Category Archives: Dr. Care Blog

I sometimes experience extreme pain near the anal area after intercourse. What’s wrong with me?

Question
I sometimes experience extreme pain near the anal area after intercourse. It feels like something is contracting there. For your information, I have never engaged in anal sex. The pain gets so bad until I have to hold my breath and remain still until it goes away. The strange thing is that I don’t feel any of this kind of pain during sex. What’s wrong with me?

Answer
During sexual intercourse there is a lot of muscle contraction to facilitate genital control. The vagina is kept contracted by the woman throughout penile movement and in doing so the anal sphincter is automatically kept on contracted mode. Through sexual intercourse all these events are taking place and in some women the muscle can go into spasm right after cessation of intercourse and occasionally the spasm follows after climax. Keeping still is probably the best solution. However if this persists lovemaking can be very challenging to the woman. Doing regular pelvic floor exercise namely the Kegel exercise (similar to holding back urine or flatus) might be helpful in the long run. Try to do about 50-100 times a day.

ESP Wash & Spray

Original Question:
I have one twin packing of Wash & Spray. how can I use it? First to used spray and the same time Wash or first use the Wash and the same time Please let me konw, how many time may I use it each day. Would you please guide me in this regard. Production number of wash is NOT 101002665K production number of Spray is NOT 101002664K my problem is short sex- life ( 2 minute).

Answer from Manufacturer:
Both the Wash and Spray are of similar formula. The “Wash” is packed in a larger 100ml bottle as it is meant for daily use at home to protect the male skin’s natural acidic environment of pH 4.5 -5.You are advised to rinse off the “Wash” with water after cleaning your genitals. The Spray is packed in a smaller 50ml bottle so that it is convenient for users to take it around in their pocket and use it whenever they want to freshen up themselves or before engaging in sexual intercourse. Please wipe off with a wet tissue or rinse off after spraying.You may use it as many times as you like but our advice is to use at least twice a day. Using the wash before and after sex will ensure good hygiene of the penis.

Answer from Dr.Care:
It is encouraging to note that you have purchased the male genital care and grooming set and you are trying to get use to it. The technical people will address the usage issue with you in case you are not familiar with the information provided. On my part I will enlighten you regarding your problem of ‘short sex life’, which I assume is the problem of rapid ejaculation. You said you can last for about two minutes. Actually in definition, if you can keep your erection in your wife vagina for more than a minute, then this is normal! If you can only keep it for less than a minute, then you have rapid ejaculation. You will notice if you move your penis by contracting your pelvic floor muscles, even if you ejaculate, your erection can still hold. This is because erection and ejaculation are two separate phenomena. If you want to keep your erection longer, do the pelvic floor exercises (Kegel Exercise for men).You will also notice if you maintain grooming your penis regularly, you will be able to resist the sensitive feeling of the tip of your penis during pelvic thrusting and prolong your sex play. If all these tips do not help you at all you probably need to be on medication like Prilegy ( you need to see your friendly Urologist or Andrologist for a prescription ) or be on local anaesthetic to reduce your penis sensation, to overcome the rapid ejaculation. You know, using condom can also reduce the sensitivity of your penis and keep your sex play long!

A Major Factor Affecting Risk Of Sexually Transmitting HIV Is Viral Load; Condom Use Significantly Reduces Risk

The level of HIV-1 in the blood of an HIV-infected partner is the single most important factor influencing risk of sexual transmission to an uninfected partner, according to a multinational study of heterosexual couples in sub-Saharan Africa.The study, published in the Journal of Infectious Diseases, calculated the risk of HIV-1 transmission per act of sexual intercourse and found the average rate of infection to be about 1 per 900 coital acts…. click here for more..

How long exactly should the period of abstinence last?

Question:
I’ve just delivered my first child a few weeks ago. I was told by my friends and colleagues that I can resume sexual activity after 40 days (or after the blood has dried up). However, my elderly relatives advised me that 60-100 days would be the best as the body needs plenty of time to heal. My husband and I were pretty active sexually before this and I don’t think we want to wait that long. How long exactly should the period of abstinence last?

Confined, Petaling Jaya
Answer:
So far not many women complain of the prolonged period of abstinence after childbirth, the so called ‘pantang’ period (also known as the puerperal period) except the husband who might have to gear up after the long absence of good sex.6 weeks are more than enough and that’s exactly what most Obstetricians would recommend and that too the women need to go for a postnatal check up before the green light is given. For most women who breastfed the lochia (the discharge from the uterus of blood, mucus and tissue during the puerperal period) dry up within 3 weeks and for those women who cannot breastfeed for some reasons or other the lochia will dry in 5-6 weeks. The post partum check up is still important before the woman can resume sex.

Multiple Orgasms

Question:
I’ve heard about multiple orgasms in women. I’ve been sexually active for 5 years but I’ve yet to experience this. Can a woman really achieve this during one session of intercourse? What do I need to do to experience this?

Adventurous, Melaka

Answer:
I bet only sex machines can do that! Having one orgasm is so exhausting and having multiple climaxes can be next to seeing your Maker! After all that’s exactly what happens when you climax, you actually feel that you are in Nirvana! Definitely not to remain there! Some women describe having multiple short climaxes and some mentioned about the powerful one that occurs once and you are totally zapped. Sex is to enjoy and not to endure and suffer. If you are able to enjoy lovemaking even without the climax and you are comfortable with it then let it be. There is nothing abnormal about that! If you can experience climax and enjoy it its good for you. If you by any chance experience something unusual which you believed is a series of short climaxes and you live to talk about it, this is something you can talk to your grandchildren about! Learn some good breathing techniques if you want to explore the realm of multiple climaxes, because controlled breathing can prolong your stamina and you can achieve your aim. Do read in the internet about this or talk to someone who has actually achieved this!

vaginal tightening creams

Question:
After having four children, I don’t feel that my vagina is as tight as it used to be and worry if I am still pleasing my husband. I have seen ads for vaginal tightening creams but wonder what they contain and what they actually do. Are they effective and most importantly, are they safe?

Hot Mama, Seremban
Answer:
Of course it goes without saying that the vagina after repeated delivery will tend to loose it rugae (folds of mucosa) and probably will tend to be more slippery and could not hold the penis unless the vaginal muscles are tort and able to clench. Unfortunately the tone of the vaginal muscles also is affected by repeated vaginal deliveries. Therefore it is not surprising some women chose Caesarean Delivery rather than vaginal delivery, which of course comes with its own set of complications! Why cut if you can go natural! The answer to vaginal tightness and suppleness is not vaginal repair operation which means another cut and therefore scars but the Kegel’s Pelvic Floor Exercises. The pelvic floor muscles that actually cut off urine flow when you hold your urine is that very same muscles which you need to work on diligently. Make sure you have actually easy yourself before you work on your sex muscles if you do not want to suffer from bladder problems! Vaginal creams and jells that contain plant extracts of Oak gall, Kacip Fatima and Serapat contains tannins that can be a good astringent and tightens the vaginal mucosa by expelling mucosal fluid. If excessive vaginal fluid is lost the vagina can become dry and sex can be uncomfortable for both! Your best bet will be Kegel’s exercise.