystic disease.
  • Glomerulonefrites.
  • Recurrent urinary tract infections.
  • Recurrent kidney stones.
  • Multiple myeloma.
  • Lupus and other autoimmune diseases.
  • Abusive use of anti-inflammatory drugs.
  • Amyloidosis.

If you have any of the above conditions, it is imperative that you regularly monitor your creatinine. At least once a year, creatinine and urea should be measured and a simple urine test should be performed, suggest kidney specialist in Delhi.

When should a patient with CKD be followed up by a nephrologist?

Early referral to a nephrologist in Delhi can change the natural history of the disease. When comparing the evolution of patients referred in stage 3 with those referred only in the final stages of stage 4 or in stage 5, it is noted that:

  •  A reduction in the rate of loss of kidney function (3.4 ml/min per year versus 12 ml/min per year), i.e. patients not monitored by a nephrologist in Delhi lose kidney function up to 4 times faster.
  • Better control of hypertension and, consequently, less damage to other organs.
  • Lower incidence of bone lesions.
  • Lower incidence of malnutrition and weight loss.
  • Lower mortality rate.

Treatment

There is no cure for chronic kidney disease as it is a reflection of irreversible damage to parts of the kidneys. There is also no medicine that makes the kidneys work well again.

Generally, the goal of CKD treatment is to prevent disease progression or, at worst, to slow the rate of loss of kidney function.

Blood pressure control is essential. Values ​​persistently above 140/90 mmHg are aggressive for the kidney, accelerating the loss of renal function. In patients with diabetes, glucose control is also very important. In patients with proteinuria (loss of protein in the urine), controlling it with medication helps preserve kidney function, says kidney specialist in Delhi.

Patients with CKD should avoid nephrotoxic drugs, such as anti-inflammatories and some antibiotics, especially those from the aminoglycoside class.

Even though there is no cure or specific treatment to improve kidney function, follow-up with a nephrologist in Delhi is important to avoid complications of chronic kidney disease. There are remedies to control anemia, changes in electrolytes, bone metabolism, edema, etc. In the final stages of the disease, when the kidney no longer works, the indicated treatment is hemodialysis, peritoneal dialysis or kidney transplant in Delhi.

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hair transplant

Hair transplant myths and truths

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Baldness is a progressive and so far incurable condition. But there are several types of clinical and surgical treatments, such as hair transplant

In the 21st century, hair is a symbol of confidence, self-esteem for men and women who are concerned about its care and terrified by its loss. Therefore, people are increasingly seeking hair transplant in Nagpur to have a better quality of life.

Dr Bhupendra Gaidhane, plastic surgeon in Nagpur, emphasizes that we are experiencing a true revolution in the field of science in terms of hair transplantation. “All this to give back to men and women not only improvements in the physical aspect, but, above all, quality of life, well-being, acceptance, personal satisfaction and the strengthening of self-esteem, with positive effects on the personal, social and professional life of each individual.”

The best plastic surgeon in Nagpur recalls that hair is considered the frame of the face and, for many, losing it is something serious, because, despite not having a vital physiological function, they are fundamental from a psychosocial point of view, directly related to appearance and self-esteem. In some cultures, the appearance of hair signals social or professional differences. In others, it meets religious requirements and even political positions.

“Baldness is a progressive condition and, so far, incurable. But there are several types of clinical and surgical treatments. The various researches focusing on genetics and the use of stem cells, in progress, and their promising studies, will certainly open up countless possibilities for an effective cure”, highlights the plastic surgeon in Kanpur.

Dr Gaidhane says that, in the world, hair transplantation is the third most performed surgery in men. “The excellence of current treatments and the good results in the procedures performed thanks to the techniques used, have allowed for significant improvements. This is the surgical area that has evolved the most in recent times, gaining new instruments for extracting and implanting follicles.”

Baldness among women

Plastic surgeon in Malad explains that the characteristics of baldness in men and women are different. “In men, hair loss starts at the entrances or vertex, and tends to affect all the hairs in the region, forming defined and evident bald areas. In women, baldness usually occurs in a diffuse and slow way, with a thinning and rarefaction that saves some strands, resulting in a more visible scalp and hair without volume.”

As for treatment, the plastic surgeon in Noida says that baldness is progressive and has clinical and surgical treatments. “Antiandrogenic medications, which reduce the action of the hormone DHT (dihydrotestosterone), topical and oral medications such as minoxidil help increase the caliber of the hair. are well indicated. Capillary surgical treatment consists of redistributing the amount of hair on the scalp, removing the healthy follicles from the donor area and implanting these hairs in the bald or hairless area, with aesthetic and lasting results.”

According to plastic surgeon in Goregaon, women with low capillary density on top of the head and with good donor area density can undergo capillary surgery. “The FUE hair transplant in Nagpur is indicated, after a period of clinical treatment and the stabilization of the baldness.”

Dr Gaidhane points out that hair treatments such as perms, dyes and straighteners contain chemicals that are harmful to the hair and scalp. “These poorly applied products can cause damage to the hair. Without proper care, chemical damage can even cause damage to the strands and, consequently, hair loss.”

Procedures such as progressive brushing, constant use of the dryer, flat irons and curling irons, these three with high temperature, also need care. “Thermal treatments, such as flat irons, can cause damage to the internal structure of the hair. The heat can denature the keratin, the protein responsible for the mechanical properties, such as elasticity and resistance of the hair strands. In addition to the relationship between progressive brushing and hair loss, there is also the possibility of baldness due to the procedure, when the progressive brush causes burns.”

Whatever the case, best hair transplant in Nagpur appears as the solution to different situations. And gaining prominence, mainly because it was adopted by celebrities, such as actor Marcello Antony, the demand for hair surgery only grows. Therefore, Dr Gaidhane warns that it should only be performed by the best plastic surgeon in Nagpur.

To be confident in making a decision, Dr Bhupendra answers some questions about hair transplantation:

1- How long does the hair transplant last:

Hair transplantation is a mixture of science, art and technology. It’s a minimally invasive procedure, with a lot of detail and a few steps. The procedure lasts an average of eight hours, being done in a hospital environment and with the presence of an anesthetist for patient comfort and safety.

2- Is it an expensive procedure?

It is a lasting and definitive procedure. The value is similar to other aesthetic procedures. Today, hair transplantation is the third most common cosmetic surgery performed on men. The demand increases every day in view of the good aesthetic results and also a greater presence in the media, as actors, players and influencers carry out and publicize hair transplants.

3- What is the difference between hair transplant and hair implant?

Hair transplant is the most appropriate term, as transplant means living tissue, while implant is about something artificial, synthetic, such as silicone implant, implant of synthetic threads. In hair transplantation, we transplant follicular units, living, delicate structures, therefore, it is a surgery that requires surgical skill, an experienced team, a high aesthetic sense and visagism.

4- What are the degrees of baldness?

According to the Norwood table there are seven types of baldness graduation and some with subdivisions. Alopecia, popularly called baldness, is the loss of hair and body hair. It may vary due to genetic, emotional and/or hormonal factors. Its incidence occurs more on the male audience, but women are not excluded. Alopecia has seven degrees in its development from its beginning to the final stage. It’s called the Norwood-Hamilton (NW) scale. If you’ve identified yourself in any of these stages of alopecia, be sure to seek help of best plastic surgeon in Mumbai. Baldness may even arrive, but not settle.

5- What is the difference between transplantation and hair micropigmentation?

Capillary micropigmentation is a procedure to simulate the presence of hair, it’s like a tattoo on the scalp, it simulates shaved hair, it needs touch-ups, as it discolors, it’s not permanent. It is indicated when we need to simulate an increase in capillary density, it can be used as an adjuvant in capillary transplantation. Done alone, it does not deliver the naturalness and capillary volume that the transplant delivers.

6- Is there a difference between weak and strong threads? How does this influence the procedures?

People with androgenetic alopecia have weak, miniaturized hairs and also strong hairs, which are chosen for transplantation. In these cases, clinical treatment is necessary prior to surgery to strengthen the hair so that the hair transplant has better aesthetic results.

7- How is the postoperative period?

The FUE, means “extraction of follicular units”. Known as the “thread by thread technique”, it has this popular name due to the method of removing the follicular units, one by one, being considered a minimally invasive procedure with an extremely tolerable postoperative period. The postoperative period of hair transplant using the FUE technique is very calm, practically painless, early return to work in around two days and sports activities in around seven days.

8- What is the percentage after the transplant to reach almost 100% of the hair’s natural appearance?

The current modern hair transplant is very natural and definitive, being practically imperceptible, since it is done strand by strand, which confers naturalness and cosmetic capillary density.

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SEXUALITY AND CHRONIC KIDNEY DISEASE

SEXUALITY AND CHRONIC KIDNEY DISEASE

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Kidney disease, like other chronic diseases, can cause physical changes that often imply an effort to adapt and accept it on the part of the patient. The psychological and emotional stability of the patient and the support of the partner/family is essential for this adaptation to occur harmoniously in all spheres of the sick person’s life. Sexuality is a fundamental part of this balance. Feeling loved, cherished, desired and supported, brings a sense of “normality” to the patient, contributes to their well-being, and helps to overcome the adversities they face.

Kidney disease and sexuality

Kidney failure can cause physical and hormonal changes that affect a person’s life in all its aspects. These alterations often have an impact on personal life, more specifically on sexuality (the way the patient sees his own body). Patients with chronic kidney disease tend to feel less sexually attractive, as their self-esteem is usually low and, in many cases, patients with kidney disease are depressed and have a distorted view of reality. With all these changes and adaptations to this new phase of life, having sex, or simply thinking about it, may be the last thing on the patient’s mind.

If there was a good relationship and communication with the partner before the illness, it is possible to overcome and understand these changes more easily. If this is not the case, the support of nephrologist in Delhi is essential for the patient and his partner to discover a new way of relating while living with kidney disease.

Below are listed physical alterations that can alter the sexuality of patients with chronic kidney disease:

  1. Body odor and bad breath – high levels of urea can cause a characteristic smell that varies from person to person;
  2. Ecchymoses (purple or black spots, bruises) – some medications can alter blood clotting, making it easy for ecchymosis to appear that lasts for a long time;
  3. Decreased energy levels (tiredness) – weight gain, lack of exercise and easy tiredness (resulting from anemia) can lower energy levels to carry out daily activities;
  4.  Excess fluids – edema (swelling in the legs, face (face) and other parts of the body due to excess fluid intake between hemodialysis sessions and abdominal distension caused by fluid (in the case of patients on peritoneal dialysis);
  5. Hair loss or the appearance of excess hair – resulting from treatment with steroid medications;
  6. Decreased ability to reach orgasm – chemical changes affect the function of the nerves, decreasing their sensitivity;
  7. Skin changes – you may experience itching (“itching”), dry skin and changes in skin color (pale, yellow skin).

Sex act

With the appearance of a chronic disease, many doubts and fears can arise, leading people to avoid sexual activity unnecessarily. It is important to ask your kidney specialist in Delhi when you can resume sexual activity.

Like any physical activity, it must be done with some care. With regard to renal failure on hemodialysis, you should consider a position where you don’t exert too much pressure on the fistula. In patients undergoing peritoneal dialysis, consider a position that does not exert too much pressure on the abdomen. In the case of the transplanted patient, wait until the scar is completely healed.

If your kidney doctor in Delhi informs you that the sexual act is not possible or even if the couple feels that sex is no longer as important as it used to be, there are other ways to feel the affection and love desired by everyone, such as caresses, hugs, kisses.

It is important to remember the importance of protecting yourself, using condoms, against sexually transmitted diseases such as AIDS (AIDS), syphilis, gonorrhea, hepatitis B, genital herpes and candidiasis.

Impotence and Fertility

With the onset of symptoms inherent to kidney disease, it is possible for men to experience difficulties in obtaining and/or maintaining an erection. This occurs due to physical and emotional changes such as: changes in hormone levels; blood circulation problems; fatigue secondary to anemia; nerve damage; medication side effects; low self-esteem; changes in body image; depression; anxiety; stress, among others. With the transplant, these problems tend to attenuate.

The emergence of sildenafil opened new perspectives for the Erectile Dysfunction Treatment in Delhi in patients with CRI. It must be taken 1 hour before sexual activity and it needs sexual stimulation to obtain the effect, which can be felt for approximately 4 hours.

Impotence is not synonymous with infertility. A man on dialysis or transplanted can have a child. If the couple has not achieved a pregnancy after some time, they should seek the help of a sexologist in Delhi. The man should have a fertility test.

The Importance of Seeking Help

Asking the best sexologist in Delhi for help can help you understand whether sexual problems have a physical or psychological cause. This requires a medical, psychological and sexual history of the person. Medications should be reviewed for their potential effects on sexual function. Blood tests should include hormone studies. If there is no physical problem, the origin of the problem should be considered as emotional or psychological.

When the problem is physical

There are several options available for men who are unable to achieve an erection. There are inflatable or semi-rigid penile implants. In some cases, surgery can improve blood flow to the penis. If the man does not want any type of surgery, he can try hormone medication and improve his function.

Women generally have less vaginal lubrication, and may experience pain during intercourse. Using vaginal lubricants can reduce or eliminate pain. Women, on the other hand, may be unable or take longer to reach orgasm because of hormonal changes, changes in energy level or medication for stress. A change in your medication or supply of hormonal medications may be necessary.

Feeling anxious, upset and depressed is normal when faced with a chronic illness. These emotions lead to loss of energy and reduced interest in many activities, including sex. If a sexual problem occurs, embarrassment and feelings of guilt may ensue. The fear that the problem will happen again, leads the person to move away from situations that potentially involve sex. Relaxation exercises can help control these fears. Regular exercise and work can keep your mind busy and improve your physical condition and body image. If sexual problems continue despite all measures, the person may still benefit from sex therapy.

Sex Therapy

Sex therapy deals with the sexual problems of couples and individuals. The first step in sex therapy can be sex education for the person or couple. The sex specialist in Delhi can advise activities to be carried out at home. These include communication exercises, stress-reducing activities, practicing ways to improve the ability to give and receive caresses, among others. Sex therapy can help those with problems related to low sexual interest, difficulties reaching orgasm or reaching it early, pain during sexual activity and difficulties with erection.

The patient

Patients with renal failure and their partners must play an active role in seeking to improve their quality of life.To do so, they must learn all they can about kidney disease and its treatment. It is essential to seek this knowledge from best nephrologist in Delhi, as they are better prepared to answer such questions. Having greater control over your situation and your treatment will help you feel better. Kidney failure is easier to accept with a positive attitude, which will make you more attractive to yourself and others.

Communication in the couple is important to maintain a healthy affective relationship. The appearance of a chronic disease within a family can generate fear about the future, anxiety about the present and burden on the caregiver, often leading to the couple’s estrangement. The expression of these feelings, which are often hidden, can facilitate the process of getting closer to a couple.

Although this disease causes significant changes in the life of the person and his family, it does not mean, however, that one should give up the fight for happiness and abandon the will to feel loved and desired, as well as to desire the other and to give him/her love.

Having kidney failure does not mean being “insufficient” in everything, but only in kidney function.

And in the list of symptoms associated with this disease nowhere in the world is it described: “chronic renal failure = unhappiness”. Your most intimate doubts can be clarified.

Look for your Nephrologist in Delhi. Don’t be shy about asking and expressing what causes the most distress and upset in your relationship and your family. You don’t have to be unhappy.

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