One of the most common queries faced by doctors dealing with pregnancies are risks associated with having sexduring the gestation and post-partum periods. Such doubts arise from both genuine concern and also from several superstitions and myths.

As a matter of fact, having sex during pregnancy is perfectly normal and safe. However, keeping in mind the changes the woman is going through, there are a few specific do's and don'ts you need to follow while having sexduring pregnancy.

Do's
1. Be aware: Pay attention to the doctor's evaluation of the expecting mother's condition. Many pregnancy risks can be predicted at an early stage. Abstain in case of predictions pointing to a risky gestation period and/ or delivery. Get yourself tested regularly, so that there is no possibility of transmitting infections to the expecting mother.

2. Enjoy foreplay: Pregnancy normally results in increased sensation in the erotogenic zones. Foreplay is a great way to relieve a woman's tension and she will enjoy your touch more than ever.

3. Pay attention to your partner's needs and reactions: Women have to go through a lot during pregnancy like fatigue all the time, along with sudden nausea and extreme mood swings. So, paying more attention to your partner's needs and reactions will help make the act more enjoyable for both of you.

Don'ts
1. Don't go for multiple partners: Multiple partners increase the risk of infections. It is not advisable to have sex with multiple partners during this time.

2. Don't Use sex toys: Use of sex toys during pregnancy is discouraged as it increases the risk of infections.

3. Don't Try risky positions and maneuvers: Please keep your desires for exotic positions in check. Risque behavior can lead to injuries.

4. Don't Keep yourself ahead of her: It is perfect idiocy to keep your desires ahead of the needs and desires of the love of your life. By putting yourself ahead of her you will not only negatively affect her mental health, but her physical health as well.

5 Do not mix drugs with intimacy: Use of intoxicants during her pregnancy to enhance your senses will put the healthy growth and delivery of the child in jeopardy. A number of birth defects in children are the result of using intoxicating substance use during pregnancy.

Dos and Don'ts of Sex During Pregnancy

There are two types of abortion, namely medical and surgical. In case of medical abortion, pills are taken to terminate the pregnancy; whereas, surgical abortion is done if the pregnancy has reached an advanced stage when pills are ineffective. While generally there are no health risks or negative effects of abortion on fertility, there are rare cases of complications, which can give rise to severe symptoms post abortion. Following is the information you need to know about abortion and its effects on fertility:

When to seek medical assistance
It is advisable to seek medical help if you have the following symptoms post abortion:
1. Persistent pain in the lower abdomen, which lingers even after taking medication
2. Excessive bleeding
3. A high temperature

Possible effects of surgical abortion on fertility
1. Infection after abortion: infections post abortion like pelvic inflammatory disease (pid), if left untreated for long can spread and harm your reproductive organs, thereby impacting your fertility. It can cause complications like infertility or ectopic pregnancy.

2. Damage to the cervix during abortion: damage to the cervix during an abortion can cause cervical incompetence and consequently increase the risk of miscarriage.

3. Damage to the womb during abortion: there are chances of damage of the womb (uterus) during abortion, resulting in scarring, which can cause fertility issues if not corrected. This is more likely in case you had multiple abortions.

Apart from the above mentioned complications there are a number of other complications, which can happen due to abortion, preterm birth, vaginal bleeding during pregnancy and low birth rate, etc. Further, infertility can also be a possible side effect of abortion pills, which happens due to scarring of the uterus during the procedure of forcible elimination of the fetus. In all such cases it is advisable to schedule regular check up with your gynaecologist.

Can Abortion Affect Fertility?

If your teenager finds out that she is pregnant, and will be having a baby soon, it is a very difficult situation to cope with. Teenage pregnancy is associated with intense stress and trauma in both the girl and her parents, and family. It is important for you to realise that teenage pregnancy can be okay, based on good and wise decisions. You should seek all options at hand, and discuss them with people you trust. There are several coping methods for dealing with the stress, trauma, and difficulty of teenage pregnancy. They are as follows:

Keep in mind that it is okay to be overwhelmed

A flood of emotions is likely to flow through your body on finding out that your teenage daughter is pregnant.
Your mind has to be set for facing several challenges which lie ahead. You have to go ahead.
It is okay to feel upset, but avoid showing it in front of your daughter.
Be supportive

You might be upset and angry, but you need to realise that your daughter is scared and alone.
She needs you by her side during this phase more than ever. Your child s health has to remain relaxed both physically and mentally during pregnancy.
Do not make your daughter feel shameful as it will worsen the trauma. You need to make her understand that you are with her to figure out some kind of solution.
Ask your daughter what she wants

It is important for you to ask your pregnant teenage daughter about what she wants, and you should respect her wishes.
Your daughter has to be comfortable with the choices you make regarding the pregnancy.
Give her advice and help her in exploring options

Instead of forcing your opinions and views on your daughter, you need to lead her to beneficial resources and support centres.
It is important for your daughter to make the best decision, without a lot of influence over what has been decided.
Explore the available options with her and point out the various pros and cons.
Teach your daughter the skills required to become independent

While you have to help your teenage daughter emotionally, financially and in many other ways, you should also teach her the ways of becoming an independent self sufficient adult.
If she decides on having the baby, it is very important for her to learn to take care of the baby and deal with all the issues that are likely to be faced.
It is also recommended for you to take your pregnant teenage daughter for therapy and proper counselling. These are also important for her to cope with the trauma and make the best decisions.

Teenage Pregnancy - How To Deal With Stress And Trauma?

Gonorrhoea is transmitted infection caused when people come in a physically intimate contact. It can affect both male and female. The most vulnerable organs that are susceptible to gonorrhoea infection include rectum, urethra, and throat. In females, gonorrhoea might affect the cervix as well. Since the infection spreads from having sex, there are wide chances that the baby gets affected too. Although there could be no visible symptoms of gonorrhoea, early detection and treatment increase the chances of a permanent cure.

How does gonorrhoea affect the sexual life?
Once a person gets affected, gonorrhoea may wreak havoc on the sex life of both a male and female. In males, there could be swelling and pain in one testicle leading to difficulty in having sex. Additionally, urination after sex becomes painful. There could be a pus-like discharge from the penis thereby completely obstructing the chances of sex.

In females, there could be abdominal pain during the intercourse. Intercourse itself could be extremely painful. Apart from this, the urination after sex could be very painful. Additionally, there are chances of vaginal discharge after sex. There are high chances of vaginal bleeding after sex followed by itching of the anus. If the bacteria are very active, lymph nodes of the throat getting swollen after oral sex.

The treatment plan for gonorrhoea in adults

Adults infected with the gonorrhoea bacteria are treated with antibiotics. Since gonorrhoea bacteria are increasingly becoming drug-resistant, doctors treat the patient with an antibiotic known as Ceftriaxone in the form of injection.
In addition to this, two antibiotics that are prescribed to be taken in the oral form include Doxycycline and Azithromycin. There are some studies which revealed that injectable Gentamicin along with oral Azithromycin is a successful combination that can treat gonorrhoea. Furthermore, this combination proves to be highly successful in treating patients who are allergic to cephalosporin-based antibiotics.
In addition to the treatment of the infected patient, the partner should also be thoroughly checked for symptoms of gonorrhoea treatment even if there exist no symptoms of the disease as such. There is a high likelihood of one partner getting infected in case the other one is infected.
If a baby gets infected with gonorrhea in the womb, he/she should get immediate eye medication to ensure that there no loss of vision when he/she is born. Babies should also get a dosage of antibiotics.
Some basic hygiene such as not having sex during the course of the treatment, use of protection during sex, avoiding oral sex, avoiding sex with multiple partners etc. should be followed.
Regular consultation with the doctor is necessary till the condition gets cured for good. 

Gonorrhea - How It Is Affecting Your Sexual Life?

Disregarding genital tract infections and issues including the symptoms of the same can lead to problems when it comes to fertility. It may also cause problems in your sexual life. Genital problems can also lead to infertility. These days, infertility is a noteworthy and very important occurrence that plagues many couples.

Common Infections: A large portion of these genital tract diseases occurs because of infections. Salpingitis happens in close to 15% of ladies in their reproductive age and 2.5% of all ladies get to be infertile as an aftereffect of salpingitis by age 35. Many times, symptoms of conditions and STDs like Chlamydia trachomatis are usually nonexistent. The real rate of ladies with upper genital tract infections is presumably underestimated.

Infection and Infertility: Infectious agents can hinder different vital human functions, including reproduction. Bacteria, fungi, infections and viruses can meddle with the reproductive capacity in both genders. Diseases of male genito-urinary tract represent around 15% of the instance of male infertility. Diseases can influence distinctive areas of the male regenerative tract, for example, the testis, epididymis and male sex organs and glands. Urogenital diseases at various levels of their advancement, development and transport can affect the sperms themselves in this manner. Among the most widely recognized microorganisms required for sexually transmitted diseases, meddling with male fertility are Chlamydia trachomatis and Neisseria gonorrhea.

Symptoms: If the following symptoms of a genital tract infection are ignored, it can definitely lead to the person being infertile in some stage of life or immediately. These are as follows:

The signs and symptoms in males are

Changes in the way you discharge
Bleeding while urinating or discharge
Thick white, yellow or green release from the tip of the penis along with pain in urethra or pain while urinating
A hard but painless sore on the penis along with swelling of the lymph hubs in the crotch
Pain or uneasiness while urinating or discharge from the urethra
Difficult or irritated red spots and small blisters on the penis
Chestnut bits on the hair around the penis
Gentle delicacy around one of the testicles
Delicate swelling in the scrotum on one or both sides
Extreme pain after injury to your penis
The signs and symptoms in women are as follows:

Irregular vaginal discharge with a pungent smell
Burning sensation while urinating
Tingling or itching in the outer area of vagina
Uneasiness and pain during sex
Sore vagina
Foamy greenish-yellow discharge with a foul smell
Light bleeding after intercourse
Warts in the vagina
Regular check-ups and visits to the gynecologist are very essential. One should always keep the partner updated about their sexual health problems to practice a healthy and honest relationship and to avoid further contagious infections from occurring.

Can Genital Tract Infections Lead to Infertility?

There are certain changes that are noticed in the body post-pregnancy. One such change that might affect you is an overactive bladder. Usually, depending on the amount of liquid that goes into the body, an individual urinates eight to ten times a day. But post-pregnancy this statistic might increase to around ten to twelve times a day. While urinating helps the body to get rid of excessive body wastes, extreme urinating would also get rid of the necessary minerals and liquid that the body requires for its proper functioning. However, overactive bladders are quite common in women who have delivered and can be treated smoothly. Here are some of the top ways in which you can treat your overactive bladder post your pregnancy:

Losing Weight: A woman gains a lot of weight post pregnancy. This weight needs to be reduced through simple exercises and a proper balanced diet. Reduction of the post pregnancy weight helps in controlling the overactive bladder to a certain extent.

Avoiding Alcohol, Spicy and Acidic Food: Alcohol, spicy and acidic food actually creates havoc in the excretory system. Their compounds are such that these enable the body to get rid of water and necessary elements from the body. In fact, the power of urine itself is reduced, making discharging urine with high water content. This would make you more thirsty resulting in over-urinating at times. Similar conditions arise in the body when you consume coffee which contains caffeine and chocolate. Although, having a little bit of chocolate now and then does not really affect the system to quite an extent.

Exercises: Each exercise is carefully tuned to help a particular part of the body. For reducing the over activeness of your bladder, pelvic exercises are the best that you can carry out even for thirty minutes a day. Exercises would help you to remain active, shed the excess weight as well as manage your urination.

Avoid Smoking: Out of the many health hazards that arise out of smoking, one of them is the extreme urge to urinate often after pregnancy. Thus, to avoid over urination it is advised to refrain from smoking for some time.

Thus, these are some of the easiest ways to control the situation. In case you are embarrassed to go out in the public like this, you can always use incontinence pads. However, if the problem persists even after trying out all the said methods, then it would be in your best interest to take expert advice from the doctors.

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