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Most people don't like it
to spend time in a hospital,

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of course you will say, but perhaps you don't study
medicine like me and you don't have a doctor

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retired as an uncle. He knows everyone
and decided to help me choose the

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specialization. It's not a pill
morphine. And as a pass for

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all the sets of the greatest show
medical television in the history of

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of advanced search, even if the
My uncle's hospital practice is

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experimental.

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Robert is charming.

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Go down even further.

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It's really too late to sign up for
jurisprudence?

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We entertain you by playing games
words, I don't know, here's one.

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Doctor Taldeitali at your service.

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Well, they don't usually call theirs
private parts the penis. I heard it

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define in all ways. Mine
bird, the little boy, my piston.

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you show up, delighted, very pleased.
No, dilated, much pleasure. Cingillo,

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johnny, missile, salami, armchair.
The more you have, the more you put in.

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Today we go deeper.

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The yin and yang of medicine.

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Brace yourselves, urology and gynecology.

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They often understand neurology and say, oh
do you really work on the brain? I say

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no, urology, the other brain, that
below.

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We have many tools at our disposal,
we deal with very specific problems with

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resolution therapies.

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Urologists deal with the apparatus
male reproductive and pathways

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urinary. What you see is there
'urinary system and are part of it

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'urethra, bladder, male and
female. I always had this urgency

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in the bathroom.

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Problems going to the bathroom. It was disturbing
sleep and work.

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I always had very strong pain
to the abdomen. I was bleeding. I don't

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I was able to get pregnant.

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It is in the gynecological field that they fall
many of the operative interventions and

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female-only medical problems, of
their anatomy.

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Gynecologists don't just help
to have children. They also treat pain and

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problems of the cervix, uterus
and the ovaries.

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Problems that I don't have, but this
program believes in equal treatment.

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I have understood this over many years of practice
medical. Best for patients

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feel as relaxed as possible
when it comes to private parties.

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Talking about it is always difficult. Mine
friend Eddie has a problem, let's say

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performance. Here, this is an example.
If you call your private parts Eddie, you

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it's easier to talk about. Continue to
call them that. No, uncle, my friend

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difficulties because... No, uncle, Eddie is
very big. The point is, so do you

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soon you will be a doctor and you have to go...
beyond your little discomforts. You have to

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be open with patients by talking
of your private parts.

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Let's go see Doctor Chan.

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But I'm open about my parts
private.

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Of course, many women don't know
their anatomy, so they don't know with

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accuracy what happens during the
medical visit, especially if it is the

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before.

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It may seem strange, but this is pure
truth.

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I can assure you of that. For example,
according to the manuals of the time

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doctor couldn't see anything about the patient,
he examined her under her clothes, but not

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he could see nothing. The eyes were not
involved, it was all by palpation.

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There is still reluctance on the part of some
patients, but we need to convince them why

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it is important that what you must see
be seen.

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When the doctor touches the cervix and
presses on the outside of the belly measures the

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size of the uterus.

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Urologists also take measures.

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Measurements are important for males.

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People think I carry it with me
to pray. It's not like that. It's a tool

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useful for measuring the size of the
testicle with greater precision.

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testicle of 25 mm.

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There are the 3 mm ones and also the
1 mm.

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If they're too big they might
contain liquid, cyst or even a

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We all want them not to be small, but
it's not good that the testicles are

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too big. It's a problem.

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The same goes for the prostate.
It should not be larger than a walnut.

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The prostate is the gland that comes
examined when they visit us with a

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of latex.

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He doesn't know what awaits him. The men
those over 50 years old are those with the greatest

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risk of prostate cancer. I am
Dr. Chan.

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So, now you start undressing.
You can keep your shirt. Take them off

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no socks. Take your trousers down and
the underwear. You tent on the bed and yes

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puts you at ease. All right?

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A very important support from the point
from a diagnostic point of view are the

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In women the ultrasound device
it must be inserted into the vagina.

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Search for things that shouldn't be there,
such as ovarian cysts or fibroids. Another one

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way of calling benign tumors on
muscular layers of the uterus.

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Men also get one inserted
probe and not from the nose. He owes her

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relax and everything will be easy.

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Let's get started if you want. It's simpler than
as much as you believe.

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Can it be shown on TV?

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Now we're just protata, it's kind of
white spot that closes the canal. The

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Ultrasound is like sonar
submarines, but instead of searching

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enemies send signals into the body to
research of internal organs. When the

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The sound wave hits the tissues and bounces
backwards creating an image.

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They're kind of sort of
X-rays, except that they aren't

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radiation but sound waves and therefore a lot
less invasive.

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All in all, it wasn't that terrible at all
bottom.

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But soon we will see some very little things,
much more interesting.

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My uncle had explained to me that if I tried
today to talk about my parts

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private, even for patients it would be
it was like that. On my private parts?

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The speech was well received.
Certain topics only scare you

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talk about it. If there was a reality show about
hospital tests, urological examination or

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gynecological would be part of the grand
final.

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Relax, it sure won't hurt
me, but not even her, don't worry.

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When doctors need to visit the
urinary canal, do a cystoscopy.

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there is only one way, my friends, the urethra.
But it used to be much worse.

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It wasn't like this once.

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A rigid cystoscope was used, one
terribly big metal rod

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unpleasant for the patient. But
Nowadays, thanks to technology,

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it's no longer there.

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Indeed, and we can see how we are
inside.

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The tube is studded with optical fibers and
at the bottom there is a camera.

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A live message appears on the screen
enlarged image that allows the

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to turn you inside out.

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In order to control the cytoscope I
just use your thumb. I can move it

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back and forth. As you can see it's a lot
simple. Now I just have to connect it

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to the light source and then insert
the tube very carefully.

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And another fantastic journey begins.

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There, now I'm in the channel.

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It looks like they're polishing his fingers
shoes.

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Goodbye horror reality TV.

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There you go, relaxed. I'm passing
through the urinary sphincter. There

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it is connected to the urethra because it produces
the seminal fluid in which it travels

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sperm. The sperm is enriched by
testicles and the mixture slides along the

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urethra with the results we know.

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It's the same tube it comes through
push the urine out.

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As we grow older, our age widens
waistline and also the prostate. If yes

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it swells too much, suffocates the urethra,
making it more difficult to escape

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'urine. It is a common ailment and suffers
about half of men over 50

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It's called BPH or prostatic hypertrophy
benign. Doctors are not familiar with

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certainty the causes, but they know how to address them
remedy. In many cases, therapy is enough

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pharmacological, but as a last resort
they use lasers.

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The urethra is widened by bombarding it with the
laser the walls of the prostate.

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Then they connect a cystoscope to the
aspirator and suck the fragments away

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fabric.

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Fantastic!

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Dr. Chan is a very good urologist and
it will teach you many things about how to do it

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behaves with patients. Ah, doctor
Chan, this is my nephew Robert.

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He would like to discuss some issues of
performance with her.

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Ah, I have no problem.

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Of course, Robert, but I recommend a
everyone has a regular check-up. Come with

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me.

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While uncle waited, I
I underwent the specific exam for

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I had a hernia.

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Once the exam was over, he asked me to
undergo further scrutiny.

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Ah, doctor, from what I see here we have
a problem.

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Yes, there is a block.

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We should arrange to free him and
remove stagnant liquid.

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What could be used?

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The scalpel.

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Excellent idea.

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No, not the scalpel. I'll find another
doctor to learn how to behave

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the patients.

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Urologists love probes and when
they go deep the cystoscope yes

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multiply.

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Now we're about to get out of this one
area. Sometimes it is necessary to free the

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bladder from things like stones.

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And even in this case, long live the
cystoscope. It has more possibilities than

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application of a Swiss army knife.

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All I have to do is press the end of
this device. The terminal of

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opens and three points come out. If I find myself
when faced with a calculation, I can grasp it

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eradicate it. And I can do the same with
a tumor.

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Bladder stones are as small as
grains of sand or as large as

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mandarins, but size matters little,
they are painful anyway.

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They are often caused by crystals that
they form when urine remains in the

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bladder too long. Sometimes doctors
they use another small variation of the

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probe.

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The bottom of this track opens like
if it were a basket and the calculation comes

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trapped in here.

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So I can take it out and make sure that
the patient is free from any form of

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obstruction caused by the stone itself.

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If it seems painful, thank the
luck of not having suffered from calculations

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ancient Egypt. He took a joint of
bamboo, using rubber latex, yes

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stared at a diamond on the tip of the
cane, which was inserted dryly

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decided, where, you know, up to the bladder.
It was believed that the diamond walking

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it would have destroyed the calculations. I don't
I find diamond therapy to be a great thing

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to deal with family jewels.

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Calculations can also be found in
rhin, and since these organs do not

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they differ greatly between men and women,
they can end up at the urologist

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It was like a stab wound, I couldn't breathe
normally, I didn't move, I struggled to

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take a breath.

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If the calculation is too large, it is needed
surgery. But today it happens

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less often, thanks to another tool
magical.

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There is a non-invasive procedure that can be done
called lithotrexia.

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Through a bombardment of d-waves
'impact, the stones are broken in

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fragments.

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I could hear the noise it made
shattering the calculations, a kind of tic

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continuous. It's such a powerful machine
which basically pulverizes them. Once

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pulverized, what remains comes
safely eliminated without

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with urine.

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We'll talk about tools in a moment
gynecology.

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Some are harmless, but others bite.

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I didn't like the clock at first glance
had made me very comfortable to use

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'expression dear to my uncle. So I had
decided to broaden my horizons

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and... sail elsewhere.

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According to Dr. Ziegler, it was elsewhere
the gynecology department.

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It is true that the female internal organs
they are more complex than the male ones,

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but to be honest there is something more
in game. Women are afraid of

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medical visits because they always fear
have serious problems.

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Take your time. Well. There are cases in
where what you don't want to know can

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be mortal. Regular check-ups
they can help prevent situations

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potentially dangerous. The Pap test
every year it is the first line of defense.

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Watch out males, there's one coming
equal situation. The pap test is in

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the most effective screening tool
in the history of medicine. He reduced

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deaths from cervical cancer more than
90%. It is rare for those who submit

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regularly at the pap test you develop the
cervical cancer.

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You use a small spatula and move it
in this way, just a few cells are enough.

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If the laboratory identifies a
potential problem, we proceed with the

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next, colposcopy.

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The colposcope is a microscope. It can
enlarge the cervix more than 20 times.

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The colposcopic examination is carried out
wetting the cervix with acetic acid, l

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'cooking vinegar. The vinegar colors them
abnormal white cells. The reason for

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which colors them white is that there is a
greater presence of DNA, therefore one

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faster cell division.

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Cells that divide too much
quickly are always suspect. These

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are removed, so the mutant cells
they will never become cancerous. One

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of the causes of cellular mutation is l
human papilloma virus infection

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00:13:43,720 --> 00:13:47,600
HPV, a virus that works under the table and
it gives no symptoms.

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The virus is transmitted sexually and
anyone who has sexual activity

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contract it sooner or later in life.

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00:13:54,670 --> 00:13:58,370
It is mostly a transient infection and
short-lived. The immune system

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eliminates the virus without us being there
let's give an account. But in some cases the

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cells of the cervix take on a
precancerous appearance.

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00:14:05,390 --> 00:14:07,830
Doctors have chosen the path of
prevention.

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A campaign has been started
vaccination on little girls before

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sexually active.

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00:14:16,070 --> 00:14:19,910
Doctors hope this will decrease
the rate of cervical cancer

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in future generations.

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00:14:21,660 --> 00:14:25,400
Hague, a rough start to a speech
on bees and flowers.

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00:14:30,020 --> 00:14:33,960
In my desperate escape from urology I have
opened a door by chance and...

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00:14:33,960 --> 00:14:34,960
gynecology?

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00:14:36,060 --> 00:14:39,780
Gynecology, that's right, doctor. We are
ready for the lesson, if you want.

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Doctor? They took me for a
teacher.

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Still, giving a lecture felt like it
preferable to Doctor Chan and his ilk

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scalpel.

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00:14:49,610 --> 00:14:50,890
Oh, thanks.

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00:14:52,170 --> 00:14:58,970
My lesson today, my lesson
it will be... On the cervix.

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On the cervix.

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00:15:00,170 --> 00:15:06,890
The cervix, exactly. The cervix,
obviously... The cervix

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It is part of the reproductive system
feminine.

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It is part of this together with other bodies
which we call...

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The cradle of human life.

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00:15:18,500 --> 00:15:20,680
And how do I get to the door?

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00:15:22,360 --> 00:15:23,960
Fascinating organ.

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00:15:24,420 --> 00:15:25,700
Fascinating to say the least.

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00:15:26,040 --> 00:15:32,880
It is made up of various membranes and layers
muscles. But are they taking notes?

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00:15:32,980 --> 00:15:37,100
Well, now don't get lost. And I believe that i
details will be more evident

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00:15:37,100 --> 00:15:38,140
through this design.

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00:15:38,680 --> 00:15:44,840
There are some strong muscle bands on
both sides.

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Oh yes?

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00:15:48,300 --> 00:15:50,180
Ah, I understood perfectly like that.

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00:15:52,080 --> 00:15:58,320
It's a real mystery. There's a sort of
harmony, of inner unity that

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and explodes in the cervix.

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00:16:00,020 --> 00:16:01,700
And I would like to conclude like this.

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00:16:02,600 --> 00:16:05,860
The cervix is ​​a wonderful organ.

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Made of layers like an onion.

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And it blooms like a flower.

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Thank you. Thank you.

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00:16:13,840 --> 00:16:15,360
Thank you, doctor. To her.

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00:16:15,800 --> 00:16:16,800
Thank you.

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00:16:17,459 --> 00:16:18,459
Thanks, goodbye.

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A true triumph.

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00:16:21,420 --> 00:16:23,080
Blocked, I'll give him the blocked.

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00:16:23,320 --> 00:16:28,000
There are many ways to treat
so-called sacred doors, but sometimes

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surgery. Among the tumors of the species
human, those to the female organs are

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the most impressive, with the biggest
tumor mass that has ever been

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00:16:36,420 --> 00:16:40,480
removed from a human body. Nella
ranking by size, top 3-4

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00:16:40,480 --> 00:16:41,840
there are ovarian cysts.

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These are growths in the ovaries, if
he can ignore their existence but they can

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00:16:46,640 --> 00:16:51,240
block the normal functions of
organs and even burst. They found it

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cysts in my ovaries, two cysts a lot
big.

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00:16:56,180 --> 00:17:00,340
Gynecology was totally
revolutionized by the endoscopy that has given us

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00:17:00,340 --> 00:17:04,040
allowed surgical interventions with the
telescope or therapies minimally

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00:17:04,040 --> 00:17:08,060
thanks to the aparoscope, a camera
introduced through the navel.

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The optical technique is that of
periscope. The tube is passed through

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and the abdomen is inflated with dioxide
of carbon. The internal walls yes

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they widen thus offering more space
for the exam.

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This is the intestine.

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This is the ascending colon. Here it is
the liver.

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00:17:24,660 --> 00:17:28,460
The right lobe and the left lobe. Yes
can see the heart pumping through

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the diaphragm.

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We can see through a
very small hole with the help of lenses

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very powerful.

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And this is the uterus with the tubes
fallopian.

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And that dark ball over there is the cyst
that the doctor is about to remove.

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With two small engravings on the side
right and left abdomen yes

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the tools necessary for the intervention.

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00:17:49,800 --> 00:17:53,360
Doctors manipulate the cyst until
when it does not detach from the tubes.

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Cyst which is then collected and aspirated
away from the tools themselves.

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All this without harming either
an egg.

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00:18:00,560 --> 00:18:04,420
And now the cystic formation is not there
more. The tube is intact and healthy.

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The ovary is normal. The operation is
concluded.

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Soon, an engineering masterpiece.
We didn't just erect structures

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00:18:14,070 --> 00:18:15,070
architectural.

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00:18:19,870 --> 00:18:22,430
You will never believe it.

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00:18:22,770 --> 00:18:25,610
I gave a lecture on the cervix
uterine.

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00:18:26,010 --> 00:18:29,970
Uncle and Doctor Chan believed that I
I had stayed in the bathroom getting ready for

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00:18:29,970 --> 00:18:30,970
the prostate exam.

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00:18:31,210 --> 00:18:35,210
I had exposed myself and me
he was waiting for a lesson on my parts

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00:18:36,060 --> 00:18:38,240
But if they call them private there will be a
reason, right?

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00:18:38,920 --> 00:18:41,960
Urologists and gynecologists are not limited to
fix our hardware.

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00:18:42,280 --> 00:18:45,860
There are other type dysfunctions
where they can help.

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00:18:46,060 --> 00:18:49,960
A third of males suffer from a
a problem he doesn't like to talk about.

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00:18:50,540 --> 00:18:54,300
Premature ejaculation is a
inconvenience of many young people.

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00:18:54,600 --> 00:18:57,580
When is it called precocious? We are not
able to define it.

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00:18:57,840 --> 00:19:00,020
We have to use a stopwatch and
time yourself?

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00:19:00,220 --> 00:19:04,380
I don't know how applicable it is in the world
real. It's one of the reasons why in

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this field the research has encountered
various difficulties. Dapoxetine is one

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00:19:08,760 --> 00:19:12,280
of the drugs currently being developed
study and experimentation for

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00:19:12,280 --> 00:19:16,540
of premature ejaculation. If he comes
approved, it will be the first drug created

302
00:19:16,540 --> 00:19:21,000
specifically for giving flowers,
put soft lights and make males

303
00:19:21,000 --> 00:19:25,870
relax. Ejaculation is controlled
from the nervous system, therefore a product

304
00:19:25,870 --> 00:19:29,930
which, simply put, maintains
calm, it makes us able to delay the

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00:19:29,930 --> 00:19:31,750
ejaculation during intercourse.

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00:19:35,510 --> 00:19:37,990
I know the difference between men and
women.

307
00:19:38,270 --> 00:19:42,910
Thank you, Dr. Chan. Now though
we need to work on your ejaculation

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00:19:42,910 --> 00:19:45,790
early. Premature ejaculation? Yes.

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00:19:46,190 --> 00:19:50,510
You spoke to me before
sexual malfunction. There's some

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00:19:50,510 --> 00:19:51,510
problem? Ninth.

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00:19:52,260 --> 00:19:56,380
Absolutely. It must not feel in
embarrassment because a third of the

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00:19:56,380 --> 00:20:01,420
male suffers and will suffer from that
disorder. Bravo. And unfortunately among the

313
00:20:01,420 --> 00:20:02,800
litigants is the third.

314
00:20:06,300 --> 00:20:07,760
The one who enjoys, right?

315
00:20:08,680 --> 00:20:09,680
Oh.

316
00:20:11,640 --> 00:20:16,280
Sometimes it's like driving on the highway. THE
young people must slow down and the less

317
00:20:16,280 --> 00:20:17,640
young people increase speed.

318
00:20:18,200 --> 00:20:22,180
Viagra and similar products are very
widespread, but do not cure all cases of

319
00:20:22,180 --> 00:20:23,180
erectile dysfunction.

320
00:20:23,620 --> 00:20:28,520
One of the ways we help the patient
when there are no drugs or injections

321
00:20:28,520 --> 00:20:32,520
or other therapies that work is a
prosthetic surgery.

322
00:20:33,260 --> 00:20:37,260
It is a device that yes
surgically implanted in the penis.

323
00:20:37,700 --> 00:20:42,120
The system is made up of cylinders
inside the penis, the reservoir of fluid

324
00:20:42,120 --> 00:20:45,020
fill them located in the abdomen and a
pump in the scrotum.

325
00:20:48,500 --> 00:20:52,820
Many men would make any effort
to have happy sexual activity,

326
00:20:52,820 --> 00:20:57,040
but women have problems too
decidedly different order. With the

327
00:20:57,040 --> 00:21:00,900
fall in testosterone at the time of
menopause, in women it can be inhibited

328
00:21:00,900 --> 00:21:05,300
sexual desire. Testosterone
it's not just sexual fuel,

329
00:21:05,300 --> 00:21:07,400
enhances psychophysical well-being.

330
00:21:07,840 --> 00:21:11,920
If you are diagnosed with a low level of
testosterone, it can be taken in a way

331
00:21:11,920 --> 00:21:12,920
easy and quick.

332
00:21:13,210 --> 00:21:17,410
In pill form, or below
gel form, or even in the form of

333
00:21:17,410 --> 00:21:21,530
patch or stick to apply on
skin. And you have all the testosterone that

334
00:21:21,530 --> 00:21:26,030
it helps. Gels and patches are being studied
also for women. If they come

335
00:21:26,090 --> 00:21:28,950
maybe women won't want to use it anymore
the headache excuse.

336
00:21:29,370 --> 00:21:34,130
And speaking of excuses, I learned from
Dr. Chan that men don't

337
00:21:34,130 --> 00:21:36,450
leave all the burden on women
contraception.

338
00:21:37,290 --> 00:21:41,410
Vasectomy is one way, this is mine
opinion, with which men yes

339
00:21:41,410 --> 00:21:45,230
make them responsible in the face of
family planning. Le

340
00:21:45,230 --> 00:21:45,909
very rare.

341
00:21:45,910 --> 00:21:49,790
This is a sterilization
effective and certainly safer than

342
00:21:49,790 --> 00:21:54,430
female counterpart, the ligament
of the tubes, where anesthesia is needed and l

343
00:21:54,430 --> 00:21:58,090
incision is very risky. For
perform tubal ligation

344
00:21:58,090 --> 00:22:01,910
'navel and there is always the possibility
that the bladder is damaged, l

345
00:22:01,910 --> 00:22:03,330
the intestine or the great vessels.

346
00:22:04,120 --> 00:22:09,560
Today vasectomy guarantees the
99.7% birth control and it is

347
00:22:09,560 --> 00:22:10,560
reversible.

348
00:22:11,300 --> 00:22:16,000
I feel good, I have no more pain. It's one
wonder, all problems reduced or

349
00:22:16,000 --> 00:22:20,660
eliminated. I'm happy I could
have children after that sad one

350
00:22:20,660 --> 00:22:24,660
experience. I'm very well, mine
partners are satisfied.

351
00:22:28,940 --> 00:22:32,980
With all these problems it's a miracle
that sexual relationships exist

352
00:22:32,980 --> 00:22:34,460
again. Doctor? Yes?

353
00:22:34,780 --> 00:22:36,700
Truly an unforgettable lesson.

354
00:22:37,180 --> 00:22:38,660
She is fantastic.

355
00:22:45,200 --> 00:22:49,800
I found it! After walking around
the whole hospital, I finally found it

356
00:22:49,800 --> 00:22:52,580
specialization that's right for me. It's her! It is
gynecology!

357
00:22:53,480 --> 00:22:54,480
Well!