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Premature Ejaculation In Men - Causes, Symptoms And Treatment

Dr. Sharath Kumar C 91% (1356 ratings)
Ph.D (Male Infertility), M.S (Infertility), D.G.L.S, D.R.C.O.G, C.Sc., D.M.R.D, M.B.B.S
Sexologist, Bangalore
Premature Ejaculation In Men - Causes, Symptoms And Treatment

Don't let ailments and problems affect your relationship, rather discuss about your concerns and get treated. Premature ejaculation is often defined as the ejaculation, which is uncontrolled and takes place either prior to or just after a sexual penetration. This happens much before a person desires for an ejaculation. It can also take place with minimum stimulation and is quite unsatisfactory for both the partners. This often leads to anxiety and other problems and can affect any man at any point of his life. This is known to be the most common form of male sexual dysfunction.

Causes of premature ejaculation: The particular cause of premature ejaculation is believed to happen due to the physical factors of weakness in muscles and nerves of the penis due to past history of masturbation, thinning and ejaculation of semen soon and some psychological factors such as depression, guilt, and anxiety. In some cases, it might be related to a medical cause such as the side effect of medications, injury and hormonal imbalance or problems.

Symptoms of premature ejaculation: One of the main and most concerned symptoms is that there is uncontrolled ejaculation prior to or shortly after the intercourse. This often takes place with a minimum sexual pleasure of both partners and before a person desires, resulting in dissatisfaction in sex.

Diagnoses of premature ejaculation: The doctor usually discusses medical history along with sexual history. A thorough physical examination might be done. Some lab tests might be ordered by the doctor to rule out the cause of premature ejaculation, as it can have any cause.

Treatment of premature ejaculation: Many times, premature ejaculation can get better over a period of time and treatment might not be needed. Often distraction methods or relaxation techniques are helpful in delaying an ejaculation. Abstinence or lowering the use of tobacco, alcohol, and illegal drugs might help in controlling ejaculation in some men.

Doctor might recommend you and your partner some techniques, which help in delaying an ejaculation. Different positions can be tried or communicate with the partner to stop or slow down the stimulation. Also, one can start identifying the sensations which build up an ejaculation. If this does not work then behavioural therapy and counselling might help.

Sometimes antidepressants like anafranil (clomipramine) and priligy (dapoxetine) might be given to treat premature ejaculation. These drugs are used because one of the side effects of these is delayed ejaculation. Tramadol a medication for pain can also be used to delay ejaculation. Also, there are gels, creams, and sprays which can be used to reduce the sensations and in turn delay the ejaculation. These are lidocaine and lidocaine-prilocaine and are often applied on the penis before a sexual act. However, the flip side of these is that it might affect the sex partner as well by reducing their sensation as well.

However, if the premature ejaculation persists and hampers sexual satisfaction of partner, it should be consulted via sexologist for proper guidance and complete treatment.

5388 people found this helpful

Premature Ejaculation in Men

Dr. Danish Ali 93% (2405 ratings)
MBBS, MD(Medicine), PGDS(sexology), Fellowship In Sexual Medicines, Certified Sexologist of USA
Sexologist, Jaipur
Premature Ejaculation in Men

Don't let ailments and problems affect your relationship, rather discuss about your concerns and get treated. Premature ejaculation is often defined as the ejaculation, which is uncontrolled and takes place either prior to or just after a sexual penetration. This happens much before a person desires for an ejaculation. It can also take place with minimum stimulation and is quite unsatisfactory for both the partners. This often leads to anxiety and other problems and can affect any man at any point of his life. This is known to be the most common form of male sexual dysfunction (lear more about the healthy sexual life)

Causes of premature ejaculation: The particular cause of premature ejaculation is believed to happen due to the physical factors of weakness in muscles and nerves of the penis due to past history of masturbation (learn more about masturbation), thinning and ejaculation of semen soon and some psychological factors such as depression, guilt, and anxiety. In some cases, it might be related to a medical cause such as the side effect of medications, injury and hormonal imbalance or problems.

Symptoms of premature ejaculation: One of the main and most concerned symptoms is that there is uncontrolled ejaculation prior to or shortly after the intercourse. This often takes place with a minimum sexual pleasure of both partners and before a person desires, resulting in dissatisfaction in sex.

Diagnoses of premature ejaculation: The doctor usually discusses medical history along with sexual history. A thorough physical examination might be done. Some lab tests might be ordered by the doctor to rule out the cause of premature ejaculation, as it can have any cause.

Treatment of premature ejaculation: Many times, premature ejaculation can get better over a period of time and treatment might not be needed. Often distraction methods or relaxation techniques are helpful in delaying an ejaculation. Abstinence or lowering the use of tobacco, alcohol, and illegal drugs might help in controlling ejaculation in some men.

Doctor might recommend you and your partner some techniques, which help in delaying an ejaculation. Different positions can be tried or communicate with the partner to stop or slow down the stimulation. Also, one can start identifying the sensations which build up an ejaculation. If this does not work then behavioural therapy and counselling might help.

Sometimes antidepressants like anafranil (clomipramine) and priligy (dapoxetine) might be given to treat premature ejaculation. These drugs are used because one of the side effects of these is delayed ejaculation. Tramadol a medication for pain can also be used to delay ejaculation. Also, there are gels, creams, and sprays which can be used to reduce the sensations and in turn delay the ejaculation. These are lidocaine and lidocaine-prilocaine and are often applied on the penis before a sexual act. However, the flip side of these is that it might affect the sex partner as well by reducing their sensation as well.

However, if the premature ejaculation persists and hampers sexual satisfaction of partner, it should be consulted via sexologist for proper guidance and complete treatment.

5528 people found this helpful

Can Sensitive Skin Be the Reason Behind Pain in the Opening of Vagina

Dr. Arpana Jain 92% (759 ratings)
MBBS, DGO, DNB
Gynaecologist, Delhi
Can Sensitive Skin Be the Reason Behind Pain in the Opening of Vagina

Vulvodynia is a condition which causes severe pain in the opening (vulva) of the vagina without any apparent reason. The pain might be chronic in nature and can go on for years. Vulvodynia might affect your emotional health in the long-term and cause anxiety, depression and disrupted sleep patterns, if not treated immediately.

Doctors are still unsure regarding the exact causes of Vulvodynia. But there are few factors, which can increase your risks of suffering from this disorder:

  1. If you have a sensitive skin or have any past history of previous vaginal infections, you might be susceptible to vulvodynia.
  2. Vulvodynia might also be caused due to past injuries around the vulva.
  3. Sometimes, hormonal changes might also cause Vulvodynia.
  4. This disorder can also occur in women who have previously suffered from recurrent instances of sexual abuse.

The symptoms of Vulvodynia can be acute or chronic in nature with the pain being confined to one particular area or around the entire region.
The treatments for Vulvodynia aim at regulation of the symptoms. The most common treatments for Vulvodynia are:

  1. Your doctor might prescribe a specific dosage of steroids or antidepressants to get rid of the pain. Prescribed dosage of antihistamines might help to cure the itching sensation.
  2. You can apply a regulated amount of ‘Lidocaine’ ointment around the vulvar regions thirty minutes before sexual intercourse.
  3. You can also opt for pelvic floor therapies as they might provide relief from significant pain in the pelvic floor muscles resulting from vulvodynia.
  4. If the pain is centralized around a particular area, you might opt for vestibulectomy to remove the affected tissues and get rid of the pain.




 

2880 people found this helpful

Post-Herpetic Neuralgia Chronic Pain Management!

Dr. Snehal Panchal 85% (77 ratings)
MD,DNB, MBBS Bachelor of Medicine and Bachelor of Surgery, Fellowship In Pain Management
Pain Management Specialist, Mumbai
Post-Herpetic Neuralgia Chronic Pain Management!

The condition of persistent pain in the body, where an outbreak of the Varicella Zoster virus has caused Shingles, is termed as post-herpetic neuralgia. It is a debilitating complication of the herpes zoster virus. The blisters that occur in shingles develop a crust formation and neuralgia begins after these crusts are formed. It may also occur in people who do not produce the crustaceous lesions. A burning pain that is long-lasting, even after the rash and the blisters disappear, is observed. There is a criteria of the pain to be persistent for around three months for the confirmation of post herpetic neuralgia.

The cause of this condition is damage of the sensory nerves that can occur due to the movement of the reactivated Herpes Zoster virus from the nerves to the skin. In an individual affected with chickenpox, the infection can involve dorsal root ganglia, where the virus lies dormant. Under conditions like stress due to infection or in an immuno-compromised individual, after a period of time, reactivation of the virus takes place. This reactivation causes production of Shingles on the body. The dormant virus reaches the skin and reactivates to produce lesions.

With an increase in age, the chances of developing post-herpetic neuralgia also increase. It primarily affects older individuals in the age group of 60 to 70 years. Treatment is aimed at pain management and providing symptomatic relief, with improvement of the neuralgia over a period of time. Symptoms of this condition are limited to the area of shingles’ outbreak. Trunk is commonly affected on a unilateral site. It can also occur on face. Common symptoms include pain lasting 3 months or longer after healing of the shingles rash, allodynia, numbness over the affected area and itching. Even a slight touch of cloth over the affected area can cause alleviated pain to the individual. Disturbed sleep and development of clinical depression is usually associated with post herpetic neuralgia. The medications given for post herpetic neuralgia are aimed at pain relief and resolving of symptoms. Management of chronic pain can be brought about by the use of a combination of pain relieving drug classes.

Some commonly used drugs for treatment of post-herpetic neuralgia are as follows:

  1. Topical Agents: Numerous topical agents have been effectively used in the treatment of post-herpetic neuralgia. In patients with allodynia or an alleviated pain sensation, topical lidocaine patches are very effective. The nociceptive activity of small nerve fibers is decreased by use of Lidocaine. Also, the brush of clothing is avoided by the patch serving as a protective barrier itself. Another topical agent that has proved effective in pain relief is Capsaicin. Its clinical use is limited due to the burning sensation caused by its application. With regular use, however, the burning sensation gradually reduces. Capsaicin should be used for a minimum period of a month to aid pain relief. Low systemic absorption of the topical agents ensure few side effects caused by them.
  2. Antidepressants: The standard drug therapy for treatment of post-herpetic neuralgia include the use of antidepressant drugs. Drugs like Nortriptyline, Amitriptyline are the most commonly used drugs amongst the tricyclic antidepressants for pain relief in post-herpetic neuralgia. These drugs are however associated with various adverse effects like sedation and cardiac dysrhythmias. Other drug classes like Serotonin reuptake inhibitors are used in individuals with low tolerance to the tricyclic antidepressants. Depression symptoms are relieved by the use of this drug class. Specific relief of the chronic pain of post-herpetic neuralgia is not achieved much efficiently though.
  3. Anticonvulsants: Neuropathic pain can be relieved by many anticonvulsant drugs. Drugs like Pregabalin have lesser side effects and also require a lesser monitoring than previously used anticonvulsant drugs like Carbamazepine.
  4. Opioids: Long term use of opioids shows significant risks like sedation and mental clouding. These drugs are considered safe for use without causing cardiac or hepatic adverse effects. When opioids are prescribed, stool softeners and laxatives should also be given to avoid constipation. Other pain management protocol includes cryotherapy, ablation of the affected roots of nerve, anterolateral cordotomy and even the use of electrical nerve stimulation. The physician should evaluate the best suitable pain management option and provide treatment accordingly.

In case you have a concern or query you can always consult an expert & get answers to your questions!

4236 people found this helpful

Here Are Innovative Liposuction Techniques To Get Rid Of Genetic Fat!

Dr. Anshu Aggarwal 91% (35 ratings)
MBBS, MD - Dermatology , Venereology & Leprosy, Cosmetologist
Dermatologist, Chandigarh
Here Are Innovative Liposuction Techniques To Get Rid Of Genetic Fat!

Your genetic background influences where your body fat is stored. In case, your mother or father has fat stored in the abdomen, hips, waist or in the thigh, it is likely for you to develop deposits of fat in the same regions.

Circumstances of Genetic Fat

  • You may have a proper or a balanced BMI (body mass index) but still tend to develop bulges in areas, which are likely to make you look disproportional.
  • You may become obese by development of excess fat accumulation in the lower abdomen region, referred to as pannus. Extra fat may accumulate in your lower back and hips as well, which cannot be lost in spite of taking weight losing measures.


Liposuction to get rid of extra fat:

  • Liposuction is a cosmetic surgery that allows you to remove genetic fat or any extra fat from the body, in order to change the body's shape. Liposuction does not remove cellulites and tightening of loose skin cannot be done.
  • Liposuction removes excess fat from the body by suction. Small, narrow tubes with blunt tips known as the cannulae are inserted through incisions in the skin surface. The tubes are moved under the skin to target the suction of fat deposits.

There are several types of liposuction techniques:

  1. Tumescent Liposuction: In this form of liposuction, a wetting solution such as lidocaine with a local anesthetic is injected into the patient before surgery. This causes the shrinking or constriction of blood vessels due to which it allows liposuction to be performed while the patient is under local anaesthesia. Blood loss and post surgical pains are reduced.
  2. Suction Assisted Liposuction: This mode of liposuction also known as SAL is the most primary form of liposuction. It involves drawing out of fat using a vacuum.
  3. Power Assisted Liposuction: This liposuction technique called PAL in short involves the process of SAL with an extra tool for increasing the motion of the cannula. The process is faster.
  4. Ultrasound Assisted Liposuction: This process (UAL) involves the transmission of energy via a specialized hand piece for loosening and melting of fat. A greater volume of fat can be removed via UAL.
  5. VASER: It is a variation of the UAL method where an ultrasonic cannula with grooves helps in energy disruption to improve removal of fat.


Laser Assisted Liposuction:
LAL is a newly developed liposuction technology where a laser works like an ultrasound for disruption and removal of fat cells. This mode is more efficient and involves less trauma. Liposuction is an effective way to remove unwanted, genetic fat from your body, which may be harming your body image. However, liposuction is associated with severe side effects.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2629 people found this helpful

Effective Ways To Treat Skin Tags That You Must Know!

MBBS
Dermatologist, Bangalore
Effective Ways To Treat Skin Tags That You Must Know!

If you notice a flap of tissue hanging off the skin connected by a stalk, then it is most likely a skin tag. Usually, skin tags are found around the arms, thighs, and the neck and even in surrounding areas of the eyelids. Skin tags can occur in anyone due to genetics, obesity, pregnancy or diabetes. These fleshy bumps that can cause irritation or inflammation in areas of friction and in some cases, there may even be bleeding. If you are frustrated over this, read on to understand the treatment options available.

Removal of small skin tags
Smaller skin tags can be removed through application of cold liquid nitrogen on the spots for few seconds which allows it to fall off in a few days. This procedure is called cryosurgery. It is a safe method of removing skin tags though it may cause a stinging feeling in the affected area and slight inflammation and the recovery period is minimal. The process helps destroy some skin cells and make way for new skin cells to go, replacing your skin tags.

Removal of large skin tags
Larger skin tags tend to have a thicker stalk at their ends and dermatologists inject Lidocaine to numb the affected area and proceed to snip off the skin tags with sterile scissors which are called Excision. It is a very quick process and may require cauterization to cut off the blood supply to the skin tag. Burning the base of the skin tags also causes scabs to form which ensure skin tags do not regrow in the affected area.

Over the counter solutions
There are also over the counter medicines available at pharmacies that freeze the skin tags so that it falls off eventually in a weeks’ time. There are also ways to remove it at home using simple tools like a dental floss, but there is a risk of injury and infection involved.

Why should you get rid of skin tags?
While skin tags are not directly associated with any medical disorders, some individuals may develop a condition known as acanthosis nigricans on the neck and armpit areas due to high amounts of fat and sugar in their bodies. Skin tags are usually harmless but certain structures resemble skin tags, but in reality, they are not. Accessory tragus can often be confused about skin tags and require treatment. A dermatologist can help you determine through pathological examination of tissues from the affected areas if any steps need to be taken.

In case you have a concern or query you can always consult an expert & get answers to your questions!

5259 people found this helpful

Dermabrasion: Procedures and Results

Dr. Sasikumar 92% (65 ratings)
MCh - Plastic and Reconstructive Surgery, MS - General Surgery, MBBS
Cosmetic/Plastic Surgeon, Chennai
Dermabrasion: Procedures and Results

Dermabrasion is a skin related treatment used by cosmetic surgeons and dermatologists to cure a number of ailments that may leave your skin looking less than healthy. This method basically employs a technique that removes the upper layers of your skin with the help of a rough edged diamond wheel or a wire brush. These edges are called a burr or a fraise.

Here is everything you need to know about the procedure as well as the results that it can yield:

  • Areas and Conditions: The most common areas where this procedure is conducted include the face as well as the neck. It is mostly used to treat people who want to remove fine lines that form around the eyes and the mouth, as well as patients who are suffering from acne scars and other inflammation causing skin ailments as well as abrasions due to injuries.
  • Preparation: The procedure includes cleaning and marking the area that is being treated. This is the first step that helps in seeing exactly what needs to fixed, the extent of the damage and the intensity of the treatment to be employed. Following this process, the doctor will administer a local anaesthesia such as, Lidocaine that will numb the area before the actual treatment begins so that the patient does not undergo any discomfort. Also, with this purpose in mind, the dermatologist may also apply ice packs on the face and neck of the patient so as to make the skin even more numb and remain like that for a longer period of time. Additionally, the skin may be sprayed with a freezing cryogenic spray in order to retain the numbness and keep the skin firm enough for effective treatment. If the doctor is going to treat deeper abrasions or the entire face, then pain killers and general anaesthesia may be used.
  • Procedure: To begin with, a small area is exposed to the treatment at a time, rather than the entire area or face at one time. After the freezing spray is administered, the doctor may run the rotating brush or burr to remove the top layers of the skin. Gauze will be kept handy so as to stem any bleeding that may take place during the process. Finally, the area will be covered with the help of ointment and dressing.
  • Results: The recovery time is said to take anywhere between five to eight days. But this also depends on the severity of condition that was treated, as well as the area that was covered. Little or no pain may follow and regular cleaning will be required. To prevent re-occurrence or re-growth of the problem, follow up visits to the dermatologist will be required.
1 person found this helpful

Lip Augmentation - Facts You Must Know About It!

Dr. Bheem.S Nanda 86% (167 ratings)
MCh - Plastic and Reconstructive Surgery, MS - General Surgery, MBBS
Cosmetic/Plastic Surgeon, Delhi
Lip Augmentation - Facts You Must Know About It!

Lip augmentation is a restorative (cosmetic) procedure where your lips are reshaped to make them appear fuller. Cosmetic procedures are done for aesthetic improvement, but surgical lip augmentation is performed if the lips are affected by any congenital condition or tissue trauma.

Dermal fillers are mostly used to enlarge the lips. Previously, collagen was the most popular filler, but currently, due to various health reasons, doctors do not use it as often as before. Now, hyaluronic acid fillers are the most popular dermal filler.

Hyaluronic acid is naturally available in your body, especially in your neural, epithelial and connective tissues. The fillers that doctors presently use are chemically similar to hyaluronic acid. It is extremely beneficial in adding volume to your lips.

Applications of Hyaluronic acid

  • Hyaluronic acid fillers improve your lips’ appearance by boosting their shape, structure and volume.
  • The effects of such fillers last approximately for six months; you would require more injections after that.
  • Restylane and Juvederm are the most popular hyaluronic acid fillers used currently. These also contain lidocaine in them, which is a local anaesthetic.

Hyaluronic acid fillers also include the following benefits:

  • The amount of filler to be injected is easily controllable, so the doctor can regulate the amount of volume to create.
  • The injections are given at a steady pace, so the development can be carefully monitored to achieve the desired result.
  • Any bump or lump caused by moving the lips too much is easier to correct.
  • In relation to other dermal fillers, there will be reduced swelling and bruising.
  • Results last for a longer duration, but they are not permanent.
  • Collagen fillers required an allergy test before the procedure could begin, but that is not the case with hyaluronic fillers. Hyaluronic acid fillers are not allergens since they are made from similar substances found in the body.

Risks of lip augmentation
Like every surgical procedure, lip augmentation too has certain risks involved. Some of the contraindications (situational dangers of certain drugs or procedures) include:

In case you have a concern or query you can always consult an expert & get answers to your questions!

2784 people found this helpful

Piles - Minimally Invasive Procedures That Can Help Treat It!

Ab Hospitals 87% (70 ratings)
General Surgeon, Gurgaon
Piles - Minimally Invasive Procedures That Can Help Treat It!

Piles or haemorrhoids are swollen veins in the rectum or anus. They can have a lot of possible causes, but the exact reason is still unknown. The one most common reason that researchers cite is the excessive straining during bowel movement and increased pressure on the veins during pregnancy. Some of the common signs of this condition include discomfort, bleeding, and itching. A clot can be witnessed occasionally. There could be swelling around the anus as well.

How is a pile diagnosed?
Doctors often recognize this condition just by doing a physical exam of the rectum. By lubricating the glove and inserting a finger into the rectum, a doctor can gauge any unusual growth around the rectum area. A doctor might also use a sigmoidoscopy or a proctoscopy to witness the lower portion of the colon. Apart from352908 this, a doctor might prescribe a colonoscopy, if he fathoms that there is a possibility of colorectal cancer or a disease related to the digestive system.

Treatment of piles

  1. Medication: In case of mild discomfort, a doctor might prescribe over-the-counter pads, ointments, creams or suppositories. Products such as these contain lidocaine, witch hazel or hydrocortisone that can relieve a person from itching and pain. One should stop consuming over-the-counter medicine, if there is no change in the condition.
  2. Haemorrhoid thrombectomy: If a clot has appeared along with a pile in the rectum, a doctor can remove it by making an incision and draining the clot. This can fetch instant relief. The best time to do this is within 72 hours of clot formation.
  3. Minimally invasive procedures: 
    • Rubber band litigation: This form of surgery involves placing of a couple of rubber band at the base of the piles to cut off blood circulation. In due course, the haemorrhoids fall off. Although this form of treatment works for many people, the patient has the risk of bleeding within few days of placing the rubber band.
    • Sclerotherapy: This form of treatment involves injecting a chemical into the haemorrhoid. The chemical shrinks the piles within few days. There is hardly any pain involved with sclerotherapy.
  4. Surgical procedure:
    • Haemorrhoidectomy: This is the process by which a surgeon eradicates the excess tissue that might be causing the piles. The patient is sedated before performing this procedure. Some amount of pain is experienced after the procedure is over. The temporary difficulty of urination can be faced by a patient after this procedure.
    • Stapled hemorrhoidopexy: This surgery is only performed for internal haemorrhoids. The process involves blocking the blood supply. The process of stapling has less pain compared to a Haemorrhoidectomy. On the flip side, studies have shown that this procedure has an increased chance of recurrence of haemorrhoids.

In case you have a concern or query you can always consult an expert & get answers to your questions!

1 person found this helpful

Liposuction - Know Its Types, Benefits & Risks Involved!

Dr. Pk Talwar 89% (152 ratings)
FAPS (Cosmetic Surgery)-USA,, M.Ch - Plastic Surgery, MS - General Surgery, MBBS
Cosmetic/Plastic Surgeon, Delhi
Liposuction - Know Its Types, Benefits & Risks Involved!

Liposuction is a cosmetic surgery through which excess fat is sucked out from different parts of the body. The process is carried out with the help of a cannula which is connected to a high pressure vacuum machine which facilitates the process. Liposuction is a permanent method to remove fat from the body. The operation is carried out under local or general anesthesia. Different techniques of liposuction involve: 

  1. Tumescent Liposuction: A local anesthesia is used to numb the area where the tube is inserted. Next, the fatty tissues are injected with a large amount of anesthetic solution containing lidocaine-epinephrine. 
  2. Ultrasound-Assisted Liposuction: This procedure is generally used in removing fat from upper abdomen, back, and sides. Laser- assisted liposuction: This procedure uses low-energy waves to liquefy the fat which is then removed through the cannula. 

What to expect from the surgery

Liposuction will remove fat permanently from the area where it is done. One can see the results in about 3 months time. 

What are the benefits of liposuction? 

  1. Improves Health: It is always good to reduce weight for healthy body and well-being. Weight loss is an effective way to reduce the risk of diabetes, cancer and heart disease. Though liposuction cannot excess fats, it helps to remove stubborn fat from the body. 
  2. Improves Appearance: Liposuction helps in smoothing and contouring of the body which makes the individual look good and confident about his/her body. 
  3. Cellulite Removal: Liposuction somewhat removes cellulite in both men and women, but it should be remembered that there is no permanent cure for cellulite. 

Liposuction is a body shaping procedure, although weight is reduced but primarily it is not a weight reducing procedure. It is a surgical procedure with associated benefits and side effects. 

In case you have a concern or query you can always consult an expert & get answers to your questions!

3030 people found this helpful