Find numerous Gynaecologists in India from the comfort of your home on Lybrate.com. You will find Gynaecologists with more than 27 years of experience on Lybrate.com. You can find Gynaecologists online in Mumbai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.
Book Clinic Appointment
Endometrial Ablation Procedure
Treatment of Treatment of Breast Cancer
Management of Abortion
Hormonal Replacement Therapy Treatment
Caesarean Section Procedure
Treatment of Gynae Problems
Gynecology Laparoscopy Procedures
Treatment Of Female Sexual Problems
Treatment Of Menopause Related Issues
Treatment Of Menstrual Problems
Treatment of Mirena (Hormonal Iud)
Pap Smear Procedure
Polycystic Ovary Syndrome Treatment
Treatment of Uterine Bleeding
Antenatal And Postnatal Exercise
Submit a review for Dr. Karuna GoyalYour feedback matters!
I get married 6 year before, I have a son and my breast is very loose and become small. how can I improve their size and shape.
Human sexuality is a fairly complicated process and differs a lot between men and women. While most men can easily achieve orgasm, for women, is a completely different story. Many studies and self-reporting done on this subject have shown that very few actually get to orgasm most of the time and many fake it for a host of reasons. Let’s look at a few of the top reasons why women may fake it.
To make a session end – A woman, while in the act, may feel bored or want the session to end quickly especially if her partner is close to or has already achieved orgasm. She would want to fake an orgasm to bring conclusion to the session and get on with other things.
To boost the ego of the partner – Women may fake orgasms to ensure that their partners don’t feel guilty or inadequate about not making them climax. Although this usually happens in long term relationships, women may even do it in short term relationships to not hurt the ego of their men.
The partner doesn’t know how to bring a woman to climax – Many men don’t know how to bring their women to orgasm and thus, will try many things. There are other men who may not even care to know about pleasing their partners. In such cases, a woman may fake an orgasm as a ritual to show that she is also enjoying the act when she is actually not.
Used as a strategy to retain their partner in long term relationships – Many married women or women in long term relationships use fake orgasms to ensure that their partners feel happy. This is done so that their partners continue to stay with them and feel that they have been satisfying them well enough.
Faking an orgasm may lead to an actual one – Although this happens to a few women, some have reportedly stated that faking one orgasm might get them to have a real one. Some women also report being turned on by faking an orgasm.
She is afraid she will be judged – Many women feel insecure that if they are unable to orgasm with their respective partners, they might be judged as inadequate or incomplete. Thus, they would fake orgasms to bring finality to cover their own insecurities.
The vagina is designed to keep itself clean with the help of natural secretions (discharge). Find out how to help your vagina keep clean and healthy ? and why you don?t need douches or vaginal wipes.
The vagina is a tube of muscle inside a woman?s body that runs from the cervix (the opening of the womb) to the vaginal opening. The external sex organs, which are called the vulva, surround the vaginal opening.
Looking after your everyday health can help keep your vagina in good shape, says Dr Suzy Elneil, consultant in urogynaecology at University College Hospital, London, and spokesperson for Wellbeing of Women. ?Generally, good vaginal health is maintained by making sure you?re in good general health,? she explains. ?This includes healthy diet and exercise. Normal exercise helps maintain good vaginal function, as walking and running helps the pelvic floor to tone up and helps ensure good general health.?
Find out more about having a healthy diet, exercise and keeping fit, and pelvic floor exercises.
Vaginal secretions or discharge
Other than your period as part of your natural menstrual cycle, it?s normal to produce clear or white secretions (discharge) from your vagina. This mucus is produced naturally from the neck of the womb, known as the cervix.
?Vaginal discharge is not ?always a bad sign?,? says Dr Elneil. ?There is a myth that copious clear or white discharge is associated with sexually transmitted infections. Changes in the amount of discharge can be 100% hormonal ? in other words, linked to the menstrual cycle, pregnancy or menopause.?
The character and amount of vaginal discharge varies throughout your menstrual cycle. Around the time that your ovary releases an egg (ovulation), your discharge usually becomes thicker and stretchy, like raw egg white.
Healthy discharge doesn?t have a strong smell or colour. You may feel an uncomfortable wetness, but you shouldn?t have any itching or soreness around your vagina. If there are any changes to your discharge that aren?t normal for you, such as a change in colour or if it starts to smell or itch, see your GP as you might have an infection.
You can find out more about vaginal discharge, pregnancy and the menopause.
Bacteria in the vagina
There are lots of bacteria inside the vagina, and they?re there to protect it. Professor Ronnie Lamont, spokesperson for the Royal College of Obstetricians and Gynaecologists, says: ?The vagina contains more bacteria than anywhere else in the body after the bowel, but the bacteria are there for a reason.?
The good bacteria inside the vagina:
Provide "numerical dominance: they outnumber other potential harmful bacteria that might enter the vagina
Help to keep the vagina?s pH balance (how acidic the vagina is) at an even level, which helps to keep the balance of bacteria healthy
Can produce bacteriocins (naturally occurring antibiotics) to reduce or kill other bacteria entering the vagina
Produce a substance that stops invading bacteria sticking to the vagina walls, which prevents bacteria from invading the tissues
If the balance of bacteria is disturbed, this can lead to infection and inflammation. Bacteria called lactobacilli help to keep the vagina?s pH balance at its normal low level (less than pH 4.5), which also prevents the growth of other organisms. If the pH of the vagina increases (in other words, if it gets less acidic), the quality or amount of lactobacilli can fall and other bacteria can multiply. This can result in infections such as bacterial vaginosis or thrush, which can cause symptoms including itching, irritation and abnormal discharge.
Washing your vagina
It?s a good idea to avoid perfumed soaps, gels and antiseptics as these can affect the healthy balance of bacteria and pH levels in the vagina, and cause irritation.
Use plain, unperfumed soaps to wash the area around the vagina (the vulva) gently every day. The vagina will clean itself inside your body with natural vaginal secretions (discharge). ?During your period, washing more than once a day may be helpful,? says Dr Elneil, who points out that keeping the perineal area (between the vagina and anus) clean is important too. ?Good perineal hygiene is necessary, by washing that area at least once a day using your normal bathing routines.?
?All women are different,? says Professor Lamont. ?Some may wash with perfumed soap and not notice any problems. But if a woman has vulval irritation or symptoms, then one of the first things you can do is to use non-allergenic, plain soaps to see if that helps.?
A douche flushes water up into the vagina, clearing out vaginal secretions. Some women use a douche to "clean" the vagina, but using a douche can disrupt the normal vaginal bacteria so it isn't recommended that you use one.
?I can?t think of any circumstances where douches are helpful, because all they do is wash out everything that?s in the vagina, including all the healthy bacteria,? explains Professor Lamont.
There is no evidence that douching protects against STIs or vaginal infections, and it may even increase the risk.
Scented wipes and vaginal deodorants
These perfumed products can disrupt the vagina?s healthy, natural balance. ?If nature had intended the vagina to smell like roses or lavender, it would have made the vagina smell like roses or lavender,? says Professor Lamont.
Washing with water and a plain soap should be all you need to keep your vagina healthy. It?s normal for the vagina to have a scent. ?Vaginal odour can change at different times of the reproductive cycle and shouldn?t always be thought of as being a sign of infection or illness,? says Dr Elneil.
If you?re worried about the way your vagina smells, if the smell is unpleasant, or you?re using perfumed products to cover up your vagina?s smell, you should see your GP. You might have an infection that needs treatment.