Kingston Super Care Health Clinic Pvt. Ltd.

23/02/2017

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21/01/2017

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15/11/2016

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A healthy mind is responsible for a healthy and relaxed body and both are imperative for attaining better or***ms during in*******se. Or****ic dysfunction, or inhibited s*xual excitement, or simply anor**smia, is a condition whereby, a woman fails to attain or***ms even when s*xually aroused. This can prove to be a major s*xual problem and is the cause of disputes and conflicts in a relationship because of the lack of s*xual intimacy and satisfaction.

In order to be s*xually excited, both mind and body are involved in a series of complex processes, which finally result in a peak s*xual response. Thus, both need to be functioning well in order to stimulate an or**sm.

Causes that may lead to or**smic dysfunction:
1. Boredom or lack of interest in s*xual indulgences
2. Hormonal disorders or changes brought on by menopause
3. Chronic illnesses that affect s*xual interest
4. Acquired negative attitudes (usually from childhood or adolescence) towards s*x
5. Previous traumatic experiences relating to r**e or s*xual abuse
6. Certain prescription drugs like antidepressants
7. Stress or high fatigue
8. Medical conditions affecting the nervous system around the pelvis
9. Medical conditions causing chronic pelvic pain

Symptoms of organic dysfunction may include:
1. Inability to attain or***ms
2. Taking longer than normal to reach an or**sm
3. Not having satisfying or***ms

Treatment
It is important to note that when treating problems associated with or**smic dysfunction, you must maintain a healthy attitude towards s*x, in addition to having sufficient knowledge pertaining to s*xual stimulations and responses. Learning how to communicate and how to express your needs and desires clearly is another important step in the treatment of anor**smia. Here are a few other ways to improve your s*x life:

1. Eat well and get enough rest
2. Reduce your consumption of alcohol, drugs, or smoking
3. Engage in Kegel exercises which involve tightening and relaxing the muscles of the pelvis
4. Use birth control methods that both you and your partner agree to
5. Engage in other s*xual activities apart from s*xual in*******se
6. Educate yourself more about reaching or***ms by focusing on cl****al stimulation or directed ma********on
7. Take up s*xual counseling to learn helpful exercises

09/11/2016

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08/11/2016

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07/11/2016

15/09/2016

Topic of the Month

S*xual weakness
S*xual function is a complex blend of anatomic, neurological, metabolic, endocrine and psychic factors an important human activity. S*x is just not a physical activity but also a mental relaxation and up liftman. If any one of the partners remain dissatisfied, the family life is disturbed. The male partner always worries of his ability to satisfy his female counterpart. If there is an er****on, retention and early ej*******on problem then the male subject is designated as s*xual dysfunction.

A person who is unable to perform and maintain er****on sufficient for mutually satisfying in*******se is known as klaibya or dhajabhanga. All the classical and compilation work of Ayurveda deals with fertility, s*xuality, its problems and solution as well as positive health in a separate chapter known as vajikarana ta**ra. Description about vajikarana and klaibya are available in the entire span ranging from Vedas to the present day text.Aim & objective of vajikarana ta**ra of Ayurveda is very clear and comprehensive i.e., procreative and recreative. This includes treating the mind as well as body.Next to the need of food, water and sleep, the s*xual urge is the most powerful biological drive. The importance of this aspect of human life is duely recognised by Ayurvedic authority in a separate section known is vajikarana ta**ra. The inability to perform normal s*xual desire and a willing partner is not able to have coitus with her due to lack of rigidity of the p***s . Even if he manages to have er****on, his anxiety will cause attacks of dyspnoea and profuse sweating and his attempts to have s*x will result in a failure.Maharshi Vatsayan “Kamsutra” the famous book of s*xology is mainly related to reecreative & charak samhita described both procreative and recreative.

Common Causes :

Excessive ma********on.
Complete loss of desire (even in young man)
Excessive indulging in s*x.
Local Injury
Syphilis.
Enlargement of prostate gland.
Impotency with diabetes mellitus
Mumps, obesity, excessive alcohol intake, smoking & drugs intake.

Few male S*xual disorders:

Inability to have coitus due to lack of er****on.

Premature ej*******on.

Loss of s*xual desire.

Premature Ej*******on:

Premature ej*******on is persistent or re-current ej*******on with minimal s*xual stimulation before, upon or shortly after pe*******on and before the person wishes it and is associated with marked distress or interpersonal difficulty. Premature ej*******on is a problem experienced mainly by younger men who ma********on when timing and control were unimportant . It may also occur after a prolonged period without s*xual in*******se.

Types of premature Ej*******on:

Neurological system premature ej*******on - often responds well to detailed psychos*xual skills training to compensate for thee physiological pre-dispositional pharmacological agent

Physical Illness pre mature ej*******on -- can be caused by a number of acute diseases is acquired and occurs in all s*xual situations. The most common cause is Prostatitis, other possible cause are Diabetes, S*xually Transmitted Diseases, virtually any urological pathology such as prostatic hypertropy, epilepsy, endocrine irregularities, athreoscleresis, cardio-vascular disease, generalise neurological disease, localised sensory impairement spurious polycythemia, cerebral tumours and poly neuritis

Physical Injury premature ej*******on-- it may caused by spinal cord injury, head injury, trauma to the sympathetic nervous system ,pelvic fractures and other torso trauma or localise sensory impairment.

Psychological system pre mature ej*******on—is caused by a personality characteristic that speeds ej*******on due to psychological disorder such as bipolar mood disorder, generalised anxiety disorder, obsessive compulsive disorder or one of the personality disorders.

Erectile dysfunction :

Erectile Dysfunction sometimes called impotence is the repeated in-ability to get or keep an er****on firm enough for s*xual in*******se. In older men, erectile dysfunction has a physical cause such as diseases, injury or side effect of allopathic drugs any disorder that causes injury to the nerves or impairs blood flow in the p***s has the potential to cause erectile dysfunction.
Cause : Erectile Dysfunction can occurs when any of the events is disrupted. The sequence includes nerve impulses in the brain, spinal column and area around the p***s and response in muscles, fibrous tissues, veins and arteries in and near the corpora cavarnosa. Diseases such as diabetes, kidney diseases multiple schlerosis, athroschlerosis, vascular diseases and neurological diseases caused erectile dysfunction. Surgery, (specially radical prostate surgery for cancer) can also injures nerves and arteries near the p***s, injury to the p***s, spinal chord, prostate, bladder and pelvis can lead to erectile dysfunction, smooth muscles, arteries and fibrouse tissues of the corpora cavarnossa. Many common allopathic medicine like anti-hypertensive, anti-histamine, anti-depressant, tranquilizer, appetite suppressant and ulcer healing drugs can produce erectile dysfunction. Psychological factors such as stress, anxiety, guilt, depression, low self esteem, and fear of s*xual failure cause erectile dysfunction. Patient suffering from infection , gastric disturbances, who have undergone surgery recently, trauma, and during convalsence are likely to suffer from transient dysfunction. Other possible causes are smoking, and chronic alcoholism.

Loss of s*xual desire or Libido:

Loss of libido can be result from endocrinal dis-balance and psychological factor such as stress, anxiety, depression. There are some disease and medicines which are directly affect the s*xual desire and libido.

Few female S*xual disorders:

Some diseases cause s*xual dysfunction in women.

Menopause:

There are some common changes in the physiology of s*xual function after menopause. This is primary a result of a decrease in estrogens and testosterone levels. As women age they also experience decreased blood flow to their ge****ls. Common complains include a loss of desire, diminished responsiveness and low s*xual arousal. Vaginal atropy, which involves thinning, drying and irritation of thee va**nal lining, causes significant distress for thee menopausal woman. Since there are some specific s*xual changes during and after menopause and often impairment of physical health, continuity of s*xual function and enjoyment require flexibility and adaptability on the part of the woman and her s*xual partner. Again intimate relationship , relatively free of conflict , will support and enhance the s*xual relationship.

Dysfunctional Uterine Bleeding:

It is the condition where women have profuse bleeding per va**na or heavy irregular menstruation bleeding without any caused mostly happen in women who are older than 45 and sometimes in young girls. This may cause a s*xual debility in female.,

Loss of Libido:

Loss of libido is a common problem that women face from time to time. Generally female hormones are directly responsible for female s*x drive and libido. In addition to this fatigue, stress, depression, and medication are just a few of the other possible factors that may interfere with s*xual desire. Again libido can result in difficulty becoming aroused and ultimately achieving climax or or**sm.

Dyspareunia :

This is an abnormal pain during s*xual in*******se. It may result from abnormal conditions of the ge***alia, dysfunctional psychophysiology reaction to s*xual union, forcible coition, or incomplete s*xual arousal.

It is not a disease, but rather a symptom of an underlying physical or psychological disorder. The pain, which can be mild or severe, may appear in the ge****ls, the pelvic region, or the lower back. The condition is much more common among women.
Cause: Chronic pelvic inflammatory disease
Endometriosis, Vaginal agenesis
Vaginal duplication
Vaginal septation / dryness,
Chronic constipation
Hemorrhoids
Inflammatory bowel disease
Past Surgery
Depression
Interstitial cystitis
Ovarian mass

Herbs & Minerals which are useful :

Safed Musli (Chlorophytum Borivilianum):

The dried roots of Safed Musli (also known as asparagus) are used in Ayurveda as an aphrodisiac.

Primarily used as a tonic and rejuvenative for the reproductive system. The regular use of this herb is valuable in impotency , premature ej*******on & low s***m count in men.

It is also useful during pregnancy as a nutritive tonic for mother and fetus. Post-partum it replenishes lost fluids, prana, ojas and improves the quantity and flow of breast milk. Used in chronic leucorrhoea.

Ashwagandha (Withania somnifera) :

The herb helps to cure female sterility. Powder of the roots in 6gram doses can be taken with milk for 5 to 6 successive nights after menstruation.

Two to four grams of root with milk or ghee can be taken as an aphrodisiac to enhance libido. It is also beneficial for the treatment of s***matorrhoea or involuntary ej*******ons. Two to four gram of powdered root can also be taken daily with sugar, honey, long pepper and ghee in the treatment of these conditions.

Shilajeet (Asphaltum) :

It is well known that Shilajeet would return the libido of people to a level of teenagers. Shilajeet increases the core energy responsible for s*xual and spiritual power. The use of Shilajeet for renewing vitality.

Garlic:

Garlic is one of the most remarkable home remedies in the treatment of s*xual disorder. It is a natural and harmless aphrodisiac. Garlic has a pronounced aphrodisiac effect. It is a tonic for loss of s*xual power .

Drumstick:

A soup made with about 15 gms of drumstick flowers boiled in 250ml milk is very useful as a s*xual tonic in the treatment of s*xual disorder. It is also useful in the functional sterility in both males and females. The powder of the dry bark is also valuable in impotency, premature ej*******on and thinness of semen. About 120 gms of powder of the dry bark should be boiled in half a liter of water of about half an hour. Thirty grams of powder, mixed with tablespoon of honey, should be taken thrice daily

Ginger:

The juice extracted from ginger is a valuable aphrodisiac and beneficial in the treatment of s*xual weakness. For better results, half a teaspoon of ginger juice should be taken with a half boiled egg and honey, once daily at night for a month. It is said to relieve impotency, premature ej*******on and s***matorrhoea.

Diet:

Diet is an important factors, to begin with the patient should adopt an exclusive fresh fruit diet. Take fresh fruits and fresh fruit juice twice daily. Concentrate on foods like nut, cereals , some green vegetables, fruits, milk, honey etc. Avoid smoking, alcohol, tea, coffee all processed canned refined and denatured foods especially white sugar and white flour and products made from them.

Life style:

A vigorous massage with Vita-ex Massage oil is highly beneficial in the treatment of debility as it helps to revive muscular vigor which is essential for nervous energy. The nerves of the ge***al organs are controlled by the pelvic region. Hence cold hip bath for ten minutes in the morning or evening is very effective.

Ayurvedic treatment
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05/06/2016

The Man with a Low S***m Count Oligos***mia : Cause & Treatment

Manyinfertilemenareobsessed abouttheirlows***mcount-and thisseemstobecomethecentral concernintheirlives.Remember thattherealquestionthemanwith afertilityproblemisaskingisnot: Whatismys***mcountorwhat ismymotility?But-aremy s***mcapableofworkingornot? CanIhaveababywithmys***m? Sincethefunctionofthes***mis tofertilizetheegg,theonlydirectwayofansweringthisquestionisby actuallydoingIVFfortestfertilization.Thisis,ofcourse,too expensiveandimpracticalformostpeoplewhichiswhytheother s***mfunctiontestshavebeendevised.

Themajorproblemwithallthesetests,however,isthattheyareall indirect---thereisnoverygoodcorrelationbetweentestresults, pregnancyrates,andfertilizationinvitrofortheindividualpatient. Thisiswhyofferingaprognosisfortheindividualpatientbasedonan abnormalityinthes***mtestresultissodifficult,andwhywefind thatdifferentdoctorsgivesuchwidelyvaryinginterpretationsbased onthesames***mreport.Youcanseewhatanormals***mcount lookslikehere!

Thisisreallynotsurprisingwhenyouconsiderhowabysmalour ignoranceinthisareais-afterall,wedonotevenknowwhata "normal"s***mcountis!Sinceyouonlyneedone"good"s***mto fertiliseanegg,wedonothaveasimpleanswertoeventhisvery basicquestion!Whilethelowerlimitofnormalisconsideredtobe10 millionprogressivelymotiles***mperml,rememberthatthisisa statisticalaverage.Forexample,mostdoctorshavehadthe experienceofamanwithaverylows***mcount(aslittleas2-5 millionperml)fatheringapregnancyonhisown,withnotreatment.In fact,whens***mcountsaredoneformenwhoareundergoinga vasectomyforfamilyplanning,thesemenofprovenfertilityhave s***mcountsvaryinganywherefrom2millionto300millionperml. Thisobviouslymeansthatthereisasignificantvariationin"fertile" s***mcounts,andthereforecomingtoconclusionsisverydifficult forthedoctor(leavealonethepatient!)

Inordertomakesenseofthis,youneedtounderstandtwoimportant concepts-"tryingtime"and"fertilitypotentialofthecouple".Ifyour s***mcountislow,butyouhavebeentryingtohaveababyforless than1year,itstillmakessensetokeepontryingforabout1year, since10%ofmenwithlows***mcountswillfatherapregnancyin thistime.Ifhowever,youhavealreadytriedformorethan2years withnosuccess,youneedtomoveonanddosomethingmore-the chancesofaspontaneouspregnancyarenowverylow.Remember, thatadoctordoesnottreatjusta"lows***mcountreport"-hetreats patients!

Sowhatdoesthemanwithalows***mcountdo?Mostmengoto theirdoctorandexpectthattheirdoctorwillprescribeamedicine whichwillhelpthemtoincreasetheirs***mcount,andfixtheir problem.Afterall,theyexpectthatifmedicaltechnologyhasbecome soadvanced,thentheremustbesometreatmentavailabletocorrect suchacommonproblem!

Theproblemwiththemedicaltreatmentofalows***mcountisthat formostpeopleitsimplydoesn'twork.Afterall,ifthereasonforalow s***mcountisamicrodeletionontheY-chromosome,thenhowcan medicationhelp?Theveryfactthattherearesomanywaysof "treating"alows***mcountitselfsuggeststhatthereisnoeffective methodavailable.Thisisthesadstateofaffairstodayandmuch needstobelearntaboutthecausesofpoorproductionofs***m beforewecanfindeffectivemethodsoftreatingit.

However,patientswanttreatment,sothereispressureonthedoctor toprescribe,evenifheknowsthetherapymaynotbehelpful.When mostpatientsgotoadoctor,theyexpectthatthedoctorwillprescribe amedicineandtreattheirproblem.Sincemostpeoplestillbelieve thereisa"pillforeveryill",theyexpectthatthedoctorwillgivethema medicine(oraninjection)whichwillincreasetheirs***mcount.No patienteverwantstohearthetruththatthereisreallynoeffective treatmentavailabletodayforincreasingthes***mcount.

Sincemostdoctorsknowthis,theyarepressurisedintoprescribing medicinesforthesepatients,becausetheydonotwantthepatientto beunhappywiththem.Theyareworriedthatiftheydonotfulfillthe patient's*xpectationofaprescription,thepatientwilldesertthem, andgoelsewhere,whichiswhytheyoftendonottellthepatientthe completetruth.Thedoctoralsorememberstheoccasionalanecdotal successes(whocomebackforfollowup,whiletheothersdesertthe doctorandarelosttofollowup)iswhypatientswithlows***m countsareputoneverytreatmentimaginable-withlittlerational basis-clomiphene,HMGandHCGinjections(usingtherationale thatwhat'sgoodforthegoosemustbegoodforthegander!)proxeed, testosterone,VitaminE,VitaminC,anti-oxidants,high-proteindiets, hoemeopathicpills,ayurvedicchuransandevenvaricocelesurgery. However,theveryfactthattherearehundredsofmedicinesitself provesthatthereisnomedicinewhichworks!(Afterall,ifone medicineworked,thenalldoctorswouldprescribethis,sothere wouldbenoneedforsomanydifferentmedicines!)

Manydoctorsjustifytheirprescriptionsbysaying-"Anywayitcan't hurt-andinanycase,whatelsecanwedo?"However,thisattitude canbepositivelyharmful.Itwastestime,duringwhichthewifegets older,andherfertilitypotentialdecreases.Patientsareunhappy whenthereisnoimprovementinthes***mcountandlose confidenceindoctors.Italsostopsthepatientfromexploring effectivemodesofalternativetherapy-suchasIVFandICSI.Today empirictherapyshouldbecriticisedunlessitisusedasashortterm ther**eutictrialwithadefinedend-point.

Awordofwarning.Medicaltreatmentformaleinfertilitydoesnot haveahighsuccessrateandhasunpleasantsideeffects,sodon't takeitunlessyourdoctorexplainshisrationale.Thetreatmentisbest considered"experimental"andcanbetriedasather**eutictrial. Makesure,however,thatsemenis*xaminedforimprovementafter threemonthsandthendecidewhetheryouwanttopresson regardless.

Whataboutsurgerytotreatavaricocele?Rememberthatmanymen withlargevaricoceleshaveexcellents***mcounts,whichiswhy correlatingcause(varicocele)andeffect(lows***mcount)isso difficult.Itispossiblethatthevaricocelemaybeanunrelatedfinding ininfertilemen-a"redherring"sotospeak.Thismeansthatsurgical correctionofthevaricocelemaybeofnouseinimprovingthes***m count-afterall,ifthevaricoceleisnotthecauseoftheproblem,then howwilltreatingithelp?Infact,controlledtrialscomparing varicocelesurgerywithnotherapyinmenwhohavevaricocelesand alows***mcounthaveshownthatthepregnancyrateisthesame-sothatitdoesnotseemtomakeadifferencewhetherornotthe varicoceleistreated!

Becausesurgeryforvaricocelerepairissimpleandstraightforward, manydoctorsstillrepairanyvaricocelestheyfindininfertilemen, followingthedictumthatit'sbettertodosomething,ratherthando nothing!However,keepinmindthatvaricocelesurgerywillresultin animprovementins***mcountandmotilityinonlyabout30%of patients-anditisstillnotpossibleforthedoctortopredictwhich patientwillbehelped.Ofcourse,justimprovingthes***mcountis notenough-andpregnancyratesaftervaricocelerepairalonearein therangeof15%.However,onedangerofdoingavaricocelerepairis thatwhenitdoesn'thelp,patientsgetfrustrated,andrefusetopursue moreeffectiveoptions,suchastheassistedreproductivetechniques.

Thesadfactofthematteristhatthereisnomethodofincreasinga lows***mcounttoday!Thisiswhymodernmanagementofalow s***mcountusesassistedreproductivetechnologyextensively.The modernprotocolformanagingmaleinfertilityisbasedontheman's motiles***mcount;andonasimpletest,calledas***msurvival test.Thes***marewashed,andtheirrecoveryassessed;the washeds***marethenkeptinculturemediumintheincubatorfor24 hoursandthenrechecked.Iftherearemorethan3millionmotile s***mperml,thisisreassuring.If,however,noneofthes***mis aliveafter24hours,thissuggeststhattheymaybefunctionally incompetent.Treatmentdependsuponhowlowthecountis.Ifitis onlymoderatelydecreased(totalmotiles***mcountintheejaculate being20million),itmakessensetotrytoimprovethefertility potentialofthewife,andtheeasiesttreatmentformenwith moderatelylows***mcountsissuperovulationplusintrauterine insemination.Ifafterdoingthisandtryingfor4treatmentcycles(the reason4isthe"magic"numberisthatmostpatientswhoaregoingto becomepregnantwithanymethodwillusuallydosowithin4cycles) nopregnancyensues,youneedtogoonandexplorefurther alternatives,suchasIVForICSI.

Unfortunately,wefindthatmanydoctorsstillofferIUI(intrauterine insemination)treatmentformenwitholigos***mia.Thehopeseems tobethatwashingthes***mwillhelpthedoctortorecoverthe"best s***m";andsinceonlyones***misneededtofertilisetheegg,then IUIwillimprovethechancesofachievingapregnancy.Unfortunately, IUIisaterribletreatmentforoligos***mia,withaverylowpregnancy rate.Theproblemisthatoligos***micmenhaves***mwhichare functionallyincompetent,whichiswhywashingthes***manddoing IUIdoesnothelp.

Sowhatistherighttreatment?Formenwithamotiles***mcountof morethan5millionintheejaculate,logicallyIVFwouldbethefirst treatmentoffered.Thiswouldallowustodocumentifthes***mcan fertilizetheeggsornot.Iffertilisationisdocumented,thenthepatient hasagoodchanceofgettingpregnant.However,ifthemotiles***m countislessthan5million,orifthereistotalfailureoffertilisationin IVF,thentheonlytreatmentavailableisICSI(intracytoplasmics***m injection,pronounced"eeksee")ormicroinjection.ICSIhas revolutionisedourapproachtotheinfertileman,anditpromisesthe possibilityforeverymantohaveababy,nomatterhowlowhis s***mcount.

WepersonallypreferofferingICSItreatmentdirectlytoallmenwith oligos***mia,tobypasstheriskoftotalfertilisationfailurewithIVF. Thisallowsustoguaranteethatwewillbeabletomakeembryosin thelab,nomatterhowpoorthes***m.

Whatabouttheanswertothemilliondollarquestion:---WhydoI havealows***mcount?Unfortunately,ninetimesoutoften,the doctorwillnotbeabletoanswerthatquestion,andnoamountof testingwillhelpustofindout-thisislabelledas"idiopathic oligos***mia"whichisreallyawastepaperbasketdiagnosisfor"god onlyknows!".Modernresearchhasshownthatthereasonsomemen havealows***mcountmaybebecauseofamicrodeletionontheY-chromosome.Thisisanexpensivetest,whichisavailableonlyin researchlaboratoriesatpresent,anddoes*xplainwhywehavelittle effectivetreatmentforthiscommonproblem!Wedoknowthatalow s***mcountisnotrelatedtophysique,generalstateofhealth,diet, s*xualappetiteorfrequency.Whilenotknowingthecausecanbe veryfrustrating,medicinestillhasalottostudyandunderstandabout maleinfertility,whichisarelativelyneglectedfieldtoday.

Themajorcauseofmaleinfertilityusuallyisas***mproblem. However,dorememberthatthisisnoreflectiononyourlibidoor s*xualprowess.Sometimesmenwithtesticularfailurefindthis difficulttounderstand(butdoctor,Ihaves*xtwiceaday!Howcanmy s***mcountbezero?).Thereasonforthisisthatthetestishastwo compartments.Onecompartment,theseminiferoustubules, producess***ms.Theothercompartment,the"interstitium"orthe tissueinbetweenthetubules(wheretheLeydigcellsare)produces themales*xhormone,testosterone,whichcausesthemales*xual drive.Nowwhilethetubulescanbeeasilydamaged,theLeydigcells aremuchmoreresistanttodamage,andwillcontinuefunctioning normallyinmostpatientswithtesticularfailure.

Thisiswhythediagnosisofalows***mcountcanbesuchablowto one'sego---itissototallyunexpected,becauseitisnotassociated withothersymptomsorsigns.Menreactdifferently-butcommon feelingsincludeangerwiththewifeandthedoctor;resentfulness abouthavingtoparticipateininfertilitytestingandtreatmentsince theyfeelhavingbabiesisthewoman's"job";lossofself-esteem;and temporarys*xualdysfunctionsuchaslossofdesireandpoor er****ons.Manymenalsofeelveryguiltythatbecauseof"their" medicalproblem,theyaredeprivingtheirwifethepleasuresof experiencingmotherhood.Unfortunately,socialsupportforthe infertilemanispracticallynon-existent,andheisforcedtoputupa bravefrontandshowthathedoesn'tcare.Sinceheisaman,heisnot allowedtodisplayhisemotions.Heis*xpectedtoprovideashoulder forhiswifetocryon-butheneedstolearntocryalone.However, rememberthattheurgeforfatherhoodcanbebiologicallyasstrong astheurgeformotherhood-andweshouldstoptreatinginfertilemen assecondclasscitizen.

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