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Topics - Mr. Boombastic

Pages: 1 [2] 3
11
FUN GAMES WITH YOUR FRIENDS / The 2nd Love Affair
« on: May 19, 2009, 01:10:24 PM »
The 2nd Affair

A middle-aged couple had two beautiful daughters but always talked about
having a son. 

They decided to try one last time
for the son they always wanted.

The wife got pregnant
and delivered a healthy baby boy.

The joyful father rushed to the nursery to see his new son.

He was horrified at the ugliest child
he had ever seen.

He told his wife: 'There's no way I can be the father of this baby. 
Look at the two beautiful daughters I fathered!
Have you been fooling around behind my back?'

The wife smiled sweetly and replied:
'No, not this time!' 


12
A married man was having an affair
with his secretary.

One day they went to her place
and made love all afternoon. 

Exhausted, they fell asleep
and woke up at 8 PM.

The man hurriedly dressed
and told his lover to take his shoes
outside and rub them in the grass and dirt. 

He put on his shoes and drove home.

'Where have you been?' his wife demanded.

'I can't lie to you,' he replied,

'I'm having an affair with my secretary.
We had sex all afternoon.'

She looked down at his shoes and said:

'You lying bastard!
You've been playing golf!' 

13
I have a theory on what happened and sana wala naman magalit
> or ma-offend
> na parents dito, this is my theory lang naman based on the
> facts of the
> case:
>
> Hindi kaya yung anak nila ang nakabaril accidentally sa
> mama nya? Its
> possible na he was playing with the gun and he thought it
> was not
> loaded?
>
> The reason I thought of this is because of the ff:
>
> 1. I cannot think of any other reason as to why everyone in
> the
> household was willing to cover up what happened. Sa totoo
> lang, miski
> gaano ako ka-loyal sa boss ko o kahit sa kaibigan ko pa, di
> ko kaya
> magsinungaling para pagtakpan na mamatay tao sila.
> To the point na naglinis pa ang maid and nagpacarwash pa
> ang driver--
> isa lang ang naiisip kong dahilan. Naaawa sila sa bata.
>
> 2. Nakapasok pa si Ted sa show and being the professional
> newscaster
> that he is, if he received a phone call na nagkulong wife
> nya sa CR,
> puwede naman maghintay yun ng 20 minutes para matapos nya
> ang show,
> bakit sha nagmadaling umuwi? Hindi kaya anak nya ang
> tumawag or someone
> in the house and told him na nabaril ng anak nya yung mom?
>
> 3. Even ABS CBN is willing to do a media black out for him?
> Why would
> they do this if they did not know what really happened?
> Probably Ted
> told them the truth that the child did it. By 11 AM, Ted
> was in the
> hospital na and ABSCBN was calling the hospital looking for
> him, meaning
> they knew what happened and still they were willing to do a
> media
> black-out, I dont think its for Ted but I believe they did
> it for the
> kid.
>
> 4. Kasama ni Ted ang SISTER ng asawa nya sa car when they
> rushed the
> wife to the hospital at 11 AM, the sister seems to be in
> the house
> already when Ted arrived kasi the neighbor saw her with Ted
> and she was
> crying when they rushed to the hospital. If you were the
> sister, would
> you not scream at Ted at the hospital if Ted shot your
> sister like that?
> Why would you keep him company?
>
> 5. Noli De Castro said in the news "What happened is
> not what you think
> happened" meaning he knows everyone will point at TED
> as the gunman when
> in fact, it may be the kid.
>
> 6. The Letter-- as if a child wrote it and was saying sorry
> to the dad.
> Kaya may endless POdun sa letter. They might have added the
> MAMA at the
> end to make it look like a suicide note. Kung makikita nyo
> yung Mama sa
> dulo ng letter parang nanginig ang kamay nung nagsulat--
> baka inadd na
> lang kasi nila yun and wala dapat dun yung word na mama.
>
> 7. Negative si Ted Failon sa paraffin test, and all of the
> help and
> driver. This means wala sa kanila ang nagpaputok ng gun. He
> even said "
> I do not have to defend myself" regarding allegations
> na sha ang
> pumatay. He said "just ask my in laws" ibig
> sabihin alam nya na alam ng
> in laws nya na di sha ang pumatay. Kung ikaw ang pumatay,
> automatic alam
> mo pagdududahan ka ng in laws mo agad pero sha sigurado sha
> na
> ipagtatanggol sha ng in laws nya. Bakit? Kasi malamang alam
> nilang lahat
> sino ang aksidenteng nakabaril-
>
> 8. They placed the child out of the house when the police
> came, this is
> probably to protect him/her.
>
> 9. Everything happened sa room nung kid, if Ted shot her or
> if the mom
> killed herself, why there??? Puwede naman sa sarili nilang
> kuwarto, why
> pa sa room ng bata? I believe the kid accidentally shot the
> mom while
> the mom was in the kid's room. When the kid saw blood
> on her mom, he
> probably dragged her sa CR kasi di ba ang bata pag may
> sugat, automatic
> sinasabi natin we have to wash the wound so I believe the
> kid may have
> thought kailangan i-wash kaya andun yung body nung mom when
> Ted found
> her.

> This is what I believe really happened. Kung ako parent, I
> will also do
> this to protect my child kung ganun ang nangyari. Miski
> alam kong bawal
> linisin ang crime site, baka linisin ko na din nga para
> lang maprotect
> ko sha dahil mawawala na nga ang asawa ko, pati anak ko
> mawawala din.
> Hindi naman t**** si Ted para di nya malaman na bawal
> maglinis ng crime
> scene. The fact the full support sa kanya ang buong
> kasambahay at
> pamilya ng asawa means he must be innocent talaga and they
> are all
> protecting someone else--- the child.


     

14
MEET AND GREET / TGIF
« on: April 17, 2009, 01:00:30 PM »
 ;D

15
HEALTH WATCH / Drop 2 Pounds This Week
« on: April 07, 2009, 12:06:32 PM »
 
Want to shed some weight without the headache of calorie counting, measuring portions or giving up your fun foods? I did! And now it's your turn, by trying what has been working for more than a million other women: the SELF Challenge. As part of our 13th annual Challenge, we've created quick, fun ways to peel off pounds without getting woozy from starving yourself or spending your life at the gym. The key is to get your heart pounding so you lose the poundage.

Here’s the deal: Decide whether you want to lose 2 pounds a week or less (that may sound slow, but you can drop a size in a month this way and keep it off). Follow our free, easy eating plan and try to burn 500 calories per day for a total of 3,500 a week. Those shooting to lose a pound a week should aim to sizzle 250 calories per day (and 1,750 a week). To maintain your weight, focus on daily sweat sessions that burn 100 calories a day (or 700 calories off per week).

Whatever your goal, choose from the following workouts. (Pay attention to the effort level, using a scale from 1 to 10, where 1 is watching TV and 10 is installing a 100-pound plasma screen on the wall.) The smartest, most effective route to lasting weight loss is through exercise, so no matter which mix of workouts you choose, expect to see results within two weeks.

Activities to burn 500 calories:
• Walk 40 minutes at a level 8 on a hilly course (or crank up the incline on the treadmill).
• Do 36 minutes of running intervals: Jog for 1 minute at a level 5, sprint 1 minute at a level 9. Repeat 18 times.
• Take a 45-minute Spinning class.
• Dance to a good beat for 72 minutes at a level 7.
• Hit the elliptical machine for 60 minutes, doing intervals. Do 2 minutes at a level 8, then 1 minute at a level 5. Repeat 20 times.
• Swim freestyle for 50 minutes at a level 8.
• Use the rowing machine for 40 minutes, doing intervals: Go 8 minutes at a level 8, then 2 minutes at a level 4. Repeat 4 times.

16
Is your partner be your Very Special Love, or there is someone else that you really in love with.

Here is the link for the music video.

A Very Special Love(w/Lyrics)-Sarah Geronimo Official Music Video

17
BREAKING NEWS / Paranaque Shootout last Dec 2008!!!..Please Read
« on: April 02, 2009, 08:56:54 AM »
 Three months ago I considered myself as one of those
> blessed
> > and happiest people on earth. Why not? I married a guy
> who
> > was an epitome of kindness. A guy who worshipped even
> the
> > footsteps I made. More importantly, our union blessed
> us
> > with a daughter who not only became the main source of
> our
> > happiness….more so; she was the center of our lives.
> >
> >
> >
> > We’re simple folks who led a simple life. We felt
> the
> > happiest even about mundane things and inconsequential
> ones
> > that most people would only take for granted. Our joy
> mostly
> > revolved on simple pleasures like a sudden trip to
> Jollibee
> > or a late night marauding of the fridge for any
> leftovers. A
> > perfect family with simple delights, dreams and
> > aspirations………until that fateful night on
> December 5,
> > 2008.The day my husband and daughter were taken away
> from me
> > in a very violent way.. That Friday night on December
> 5, 2008
> > marked the beginning of all the terror, anguish and
> misery
> > in my life.
> >
> >
> >
> > In keeping with my ritual or “panata” on every
> first
> > Friday of every month, I went to Quiapo Church on the
> above
> > mentioned date to pay homage and respect to the
> Almighty
> > One. My husband and daughter were supposed to pick me
> up in
> > Pasay City after which we planned on giving our
> daughter a
> > treat to Jollibee. While riding the jeep, I tried to
> call my
> > husband to tell him that I was on my way to our
> meeting
> > place. But despite all the calls I made, my husband
> remained
> > silent. A very unusual occurrence inasmuch as he
> seldom
> > missed my calls. Despite my trepidation and wonder, I
> took
> > the next jeep going home and prayed that everything
> was
> > alright. I even promised to myself that I would
> forgive my
> > husband for not answering my calls and for forgetting
> to
> > pick me up.
> >
> >
> >
> > I felt relieved when near our place my phone rung.
> Such
> > relief was somehow only momentary….in fact the phone
> call
> > I got was the bearer of the worst news in my entire
> life..
> > My helper called, only to tell me that my husband and
> > daughter were shot to death by “men in uniform”.
> The
> > same men who were sworned to protect innocent people
> from
> > bad guys brutally slew the two most important persons
> in my
> > life. They were the same men whose sacred duty was to
> > preserve the lives of the public against all harm and
> > danger. Yet…….they were the same men who murdered
> my
> > love ones in the most cruel, savage and inhuman way.
> >
> >
> >
> > My husband’s face was unrecognizable because he was
> shot
> > in the head at close range while he was kneeling with
> his
> > head bowed down.. My daughter’s young body was
> riddled with
> > bullets, one hit her head, blowing her brains out..,
> all
> > from too powerful guns and ammunitions fired by the
> “men
> > in uniform” on two innocent and defenseless persons.
> >
> >
> >
> > The "men in uniform" were allegedly on a
> mission
> > to take some gang of robbers victimizing people at
> large.
> > The police shot the crosswind van my husband and
> daughter
> > were riding  Based on some witnesses' narration,
> the
> > police sprayed bullets into the van despite the lack
> of
> > provocation or shots coming from the  van. In his last
> > effort to save their lives, my husband grabbed my
> bloodied
> > daughter and shielded her with his body while trying
> to run
> > away from the police and tried to get cover from a
> parked
> > jeepney  My husband and daughter were so defenseless.
> How
> > can you mistake a child for a robber? How can you shot
> at
> > someone who was already kneeling with head bowed, an
> > indication of helplessness. .
> >
> >
> >
> > My husband and daughter are gone…….forever. The
> pain I
> > feel for their lost is too much too bear. And the only
> thing
> > that motivates me to go on with life is the mission to
> seek
> > justice for their senseless killing. If the people who
> are
> > responsible for their death will be punished, if I
> could
> > bring them the justice they so richly deserve, my pain
> would
> > be alleviated. The misery I will live by will be
> lessened.
> > My husband and daughter will be vindicated and I will
> learn
> > to live the remaining years of my life in peace.
> >
> >
> >
> > Thus: I’m asking and begging everyone who will come
> > across this letter/e-mail to forward the same to all
> your
> > relatives, friends, and acquaintances.  Help me bring
> my
> > cause to the eyes of the people capable of steering
> the
> > wheel of justice to the right direction. Help me make
> the
> > loudest cry worthy of attention by those people
> in-charge in
> > rendering justice to those who deserve it.
> >
> >
> >
> > Strength comes in numbers; it is where the impossible
> > becomes possible. It is also where the unattainable
> becomes
> > achievable..
> >
> >
> >
> > My heartfelt gratitude for everyone who will take a
> moment
> > in their too busy lives and forward this letter/e-mail
> to
> > everyone they know. May God always protect you and
> your love
> > ones from all harm.
> >
> >
> >
> > NOTE: So Sad everytime i catch bad news from Pinas....!!! :'( :'( :'(

18
DAILY QUOTES / Will He Ever Marry You?
« on: February 20, 2009, 02:15:14 PM »
Every woman knows how hard it is when she puts in serious time with a guy who refuses to commit... until he moves on to his next girlfriend, and then suddenly, he's springing for a rock. Single women assume that a guy will pop the question once he finds someone he's compatible with, i.e., The One.   That means that compatibility is hugely important. But if he's not in a marriage mindset yet, he's not going to commit to anyone... not even Gisele.

In fact, 81 percent of the married men surveyed by the National Marriage Project said one reason they decided to wed was because it was the right time to settle down.
"Of course, even if a guy is ready to walk down the aisle, he still needs to find the right person,"   "But he is more likely to meet her once he's in that marrying state of mind." To help us figure it all out,  Here are the five factors that make a man want to take the plunge.

Commitment Factor #1
The Capacity to Love. No matter how head-over-heels your guy is during the initial honeymoon period of the relationship, it doesn't mean he is ready to commit. A man might fall in love, which requires the capacity to idealize. That means thinking and feeling like his partner and the relationship are uniquely special, enabling him to ignore imperfections, which, in turn, makes him feel valued and special.
Loving, on the other hand, involves connecting with her and wanting to be with her for who she is, not who he'd like her to be.
While it might be difficult to decipher the difference between the two, one clue is the test of time. Falling in love happens early on in a relationship, when a couple barely knows each other. Once they become more intimate and learn more about each other's positive and negative traits and the initial love buzz is gone, a man who is only in love will lose interest. If he truly loves, he'll stay.
Another major telltale sign of real love is selflessness and the ability to care. Does your man make sacrifices for you? Is he able to put your wants and needs before his? Relationships are all about give and take, but love is more about giving.

Commitment Factor #2
Being Able to Accept Imperfection. Intellectually, we all know that there are no perfect people and, therefore, no perfect relationships. But it often takes maturity and dating experience to actually believe it.
Take a client of mine, who broke up with a wonderful woman simply because he thought he could do better. A year later, he met someone else, who was also great but far from perfect. After two years of dating, he decided to propose. If he had met her a few years earlier, he would have broken up with her too. But now, he realizes that this is as good as it gets, though it took him several relationships to finally understand that.
Having unrealistic expectations makes it impossible for a man to develop a close bond. If a guy who isn't ready starts getting too close to a woman, he'll look for imperfections, either consciously or subconsciously, to create distance between them and, ultimately, to give him a reason to break up with her.

Commitment Factor #3
He Truly Believes in Commitment. Even if a man tells you that he's in it for the long term, you won't really know the level of his staying power until you hit some rough patches. If he's not ready, he won't be able to handle the negative aspects of a relationship, and he'll either shut down -- and shut you out -- or bail. A man who is truly ready to bond will be willing to work with you to try to resolve whatever problems the two of you are having.

Commitment Factor #4
He's Sure He Can Be the Man. Even though stereotypical gender roles have loosened up and many men are no longer required to be the breadwinners, a lot of guys still worry, deep down, that they should be... and a lot of women still expect it. So if a guy feels that he can't live up to his -- or his partner's -- expectations, he might put off getting seriously involved to avoid feeling like he's not capable. It's a way for him to protect his ego.
According to the National Marriage Project, 47 percent of men agree that they wouldn't want to get married until they could afford to own a home, and 40 percent would want to be able to afford a nice wedding.

Commitment Factor #5
He's Tired of Playing Around. While there's no specific age at which single men are ready to marry (nor do they all mature at the same rate), after a while, going from one superficial relationship to another begins to lose its allure, and they crave a deeper kind of bond with someone.
The Art of the Ultimatum: Three times when it might pay to nudge him a bit
1. He Has a Legit Excuse. If you really think the two of you click but he's stalling because he's temporarily focused on something else, like finishing grad school, give him a firm deadline (e.g., till he reaches his goal).
2. He Needs to Rethink His Priorities. Say he's a jock and you hate sports, but he wishes you had that in common. Is it so important to him that he's willing to risk losing you? (Note: If the answer is yes, you don't want him anyway.)
3. He's Chronically Indecisive. Some guys are reluctant because they can't make a decision. He's not afraid of committing to you; he's just afraid of committing. If that sounds like your man, he might need prodding to get off the proverbial fence. Just tell him that you want him to be in your life, but if he can't make a decision in the next couple of months, you'll have to move on. Warning: If you issue an ultimatum, you better be prepared to stick to it.



Search, search and search until you succeed!!!

19
HEALTH WATCH / Soy and Weight Loss: Hype or Hope?
« on: February 19, 2009, 10:54:04 AM »
Soy and Weight Loss: Hype or Hope? 
 

Some dietitians I know were recently discussing several new books on the vegetarian lifestyle, and our discussion quickly turned to the role of soy and whether it could be the answer to lasting weight loss.

Is this whole soy-helps-you-lose-weight thing just hype, or is there something to it?

A review of recent studies published in the Journal of the American Dietetic Association looked specifically at soy and weight loss. The author of this review article, Mark Cope, Ph.D., has done several studies on soy himself, some of which found that soy foods may boost the loss of weight and fat when it's part of a lower-calorie meal plan.

Why? Well, for one thing, soy is lower in fat and calories than animal sources of protein such as red meat. Soy was also found to help prevent or lower one's chances of getting blood sugar problems and heart disease. In addition, soy minimizes the bone loss often seen during rapid weight loss. Although the authors in one of the research studies noted some limitations in their studies, such as not controlling for other protein sources, their findings suggest that soy can play a role in preventing disease and losing weight.

Okay, say you've heard all of this and have decided to give soy a try, or you've decided to make it a bigger part of your meal plan. 



Always SEXercise as part of your Indoor Activity!!!...LOL ..

20
HEALTH WATCH / Sexual Problem Overview
« on: November 20, 2008, 02:48:04 PM »
Definition
Sexual problems are defined as difficulty during any stage of the sexual act (which includes desire, arousal, orgasm, and resolution) that prevents the individual or couple from enjoying sexual activity.

Information
Sexual difficulties may begin early in a person's life, or they may develop after an individual has previously experienced enjoyable and satisfying sex. A problem may develop gradually over time, or may occur suddenly as a total or partial inability to participate in one or more stages of the sexual act. The causes of sexual difficulties can be physical, psychological, or both.

Emotional factors affecting sex include both interpersonal problems and psychological problems within the individual. Interpersonal problems include marital or relationship problems, or lack of trust and open communication between partners. Personal psychological problems include depression, sexual fears or guilt, or past sexual trauma.

Physical factors contributing to sexual problems include:

Drugs, such as alcohol, nicotine, narcotics, stimulants, antihypertensives (medicines that lower blood pressure), antihistamines, and some psychotherapeutic (drugs that treat psychological problems such as depression) drugs
Injuries to the back
An enlarged prostate gland
Problems with blood supply
Nerve damage (as in spinal cord injuries)
Disease (diabetic neuropathy, multiple sclerosis, tumors, and, rarely, tertiary syphilis)
Failure of various organs (such as the heart and lungs)
Endocrine disorders (thyroid, pituitary, or adrenal gland problems)
Hormonal deficiencies (low testosterone, estrogen, or androgens)
Some birth defects
Sexual dysfunction disorders are generally classified into 4 categories: sexual desire disorders, sexual arousal disorders, orgasm disorders, and sexual pain disorders.

Sexual desire disorders (decreased libido) may be caused by a decrease in the normal production of estrogen (in women) or testosterone (in both men and women). Other causes may be aging, fatigue, pregnancy, and medications -- the SSRI anti-depressants which include fluoxetine (Prozac), sertraline (Zoloft), and paroxetine (Paxil) are well known for reducing desire in both men and women. Psychiatric conditions, such as depression and anxiety, can also cause decreased libido.

Sexual arousal disorders were previously known as frigidity in women and impotence in men. These have now been replaced with less judgmental terms. Impotence is now known as erectile dysfunction, and frigidity is now described as any of several specific problems with desire, arousal, or anxiety.

For both men and women, these conditions may appear as an aversion to, and avoidance of, sexual contact with a partner. In men, there may be partial or complete failure to attain or maintain an erection, or a lack of sexual excitement and pleasure in sexual activity.

There may be medical causes for these disorders, such as decreased blood flow or lack of vaginal lubrication. Chronic disease may also contribute to these difficulties, as well as the nature of the relationship between partners. As the success of Viagra attests, many erectile disorders in men may be primarily physical, not psychological conditions.

Orgasm disorders are a persistent delay or absence of orgasm following a normal sexual excitement phase. The disorder occurs in both women and men. Again, the SSRI antidepressants are frequent culprits -- these may delay the achievement of orgasm or eliminate it entirely.

Sexual pain disorders affect women almost exclusively, and are known as dyspareunia (painful intercourse) and vaginismus (an involuntary spasm of the muscles of the vaginal wall, which interferes with intercourse). Dyspareunia may be caused by insufficient lubrication (vaginal dryness) in women.

Poor lubrication may result from insufficient excitement and stimulation, or from hormonal changes caused by menopause, pregnancy, or breast-feeding. Irritation from contraceptive creams and foams may also cause dryness, as can fear and anxiety about sex.

It is unclear exactly what causes vaginismus, but it is thought that past sexual trauma such as rape or abuse may play a role. Another female sexual pain disorder is called vulvodynia or vulvar vestibulitis. In this condition, women experience burning pain during sex which may be related to problems with the skin in the vulvar and vaginal areas. The cause is unknown.

Sexual dysfunctions are more common in the early adult years, with the majority of people seeking care for such conditions during their late 20s through 30s. The incidence increases again in the geriatric population, typically with gradual onset of symptoms that are associated most commonly with medical causes of sexual dysfunction.

Sexual dysfunction is more common in people who abuse alcohol and drugs. It is also more likely in people suffering from diabetes and degenerative neurological disorders. Ongoing psychological problems, difficulty maintaining relationships, or chronic disharmony with the current sexual partner may also interfere with sexual function.

PREVENTION

Open, informative, and accurate communication regarding sexual issues and body image between parents and their children may prevent children from developing anxiety or guilt about sex, and may help them develop healthy sexual relationships.

Review all medications, both prescription and over-the-counter, for possible side effects that relate to sexual dysfunction. Avoiding drug and alcohol abuse will also help prevent sexual dysfunction.

Couples who are open and honest about their sexual preferences and feelings are more likely to avoid some sexual dysfunction. One partner should, ideally, be able to communicate desires and preferences to the other partner.

People who are victims of sexual trauma, such as sexual abuse or rape at any age, are urged to seek psychiatric advice. Individual counseling with an expert in trauma may prove beneficial in allowing sexual abuse victims to overcome sexual difficulties and enjoy voluntary sexual experiences with a chosen partner.

SYMPTOMS

Men or women:
Lack of interest in sex (loss of libido)
Inability to feel aroused
Pain with intercourse (much less common in men than women)
Men :
Inability to attain an erection
Inability to maintain an erection adequately for intercourse
Delay or absence of ejaculation, despite adequate stimulation
Inability to control timing of ejaculation
Women:
Inability to relax vaginal muscles enough to allow intercourse
Inadequate vaginal lubrication before and during intercourse
Inability to attain orgasm
Burning pain on the vulva or in the vagina with contact to those areas
CALL YOUR HEALTH CARE PROVIDER IF...

Call for an appointment with your health care provider if sexual problems persist and are a concern.

SIGNS AND TESTS

Specific physical findings and testing procedures depend on the form of sexual dysfunction being investigated. In any case, a complete history and physical examination should be done to:

Identify predisposing illness or conditions
Highlight possible fears, anxieties, or guilt specific to sexual behaviors or performance
Uncover any history of prior sexual trauma
A physical examination of both the partners should include the whole body and not be limited to the reproductive system.

TREATMENT

Treatment depends on the cause of the sexual dysfunction. Medical causes that are reversible or treatable are usually managed medically or surgically. Physical therapy and mechanical aides may prove helpful for some people experiencing sexual dysfunction due to physical illnesses, conditions, or disabilities.

For men who have difficulty attaining an erection, the medication sildenafil (Viagra), which increases blood flow to the penis, may be very helpful, though it must be taken 1 to 4 hours prior to intercourse.

Men who take nitrates for coronary heart disease should not take sildenafil. Mechanical aids and penile implants are also an option for men who cannot attain an erection and find sildenafil isn't helpful.

Women with vaginal dryness may be helped with lubricating gels, hormone creams, and -- in cases of premenopausal or menopausal women -- with hormone replacement therapy. In some cases, women with androgen deficiency can be helped by taking testosterone.

Vulvodynia can be treated with testosterone cream, with use of biofeedback and with low doses of some antidepressants which also treat nerve pain. Surgery has not been successful.

Behavioral treatments involve many different techniques to treat problems associated with orgasm and sexual arousal disorders. Self-stimulation and the Masters and Johnson treatment strategies are among the many behavioral therapies used.

Simple, open, accurate, and supportive education about sex and sexual behaviors or responses may be all that is required in many cases. Some couples may benefit from joint counseling to address interpersonal issues and communication styles. Psychotherapy may be required to address anxieties, fears, inhibitions, or poor body image.

PROGNOSIS AND OUTCOME

The prognosis (probable outcome) depends on the form of sexual dysfunction. In general, the probable outcome is good for physical dysfunctions resulting from treatable or reversible conditions. It should be noted, however, that many organic causes do not respond to medical or surgical treatments.

In functional sexual problems resulting from either relationship problems or psychological factors, the prognosis may be good for temporary or mild dysfunction associated with temporary stress or lack of accurate information. However, those cases associated with chronically-poor relationships or deep-seated psychiatric problems typically do not have positive outcomes.

COMPLICATIONS

Some forms of sexual dysfunction may cause infertility.

Persistent sexual dysfunction may cause depression in some individuals. The importance of the disorder to the individual (and couple, when applicable) needs to be determined. Sexual dysfunction that is not addressed adequately may lead to conflicts or potential breakups

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