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Tamil Nadu, once grouped with Andhra Pradesh, Karnataka and Maharashtra as a high HIV-prevalence state, has in recent years earned the title of being a “trailblazer” for successfully reversing the AIDS epidemic by measures that include educating small store owners and increasing the number of outlets selling condoms in the state from 15,000 in 1999 to 35,000 today.It is the general notion that private hospitals will be a better choice,” she added.Hospitals provide breast augmentation, emasculation (removal of penis and testicles), and vaginoplasty (creation of vagina) as part of SRS. Nirmala, HOD, Burns and Plastic Surgery Department, KMC, “We have a good team of urologists and plastic surgeons who perform the surgeries.Intervention project: Jayasheelan (in purple top) with others at the Sahodaran office in Chennai.Sahodaran, a non-profit group, offers social and healthcare support to men who have sex with men.Forty-nine per cent women said they had sex between once a week and once in two months.The percentage of those who have sex more than once a week (25 per cent), meanwhile, has dipped from 30 per cent in 2003.This southern state, populated by about 70 million people, has seen HIV prevalence among pregnant women, a key indicator, drop to 0.36% in 2006 from 1.59% in 2000, according to the National AIDS Control Organisation, or Naco.Adult HIV prevalence in 2007 stood at 0.34% in Tamil Nadu, compared with 0.62% in Maharashtra, 0.69% in Karnataka, 0.97% in Andhra Pradesh and 1.13% in Manipur.“Tamil Nadu’s politicians did not turn a blind eye to the issue or deny it.Conducted on 5,369 respondents (2,664 women and 2,705 men aged 18 to 60 years) across 11 cities-including Delhi, Mumbai, Chennai, Kolkata, Ludhiana, Ahmedabad and Patna-the 2010 survey establishes that women want better sex and that it's time for men to find out how inadequate they are.Men are clearly not setting their women on fire, with sexual excitement levels among their better half plummeting.

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