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Testicular torsion -
Testicular torsion
What is torsion
testicular? Testicular torsion is a problem that
produces infrequently (in 1 in 4,000 men under 25),
but with potential important consequences. Adolescence is the time of
increased risk (15-16 years), although it can occur in newborns and in
Adults.
The testicles are anchored of
a very lax form in the scrotum and, rarely, they twist.
The
testicles are fed by blood vessels that,
along with the nerves and ducts that carry the
sperm (deferents), go through the cord
sperm from the abdominal cavity to the scrotum. The testicles are
they are anchored in a very loose way in the scrotum and, rarely,
they twist (rotate on their longitudinal axis), so that it can remain
blocked the blood flow to the testicles, first that of the veins and,
later, that of the arteries, which is the one that can compromise survival
of the testicle.
What does it feel to suffer a testicular torsion?
Children with testicular torsion suffer pain and inflammation
Sudden scrotum. The testicle begins to hurt intensely, in such a way
so that it even causes nausea and vomiting. We must distinguish it from a
testicular infection (orchioepididymitis
acute), which can produce similar symptoms, because if
try a twist, it is essential to apply the treatment so
urgent.
Diagnosis is more difficult in new children
born, since it can appear only as a mass in the scrotum with
few accompanying symptoms
How is torsion diagnosed?
testicle?
Inquiries to
doctor
See our section 'Ask the doctor' and read
Numerous queries from our users:
Pain
testicles
Tumor
testicular
problems
urological
Testicle in
elevator
The symptoms and the
Scanning are the key to diagnosis. In case of doubt, you can request
a
Doppler ultrasound of the scrotum, to indicate if
arterial irrigation is present in the testicles. However, the most
In case of doubt, it is advisable to perform a surgical examination.
How is torsion treated?
testicular? The recommended treatment is the intervention
immediate surgery, ideally before six hours, after
beginning of pain, to minimize the chances of the
testicle suffers a major injury.
Through a
small incision in the scrotum (more frequent) or in the groin, the
testicle and it is checked if there is torsion. Since it is an intervention of
Short duration and with a very low risk, it is advisable to carry it out in case
that there are doubts about the diagnosis, because a delay greater than 24 hours
It can even lead to loss of the testicle. In case it is checked
torsion, this is eliminated, and blood circulation to the testicles
It is normal again. To prevent torsion from occurring again, the
Testicles are sutured (testicular fixation) to the inner part of the scrotum. Is
It is convenient to fix the other testicle in the same surgical act.
Know more
Want to know more? See our 'Urology' section and read
numerous related articles, among which we suggest:
Nodules and tumors
testicular
Most frequent urological problems
Prior to the intervention, the
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require analgesic medication or even sedation of the patient.
In cases where blood circulation has been obstructed
for a prolonged period, it may even be necessary to remove the
testicle. The operation is called an orchiectomy. If only one is removed
testicle, the ability to reproduce does not have to be affected, when
same as the production of testosterone (main male hormone). In
In these cases, the placement of a prosthesis (implant) in the
testicle, to restore body image.
Dr. Per Grinsted, general practitioner. Dr. John Macfarlane, specialist in Urological Surgery.
Updated: 02-02-2017 Reviewed by: Dr. Luis Miguel Clemente Ramos, specialist in Urology,
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What to do if you fall in love with your best friend (or friend)?
There are times when the story between two friends can become something else, and friendship can give way to a romantic relationship. However, when one of the two friends feels more than the other and falls in love without being reciprocated, the friendship gets complicated.
Being in love with your best friend can become a complex situation, which usually arouses very intense feelings. In this context, maturity is key to managing the situation when you do not want to lose friendship and affection. Knowing how to make a wise decision will determine the good progress of the relationship in the future, either as friends or as a couple.
Related article: "The 14 types of couples: how is your relationship?"
Much to gain and much to lose
There are many stories of friendship that have been broken because love has appeared between two inseparable companions, but love stories and adventures have also been written that have emerged from the unique connection that a couple of good friends have felt.
The line between friendship and romantic love is fragile, and that is why many individuals believe that it is not possible that there are feelings of friendship between two people of the opposite sex who have learned to love each other as brothers without being family. And it is that when a true friend (of the opposite sex) connects deeply with us and our needs, something more than a simple friendship can arise.
In these cases the question arises whether it is worth risking everything and losing that person so important to us.
Can there be friendship between a man and a woman (heterosexuals)?
Our friends can give us great joys, that's why it is said that "whoever has a friend has a treasure." Actually, we all decide who is part of our circle of friends, because friends are the family you choose to live a full life.
Finding that person with whom to share our good moments and our sorrows, with whom we can undress our soul and understand and accept us as we are, is a great gift of life.
Sometimes, that special friend may be someone of the opposite sex, and then one of the most recurring questions may appear: Is friendship between a woman and a man possible? Undoubtedly, yes! But sometimes this close friendship can become a great challenge, and it can present a more than exciting and, in turn, terrifying barrier that faces friendship with attraction or with a deeper and more intense feeling: falling in love with our best friend /to.
How to know if you are in love with your best friend
When we fall in love with our best friend, the feelings are so strong and contradictory that the fear of revealing them can be paralyzing because of the fear of losing the affection of this person so important to us.
In this sense, if we want to maintain affection with our friend, it is necessary to detect if what we feel towards him or her is friendship or, instead, we have developed feelings of attraction and infatuation. But what are these signs?
1. Do not treat him the same as other friends
When you want your friend to be your partner, you behave differently than you would if you were any friend. And it is that falling in love changes your behavior. For example, it may now hurt when your friend tells you about his romances, something that didn't happen before.
2. Do you care more than other friends?
Almost without realizing it, the person who was your friend has become your priority. It has become an overly important part of your life and you care about your happiness almost as if it were yours.
3. You are impatient to see that person
Seeing your friend as something else makes you want to spend a lot of time with him or her, that you have a great need to see him / her at all times.
4. You want to merge into your arms
Surely you have many friends of the opposite sex, but you would not melt into everyone's arms just as you would with your special friend. The hugs of this person that you consider unique make you feel something magical, something that nobody else makes you feel.
5. It attracts you
An unequivocal signal that your friend is no longer just your friend is that you are attracted and wish to have moments of intimacy with him or her. Surely you want to be alone with your friend, to be able to connect emotionally.
6. You think about that person all day
He has stolen your thoughts, has kidnapped your attention and is now present in your mind for much of the day. That's why you write to him on WhatsApp at all hours and you talk to him differently than you would with other friends.
What to do if you fall in love with your best friend
Being in love is one of the best experiences we can live, as long as the other person feels the same towards us. Otherwise, we can suffer for an unrequited love, which can affect our self-esteem and cause us frustration and anxiety, among other psychological symptoms.
This situation is especially delicate if the unrequited love is that of our best friend. Now, if romanticism triumphs, friendship can give way to true love.
Falling in love with our best friend can be incredible but it can also mean putting our beloved friendship at risk, so it is logical that doubts arise about whether we should tell you or silence this immense feeling. So what should we do if this happens to us?
1. Be aware of this and accept the situation
When we fall in love with our best friend, it is useless to run away from this feeling and repress it, because in some way or another it will affect both us and the friendship. If we find ourselves in this situation, the best option is to recognize the signals I have talked about in the previous lines and accept that falling in love with a friend is something that can happen and, in fact, occurs with some frequency.
2. Watch how he behaves with you
When you know what you feel towards your best friend, you can observe his behavior to see if he really feels the same for you. This can help you to accept the situation ahead, to reflect on what is happening and to make a decision about how you are going to manage this new reality in which you live immersed.
3. Be honest with yourself and your friend
If you have fallen in love with your best friend, pretend that none of this has happened and that the friendship will remain the same as it has not been realistic so far. In fact, it can positively and negatively affect the affection your and your friend have for you, so it is always better to be honest with yourself and the other person. Communication and expression of feelings can help to manage the relationship from now on and to direct it with maturity.
4. Respect your decision
Telling your friend that you feel more than a friendship is a brave decision, but their reaction is not up to you. If he decides to be with you and give you an opportunity to start a relationship, it will surely be one of the most incredible days of your life.
But this idyllic situation is not always met, and it may happen that your friend does not feel the same about you. Faced with this, you must respect their decision and continue with your life. That does not mean losing the friendship, but you must adapt to the new situation even if it includes taking distance for a while. You can read the article “How to forget an impossible love, in 5 steps” to know what to do in this case.

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Psychology of love: this is how our brain falls in love
Romantic love is one of those phenomena that have inspired many philosophers, and has been the main theme of many films or novels. And although its complexity causes great difficulty in studying it, everyone has ever experienced in his life this strong feeling that directs all our senses and drives us to be with the loved one.
In fact, recent research concludes that love is an impulse and motivation rather than an emotion. It makes us feel that we are at the top, but it can also lead to self-destruction if we do not know how to manage heartbreak correctly.
Undoubtedly, the psychology of love is an interesting topic, and in this article I will talk about the chemistry of love and the importance of culture and expectations when it comes to falling in love.
The psychology of love and its relationship with drugs Until only a few years ago, love was treated as an emotion, but despite the fact that at times it may seem, it has many characteristics that differentiate it from these (emotions).
Following the studies of Helen Fisher, an anthropologist, biologist and researcher of human behavior, the scientific community gave more weight to the idea that love is an impulse and a motivation, since the results of their research confirmed that they are activated two important areas related to motivating behaviors: the caudate nucleus and the ventral tegmental area (ATV), both regions very innervated by dopaminergic neurons and related to the repetition of pleasant behaviors such as sex or drugs.
But the complexity of love is not limited to these two areas of the brain. According to the conclusions of a study led by Stephanie Ortigue of the University of Syracuse (New York) and published in the Journal of Sexual Medicine, up to 12 areas of the brain that work together to release chemicals such as dopamine are activated, the Oxytocin, vasopressin, norepinephrine or serotonin.
Love modifies our brain and induces changes in our central nervous system, as it activates a biochemical process that begins in the cortex, gives rise to intense physiological responses and produces a great feeling of euphoria (similar to some drugs such as cocaine) , although it also has an effect on the intellectual areas of the brain and can affect our thoughts. In other words, when we do not fall in love ... we are drugged!
This same research proved that, depending on the different types of love, different areas related to the reward system (in which the ventral tegmental area is found) and some higher cognitive functions are activated. You can learn more about the different kinds of love in our article: "Sternberg's triangular theory of love"
From the madness of falling in love to the rationality of love Love has aroused much interest in the scientific community. Some research has focused on analyzing the phases of love, although discrepancies have often been generated among experts. For John Gottman, author of the book Principa Amoris: The New Science of Love, romantic love has three distinct phases that appear sequentially, in the same way that people are born, grow and age. These phases are: limerence (or crush), romantic love (building emotional bonds) and mature love.
Not everyone overcomes these phases, because the process of the intense chemical cascade of falling in love must give way to a more consolidated love that is characterized by a deeper trust, where more rational decisions must be made and where negotiation becomes One of the keys to building a real and loyal commitment.
Hormones and neurotransmitters related to falling in love and love Some researchers have tried to find out exactly what happens in our brain, what neurotransmitters and hormones are involved in this phenomenon and why our thoughts and behavior change when someone conquers us.
Dr. Theresa Crenshaw, in her book The Alchemy of Love and Lust, explains that not everyone can make us feel this magical sensation, but when falling in love occurs, then, and only then, does the cascade of neurochemicals in love explode to change our perception of the world
In summary, the most important hormones and neurotransmitters involved in the love crush process are the following:
Phenylethylamine (PEA): It is known as the falling in love molecule, and when we fall in love, this substance floods our brain. It produces a stimulating effect and the feeling of "being in a cloud."
Norepinephrine (norepinephrine): it is a catecholamine that has a great influence on mood, motivation, attention focus and sexual behavior.
Adrenaline (epinephrine): it is similar to norepinephrine both in structure and function. It could be said that from a functional point of view there are no differences between the two, except that the adrenaline function is predominantly outside the central nervous system (although it also acts inside as a neurotransmitter).
Dopamine: it is the main neurotransmitter related to pleasurable behaviors and their repetition. It is involved in drug use and addiction, in gambling and in love and falling in love.
Serotonin: Serotonin is known as the "happiness hormone" and elevated levels of this substance are associated with positive mood, optimism, good mood and sociability. Research has shown that in the heartbreak there is a great decrease in this neurotransmitter, which can lead to obsession and even depression.
Oxytocin: also called the "hugging hormone", intervenes in the creation of close ties with the couple. It helps to forge permanent bonds between lovers after the first wave of emotion, and by hugging, kissing or making love we are favoring the release of this substance.
Vasopressin: It is known as the monogamy hormone, and is also present in the attachment between a mother and child. It is released accordingly with proximity and touch, and promotes a strong emotional bond. Theresa Crenshaw, in an attempt to explain her function, says "Testosterone wants to party, vasopressin wants to stay at home," referring to its attenuating influence on individuals' sexual desire. In short, it promotes more rational and less capricious thinking, providing stability.
When love is broken: what happens? While there are social factors that intervene when we fall in love with one person or another, it is clear that falling in love and love, when it ends, can cause serious problems for the person who follows in love
Due to natural selection, a brain was produced in humans that evolved to maximize reproduction and, therefore, the non-extinction of the species, where neurochemicals of happiness evolved to promote reproductive behaviors. This, which has had a great impact on our evolution, means that when couples break up, we have to fight against our emotions, instincts and motivations.
The conclusions of a study by the Albert Einstein College of Medicine make it clear: "In heartbreak, just as when a person is addicted to drugs, the consequences of addiction are so strong that they can lead to serious depressive and obsessive behaviors." When the union with a person has been very strong, it takes time to weaken the neural circuits in which the chemical substances of love participate, and as with a drug addict, the best way to overcome it is zero contact (a less during the early stages of the breakup and whenever possible).
In fact, expert psychologists in love recommend the world and life. Yes, it is true that when we face the person we like, we get excited and the chemists of love do their job. However, the origin lies in the expectations, which are shaped by our mental schemes and that often feed on the concept of love we have seen on television or in movies. It is difficult to imagine a millionaire in love with a wanderer.
As for falling in love, and as anthropologist Helen Fisher explains, “nobody knows exactly why it happens. We know that a very important cultural component is involved. The moment is also crucial: you have to be willing to fall in love. People tend to fall in love with someone close; but we also fall in love with people who are mysterious. ”
Mature love and cultural influence As for mature love, and according to the opinion of Robert Epstein, a psychologist at the American Institute for Behavioral Research and Technology: “Cultural practices greatly influence how people seek and develop love, and the key is the compatibility with mental schemes, that is, sharing a similar view of the world. ” Epstein thinks that “in cultures where people get married taking into account an irrational love vision promoted by the media; They have serious difficulties in maintaining the relationship, partly because they often confuse love with falling in love. This is not a favorable situation to have a long-term relationship. ”
Love has to do with beliefs and values, and falling in love are a series of chemical reactions produced in different brain regions that make us have an idyllic perception of a person. Epstein says that "older people beyond the age of having children sometimes have a partner for more practical reasons." Which implies that over the years we can educate ourselves to have a much more realistic vision of what it means to have a partner.

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