Mens Health Awareness

 Online Dating Tips


1.  Don't lie on your profile. The online dating process works best if you are honest.                                                                        

2. Always exchange 3 emails before speaking on the phone. Ask questions that reveal more as the conversation progresses.                                       

3.  After 3 preferably detailed emails are exchanged, and no sooner than two emails into a discourse, ask for pictures. The more the better. Anyone can take ONE good picture.  

4. If you are still interested you are now ready to move to a phone conversation. Ask for their number. Many things can be revealed over the phone. The lack of time available to craft an email is eliminated. You now see how the person responds to questions and conversations on the fly. If voice is important to you, you now have another piece of the puzzle.          

5.  Once you have exchanged emails, photos, and spoken on the phone you can now consider a face to face date. I suggest meeting for drinks in an intimate, but not overly romantic or dark setting, at a venue where drinks can easily be extended to dinner. This provides the invaluable options of having one drink and ending the date without appearing rude or extending a date to multiple drinks or dinner if things go well. Furthermore, you can manage cost and time spent until such time as you confirm that you really want to spend more time with the person. Many an active dater finds themselves spending hundreds of dollars a month on dates with people they have no interest in seeing a secondtime.                                                                         

 

How much do you really know about sex? Take this Discovery Health Sex Quiz and find out if you know as much as you think! http://health.discovery.com/centers/sex/quizzes/spark.html

 Masturbation: 5 Things You Didn't Know Experts talk about whether masturbation is safe, normal, or can lead to sexual dysfunction.WebMD

Experts say that just about every man who can masturbate does -- and why not? You don't need an expert to tell you that solo sex feels good, relieves stress, and is a terrific sleep aid. But here are five things you may not know about masturbation:

1. There's no such thing as "abnormal" masturbation. Men often wonder if there's something abnormal about the way they masturbate. But experts are loath to offer specific definitions of "normal" and "abnormal," pointing out that men show great variations in both frequency and technique. "We humans are too diverse to establish a norm," says Betty Dodson, PhD, a New York City-based sexologist and the author of Sex for One. Every man masturbates in his own way, says Martha Cornog, the author of The Big Book of Masturbation, whether he "uses his hands, rubs against something, uses a sex toy or household object, wears special clothing, fantasizes, looks at a book or magazine, tries different positions, or looks in a mirror."

2. Masturbation is very safe -- but not entirely safe. Unlike sex with a partner, masturbation can't give you a sexually transmitted disease. Nor will it subject you to the muscle strains, pokes in the eye, and awkward moments that can come with partner sex. But masturbation safety isn't guaranteed. "Masturbation is just about the safest sex there is," says Cornog. "But the laws of physics and biology don't stop operating just because someone is masturbating."

Frequent or overly vigorous masturbation can irritate the skin of the penis, as the average guy knows all too well. Less well known is that habitually masturbating face down -- for example, by thrusting against a sheet, pillow, or even a carpeted floor -- can injure the urethra in such a way that urine exits the penis not in a stream but in a hard-to-control spray. Barbara Bartlik, MD, a psychiatrist and sex therapist in New York City, says she's seen facedown masturbators with urethral trauma so severe that they are no longer able to use a urinal and must urinate while seated.

In certain extremely rare instances, masturbation and partner sex alike can cause penile fracture. This painful condition -- actually a tear in the tunica albuginea, the whitish tissue surrounding the penis's spongy layers -- occurs when an erect penis strikes a hard object or is forced downward. A medical emergency, it often necessitates surgery.

3. Solo sex can supercharge your sex life -- or scuttle it. For various reasons, solo sex can be a real boon to sex with a partner. It helps teach men about their own sexual response -- what feels good to them and what doesn't -- so they will be better able to explain to their partners just how they like to be touched. It helps men learn to recognize the "moment of inevitability" just before orgasm and helps teach them how to avoid premature ejaculation. Perhaps most significant, it's a great coping mechanism for any man whose partner is temporarily unavailable for sex -- because of absence or illness -- or has a sex drive that doesn't quite match his own (something sex therapists call a disparity in frequency preference).

Of course, some men become so obsessed with solo sex that they begin to lose interest in having sex with their partner. The resulting hurt feelings and alienation a partner feels can make it hard to sustain the relationship. But experts are quick to point out that masturbation is perfectly OK even for men in a committed relationship. "We cannot assume that just because a man masturbates that there is a problem with his primary relationship," says Bartlik.

4. Certain forms of masturbation can lead to sexual dysfunction. Experts warn that men who frequently stimulate themselves in ways that don't simulate sex with a partner -- for example, stroking very rapidly or with great pressure or friction -- can develop retarded ejaculation. That's a type of sexual dysfunction in which it is difficult or even impossible to climax during partnered sex. "Any man experiencing any sexual dysfunction should ask himself if he's masturbating in ways that produce sensations that differ from those he gets from his partner's hand, mouth, or vagina," says Michael A. Perelman, PhD, clinical associate professor of psychiatry, reproductive medicine, and urology at Weill Cornell Medical College in New York City and the president of the Society for Sex Therapy and Research "Then he should consider what he could say to her to make the stimulation more similar -- and how he could change the way he masturbates to make it feel more similar to what his partner does."

5. Masturbation may affect the risk for prostate cancer. The relationship between masturbation and prostate cancer is a bit hazy.

A 2003 Australian study published in BJU International linked frequent ejaculation early in life with reduced risk for prostate cancer later on. But in a 2004 study published in The Journal of the American Medical Association, a researcher reported that "ejaculation frequency is not related to increased risk of prostate cancer." In both these studies, ejaculation frequency included sexual intercourse and masturbation.

In a study published this past January in BJU International, researchers found that frequent masturbation in young men raised the risk for prostate cancer but that frequent masturbation in older men lowered the risk. Sexual intercourse did not affect prostate cancer risk.

The researchers theorize that it may not be the masturbation itself which is increasing risk of prostate cancer in men who masturbate frequently in their 20s and 30s. Men who masturbate more may do so because they have high levels of male sex hormones -- and young men genetically predisposed to have hormone-sensitive prostate cancer will be at higher risk if they have more male hormones. In men over age 50, the researchers theorize, frequent masturbation helps drain the prostate of fluids that may contain cancer-causing substances.

Senior sex: What changes as men get older?

As men age, testosterone levels decline and changes in desire and sexual function are common. They include:

Decreased sexual interest A need for more stimulation to achieve and maintain an erection and orgasm Shorter orgasms Less forceful ejaculation and less semen ejaculated Longer time needed to achieve another erection after ejaculation
Your health also can have a big impact on your sex life and sexual performance. If you or your partner is in poor health or has a chronic health condition such as heart disease or arthritis, sex and intimacy become more challenging.

Certain surgeries and many medications such as blood pressure medications, antihistamines, antidepressants and acid-blocking drugs can affect sexual function. But just because you aren't as spry as you once were doesn't mean you can't enjoy a healthy sex life. You need to adapt to your changing body and know your limitations. Focus on ways of being sexual and intimate that work for you and your partner. Talk with your doctor about your concerns.

Erectile Dysfunction (ED) or Impotence?

What is impotence or erectile dysfunction (ED)? Impotence, or erectile dysfunction (ED), may result from the total inability to achieve erection, an inconsistent ability to achieve an erection, or the ability to only sustain a brief erection. According to the National Institutes of Health (NIH), 15 million to 30 million men are affected by ED, depending on the definition used.

Although in the past it was commonly believed to be due to psychological problems, it is now known that 80 to 90 percent of impotence is caused by physical problems, usually related to the blood supply of the penis. Many advances have occurred in both diagnosis and treatment of erectile dysfunction.

What are the risk factors for erectile dysfunction? According to the American Urological Association, as men age, the level of circulating testosterone decreases, which may interfere with normal erection. While a low testosterone level itself is rarely the cause of ED (5 percent or less), low testosterone can be an additional contributing factor in many men who have other risk factors for ED. Other risk factors for ED include various medical problems such as hypertension (abnormally high blood pressure), diabetes, vascular disease, and high levels of blood cholesterol. Smoking and drug and alcohol abuse are also risk factors for ED.  

What are the causes of erectile dysfunction? According to the National Institutes of Health (NIH), erectile dysfunction is also a symptom in many disorders and diseases. Causes of ED include the following:

Premature ejaculation (PE)
Premature ejaculation is the inability to maintain an erection long enough for mutual satisfaction. Premature ejaculation is divided into primary and secondary forms. Primary premature ejaculation is a learned behavior that begins when a male first become sexually active. Secondary premature ejaculation occurs when, after years of normal ejaculation, the duration of intercourse grows progressively shorter. Secondary PE is due to physical causes, usually involving the penile arteries, veins, or both. Performance anxiety
Performance anxiety is a form of psychological impotence, usually caused by stress or anxiety.                                                 Depression
Depression is another cause of psychological impotence. Some antidepressant medications cause erectile failure.                Organic impotence
Organic impotence involves the penile arteries, veins, or both, and is the most common cause of impotence, especially in older men. When the problem is arterial, it is usually caused by arteriosclerosis, or hardening of the arteries, although trauma to the arteries may be the cause. The controllable risk factors for arteriosclerosis - being overweight, lack of exercise, high cholesterol, high blood pressure, and cigarette smoking - can cause erectile failure often before progressing to affect the heart. Many experts believe that when veins are the cause, a venous leak or "cavernosal failure" is the most common vascular problem. Venous leak
Venous leak may be caused when the veins in the penis cannot prevent blood from leaving the penis during erection. This may be congenital or result from damage to the veins of the penis. Diabetes
Impotence is common in persons with diabetes. There are 8.7 million adult men in the US with diabetes, and it is estimated that 35 percent to 50 percent are impotent. The process involves premature and unusually severe hardening of the arteries. Peripheral neuropathy, with involvement of the nerves controlling erections, is commonly seen in persons with diabetes.             Neurologic Causes
There are many neurological causes of impotence (nerve problems). Diabetes, chronic alcoholism, multiple sclerosis, heavy metal poisoning, spinal cord and nerve injuries, and nerve damage from pelvic operations can cause erectile dysfunction.                Drug-induced impotence
A great variety of prescription drugs, such as blood pressure medications, anti-anxiety and antidepressant medications, glaucoma eye drops, and cancer chemotherapy agents are just some of the many medications associated with impotence. Hormone-induced impotence
Hormonal abnormalities such as increased prolactin (a hormone produced by the anterior pituitary gland), steroid abuse by body-builders, too much or too little thyroid hormone, and hormones administered for prostate cancer may cause impotence. Rarely is low testosterone responsible for impotence.                       Peyronie's disease
Peyronie's disease is a rare inflammatory condition that causes scarring of erectile tissue that may result in curvature of the penis. This condition can impair sexual function. 
How is ED diagnosed? The American Urological Association states that for most men, a diagnosis will require a simple medical history, physical examination, and a few routine blood tests. Most patients do not require extensive testing before beginning treatment.

Diagnostic procedures for ED may include the following:

Patient medical/sexual history - may reveal conditions or diseases that lead to impotence and helps distinguish among problems with erection, ejaculation, orgasm, or sexual desire.
Physical examination - to look for evidence of systemic problems, such as the following:
A problem in the nervous system may be involved if the penis does not respond as expected to certain touching. Secondary sex characteristics, such as hair pattern, can point to hormonal problems, which involve the endocrine system. Circulatory problems could be indicated by an aneurysm. Unusual characteristics of the penis itself could suggest the basis of the impotence.
Lab tests - to help diagnose impotence include blood counts, urinalysis, lipid profile, and measurements of creatinine and liver enzymes. When low sexual desire is a symptom, measurement of testosterone in the blood can yield information about problems with the endocrine system.
Psychosocial examination - to help reveal psychological factors. The sexual partner also may be interviewed to determine expectations and perceptions encountered during sexual intercourse.


Treatment for ED: Specific treatment for erectile dysfunction will be determined by your physician based on:
your age, overall health, and medical history extent of the disease your tolerance for specific medications, procedures, or therapies expectations for the course of the disease your opinion or preference


Some of the treatments available for ED include the following:

Medical treatments:

Virility                                                                                            The Virlity EX program combines exercise techniques that we have researched to that providie men with increased blood flow, firmer, stronger, and fuller- feeling erections. It also contains an herbal supplement that is a and a blend of traditional natural herbal ingredients and amino acids to helps support male virility.

Sildenafil citrate (Viagra®)
Viagra is a prescription medication taken orally for the treatment of ED. Viagra does not directly cause penile erection, but affects the response to sexual stimulation.

Vardenafil citrate (Levitra®)
In clinical studies, Levitra has been shown to work quickly and improve sexual function in men the first time they take the medication. It has been shown to work well in men of all ages, in men with diabetes, and in men who have had the surgical procedure called radical prostatectomy.

Tadalafil citrate (Cialis®)
Studies have indicated that Cialis stays in the body longer than other medications in its class. Most men who take this medication find that an erection occurs within 30 minutes and may last up to 36 hours.

The US Food and Drug Administration (FDA) recommends that men follow general precautions before taking a medication for ED. Men who are taking medications that contain nitrates, such as nitroglycerin, should NOT use Viagra, Levitra, or Cialis. Taking nitrates with one of these medications can lower blood pressure too much. In addition, men who take Levitra or Cialis should not use alpha blockers as they could result in hypotension (abnormally low blood pressure). Experts recommend that men have a complete medical history or physical examination to determine the cause of ED. Men should tell their physician about all the medications they are taking - including over-the-counter medications.

In addition, men should not take these medications if they have a history of heart attack or stroke, or if they have a bleeding disorder or stomach ulcers.

Men with medical conditions that may cause a sustained erection such as sickle cell anemia, leukemia or multiple myeloma, or a man who has an abnormally shaped penis may not be able to benefit from these medications. Also, men with liver diseases or a disease of the retina, such as macular degeneration or retinitis pigmentosa, may not be able to take these medications, or may need to take the lowest dosage.

These medical treatments should NOT be used by women or children. Elderly men are especially sensitive to the effects of these medical treatments, which may increase their chance of having side effects.

Hormone replacement therapy
Testosterone replacement therapy may improve energy, mood, and bone density, increase muscle mass and weight, and heighten sexual interest in older men who may have deficient levels of testosterone. Testosterone supplementation is not recommended for men who have normal testosterone levels for their age group due to the risk of prostate enlargement and other side effects. Testosterone replacement therapy is available in an oral form and as a skin patch.


Penile implants
There are three types of implants used to treat ED, including the following:


Hydraulic pump - a pump and two cylinders are placed within the erection chambers of the penis which causes an erection by releasing a saline solution; it can also remove the solution to deflate the penis.                                                                

Prosthesis - two semi-rigid but bendable rods are placed within the erection chambers of the penis which allows manipulation into an erect or non-erect position.                                         

Interlocking soft plastic blocks - these are placed within the erection chambers of the penis and can be inflated or deflated using a cable that passes through them.

Infection is the most common cause of penile implant failure and is treatable with antibiotics. In some cases, the infected implant must be replaced by a new implant. Implants are usually not considered until other methods of treatment have been tried.

Coping with ED: Erectile dysfunction can cause strain on a couple. Many times, men will avoid sexual situations due to their emotional pain associated with ED, causing their partner to feel rejected or inadequate. It is important to communicate openly with your partner. Some couples consider seeking treatment for ED together, while other men prefer to seek treatment without their partner's knowledge. A lack of communication is the primary barrier for seeking treatment, and can prolong the suffering. The loss of erectile capacity can have a profound effect on a man. The good news is that ED can usually be treated safely and effectively.

Feeling embarrassed about being impotent may prevent many men from seeking the medical attention they need, which can delay diagnosis and treatment for more serious underlying conditions. Impotence itself is often related to an underlying problem, such as heart disease, diabetes, liver disease, or other medical conditions.

Since impotence can be a forewarning symptom of progressive coronary disease, men should tell their physicians about their symptoms of ED. Physicians may ask directly about sexual function, through conversation or a questionnaire during a check-up in order to detect more serious health conditions sooner.

How’s Your Sex Life?

 Here Are 6 Tips for Making It Great WebMD Feature

Great Sex Tip 1: Take Up Pillow Talk
Right. The mouth. Useful for kissing and other orally administered forms of arousal (none of which should be underestimated), it’s also a tool for communication. Try it. Tell her what you want. Ask her what she likes. Shoot for trust and openness.

“If you get to know yourself and your partner, you’ll have a much more erotic and explosive sexual relationship,” says Joy Davidson, a New York-based psychologist and sexologist, and the author of Fearless Sex.

Great Sex Tip 2: Don’t Believe Locker Room Talk
When men do talk, they often puff themselves up to their peers. Less apt than women to discuss their insecurities and more inclined to exaggerate their exploits, men paint distorted pictures of their sex lives for one another.

“A lot of men wind up thinking that their sex life is missing something, that other men are having wilder sex or more frequent sex,” Davidson says. “They have a sense that the pleasure ship has sailed and left them behind.”

According to Michael Castleman, a San Francisco-based sex expert and author of Great Sex: A Man’s Guide to the Secret Principles of Total-Body Sex, the average frequency of sex in committed long-term relationships is roughly once every 10 days.

Great Sex Tip 3: Don’t Compare Your Sex Life With Porn
Not everything men know about sex they learned from pornography. But a lot of it they did. And that can be a problem. Populated as it is by flawlessly formed women and men with etched abs and equine endowments, adult entertainment makes many guys wonder: What am I doing wrong? Or, more to the point: What’s wrong with me?

“One of the most destructive myths of porn is that it convinces so many guys that they’re too small,” Castleman says. “They forget that pornography is self-selecting…These are not average men. They’re the extreme end of the scale.”

Some of the other fictions that porn perpetuates are the idea that women are always primed and ready (“in the real world,” Davidson says, “people do say ‘no’”); that the same moves work on every partner; that satisfying sex always culminates in orgasm.

There are positives to porn -- it can, for example, inspire us to greater sexual exploration. But when Debbie Did Dallas, she also did damage to the way men often think about sex.

“I’m not going to stand in the way of your watching porn, as long as you’re aware that it’s not reality,” Castleman says. “It’s like watching a car chase in an action movie. It’s exciting. It’s entertaining. But everyone knows it’s not the way to drive.”

Great Sex Tip 4: Focus on Pleasurable Sensations
While we’re on driving, let’s talk about commutes. And cubicles. And computers. And the demands and distractions of our daily lives.

Stress is an enemy of great sex. So is anxiety about performance. Minimizing both helps maximize your enjoyment of your partner. “If we can quiet our monkey-minds, put a stop to that ceaseless inner-chatter, we can open ourselves up to better sex,” Britton says.

She recommends that men adopt a mantra: FOPS, or Focus on Pleasurable Sensations.

 “There are techniques ranging from eye-gazing to massage and synchronized breathing that help keep you in the moment,” Britton says. “Great sex happens in the present. It doesn’t happen in the future, like worrying about how quickly you’re going to come.”

Great Sex Tip 5: Focus Less on Size and More on Other Matters
“I’m not going to pretend it doesn’t matter,” Davidson says. “There are plenty of women for whom it absolutely does. But I prefer to focus on the idea of the right fit.”

No two people are built the same, and it helps to have compatible body parts. For some women, men of modest size may be a perfect fit. It’s a matter of physiology and personal preference. But perfect-fitting penetration isn’t the only path to satisfying sex. Focus on foreplay. Concentrate on kissing, cooing, caressing -- the full panoply of sexual pleasure giving.

“A lot of women are very responsive to a man’s voice during lovemaking,” Davidson says. “If a man has verbal facility and can entice a woman through his voice, that can become a powerful part of his repertoire.

Great Sex Tip 6: Schedule Sex. Really.
What sounds rote and dreary can actually be dreamy, says Michael Castleman, who recommends the strategy especially to couples in long-term relationships, who’ve passed the can’t-keep-their-hands-off-each-other phase.

“There’s this powerful mythology that says you should fall into each other’s arms spontaneously, with string music playing and the sun setting in the West, and if that doesn’t happen there’s something wrong with you,” Castleman says. “Nonsense. Real life doesn’t work that way.”

Rather than heightening the pressure to perform (“It’s now, or never!”), scheduling can actually make sex more relaxing. You can develop sensual rituals, make romantic gestures in anticipation of your encounter. You can give each other massages or take a shower together.

Castleman says that scheduling sex also eliminates conflict over desire differences. “People say, ‘What if I’m not in the mood?’ Well, one of the things about relationships is that you sometimes make compromises. But what astonishes people once they start scheduling sex is that they can actually enjoy it.”

Oral Sex Tips 

Cleanliness
Take a shower or bath together first. This will help make things taste and smell better.
Be Enthusiastic
Don’t go down on her unless you really want to. Women can tell if you’re less than enthusiastic.
Start slowly
Avoid going for her clitoris right away. Tease her first. Lick around her clitoris. Remember, when starting out too little is better than too much.
Listen
Use your ears as well as your mouth and tongue. Listen to her moans of pleasure. Ask her to let you know what she likes.
ABCs
When using your tongue on her vulva try writing the letters of the alphabet with your tongue using a continuous motion. The letters “Z” and “N” can be especially enjoyable for her.
Make Some Noise
Let her know how much you’re enjoying giving her head. Do it with enthusiasm!
Her Clitoris
When she is ready lick and suck her clitoris. Remember though that some women cannot handle direct contact on their clitoris even when they’re really excited.
Variety
You can give her different feelings by using your tongue in different ways. A flat tongue will give her a feeling like a soft caress. A rigid tongue will give more direct and firm stimulation.
Don’t Stop
In general women like steady stimulation. So don’t stop, especially when she’s about to climax.

           STD Facts

What are sexually transmitted diseases (STDs)?                          Sexually transmitted diseases (STDs) are infectious diseases transmitted through sexual contact. They are among the most common infectious diseases - with the United States having the highest rates of STDs in the industrialized world.

What to do when diagnosed with an STD? Begin treatment immediately, take the full course of medications, and follow your physician's advice.
Do not breastfeed a baby or use breast milk to feed a baby.
Notify all recent sexual partners and urge them to get medical checkups.
Avoid sexual activity while under treatment for an STD.
Have a follow-up test to be sure the STD has been successfully treated.


What are some common types of STDs?                                    

Acquired Immune Deficiency Syndrome (AIDS)-AIDS is caused by the human immunodeficiency virus (HIV), a virus that destroys the body's ability to fight off infection. People who have AIDS are very susceptible to many life-threatening diseases and to certain forms of cancer. Transmission of the virus most often occurs during sexual activity or by the sharing of needles used to inject intravenous drugs.

Human Papillomaviruses (HPVs)-Human papillomavirus (HPV) is a common sexually transmitted disease that can cause genital warts called condylomas. These condylomas can occur on the inside or outside areas of the genitals and may spread to the surrounding skin or to a sexual partner. Because HPV infection does not always cause warts, the infection may go undetected. Women with an HPV infection have an increased risk of developing cervical cancer. Regular Pap tests can detect HPV infection, as well as abnormal cervical cells.

Although there is treatment for the condylomas (which sometimes go away on their own), the virus remains and warts can reappear. Smoking appears to increase problems related to HPV infection. Other types of HPV can also cause warts on other body parts such as the hands, called common warts, however, these do not generally cause health problems.

Chlamydial Infections-Chlamydial infections, the most common of all STDs, can affect both men and women. Infections may cause an abnormal genital discharge and burning with urination. In women, untreated chlamydial infection may lead to pelvic inflammatory disease (PID). However, many people with chlamydial infection have few or no symptoms of infection. Chlamydial infections can be treated with antibiotic therapy.

Gonorrhea-Gonorrhea causes a discharge from the vagina or penis and painful or difficult urination. The most common and serious complications occur in women, which include pelvic inflammatory disease, ectopic (tubal) pregnancy, and infertility. Gonorrhea infections can be treated with antibiotic therapy.

Genital Herpes-Genital herpes infections are caused by the herpes simplex virus (HSV).

Symptoms may include painful blisters or open sores in the genital area, which may be preceded by a tingling or burning sensation in the legs, buttocks, or genital region. The herpes sores usually disappear within a few weeks, but the virus remains in the body and the lesions may recur from time to time. There is no cure for HSV but there are anti-viral agents an individual can take during an outbreak to decrease the length of the outbreak.

Syphilis-The initial symptom of syphilis is a painless open sore that usually appears on the penis or around or in the vagina. If untreated, syphilis may go on to more advanced stages, including a transient rash and, eventually, serious involvement of the heart and central nervous system. Syphilis infections can be treated with antibiotic therapy.

Genital Warts-Genital warts or venereal warts (condylomata acuminata) are caused by a virus related to the virus that causes common skin warts. Usually, genital warts first appear as small, hard, painless bumps in the vaginal area, on the penis, or around the anus. If warts do occur, there are topic agents that can be administered to remove them. Cryotherapy is also available to treat warts. There is no cure for HPV. Once an individual is infected, they continue to carry the virus indefinitely.

Other diseases that may be sexually transmitted include:
bacterial vaginosis
chancroid
cytomegalovirus infections granuloma inguinale (donovanosis) lymphogranuloma venereum molluscum contagiosum pubic lice scabies trichomoniasis vaginal yeast infections