Polycystic ovary syndrome (PCOS) is a hormonal disorder common among women of reproductive age. Women with PCOS may have infrequent or prolonged menstrual periods or excess male hormone (androgen) levels. The ovaries may develop numerous small collections of fluid (follicles) and fail to regularly release eggs.
The exact cause of PCOS is unknown. Early diagnosis and treatment along with weight loss may reduce the risk of long-term complications such as type 2 diabetes and heart disease.
Signs and symptoms of PCOS often develop around the time of the first menstrual period during puberty. Sometimes PCOS develops later, for example, in response to substantial weight gain.
Signs and symptoms of PCOS vary. A diagnosis of PCOS is made when you experience at least two of these signs:
Irregular periods. Infrequent, irregular or prolonged menstrual cycles are the most common sign of PCOS. For example, you might have fewer than nine periods a year, more than 35 days between periods and abnormally heavy periods.
Excess androgen. Elevated levels of male hormones may result in physical signs, such as excess facial and body hair (hirsutism), and occasionally severe acne and male-pattern baldness.
Polycystic ovaries. Your ovaries might be enlarged and contain follicles that surround the eggs. As a result, the ovaries might fail to function regularly.
PCOS signs and symptoms are typically more severe if you’re obese.
When to see a doctor
See your doctor if you have concerns about your menstrual periods, if you’re experiencing infertility or if you have signs of excess androgen such as worsening hirsutism, acne and male-pattern baldness.
The exact cause of PCOS isn’t known. Factors that might play a role include:
• Excess insulin. Insulin is the hormone produced in the pancreas that allows cells to use sugar, your body’s primary energy supply. If your cells become resistant to the action of insulin, then your blood sugar levels can rise and your body might produce more insulin. Excess insulin might increase androgen production, causing difficulty with ovulation.
• Low-grade inflammation. This term is used to describe white blood cells’ production of substances to fight infection. Research has shown that women with PCOS have a type of low-grade inflammation that stimulates polycystic ovaries to produce androgens, which can lead to heart and blood vessel problems.
• Heredity. Research suggests that certain genes might be linked to PCOS.
• Excess androgen. The ovaries produce abnormally high levels of androgen, resulting in hirsutism and acne.
Complications of PCOS can include:
• Gestational diabetes or pregnancy-induced high blood pressure
• Miscarriage or premature birth
• Nonalcoholic steatohepatitis — a severe liver inflammation caused by fat accumulation in the liver
• Metabolic syndrome — a cluster of conditions including high blood pressure, high blood sugar, and abnormal cholesterol or triglyceride levels that significantly increase your risk of cardiovascular disease
• Type 2 diabetes or prediabetes
• Sleep apnea
• Depression, anxiety and eating disorders
• Abnormal uterine bleeding
• Cancer of the uterine lining (endometrial cancer)
Obesity is associated with PCOS and can worsen complications of the disorder.
What is orgasm?
When you get sexually aroused your vagina becomes wetter, which makes it smooth and slippery. With more stimulation, you could climax (orgasm).
When a man gets really turned on, he can have an orgasm – in other words, he can come, or climax.
Benefits of sexual intercourse during pregnancy
It’s strange and funny how so many people go on a long sex vacation when they get pregnant or abandon their wives when they get pregnant in terms of sex. The reasons or excuses are many but before I touch on the many misconceptions some have, I will like to encourage pregnant women who will like their husbands to have sex with them to also put in some effort to get them attracted.
Just because you are pregnant does not mean you shouldn’t take good care of yourself. Bath well and regularly because of the numerous hormones in your system due to the pregnancy. Dress well and look good but don’t stay down and look unattractive and expect your husband to come. Don’t keep saliva in your mouth for long otherwise, it can put your partner off.
When it comes to misconceptions that people have about sex during pregnancy, notable among them is that the semen will spill on the baby and might kill it. The penis might be hitting the baby’s head and affect it. The woman wouldn’t feel for sex during that stage. She will get pregnant again.
When a woman conceives, her cervix is closed. When she engages in sex, the semen cannot go through the cervix because there is also a mucus plug to prevent anything from entering. The penis cannot pass through the cervix into the womb. Most women rather feel for sex when they get pregnant. When a woman gets pregnant, the hormones prevent ovulation which is the release of the egg from the ovary. Imagine the disaster or the trouble of your husband or wife or your partner to wait throughout the 9 months plus delivery, to resume having sex with you. How many people will be able to wait till that period?
The only exception is when the doctor or midwife has indicated that sex can cause a problem for the pregnancy due to vaginal bleeding, repeated miscarriage, early labour treatment, or anything else that poses risk.
Now let us take a look at some of the benefits of having sex when pregnant.
1. Sex during pregnancy is a form of exercise for the lady. This also keeps her active and healthy because it burns out the calorie and keeps blood pressure in check.
2. Sexual intercourse can activate the feel-good hormones in the system. If the pregnant woman is happy, it makes the unborn happy because of their connection.
3. During pregnancy, it offers the couple or partners the opportunity to explore certain sex positions they may not have tried before. Sometimes you even later adopt those as your favourite even after delivery.
4. It creates a bond between the partners as the two people do not have to sexually fast for over 9 months. When sex continuous during pregnancy it doesn’t break the flow between them.
5. Sex is even more enjoyable during pregnancy especially for the woman because of the different hormones in her system and also the blood flow in her vulva.
6. During pregnancy, the woman experiences different hormones which can be very uncomfortable but sexual intercourse during pregnancy can help clear most of it as sex can make her sleep soundly.
7. Sex during pregnancy can make delivery easier, this is because the sperm is rich in a hormone known as prostaglandins which help in uterus contractions.
It is equally important to say that not every pregnant woman feels like having sex. Respect the decision of the woman if she doesn’t feel for it or not comfortable with having sex.
Care needs to be taken so as not to contract any sexually Transmitted Infections as this can also affect the unborn if care is not taken.
Sex during pregnancy is not harmful and can happen throughout the nine-month or the pregnancy period unless the doctor has said otherwise.
By Cons. Michael Tagoe
Good sexual intercourse lasts minutes, not hours, therapists say
Erie, Pa. — Satisfactory sexual intercourse for couples lasts from three to 13 minutes, contrary to popular fantasy about the need for hours of sexual activity, according to a survey of U.S. and Canadian sex therapists.
Penn State Erie researchers Eric Corty and Jenay Guardiani conducted a survey of 50 full members of the Society for Sex Therapy and Research, which include psychologists, physicians, social workers, marriage/family therapists and nurses who have collectively seen thousands of patients over several decades.
Thirty-four, or 68 percent, of the group responded and rated a range of time amounts for sexual intercourse, from penetration of the vagina by the penis until ejaculation, that they considered adequate, desirable, too short and too long.
The average therapists’ responses defined the ranges of intercourse activity times: “adequate,” from three to seven minutes; “desirable,” from seven to 13 minutes; “too short” from one to two minutes; and “too long” from 10 to 30 minutes.
“A man’s or woman’s interpretation of his or her sexual functioning as well as the partner’s relies on personal beliefs developed in part from society’s messages, formal and informal,” the researchers said. “Unfortunately, today’s popular culture has reinforced stereotypes about sexual activity. Many men and women seem to believe the fantasy model of large penises, rock-hard erections and all-night-long intercourse. ”
Past research has found that a large percentage of men and women who responded wanted sex to last 30 minutes or longer.
“This seems a situation ripe for disappointment and dissatisfaction,” said lead author Eric Corty, associate professor of psychology. “With this survey, we hope to dispel such fantasies and encourage men and women with realistic data about acceptable sexual intercourse, thus preventing sexual disappointments and dysfunctions.”
Corty and Guardiani, then an undergraduate student and now a University graduate, are publishing their findings in the May issue of the Journal of Sexual Medicine, but the article is currently available online.
The survey’s research also has implications for treatment of people with existing sexual problems.
“If a patient is concerned about how long intercourse should last, these data can help shift the patient away from a concern about physical disorders and to be initially treated with counseling, instead of medicine,” Corty noted.