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Vasospasm of the Nipple
Vasospasm of the Nipple A spasm of blood vessels (vasospasm) in the nipple can result in nipple and/or breast pain, particularly within 30 minutes after a breastfeeding or a pumping session. It usually happens after nipple trauma and/or an infection. Vasospasms can cause repeated disruption of blood flow to the nipple. Within seconds or minutes after milk removal, the nipple may turn white, red, or purple, and a burning or Community stabbing pain is felt. Occasionally women feel a tingling sensation or itching. As the Breastfeeding nipple returns to its normal color, a throbbing pain may result. Color change is not Center always visible. 5930 S. 58th Street If there is a reason for nipple damage (poor latch or a yeast overgrowth), the cause (in the Trade Center) Lincoln, NE 68516 needs to be addressed. This can be enough to stop the pain. Sometimes the (402) 423-6402 vasospasm continues in a “vicious” cycle, as depicted below. While the blood 10818 Elm Street vessels are constricted, the nipple tissue does not receive enough oxygen. This Rockbrook Village causes more tissue damage, which can lead to recurrent vasospasm, even if the Omaha, NE 68144 (402) 502-0617 original cause of damage is “fixed.” For additional information: (Poor Latch or Inflammation) www ↓ Tissue Damage ↙ ↖ Spasm of blood vessels → Lack of oxygen to tissues To promote improved blood flow and healing of the nipple tissue: • See a lactation consultant (IBCLC) or a breastfeeding medicine specialist for help with latch and/or pumping to reduce future nipple damage. • When your baby comes off your nipple, or you finish a pumping session, immediately cover your nipple with a breast pad or a towel to keep it warm and dry. -
Sexuality Education for Mid and Later Life
Peggy Brick and Jan Lunquist New Expectations Sexuality Education for Mid and Later Life THE AUTHORS Peggy Brick, M.Ed., is a sexuality education consultant currently providing training workshops for professionals and classes for older adults on sexuality and aging. She has trained thousands of educators and health care professionals nationwide, is the author of over 40 articles on sexuality education, and was formerly chair of the Board of the Sexuality Information and Education Council of the United States (SIECUS). Jan Lunquist, M.A., is the vice president of education for Planned Parenthood Centers of West Michigan. She is certified as a sexuality educator by the American Association of Sex Educators, Counselors, and Therapists. She is also a certified family life educator and a Michigan licensed counselor. During the past 29 years, she has designed and delivered hundreds of learning experiences related to the life-affirming gift of sexuality. Cover design by Alan Barnett, Inc. Printing by McNaughton & Gunn Copyright 2003. Sexuality Information and Education Council of the United States (SIECUS), 130 West 42nd Street, New York, NY 10036-7802. Phone: 212/819-9770. Fax: 212/819-9776. E-mail: [email protected] Web site: http://www.siecus.org 2 New Expectations This manual is dedicated to the memory of Richard Cross, M.D. 1915-2003 “What is REAL?” asked the Rabbit one day, when they were lying side by side near the nursery fender before Nana came to tidy the room. “Does it mean having things that buzz inside you and a stick-out handle?” “Real isn’t how you are made,” said the Skin Horse. -
A Chancre of Primary Syphilis on the Nipple
The great imitator strikes: a chancre of primary syphilis on the nipple Falon V. Brown, DO 1, Mikél E. Muse, OMS IV2, James Appel, MD, FAAD1, Warren White, MD3 1Department of Dermatology; Campbell University School of Osteopathic Medicine, Buies Creek, NC | Sampson Regional Medical Center, Clinton, NC. 2Virginia College of Osteopathic Medicine, Blacksburg, VA 3Department of Dermatopathology; Coastal Carolina Pathology, Wilmington, NC Abstract Case Description Discussion Syphilis, the “great imitator,” presents with a wide range of § Past medical history: Gout mucocutaneous and systemic findings. The primary chancre • According to the CDC, there has been a drama4c increase in § Family medical history: Breast cancer (mother) the incidence of primary and secondary syphilis in the U.S. classically occurs in the genital region, however up to 6.33% • Physical exam: Erythematous, ulcerated, plaque with can be extragenital. Among the extragenital chancres • In 2016, a total of 27,814 cases reported 8.7 cases serosanguinous drainage and crusting at the 12 o’clock per 100,000 popula4on spanning equally across all reported in the literature, very few occurred on the breast, position of nipple. Tenderness with palpation noted. No and of these cases only 5% occurred in men. A 43-year-old regions of the country. palpable axillary or supraclavicular lymphadenopathy • An increase of 17.6% compared to 2015 healthy man visited our clinic complaining of drainage from noted. No penile ulceration was found. the right nipple for one month. Exam was notable for a • An increase of 74.0% compared to 2012 • Differential diagnosis: Nipple eczema, erosive • Ini4ally, increase in incidence was associated with men poorly defined, scaly erythematous plaque on the areola with a superficial erosion of the nipple. -
Breast & Nipple Orgasms 101
Breast & Nipple Orgasms 101: Embody Deeper Sensuality, Pleasure & Orgasmic Ecstasy through breast, heart & nipple awakening. WELCOME TO BREAST & NIPPLE ORGASMS! In this bonus module you'll uncover the true pleasure, sexual energy and orgasmic potential of your breasts and nipples. You'll discover techniques for pleasuring your breasts, awakening sensuality and feminine power PLUS how to stimulate your nipples and breasts to orgasm. You'll learn a Tantric Breast & Heart breathing technique, powerful Nipple Activation Meditation and how to penetrate the heart and soul of your partner or others through your devotional erotic love, sensuality and orgasmic power. YOUR BREASTS ARE THE FORCE FOR WHICH YOU PENETRATE THE WORLD & YOUR LOVER(S) HEART WITH YOUR DEVOTION, LOVE, PASSION & SEXUAL ENERGY THE BREAST & PUSSY CONNECTION There is an energetic channel that runs directly from the positive & penetrative pole in your breasts down to your vagina, the negative & receptive pole. Our breasts have a deep connection with our heart and with our pussy so the more you open, stroke and massage your breasts, the more you open your heart and your pussy. During sex a man penetrates, warms and softens a woman’s negative pole with his cock. She receives this cock energy in her vagina and raises it up her spine, transmuting it not only in her vagina, but in her heart, and through her breasts she penetrates her man’s heart with her breasts and heart. (S)He receives this love and warmth in his chest and heart, which flows down his spine into his cock only to be sent like an infinite loop of electrical current and energy between them. -
Details of the Available Literature on Sex for Induction of Labour
Appendix 1: Details of the available literature on sex for induction of labour At term, nipple and genital stimulation have been advocated as a way of naturally promoting the release of endogenous oxytocin. 1 In 2005, a Cochrane Review examined the evidence for breast stimulation as a method for inducing labour and found six trials of 719 women, showing a decrease in the number of women not in labour at 72 hours with nipple stimulation compared with no intervention. 2 However, this finding was only significant among women who already had a favourable Bishop score (a cervical assessment used to predict the success of achieving a vaginal delivery). When breast stimulation was compared with intravenous oxytocin in the review, there was no difference in rates of cesarean delivery, number of women in labour at 72 hours or rates of meconium staining. However, the included studies did not look at time to vaginal delivery as an outcome. Overall, nipple stimulation seems to have minimal or no effect for women with an unripe cervix, but may be helpful for inducing labour in those with a ripe cervix. Few studies have looked at the role of intercourse as a cervical-ripening technique. However, prostaglandin concentrations have been shown to be 10 to 50 times higher in the cervical mucous of pregnant women two to four hours after intercourse, compared with concentrations before intercourse. 3 In a study of 47 women who had sex at term compared with 46 who abstained, there was no significant difference in Bishop scores. On average, the sexually active group delivered four days earlier, which was not considered clinically significant. -
Molluscum Contagiosum of the Areola and Nipple: Case Report and Literature Review
UC Davis Dermatology Online Journal Title Molluscum contagiosum of the areola and nipple: case report and literature review Permalink https://escholarship.org/uc/item/4tv4m3tf Journal Dermatology Online Journal, 19(7) Authors Hoyt, Brian S. Tschen, Jaime A. Cohen, Philip R. Publication Date 2013 DOI 10.5070/D3197018965 License https://creativecommons.org/licenses/by-nc-nd/4.0/ 4.0 Peer reviewed eScholarship.org Powered by the California Digital Library University of California Volume 19 Number 7 July 2013 Photo Vignette Molluscum contagiosum of the areola and nipple: case report and literature review Brian S. Hoyt BS1, Jaime A. Tschen MD 2, Philip R. Cohen MD3 Dermatology Online Journal 19 (7): 14 1Medical School, University of Texas Medical School at Houston, Houston, TX, 2St. Joseph Dermatopathology, Houston, TX, 3Department of Dermatology, University of California San Diego, San Diego, CA Correspondence: Philip R. Cohen, MD 10991 Twinleaf Ct. San Diego, CA 92131-3643 713-628-5143 [email protected] Brian S. Hoyt, BS 360-739-2497 [email protected] Abstract Molluscum contagiosum is a common cutaneous infection caused by a double-stranded DNA poxvirus. Skin lesions classically present as small, flesh-colored papules with central umbilication. Lesions are frequently seen on the face, trunk, and extremities of children, or on the genitals of young adults as a sexually transmitted infection. Molluscum contagiosum on the nipple or areola has only been previously described in 4 women. We describe a woman with molluscum contagiosum on the left areola and review the clinical characteristics and histological findings of patients who developed molluscum contagiosum of the nipple or areola. -
Preparing to Breastfeed Ome Women Wonder What They Need to Do • Room for Expansion
Preparing to Breastfeed ome women wonder what they need to do • Room for expansion. Your breasts may go up a full cup during pregnancy to prepare for breastfeeding. size when your milk comes in. Actually, your body knows what to do. Lactation • Breathable fabrics are best while breastfeeding. S(milk production) naturally follows pregnancy. The • Consider buying only 1 or 2 bras during the final hormones produced during pregnancy prepare your weeks of pregnancy and waiting until a couple of breasts to make milk once your baby is born. The best weeks postpartum to add more to your wardrobe. preparation, and what most women need in order (A gift certificate for a new bra makes a great shower to breastfeed effectively, is accurate information and gift.) Many mothers-to-be like to know that their someone to provide support and encouragement. breast size will settle into a moderately larger size after about three months. During Pregnancy At one time a great deal of emphasis was placed on Concerns About Nipple Size or Shape preparing your nipples during pregnancy. However, it is In order for the baby to suck effectively, he needs to now recognized that correct positioning and latch-on draw your nipple far back into his mouth. Babies can of the baby in the early days is the best prevention for breastfeed effectively with a large variety of nipple nipple soreness. So what shapes. The nipple is only a part of the breast called the should you expect before nipple-areola complex. The softness and stretchiness the baby is born? of the tissue just behind the nipple is actually more • Your breasts will likely important than the nipple shape. -
A Guide for Teaching About Adolescent Sexuality and Reproductive Health
CHRISTIAN FAMILY LIFE EDUCATION: A Guide for Teaching about Adolescent Sexuality and Reproductive Health Written by Shirley Miller for Margaret Sanger Center International © 2001 ~ This guide was written especially for Christians and others who value the importance of talking comfortably and effectively with young people and adults about issues related to healthy sexuality and reproductive health. It provides state of the art information on a variety of topics related to human sexuality, gender, adolescents, growth and development, parenting, domestic violence, STIs, HIV/AIDS, sexual abuse, substance abuse, conflict resolution, goal setting and other important life issues. ~ Margaret Sanger Center International, Copyright 2001 2 CONTENTS Page PREFACE..............................................................................................9 INTRODUCTION: Why Christian Family Life Education? .............10 Important Issues Concerning Adolescents.....................................13 PART ONE: CHRISTIAN FAMILY LIFE EDUCATION About This Guide..................................................................................16 Objectives of the Christian Family Life Education Programme............18 Characteristics of an Effective Christian Family Life Educator ...........20 Providing Support for Parents ..............................................................22 Communicating with Young People about Sex....................................23 Clarifying Values ..................................................................................25 -
Sexual Anatomy
anatomy • Vulva includes Labia Minora, Majora, Clitoris, Vestibule (area around the opening) • Many shapes and sizes of labia- normal • Urethral opening- can be inside vagina, or just above opening • Perineum- space between vaginal opening and the anal opening Perineum • G-Spot- front wall just inside the vagina- concentration of nerve endings • Sexual Pleasure can be derived from pressure or stimulation to the: Clitoral area (bigger than just the glans) G-Spot G Spot Perineum Labia Nipples and breasts • Glans – tip of the penis • Penile shaft- length of the penis- erectile tissue G Spot • Scrotum- soft sac holds the testicle • Perineum- space behind the scrotum and in front of the anal opening Perineum • G-Spot- behind the prostate www.PelvicHealthWellness.com MASTURBATION, FOREPLAY, and orgasm 40-60% of women masturbate, while 90-95% of men masturbate. It is reported that only 30% of women can have a vaginal orgasm…. Journal of Sex Research reported 80% heterosexual women fake orgasm during intercourse 50% of the time. 25% of women fake every time. 10-15% of women have never had an orgasm. I think we can unlock the potential for our own pleasure by understanding the anatomy, erogenous zones, and engaging our pelvic floor! Starts with knowing your body and exploring what makes you feel good. Masturbation: By knowing what makes you feel good, you can then tap into your own orgasm and teach your partner what feels good. Study the anatomy, use some lubrication and a small vibrator and explore. There are many instructional videos on YouTube and on some adult film websites. -
Issues of Sex and Sexuality: Reflections on Persons with Disabilities
IOSR Journal Of Humanities And Social Science (IOSR-JHSS) Volume 22, Issue 6, Ver. 7 (June. 2017) PP 58-63 e-ISSN: 2279-0837, p-ISSN: 2279-0845. www.iosrjournals.org Issues of Sex and Sexuality: Reflections on Persons with Disabilities. Dhemba Ishmael1, Dhemba Regina2 1Lecturer – Southern Africa Nazarene University (SANU) - (Special and Inclusive Education Department) – Swaziland. 2Trainer – EduGate Training Centre – Swaziland. Abstract: Realities of Sex and sexuality show that this is a subject that has been talked about in harsh tones, especially in some greater parts of African communities. Having or not having sex, sex is a term that is well known, yet it has been given very little attention when it comes to serious public discussions and debates. One of the reasons being that it is still rather a taboo, in African traditional and modern communities, alike, to publicly discuss sex related topics since they are loosely connected to genitalia or bedroom activity. While sexuality, as a term that generally defines capacity for sexual feelings, includes those body parts not commonly discussed, it has to be known that, the term is constitutive of all which define who we are, in terms of the way we behave and/or react like: speak, smile, laugh, dress, or generally carry ourselves as expressed through gait or posture of standing, sitting or walking. So, whether we talk about it, shun or refrain from the topic or subject, we still remain influential on the sexuality of others, especially our children, inclusive of those with disabilities. It is for that reason that there is need to openly talk about sex and sexuality related issues. -
Quick Reference Chart for Clinical Breast Examination Normal Breast Lump Change in Volume/Shape
Quick reference chart for clinical breast examination Clinical breast examination (CBE) Normal breast includes careful history-taking, visual inspection, palpation of both breasts, arm pits and root of the neck as well as educating women on breast self- examination and awareness, particularly on breast lumps. History-taking should include the following: 123 456age at menarche, marital status, parity, Normal female breasts: Note Lateral view of normal female breasts: Note Normal female breasts: Note Normal nippple Inverted nipple, horizontal age at first child birth, history of lactation similar size and shape, similar size and shape, nipples at the same similar size and shape, nipples and areola slit is a normal variation. It and breast-feeding, age at menopause, nipples at the same level, level, normal nipples, areola and skin at the same level, normal should not be diagnosed family history of breast and ovarian normal nipples, areola and nipples, areola and skin as retracted nipple as skin there is no underlying cancers in first degree relatives (mother, lump or other sign of sisters, aunts, grandmothers), history and breast cancer duration of oral contraceptive use, hormone replacement therapy (HRT), Lump treatment for infertility and tobacco use. After taking history, both breasts should be visually inspected, both in the sitting and lying down positions and with arms down and up, for any of the following: swelling, lumps, changes in size and shape, skin dimpling, skin retraction, skin thickening, 789101112skin nodules, skin ulceration, the level of Single, painless, hard lump in Single, painless, hard lump Painless, hard lump in the upper outer quadrant of the left Lobulated hard Large, lobulated hard both nipples, retraction of either nipple, the lower outer quadrant of in the lower quadrants of breast with restricted mobility. -
Non-Genital Orgasms Barry R
Sexual and Relationship Therapy 2012, iFirst article, 1–17 Non-genital orgasms Barry R. Komisaruka* and Beverly Whippleb aDepartment of Psychology, Rutgers University, Newark, USA; bProfessor Emerita, Rutgers University, Newark, USA (Received 6 December 2011; final version received 7 December 2011) Evidence from research and other sources is cited of orgasms elicited by imagery, stimulation of nipple, lips, mouth, anus, rectum, prostate and other body regions, in phantom limbs, during sleep, in response to brain and spinal cord stimulation, during childbirth, modulated by, and in response to, certain drugs and in relation to epileptic seizures. A concept of generalized neurological orgasmic processes involving recruitment, peak excitement and resolution is presented, of which genital orgasm is considered to be a special case. Keywords: brain; spinal cord; epilepsy; phantom limb; imagery; genital Introduction While orgasms characteristically result from genital stimulation, there are many reports that other types of sensory stimulation – non-genital – also can generate orgasms. Types of sensory stimulation Imagery orgasms As one example, we have documented cases of women who claim they can experience orgasms just by imagery – without any physical stimulation. Their bodily reactions of doubling of heart rate, blood pressure, pupil diameter and pain threshold, responses that are comparable in magnitude to when the same women induced orgasms by genital self-stimulation, bear out their claim (Whipple, Ogden, & Komisaruk, 1992). This type of non-genitally-induced orgasm, as well as others discussed below, may be typical for some individuals. Downloaded by [Rutgers University], [Barry Komisaruk] at 12:08 31 January 2012 ‘‘Zone’’ orgasms According to Otto (1999) and Paget (2001), both men and women have reported that they have experienced a ‘‘zone’’ orgasm.