Adolescence years is a phase of physical growth and development accompanied by sexual maturation, often leading to intimate relationships. Among various risk factors and situations for adolescents contracting HIV virus are adolescent sex workers, child trafficking, child labor, migrant population, childhood sexual abuse, coercive sex with an older person and biologic immature reproductive tract as well as psychological vulnerability. The most common mode of transmission is heterosexual, yet increasing number of perinatally infected children are entering adolescence. Clinically, the HIV infected adolescents present as physically stunted individuals, with delayed puberty and adrenarche. Mental illness and substance abuse are important co-morbidities. The disclosure and declaration of HIV status to self and family is challenging and guilt in sexually infected adolescents and tendency to blame parents if vertically affected need special consideration and proper counseling. Serodiscordance of the twins and difference in disease progression of seroconcordant twins are added causes of emotional trauma. Treatment related issues revolve around the when and what of initiation of ART; the choice of antiretrovirals and their dosages; issues related to long term ADRs; sense of disinhibition following ART commencement; adherence and resistance.
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For the last one month, she has been in online mode, offering sexually-explicit live broadcasts to customers through video calls by accepting money via digital payment. Many sex workers have been able to connect with their customers who had shared their numbers with them on earlier occasions. There isn't much money, but these small amounts help. The money is collected via digital payment apps," said a sex worker. To make money, they are using digital platforms to entice customers through video and audio calls," he said. A study conducted by KSCAS in coordination with NGOs had earlier found how prostitution had become more digitally driven in the last few years with sex workers using smartphones and apps to solicit business. But a minority have switched to such gadgets as they need money to keep going. They get in touch with their customers over phone for chats. It's a fact that the coronavirus scare and lockdown have hit the sex workers badly. Left with no income, they are reeling," said Sreemayi, a trans activist.
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In psychoanalytic literature, a Madonna—whore complex is the inability to maintain sexual arousal within a committed, loving relationship. Men with this complex desire a sexual partner who has been degraded the whore while they cannot desire the respected partner the Madonna. Freud argued that the Madonna—whore complex was caused by a split between the affectionate and the sexual currents in male desire. Whereas the man loves women in the former category, he despises and devalues the latter group. According to this theory, in adulthood the boy-turned-man seeks to avenge these mistreatments through sadistic attacks on women who are stand-ins for mother. It is possible that such a split may be exacerbated when the sufferer is raised by a cold but overprotective mother [7] — a lack of emotional nurturing paradoxically strengthening an incestuous tie. Another theory claims that the Madonna—whore complex derives from the alleged representations of women as either madonnas or whores in mythology and Judeo-Christian theology rather than developmental disabilities of individual men. Naomi Wolf considered that the sexual revolution had paradoxically intensified the importance of the virgin—whore split, leaving women to contend with the worst aspects of both images.
Mormons follow the law of Chastity; they believe that the intimate act of lovemaking must be saved for after marriage. I find that one of the most important things is to make sure you have a support system, whether they are other doc wives, family or friends. We play doctor - then she leaves. But i too am afraid to endure this.
