Dr. Kamna

If there is a recurrent pain in the lower pelvic and the lower abdomen region of the body, chances are you might be suffering from pelvic pain. In women, severe pelvic pain can be a warning sign of some internal damage in the reproductive organs (ovaries, fallopian tube, uterus, and vagina) present in the pelvic region or the digestive system of the body. Although not common in men, pelvic pain might be indicative of an infection or severe pain in the colon region or the pelvic bones. Pelvic pain might be acute or chronic in nature and the pain might spread to the thighs and buttocks of the body.

The causes of pelvic pain differ among the genders, which are as follows:
1. For women, pelvic pain can be an indication of more serious disorders in the internal reproductive organs such as uterine cancer, cervical cancer, ovarian cysts, ovarian cancer and other pelvic inflammatory diseases (when the sexually transmitted bacteria spread to the reproductive organs and causes infections).
2. In women, pelvic pain might also occur due to endometriosis (a disorder wherein the internal endometrial tissues grow outside the uterus resulting in severe pain), adenomyosis (a disorder wherein the endometrial tissues which line the wall of the uterus start growing within the uterus), severe pain during ovulation and miscarriages.
3. The causes of pelvic pain in both men and women include sexually transmitted diseases, a disorder in the pelvic region or the bladder, kidney stones, urinary tract infection, colon cancer, and chronic hernia.

If you suffer from the following symptoms, chances are you might be suffering from pelvic pain:
1. Severe pain in the hips and the groin
2. Sudden fever along with the presence of blood in the stool.
3. Severe menstrual pain
4. You might feel severe pain while urinating or in the middle of a sexual intercourse
5. Bloody vaginal discharge might be indicative of pelvic pain in women
6. Recurring episodes of constipation or diarrhoea
7. Pain resulting from stress and intense physical movements

Treatment
If the pain is chronic, doctors might suggest prescribed a dosage of birth-control pills, antibiotic (especially for blood in the stool and pain due to infection) and anti-depressants. In extreme conditions, the doctor might prescribe laparoscopic surgery (operation by making minor incisions performed far from the actual source).

A number of problems when contracted can affect your life and the life of your partner, especially problems which are related to your physical relationship. Premature ejaculation is one such problem and it refers to the inability to retain the erection until the end of the intercourse and usually happens when the male ends up ejaculating sooner than planned or immediately upon penetration. Premature ejaculation is a condition that many men suffer due to the advancement of age as well as low pelvic strength and other ailments. Also, it can be caused due to stress and panic regarding one's performance. Whatever be the cause, it is an embarrassing situation that calls for help if it persists for too long. Here are a few tips to ensure that you gain better control over premature ejaculation.

1. Deep breathing Exercise: Sometimes, too much of excitement can lead to a variety of problems including premature ejaculation. If this becomes a normal occurrence, you can try practicing deep breathing during the act of sex to calm yourself down and slow down the frenzy so that you are more attuned to your surroundings and partner rather than yourself and the panic you may be feeling. Taking deep and slow gulps of air can ensure that you focus on the act rather than getting caught up in the excitement.
2. Medications: there are broadly two kinds of medical treatments - local application anaesthetic gels that numb the area around the tip of penis and tablets that prolong ejaculation time. One needs to consult a sexologist, psychiatrist or a urologist to know more about them.
3. Stop and Start: This is a method that many sexologists recommend. The stop and start method is one that will have to be practiced individually so that you are able to retain more control over your ejaculation when you are with your partner. Basically, in this method, you are required to start the process of masturbation and stop just short of ejaculation. After doing this several times and on a regular basis, you will find that your brain reacts in the same way when you are having intercourse, which will delay the ejaculation to a normal period.
4. Kegel: If you thought that kegel exercises are only for women, then you need to think again. Premature ejaculation also signifies low pelvic strength for many cases and you would do well to invest time in a few exercises like the kegel, which will build up your pelvic strength so that you are able to control premature ejaculation in a better way.

Persistent problems that are not fixed with these methods should be addressed with a consult to a doctor.