Category Archives: Sexual Health

Vaginal Dryness and Lubrication

Question: I’ve never been able to produce natural lubrication, even when I’m horny and turned on, which makes it awkward and embarrassing during sex. I buy lube, but I’m still so confused as to why I can’t get wet. Is this normal and is there anything I can do about it? Answer: Many women of all ages run into vaginal dryness now and then. Never the less, a dry vagina feels uncomfortable and can make sex painful. The amount of vaginal lubrication varies from woman to woman, within a wide range of normal lubrication. The fluid itself is clear and relatively odourless. You may not take much notice of your vaginal fluid most of the time until you find yourself feeling dry when you should be the opposite when you are sexually aroused. Vaginal dryness can have a variety of causes. Your sensitive vaginal chemistry may be reacting to another kind of chemistry—harsh alkaline soaps, for example. On the other hand, you may be drying up as part of an allergic response to perfumes or dyes. As you get closer to the years of menopause, lowered estrogen levels may also cause dryness of the vagina. In addition, certain skin conditions may interfere with vaginal lubrication. It is normal for some women not to lubricate copiously when they are sexually aroused. It is also possible to lubricate without realizing it. If you are lying on your back, the moisture may pool in the back of your vagina, too far away to make sexual intercourse comfortable. The solution? Before intercourse, try dipping a finger into the vagina and drawing some of the lubrication out to coat the dry surface. Then again, you can use water-soluble lubricants.

When is the most “safe” period to having sex without wearing condom?

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Question:
Hi there, may I know when is the most “safe” period to having sex without wearing condom? My friend say the “safe” period is 3 days after girl get period, is it reliable? Will it stand a chance to get pregnant if I eject inside vagina? Another question is if I wish to enjoy the sex pleasure and eject inside, what is the best solution to prevent get pregnant? Thanks.

 

Answer:
It is never ‘safe’ to have sex without a condom when one thinks about sexually transmitted infections (STI) and more so if one plans not to get pregnant or make the partner pregnant. I think in both situations it would be risky to take the chance. You will be surprised to know that the girl can get pregnant even if sex were to be done while she is getting her period!

 

Do feces get on the penis on insertion?

Question:
I’m not an anal sex fan, however, I was just wondering if it’s okay to actually have anal sex safely without the use of a condom. I mean, do feces get on the penis on insertion? If not, what about the other bacteria that are present in the anus — won’t they cause an infection?

Answer:
You are on the right tract when you mentioned about the bacteria and the feces that might land on your penis. The bacteria might not do any harm to you but may cause harm to your partner if after pulling out your loaded penis from the anus you insert it straight into your partner’s vagina. If your partner has an infection already, not using the condom will endanger you if you have an abrasion on your penis. Feces and anal mucus also contains HIV/AID virus if one is inflicted with the infection. Wearing a condom is the least you can do to avoid infection from your partner or to avoid giving infection to your partner. Be wise. Use condoms whether you have straight sex or otherwise.

Do feces get on the penis on insertion?

Question:
I’m not an anal sex fan, however, I was just wondering if it’s okay to actually have anal sex safely without the use of a condom. I mean, do feces get on the penis on insertion? If not, what about the other bacteria that are present in the anus — won’t they cause an infection?

 

Answer:
You are on the right tract when you mentioned about the bacteria and the feces that might land on your penis. The bacteria might not do any harm to you but may cause harm to your partner if after pulling out your loaded penis from the anus you insert it straight into your partner’s vagina. If your partner has an infection already, not using the condom will endanger you if you have an abrasion on your penis. Feces and anal mucus also contains HIV/AID virus if one is inflicted with the infection. Wearing a condom is the least you can do to avoid infection from your partner or to avoid giving infection to your partner. Be wise. Use condoms whether you have straight sex or otherwise.

Is this normal? Whenever I get my period, I seem to want sex more and I get aroused easily.

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.

Is it normal if we have intercourse his sperm ejaculation is less than before?

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.

Is it necessary to undergo circumcise process?

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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.

Prostate Massage

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.

Contraception Doesn’t Go Better With Coca-Cola

One of the reasons why Coca-cola is not an effective spermicide is because sperm are faster and may reach an egg in time to fertilise it, says an expert in the Christmas issue published on bmj.com today.
The author, Deborah Anderson, a professor in obstetrics and gynaecology at Boston University and Harvard Medical School, writes that Coca-cola douches were allegedly used during the 1950s and 60s as a contraceptive when other methods were not easily available. The acidity alledgedly worked as spermicide to kill sperm and the classic coke bottle shape lent itself to a “shake and shoot” applicator! … Click Here For More