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Which ED drugs are safe and effective?

Question:
I will be sixty (come next January) and my wife is two years younger. We have sex once a week with the aid of Viagra. However, I read a recent article on Viagra which stated that it can cause “stroke in the eyes”. Since then I have stopped taking Viagra and now am unable to have sex anymore. My sex life is empty and I am at a total loss because I feel very embarrassed to go to the doctor or pharmacies to ask for other ED drugs at my age. Could you please let me know about other ED drugs, which are safe and effective that can be bought over the counters without any hassles?

Answer:
Erectile dysfunction of various stages afflicts about 2.4 million Malaysian men above the age of 40 and you are not alone. Less than 2% of these men ever seek medical assistance. A majority of them are like you, trying all sorts of medications without doctor’s prescription or without seeking your friendly Family Physician. Seeking medical assistance is never a hassle and ones see the pharmacist to fill ones prescription and not seeking treatment. Being sick is not a sign of weakness so also having problems with erection.It is high time men understand this. Taking a scheduled ‘poisonous’ drug like Viagra without doctor’ advice can be dangerous because you do not know who to refer to if you were to experience any side effects. The loss of vision associated with PDE-Inhibitor like Viagra is due to a condition called nonarteritic anterior ischemic optic neuropathy (NAION). NAION presents itself with a painless onset of a vision loss in one eye. The most common visual symptom is an inferior visual field defect, where the lower half of an object appears blurred blocked; the drug’s label currently has no warning of a risk of permanent vision loss. However Viagra as with other PDE-5 inhibitors like Cilais and Levitra have been the favorites because of the convenience of being oral medications. These drugs are safe if prescribed by a Physician and not otherwise. There are other treatment options available for the management of erectile dysfunction besides the oral medications.Intracavernosal injection therapy, vacuum erect aid devices and penile implants are some of the treatment available. Complimentary therapy includes active glycoprotein extracts of the herbs Tribulus and Eurycoma (Tongkat Ali) which has been found to be proerectile and seems to work for some men with mild ED.

I’m worried because my new partner says he wants to have oral sex on me, but I’m concerned and embarrassed about my piles. Do you think he’ll be disgusted? What can I do about them?

Question:
I’m worried because my new partner says he wants to have oral sex on me, but I’m concerned and embarrassed about my piles. Do you think he’ll be disgusted? What can I do about them?

 

Answer:
When men decide to go down, they are interested in lashing their tongues on their partners’ clitorises and the upper part of the vulva. It is unlikely they lash their tongues on the lower vulva which is closer to the anus if they are freakish to the anus. Even if they do so it is unlikely they notice the odd looking anus or the piles if the piles are protruded. If the piles are not that prominent it will not be noticeable. If you are not comfortable to give in do inform him that you may want sometime to think about giving him the permission to go down on you. I am sure he will respect your wishes. During that time you can get treatment for your piles.

 

I’m worried because my new partner says he wants to have oral sex on me, but I’m concerned and embarrassed about my piles. Do you think he’ll be disgusted? What can I do about them?

Question:
I’m worried because my new partner says he wants to have oral sex on me, but I’m concerned and embarrassed about my piles. Do you think he’ll be disgusted? What can I do about them?
Answer:

When men decide to go down, they are interested in lashing their tongues on their partners’ clitorises and the upper part of the vulva. It is unlikely they lash their tongues on the lower vulva which is closer to the anus if they are freakish to the anus. Even if they do so it is unlikely they notice the odd looking anus or the piles if the piles are protruded. If the piles are not that prominent it will not be noticeable. If you are not comfortable to give in do inform him that you may want sometime to think about giving him the permission to go down on you. I am sure he will respect your wishes. During that time you can get treatment for your piles.

Vaginitis

Question:
Dr, I’m a woman, happily married for 4 years and have a wonderful & active sex life.
So far, I don’t have problem with my sex health since 2 weeks ago.
As a normal woman, I don’t have problem with my vaginal discharge/white discharge.  But since 2 weeks ago, the color & quantity change. From pure white to yellowish or almost greenish.
I haven’t seek any help, but it’s really a disturbance.
Need your kind advice on this matter.

 

Answer:
Glands inside your vagina and cervix make small amounts of fluid. This fluid flows out of the vagina each day, carrying out old cells that have lined the vagina. This is your body’s way of keeping your vagina healthy and clean. The discharge is usually clear or milky and doesn’t smell bad.
The color and thickness of the discharge change with your monthly cycle. The discharge is thicker when you ovulate (when one of your ovaries releases an egg), when you breastfeed or when you’re sexually excited. Changes that may signal a problem include an increase in the amount of discharge, a change in the color or smell of the discharge, and irritation, itchiness or burning in or around your vagina. This is called vaginitis. A discharge that’s stained with blood when you’re not having your period could also be a sign of a problem. So also the yellowish and almost greenish discharge. If you have any of these signs, you should not hesitate to see your doctor or a gynecologist. Below are some tips of how to ward off vaginitis.

 

Tips on preventing vaginitis

• After using the toilet, always wipe from front to back. This may help prevent getting bacteria from your rectal area into your vagina.
• Wear cotton underpants during the day. Cotton allows your genital area to “breathe.” Don’t wear underpants at night.
• Avoid wearing tight pants, pantyhose, swimming suits, biking shorts or leotards for long periods.
• Change your laundry detergent or fabric softener if you think it may be irritating your genital area.
• The latex in condoms and diaphragms and the sperm-killing gels that are used for birth control can be irritating for some women. If you think one of these things is a problem for you, talk to your doctor about other types of birth control.
• Avoid hot tubs.
• Bathe or shower daily and pat your genital area dry.
• Don’t douche.
• Avoid feminine hygiene sprays, colored or perfumed toilet paper, deodorant pads or tampons, and bubble bath.

I have a big time queef or vaginal fart each time me and my hubby perform doggy style. How to curb this problem?

youngQuestion:
I have a big time queef or vaginal fart each time me and my hubby perform doggy style. It amuses me a lot and Iʼm totally embarrassed because of this. How to curb this problem? Help!

 

Answer:
Queef or Flatus vaginalis is air coming from the vagina during or after sexual intercourse. In popular speech it is called a vaginal fart.

 

• Air is pumped into the vagina by the penis moving in and out. In some position this happens quite easily, like doggy position

• This air has to escape, making it sounds as if the girl is farting, but it comes from her vagina and is odourless.

• Of course this can be embarrassing, but it is no big deal when you are both able to laugh about it. Maybe you can make recording of it just in case it did not happen anymore!

 

 

 

 

There is no standard solution to avoid vaginal farting. But you could try the following:

 

1. If you do it ‘doggy style’ you can try to rise or lower your upper body, making the penis enter from a different angle.

2. Your partner can try short instead of long deep thrusts. When the penis stays in the vagina deeper, air might not be pumped in to begin with.

3. Change position.

4. Use a water-based lubricant when you start, applying it to your vagina opening and the are between your small lip, easy for the penis to slide into your vagina.

5. You can spread your legs more or keep them closer together. You can tighten your grip and during pelvic trust your partner keeps his penis inside till sex is over.

 

If you also pass flatus, the smell is of course revealing and don’t blame it to your vagina. Deep thrust can dispel gas accumulated in lower end of the colon and produce the flatus.

 

I’m worried because my new partner says he wants to have oral sex on me, but I’m concerned and embarrassed about my piles. Do you think he’ll be disgusted? What can I do about them?

Question:
I’m worried because my new partner says he wants to have oral sex on me, but I’m concerned and embarrassed about my piles. Do you think he’ll be disgusted? What can I do about them?

 

Answer:
When men decide to go down, they are interested in lashing their tongues on their partners’ clitorises and the upper part of the vulva. It is unlikely they lash their tongues on the lower vulva which is closer to the anus if they are freakish to the anus. Even if they do so it is unlikely they notice the odd looking anus or the piles if the piles are protruded. If the piles are not that prominent it will not be noticeable. If you are not comfortable to give in do inform him that you may want sometime to think about giving him the permission to go down on you. I am sure he will respect your wishes. During that time you can get treatment for your piles.

 

My vagina feels pain and sore whenever my partner uses a condom. Without it, everything is fine. How do I remedy this problem?

Question:
I’m 23 and have just started being sexually active. My problem is my vagina feels pain and sore whenever my partner uses a condom. Without it, everything is fine. Both of us feel that using condoms is the best and safest way of contraception and we would like to stick to it. How do I remedy this problem?

 

Answer:
Some man and woman experience adverse effects with condoms. They are allergic to the additives that are present in the condom besides the proteins and the lubricants. With new generation condoms that are hypo allergenic this is no longer an issue and if some mild effects are present like mild pain and soreness, the reasons might be the dryness of the vagina and maybe the prolonged friction brought by the less sensitive penis(less sensitive because of the condom).In these cases a good water based lubricant would help. If this too does not help then you need to consider other method, like the pill for example or non penetrative sex for contraception

 

Can I get any diseases from it even if my partner does not have any STDs?

Question:
I’ve just started experimenting on oral sex. I’m just curious if there would be any harm of swallowing instead of spitting. Can I get any diseases from it even if my partner does not have any STDs?

Answer:
So you are adventurous, good for you and your lucky partner. Be extra careful not to bite him. Your bite might be more harmful compared to swallowing his semen. You might enjoy a gourmet dish with the dash of salt and nothing else if his semen is microbes free.

I guess I have a special preference in choosing partner. It is normal?

Question:
I guess I have a special preference in choosing partner. It is normal? I’m a 23 young Chinese girl. I failed in my relationship with those same age group. I wish can find a partner that is understand me and older than me. and I prefer he is a doctor. Because myself is in medical line. I more prefer my partner is in medical line.

Answer:
It is good to know ones preference with regard to finding a soul mate. There is nothing abnormal about that. At least you know what you want in life. You failed in your relationship with men of your age and now you like to try older men. You can try to get in contact with a dating service so that they can get you in contact with the person of your choice, an elderly and compassionate doctor. However you must know relationship is something that need to nuture and both parties need to make serious effort to make it work, otherwise it is going to be a failure. I wish you best luck in your quest.

Any ways too speed up his libido and to make me feel the climax?

Question: Hi there! I’ve been married to a wonderful guy in August 2008. I was a virgin until I got married. I do know lots of techniques, positions and tips although I’m not involved practically, thanks to the info on the net these days! First month of our marriage was good, I took almost 10 days to get penetrated, it was very hurtful. After that, all had been smooth sailing till he left to his country. We were together for at least 20 days from the day we got married, minus the 10 days of inable to penetrate, 7 days of my period, so we had good sex for about 3 days till he went back. I was back alone in my country for 1month without him (visa waiting).Now I’m with him and it’s been a month now. First 2 weeks our sex was really good, and then I noticed he started to slow down or get excited quickly. We\’re not planning to have kid at the moment, and he loves the pull out method. Using condom is very disturbing for both of us and we decided to just go on without it but every time he gets climaxed, he pulled it out, that where I will be frustrated because I was almost cum. He even inserts 3 fingers n it was so smooth and I’ll ask him to go faster, but I can’t feel it coming. Am I being loose down there or? Even during sexual intercourse, its very hard for me too feels it nowadays. So I’ll ask him to do faster because it excites me but he will get tired easily. These days we had been just cuddling and kissing on the bed n he’ll go to sleep after that. Is this a normal situation for newly married? On the other hand, I will get upset so fast and emotional because didn’t get to do it. What is happening to us doctor? Any ways too speed up his libido and to make me feel the climax? I’ve spoken to him and he told me he’s too tired because of the office work. He wanted it but he tries to cut down quickly everytime he caresses my private parts.
Answer: So the honeymoon is over and back to day to day activities. When things get out of tune then you got to get it fixed, together as a team and not through tantrums. You mentioned that you were a virgin before marriage. It’s like getting a car and you have never driven it before, then you learn to drive against all the odds and get through. Now you are getting the hang of it and you like to drive as often as you can even with the slightest excuse. You are driving your mate like you are driving that car! Lovemaking is not just getting off. You might get off but he has to work hard and stressed up. When one is stressed one has no control on oneself. That’s what happens to your mate. He was doing fine before you are broken in. Now its look like you has broken him! The signs of stress are tiredness, unable to focus or to concentrate and more so in love making, erection is short lasting and ejaculation is too fast. Maybe you need to slow down, do more non penetrative sex than penetrative sex. Enjoy body mutual contact and massages. Enjoy caressing with mouth and tongue. You can encourage him to tongue your clitoris. The gentle and moist touch of the tongue will drive you to nerve shattering climax. You can let him finger your G-spot, the area at the roof of your vagina,3cm from your vaginal entrance, with deep stroke and if you started to feel the urge to pass urine, that might be the sign of impending climax and maybe female ejaculation, just do it. You will not pee, the flow from your vagina is your ejaculations. You will notice that he will be strong and hardy in the morning and his flagpole will remain steady fast. This will be your opportunity to ride him on and you will be able to experience a headsplitting climax. Look into the positive side of lovemaking. You have got a long way to go. Always bring back the car to fill the tank full and not to get it overheated!