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8 Wednesday 5 July 2017 THE NAMIBIAN THE NAMIBIAN<br />

HeartBeat<br />

Wednesday 5 July 2017<br />

9<br />

Making a Difference.<br />

www.erongomed.com<br />

No. 6 Copper Street, Prosperita, Windhoek,<br />

Tel: +264 61 296 5900, Email: info@erongomed.com<br />

Opinion<br />

Vaginal Infections<br />

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The risk factors of prostate cancer are a high-fat<br />

diet, being overweight, and obesity, smoking, family<br />

history and high alcohol intake. These are the reasons<br />

we should be more concerned about prostate cancer.<br />

This is the most common cancer amongst men in<br />

Namibia, and in the beginning of the cancer, there are<br />

no signs and symptoms. But when the prostate gland<br />

enlarges, the patient will experience symptoms.<br />

– Rolf Hansen<br />

Ejaculation and<br />

prostate cancer myth<br />

• NOMHLE<br />

KANGOOTUI<br />

EVER come across the scare<br />

story about how if you don’t<br />

ejaculate 21 times a month,<br />

you’ll develop prostrate cancer?<br />

Well, it’s not true, according<br />

to medical experts spoken<br />

to this week for this column.<br />

According to Dr Emmanuel<br />

Johnson, a urological<br />

surgeon at Lady Pohamba<br />

Private Hospital and Windhoek<br />

Central Hospital, the<br />

ejaculation story is a myth.<br />

“In the past, we used to<br />

think that was the case. But<br />

with new and improved studies,<br />

there is no evidence that<br />

if you don’t ejaculate, you are<br />

most likely to get prostate<br />

cancer,” Johnson said.<br />

However, Johnson said<br />

regular sex was good for<br />

one’s health, physically<br />

and mentally, and that<br />

it can reduce stress,<br />

the risk of developing<br />

cancer and improve the<br />

heart condition.<br />

The chief executive<br />

officer of the Cancer Association<br />

of Namibia, Rolf<br />

Hansen, said there were<br />

many myths around cancer<br />

and related illnesses.<br />

“The risk factors of prostate<br />

cancer are a high-fat<br />

diet, being overweight, and<br />

obesity, smoking, family<br />

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Dr Emmanuel Johnson<br />

history and high alcohol intake. These are the<br />

reasons we should be more concerned about<br />

prostate cancer. This is the most common cancer<br />

amongst men in Namibia, and in the beginning<br />

of the cancer, there are no signs and symptoms.<br />

But when the prostate gland enlarges, the patient<br />

will experience symptoms,” Hansen explained.<br />

He said some of the symptoms entail having<br />

problems with starting or stopping urinating,<br />

not being able to urinate, needing to urinate<br />

often, and pain or a burning sensation during<br />

urination.<br />

“There is also difficulty having an erection.<br />

You also get a feeling of heaviness in the scrotum.<br />

Some of the signs are blood in the urine or<br />

semen, and frequent pain in the lower back, hips<br />

or upper thighs, amongst others,” said Hansen.<br />

Fast facts<br />

What happens to sperm if I don’t have sex<br />

or masturbate?<br />

The body can happily cope with unused<br />

sperm, with no impact on fertility or sex drive.<br />

If it doesn’t come out in a wet dream, the body<br />

will absorb what it doesn’t use or need.<br />

What happens if a man doesn’t ejaculate<br />

for years?<br />

Not much. The testes are self-regulating. If<br />

there is no demand for sperm, the testes will<br />

stop making them until you ejaculate.<br />

If you don’t ejaculate for a long time, you<br />

may (or may not) have a ‘nocturnal emission’<br />

– “involuntary ejaculation’ that happens during<br />

sleep.<br />

Most of the volume of ejaculation comes from<br />

fluids from the prostate gland, not the testes.<br />

Black men have the highest rate of prostate<br />

cancer in the world.<br />

Prostate cancer occurs primarily in older men.<br />

Nearly two-thirds of men diagnosed with<br />

prostate cancer are 60 or older.<br />

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Email: sales@namibian.com.na<br />

• CHRIS OYAGA<br />

DISORDERS of the vagina caused<br />

by infections present discomforting<br />

symptoms like vaginal discharge, a bad<br />

smell, painful urination, painful sexual<br />

intercourse and itching, among others.<br />

Some of these symptoms may be<br />

chronic and very frustrating to the patients<br />

and their quality of life is generally<br />

lowered. They feel uncomfortable when<br />

they are in public because of a presumed<br />

smell which other people are often not<br />

aware of.<br />

This could reduce a woman’s interest<br />

in social gatherings.<br />

Vaginal infections can affect females<br />

of all ages although they are not as common<br />

in pre-pubertal girls and post-menopausal<br />

women as they are in sexually<br />

active women. Frequencies are higher in<br />

women with frequent sexual intercourse<br />

than their inactive counterparts.<br />

In this article we are going to have<br />

an overview of the types of vaginal<br />

infections, their causes, signs and<br />

symptoms, the risk factors involved.<br />

By the end we shall also understand<br />

which of these infections, by nature<br />

of the prevailing symptoms, are treatable<br />

with over-the-counter (OTC)<br />

medications or require a visit to the<br />

doctor.<br />

We should also be able to differentiate<br />

between those that are sexually<br />

transmitted and the ones that are not<br />

acquired through sexual intercourse.<br />

Complications that may be caused by<br />

some of these infections will also be<br />

mentioned here.<br />

Types of Vaginal Infections:<br />

They can be categorised into bacterial<br />

infections, trichomonas (protozoa)<br />

infections and yeast (candida)<br />

infections. It is possible to have a<br />

combination of these infections in a<br />

single episode.<br />

Causes, Symptoms, Risk<br />

factors and management<br />

of Vaginal Infections:<br />

1. Bacterial Vaginosis<br />

Bacterial vaginosis is caused by<br />

an excessive growth of the resident<br />

bacteria (normal flora) in the vagina.<br />

Normally there are both good and bad<br />

bacteria in the vagina which must<br />

exist in balance. But if the balance<br />

is upset, then the overgrowth of the<br />

bad bacteria will result into a bacterial<br />

vaginal infection.<br />

Most experts are not sure what<br />

causes the imbalance between the<br />

good and bad bacteria, but it is<br />

believed that a woman’s risk of getting<br />

bacterial vaginosis increases if,<br />

among others:<br />

• She smokes<br />

• She douches or uses scented<br />

vaginal preparations<br />

• She has more than one sex partner,<br />

• She has been on a broad-spectrum<br />

antibiotic course<br />

• She has other infections<br />

• She has diabetes mellitus<br />

• She has a shorter distance between<br />

her anus and vagina.<br />

It affects both the sexually active<br />

and sexually inactive women. The infection<br />

may not show any symptoms<br />

although in most cases it manifests in<br />

a fishy smelling vaginal discharge.<br />

This infection is usually mild and<br />

may clear in a few days, but it should<br />

be properly diagnosed and treated by a<br />

doctor (no effective OTC remedy) since it<br />

may lead to the following complications:<br />

• Preterm labour (miscarriages)<br />

• Pelvic inflammatory diseases (which<br />

may consequently lead to infertility)<br />

It also increases a woman’s chances<br />

of getting HIV.<br />

2. Trichomonas<br />

(Protozoa) infections.<br />

This is a sexually acquired infection<br />

that frequently occurs together with<br />

gonorrhea and chlamydia trachomatis.<br />

Trichomoniasis is the most common<br />

sexually transmitted infection. Because<br />

it causes inflammation of the vagina<br />

lining, this infection increases one’s<br />

risk of getting HIV and other sexually<br />

transmitted infections (STIs).<br />

It presents with a great quantity of<br />

yellowish, pus containing, frothy and<br />

sometimes a foul-smelling vaginal discharge.<br />

However, the majority of patients<br />

as well as their male counterparts are<br />

asymptomatic.<br />

This infection, like all other STIs,<br />

should be diagnosed and treated by a<br />

doctor who may have to treat your male<br />

partner(s) as well. No OTC medicine is<br />

appropriate for its treatment.<br />

3. Yeast (Candida) Infections<br />

Also known as vaginal thrush, yeast<br />

infections affect the majority of women<br />

(approximately more than 75%) at least<br />

once in their lifetime.<br />

It is not classified as a sexually transmitted<br />

infection.<br />

Candida albicans is normally present<br />

in the gastro-intestinal tract and<br />

vagina but it overgrows and becomes<br />

problematic when there is a disruption<br />

of the normal flora or a defect in one’s<br />

immune system.<br />

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