In most cases, painful sexual acts have a physical cause at first. There are many physical problems that can cause or worsen painful sexual act. A doctor may be able to identify the cause by doing a careful physical examination and medical history. Some of the most common physical causes are infections of the vagina, urinary tract, cervix, or fallopian tubes; endometriosis; scar tissue left by surgery (like an episiotomy); and ovarian cysts and tumors. Common infections are mycoses (infections caused by a fungus), candidiasis, chlamydia, trichomoniasis, urinary tract infections, coliform bacteria, monilial organisms and herpes). Painful sexual act can also be caused by problems with a woman's anatomy, like hymenal remnants (pieces of the hymen that stay in the vagina) or female genital mutilation, or when the entrance to the vagina has become too small for normal penetration (Sarrell and Sarrell 1989).
In women who are past menopause, a common cause of painful sexual act is having too little estrogen. In women who are breastfeeding, a common cause is dryness of the vagina. Women who are getting radiation therapy for cancer in the pelvic area may have pain during sex because the walls of the vagina have atrophied (wasted away) and are more sensitive to injury. Dryness in the vagina can also be a cause of painful sexual act for women with Sjögren's syndrome, which attacks the glands that create saliva and tears.
Painful sexual act may be one of the first symptoms of cystitis (a bladder infection). People with cystitis may have bladder pain during or after sex. Women with cystitis usually have pain the day after sex, because the muscles around her bladder are spasming (tightening up painfully). Women with cystitis usually also have urinary frequency (needing to urinate a lot) and/or urinary urgency (needing to urinate suddenly).
There are a number of physical factors as well. Pain is sometimes experienced in the testicular or glans area of the penis immediately after ejaculation. Infections of the prostate, bladder, or seminal vesicles can lead to burning or itching sensations following ejaculation. Men suffering from cystitis may experience intense pain at the moment of ejaculation and is focused at the tip of the penis. Gonorrheal infections are associated with burning or sharp penis pains during ejaculation. Urethritis or prostatitis can make genital stimulation painful or uncomfortable. Anatomic deformities of the penis (retraction of a too-tight foreskin) may also result in pain during sexual act.
In men pain in the genital organs during ejaculation or immediately thereafter is experienced as sharp, stabbing, and/or burning, it may be persistent and returning. The duration of pain is usually brief. The immediate cause of psychogenic post ejaculatory pain is the involuntary painful spasm or cramping of certain pain-sensitive muscles in the male genital and reproductive organs, the painful muscle cramps may be attributable to a man’s conflict about ejaculating.
A pelvic floor disorder can also be the cause of pain during and after sex.
Sufferers will see several doctors before a correct diagnosis is made. Sufferers are also often hesitant to seek treatment for chronic vulvar pain, especially since many women begin experiencing symptoms around the same time they become sexually active. Before being successfully diagnosed patients sometimes are told that the pain is "in their head". For the diagnosis doctor carefully takes a history and carefully examines the pelvis to duplicate the discomfort and to identify a site or source of the pelvic pain. The diagnosis of painful sexual act has to be differentiated from conditions known as ‘’’chronic vulvar pain’’’ and vaginismus. It is worth to be sure whether the painful sexual act is acquired or lifelong and whether it is generalized (complete) or situational. During the first two weeks, painful sexual act caused by penis insertion or movement of the penis in the vagina or by deep penetration is often due to disease or injury deep within the pelvis. Inquiry should determine whether the pain is superficial or deep - whether it occurs primarily at the vaginal outlet or vaginal barrel or upon deep thrusting against the cervix. The possible role of psychological factors in either causing or maintaining the pain must be acknowledged.
Atrophy of vagina as a source of painful sexual act is most frequently seen in women after menopause and is generally associated with estrogen deficiency. The latter is associated with inadequacy of lubrication of vagina, which can lead to painful friction during sexual act.
Neem
Neem is a tree in the mahogany familysex Meliaceae. It is native to India, Myanmar, Bangladesh, Sri Lanka, Malaysia and Pakistan. It grows in tropical and semi-tropical regions. It was also the state tree of Hyderabad Deccan.
Neem is a fast-growing tree in India that can reach up to 15–20 m (about 50–65 feet) tall, and sometimes even to 35–40 m (115–131 feet). It is evergreen.It
is found in some major parts of Tamil nadu like tuticorin,tirunelveli ,etc,,
Products made from neem have been used in India for over two millennia for their medicinal properties. They are said to be antifungal, antidiabetic, antibacterial, antiviral, contraceptive and sedative. Neem products are also used in selectively controlling pests in plants. Neem is considered a part of Ayurvedic medicine.
Neem is also known as the' village pharmacy'. All parts of neem are used for preparing many different medicines, especially for skin disease.
Jun Suzuki
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Minoru Funakoshi
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Jorge López Montaña
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Mazarópi
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Masatada Ishii
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Ayila Yussuf
Ayila Yussuf (born 4 November 1984) is a Nigerian football player. He plays for Dynamo Kyiv and Nigeria national team.
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Nigel de Jong
Nigel de Jong (; born 30 November 1984) is a Dutch professional footballer. He is a midfielder for Italian Serie A club Milan and the Dutch national team. He joined the Ajax youth academy when he was young and made the first team at age 17.
De Jong moved from Ajax in 2006 to join Hamburg. He then moved to Manchester City in January 2009 for around £18 million. He became an important part of Manchester City's midfield. He has earned a reputation of being combative and feisty player. This got him nicknames like ""The Terrier"" and ""Lawnmower"". He moved to Italian club Milan in August 2012.
On 19 October 2002, de Jong played for the Ajax first team for the first time. He scored his first goal on 18 February 2003 in a 1–1 draw against Arsenal in the UEFA Champions League. He started playing in the first team often in the next season. In this season, Ajax won the Eredivisie. In 2004–05, de Jong was named Ajax Player of the Season. Later, after starting in midfield for quite a while, he found himself sitting on the bench more often than being one of the players at the start of a match. On 7 December 2005, it was announced that de Jong did not want to stay with Ajax. His contract with Ajax was due to finish in July 2006.