Welcome to in the chip. Sexually transmitted infections they dont need to be painful there are ways and means to protect yourself or to get treated. Wherever in the world people live and make love there will be sexually transmitted diseases everybody has heard about syphilis are going to rear but when you are affected yourself you dont want to talk about it thats honestly the best medicine is Sex Education. This is the center for Sexual Health and medicine in both home. While youre waiting for an appointment you may read a magazine and youre likely to find a rather in your face ad from the Health Ministry if your crotch is on fire go to the doctor. Sexually transmitted diseases are on the rise again in germany. Professor norbert park meyer heads the center visit. To all three cases of syphilis im going to read it every day one fact is that there are new ways for people to get together its by a modern technology data. Chat rooms so they make contact much faster church rooms as we. Talked another find new forms of sexual behavior which increase the risk of infection and was the third aspect is the use of stimulants during sex when youre high on crystal meth or whatever other drug youre less likely to be thinking about the risk of contracting a sexually transmitted infection easy call. The Center Offers a new integrated approach it addresses medical social emotional and psychological aspects of Sexual HealthSex Education and disease prevention are also central theres counseling for the young for couples l g b t i people sex workers and people with hiv aids care is free and can be anonymous. And. The Center Welcomes a wide range of visitors young couples who have been together a while i want to stop using condoms they first want to get a checkup to make sure that both healthy. Then we see women who want to have a baby and want to make sure they dont have any infections that they might pass on but and we see men who are paid for Sexual Services some want to get tested and men who have had sex with other men it. Can talk. One problem is that with some s. T. D. Is there are no symptoms or the symptoms are minimal a little discharge or a slight it so those affected are slow to seek treatment and can also pass on the diseases to other partners. Tell me what brought you to us and. I just got a call from a friend i had sex with about six months ago. He told me not been diagnosed with syphilis so im a little bit worried herders. But have you noticed any symptoms on your skin or in your mouth. One often sees changes to the palms of the hands and then. The top among my litigation only i get a slight rash but i always put it down to some kind of allergy perhaps thats a sometime to the gunk but ive never noticed anything more substantial does it for this kind of a syphilis can be pretty much symptom free as i understand only diagnosed by means of a blood test by finding the bacteria in the blood. To make the likelihood youve been infected at forty or fifty percent so quite high. When people think about sexually transmitted infection hiv your aids usually comes to mind syphilis lesser nowadays so it was a shock to hear i was at risk but as ive just been told syphilis can be cured so its good to be informed about it swiftly then you can do something about it at once and make sure you dont pass it on to anyone else offering them just once if i took untreated syphilis can cause paralysis brain damage blindness and even death but early stage infection can be cured with antibiotics usually penicillin of course not contracting an s. T. D. In the first place is better hence the importance of Sex Education in the hope of covetousness what we have to do is engage with people the way they are and the way they live their lives whatever their sexual preference is here at the clinic no topic is out of bounds this is you can talk about anything were here to help people get through life infection free. To sleep. The clinic also hosts a weekly breakfast for hiv aids patients talking about things can be helpful in its own right with fellow sufferers as well as with professionals its all about encouraging openness teaching the facts and countering fear. If we want to contain is to be swift to talk about them and this is what im going to do today with dr. Thanks for having me today what are the major sexually transmitted diseases well there are many sexually transmitted infections in fact. I could talk about many of them but apart from each of the the most important ones archimedean going to be can they just be transmitted via sexual intercourse or sexual behavior or can they be transmitted with other daily activities like going to the toilet for instance well they really are transmitted through Sexual Activity so even if some people would like to think. Through toilet seats there are not transmittable toilet seats lets talk about. What are the first symptoms well im going to read the first symptoms would be some burning during your innate thing and also there would be discharge from the penis or from the giant. So its very uncomfortable and do all the patients have symptoms no not all patients do have symptoms there would be in going to be about half of the patients with symptoms of us will even notice that theyre infected with gonorrhoea but those patients that can transmit this disease exactly there can still transmit the disease although they have no symptoms how do you treat a country where you can treat gonorrhea for new antibiotics however it is becoming increasingly difficult to treat its going to be because the number of antibiotics that are really effective against going to be. Its very very small in this becoming smaller and smaller so eventually they may be the case that we cannot treat going to be any more and what happens then well if we can we have cases that we cannot treat anymore with antibiotics these people will in fact be very very ill and they will have a sepsis its so life threatening thing its a life threatening disease yes although its normally really a very common and very small disease can become life threatening lets talk about comedian fiction so whats the difference between comedian fiction as. Well they are causing almost the same symptoms so the difference is actually with that it is more often asymptomatic so the majority of people that are infected with chlamydia do not notice that they are infected and this is especially the case for women and what about syphilis this can be treated today as well yes syphilis can be treated. Quite easily actually all penicillin if you dont treat it could be dangerous well syphilis is easy to treat if you diagnose it very early so. In the beginning it can cause a painless sore which then disappears and then afterwards there will be some variety of symptoms like a rash and fever. So if it is diagnosed at that stage its quite easy to treat it however if its not diagnosed it will only be diagnosed years later there can be some organic damage who should get tested even if there are no symptoms at all well people should get types that are people that have different Sexual Partners so especially if they didnt use any continent then they should consider going to. Physician and get tested for different sexually transmitted infections you can protect yourself protect the Sexual Partner with using condoms how safe are they when it comes to sex or transmitted diseases condoms can protect against sexually transmitted infections however they are not the perfect protection so you might use condoms and still get infected by sexually transmitted infections however having a protection is better than having no protection at all condoms also protect against aids i v the virus that triggers the deadly aids disease so you can test yourself if you do have aids or hiv infection and you can do this in the office of your g. P. Or easily. And biko thomas has just gotten hiv testing kit from the pharmacy will have the result in about ten minutes mundus misnomers one for mine and i feel a little turds we have to read the instructions and then of course youre nervous about the result of one of. The illustrated instruction pamphlet is easy to follow its very important to disinfect your finger before pricking it to draw blood you just need a tiny drop of blood to place in the buff a point for which a stick is provided. And on and off one by paul then i need to put two drops of the fluid in a space next to it you can see a pink mark has appeared in the window which means the testers active then you just wait for ten minutes. A single line in the test window means the hiv test is negative. But how reliable are these tests we ask hiv specialists kristoff labor of the oldest of victoria clinic in berlin he welcomes hiv testing kits early diagnosis can make all the difference. And what to do we hope that theyll motivate people to go out and get them and test themselves if we can treat hiv infections early then we can prevent people from actually falling sick and the other benefit is that once people who are hiv positive are being treated they wont infect others. And. Stuff they this says both of the self testing kits sold in germany are reliable or to test me i h. And exactly if the result is positive you should go to the doctor to have it confirmed however if the hiv infection is only recent the test might not detect it but. If you think youve been infected you need to wait three months before doing the test and thats because it takes hiv infected persons up to three months to develop antibodies at levels that can be detected by the test. And rico thomas is about to get his result germanys disease prevention and control agency estimates there are over eleven thousand people in the country who dont know their hiv positive. There is a lot going through my mind that i always had safe sex when was my last test if its always nerve wracking and what im wondering is what would i do if the result is positive and there are various options available. This test is actually recommended by the german hiv aids charity. Then a book works for an hiv aids helpline advising people online or on the phone but inside its just easier to just deal with the self test kids people usually use them at home in their living rooms by themselves. Which you couldnt do in thats why they dare to do it. So much but its important that there are helplines so that people who test positive have someone to turn to. Is. So. The ten minutes are up the result negative i said im very relieved im sure you can tell im lucky. Here in germany mostly men who have sex with men are affected by hiv infections but on a worldwide scale its a totally different picture they are equally men and women affected so how do you Contract Agency each of you is contracted mainly by sexual transmission however you can also contract hiv through contaminated needles or blood transfusions or it can be transmitted from a mother to her child during pregnancy but not for instance with using the same toilet or so absolutely not transmitted through toilets who should be tested in your opinion everybody should be tested to have different partner us so if you have had different partners during the past month or so you should consider to get tested condoms provide a brilliant protection against hiv but theres Something Different which is called prick what is so precious a preexposure prophylaxis and its a pill taking on a daily basis and its protecting you very effectively if youre hiv negative against contracting hiv so we are quite happy about this new method of prevention that helps people to stay. Hiv negative of course there are some countries indications are there are some secondary effects which you need to take into consideration before giving a crap to somebody do you think that if more people would use spread instead of condoms that other kinds of s. T. D. Would be in the increase that weve seen an increase in sexually transmitted infections for a couple of years already and therefore we believe that at least these people who are not using condoms for whatever reason now have a way of getting protected against hiv so using condoms is a very smart move from a medical point of view it can even protect you from transmitting h. P. V. But its so h. P. V. Its a sexually transmitted infection caused by Human Papillomavirus and actually most girls and boys i get infected at one point in time especially when they start having sex. And most of these people are actually eliminating this disease over the course of the years and theres a very small percentage that stays with this virus and eventually disappear as can lead to cancer but to protect yourself from h. P. V. You can not only use condoms theres Something Like a vaccination yes and these are the good news h. P. V. Vaccination its very effective and its very safe so i can recommend for all boys and girls to get vaccinated against age against h. P. V. Great thank you so much for this very interesting talk so if you think that theres something wrong and she might suffer from some kind of is to go and see your doctor and get yourself tested and while sitting in the waiting room you can spend your time wisely with protein anywhere. On an upcoming show well be looking at some common diseases such as rheumatism and diabetes and why prevention and Early Detection are so important if you have a question about that send it to in good shape at d w dot com just right to health research. In the subject line we look forward to hearing from you. Your abdominal muscles your back muscles and your pelvic floor make up your powerhouse you didnt know that well i didnt understand med school either that learned it by doing platitudes which is a great way to improve your posture in a set that improves your quality of life. Better and more eco doing poor lotties for the very first time. I think thats also its hard to hold the position my thighs are starting to crown. Its been a show and im amazed how hard it is i exercise for half an hour every day so i thought id be a bit better at this. Such like because. The class is taking place in aneta palms physiotherapy practice. The exercises dont look very demanding but in fact they activate the muscles immediately. The technique was developed by use of polite is originally from germany he was a physical trainer who emigrated to the us in the one nine hundred twenty s. He began teaching pullout is in new york initially it was practiced mainly by ballet dancers. These days the lot is really popular in many parts of the world. It can be done on a stand up paddling board. As a synchronized dance. For using equipment such as the wonder chair designed by use of polite is himself. The first step in a system of exercise is to draw your navel towards your spine while taking deep lateral breaths expanding the rib cage and breathing into the sides of your body. That is to engage the powerhouse the lower abs and lower back in and out of five and buttocks. That hamburgs University Hospital dr Catalina Vaca meister often uses pull out his techniques with her patients. Its very good for people with chronic back pain whether its the cervical spine or the lumbar region. And it can be used prophylactic late to prevent back pain or slip this fall. And it can also be used therapeutically to treat an existing back condition. These days his techniques are often used with patients whove been prescribed off a pita greek ability like bitter and. This exercise is called the seal. And this one the mum made. According to use of plus his theory itll take ten sessions will be better to feel a difference of twenty sessions to see a difference and after thirty sessions theyll have a whole new body. As if i could get what i really notice is my spine it feels like its been really stretched and looking isnt but i when i have a lot of problems with my lower back when i was holding a position the pain was gone so it would be really good to train those muscles. Not a bad result for a first session at this rate they really might be transformed after thirty sessions. Well i dont know how you feel when the days of the weather is all gloomy and its dark and gray outside some people get grumpy when i dont can somebody please turn on the light. Thank you. So heres our next report its all about that. Loss of grey and very little light thats what our short days look like at the moment off to work in the dark and back home in the dark the lack of light has an effect on us its not a myth the winter blues is scientifically proven. Now latitudes about ten to fifteen percent of the population suffer from winter blues that would to the pression they complain of symptoms such as lack of drive a gloomy mood joylessness and increased fatigue frequently however they also complain about ravenous appetite and a strong need for sleep and let us laugh but. Its no wonder weve always been dependent on daylight when we were still living outside it was all straightforward as long as the sun shines we were active at night without sunlight we regenerated today we sometimes have to get up even when its still dark and we spend most of the short bright faced indoors we live against the natural rhythm of sunlight. Even in winter we should be outside in the daylight for one to two hours every day to get enough light otherwise we become dull and melancholy fortunately theres an alternative an extra dose of light from a light therapy lamp thirty minutes in front of one of these devices every morning could effectively drive away the winter blues. Light stimulates you and makes you more attentive it promotes concentration it influences your Energy Levels it switches the body to the daily routine and it also activates your immune systems. We have receptor is in our eyes which are there to sense when its light these dangly and ok to eat and all retina. He reacts to blue light whether sun or therapy lamp. The cells transmit the information about brightness directly into the brain where the signal is not translated into images that influences the human internal clock it eventually ends up in the high profile of mist and regulates hormone production their well being hormones are released by the light signal and sleep hormones are achieved. Thats why lights therapy is so effective in fighting when to depression. Expect to feel the effects after using it every day for one or two weeks we think its important that you use it regularly and. Remember strong blueline can damage the ice therefore never looked a wrinkly into the lamp just have breakfast next to it or read. Instead of light therapy lamps lighting expert man for divorce relies on Light Sources with a special light spectrum in classic ceiling and floor lamps they use full