Patient Review Highlights
When someone intends to describe 'intercourse', the adjective painful is not the first thing to spring up in your mind. But more often than not, you or your partner might be suffering from a painful experience under the sheets that further complicates your relationship.
But to paraphrase, it doesn't have to be like this. If you are encountering pain on a regular basis, it is best to talk to your partner and to a doctor to get rid of the problems.
Below is a list of 6 reasons that could be responsible for a painful intercourse:
- Lack of sufficient lubrication: When the female member is turned on because of foreplay, there is an adequate amount of white mucous discharge in the vagina which works as a natural lubricant and makes penetration easy and comfortable. A lack of sufficient foreplay or a side effect of usage of medications for allergies and antidepressants might make your vagina dry which can cause pain. Also, intercourse before your menstrual periods can also facilitate the painful experience. This condition can be checked upon by usage of lubricants which will sufficiently moisturize the vagina.
- Inflammation of the bladder region can also cause pain during sex: It is recommended to urinate after sex in order to drain away the bacteria that might have entered your body during intercourse.
- Infection: Infection in the vagina, which can be denoted by the change of color in the vaginal discharge can be a reason for the pain. Also itching in the vagina (vaginitis) in case of women or infection to certain contraceptives for men can also give rise to pain.
- Inflammation of prostate gland: For males, severe pain just a few moments before ejaculation might be a result of prostatitis (inflammation of the prostate gland) and should be immediately diagnosed.
- Medical Conditions: If the pain during intercourse affects your whole body, then there is a possibility that the pain is a reason for some underlying serious medical condition like problems in the uterus, irritable bowel syndrome or ovarian cysts.
- Hormonal Imbalance: If you are pregnant or you have given birth just a few months back, you might feel pain during intercourse as changes in hormones during pregnancy might cause your vagina to dry up. If you wish to discuss about any specific problem, you can consult a sexologist.
Many people suffer from a low libido problem. This can be a problem for their partners as well as for themselves. A low sex drive can also reduce one's self esteem and confidence. In severe cases it also leads to depression.
Factors which cause low sex drive:
Sexual problems: Many sexual problems also lead to a low sex drive. An inability to experience orgasm even after a lot of attempts can make one indifferent to sex. Some people also experience pain because of a tight vagina. In such cases their desire to have sex reduces greatly.
Medical diseases: Many medical conditions also affects your libido, such as cancer, arthritis, blood sugar (diabetes), artery diseases, high blood pressure and neurological diseases.
Medications: Some people suffer from depression and anxiety disorders. To get over these disorders most doctors prescribe them antidepressants and anti-anxiety pills, these medications create a very low libido.
Habits: Many lifestyle habits such as over-consumption of alcohol can make your sex drive reduce a lot. Smoking also decreases the blood flow in your body which may make your libido fall.
Surgery: Reconstructive surgeries such as breast reconstruction surgery and genital tract surgery can also affect sexual desire and give your body signals to not engage in an intercourse.
Fatigue: Tiredness because of physical activities or caring for your old parents or young children can also make you uninterested in sex. Your body and brain might not have the energy to engage in an intercourse due to fatigue.
Menopause: The levels of estrogen reduce greatly during menopause. Low estrogen levels make your vagina dry hence sex can be uncomfortable and painful. Women also go through hormonal changes which make them suffer from a low libido.
Pregnancy: After pregnancy, breastfeeding your baby becomes an everyday activity. This can reduce sexual desire because of the pressure of caring for a new born baby.
Regular exercising complemented with enough sleep is known to reduce stress thus giving you a high sex drive. Avoid consuming alcohol. Testosterone replacement therapy (a therapy used for treating erectile dysfunction) also treats low desire. If you wish to discuss about any specific problem, you can consult a sexologist.
Contraceptives are generally drugs and devices, which are used to prevent pregnancy. A large number of contraceptives are available which allow the couple to enjoy sex without running the risk of unwanted pregnancies. The general categories of contraceptives are explained below:
- Male Condom: It is one of the most common forms of contraception. They are worn on the penis before sex is initiated. For safety purpose, a new condom should be used every time the person has sex.
- Female Condom: Much like male condoms, these are available at over-the-counter pharmacies without prescription. The condoms can be inserted to the vagina anytime within a period of 8 hours prior to sex.
- Diaphragm: This should be coated with a spermicide before sex and placed inside a woman's vagina so that the sperms are prevented from entering the uterus.
- Cervical Cap: These are used as replacements for diaphragms because some women may develop bladder infections such as cystitis while using it and these caps have lesser contact with the vagina.
The main implementation of hormonal changes to provide contraception is the pill. This is the most common form of female contraception available. It comes in two forms:
- Combined contraceptive pill: Contains a combination of hormones such as progestin and oestrogen.
- Mini-pill: Contains only progestin: It is available only with the prescription of the doctor and should be used as per the prescription.
Intrauterine Devices: The intrauterine device (IUD) is a long-acting and reversible form of contraception for women. It is of two types: Copper IUD (contains copper) and Hormone-releasing IUDs (progestin hormone is released into the womb slowly). It is a small device that is fitted inside the womb and it provides contraception by facilitating the prevention of fertilization of the egg.
Sterilization: This is a lifelong option that is available for both men and women. In males, the procedure is known as vasectomy which basically ties and cuts off the tubes that carry the sperm.
In women, two forms of sterilization are available; surgical and non-surgical. Surgically, the fallopian tubes are cut and tied using small cuts in the belly so that the ovaries and uterus are not linked. Non-surgically, coils are inserted into the fallopian tubes so the resultant development of scars leads to complete blockage of the tubes.
Other forms of contraceptives include contraceptive patches, vaginal rings, contraceptive injections, spermicides and contraceptive implants. If you wish to discuss about any specific problem, you can consult a sexologist.
Blood pressure is basically what happens when the blood exerts force against the walls of the blood vessels. This force matches the cardiac output and also, the resistance experienced from the walls of the blood vessels a process that produces blood pressure. Hypertension is a condition that occurs when this pressure rises above the normal which is anything over 140 over 90 mHg. The symptoms of this condition will include hot flashes, dizzy spells, fatigue, accelerated heartbeat and other debilitating conditions. Sex is also an area that gets affected by hypertension.
Let us find out the causes and treatment for the same.
Hypertension and male sexuality: A chronic patient of hypertension will go through a depletion of the lining that flanks the blood vessels, which in turn, limits the flow of blood. This also means that there is less blood flowing towards the penis and surrounding areas that get activated during sexual intercourse. This makes it difficult for many hypertensive men to achieve and retain an erection for long enough to enjoy sexual activity. This problem is most commonly known as erectile dysfunction. Also, these blood pressure problems can have an effect on ejaculation which leads to lack of sexual satisfaction. Many drugs prescribed for such patients may also lead to this problem as a side effect, which causes further fear and anxiety for the patient.
Hypertension and female sexuality: While the effect of high blood pressure on a woman’s sexuality is not as conclusive as its effect on male sexuality, it is a medically proven fact that decreased blood flow due to high blood pressure will also lead to a reduction in the blood flow to the vaginal area. This can lead to many problems including vaginal dryness and pain during intercourse, lack of arousal, difficulty in achieving an orgasm and relationship as well as anxiety issues.
Treatment: For women, better lubrication for better arousal is one of the key factors. For men, the use of safe medication as far as hypertension is concerned, is crucial. Medicines like sildenafil and tadafil as well as vardenafil are not known to interfere with the blood pressure medication. Yet, it is important to contact the doctor before having any medication.
Therapy: Better responses can be garnered by building intimacy, an area that a sex therapist or sexologist can help you with. With the help of proper therapy, the patient can learn to relax and enjoy the act with lots of foreplay and experiences that will help in building closeness like taking a warm bath together and other such activities. Promoting overall health can also help in improving your sex life if you are a patient of hypertension. If you wish to discuss about any specific problem, you can consult a cardiologist.
Oral sex is a form of sexual activity, which involves the arousal of one's genitalia by his/her partner using the mouth (tongue, lips and throat). It is also called Cunnilingus (performed on a female) and fellatio (performed on a male). It is done before intercourse and during foreplay for sexual arousal. It is safe as compared to vaginal or anal sex, the rate of getting a STDs (sexually transmitted diseases) or HIV is comparatively lower.
Oral sex can spice up your life and can also make your partner reach orgasm. It is also a safe way of getting sexual pleasure without getting pregnant. But necessary precautions must be taken in order to have safe oral sex.
Some of these necessary precautions are:
- You can get throat cancer from oral sex: Human papillomavirus (HPV) is a cancerous virus found in the body of infected people. This virus can be transmitted to the person with whom you are engaging in oral sex. Studies show that people who engage with more than 6 sexual partners at once are more prone to get oral cancer. It is advisable to get your partner tested for HPV virus before engaging in oral sex.
- Oral sex also causes stress: Oral sex is generally related to hygiene, therefore the partner can be self conscious and worried about his/her genital hygiene. If oral sex is performed on a daily basis, some people prefer to wax their pubic hair often. This is harmful because it can cause red bumps and burning sensation occurs. It is advisable to trim your pubic hair and wash it properly before engaging in oral sex.
- A condom should be worn by the male during oral sex so that there is no risk of male fluid entering the woman's body.
- A latex, which is made into a thin sheet called dental dam can be used on the vagina or anus. This creates a thin barrier between the mouth and the genitalia. Hence, chances of getting infected by sexually transmitted diseases are greatly reduced.
Oral sex can be pleasurable and fun, but the risks of getting sexually transmitted diseases like herpes, gonorrhea and crabs is not altogether misplaced. So it is advisable to use proper protection and to maintain hygiene before engaging in oral sex. If you wish to discuss about any specific problem, you can consult a sexologist.
Intercourse is meant to be a pleasurable and intimate experience. But it might become an unpleasant act if you are suffering from performance anxiety. When you are mentally occupied by questions such as "Do I look too fat?" or "Did I do that right?", sex stops being a gratifying experience.
Incessant anxiety over your ability or appearance can result in sex becoming nerve-wracking and stressful for you. It might even have you avoiding sex altogether. This psychological condition is termed as sexual performance anxiety.
Sex isn't only a physical reaction, there are emotions tied to it as well. If you are too stressed out and your mind is preoccupied, your body reflects your inner turmoil and you cannot get aroused.
Causes: The causes of sexual performance anxiety include:
- Fear that you wouldn't be able to satisfy your partner and perform well sexually
- Body image issues (Such as stressing about your weight)
- Problems in your relationship
- Men worry that their penis don't 'measure' up
- Men might be concerned about taking too much time to orgasm, or about premature ejaculation
- Women worry about not enjoying the experience or being unable to have an orgasm
Symptoms: Your mental state has a deep impact on your physical state. The effect of stress hormones norepinephrine and epinephrine can hinder your sexual performance. Symptoms of sexual performance anxiety include:
- In men, blood vessels constrict due to the effect of stress hormones. This leads to reduced blood flow to the penis, thus making it difficult for the man to get an erection.
- Often though it is less diagnosed in women, sexual performance anxiety leads to trouble in lubrication during sex. Lack of lubrication dims the desire to have sex.
Sexual performance anxiety is a vicious, inescapable cycle. Increased anxiety hampers you from having sex, making you think you won't be able to perform well, which causes even more anxiety.
Treatment: Consult a doctor you will be comfortable with discussing your problems. Sexual performance can be either treated by medication (if you have an underlying medical condition such as erectile dysfunction) or through therapy.
Talking to a therapist or counsellor about your problems can help you in several ways. You can learn to become more comfortable with yourself and your body. You can also understand your problems better, which can eliminate your anxiety.
Blood in semen occurs due to a variety of factors. It is also called 'hematospermia.' It mainly affects men after 30 years of age. After 50 years of age, blood in semen is caused due to prostate enlargement. Blood in semen is caused due to injuries, inflammation and blockage near the male reproductive system. Blood in semen can be linked to other diseases which might not be known by the affected person.
What can cause blood in semen?
- Blood in semen can be caused due to infections, tumors and stones.
- Abnormal body structure generally due to an autism spectrum disorder can also cause blood in semen.
- Prostate biopsy (removal of tissues from the prostate region which produces semen) also leads to blood in sperm sometimes. Though this is temporary and heals within three to four weeks.
- Vasectomy is a procedure done on men, which involves making small holes or slits in the scrotum so that the sperm doesn't flow during ejaculation. This is mainly done to prevent unwanted pregnancy. Sometimes, vasectomy causes blood in semen.
- It is also caused by infections such as Herpes, Chlamydia and Trichomoniasis.
- Sometimes, there are kidney stones found in the prostate called calculi, this is the most common reason for blood in semen.
- Blood in semen can also be caused due to parasitic infection, tuberculosis or chronic liver diseases.
Symptoms of blood in semen:
- Immense pain during ejaculation.
- Pain during urination.
- Acute lower back pain.
- Low to mild fever.
- Swelling in the scrotum and testes.
- Tenderness in the scrotum, testes and groin area.
Diagnosing blood in semen:
- While diagnosing blood in semen physical examinations are performed. The doctor checks for inflammation, swelling, tenderness and signs of injuries.
- Sometimes sexually transmitted diseases also cause blood in semen. So, the doctor takes a blood test to see whether you have STD's or not.
- Urine testing is also performed to see if any bacteria or abnormalities are found in the urine.
- MRIs, ultrasounds and CT scans can also locate any obstructions in the pelvic area which might be a cause of blood in semen. If you wish to discuss about any specific problem, you can consult a sexologist.
Female condoms are generally pouches made of latex and polyurethane, which are used by women during sex in order to prevent pregnancy and thereby reduce the chances of infection by sexually transmitted diseases. Each end of these pouches are made of rings that are flexible. They should be inserted deep inside the vagina before sex is initiated and held in the position by utilizing the rings available at the closed end while the rings which are at the open end remain outside the vagina during sex.
Even though it can be safely used by most people, some women would find female condoms to be an inappropriate form of contraception and would not feel comfortable with their genital areas being touched. Thus, it is very important that the appropriate form of contraception be considered for you and your partner. Condoms should be used correctly. In case of need for extra protection, other options of contraception should be considered.
Pros of female condoms:
- Since the exchange of bodily fluids, such as semen and vaginal fluid is prevented, female condoms aid in offering protection against many sexually transmitted diseases such as HIV.
- Condoms can prove to be reliable pregnancy averting methods if they are properly and consistently used.
- Female condoms are only needed during the time of sex. Any form of advance preparation is not required, hence making them suitable for unplanned sex.
- Prescriptions are not needed
- The condoms are usually small in size, disposable as well as easy to carry
- Usually, using condoms does not show any medical side effects.
- Insertion of female condoms can be done up to a duration of eight hours before sex. The responsibility for utilizing condoms properly should be shared by the woman as well as the partner.
Cons of female condoms:
- Even though condoms are generally very strong, they are prone to splitting or tearing in case of improper use.
- Availability of female condoms pales in comparison to the male counterparts and they are usually more expensive.
- The outer ring might produce a cumbersome feeling.
If you wish to discuss about any specific problem, you can consult a doctor.
What is vaginal dryness and how can it affect you?
Vaginal dryness is often a result of menopause and it is capable of affecting women of any age. Although it feels like a minor irritation, it can have a huge impact on a person's sex life. Normally, the vaginal walls are lubricated with a layer of clear fluid. The 'oestrogen' hormone is used to maintain this thin layer of fluid, thus keeping the vaginal lining thick, elastic and healthy. However, menopause brings about a condition known as vaginal atrophy, which is a drop in the levels of oestrogen and this greatly reduces the level of vaginal moisture that is available. Improper lubrication of the vagina can result in painful sex which in turn affects libido, arousal and desire.
Treatment: The most common treatment for this condition resulting from low levels of oestrogen is Topical oestrogen therapy. In this, hormones which are no longer secreted by the body are replaced by the topical oestrogen. Even though Topical Oestrogen Therapy is helpful in relieving the symptoms of vaginal dryness, the treatment pales in comparison to oral oestrogen hormone therapy (HT).
Usually, women mostly use one of the three types of vaginal oestrogen listed below:
- Vaginal oestrogen tablet: A tablet is inserted into the vagina using a disposable applicator. The procedure is carried out once daily during the initial two weeks of treatment, after which it can be inserted twice a week.
- Vaginal oestrogen ring: A soft and flexible ring is inserted inside the vagina, either by the patient or the doctor. Oestrogen, in the form of a steady stream, is then released directly to the vaginal tissues by this ring. Replacement of this ring is done every three months.
- Vaginal oestrogen cream: An applicator is used to apply cream to the vagina daily. The frequency of application can be reduced as per doctor's advice.
Side effects and aftercare: Side effects such as breast pain and vaginal bleeding are common when any form of oestrogen product is used. Vaginal moisturisers should be used to keep the vagina lubricated. Use of water-based lubricants during sex can make it more enjoyable. Use of bubble baths, scented soaps, douches and lotions around the sensitive area of the vagina should be avoided as these products can worsen the problem.
One of the most common physically transmitted diseases is chlamydia. Chlamydia is a type of infection caused by the bacteria "Chlamydia trachomatis". The symptoms of Chlamydia are similar to the symptoms of Gonorrhoea (a bacterial sexually transmitted infection). Chlamydia infection causes permanent fallopian tube damage in women, leads to future ectopic pregnancy (the fertilised egg attaches itself outside the uterus) and infertility.
Symptoms of Chlamydia:
Men and women afflicted with chlamydia exhibit different symptoms.
The symptoms of chlamydia in women include:
- Abnormal, sometimes foul-smelling, vaginal discharge
- Bleeding between menstrual cycles
- Painful periods
- Abdominal pain, accompanied with fever
- Pain during intercourse
- Burning or itching around or in the vagina
- Painful urination
Men usually display the following symptoms if they have chlamydia:
- Minimal amounts of cloudy or clear discharge from the head of the penis
- Painful urination
- Itching and burning around the slit of the penis
- Swollen and painful testicles
Treatment options available:
- Chlamydia is diagnosed by taking a swab from the cervix (in women) or the urethra (in men). These swabs will be sent to the laboratory for analysis. Urine samples can also be taken to check for the appearance of bacteria.
- Since chlamydia is a bacterial infection, it can be easily treated with antibiotics. Oral antibiotics such as azithromycin or doxycycline are commonly prescribed by doctors. Azithromycin is usually prescribed in a large, single dose. The dose may also be stretched out for five days. Doxycycline is taken two times daily for a week.
- With the right antibiotic therapy, the infection will clear up in 1 to 2 weeks approximately. It is very important that you finish the medication course if you wish you heal completely without having to suffer from further bouts of this disorder.
- Women with critical chlamydia may need hospitalisation, pain medicine and IV (intravenous, or directly through the vein) antibiotics. Pregnant women with chlamydia infection can be safely cured with antibiotic such as erythromycin ethylsuccinate, amoxicillin and azithromycin.
Your partner needs testing and treatment as well to avoid further spread and reinfection. It is vital not to engage in any sexual activity while the treatment is ongoing. A further retest should be done three months later to make sure the infection is rectified. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.
When a person is aroused there are a host of hormonal changes within the person's body. These changes do manifest on the surface in the form of certain physical variations. Sexual stimulation happens to alter the state of human genitalia and that too in obvious ways. The blood flow to the concerned area increases, there is enough of natural lubrication in and around the organ and for women, the vagina loosens up and the clitoris swells. Intercourse followed by a climactic release will make the clitoris regain its original size. However, worries crop up when that is not the case with every single female. This serious medical condition of a swollen clitoris should never be overlooked; it must be treated by seeking experienced medical assistance.
- Trauma: Any slight scratch or one wrong touch can cause a swollen clitoris. Even a scratch of your fingernail while you are masturbating or a rough sexual intercourse can and is enough to create trauma in your clitoris.
- Hair: Hair grows normally around your genital area. It is very common for a woman to have pubic hair. But sometimes small hair splinters lead to trouble and hair gets stuck into your clitoris and causes swelling. This is a very annoying process, sometimes you may have to use a magnifying glass to remove the hair from your clitoris.
- Clothing: Sometimes your tight clothes can result in a swollen clitoris. The friction from your rough clothing material can cause your clitoris to swell. Sometimes you may be using a detergent that is not suitable for you or you may be wearing a dress material, which you're allergic to. You should always wash your clothes in plain water and dry it before using.
- Infection: You may also have some bacterial and fungal infection in your clitoris, which can cause a swollen clitoris. This infection can also invite itchiness and redness and these can make it even worse. If it doesn't subside within some days then you should definitely see a doctor.
- Cysts: Small cysts known as Bartholomew's cysts can grow on the clitoris. This thing hampers the natural lubrication of the body. If you are having clitoris swelling because of cysts then you should seek medical attention immediately.
Your clitoris is naturally sensitive and if you are having a swollen clitoris after intercourse then you should pull back from sexual intercourse for a few days. At times the swelling goes away on its own. If you wish to discuss about any specific problem, you can consult a gynaecologist and ask a free question.
According to research, 80% of women fail to reach the pinnacle of gratification during physical intimacy. Therefore, certain tips may come in handy for women when it comes to achieving an orgasm by making the man last longer.
- Indulge in foreplay: Foreplay is usually very helpful in making the man last longer than usual. According to a popular woman's magazine, alternating between the actual intercourse and foreplay might actually titillate the man's senses even more, which helps him last longer.
- Change positions: Changing positions frequently may also delay orgasm for the man, thus helping him to last longer. Certain positions are rather helpful in this regard, especially the ones which let the woman take charge of things in the bedroom.
- Take it slow: It might be useful for the couple to begin slowly and for the woman to take her time in exploring her partner's body. The idea here is to increase the pace gradually instead of getting too fast too soon.
- Try to take his mind off the action: It usually helps a man last longer in bed by taking his mind off the immediate act. This reduces the heightened levels of arousal, making him to last comparatively longer.
- Indulge in more "between the sheets" action: Having more sex causes the man to be more sexually experienced, thus making him out-last his previous standards.
- Some DIY can help you beat the clock: Masturbating more frequently increases a man's ability to hold off ejaculation. This habit, though in excess is bad for a man's libido, if practiced in moderation, can help him stretch his couch sessions. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.
The human male reproductive organ is a versatile part of the body, which is rich in sensory nerves and has procreative as well as important urinary functions. This is a fairly complex organ with the capability to change shape when it is engorged with blood during an erection. However, certain problems with the penis would also be much more pronounced and understandable during an erection, one of which is the bent penis.
When is it a problem?
A penis comes in a variety of shapes and sizes and it is normal for it to have a tendency to be slightly bent in one direction or the other. However, when the penis ends up bending abnormally and also causes pain, it may be a problem and you should go consult a doctor. Some of the factors you should consider are:
- A sudden or a gradual change in curvature over a short period of time
- Painful erections
- Inability to masturbate or have sex due to excessive curvature
- Problems in trying to urinate among others
Some of the causes of bent penis: The primary physical cause of a bent penis is the lack of proper blood flow all across the organ. The spongy tissue which fills up with blood to achieve an erection may have spaces blocked or inhibited for various reasons. This uneven flow causes a dip or a bend in a specific direction.
Some of the common causes would be:
- An injury to the penis
- Peyronie's disease (formation of plaque beneath the penis skin)
- Autoimmune disorders (wherein the immune system attacks the body tissues)
- Collagen abnormalities such as inherited fibrous tissues etc.
Injuries to the penis may cause scar tissues to develop as a response. These can be easily felt under the skin. Autoimmune disorders and Peyronie's disease also cause abnormal scar tissues build up. Peyronie's disease may also cause pain during erections or while engaging in sexual intercourse.
- Medicines: Oral or topical medications to resolve problems with blood flow or scar tissue can be used to resolve smaller injury related problems or lesser forms of Peyronie's disease.
- Surgery: Surgery may be required if your penis is injured or bent too badly out of shape such that it causes problems such as painful erections or inability to have sex.
Do not let that round bump come in the way of lovemaking. Pregnancy often brings about substantial physical distance between couples. The mother goes through unimaginable bodily exhaustion while the father could be busy balancing things inside and outside the household; they hardly find time to reach out to one another through physical expression of love. However, an expecting couple should find ways to make love quite often as it is the best way to relieve stress and anxiety.
These five positions can be adopted for wonderful sex during pregnancy:
- Spooning can give you immense satisfaction: Spooning is the best available option if you are looking for shallow penetration. Women opt for this position especially in their third trimester when the belly is too big for any face to face action. The male has his hands free and can hence touch or stimulate you without any hindrance.
- Try going on top to relieve exertion: When the man is on top with the woman underneath, pressure could be built up on the baby bump. To avoid such a case, the woman can go on top. This way, deeper penetration is facilitated. Both partners can see each other's faces during intercourse and the female's erogenous zones can be easily accessed by the male. For extra support, a pregnant lady could lean backwards and place her hands alongside her partner's legs.
- You could be the doggy to avoid pressure: You could be the doggy by either leaning against the wall or by bending over on the sofa. This way your baby remains safe and your back is saved from stress too. Having sex in this position is specifically beneficial for those who have spine injuries.
- Lying side by side to form a pair of scissors: This position will only help the man enter you at a shallow level yet it is a beautiful way of having intercourse as both of you can see each other and cuddle or kiss constantly to convey love.
- The classic missionary pose can be redefined: The classic missionary pose can be modified to suit your needs. You could wrap your legs around your partner's waist while the two of you face each other; the male is required to kneel at the edge of the bed to adjust his thrusts properly.
Genophobia or coitophobia is the irrational psychological fear of intercourse. It is a type of a phobia and people suffering from it fill all or most of the criteria of specific phobia according to the ICD (The International Statistical Classification of Diseases). Genophobic people may be terrified of sexual intercourse or all acts involving sex. It is different from erotophobia in the sense erotophobia is the irrational fear of sexuality and not the act in itself.
- The causes of genophobia may be attributed to different experiences and origins according to different psychological perspectives. According to the psychoanalytic perspective, genophobia may be caused by the rigid or extremely religious upbringing, which affected the development of ego, making the individual fear all acts that are sexual because it causes moral anxiety and a severe clash of the superego (ethical portion of one's personality)and i'd (primitive component of one's personality).
- According to the learning perspective, genophobia may develop due to an unpleasant sexual experience such as rape or molestation. Rape Trauma Syndrome leads the survivor to relive the trauma several times and develop apprehension. They may begin to fear sex eventually by relating it to the unpleasant experience, eventually leading to genophobia. It may also be caused if the individual observes sexual acts that are traumatizing in nature, in media or otherwise.
- It may also result from severe performance anxiety, especially for those who lack sexual experience and have abstained from sex for a prolonged period of time. There is also a chance that other phobias, such as the fear of diseases, especially STDs, may lead to a fear of sexual acts. Some people might relate sexual intercourse with acquiring diseases, thus leading to the development of genophobia.
Symptoms: Symptoms of genophobia include the fear of sexual intercourse and all acts within, breathlessness, nausea, dizziness, feeling sick and fear of losing control. All these symptoms take place in the context of sexual acts.
Treatment: Genophobia is treated like all other phobias. Therapeutic technique such as Cognitive Behavioural Therapy (a conversation centric therapy that focuses on how thoughts and beliefs can affect one's actions) is widely used in the treatment of genophobia along with medications. The therapeutic technique varies from patient to patient. For instance, the therapeutic technique used for a rape survivor would be completely different from that which is used for an individual with a fear of STDs. With proper treatment, genophobia is curable, eventually allowing the individual to have a particularly healthy sex life.
The thyroid gland is a tiny gland that produces the hormones which affect the body's metabolic process. When these hormones are produced in less or more quantities, it may result in an imbalance of the thyroid gland, leading to a range of thyroid issues including hypothyroidism, hyperthyroidism and others. Overproduction or underproduction of the thyroid hormones can also cause a variety of other symptoms and conditions. While this affects the state of one's general well being, health and weight, it also has an effect on the patient's libido.
Let us learn more about the link between thyroid and sex:
- Thyroid in Men: Men who are suffering from hyperthyroidism or hypothyroidism as well as related conditions like goitre or Garves Disease, have complained of sex related problems. These problems are known to affect at least 50% to 60% of the patients, as per various medical reports. The sex related issues include premature ejaculation, low sex drive, delayed ejaculation, erectile dysfunction, and others.
- Thyroid in Women: It has been found that almost 10% of women over the age of 50 suffer from some form or the other of thyroid hormone imbalance. Apart from fatigue, depression and muscle ache as well as weight alteration, depending on the type of thyroid problem, thyroid patients who are women have also experienced problems when it comes to libido. Sexual dysfunction and arousal problems are high on the list of these issues.
- Hormonal Treatment: One of the most common ways of treating this sex related thyroid problems for thyroid patients is through the use of hormonal therapy. Besides getting the testosterone, estrogen and other androgen levels checked, the patient must also get a full hormonal evaluation along with a check-up of the adrenal function. This can help in pointing any anomalies and the hormones that will require replacement with the help of appropriate medication.
- Optimal Drug Treatment: A T4 only drug or Levothyroxine can lead to a resolution of sexual problems that one encounters as a part of thyroid problems. There are many doctors who may switch to a T3 drug once the libido is restored and brought back to normal.
- Supplements: Men may require testosterone supplements, while women may need estrogen or progesterone supplements to tackle the sexual problems in such cases. These can be rendered as a patch or through an injection.
- Sex Therapy: In many cases, sex therapy considered as a popular and effective form of addressing the problems and helping the patients get around the same. This is especially helpful if depression is one of the symptoms of the thyroid disorder.
A thorough physical check-up also helps in treating such problems for thyroid patients.
Diabetes is often considered as deadly as cancer. It is a disease that requires lifestyle changes and diet modifications. It is also a disease that affects almost the entire system of your body. Whether you have Type 1 or Type 2 diabetes, it will do you a world of good to understand the effects of diabetes. Neurovascular damage is one of the most common effects, this means that diabetes will affect the nerves and blood supply of the body.
While Type 1 diabetes makes its presence felt much earlier and is hereditary quite often, Type 2 appears later in life with age and cumulative stress. The effects of diabetes are related to the duration of the disease. Therefore, people with Type 1 diabetes are more likely to have the symptoms early on and need to learn to manage them. Type 2 makes its appearance later, but needs good monitoring for the effects to not surface or prolong the severity of symptoms.
As we all know, all body systems are affected by diabetes, sexual health is no exception. Diabetes decreases blood supply and impacts the nerves in the genitals, thus causing a series of issues right from reduced libido and erectile dysfunction in males to vaginal dryness and painful coitus (perunia) in females.
Listed below are issues diabetic men and women face in terms of sexual health:
- Diabetes reduces testosterone levels, which is directly reflected in reduced libido. Altered nerve function does not provide proper signals to the penis and there is also reduced blood flow to the organ. Both these can diminish the chances of a good erection. Studies have shown that among men who have had diabetes for 10 years, about 50% have experienced erectile dysfunction.
- The affected nerve function also leads to difficulties in reaching a climax. Diabetes in men can additionally cause Peyronie's disease, which leads to a curved penis, and this leads to painful and difficult erections and coitus.
- It leads to reduced sexual desire due to testosterone levels. Vaginal dryness is very common in females with diabetes and therefore, there is a definite decline in the urge.
- The above mentioned neurovascular damage also prevents women from reaching a good climax, as the nerve supply is affected.
- Diabetes also increases the predisposition to urinary tract infections, which can lead to painful sexual experience due to additional vaginal dryness and itching.
Finally, as much as it may sound as a cause for concern, it is not. People with diabetes know that making small lifestyle changes can go a long way in terms of onset of symptoms, their severity, and the leading of a normal life. Modifications in diet and lifestyle to include healthy eating, reduced stress, and exercising are very useful. It is also very important to talk to your doctor about how your sexual health has changed with diabetes. It is a sensitive and private topic, but if you are concerned about it, then do not hesitate to seek help.
About 35% to almost 75% of the diabetic men can suffer from erectile dysfunction at some point in life. A diabetic person may suffer from erectile dysfunction almost 10 to 15 years before he or she has contracted the condition. More than 50% diabetic middle aged men are prone to erectile dysfunction, whereas almost 95% of diabetic men who are above 70 suffer from erectile dysfunction.
Reason for Ed in Diabetic Men:
There are certain conditions, which have to be met to get an erection, such as healthy blood vessels, healthy nerves, sexual stimulation, male hormones, and desire. Diabetes damages the blood vessels and the nerves responsible for an erection. Hence, even with the required amount of male hormones and the desire to have a sexual experience, you might suffer from erectile dysfunction.
If you are suffering from erectile dysfunction due to diabetes, you will get various oral medications to treat the condition. But if you are suffering from diabetes as well as a heart condition, it is recommended not to use any oral medicines as that would interfere with the functioning of your heart. There are certain other therapies which you might consider in this case:
- Intracavernous injection therapy
- Vacuum erection device
- Penile prostheses
- Venous constriction device
- Sex therapy
- Intraurethral therapy
To determine the best method, various factors like your health and your capacity to tolerate a particular treatment is assessed. The best way to select one, will be after having a discussion with your urologist and taking his help to determine which method will be the most appropriate one.
Both women and men suffer from infertility troubles. There are a host of causes that may lead to infertility in men such as lifestyle choices and obesity. Male infertility is characterized by irregular sperm function or reduced sperm count. Infertility has emerged as a common problem as a result of the modern day lifestyle. Extremely hectic schedules, stress, burnout, depression, unhealthy diets; all of these can contribute to fertility issues.
The various reasons for infertility in men are:
- If you are overweight, then it is time to lose those extra kilos. Obesity leads to a number of health problems, one of them being erectile dysfunction.
- Various hormonal problems such as complications of the hypothalamus, pituitary and adrenal glands may lead to low testosterone levels in the body.
- Various infections such as inflammation of the testicles and epididymis that causes blockage of the tubes carrying the sperm can be a cause.
- Various medications such as using anabolic steroids, antifungal medications and chemotherapy may hamper production of the sperm and thus hit fertility.
- Both alcohol and cigarettes may cause problems in sperm production, and cause erectile dysfunction. Excessive drinking may lead to complications in the liver resulting in infertility.
The reasons of infertility may range from medical causes to lifestyle choices; some of the causes may be related to the environment. A common cause of infertility is due to problems with transportation of the sperm. These are mainly due to blockages in the tubes that carry the sperm.
Symptoms of infertility in men are:
- You may experience low libido
- Your sperm count may be low
- You may experience lumps or swellings in the testicles
- Chromosomal complications such as reduced body hair
- You may have chronic respiratory problems
Dyspareunia is a phenomenon noticed in both males and females, but more frequently in females. It refers to recurring pain during or after sexual intercourse. Such kind of pain affects female genitalia usually the vagina, clitoris, or at times the depths of the pelvis. This pain is often accompanied by a burning, itching or throbbing sensation which can prove to be extremely discomforting if left unattended. Thankfully, a careful examination of symptoms leading to Dyspareunia and its early diagnosis can improve a person's sexual health.
Indicators of this deep rooted problem
- Pain can occur during penetration in and around the vagina, urethra or the bladder.
- Pain can be a new occurrence after earlier instances of painless intercourse.
- It can be felt throughout intercourse in places, such as deep in the pelvis or even after intercourse.
- The intensity of the ache is sometimes sharp and at other times, it is as piercing as menstrual cramps.
- It need not necessarily be associated with intercourse; pain can be experienced during any kind of penetration. Thus, using a tampon or a moon cup can also result in soreness.
- Skin diseases can either be a symptom or a root cause leading to the problem. Skin problems, such as Psoriasis or Lichen Sclerosus should not be taken lightly.
- Tightening of vaginal muscles at the beginning of intercourse may or may not be superficial pain. In most cases, it is identified as Vaginismus but it can also be a symptom of acute Dyspareunia.
Ways to nip the pain in the bud
- While, usually, pain during sexual intercourse is a result of adolescence or a traumatic sexual history, it can also be the result of a physiological problem contracted at birth. However, treatment in any situation is necessary to enable smooth functioning of one's life.
- Injectable corticosteroids might prove to be helpful.
- There are oral medications to remedy the problem; antibiotics and antifungal medicines.
- Increase in estrogen levels through the use of the drug Osphena helps in curing frailty of vaginal tissues.
Precautionary measures to be followed at home
- Taking a warm bath before intercourse can lead to betterment.
- It is best to avoid sex when in stress. Both partners should be relaxed to ensure a complete lack of pain.
- After sex pain can be relieved by applying an ice pack around the vulva.
- Urinating before sex can be helpful. It is also good to use water soluble lubricants for stimulation.