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H J<k Jx\H< Q `~KQ =K ~ ~HO. "^_H ~HO ~~ K
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HO` QxH ~H~O Py`Ok. ZO` QxH ~H~~ Py~O^ JO`QO
Pn#O# L# s~="h "^i, H^eH Q@O\~.
~O_ H KK|_=K (paraplegia); ~O_ H, K` _ KK_` Jk
H_l (Quadriplegia) XH H, XH K KK|_` Jk "<l. W
Z< ~H<~. XHHiH Ju OQ =z "O@< ~O@Ok.
~h ~<O@ H=. Hx Ju `= ==k... (Hk ~A/"~)
#" +O@ 8090 `O ^~} uH K~O\~.
a.. L#"iH, J`kHOQ PO^#_ "iH _ H =K J=HO LOk.
~ zH` K@O = ikH ~^. Jk #~l Ke# x!
Hx u XH~ QiOKe# =Y q+ O U=O> KK |_# J=" x~O`~O
"=O HeOKe. JO^H l ^~ , = O^e.
WH` ~ J#O`~O ! Wk +O@ ~ #Oz ZO` Q H<_<
q+O q^ P^~_ LOk. P =O J`x/P" =O`? ~H =O^
"~ U=`O K~Q LO_"~? =O\ q+ q^ _ P^~_`Ok.
_H s~ J=" ~H <# "iH H="OK #y`Ok. Z_=
Q KK|_# "iH H="OK `Q^. H (~) HO_~# KK|iK "k
H#H =O\x KH`^. =Q"iH O#O |#OQ LO@Ok.
#O HH=K. = HQH =K. =YOQ H K` H^e H, s~O H^ _ O
q+O HPi<+< iQ LO_^. =#HOQ HeQ _+< _ J^#OQ =
HeyOk. HO^~ H O|OkOz# PK# q_K~. HO^~ H
Q@<=x qKi~.
J~#\H ~ H~=, HiH LO> H x K=@H #~^
iOKH=K.

11

< ~ ~+_^q?
< ~ JO> ~+O LO_^. z=~ =^ _ ~+O LO_^. x^
Z=. QkH ~Q< x^=O^x K _ O@Ok. K O^=O> =^O @Ok.
^~ }OQ <# P"# |=O`@#. P" ~xH =ke"#. WO`=~ XH
~u ~O_~ <<#_ P"` ~u K^.
*.Z.P~., =~.
[. XH~u 2 ~ ZC_ #^<~. Q@# q~ < ~=~q
8612~ ~+OQ O@ LO> P" HiH~OQ iQ <~Q L#>
H. JO`H< Z= ~ #Qey` O`+OKO_. =s "~xH 10 ~AH
Fi J~`< Jk PzOKe# q+ O. JO> HO^~ ~+ _ H =_xH
H#x H~}<~. Jx\H< ^# H~}O @O| "`=~}O, OHO
U~_# Ja, `, |O^=, OO =O.... ~" Z= LO\~.
=#= ["#^h, ^x =#~ ~Q PkOz, P#OkOKh =#O
(=[O) ZC_ `OK=. ` ZH_ qKq_`#O =KO^ Jh...
^ Z=~< |i KO\~h =# Z=. H#H x "^\ #Op
U^ _x q+OQ< iQ} =O. J^ JO^~ <iO.
=~ H=O QiOz '`C J< JaO U~~z, =~\ #Op Jk
~= XC Jx K< WH P ^ =# P q+x P"kOK^. U `~|_
Ok# tH} =# <@ `Ok H#H! Wk P_" q+O ZH=Q
[~Q`Ok.
g ~ _ D ~HO @O|, =lH "`=~} "xH <, H=xH
W"e#O` =YO ~=@O ^" ! H =O O`#O H" Jx P" JaO
H=K. ^ P" @ "^\ #Op ^Q PH H=K. W Z<
H~}O\~. P"` O+Oz, P" =#x Hke Hx P q+ |@_= .
_`Hx, P" =~ `=_O ^O H^.
x ~+_x ^x `OKH=_xH =OH "`H_O [" H^! 'Je
#, x^=Ok JO\~. `<, H_<, H<C, H<C JO@
U" =OH _`~. JO`HO> UO K~? |O_Q < JO Jx Ka` ~ Q
_`_ H^! (J~` x[OQ P =` ^ _ _ LO\~ =!)
g ~ =^x _ ~+_^<~. "`OQ< x ~+_x =^`
U OyH H~Hh JO`Q ~+_~. g ~ D =~xH KO^`~"!
Hx =i HO^~O\~ :
=^ |Qg ^ @H"e Hx ^` UO\ J#x p^iOK< J*#O\~.
~ <\ #Oz ^~#, Q~\ HO, [~ (H~) Hm "#, ~ (H, On) "#
"IIq =O > K =Ok =^x J OKO\~. ^O` += O iQ H `...
Q~H\ LO>... u# `~` P ^~ O^Oz H#|_` LO> U P_k
=^H XCO@Ok? H#H ~O\ q+ q+ O Z= ^ =OKe.

12

0xx =^ @H=@O, K+OK@O < K ~+O. Hx < ~ ~"g

~+O LO_=. ZO` K< J~O KH^. `~Q xi KH=x K, ##


x~`~Ok. ZC_ x^`< Jx KOk.
[. H=H x K OyH H# ~+_~x =O^ KC<O H^,
=O^Q P" J<HH H~} "uH @x, `Q q^OQ HxeOQ K g ~
=~ J=HO LOk. g~ J\^H D HiHh "~^ " H=@O =Ozk. ZO^HO>
g~ P" ~+_x HiH ZO`Q Hi` P" H=O @ =u~H` JO` iQ
=^O LO@Ok.
0 = JO> Uq\ P" ~O` =~ `e^. g | Kkq ZO`
K< J~O KH^. < K J#qOKx K HiH LOk. < ~`
[~Q@O ^. UO K=O\~.
[. = YO XHi _ O^H=@O, ZC_ JO`$
qQ` LO_@O _ ~u "=MxH ^#"# H~}"! Hx Jk =ki H
g~ ^$+x = g^< HOnHiOK@O = LQO ^. =O^Q hqOz#
P" =#H (Jk x["`) =m K`#O HeyOKe. g^ ^#` `yOz,
P`, J#~QO ^iO K@O g^ ^ KOKO_. x K J#qOK<
|"# HiH` g~ P" g^ =u_ ZO` Z= ` P" HiH JO` J}y`~.
J<k =#` "O O_ [~Q^. Qq =#x O`+ ~KQey`
H P#O^O aOk.
WH PY~Q g~_y# ''< ~` [~Q@O ^. #<O K=O\~? Jx
H^! rq`O =_Oz# qi H^. ZO` H+_`< Hx YO aOK^. H+_O_. g
~~e^~ He ==e OQ Ok LO> g = i+iOKQ=.

H~\, HiH
< ~ W\= (6 < H`O) H~\ "~OK#. J\ #Op P"H
PH `yOk. f~OK =O\~? ZO^= ~ [iyOk. H~\ =Oz^#x
g~ "<~ H^?
O~.
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JH= |` =O J=`O^? `|@ JkHOQ J=`O^? H~\ = HO^i
~O\ _ Z HQ`~. "\ =O =# g^ xK HiH #y` Ok.
a_ e# ` _ H=O ``eHOQ `Q `
Ok. W"" < g =i "
K_O_.
= ~~H" 'H~\ H O|OkOz# ^~O x =~O LO_@O = `#
^$+ ZO` ^x g^< LO_^h , ^xg^ ^ x H ^#h "~. ~O\
H~} _ H="OK# `y~. JO` Hx H~\ H^.

13

< _`?
Q~ x~^xH "_ =`= _ ZH LO\@ H^? JO> UO [~Q`Ok.
=i P =` < _` ^ Z `Ok?
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[. =#OQ "_HO L# Q~ x~^H =`x HOa<+< JO\O. g\
Z*# *~< J< ~# ~O_ LO\~. W ~O_ He LO_@O = P
=` _ Z Q`O` e WC_ K `= LO@<~.
J~#\H P =` "_` HO^iH <=^ c_O Q HxOK@O, qH~O, "Ou,
`<, ~= < @_O, H ... O\ "# _ Z (Hx
=`") Hx~.
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J__ ^^ = HeyOK i LOk. J~` K =Ok _@Q D
= H#~ =`O ~^.
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~H< Q@O ("iH) O\^" < LO^? a.., +Q~ , =` =,~<,
Q~
O HO_, ~= Q_ =Q~ L< Jx `x =s ~~ .
(XH " _H~ J_QH` g~ "iH Ke).
a_H e# `eH, \.a. +O@, Hx ~H =O^ "_ `# "iH, U^<
P~+< K~OKH `# +O@H ~=~.
W=h Kx ~KH _ 23 < @ Z U"< L< Jx
Q=x~. U"< LO>, "_=^x ~~. ^~}OQ ~O`
==k ^#"# _ Z Ug HQ=.
PY~Q XH =@! ~ _ Z *a` Kkq` =` "_O>< O
" O k. Hx "= O _ Z J~^Q HQ`~. =O^Q g P~QO q=~h
sHOp, `h ~ _ Z J=HO =s `= LO@Ok. H#H
"_@O QiOz
_e#x^ . O`OQ H#x "_ @O =`O H = O H^.

\"_ Q\"_
<# 4 O=`~ @ Q= K O\x, g JaiH H= Kkq
^xx =x "u x. < WC_ JOQO z#^~#k. J~< ~ ^ . Hx <# =`=
O> HhO 5 xq H= @`Ok. < H# L# ` =`=
_O ZO` Jx ZC_ J_Q`O\~. g =# < nxH U^# L=
^~`O^x Pt<#.
[. O_ H # LO_Q =`O O >< POQ =O^? H ZC_ =`O
< 5 x= = _e =O^? Jk `e< Qx ["| K_O H+O.

14

O_ =^ L#C_ J J=`O^x q<=. ZO^HO> QO =


JOQO z#^ ~O^< eOQ g LOk. P ''z# JOQO g O_ H|_` Jk
g z#`#O! H#H " H# xOKx =`O e =z#C_ g JOQO
ZH_ " ^$+ _`O^ Jx PO^# q=e P=Ok. JO^H H
g =`O |O^=`Ok.
IIII = JOQO z#^=`O^x Z=~ K~ g? Jk ^Q~Q =_Kx
L#O` =`# z#^~#><?! J~< h =Q`#O h JOQO A ^ |,
^x #= ~u yOKQ <}O g^ P^~_ LOk. D q+O = =
~O^iH JaiH ^^ K|`< LOk. JOQO z#k, ^k Jx HO
U~~KHHO_. < ~OlOK ~ux =~=O`OQ Z x~OK, ~Ok
xQx Z kOK, Jk `H=_O =YO. P q^ ~x " JOQ ^"<
z#"< XH>. D `O g~ Q K.
'JOQO z#kQ LO^q\~? Jx q==~< O K gO " '\"_
Q\"_~ Jx ["| KO_. g D JOQzO` `y~ P`qO iy`
=`O = ^#O` J^ `Ok.
XH" g =`O ZC_ < ZH_ < J^q^O Q Hx x= =_`

Hx ~H`O> Jk POyH^+". ~lx OkOKO_.

|_ +~O> Q~O ^H^?


~ < 26 OII. < ~ 22 OII. "= H~O K|\ 9 OII~Ok.
< ~ Q`O *i<` J~ \_. ZO^HO> JC_ < ~ B.P.
=zOk. 180/90 ~ =zOk. M.D. Q~=u J~` HO^iH B.P. =Ok J<_.
_H~ g U"< LO^"#x O~ #O_ ~<#.
593
[. Q~=` ~H @ Z=~` Jk a_ =kOk. =s Z" W`~
^~H} _ `_~` `eH _ =Ozk H^. g ~ ~O_= Q~O =\xH
JkH ~H > H~}O H=K. ==Q Q~ = uH a.. 110/70 #O_ 120/80 =~
LO@Ok. P|_` =YOQ 120 LO_e#k 140H ~Q@O Qx, 80 LO_e#k 90
^\< Qx Jk a_ `eH q+=iu J< KCH"e.
a.. ~Q_O` @, =O\H h~ @_O, =`O ` (\#) =@O _
[iy LO\~. nx \Hq JO\O. a_ =q ^~ JO^=# ~H ~~
`y~, P "~ `e ~H@ ~Q`Ok. a_H ~HO ~~ `y=@O = ^xH
PH[# O U~_`Ok. a_ qiOK =e< |@H =@O `y`Ok. a_
x HQ_xH H~}O ~^!
WO`H D O U~_\xH = H~}"q\ ~^q^OQ `b^. =m g ~
Q~=u J~#C_ g~ Hx *Q` fH=@O J=~O.

15

1. \HqH "^\ H}
O H h~ K~@
O! H#H H h~ K~@
O "^~`
P"# iQ _~ fH=#O_. `"~iH " `y`~. `QH` ~k
\Hq = HeyO^#H=K.
2. 7= <^H << a.. KH K~OKe. a.. ~Q@O "^ @Q< (_H~
K|`~) _~ fH"e. Qi} a.. =O^ JO`Q `Q^ . 7= < ^\#\
#Op 15 ~AHHi J=~"` WOH `= ==k# a.. KH K~OKH"e.
3. << Hx, J=~x |\ WOH ` = ==^ Qx =` sH K~OKO@
=`O \# ZO` `#n x~iO*e. \Hq U ~ L#^ D 3
sH K|`~.
_~ q+O J^ K_^. ~Hq HQO_ S~< \xH fH"e.
a HO =` fO> \Hq =O ` =Q LO\@. a.. Z=Q
LO> @ Ki"e. < `= a_ > J=HO LO@Ok. (J=~x |\
_H~ < xO_ O_ = O K~~ .) H#H P ~HO a_e H\xH ''WO@~
^O L# P` K~@O =Ozk. 9 < Q~x ^HOKx Q~Hx
`OKH=\xH D =`O ^ fH=@O J=~O.
Q~ = ` HO "# H O ''Q~ ^ ~} = K^= O_. J^ =, `eH=@O
= U `eH Q~HO HQ_^< D HO "~ ~O.

l\
l\ JO> Uq\? l\x L^Hi H=~OQ Q ~} O^`O^x
q<#. l\ QiOz q=~OQ ~O_
4484, Q~
[. l\ J<k c["H HC =~ JOQO `# LO_ XH xt`" #
^ O ! D QO ~ YO K Z= LO@O^h, c["HH "*x JO`\
HeuC` JH_ (l\ =^) iOK iH M# `` "eH u~Q@
"
HO_ =` ^~OOz ^=O (=`O H^) "=_`O^h 1950 '\<|~
H\OK_. P# ~ g^ Q<|~ \Jh, (=K@Q l\ Jh) "_HH
=zOk.
J\< H^, =~i (80= ^H O _ D l\ ^ QO^~Q O $+O zOk.
x[OQ JO^iH l\ LO@O^ J<k O^". K =OkH J `H=~#
xt` ^"g c["H LO_^. Hx l\ Hx\# H` ` ^
^xH aOz# K~O = P_"O` `=H l\ LO^ Jh, =Q"" `=
~H LO^ ^ Jh `_q KH=@=, J##k H#|_H=@O` `=H^
J<O [iy~O^h, O LO^h `Q ^ _=_= [iyOk.
l\ QiOz ik HO`=Ok _H~ J^ LO@O^ K^=x P QO
P~ +< K e# O^~ =z#C_, = sH (Autopsy) K# C_ "uH~@.

16

JO\ K~Q"g "H H#|_^. H#H H K~=O` XHQ LO@O^h, P


`H ^O =`O <t`O Z= LO@O^h f~xOK~.
WO`H l@, =Q" @ QOn XHO\=@! O_ ^ ~ O_O\ ==
XH>#@. Q l\ ~H HiOz #_ q_^ =`< ^=O
@ QOk LO_ ~< L<@.
l\H ~} KH Q aOz# = =O =`<O #Oz ^"#
q_^ K~h J#Q e~h Q<|~ J<_. "`# =i 2000 U
H`O P_" _ e~x ~# OQu =iHO_. p#
H\~} H=#_xH W^ =K`#H. #O QiOz si [~Q`<
LOk.
U`"` "= K^K#^q@O> l\ HO c["H `_q
KH=K. P xt` ^ O L# P QxH ~} O^_O ^~ _ P#O^x
O^=K. P ~HO <t`O x"~ =`O `= ^ Jx qKiOK_O =`O `Q^.
H"n#O HeyOK xt` s~Q Z< L<~. (K. }H, $OQ~O.)
"\x KHQ ~Oz< K.

ZO^O_=?
~, =i ~+_H = ~= O^ ~Q=? H ~+_ g ZO^
~=?
>\ _~ `_y` =^=? A _~ =Oz"?
2187
[. <<, hHO` =K@Q LO> J^g ^ xH^. ~#e ~+_H
~=~. ~+ ~#e H g, Q_ =~ K iOKQ H
h LO_e Qx!
"O\ "_< iOK=x K c*# s~O |@ Op U~@ KOk H$u.
=m "\x aQ` _~ ay P [#" x~QO H^? A _~
=Ozq. >@ _~ = g~H} L`u `Q`Ok. Q[ K~ "^~. 0

Dr. DVR Poosha,Ph.d


Editor :Abhisarika
Consultant : Psychosexual Medicine
40 Indl. Estate
SAMALKOT A.P. - 533 440
India
Ph: +91-884-2327454
Fax: 2327965
email: question@sexualcounselling.com

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