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.

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.

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!

Question:
I am a woman who has absolutely wonderful orgasm all the time from manual or oral stimulation, but never from just intercourse. Is there something wrong with me?

Answer:
Most women can easily achieved orgasm with manual and oral stimulation because it is easy to stimulate these sensitive organs continuously with fingers and tongue that can be done for a long time since these organs do not need to be in an erected state as in the case of the penis. The penis cannot be in an erected state for long without stimulation and can make the man to climax which result in the loss of erection. Therefore the problem lies with the man and not the woman and the issue might be rapid ejaculation. I would strongly recommend the woman to be more focused when her partner penetrates her and start the penile thrust and position herself to get the sufficient stimulation to her most sensitive parts to achieve climax in a shorter time. She can work on this with her partner. If her partner is a rapid ejaculator then he has to go for therapy. There are techniques and medications available for this.

p>Question:
My 2 1/2 year old daughter has her own bedroom, but she’s afraid to stay in it at night. I think she should feel welcome to sleep with me and my husband until she’s ready to be on her own, but my husband says it’s ruining our sex life. We still fit in some quickies from time to time, and it seems to me that our daughter’s emotional security is more important than how often my husband and I are getting off. This issue has turned into a real problem between us, and we can hardly even talk about it without getting really upset. Can you help us to settle this argument?

 

Answer:
Bringing up a child is the responsibility of both parents. Children need to be rewarded for any achievement and that include staying in their own bedroom. Encouraging then to sleep in or co-sleeping every time they are afraid is not the best solution for both parties. Critics of bed sharing have argued that co-sleeping may interfere with a child’s development, create psychological problems, or compromise a youngster’s sleep habits However, there are two sides to the controversy. Some parents and experts argue that bed sharing with parents makes for comforted, tantrum-free children, and may even help their sleeping patterns. Others have claimed that bed sharing leads to a healthy sense of self for a child and to stronger, closer parent-child relationships. Recent studies show that children who bed-share are not more likely to have emotional problems than children who don’t, and that bed sharing before 6 years of age appears to have no major impact on a child’s development or behavior.

 

Many psychologists feel strongly that parents and children should be sleeping in their own beds. Parents should get kids excited about the independence of sleeping in their own room. Make a game out of it, giving them gold stars or rewards for making progress. Start a new habit of going into your child’s room and reading a bedtime story but do not sleep there. Comfort your child by being available, but allow co-sleeping only on special circumstances (such as the occasional thunderstorm).

 

To help a child overcome fear of the dark, it would be helpful to buy a lamp dimmer, so that the child will feel more comfortable and safe. Draw the threshold and make it clear that your bedroom is off limits. It may be difficult at first, but in a short time, children will develop their own methods of soothing themselves and feel safe, secure and comfortable under their own covers.

Imagine the wedding night scene when the couples were all geared up to do the thing when all of a sudden the woman screaming and clutching the precious pole trying to keep it from shrinking or instead of the wife screaming the husband fuming over the tight va…. like as though it is disappearing and the inverted nipples of the partner. Yes! that is what happens when Koro comes knocking at your door.

 

Koro or otherwise known as Genital Retraction Syndrome (GRS), generally considered a culture-specific syndrome is a condition in which an individual is overcome with the belief that his/her external genitalia , in females, the vagina ,diminishing in dimensions and nipples are retracting into the body and breasts shrinking, or in some male cases, the penis and testicles may be pulled into the body or disappear. A penis panic like the scenerio describes earlier which of course if it occures in a huge male population may cause a mass hysteria of zombie looking males all clutching their diminuitive privates, least they disappear and cause the death of their owners.Penis panics have occurred around the world, most notably in Africa and Asia. Local beliefs assert that such syndromes are often fatal.

 

Genital retraction syndrome in Southeast Asia is known as Koro, which apparently comes from a chinese term Shook yang (suo yang, 縮陽), although no credible occurrence of such a phenomenon has ever been recorded there.It is becoming increasingly clear that these forms of mass-hysteria are more common than previously thought.

 

The phenomenon is often, but not always, associated with occult belief, such as witchcraft. These panics frequently, but not exclusively, occur in places where access to education—particularly in science and human biology—is limited, or otherwise restricted (for example, when government policies restrict such education). The term “Koro” which means “head of the turtle” in Malay is believed to be a culture-bound syndrome, is similar to penis panics in various cultures. Koro most commonly describes the extreme fear that the penis is retracting into the body, brought about by some supernatural powers and that such retraction will bring about death. Koro also tends to reflect a certain xenophobia among some groups, whereby foreigners are often blamed as the ones behind the “attacks”.

 

Although Koro goes back to ancient times, beliefs have evolved to better suit modernity. Whereas in the past the causes were usually identified as supernatural, e.g. sorcery, a recent Koro episode in Northern Thailand placed the blame on Vietnamese Communist agents who supposedly put chemicals in the water supply.Sufferers may resort to extreme physical measures to prevent the believed retraction of the penis. As well as affecting individuals, Koro-like syndromes can often occur in an outbreak of mass hysteria.Probably the best treatise ever decribed about this unique fenomena of koro is the details written by Robert E.Barthelomew in the book Little Green Men, Meowing Nuns and Head-Hunting Panics: A Study of Mass Psychogenic Illness and Social Delusion , and the excerpts goes like this, “In parts of Asia, entire regions are occasionally overwhelmed by terror-stricken men who believe that their penises are shriveling up or retracting into their bodies, whereupon they will die. Those affected often place clamps or strings onto the precious organs or have family members hold the penis in relays until an appropriate treatment is obtained, often from traditional healers. … Episodes can endure for weeks or months and affect thousands. Psychiatrists are divided as to the cause of these imaginary scares. Some believe that it is a form of group psychosis triggered by stress, while others view it as a mass hysteria. … While these episodes may appear humorous to Westerners, they offer a valuable lesson because they show how vulnerable we all are to mass delusion.”

 

The man at left is suffering from an acute case of koro, or genital retraction syndrome (GRS) during the 1985 epidemic in Guangdong, China. (Photo courtesy R.E. Bartholomew)

 

Koro most commonly strikes men, but rare cases are known to involve women and the fear that either their external genital or nipples are retracting into the body.

 

Aside from the emotional distress, Koro by itself is not physically harmful, and no actual retraction takes place. Injuries have occurred when stricken men have resorted to apparatus such as needles, hooks, fishing line, and shoe strings, to prevent the disappearance of their penises.
An epidemic struck Singapore in 1967, resulting in thousands of reported cases. Government and medical officials alleviated the outbreak only by a massive campaign to reassure men of the anatomical impossibility of retraction together with a media blackout on the spread of the condition.
Koro has been successfully treated with a course of alprazolam and imipramine (which are psychiatric drugs, the former used to treat anxiety disorders).

 

Therefore folks do not be alarmed.There will be no knocking at your door when you are doing the thing.If you have problems do not go to the shamans or the dukuns.Do see your favourite doctor.Everything will be back in place.