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Dr. P. Mangala

Gynaecologist, Hyderabad

100 at clinic
Dr. P. Mangala Gynaecologist, Hyderabad
100 at clinic
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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Dr. P. Mangala
Dr. P. Mangala is a renowned Gynaecologist in Gandhi Nagar, Hyderabad. You can visit him at Sri Narmada Hospital in Gandhi Nagar, Hyderabad. You can book an instant appointment online with Dr. P. Mangala on Lybrate.com.

Lybrate.com has a nexus of the most experienced Gynaecologists in India. You will find Gynaecologists with more than 42 years of experience on Lybrate.com. Find the best Gynaecologists online in Hyderabad. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Door No. 1-1-770/A/1/1, New Bakaram, Gandhi Nagar, Landmark: Near Canara Bank, HyderabadHyderabad Get Directions
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Door No. 1-1-770/A/1/1, New Bakaram, Gandhi Nagar, Landmark: Near Canara Bank.Hyderabad Get Directions
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Was on novelon 21 day pill pack from june. Missed only second last pill of june doubled up with the last at a gap of 24 hrs. Took a pill free break from 2-8 july, withdrawal bleed frm 5-8th july. Started new pack from 8th july night. Had protected sex abd the condom did not break on 9th july afternoon, but the same condom has been used thrice. Do not know if he ejaculated or not. Had very protected sex on 14th July. This was the last intercourse till date. Missed july pill only once at 21st july doubled up after 24 hrs with 22nd july pill. Had a very minute bleeding on 22nd july morning which was stopped as soon as the pills were continued. Pill pack ended on 28th of july had withdrawal bleed from 1-6th aug. It was normal withdrawal bleed on pills with cramps. Pregnancy test after that at 4,5,6,7,8 weeks all were negative. Pills from august was stopped as body was not permitting. No pregnancy symptoms except gas and on july I had some food aversion as I was too tensed. I feel like I ovulate 3 days before. Since cervical mucus during 28-29 aug was watery clear and lil stretchy but not of a large amount. From 1st sept it has become dry. Is their any risk of pregnancy since my period was about to start yesterday and it has not started till now. Am I safe? Do I need to do further home pregnancy test or blood test. I had no intercourse after 14th july and hpt was done with first urine in the morning.

MD - General Medicine
Sexologist, Nashik
Was on novelon 21 day pill pack from june. Missed only second last pill of june doubled up with the last at a gap of ...
If no sex after 14 th july and had menses in aug. How you can be pregnant. Relax with above story it seems you r not pregnant.
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Heavy Bleeding- A Sign of Adenomyosis

M.B.B.S, M.S Obstetrics and Gynaecology, Diploma in Minimal Access Surgery, Fellowship in Minimal Access Surgery, Diploma in Advanced Modern Cosmetic - Plastic Gynaecology, Diploma in Minimal Invasive Surgery(Germany), Fellowship of International College of Robotic Surgeons
Gynaecologist, Chennai
Heavy Bleeding- A Sign of Adenomyosis

Adenomyosis is a condition which occurs when the muscle wall of the uterus is broken by the endometrium lining. You experience pressure in the lower abdomen, menstrual cramps and bloating, before the onset of menstrual periods, resulting in heavy bleeding during the periods. This disorder is not life threatening but is known to cause pain and heavy bleeding.

Symptoms-

The symptoms of adenomyosis are severe pain during periods, prolonged periods and pressure in the abdominal area. You may also experience heavy bleeding during the periods and may also experience intense pain. Sex may be very painful as well. The lower abdomen might feel tender and bigger; this occurs when the size of the uterus increases in this particular condition.

Causes-

The exact cause of this disorder is not yet ascertained. However, certain possible causes could be:

  1. Congenital Defect: In this case, the condition is known to occur from birth wherein the endometrial tissue grows on the uterine muscle wall during the fetus formation.
  2. Invasive Growth of Tissues: This is said to occur when endometrial cells invade the uterus lining, leading to adenomyosis. This can also be triggered by a C-section operation.
  3. Inflammation During Childbirth: During the childbirth process, inflammation may occur in the lining of the uterus leading to this disorder.

In addition to the possible cause, there are certain risk factors which increase the risks of the disorder, such as:

  1. Aging

  2. Giving birth to a child

  3. Surgery related to the uterus such as a C-section

Treatment-

Once you reach menopause, this disorder tends to subside. So depending on how close you are to menopause, the treatment is designed accordingly. The various treatments for adenomyosis are –

  1. Anti-inflammatory Medications: If you are nearing menopause, then anti-inflammatory medications will be administered. This helps in reducing pain and the heavy blood flow.

  2. Hormone Medications: Hormone medications such as hormone patches can also help with the bleeding and pain.

  3. Hysterectomy: If the pain turns intense, then the doctor may recommend hysterectomy, a surgery to remove the uterus.

1 person found this helpful

During my periods I get lots of cramps. It sometimes becomes unbearable for me. I can't go out during my periods. Can you please suggest what to do.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda
Ayurveda, Trivandrum
During my periods I get lots of cramps. It sometimes becomes unbearable for me. I can't go out during my periods. Can...
This happens in people who almost reduce or skip food wen they know their periods are about to start ... It can also happen in those who physically strain like long journey travels exercises or carrying of heavy weights etc.. Make sure 1)u r relatively T rest wen ur periods are about to start and u til the flow has stopped 2) atleast drink fruit juices if unable to eat solid food
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I am having mensus problems, on jan 2 2015 laproscopic surgery happened to me, after surgery 2 months mensus not came, after that one month mensus correctly came, now again same problems, heavy bleeding with clots. Please suggest i am 32 age. And weight 89.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bundi
Please immediately send reports of uterine sonography etc if there are no such problems ayd is capable to bring it to normal.
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I'm unmarried and my weight has gone up to 80kgs and my age was 31. I have irregular menstrual problem and my doctor declared that I have a PCOD. Doctor suggests me to use Bigomet 1000mg & All9 pills until I got a pregnancy. So I would like to reduce my weight. Now i'm taking my diet, Yoga, walking half an hour, 17mins cycling and also I started to go slim clinic to reduce 20kgs weight. In my diet, I can't take green tea due to ginger& garlic flavour added. Due to that i'm getting allergy and getting itching & pimples.(Recently I had a skin problem) So can you suggest me which foods that I reduce heavy weight loss through foods & drinks. How many litres of water should I drink for a day? please help me out.

C.S.C, D.C.H, M.B.B.S
General Physician,
I'm unmarried and my weight has gone up to 80kgs and my age was 31.
I have irregular menstrual problem and my doctor ...
You need to have diet plan based on your BMI & activities. Whatever we eat is metabolised by the body for the energy needed to do daily work and the excess is stored as fat. Abdomen is the first place to gain weight and last to disappear. In brief, Weight reduction can be achieved only by reducing the intake of food 1/3 of what you take now. And by appropriate exercise plans for each part like belly, thighs, legs / chest etc. to burn off fat. Some tips 1) Drink three or four cups of water whenever you feel hungry and just before eating food 2) Take boiled or raw vegetable like cucumber, carrot etc. as half of your diet. Then take 1/2 of your total diet as sprouted pulses / proteinaceous food like roti, cooked pulses and remaining with rice or other carbohydrates. Oil or ghee etc. should be just bare minimum. And do aerobic exercises, running, jogging or at least walking briskly 3-5 KMs and swimming if possible, and in a gym if feasible. The most important is to burn off the energy intake by exercises. There is no short cut or medicines without exercise & dieting to take just as mush food as needed for your activities. The food we eat is utilised for our energy needs and the remaining will be stored as fat which leads to obesity. It is better to do some tests. A DIET CHART Timing Foods To Eat Calories Early Morning Lukewarm Water with Lemon 1 glass 0 Tea without Sugar + 2 Biscuits 90 Breakfast 2 Rotis + 1/2 cup Paneer Curry 330 OR Brown Bread Upma 1 plate + Milk 1 cup 300 Mid-Morning 1 Banana/1/2 cup Melon/20 Grapes 50 Lunch Brown Rice 1 cup (195 gm) + Mixed Vegetables 1/2 cup + Salad 1 bowl + Raita 1 small bowl 345 Evening Butter Milk 1 cup 35 Dinner 2 Rotis + Vegetable Soup 1 bowl + Salad 1 bowl 370 Total 1220/1190 Cal YOu have to drink 2-3 liters of water and boiled water is enough
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Hello sir, Please tell about food to eat for low hemoglobin content and RBCs. She is pregnant 35 th weeks.

BSc - Food Science & Nutrition, PGD in Sports Nutrition and Dietitics
Dietitian/Nutritionist, Mumbai
Hello sir, Please tell about food to eat for low hemoglobin content and RBCs. She is pregnant 35 th weeks.
Hello, Beans, dates, nuts, green vegetables, dried fruits are some very good sources of iron. She also, needs to take good vitamin C rich diet to enhance iron absorption.
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My wife aged 24 years has had blighted ovum twice in the last 7-8 months. Does this reduce her chances of conceiving and can medicines help in such a scenerio for future pregnancy to be normal. Please advice.

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
No it does not reduce chances for conceiving. No need of medicines except for few which can be decided by gynaecologist after history, examination, investigations.
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Woman's Gait & Orgasm - How Is It Related?

MD - Physician
Sexologist, Coimbatore
Woman's Gait & Orgasm - How Is It Related?

Human sexuality is a field wherein there is a lot of research ongoing and yet still more research required. Female sexuality is another confusing arena wherein, there are studies which tend to be contradictory. Within female sexuality, orgasms are especially, a hot button topic with a lot of conflicting views. However, one thing is clear from the multiple studies; women with better mental health tend to orgasm better, more often and more easily.

Mental health, orgasm and body language: It has been noted in studies that women who are in a better mental state tend to orgasm better and thus, it is reflected in their body language over time. One of the most important parts of human body language is gait or how someone walks. Many studies have shown this to be an important parameter of how women orgasm.

Gait and female sexuality: The relationship between the body language of a woman and her ability to orgasm is generally considered interchangeable. Certain studies have shown that women, who are naturally able to orgasm quicker, faster and regularly tend to have a higher level of self-confidence and thus, it is reflected in the way they walk. Other professionals believe that women who have a better and more confident walk are able to orgasm because they were more confident in their daily lives; thus that mental confidence translated into more orgasms. Whichever be the case, it was proven that gait did have a connection with the ability of a woman to orgasm.

The actual study

In the actual study, a group of sexologists were asked to judge the gait of women who had a history of vaginal orgasms, especially through penetrative intercourse. In most cases, the doctors were able to decipher whether the women had the ability to have proper orgasms or not. The doctors were unaware of the sexual history of these women and had to decipher whether the women could orgasm by judging the walk and general movement. In about 80 percent of the cases, the doctors predicted it correctly. Some of the factors that the doctors judged them upon and were found to be uniform were:

  1. Energy
  2. Sensuality
  3. Fluidity
  4. Freedom
  5. Absence of stiffness among muscles
  6. Body posture

Implications
The study may help sexologists to clear psychological problems in the cases of many women and help them improve their general self-confidence to allow them to be better in bed and thus be able to orgasm. The gait and the improvement on sexuality will thus help them have a better quality of life in general.

2 people found this helpful

On shoulder cyst occur. Not filled with pus. When I touch it hurts or itching is there how much tym it will took.

MBBS, DGO
Gynaecologist, Dehradun
Hello You should visit a surgeon who will examine the type of cyst and advise either removal or conservative management.
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Hi sir sir/madam I want to ask 1 questions dt is having sex with an pregnant lady is it right And pls tell me the fine week or month to have an sex Actually I have sex 2 day in a week is it harmful for our baby My wife is now on 7th month of pregnancy stage.

MD
Gynaecologist, Mumbai
Hi sir sir/madam I want to ask 1 questions dt is having sex with an pregnant lady is it right And pls tell me the fin...
Sex should not bepracticed after 28-30 weeks as it may give rise to preterm labour or create vaginal infection.
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My friend age is 43 and has strated menPause early age just fot married last year can she have a child

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
Modern treatment made it possible to make a menopausal woman pregnant. Just remember that at this age, pregnancy may be risky to her health. SO, first consult doctor to know whether pregnancy is possible with her health and whether she can take pregnancy. But don't waste time.
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I am 25 Female. Suffering some swelling and not much but some pain in my armpit since almost 2 years. Last time I went to a doctor he said it is accessory breast and took a test. Test result is" Giemsa stained smears show fibrofatty fragments.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
I am 25 Female. Suffering some swelling and not much but some pain in my armpit since almost 2 years. Last time I wen...
Get an ultrasound of breast to look for some swelling within tissue of breast, armpit is tail end of breast tissue, mammography detects tumors in breast but it has radiation risks, fibrofatty fragmants can be ignored but make sure that they do not collect together to cause lumps.
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Dear sir /mam we want a 1 boy and I have a 1 girl and we are trying for baby but we r unable so please tell me what we do.

MBBS, DNB (Obstetrics and Gynecology), MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
Dear sir /mam we want a 1 boy and I have a 1 girl and we are  trying for baby but we r unable so please tell me what ...
semen test, tubal patency test, and ovulation induction may help, but there can be no guarantee for conceiving specifically a boy child.
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Understanding Dissociative Amnesia

Ph.D - Child Psychology -, M.Phil. Educational Psychology, MSc. Child Psychology , B.Sc
Psychologist, Mumbai
Understanding Dissociative Amnesia

In many cases, the body responds to a stressful or traumatic situation by disassociating with it. This can result in the development of a dissociative disorder. A dissociative disorder or dissociative amnesia is a mental illness that involves the breaking down of memory, consciousness, identity and perception. It can interfere with a person's general functioning, social life and relationships. People suffering from dissociative amnesia can have long gaps in their memory of the accident and the time before and after it. 

Women are at a higher risk of suffering from this condition as compared to men. It has also been found to have a genetic link as people suffering from this condition often have other members of their family who experience something similar. Manmade and natural disasters such as wars, floods, earthquakes etc that cause overwhelming stress is said to trigger this disease. 

The inability to recall past events is a primary symptom of this disease. Other symptoms include

  • Depression or anxiety
  • Inability to remember personal information
  • Substance abuse
  • Mood swings
  • Sexual dysfunction
  • Panic attacks
  • Obsessive compulsive symptoms
  • Hallucinations and 
  • Social withdrawal

Treatment for this disease is a two step process. The first step involves relieving symptoms and controlling any behavioral changes. The second step aims at helping the person to recall and process their memories. Developing coping skills and rebuilding relationships is also focused on. Depending on the individual and the severity of symptoms showcased a doctor may choose to treat the patient using any of the following forms of treatment. 

  1. Psychotherapy: This form of treatment is designed to encourage communication and give the person insight into their problems. It uses a number of psychological techniques. 
  2. Cognitive therapy: Changing dysfunctional thinking patterns and their resulting emotions and behavior patterns is the focus of this form of treatment.  
  3. Medication: Dissociative amnesia patients who also suffer from depression or anxiety can benefit from medication such as anti depressants and anti anxiety drugs. However, this medication does not treat the dissociative amnesia itself. 
  4. Family therapy: In some cases, along with the patient it is also necessary to counsel the family. Family therapy involves educating the family members about the disorder and symptoms of recurrence. 

Clinical hypnosis: This type of treatment uses intense relaxation and focused attention techniques to access the unconscious part of the mind and allow people to explore their thoughts, emotions and repressed memories.

3221 people found this helpful

Neck and Shoulder Pain

(M.D.Accu), Diploma in Naturopathy & Yogic Science YS)
Acupuncturist, Delhi
Neck and Shoulder Pain

Top 6 acupressure points for treating neck and shoulder pain: moving a little down from the head is the neck, a very important body part indeed, although the head is the site of the brain, but it is the neck that has the power to turn it whichever way it wants. But with modern day technology and computer-centric lifestyle we are more often plagued with pains and discomfort in the neck and shoulder region which is often the cause of throbbing headaches as well. All the points situated in the head and neck regions are yang points, with excessive energy flow through them and reflexology can be used effectively in providing permanent relief to discomfort and nasty pains in these regions.

Causes of neck and shoulder pain: the causes of neck and shoulder pain and stiffness are many and can range from silly reasons like sleeping in a wrong posture to serious ones like arthritis and meningitis which can leave us with a sore and painful neck for several days.

Neck massage
Some of the common causes of neck pain are:

Poor sitting posture
Poor sleeping posture
Muscle strain
Overexertion
Sprain
Neck pain
In all these cases it is usual to feel discomfit to numbing pains in the neck and shoulder region which is easily cured with simple exercises within a few days. But in some cases, the neck pain can be persistent, for several days or weeks with a stiffness that can spread to shoulders, back and even lead to headache.

Some serious causes of neck and shoulder pain include:

Meningitis: inflammation of meninges around the brain
Arthritis: cervical spondylitis and rheumatoid arthritis
Such cases call for immediate medical attention by professionals.

Acupressure to soothe neck and shoulder pains:

Neck and shoulder pains can be quite menacing and hinder our day to day activities, but instead of restoring to temporary solutions like pain killers use reflexology to heal the ailment from within and move towards overall wellness and complete harmony between mind and body.

Acupressure is a complete healing therapy that is rooted in ancient eastern healing arts which help in curing the mid and irritating as well as the all-consuming throbbing pains that have become a part of modern life. It helps in relieving stress and bringing back balance in our life. These 6 simple acupressure points can be stimulated on your own or a therapeutic acupressure session can be given to a loved one in order to relieve pain and stiffness in the neck and shoulder.

Shoulder well: this point is located on the shoulder muscle, halfway between the base of the neck and the end of the shoulder muscle. Stimulating this point helps in relieving stiffness of neck and shoulder. It also helps in relieving back pain.

Completion bone: this point is located on the occipital ridge, in the depression behind the ear in the SCM muscle. Stimulating this point helps in relieving headache, neck pain and dizziness.

Heaven's pillar: this point is located on the occipital ridge, just at the side of where the spine enters the skull in the tendon. Stimulating this point helps in relieving neck pains, numbness, and stiffness of the neck. Stimulating this region also helps in relieving chronic cough.

1 person found this helpful

My wife complained about the pain in her breasts since last week the pain is not very severe but it is enough to cause a discomfort. I want to ask is this is normal or anything serious. Kindly guide me what should I do.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
My wife complained about the pain in her breasts since last week the pain is not very severe but it is enough to caus...
Some women have tenderness before periods and it's due to water retention due to hormones, try giving her minimal salt, lots of water to flush out toxic elements from blood by producing more urine. Exercise more according to constitution. Take more of potassium rich fruits like oranges and lemon juice, amla, fresh vegetables and fruits plus eating according to constitution. If she is overweight, reducing weight will help her besides eating well. No need to take any painkillers. If pain is bearable, get an ultrasound breast done to rule out any underlying nodes.
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How to Have More Regular Sex Post Delivery?

MBBS, MCCEE, Fellowship in Sexual Medicine
Sexologist, Jaipur
How to Have More Regular Sex Post Delivery?

Marriage is believed to be a license for sex, there is always a partner available anytime, anywhere. Right? Maybe, in the initial stages, before the realities of marriage set in (that too provided you have the privacy and the household chores in order). With kids entering the scene, this scene changes completely. For both men and women, life changes drastically, and sex soon becomes a thing of the past.

While the woman undergoes a lot of physical changes and the new one becomes the centre of all her attention, the male is confused somewhere between frustration and loss of attention.

Suddenly, everything revolves around the new one, and somewhere, the physical intimacy between the couples is completely lost. Most couples resign to it as a way of life, a part of parenthood. Some get frustrated and may even look for sex outside marriage. Come to think of it, what created the child is taken away completely by the child.

However, the scene need not be as bad too. There are always ways and workarounds and taking out a couple of hours for the couple should not be a problem, if planned nicely.

Lost privacy: With the kid on the scene, the couple often loses privacy (of the house sometimes, of their bedroom for sure). This is also one of the main reasons for the loss of sex. Maybe, after a year (or earlier depending on a case-to-case basis), try to have a separate bedroom for the child. This not only gives you privacy but also can lead to a romantic night. So, growing a baby does not have to take you away from your partner!!

Planned dates: Ensure the kid (or kids) is taken care of. Get your close family or friends to babysit them and get yourself out of the environment physically. Being at home will make you constantly want to supervise if things are going well. Trust your babysitters, and they will be fine. Do this at least once a month (or more frequently if possible) to keep the romance alive.

Plan your day: With a newborn baby around (or for that matter, with a child around, whatever the age), there is never an end to the to-do list. Getting to bed very late completely drained does not allow for any physical intimacy between you and the partner. Once in a while, wind up a little early, leave some things for the next day and take some time out with the partner. Even some heartfelt talk would leave you feeling close and be a great way to end the day. Sex, for sure, demands some physical energy and reserve it!! If you wish to discuss about any specific problem, you can consult a sexologist and ask a free question.

6566 people found this helpful

12 Secrets to a Better Orgasm

MS in Sexuality and psychotherapy, PhD - Psychology
Sexologist, Hyderabad
12 Secrets to a Better Orgasm

1. Hit the hot spots

A friction position may help you have an orgasm during intercourse. Get on top, for example, so the top of your clitoris is rubbing directly on your partner’s pubic bone. Or lay on your back with a pillow underneath your butt.

2. Talk the talk

" men really want direction. Let your partner know when he’s on the right track, either by telling him what feels great or by moaning.

3. Learn on your own

You can’t talk the talk if you don’t know what turns you on" to train your body to be orgasmic, you have to masturbate.

4. Exercise your orgasm muscles

 

" kegels are the classic exercise for women who want to transform feeble orgasms into fabulous ones, locate these muscles in your pelvic floor by stopping yourself from peeing midstream. Then tone them by clenching when you’re not peeing. Do kegels every day, ideally a few times a day. And keep breathing while you squeeze.

5. Get risky

Research shows that engaging in thrill-seeking behaviors together stimulates dopamine in the brain, which gets your juices flowing.

6. Delay the pleasure

" the longer the arousal buildup, the bigger the explosion. Get yourself close to orgasm, then slow to a simmer. Repeat that a few times before you climax.

7. Focus on breathing

Tantric sex may sound new-agey, but its central tenet—focused breathing—may boost your pleasure" you can use your breath to channel your sexual energy. Partners who breathe in tandem may slow the rush to orgasm and create a bigger buildup, which can intensify pleasure.

8. Explore erotic

Erotic movies and books can be tasteful and arousing, and the more aroused you are, the better your orgasm chances.

9. Try creative foreplay

If it takes you longer than your partner to warm up, fulbright says, get a head start by e-mailing or texting each other sexy messages.

10. If you’re not orgasmic, advice from a pro may be helpful. Nerve damage or low testosterone could be the problem" your doctor can do a medical evaluation" or look at relationship factors"

11. Relax, relax, relax!

15 people found this helpful

My vagina hurts during my periods and discharge is more often. Do I need to worry?

BHMS
Homeopath, Faridabad
My vagina hurts during my periods and discharge is more often. Do I need to worry?
Hello, don't worry. Slight pain or heaviness around the parts and slight discharge per vagina is normal, but if the intensity of pain is unbearable and the discharge is too much, smelly, thick, then need to look into the matter.
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