Question:
Whenever I get my period, I seem to want sex more and I get aroused easily. This is extremely frustrating for me. Is this normal? What can I do to solve my predicament?

Answer:
This is a common phenomenon for women and you are not alone.This happens because the libido hormone for women testosterone is at a higher peak than estrogen. Some women get off by letting their husband fondle their nipples and breasts. Some even go to the extent of allowing the husband to touch their labia and the clitoris. There are also cases of women having sex during period and to avoid menstrual flow these women stuffed tampon into the upper vagina. This is not advisable because the menstrual blood can flow backwards and cause endometriosis. You can make a choice. For Muslims they can still have non penetrative sex as this is permissible.

Question:
My husband is 46. Lately when we have intercourse his sperm ejaculation is less than before. Should I be concerned about this, or is it normal as men get older? I would appreciate any help on this matter.

Answer:
The volume of the male ejaculate (the semen) is dependant on the frequency of lovemaking, the quality of male climax and testosterone. The more frequent the man has sex the lower the semen volume will be. If he is very aroused his ejaculate will be more and if his testosterone level is low normal, the accessory sexual glands will be less active and will produce a small volume when he ejaculates. Taking Onions will not help. It will make lovemaking repulsive. Tell him to take water soluble extract of Tongkat Ali if he is keen to try herbal preparation. If this persists he may need to see his physician for a medical check to check his testosterone and other signs of Andropause. He may need Testosterone replacement therapy if the assessment is positive for Andropause.

Question:
My foreskin was not tight and manages to pulled over the glans penis during erection.
My question now is my fore skin still able to cover back the whole penis tip end during my masturbation although my penis in erected state. Will this consider foreskin too long? During shrink state, the foreskin will bulk up at the end of penis. For this problem, is it necessary to undergo circumcise process? Thanks for the advice.

 

Answer:
There are many reasons why circumcision is a healthy practice besides being a ritual must-do. On the other end there also ample good reasons to keep that piece of skin that cover the sensitive part of the penis. For one this skin protects the glans penis (penile head)! Smegma that is produced by the inner part of the foreskin keeps the skin of the glans penis soft and moist. The ridges around the lower end of the inner part of the foreskin provide sensation during lovemaking. You have no problem with your foreskin and your glans penis can easily slide in and out of the foreskin, therefore I see no reason why you want circumcision. I have some clients who regretted doing the procedure after experiencing sensitive glans penis and now he wanted to get ‘artificial’ foreskin to cover his glans. However it is your choice.

Question:

Dr Care, I am new user in this blog and I have read some of the post out. I have some question on this article, which are:

(a) What is prostate massage? How to perform it?
(b) Where can I have the circumcision process as I feel my fore skin too long already?

 

Answer: 
(a)

 

Welcome to the Blog. Regarding prostate massage, do you know that the ‘G-Spot for men is in the prostate. Yes, virtually, massaging the prostate will trigger an enormous orgasm. For the benefit of the readers let me briefly describe the prostate and for you, the ‘How’ on prostate massage.

 

The prostate gland is about the size of a walnut and is situated near the root of the penis (the place inside your body where the penis starts) and just below the bladder. The prostate gland produces part of the ejaculatory fluid (also called seminal fluid). This organ is the seat of the male g-spot also nowadays known as the “P” spot. Rarely the prostate causes discomfort to some men when it is infected, as in the condition known as prostatitis and in older men, enlargement that can impede urine flow.However for many men it is a wonderful sex organ that provides deep sexual pleasure.
Here’s How to do Prostate massage: You need to enter your anus to get to where the prostate is!Do the followings:-

1. Wash up, and relax.
   Many men have a few issues with cleanliness when it comes to exploring anal play. Having a nice warm bath or hot shower may help alleviate anxiety about this. Also the bath or shower is a great place to explore. Because feces only travel through the rectum on the way out of the body, you won’t find very much there. If you are concerned about having a bowel movement during play, make sure you go to the bathroom before you begin.
2. Trim your nails and smooth out the rough edges.
   The lining of the anus is very sensitive and can be torn easily. If you’re playing with toys, make sure there are no sharp edges (sometimes anal beads have rough edges which can be smoothed out with a nail file). Consider using latex gloves. They are a great way to deal with hang nails and small cuts on your hands, plus if you have any concerns about cleanliness they provide a good barrier between you and all your bodily fluids.
3. Turn yourself on.
   Because the prostate swells when aroused, it’s easier to locate when you’re hot and bothered so watch an adult movie, masturbate, fantasize…whatever gets you in the mood.
4. Find a comfortable position.
   If you are exploring on your own find a position you are most comfortable in where you have access to your bum. Try lying on your side, or squatting. Sitting in a comfy chair might work, or lie on your back with your legs in the air. You need a position you’ll be comfortable in for a while. Using pillows is always a good way to get comfortable.
5. Start on the outside, massage your anus and perineum.
   You never want to rush the penetration part of anal play. Start with an external massage. The perineum is located between the testicles and above the anus and most men find that massaging the perineum is very relaxing and pleasurable. Massage your anus using a rhythmic, circular motion.You can use a lubricant(like the one posted in this Website)and gently push on the anus as if you’re ringing a doorbell, without forcing your finger inside. This will help relax the anal sphincter.
6. Go on in.
   When you are ready to insert a finger in the anus, try to tune into your breath. Breathe deeply. The best way to insert a finger in the anus is to start with the pad of your finger first (not the tip). Gently put the pad of one finger up to the opening of the anus, and as you exhale, push out (as if you’re trying to go to the bathroom) while you insert a well-lubed finger. Once inside, rest a moment while you get used to the sensation of having something in your anus.
7. Find your prostate.
   You should be able to feel your prostate about two inches in and toward your belly. It is often a walnut-shaped bump. Some men will know when they are touching it, others won’t notice much at all. It can be easier to have someone else find it for you (if you happen to have someone handy!)
8. Experiment with different kinds of touch
   Once you’ve found the prostate you can experiment with what feels good. You’ll find it much easier and more comfortable to use a lubricant with your fingers or toys,the adult one of course!. Some men like the feeling of consistent pressure or pressing on the prostate, others will get off on vibration, or an on-off kind of pressure. You can also experiment by squeezing your PC muscle(that muscles you use to hold your urine!) and see how that changes the feeling of prostate stimulation.
9. Try playing with toys
   Anal sex toys can be a great way to explore what prostate stimulation can feel like for you. Toys that have a slight curve are often designed for prostate stimulation. Some toys will vibrate, which is a completely different kind of sensation that some guys like and others don’t. If you’re going to try a vibrator, be sure to get one with variable speed, so you can start slow if you want to.
10. Try butt plugs.
    Butt plugs are anal toys designed to be inserted in the anus and stay in place. Some guys will put in a butt plug and then have other kinds of sex play (either masturbation or play with partners). Many say that having a butt plug in (which provides a mild but constant prostate stimulation) really changes the way that their orgasms feel.

Tips:
Any kind of anal penetration can be intense at first. Remember to breathe deeply as you play. Try to coordinate the timing of your breathing with the building orgasm.
Take your time. Don’t rush it, and if you’re feeling uncomfortable take a break, or end the exploration for the time being.

 

(b)

 

The penile foreskin actually protects the sensitive glans penis(tip end). However in situation where the foreskin is too tight and cannot be pulled over the glans penis during erection, then the cure is to do circumcision. Otherwise there is no reason to circumcise,definitely not because the foreskin is too long(this usually appears so if the penis shrink!). However recent Studies on STDs and HIV transmission showed men with circumcised penis have lesser incidences of HIV and cancer penis!

 

You can go to any Family Physician nearby your place to get this done. The technique of removing the foreskin can be done by the traditional Gullotine or by using a circumcision clamp. Otherwise you can go to the nearest hospital for the same.

One of the most important needs of mankind is to relate emotionally and physically and that includes the ability to have effective sexual relationship. Sex is a natural instinct and men and women are natural sexual beings. Through sexual relationship one begets children. Probably the main purpose of sexual relationship is procreation and only at a later stage, when the family is formed and the relationship is stable that one becomes drawn towards sexual relationship for recreation. When this happens sexual relationship will take a different turn from a more penetrative sexual relationship to a more non-penetrative sexual relationship. These is not the norm for most couples especially when the male partner is still virile and consider penetrative form of sexual relationship the only approach to sexual expression.

 

Aging has an impact to sexual relationship. Problems of sexual dysfunctions both in men and women occur when men and women aged and experience deterioration in their health. Physical disability is also another negative factor. As far as the sexual organs are concerned the less they are used the less effective they become or otherwise if they are regularly used. If they cannot be used then appropriate medical intervention is recommended

 

For men with ED, the causes for ED need to be evaluated and appropriate treatment provided. The options are plenty and involved improving blood flow into the penile musculature. Viagra maybe another option provided the therapy is safe for the patients. Hormonal causes of ED need hormonal replacement therapy.

 

For women, if the problem is related to low sex drive, testosterone therapy can be provided along with estrogen therapy and if there is less lubrication, water-based lubrication can be provided. Both parties can be counseled about non-penetrative sexual relationship and TLC.

 

Touching is one of the most sensuous experiences one can enjoy but along the way this basic experience is lost. Probably all is not lost when one soon realize that touching can be a satisfying option of sexual expression.

 

ED – erectile dysfunction
TLC – tender loving care

Penis enlargement products are becoming big business globally and Malaysian males are getting into it as well. There are miracle pills and oils and not to mention the various exercises and stretching massage that are advertised in the local papers with pictures of ‘Urut Gurus’ making rediculous claims.Now with the internet,junk mails full of penis enlargement materials are also getting in the e-mail in box of every person on the planet. Do they work? Are they safe? Does a man need to worry about the size of his penis? These are the issues this article will examine.

 

For starters we need a good understanding of how the penis is constructed, and how it works. The penis is composed of three chambers; the two cavernous bodies (or corpora cavernosa) which lie side by side on the top of the penis, and the spongy body (or corpus spongiosum) which is centered below the other two. The spongy body surrounds the urethra, and extends out the end of the shaft to form the glans. All three chambers contain small hollow areas that can fill with blood to produce an erection. Surrounding all three bodies is a semi-elastic membrane called the tunica albuginea. The arteries that feed blood to the penis are surrounded by smooth muscle fibers that normally limit blood flow to the penis. When a man is aroused by thought, sight, or physical stimulation, the muscle fiber relaxes and blood flow into the penis increases. The spongy tissue of the penis fills with blood, causing the penis to swell. The size of the erect penis is governed by the tunica albuginea membrane, just as a bicycle tire limits the expansion of the inner tube inside it. As with a bike tire, once the limit of the membrane is reached, further pressure results in firmness rather than expansion. The veins that drain the penis lie close to the surface, and are compressed by the erection, thus slowing flow of blood from the penis.

 

The only muscle in the penis is the smooth muscle fiber that controls erection, and this muscle can not be built up in the same way skeletal muscles can be. Even if this muscle could be strengthen, doing so would only serve to reduce blood flow to the unerect penis, making it smaller. In order to lengthen the penis the tunica albuginea and the spongy bodies would all have to be lengthened. The tunica albuginea is flexible to a point, but repeated stretching does not lengthen it the way the ear lobes can be lengthened.

 

So, “buyer beware” is vital when looking at things that claim to enlarge the penis. There is no way to guarantee you are getting what you are sold, no proof it works, and no legal recourse if it does not work. Even worse, there is no guarantee the device, exercise or product is safe. Herbs are unregulated, even though some have been proven to have nasty side affects, so harm is possible.

 

69% of men over estimated the size of the average penis, some by several inches.One other thing should be covered before we look at the methods advertised for “male growth” – how big is the average penis? In one Internet poll 69% of men over estimated the size of the average penis, some by several inches. For a long time studies done by Kinsey in the late 40s were quoted, but there are some serious problems with these studies. The Kinsey study was based on self reporting of men who responded to a post card mailed to them by the Kinsey institute. This gives us two problems, the men may have exaggerated, and the sample is not demographically valid. It has since been found that, surprise, a man with a big penis is more likely to volunteer for measurement than a man with a small penis. Web sites trying to convince men they need to be bigger give the average at 6 inches (15.25 cm) and larger, but science says otherwise.

 

So what is average? In the last ten years there have been several statistically and scientifically well done studies on penis size. The most famous of these studies, done by the University of California School of Medicine and reported in the Journal of Urology in 1996, found the average erect penis to be 5.1 inches (13cm) in length and 4.9 inches (12.5) in circumference. Studies done by the Department of Urology, University of Florence, Italy, and St. Mary’s Hospital, London, as well as at other medical institutions, have give results that vary from 5.03 to 5.3 inches (12.78 to 13.46 cm).National University of Singapore gave a figure of 10-13cm during erection and isolated Malaysian Study gave similar figure.However size vary when not erect!

 

Let’s look at the products available to make the penis bigger.

• > Pills: It only takes a bit of reasoning to understand why these could not work. What kind of drug could enter the blood stream and affect only the two specialized tissues in the penis?
• Creams: These are targeted to the penis, and anything rubbed onto the penis is going to be carried away from the penis by the blood stream before it could get to the tunica albuginea or the spongy bodies.Some of these creams that contain aromatic oils can actually cause mild breast enlargment in some men because of the estrogenic effect of some of the aromatic oils (like teatree and lavender)!
• Surgery: There are two techniques that doctors can perform that do actually add size, but both are full of risks. For more length a doctor can cut the ligaments that attach the penis to the pelvic bone, and then move the penis outward some. This gains a man only about an inch, risks infection, and can leave the penis less stable because it’s no longer anchored. For more width, fat can be injected into the penis. Unfortunately the fat does not stay put, and it can become lumpy or gradually leave the penis.
• Somatotherapy: Injecting irritants into the penis skin to cause tissue expansion can be dangerous if the lax connective tissue under the skin swells and thickened.The penis skin can become enormous and the penis will look short and stumpy!Penis penetration will be impossible!
• Stretching exercises, weights, and stretching devices: Those promoting these technics offer a variety of explanations for how they work, but most of these explanations are contrary to the facts about how the penis is constructed. Some parts of the body can be enlarged by mechanical stretching, but this has never been shown to occur with the penis, and most experts doubt the tissue involved can be expanded in this way. Some urologist have voiced concerns about scaring, nerve damage, damage to the blood vessels, and Peyronie’s disease (bent penis syndrome). While there are isolated claims in some well controlled studies of such devices eg.Andropenis-penis extension device (www.andromedical.com ) improving penis size, to date is far from conclusive.
• Jelqing: The Jelq is the most common method of penis enlargement being touted today. Basically jelqing consists of a “milking” motion down the penis that is supposed to gradually increase both length and circumference. The technique is said to be something used by men in the Middle East for centuries. But no one can back that claim up, and experts of Middle Eastern Traditions never heard of such practices!

 

We must weigh the possible risks against the possible benefits.
The bottom line is this – pills and creams cannot possibly work, and surgery which does work can leave a man disfigured or impotent. The “unproven” methods have a theoretical chance of doing some enlarging, but they also have a very real chance of doing long term and permanent harm if not monitored by professionsls. In the end each couple must weigh the possible risks against the possible benefits. We have looked at the risk. what about the benefits?

 

So, does size really does matter, and can a penis be too big? We have heard from several men and women who have problems enjoying sex because his penis is large – it may be a rare problem, but it does happen. The book “The Kinsey Institute New Report on Sex” (1990) says that more women report concerns and apprehension about too large a penis than report being unhappy with a smaller penis.But for guys who are really small, do not hesitate to seek professional help.Getting treatment from charlatans can be disaster!

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.

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.