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NATURAL MEN’S HEALTH: HOW TO BUY SUPPLEMENTS – THE USEFUL RECOMMENDATIONS FOR YOU

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COUNSELLING – 2

Follow up. Patients treated for STDs should be informed of the need for follow up for test-of-cure. In conditions like herpes, HIV infection and human papilloma virus where there is no cure, follow-up for counselling, clinical and laboratory assessment and ongoing management are important.

Future prevention. Medical practitioners have an educative role in STD prevention and the counselling of STD patients offers both an opportunity and a challenge. Information about the method of spread of STDs and advice about reducing the risk of infection should be given. While the prophylactic use of condoms should be freely advocated where sexual activity exposes the individual to the risk of STD, the failure rate of condoms should be discussed.

Patients whose life style places them at risk of hepatitis В (e.g. prostitutes and homosexual men with multiple partners) should be tested for evidence of previous hepatitis В infection. Those who have no markers of hepatitis В should be encouraged to be immunised.
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COUNSELLING

The following areas should be specifically covered in counselling: (i)  Diagnosis. The patient should be told the diagnosis, natural history of the disease, sequelae and the effectiveness of therapy.

(if) Treatment. The patient should be told the dose, frequency and duration of medication and the importance of compliance with the full course. Side effects of therapy and what the patient should do if they occur should be clearly explained.

(iii)       Sexual activity. Patients undergoing treatment should refrain from
sexual intercourse until treatment is complete. Patients with infectious
STD must be advised how to modify their sexual behaviour.

(iv)       Contact tracing. The importance of tracing and investigating the
sexual contacts of the patient must be stressed. Patients generally
respond well when it is explained that sexual partners may be
unaware of the infection and that untreated STDs can have serious
complications.

Information about contacts is sought in order to identify the source contact and to identify people to whom the infection may have spread. Patients are often incorrect in attributing the source of infection.

Contact tracing requires some expertise and public health agencies in the States and Territories may assist. It should be done formally with a list of the names and addresses of contacts and full records of communications with them together with outcomes of investigation, treatment and counselling. The patient’s private medical attendant may undertake the tracing and management of contacts. Patients can be their own contact tracers. Generally, the tracing of contacts of a patient with HIV infection should not be undertaken by the patient. Contact tracing can be a difficult and time consuming task and patients and practitioners may elect to have it done by officers of the health authority.
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THE HARMONIOUS COUPLE – CASES OF HARMONIOUS RELATIONSHIPS (AL AND BETTY)

“There’s some kind of primitive bond there that we don’t understand, but which keeps us united and contented,” Betty says.

“Whatever it is, it works,” Al adds. “Don’t fix it if it ain’t broke, as the saying goes.”

If there is one common thread in all of these happy marriages it is the willingness of both marital partners to look at and take responsibility for their own contribution to any conflicts. I have stressed throughout this book, both directly and indirectly through the kinds of games I have devised, how essential it is for both partners to be able to work through defensive postures that prevent resolution. Unfortunately, many people are convinced that their point of view is right; to give up their defensive postures means being willing to acknowledge—at least partially—that they are wrong.

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GAMES FOR ABSTINENT COUPLES – GAME 5: MYSTERY LOVER (PART 3)

This poem is followed by little gifts that arrive in the mail, and more flowers—and of course more letters:

“Dear Lady, I wish I could know what you are thinking right now. I wish I could know the passion that lurks inside you, the secret passion that few have known, the passion that yearns for expression. Perhaps this is presumptuous of me, but I do think I know you—know you better than you might imagine anybody could. I know that there’s a lot of love inside you, and that that love has often been misunderstood. I think you need somebody who would truly understand you and give you all the space you need to blossom. I think I could be that person, but I don’t know if you’d trust me enough to give me the chance. I’m not asking for much at first—just friendship, the chance to prove I care. I do know that if you give me the chance, I’d love to love you as you’ve never been loved before—with profound understanding of your every sensitivity. Lately, I have had fantasies of revealing myself to you, but I’m still too shy. So I content myself watching you from afar, and with imaginings of you, picturing your thoughtful, wry smile and your eyes looking at me with your typically pointed gaze. . . . Someday!—Your Mystery Lover.”

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GAMES FOR POLITICALLY OR MORALLY CORRECT COUPLES – GAME 1: POLITICALLY CORRECT SEX (PART 2)

“But even if you ask me, you might be asking me in order to appease a dominant male—and hence it will still be rape.” “True.”

“Asking wouldn’t be enough. I think you’d have to beg me to have sex, and perhaps take an oath that your desire for sex has nothing to do with wanting to appease me or submit to male domiance but rather has to do with your wish to gratify your own desire.”

“That may be right.”

“So, start begging.”

“Get real!”

This conversation may be repeated numerous times until the wife somehow convinces the husband that she indeed wants to have sex and that the sex is solely to gratify her own desire for him. At that point the actual sexual encounter begins. Throughout this encounter, the husband continues to be exaggeratedly considerate of the wife’s feminist stand.

“Would you prefer to undress yourself, or would you like me to undress you?”

“I’ll undress myself, thank you.”

“Should we lie side by side, so as to be on an equal basis?” “All right.”

“Or would you prefer to get on top, as a kind of affirmative-action sex?”

“Side by side is fine.”

“Excuse me. I touched your breast.”

“It’s all right.”

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GAMES FOR ANGRY COUPLES – GAME 3: HOW DO I HATE THEE? (PART 3)

After they have completed this part of the exercise, they take turns saying the same thing to themselves. “How do I hate myself? Let me count the ways.” The wife might say, “I hate myself because I’m always so angry and bent out of shape. I hate myself because I’m so oversensitive. I hate myself for rejecting you sexually all the time.” And the husband might say, “I hate myself because I can’t get an erection. I hate myself because I feel like a failure. I hate myself for being so passive.”

The game allows each not only to verbalize the anger that they’ve been acting out, but also to get in touch with and verbalize the anger at themselves of which they are usually less aware. Having them do the exercise while in the act of love-making serves to bring out the erotic elements that attach to the anger, and the sexual atmosphere softens the anger and helps them work through it.

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GAMES FOR IMPULSIVE COUPLES – GAME 5: ONE-NIGHT STAND (PART 2)

The couple is therefore instructed to go to a lodging for the weekend and “pick each other up” as if they were meeting for the first time. They are encouraged to dress like a single play-girl and playboy, whatever that label conjures up for them. The game might start in the hotel’s bar on Saturday evening. The man comes into the bar and spots the woman sitting alone. He sallies forth, smiling confidently.

“Excuse me,” he says. “Would you mind if I join you?”

“No, not at all.”

“Thanks. May I buy you another drink?” “Why not?”

“You know, I hope you don’t take this the wrong way— but you really have beautiful eyes.”

“Oh, thank you. I hope you don’t take this the wrong way, but you have terrific buns.”

“Oh, thank you.”

“You know, you remind me of somebody. Somebody I once fell in love with.”

“Oh, really? You know, now that I think of it, you also remind me of somebody I once fell in love with.”

“Isn’t that remarkable?”

“I’ll say!”

“Cheers!”

“To your sexual health!”

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TRICHOMONAS: HOW IS IT TRANSMITTED?

Trichomonas infection is acquired through sexual contact with a partner who is infected, most often through heterosexual (vagina-penis) contact, but women who have sex with other women can transfer the infection through the use of sex toys. The throat and the anal or rectal area are not sites of infec-tion, so the infection is not transmitted through oral sex or anal intercourse. Although Trichomonas can exist for several hours in body fluids outside the body, and therefore the possibility exists that transmission may take place by nonsexual means, there are no documented cases of transmission by toilet seats or towels. Once genital secretions dry, they are not infectious to others. As noted in the previous section, a mother who is infected may transmit the infection to her child during delivery.

Having unprotected vaginal intercourse with a partner who is infected can transmit trichomoniasis, even if the infected partner does not have any symptoms. Using condoms correctly and consistently helps prevent transmission.

For women who have sex with other women, vaginal fluid exchange can lead to infection. Testing prior to sexual contact, the use of condoms on sex toys for each partner, or not sharing sex toys at all can decrease the risk of infection.

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HISTORY OF HIV INFECTION

From the beginning HIV infection has been politicized as have few other diseases: those infected with HIV were denied access to insurance and health care, lost jobs and housing, and became the targets of social stigma. Many people have not sought testing out of fear of these very real consequences. As we progress through the second decade of HIV infection and approach the twenty-first century, there are signs of positive change in our attitudes toward the disease and those infected with it, but there is still much work to be done. On the medical front, as we gain a clearer understanding of how this virus works and how we can better prevent and treat infection with it, hope grows that the turn of the century will bring further breakthroughs and a cure. As of this moment, there is no cure, although recent advances with medications to treat HIV infection have been very promising. Through the continued efforts of the medical community and governmental bodies to keep HIV research a top priority, and through education and the teaching of safer sex practices, there is hope of stemming the tide of this epidemic throughout the world.

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