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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 />
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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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• 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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