And sexually transmitted infections testing treatment prevention. And heres your host dr coston they go tat today the show is about the small things in life that are of great importance. Condoms for instance why youre watching the show around 9000 condoms are used in germany alone and this is a good thing because condoms can protect you from transmitting a students sex or transmitted diseases why those as disease are dangerous this is what im going to talk about with dr viviani brave up here at the institute in the live welcome to in good shape. 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 says that its all going to rear but when you are affected yourself you dont want to talk about it that 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 watch 3 cases of syphilis and going to rio every day one fact is that there are new ways for people to get together by a modern technology dating apps and chat rooms so they make contact much faster church rules as you go to. Talked another fact to new forms of sexual behavior which increase the risk of infection and was from the 3rd 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 1st want to get a checkup to make sure that both are 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. And we see men who are paid for Sexual Services and want to get tested and men who have had sex with other men it. Can talk to. 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. Who are the fans going to tell me what brought you to us when. I just got a call from a friend i had sex with about 6 months ago. He told me not been diagnosed with syphilis so im a little bit were. Orders. But have you noticed any symptoms on your skin or in your mouth. One often sees changes to the calms of the hands and then. The topic about my location 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 that does it for this kind of pacificus can be pretty much symptom free and is then only diagnosed by means of a blood test by finding that bacteria in the blood try estimate the likelihood youve been infected at 40 or 50 percent so quite high. When people think about sexually transmitted infections hiv or 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 youve got. 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 1st 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. Clinic also hosts a weekly breakfast for each of the 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 and what other 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 most important ones archimedean going to be and syphilis 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 transmitted through toilet seats lets talk about going to. What are the 1st symptoms well im going to read the 1st symptoms with the burning during during the 18 and also they would be discharged from the penis often. 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 yes we can even notice that theyre infected with going to rehab but those patients still can transmit this disease exactly that can still transmit the disease although they have no symptoms how do you treat going to the well you can treat color your flu antibiotics however its becoming increasingly difficult to treat its going to be because the number of antibiotics that are really effective against going to be. It is very very small in this becoming smaller and smaller so eventually there may be the case that we cannot treat going to be any more and what happens then well if we can we have case suspect we cannot treat anymore with antibiotics these people will in fact be very very real and they will have a sepsis its still a 1st new thing thats 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 claiming 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 and 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 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 sexual 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 hiv 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 10 minutes monday with one from my md 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 and right then i need to put 2 drops of the fluid in the space next to it with you can see a pink mark has appeared in the window which means the test as active then you just wait for 10 minutes to move a single line in the test window means the hiv test is negative. But how reliable are these tests. We asked hiv specialist Christoph Lieber at the old post 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. Christoph labor 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. And if if you think youve been infected you need to wait 3 months before doing the test and thats because it takes hiv infected persons up to 3 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 11000 people in the country who dont know their hiv positive to give evidence and weve been called theres a lot going through my mind that i always have safe sex when was my last test its always nerve wracking and what im wondering is what would i do if the result is positive and there are various options available because. 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 take the pseudosphere with self test kids people usually use them at home in their living rooms by themselves. Thats why. They dare to do it. But its important that the right help lines so that people who test positive have someone to turn to. Is. So. The 10 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 there are equally men and women affected so how do you Contract Agency each of us 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 toilets are absolutely not transmitted through toilets who should be tested so in your opinion everybody should be tested 2 had different pot notes so if you have 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 prep what is so precious a pretty exposure prophylaxis and its a pill that youre 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 already there are some secondary effects which you need to take into consideration before giving a prep 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 there. For 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. What is this so h. P. V. Its a sexually transmitted infection caused by Human Papillomavirus and actually most girls and boys are get infected at one point in their 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 this virus 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 is 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 you might suffer from some kind of its to go and see your doctor and get yourself tested and while sitting in the waiting room you can spend your time wisely with frattini anywhere. In good shape your Weekly Health show on d. W. That covers many aspects of health care we look at whats new in medical treatment nutrition fitness and beauty we discuss these topics and depth with specialists and offer you opportunities to pose your own questions so get in touch. With. Your abdominal muscles back muscles and your pelvic floor make up your powerhouse if you didnt know that well i didnt learn this at med school either i learned it by doing pediatrics which is a great way to improve your posture and a set. It improves your quality of life. Better and more eco doing polite is for the very 1st time. I think thats also its hard to hold the position my thighs are starting to crown people its been f. Dont im amazed how hard it is i exercise for half an hour every day so i thought id be a bit better at this. Actually 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 plot is originally from germany he was a physical trainer who emigrated to the us in the 1920 s. He began teaching pillared his in new york initially it was practiced mainly by ballet dancers. These days pullout is really popular in many parts of the world. And it can be done on a stand up paddling board. As a synchronized done. For using equipment such as the wonder chair designed by use if a lot is himself. The 1st step in the 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 5 and buttocks. About how Bugs University hospital dr kathleen of black 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. It can be used prophylactic late to prevent back pain or a slipped disc from thinking. And it could also be used therapeutically to treat an existing back condition. These days pill artist techniques are often used with patients whove been prescribed off a pita greek ability like better. But this exercise is called the seal. And this one made. According to use of pull out his theory it will take 10 sessions for better to feel a difference of 20 sessions to see a difference and after 30 sessions theyll have a whole new body. But its got what i really notice is my spine it feels like its been really stretched and. I have a lot of problems with my lower back while 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 1st session at this rate they really might be transformed after 30 sessions. Well i dont know how you feel when the days are shorter the weather is all gloomy and its dark and grey 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 back. Lots of gray 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. And when do you know latitudes about 10 to 15 percent of the population suffer from winter blues the winter depression 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 at 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 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 2 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 30 minutes in front of one of these devices every morning can effectively drive away the winter blues. Lights 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 gangly and aged and all retina. They reacts to blue light whether sun or therapy lamp. The cells transmits 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 a mess and regulates hormone production their well being hormones are released by the light signal and sleep hormones are reduced. Thats why lights therapy is so effective in fighting winter depression. You can expect to feel the effects after using it every day for one or 2 weeks its important that you use it regularly. But remember strong blueline can damage the ice therefore never looked a regular into the lamp just have breakfast next to it all read. d instead of light therapy lamps lighting expert mumford relies on Light Sources with a special light spectrum in classic ceiling and floor lamps they use full spectrum light for this purpose artificial light switch like natural sunlight heinously emits the entire color spectrum from red to billy there are like light therapy lamps which emit only blue light or lower home lighting which is more yellowish. For spectrum if you use full spectrum white as a replacement for daylight then the intensity doesnt have to be as strong as in front of a light therapy device on most of your 4 and. Whether theyre all full spectrum light in the evening at any rate turned those lights off candles or yellowish lamp light signal to us its time to turn in. I rue follow that advice and head home and hit the. A what about you you dont know just watch the show again oh the show next week and im something thats all try to stay he good ship the mean thing a date 8 all colics m. L. Clinic merge tree else who wait a 2nd 3 want the whole feature outs facts instead of make i. D. s shifts to live us for much measure the reality its of cryptocurrency took your top aches for live in an ever changing in Digital World lets talk mid to the lies a shrimps fair she g. W. The terminator revolutionizes the machine. Everyone told me that they could not turn the money from an electric but they do indeed approve high tech peers from austin give stripes and goes home unprecedented in the trying to upgrade. Our system of the stuff come question in read the 1st 30 minutes the going to. Hold. My 1st vice like moses sewing machine moves i come from women are almost by this ocean full of it something as simple as learning how to ride a bicycle it isnt. Since i was a little girl i wanted to have a bicycle off my home and it took me estimates might have. Finally been game bob invented by me and i saved it but returned with the sewing machine sewing i suppose was more appropriate for goes than writing advice as knowledge i was only challenged to boss woman back home blood bones by the 2000 and social norms and inform them of old dead basic rights my name is them out of the home and i wore it adds to them. Truly good riddance just shows numbers of thread shows. The business should. Come to. Grips with the smart way to get when youre going. To go below a. Mobility show every week w. This is developing news live from berlin german chancellor Angela Merkel attempts to broker a peace deal for libya a Major International peace conference will be held here in the german capital on sunday but on the ground in libya deep divisions remain demonstrations are held in support of the u. N. Back government and in support of the arrival of ministration in the east of the country protesters from both sides say they reject the peace. Class irans Supreme Leader his out of the united states