Jinsi sehat

Jinsi sehat yeh hai ke qurbat ke lamhon mein aap kitna aaram mehsoos karti hain, kitna chahe jane ka ehsaas, aur kitna apne aap jaisa. Menopause ke saalon mein yeh kai tarah se aik saath badal sakti hai.

Aik to khwahish hai, jo kam ho sakti hai ya badal sakti hai. NICE ki hidayat NG23 jinsi khwahish mein kami ko un alamaat mein ginti hain jo doctoron ko is marhale par auraton ko samjhani chahiyen. Phir jism hai: Pakistan Menopause Society menopause ke baad ke pehle saalon ki alamaat mein andaam nihani ki khushki, jalan, chubhan, chiknai ki kami aur jinsi taalluq ke dauran takleef likhti hai, jo us ka hissa hain jise doctor GSM kehte hain, yani genitourinary syndrome of menopause, menopause se juri andaam nihani aur peshaab ki takleef. Aur phir jism ka jinsi taur par tayyar hona (arousal) aur taskeen (orgasm) hain, jo PMS ne bhi likhe hain.

Dil na chahna, aur wajah samajh na aana. Dil chahna, magar takleef ke dar se pehle hi simat jana. Baad mein khushki, dukhan ya chhila hua sa mehsoos hona. Jaagte hue yeh sochte rehna ke shohar kya soch rahe hon ge. Yeh mehsoos hona ke aap ke andar se kuch chala gaya hai jise khone par aap kabhi raazi nahin thin.

Jab khwahish ki kami musalsal ho, pareshan kare, aur koi aur cheez is ki wajah na bane, to PMS ise aik tibbi naam deti hai: hypoactive sexual desire disorder (HSDD) (section 1.5.3). Naam ho to baat karna aasaan ho sakta hai.

Pakistan Menopause Society GSM ko estrogen aur doosre jinsi hormonon ki kami se jorti hai, jis se farj (zanana sharam gaah), andaam nihani, peshaab ki naali aur masane mein tabdeeliyan aati hain. Jinsi khwahish mein kami isi tasveer ka hissa ho sakti hai. PMS ki is tibbi haalat ki tareef kehti hai ke khwahish ki kami ki koi aur behtar wajah na ho, isi liye doctor aap ki neend, mood, stress aur kisi bhi dard ke baare mein bhi pooche ga.

Aap akeli nahin, bohat si hain. European Menopause and Andropause Society (EMAS) kehti hai ke taqreeban har do mein se aik aurat ko jinsi masail hote hain. Woh menopause ke baad ki wajuhaat mein saathi ke apne jinsi masail, jaise uzu mein sakhti ke masail, bhi ginti hai, aur doctoron se kehti hai ke aurat ki jaanch karte waqt un ka bhi poochein. Kabhi kabhi tabdeeli sirf aap mein nahin hoti.

• NICE NG23 ke mutabiq genitourinary symptoms ke liye, jin mein andaam nihani ki khushki bhi shamil hai, usi jagah lagane wale estrogen (vaginal estrogen) ka option diya jaye, aur moisturiser aur lubricant is ke saath ya akele bhi istemal ho sakte hain, un auraton ke liye bhi jo estrogen istemal nahin kar saktin ya nahin karna chahtin (1.5.5, 1.5.8 aur 1.5.9).
• Women's Health Concern, jo British Menopause Society ka aam logon ke liye hissa hai, andaam nihani ki khushki ke ilaaj mein usi jagah lagane wala estrogen likhti hai, aur kehti hai ke lubricant aur moisturiser kaam aa sakte hain, khaas taur par un auraton ke liye jin ke liye estrogen munasib na ho.
• Pakistan Menopause Society kehti hai ke moisturiser sirf jinsi taalluq ke waqt nahin, baqaidagi se bhi lagaye ja sakte hain taake asar der tak rahe, aur yeh ke paani wale aur silicone wale lubricant ko glycerine walon par tarjeeh di jati hai (section 6.2).
• The Menopause Society, jo America ki hai, mashwara deti hai ke naya lubricant ya moisturiser andar istemaal karne se pehle jild ke aik chhote se hisse par aazma lein. Agar jild par theek rahe magar andaam nihani mein phir bhi chubhe, to woh silicone wali cheez, ya aisi cheez par jane ka mashwara deti hai jis par iso-osmolar ya propylene glycol-free likha ho.
• NHS ki website kehti hai ke moisturiser aur lubricant pharmacyon mein baghair nuskhe ke bikte hain, aur yeh ke tel wale lubricant condom ko nuqsaan pohncha sakte hain.
• PMS in saalon mein tarz-e-zindagi ki tabdeeliyon ke faidon mein behtar jinsi sehat ko bhi ginti hai (section 4.2).

Doctor ilaaj bhi likh sakta hai. NHS ki website andaam nihani ki khushki ke liye HRT (hormone ki dawa) aur andaam nihani mein rakhe jane wale hormone ke ilaaj likhti hai, jaise cream, pessary, gel ya ring; dekhein usi jagah lagane wala estrogen.

Kam khwahish ke liye NICE ki hidayat NG23 ki aik sifarish hai (1.5.25): agar menopause ke saath jinsi khwahish kam ho aur akeli HRT se farq na pare to testosterone dene par ghaur kiya jaye. NICE likhta hai ke 2015 mein yeh off-label istemaal tha, yani dawa ke license se hat kar. Pakistan Menopause Society bhi yehi tarteeb rakhti hai: pehle HRT, phir musalsal kam khwahish ke liye testosterone par ghaur (section 5.9). In mein se koi aap ke liye theek hai ya nahin, yeh aap ki sehat aur tareekh par hai, aur yeh faisla aap ke doctor ka hai.

Agar jinsi taalluq mein takleef hoti hai, agar khushki ya dukhan roz ki zindagi ke aare aa rahi hai, ya khwahish mein tabdeeli aap ko pareshan kar rahi hai, to appointment lein. Agar lady doctor ke saath aap zyada aasaani mehsoos karein to poochein ke kya koi dastiyaab hai. PMS doctoron se kehti hai ke in alamaat ke baare mein akele mein poochein, aur musalsal dard, baar baar peshaab ki naali ke infection (UTI) ya prolapse (yani bachedani ya masane ka apni jagah se neeche khisak aana) ki nishaniyon par auraton ko aage refer karein (Table 2).

Jinsi taalluq ke baad kisi bhi tarah khoon aaye to jald doctor ko dikhayen. Pakistan Menopause Society jinsi taalluq ke baad khoon aana, aur mahwari band hone ke baad khoon aana, un khatre ki nishaniyon mein likhti hai jin ki jaanch zaroori hai (section 2.3).

Shaadi ke andar qurbat mein ehsaas ke saath saath deen aur zimmedari bhi hoti hai, aur auraton ke zehan mein is ke baare mein aise sawal hote hain jo woh kam hi zabaan par laati hain. Yeh sawal kisi aise mustanad aalim se poochne ke hain jis par aap bharosa karti hon, aur Roshara un ka jawab nahin deta.

Hidayat jo kehti hain, woh yeh hai ke shohar bhi is ka hissa hain. PMS kehti hai ke hormone ki tabdeeliyon par khul kar sachchi baat ho, jinsi sehat aur zaati jagah ka ehteraam ho, apne jism ke baare mein achha mehsoos karne ki himmat barhayi jaye, aur baghair kisi sharmindagi ke maahir ki madad li jaye (section 4.2.6). Dekhein shohar aur ghar walon ka saath.

NHS inform, yani Scotland ki NHS ki sehat ki maloomaat wali site, par jinsi sehat, qurbat aur menopause ke baare mein aik safha hai, jis ka Urdu version bhi hai. Is ka link neeche hawalon mein hai.