Category Archives: General

When Sex Hurts

  1. How does lack of sexual arousal happen?
    Lack of sexual arousal occurs when the mind is not ready, the sex hormones are down and the sex organs are not responding.
  2. Is it possible to feel painful even if the man/woman is sexually aroused?
    For the guys tight foreskin can cause pain during penetration and for the girls if they do not relax the pelvic floor muscle to allow the vagina to accommodate the penis, penile penetration can cause pain to the vaginal entrance.
  3. Why does an intercourse feel painful when the person isn’t sexually aroused?
    When the guy is not sexually aroused his erection is not firm enough and trying to do the penetration can be uncomfortable because the penis will bend, especially if the vaginal entrance is tight and not well lubricated which can make intercourse painful for the woman as well.
  4. How common is it among men and women? Should they tell their partners?
    If sex is painful and uncomfortable for either party, this needs to be mentioned so that it can be remedied.
  5. How can a woman overcome this problem? Any self-help solutions?
    If attempt at intercourse is painful to the woman she must remember to relax her pelvic floor muscle and if there is problem of lubrication she might need to use lubricating gel until she is confident after which she can cease using the gel.
  6. What if these tips don’t help? What can they do?
    If this simple tip does not help they might need counselling. Maybe they need to see their GP or a sex therapist
  7. How can a GP help?
    The GP will help them to understand their genital anatomy and in the case of the female partner teach her to know her pelvic floor muscles so that she can train to relax that muscle to facilitate penis penetration and accommodation. The GP can prescribe medication to reduce anxiety if that is necessary.
  8. Will a sex therapist help? How?
    The sex therapist can provide the same counselling except that they cannot prescribe medicines.

Vaginal inflammation

Original Question:
Masalah saya ialah
a.Vagina saya mengeluarkan cecair kekuningan dan berbau hanyir.
b.Vagina saya mengalami masalah kekeringan dan apabila melakukan perhubungan intim, saya akan merasa sakit

Bagaimana cara untuk saya mengatasi masalah ini. Terima Kasih.

 

Jawapan Soalan:
Cecair yang keluar dari vagina kebiasaannya jernih dan jarang berbau kecuali cecair yang keluar itu hasil keradangan vagina akibat jangkitan. Jika cecair itu kekuningan maka kemungkinan besar cecair yang keluar itu mengandungi nanah dan kuman. Anda perlu rujuk kepada doktor untuk menjalani pemeriksaan dan ujian kepada cecair itu, menentukan jika anda ada menghidap jangkitan faraj. Rawatan sewajar akan diberi setelah doktor mengesan infeksi.
Keradangan faraj menggangu proses penghasilan cecair pelembap mukosa faraj dan secara langsung membuat faraj kurang menghasilkan cecair pelicin dan menggangu hubungan intim seksual. Apabila masalah faraj dah selesai, keadaan akan menjadi sediakala. Untuk sementara waktu anda boleh gunakan pelicin atau ‘lubricant’, seperti yang dipaparkan dalam laman ini.

 

Answer:
Vaginal secretions are usually watery, colourless and odourless unless the vaginal secretions were due to vaginal inflammation caused by infections. If the vaginal secretions are yellowish there is a strong possibility the secretions contains pus cells and bacteria. You need to seek medical assistance and need to be examined if the vaginal secretions contain infections. Appropriate treatment will be provided by the doctor once the infection has been identified.
Inflammation of the vaginal mucosa affect the proper function of the mucosa and will interfere with the production of natural lubrication and affect sexual intimacies. Once the vaginal problems are overcome then the situation will be resolved. Meanwhile it is recommended to use vaginal lubricants and examples of such lubricants are in this web.

How to bend my penis to upward not downward?

Question:
Dr, can you give me an advice for me to bend my penis to upward not downward? Because my penis cannot straight upward and short. Please help me doctor.

 


Answer:
The human penis in a non erect state appears small and tipped downwards. When fully erect it tipped upwards when the pelvic muscles are fully contract, or it bend downwards if the tip is heavier or the pelvic muscles are not firmly contracted. The purpose of the erection is for vaginal penetration and if the position of the erect penis does not interfere with this then there is no issue. If the penis size in the erected state is an issue, placing it upwards or downwards will not influence its size. Considering the shape and size of the penis is related to the owners genes and ethnicity then that dimension must be right for him and his female partner unless the penis is really small and in the case he might need to get his penis examined and get medical advice. Besides surgical procedure to enhance penis shape and size through Augmentation Phalloplasty that may need a plastic surgeon consultation, he might want to check on this penis extension device called the Andropenis. This device has been evaluated and found to be very penis friendly. You might want to try using this device before going for something serious. You can view information about the Andropenis device in the website www.andromedical.com

How to use ESP pleasure gel?

For vaginal sex:
A little lube/gel should be applied to the clitoris and outer and inner labia as part of foreplay.

For anal sex:
A little lube should be applied to the anus as part of foreplay.

For use with a condom:
A little lube can be added to the outside of the condoms just before insertion. A little lube/gel should also be applied to the clitoris and outer and inner labia of the receptive partner before penetration.The use of a condom usually requires a small increase in the amount of lubricant used.
Once the action has ended,cleaning with a moist wipe or similar material at the areas of application is recommended. ESP Pleasure gel and body fluids can easily be wiped off leaving the skin feeling refreshed.

Why after the sinus operation we realize that he got sexual dysfunction?

Question:
Dr, my husband underwent a sinus operation on 13.4.2010. After the operation we realize that he got sexual dysfunction. Why?

Answer:
Healthy sexual function requires healthy body, healthy mind, normal neurological function and normal circulatory function. If the body function is down due to some weakness, it would be difficult to perform sexual function, so also a disturbed mind and disturbed neurological and circulatory functions, because for man, getting a firm and stable erection involve normal bodily functions. Your husband has gone through a sinus operation. Assuming the sinus was in the lower part of his body, maybe near the anus, any procedure done there can cause some local inflammation which might interfere with the local circulation and nerves function. If the sinus operation involves the inflamed sinuses behind his nose and he has to take medication to reduce nasal mucous swelling like anti histamines, that medication can interfere with the penile circulation and cause ED!. If it so happen that he has some metabolic disease like diabetes or high blood cholesterol, these can also worsen his erectile function, thus causing his present predicament. Maybe once his sinus has healed and he does not have to take the sinus medications (antihistamines) and his metabolic disease is controlled and he is able to move his body and exercises, he might be able to get back his sexual function. The chances are he might need to seek professional help for his erectile dysfunction rather than trying self help, more so if he is not young. Medical support in the form of PDE-5 Inhibitor like ‘Viagra’ or ‘Cialis’ might be able to pep up his sexual life and once he can get spontaneous erection, he might not need to take the medication.

Why my vaginal is too wet that cause no feeling and I hardly got orgasm?

Question:
I’m a married woman with 3 kids. After I give birth my 3rd child I found that each time I intercourse with my husband after a few second my vaginal is too wet that cause no feeling and I hardly got orgasm. Why?

Answer:
It is normal for there to be an increase in vaginal secretions during sexual excitement and intercourse, and this can vary from time to time, perhaps reflecting your hormone status and time of your period cycle. Sometimes it can appear excessive, but if it is clear and not offensive, then this is nothing to worry about. However if the secretion is foul smelling, yellowish, green or flaky white, this might indicate infections. Then you need to see your friendly Gynecologist. When the vagina is soppy wet and slippery, you will not feel the penis and your husband will not feel your grip.He might however still ejaculate because of the “wet” sensation. You need to do the pelvic floor exercise (Kegel exercise) whenever you feel like doing it. This will tighten your vaginal passage and make it possible for the penis to apply enough pressure to the various points in your vaginal walls to make you to achieve orgasm. In addition, if your husband’s penis (the base ) can apply enough pressure to your clitoris, then you can achieve clitoral climax as well.

What is the Islam view on husband suspecting his wife about her past integrity?

Question :
What is the Islam view on husband suspecting his wife about her past integrity, because she is tested hepatitis b positive and what he should do about the issue? Thanks.

Answer:
It is sad when ones wife is infected with Hepatitis B. In that case her blood will also confirm that she is a carrier, unless she has been vaccinated from young and has Hepatitis B antibodies! After having married her through thick and thin and now harboring doubts about her past integrity is even sadder. The doubtful Thomas need to read more about the transmission of Hepatitis B before he makes any conclusion. The passage below was taken from WIKIPEDIA and the source is very reliable. Please view the passage and take a look at the sentence highlighted.

Transmission of Hepatitis B
Transmission of hepatitis B virus results from exposure to infectious blood or body fluids containing blood. Possible forms of transmission include (but are not limited to) unprotected sexual contact, blood transfusions, re-use of contaminated needles & syringes, and vertical transmission from mother to child during childbirth. Without intervention, a mother who is positive for HBsAg confers a 20% risk of passing the infection to her offspring at the time of birth. This risk is as high as 90% if the mother is also positive for HBeAg. HBV can be transmitted between family members within households, possibly by contact of nonintact skin or mucous membrane with secretions or saliva containing HBV. However, at least 30% of reported hepatitis B among adults cannot be associated with an identifiable risk factor.

Itchiness

Question:
I have itchiness in my external genital since I was a kid and up to now, usually I feel more itchy when I have my period and wear sanitary napkin.
Is it possible I have STD? If not why do I experience it? I hope you could help me with this problem.

 

Answer:
The condition you are suffering from is known as pruritus vulva or itching vulva. This is a common skin condition of the vulva or the female external genitalia which occur whenever the skin is dry or exposed to irritation. When you are having your period your female hormone estrogen is very low and this can reduce production of natural moisture of the vulva skin and cause dryness. Using the pad which probably might contain some preparation can cause some irritation and itchiness. So also the content of the menstrual flow that can also irritate the external skin. I would suggest that you apply some moisturizer (like the Her Genicare Cream) to your vulva every time before you put the pad or after bath. The moisturizer can make the skin become supple and soft and will reduce dryness and thus no itching. In addition you may also want to try using the ESP Her V-Exclusive wash which being a 100% natural wash can help your condition. Sometime itchiness of the vulva can be caused by yeast infection. It is common for women to get this infection in the vagina through contamination from the anus or the urethra and when the discharge from the vagina is exposed to the vulva skin, the skin become infected, inflamed and itches. You can also get yeast infection from your sexual partner. Then this transmission is through sexual intercourse and known as Sexually Transmitted Disease. If the itchiness persists even after using the moisturizer, then you have to see a doctor. Preferably a skin doctor.

 

PC Muscle

Original Question:
Ok, this is really strange. As I have gradually gotten older, I have totally lost my sex drive. I know about Viagra and other enhancements, but this isn’t about that.
I noticed today when I masturbated, that my penis is bent downwards.
I don’t think I have that disease that starts with a P, no obvious fibrous tissue growth and no trauma.
I don’t masturbate as much as I used to at least once or twice a day. Now, more like once or twice a month.
But this curve downwards is enough to make me notice. I do have a piercing and I like tight underwear which does make my penis bend down.
But I have had my piercing for years and I have always worn tight underwear. I need the support. I am larger than most guys and it just feels better.
I was thinking that since I don’t exercise it and keep it curled up in my pants, could this be the reason it’s starting to bed? And can I straighten it back out? I’m freaked out big time.

 

Answer:
There is this saying ‘If you don’t use you lose’. That goes with your penis. All these while you use it regularly like you mentioned, once or twice a day. This is not happening now and that is why your erection is not as firm as before. That same thing happens to your pelvic floor muscles that buck up your penis during erection. If that muscle is weak, it cannot lift up your penis. That’s why your penis appears bent during erection. There are other factors though with regards to the bending or curving downwards of your erect penis. You wear tight underwear which makes your penis bent down. This is ‘parking’ issue. If you park your penis upwards, then during erection it remains up! Otherwise it will remain humble as it is happening now. You also mentioned that you are large. The gravitational pull will not spare your penis during erection! The pierce you did to your penis does not cause the bend unless you put weights! There you are. The cat is out of the bag. You need to work on your pelvic floor by doing the Kegel Exercise.

 

(If you are a man, strengthening the PC muscle can help you develop firmer erection and greater ejaculation control. To identify that PC Muscle: Imagine you are urinating. Now squeeze the muscles you would as if you were cutting off the flow of urine. Those are your PC muscles. Now let go and try it again. You are contracting the anterior or frontal part of the PC muscle. Now squeeze your muscles as if you were trying to prevent yourself from passing gas — this is the posterior part of the PC loop. We are all pretty much, “tight asses”–we hold too much tension in these muscles. The challenge is to learn to relax these muscles at will. Now do the posterior squeezes rapidly five times in a row. Try to be conscious of relaxing your anus after every squeeze. Try not to squeeze your thighs, butt or abs–just the PC. You can do basic PC muscle Kegels pretty much anywhere, at work, in traffic, reading the Internet).You can get more details of this exercise in any website. However don’t expect miracles. You will probably see some improvement. But still age is catching up!