Woman when tired or physically in disposed or in unsuitable environment may not agree for sex. To punish husbands who have not agreed to their idea or materialistic demands, some women don’t permit sex. On occasion it may serve the purpose but if it becomes a practice then husband may find out some alternatives to [...]

Lesbian women in intimate relationships tend to be less sexually active than either gay male or heterosexual couples, which has more to do with their socialization as women than with their lesbianism. Women are socialized to avoid, smooth over, and deny conflict. Until relatively recently, women have been taught that sexual desire and sex itself [...]

Because of the frequency of concurrent infections and the possibility of silent infections or unusual presentations, some screening tests should be routine for all patients presenting with STD. A similar routine should be offered to patients in high risk groups presenting for check-ups. The following are recommended: Serological tests for syphilis (see p.25) i.e. routine [...]

The physical examination should include oral, genital and anal examination. In female patients, a vaginal speculum should always be used to visualise the cervix and bimanual pelvic examination should be done. In patients with anorectal symptoms and in homosexual men, proctoscopy should be done to exclude anal canal pathology. Patients must be treated with the [...]

Foreign bodies in the colon and rectum are seen particularly among homosexual and bisexual men, having being introduced by the patient or his partner. The patient often presents after attempts to recover the object have failed. Urethral, vaginal or rectal foreign bodies may produce a variety of local symptoms. Specific questions about prescribed and non-prescribed [...]

The following aspects of the patient’s sexual history should be explored: What recent sexual contacts including regular partners, casual partners, prostitutes etc. has the patient had? Has the patient ever had homosexual contacts? If contacts have included homosexual encounters, what form did the encounters take? Did a partner have STD or was a partner in [...]