Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 33 years of experience on Lybrate.com. You can find Gynaecologists online in Delhi and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.
Book Clinic Appointment with Dr. Sheema
Management of Abortion
Caesarean Section Procedure
Treatment Of Female Sexual Problems
Termination Of Pregnancy Procedure
Treatment Of Pregnancy Problems
Well Woman Healthcheck
Treatment Of Female Sexual Problems
Treatment Of Medical Diseases In Pregnancy
Treatment Of Menstrual Problems
Intra-Uterine Insemination (IUI) Treatment
Medical Termination Of Pregnancy (Mtp) Procedure
Gynecology Laparoscopy Procedures
Pap Smear Procedure
Submit a review for Dr. SheemaYour feedback matters!
Helo doctor, My husband and I are newly married. Instead of starting with sex right away, we decided to start with oral. In the process, he rubbed his precum on the vagina and also ejaculated next to it. He also tried penetrating a bit. But since it was painful, stopped. Since we are not planning any pregnant, we want to know whether I will be pregnant. I have read that pregnancy is possible even if ejaculation is not done inside. Because of this information, I consumed one Ipill too. Please please let us know whether pregnancy is possible or not. We had done this on my high risk day after periods. Please guide us.
Though the act of intercourse is portrayed as an act of pleasure, achieving an orgasm is an indication of a satisfying sexual act. Inability to achieve an orgasm is far more common in females than in males and this can be due to various reasons.
Read on to know some more about the causes and ways to manage this:
A mix of psychological, social, and physical conditions can lead to orgasmic disorders in female. Some of the common causes are listed below:
- History of sexual abuse
- Poor self-esteem
- Relationship issues, lack of trust, conflicts, etc.
- Cultural or social beliefs
- Advancing age
- Chronic medical conditions like diabetes
- Medications like selective serotonin reuptake inhibitors (SSRIs), which are frequently used in depression (depression is common in women)
- Gynecologic issues like hysterectomy
It is a vicious cycle that is contributed by more than one of these factors, which leads to strengthening of the disorder in the future. Types of orgasmic disorders: There are four types of orgasmic disorders, which are as follows:
- Primary anorgasmia: Women with such disorders have never been able to achieve an orgasm.
- Secondary anorgasmia: Over a period of time, women who previously have had orgasms are unable to achieve an orgasm.
- Situational anorgasmia: Women suffering from it would be able to achieve an orgasm only during certain situations like oral sex or masturbation, but may not climax during regular sexual intercourse.
- General: These women could be highly stimulated and aroused, but would still be unable to achieve climax.
Management and diagnosis
The first step in management is diagnosis. A detailed discussion with the doctor about sexual history followed by physical examination can help identify the problem. Being open about discussing this private topic is very important in diagnosis and treatment.
Treatment would depend on the underlying cause, and include the following:
- Diagnose and treat/manage underlying medical conditions like diabetes.
- Switch to an alternate antidepressant if SSRIs are being used.
- Involve in sex therapy where cognitive behavioral therapy is a big component. Becoming aware of what can be is very important.
- Sexual counseling with the partner to resolve any conflicts, improves trust levels and the overall health of the relationship. This is often a major cause for this disorder.
- Involving the partner to help in achieving an orgasm by clitoral stimulation, etc.
- Hormone therapy in the form of a pill, patch or gel may be used to increase sensitization in the genital area. These help by improving blood flow to the genitals and increasing sexual desire.
It is important to understand that female anorgasmia is very common and though it can be frustrating, it can be managed effectively. But do not forget to admit the problem and seek help. If you wish to discuss about any specific problem, you can consult a gynaecologist and ask a free question.
I am 31 years old, I recently had a miscarriage on 10th of May. Undergone a POC (Karyotyping. My report says Monosomy 15. What does that mean? Will there be genetic abnormality in future pregnancies.
I planned for a baby in the month of may. I followed the advice of the doctors to have sexual intercourse from day 8th to day 18th. After these ovulation days I checked for my pregnancy yesterday but the result was negative. The date for my periods is after 1 week. What should I do? Checking before periods does not gives correct result? Do I have any chance of being pregnant in the month of may?
I need similar gel like pregahope vaginal gel. Pregahope vaginal gel is out of stock in many areas. We are trying for baby. So the gel should not affect sperm. Whether liquid paraffin oil is recommended. Suggest me some gel which will not affect sperm.
I am 32. Weight 75. Height 5" on March 5 I had DNC bcz of no heart beat. Am suffering from thyroid since 15 yrs. Taking thyronorm 75 mg daily. Now I did thyroid test again. Attaching reports. When can I start plan for 2 pregnancy. I am getting puffiness on my face. How can I reduce. Present TSH value is 4.9 and HB% is 13. Am using folic acid 5 mg daily.
Contrary to what most girls have been led to believe about the hymen being a flat tissue that covers the vagina and is ripped during penetrative intercourse, the truth is that hymen is a fringe of tissue around the vaginal opening. It is not an intact tissue draping across the vaginal wall because without any outlet for the menstrual blood, girls would get periods only after they lose their virginity. (Know more about Irregular Periods)
Here are a few mind-boggling facts about the hymen.
- Just like labia, every woman's hymen varies in color, size and shapes.
- It is elastic and stretchy in most cases. Vaginal delivery makes the hymen less visible by smoothening and stretching it.
- Despite popular belief, the pain women experience when they have sex for the first time is not due to your hymen breaking, but because your vaginal muscles are too tense and/or you're going at it too rough and fast without adequate lubrication.
- Simple exercises such as walking, riding bicycles, doing splits as well as horseback riding may rip your hymen long before you have had intercourse.
- Hymens should not be perceived as the indicator of sexual activity because they are extremely stretchy and stay with you your entire life. Even sexually active people have hymens.
- If you do not resort to any sexual activity (including penetration during masturbation), the hymen returns to its default position in your vulva.
- Very few women have an imperforate hymen in which the opening is too small for penetration whether by tampons, fingers, sex toys or an erect penis. A simple surgery needs to be conducted in such a case where parts of the hymen are snipped away.
- There is a growth in hymenoplasty, also known as hymen reconstruction surgery, in the past few years because hymen is viewed as an indicator of virginity and there have been cases of annulment, public humiliation, torture and even death because they believe that the hymen is not intact due to sexual activity; therefore making hymenoplasty an effective solution.
- Although, not an indicator of the amount of sexual activities performed, one must seek immediate medical attention after being sexually assaulted because it can be examined to prove sexual abuse. (Learn more about Sexual Activity Affects Vaginal Health). If you wish to discuss about any specific problem, you can consult a Sexologist.