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Vatsalya Hospital

Sexologist Clinic

Shivganga chambers, 686 Budhwar peth, Appa Balwant chowk, Budhwar Peth, Near Prabhat theatre. Pune
1 Doctor
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Vatsalya Hospital Sexologist Clinic Shivganga chambers, 686 Budhwar peth, Appa Balwant chowk, Budhwar Peth, Near Prabhat theatre. Pune
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Our goal is to provide a compassionate professional environment to make your experience comfortable. Our staff is friendly, knowledgable and very helpful in addressing your health and fin......more
Our goal is to provide a compassionate professional environment to make your experience comfortable. Our staff is friendly, knowledgable and very helpful in addressing your health and financial concerns.
More about Vatsalya Hospital
Vatsalya Hospital is known for housing experienced Sexologists. Dr. Gaurav H Chopade, a well-reputed Sexologist, practices in Pune. Visit this medical health centre for Sexologists recommended by 68 patients.

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Shivganga chambers, 686 Budhwar peth, Appa Balwant chowk, Budhwar Peth, Near Prabhat theatre.
Budhwar Peth Pune, Maharashtra - 411002

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What is Infertility?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Jhansi
What is Infertility?

1. What is infertility?
Infertility is a term that is used to describe the inability of an individual to successfully contribute to the process of conception. In females, it refers to their lack of ability to conceive post having regular, unprotected intercourse. In some cases, it also refers to their inability to carry a pregnancy to its full term. A normal fertility helps conception in the first 12 months of trying for almost 86% of couples, with around 7-8% couples conceiving in their second year, depending on their age. Hence, many practitioners also treat an inability to conceive within the first 12 months as infertility. 

2. Is infertility a global problem?
Sub-fertility as well as infertility are a global public health issue affecting approx. 8-12% couples, worldwide. It is prevalent in both males and females. While over 10% of women world-wide, who have been in stable relationships for over 5 years yet been unsuccessful in conceiving, have been estimated to be inflicted with this problem; the count is much smaller in the case of men, primarily because of non-acknowledgement, even though it contributes to almost 50% of reported cases.

3. Do infertility problems occur only among women?
No, infertility problems are as common in men as they are in women. Almost 50% of cases of infertility are attributable to male infertility related issues. However, due to the social structure prevalent, most of such male infertility related issues go unacknowledged.

4. What could be the probable symptoms that suggest a possibility of infertility related problems?
Though the process of conception and the possibility of infertility related problems could be time-driven factors, some symptoms could indicate a bent towards infertility and could be medically examined and addressed in time to curb the problem at the very onset. Some of these indications include:

Indications in Females:
Infertility symptoms in females can be related to either one of multiple of these problems:
Changes in menstrual cycle: Irregular or infrequent periods mean that the number of days between two cycles varies each month. This is a common indication of infertility as it reflects that the ovulation cycle is not stable, i.e. the body is not producing ovules (egg) regularly or at times not at all. 
Abnormalities in periods: Sudden changes in the bleeding pattern – heavier periods, no period or cramping and pelvic pain associated with periods – could also be indicative of an underlying fertility related problem.
Hormonal Disturbances: Sudden changes in skin like more than usual acne, changes in sexual drive, unexplained and sudden growth of facial hair, excessive weight gain/loss, etc. 
Other Symptoms: Other symptoms such as pain during sex, milky-white discharge from breast/nipples (unrelated to lactation) can also be indicative of infertility and one should seek medical advice at the earliest.
Age-related: As one advances in age, the egg count decreases rapidly along with a related deterioration in the egg quality. Hence, if a woman is in her early 30s and is failing to conceive, it could be related to a fertility problem. 

Indications in Males:
Infertility symptoms in men can be quite elusive as they are very closely related to the cause of infertility. These often go unnoticed until the point that the couple start trying for a baby. Some of these are: 
• Sudden changes in sexual drive.
• Pain, inflammation or lump in the testicles or if the testicles are small and firm.
• Problems related to ejaculation and erection
• Sudden, unexplained changes in hair growth patterns.
• Known semen abnormalities

5. Who are at risk of infertility problems?
Age is one of the most crucial risk involved in fertility related matters. For couples who start trying for a baby later in age, the chances of infertility increases manifolds. Couples where either partner is in their mid-30s or into 40s are at higher risk of infertility problems. While a man’s overall lifestyle, health and other factors can affect his chances of contributing to a successful conception, in a woman age and chronic health conditions play a major role.

6. What increases infertility risk in men?
While health and lifestyle are the most important factors that contribute to their fertility levels, including their sperm quality and count, there are many other factors that affect fertility and push towards higher infertility risk among men. Some of these include:
• Age
• Alcohol and tobacco consumption
• Excessive physical exercise, especially excessive cycling
• Weight related issues 
• Exposure to toxins at workplace or as part of a medical treatment like chemotherapy/radiation
• Surgical procedures like vasectomy or its reversal
• Family history of infertility or fertility related disorders or other genetic medical conditions like cystic fibrosis
• Medical history of sexually transmitted infections (STIs)
• Certain chronic problems like high blood pressure, diabetes, renal or hormonal problems 

7. What can increase the risk of infertility among women?
Ovulation related issues contribute to over 25% of female infertility cases, with tubal blockage and uterine problems coming in as the other infertility causes in women. However, some other factors like the ones enlisted below also put females at risk of infertility:
• Advanced age
• Frequent or heavy alcohol or caffeine consumption
• Cigarette smoking
• Weight-related issues
Eating disorders and lack of balanced healthy diet
• Intense and extended athletics or no exercise at all
• History of STIs, endometriosis, polycystic ovarian syndrome (PCOS) or fibroids
• Chronic health issues like high blood pressure or diabetes. 
• Hormonal problems like thyroid etc. 
• Mental stress and fatigue

8. How is age related to a woman’s ability to conceive or infertility aspects?
A woman’s fertility rate begins to recede with her age. As a woman nears her mid-30s, her natural fertility starts to fall and many experience difficulties in conception as well as multiple pregnancy failures. The reason for this is that the ovarian reserve in women is fixed since birth and as they age it starts to fall drastically as the follicles keep leaving the reserve in a continuous flow (menstrual cycle). This follicular depletion accelerated as she approaches 40s and decreases not just her egg count but its quality too, as she ages. For men, this progressive drop in fertility rate hits after the age of 40. 

9. What are common causes of infertility in men?
One of the most common causes of infertility in men are semen disorders. The semen comprises a milky white fluid and sperms that are ejaculated during orgasm. Abnormal semen contributes to over 75% cases of male infertility. The common semen related disorders include:
i. No sperm presence in semen
ii. Low sperm mobility
iii. Abnormal sperm shape/size
iv. Low sperm concentration (under 10 million/milliliter) in the semen (Ideal: 20 million/milliliter of semen)
 

The major causes of these abnormalities and a consequent infertility in men are:
1. Ejaculation Disorders
2. Frequent use of saunas, hot baths etc. that lead to overheating of testicles.
3. Testicular infections
4. Testosterone deficiency
5. Deformed or undescended testicles that usually happens as a birth defect or abnormal fetal development.
6. Genetic disorders like Klinefelter's syndrome that lead to abnormally developed testicles.
7. Very frequent intake of medications like Sulfasalazine, Anabolic steroids (frequently taken by athletes), etc. or exposure to chemotherapy/radiation.
8. Conditions like hypospadias (a condition where the urethral opening is not at the tip of the penis but at its underside) or cystic fibrosis.

10. What are common causes infertility in women?
There are a number of conditions that lead to fertility among women, such as:

1. Ovarian Disorders: The most commonly reported reason for infertility among women is a disorder in the ovulation process. 
Ovulation involves the production and release of egg. This cycle happens on a monthly basis. However, certain situations lead to a malfunctioned ovulation. These causes include:
i. Polycystic ovary syndrome (PCOS) which lead to mal function of ovaries
ii. Very high prolactin levels in non-lactating females
iii. Damaged or abnormal eggs – Poor egg quality is common in older women
iv. Thyroid disorders
v. Medical conditions like cancer, diabetes, AIDS, etc. 
vi. Premature (before the age of 40) ovarian failure 

2. Uterine Disorders: Once fertilized, the egg travels from the ovary to the uterus and it is important that the uterus be healthy to receive and nurture the fertilized egg. However, at times, disorders of the uterus lead to infertility problems in women. Uterine disorders can be attributed to one or more of these reasons:
i. Pelvic or cervical surgery that may cause scarring or damage of the uterus or fallopian tubes or at times shortening of the cervix which serves as the mouth of the uterus.
ii. Endometriosis – a condition where the cells that line the uterus start growing outside the uterus.
iii. Sterilization treatments like tying of tubes, etc.
iv. Uterine fibroids or endometrial polyps

3. Medications: Certain medications like those used in chemotherapy or certain NSAIDS like aspirin and ibuprofen lower fertility rates in females.

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Healthy Reproductive System

MBBS, MS - Obstetrics and Gynaecology
Gynaecologist, Noida
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Few tips to maintain hygiene

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Is masturbation frequently (I.e. Every other day) harmful Wil there be problem in future.

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
Is masturbation frequently (I.e. Every other day) harmful
Wil there be problem in future.
Hello- Masturbation is a natural sexual activity that most people do at some point in their lives. Some people masturbate more than others. There is no “normal” frequency, but if a person masturbates so much that it affects daily life, that is a cause for concern. If you are facing backache, continuous vaginal discharge/irritation, burning urination, abdominal cramps and loss of appetite, you must reduce your frequency to once in a week.
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I have white discharge from my private part. How many time in a weak it is normal? And also can you please tell me why is it happen?

BHMS
Homeopath, Mumbai
I have white discharge from my private part. How many time in a weak it is normal? And also can you please tell me wh...
Its call leucorrhea. If it is contineous ghan it should be treated. Dn use any soap to cleans it. Wash with water.
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Hi Dr. My problem Premature ejaculation problem and how to control masturbate please help me.

MBBS, DPM (Psychiatry)
Psychiatrist, Thrissur
Hi Dr. My problem Premature ejaculation problem and how to control masturbate please help me.
For premature ejaculation Chlorimipramine 10 mg before ½ hour before sex if erection is less. Think some thing else some calculation etc will help Reduce stimulation. Squeeze glans penis after taking it out and then do U can increase time.
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Sir main bhaut dino se sex related problem face kar Raha hun main jaise hi penetrate karta hun mera sperm Nikal jaata hai mujhe samajh nahi aa raha kya karun phele Aisa nahi tha abhi maine Jim join kiya uske baad ye problem chalu hui mere bacche nahi hai par mujhe lagta nahi hai ki ab main baap ban sakta hun please meri help kijiye mujhe foreplay main problem nahi hai par jaise hi penis pe pressure padta hai ejaculate ho jata hai please help me.

BSc
Ayurveda, Ujjain
Sir main bhaut dino se sex related problem face kar Raha hun main jaise hi penetrate karta hun mera sperm Nikal jaata...
You take Ķeva Catuaba capsule 1 capsule 30 minuties before lunch end dinner for a month than consult me. Change food habites take nutritional food. Avoid too oily end fast end junk food habites. Do pranayam in morning time. Do urdhasarvangasan (learn from guru than do
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I want to know that if sperm is enter in vagina of female. And 72 hours are gone. So have any other method to avoid pregnancy or stopped it except abortion

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
I want to know that if sperm is enter in vagina of female. And 72 hours are gone. So have any other method to avoid p...
There is no other way to avoid pregnancy, except that you may do a Urine pregnancy test to confirm for pregnancy, and thereafter get back to us if there is pregnancy and you need an abortion.
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Hii doctor I have suffering from premature ejaculation and my penis is not so hard so please suggest me what should I do. Can I take himalaya confido tablets if I take so please tell me about daily dosage.

BSc
Ayurveda, Ujjain
Hii doctor I have suffering from premature ejaculation and my penis is not so hard so please suggest me what should I...
Change food habites. Take nutritional food. You take Badam park 1/2spoon pak in a cup of hot milk stair well than take in morning after breakfast end in night also. For a month than consult me for further treatment.
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Me and my wife had sex. But we don't want child now. We should sex twice in a week. But we don't want pregnancy. When should we have to sex. And which day is better to sex to avoid pregnancy.

MBBS, DGO, FCPS
Gynaecologist, Pune
If you don't want even an accidental pregnancy, use any Low Dose Oral Contraceptive Pill on regular basis. U can use these pills till you don't want pregnancy. Pills are the best mode of reliable contraception to delay 1st pregnancy. Intrauterine contraceptive devices like Copper-T or Multiload are the best for spacing between two pregnancies. Calender method is not reliable at all. Usually ovulation occurs on 14/15 day of menses in a female who has regular menses of 28-30 days, but it can occur anytime between 11-18 day. So better to avoid sex on these days. But, you can never be sure about ovulation. There have been many cases of erratic ovulation outside this fertile period and of accidental pregnancies.
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I feel less of erection lately though I am a healthy man of 48 years and have had a very active sexual life. Lesser erection is causing stress as I am not able to enjoy the goodness of sex frequently.

BSc
Ayurveda, Ujjain
I feel less of erection lately though I am a healthy man of 48 years and have had a very active sexual life. Lesser e...
As per age change food habites take nutritional food. Do yoga (learn from guru than do) You take Ķeva Catuaba capsule 30 minuties before lunch end dinner. For a month. Than consult me for further treatment.
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After 3 months of normal delivery. Me and my wife had sex and I suck her breasts and drinks some of her breast milk. And lick her vagina. Is any problem to her breasts and for baby and milk?

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
Make sure you wash the nipples very well before the baby takes feed, otherwise there is nothing to worry about.
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Sir Mai sex karte hue 1to1. 5 mints tak karne par hi discharge ho jata hu koi medicine btaye.

MD - Homeopathy, BHMS
Homeopath, Gurgaon
Sir Mai sex karte hue 1to1. 5 mints tak karne par hi discharge ho jata hu koi medicine btaye.
Firing too soon is very common, and does not mean there is anything wrong with you (most women usually need twice as long to climax anyway). Assuming conditions are relaxed, you are comfortable with your lover and not sublimating personal problems, it is just a question of learning to get it right. Because you can master techniques until you have multiple, ejaculation-free orgasms, which also enhances your levels of sexual energy. A simple method is the stop-start one, which helps build an awareness of gauging the sensations leading to release. What is power without control? Simply put, your partner stimulates your genitals, and stops as you feel orgasm, approach. As you defuse, the stimulation is restarted, and so on. Another is the pause- Squeeze technique. Withdraw as your climax builds, and have your partner (on top) firmly squeeze your organ for a few seconds with thumb and forefinger, where the glans meets the shaft. This gradually leads to ejaculatory control. Relax your body as ejaculation nears, starting with an erotic massage. Breathe deeply, in rhythm together. Pressure on the perineum (about midway) also works. Move your sexual energy away from your genitals. Be vocally expressive, and let your hands foam your partner's body. Switch positions and experiment with which makes you last longer. Out of bed, exercise your pubococcygeal (PC) muscles, the ones that control urine flow, with alternate contractions and relaxations. You can do this anywhere, be it while driving a car or watching TV. Finally, remember it is all in the head. The one with ears! Communicate your feelings. Sometimes women actually do not want the guy to be banging on on, to prove his manhood. And if you think of sex as a task, half the battle is already lost. Express your love, be vulnerable and abandon yourself to it, and the rest will follow. There are many Medicines in homeopathy like Lycopodium, Selinium, Staphysgria, Terbulus Ter, Acid Phos, Cinchona Off Etc. For PE & ED. For more help about selecting best Homeopathic medicine we need more information about your health. You can also contact me personally through Lybrate for precise selection of Homeopathic remedy for your case. Until then: Maintain regular exercise, take nutritious diet, Minimize stress level and performance anxiety Add Zinc and Magnesium to your diet for more fun Consume More Protein of good quality Go for good quality Fish if you prefer Non vegetarian food Do Crave for Pomegranate, Avocado Have more Choice for onions & Garlic Prefer nuts and berries Have Pranayams Yog-Asan to strengthen pelvic floor muscles (like kegel) daily Avoid Junk food and beverage.
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Can I take viagra 50 mg before masturbation because I am suffering from ED without vigora my ejection time is 20-30 second. I doesn't go to long pleasure.

B.A.M.S, Diploma in Nutrition and Health Education (DNHE, PG Diploma in Hospital Managment
Ayurveda, Delhi
Can I take viagra 50 mg before masturbation because I am suffering from ED without vigora my ejection time is 20-30 s...
OK dear you will take proper ayurveda medicine for that which help you a lot,do kegel exercise,avoid salty and spicy food
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I am a porn addicted. I can not control myself without seeing porn more than one day. When I see porn video I become very excited and then I masturbate continuously. After this I feel myself in energyless state. So I am going to be weak day by day. I am really in big trouble. Please tell me some effective ways to overcome those bad habits. Please help me.

PhD SEXUAL MEDICINE, DGO, MBBS
Sexologist, Ahmedabad
I am a porn addicted. I can not control myself without seeing porn more than one day. When I see porn video I become ...
Hello lybrate-user It seems you need counselling. Please consult in your city and feel free to talk with a psychologist about your issue. Otherwise you better divert your mind, focus in your study. Go for regular exercise and yoga, meditation. Have good friends. Eat healthy food and be positive.
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Frequent masturbation for many year cause brain what I have dizziness and feeling over production of sex hormones And shortness of breath Help me pls what can I do to solve all this problem to retain my life.

M.B.B.S. , PG Diploma In Clinical Cardiology
Cardiologist, Delhi
Frequent masturbation for many year cause brain what I have dizziness and feeling over production of sex hormones
And...
Try to masturbate less then thrice a week if feel dizzy then take a automatic online sex toy as moving fingers increases exertion.
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Does premature ejaculation happens due to frequent masturbate for long time. Twice thrice a daily for a long time. Is there any impact of steroid in premature ejaculation.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Delhi
Does premature ejaculation happens due to frequent masturbate for long time. Twice thrice a daily for a long time. Is...
Yes, steroid has side effects. Stop them. Take my ayurvedic treatment its 100% safe and guaranteed your premature ejaculation problem will be alright completely.
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Today my wife had normal delivery. And when I have to sex with my wife again? After getting delivery today. Please tell.

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
Today my wife had normal delivery. And when I have to sex with my wife again? After getting delivery today. Please tell.
It's better you wait for two to three months to have sex with your wife as by then her Uterus will regain health and strength .and your wife will not have any complications.
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Hi Sir/Madam I am a 24 years old male Q1) When ever I am sexual aroused or when ever I think about girls something like crystal clear white fluid is discharging coming out of penis within seconds even it is coming out when my penis is not fully erected please tell me about this? This is normal or some disease? Q2) What is premature ejaculation? Is that crystal clear white fluid is premature ejaculation or something else? Q3) My penis is slightly bending towards left side when I'm getting erection. I am getting full hard erection but it is bending towards left side only. What is this? Why this is happening?  is this normal. My penis size is 14 cm to 16 cm when erected. 4) Is Masturbation safe? Weekly how many times is safe? Doing Masturbation weak penis? 5) My ejaculation time is 2 to 4 min sometimes less than 2 min or sometimes more than 4 mins depending upon my mood. I want to increase my ejaculation time more than 10-15 mins.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Haridwar
Hi
Sir/Madam
I am a 24 years old male
Q1) When ever I am sexual aroused or when ever I think about girls something li...
Pme The cause of PE could be temporary depression, stress, anxiety, a history of sexual repression, or a lack of emotional bonding between the partners. Physical disease can also be the reason, such as a swollen prostate gland (prostatitis), diabetes, sexually transmitted diseases, or cardiovascular disease. Ayurveda compares Shukra dhatu (semen) to purified butter. Just as purified butter melts in the presence of heat, semen loses its consistency when there is Pitta (fire) aggravation in the body. Aggravated Pitta travels into the channels carrying semen, causing semen to decrease in consistency, and thus it gets ejaculated before sufficient erection. Biological and psychological factors can also play a role in causing premature ejaculation. Symptoms Ejaculation before penetration Ayurvedic View According to Ayurvedic perspective, premature ejaculation is caused by aggravation of Vata (air) and Pitta Dosha at the commencement of physical mating. These doshas can be aggravated by anxiety or nervousness before the sexual act. Vata is characterized by its qualities of quickness and heightened sensitivity to the sense of touch. This gives a predisposition towards quicker ejaculation. Pitta plays a role in thinning of the semen, thereby supporting its early ejaculation. Secondly, these aggravated doshas cause hyperactivity of muscles in the male organ, thus increasing sensitivity to vibration and hence leading to early ejaculation. Ayurvedic treatment of premature ejaculation is aimed at keeping the Vata and Pitta in balance by eating a balanced diet. Problems of stress and anxiety during sexual intercourse can be effectively dealt with rejuvenating herbs, yoga, meditation and counseling. Diet & Lifestyle Advice Avoid intake of pitta-aggravating foods like hot, penetrating, or excessively salty and spicy foods, as well as chilies, garlic, pickles, fermented and preserved foods. Increase intake of foods that are sweet and have a cooling effect on the body, like milk, butter, purified butter, almonds, raisins, black gram, licorice and asparagus.
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Pain During Sex - Know the Reasons Behind it!

MD-Pharmacology, MBBS
Sexologist, Delhi
Pain During Sex - Know the Reasons Behind it!

Severe pain during intercourse causes difficulty in a relationship in both partners. Sometimes a sustained occurrence of pain might be an indication of some serious medical dysfunction. As such, consult a doctor as soon as the pain arises. Contrary to popular beliefs, sexual pain can occur in both male and female.

In female, the reasons behind the painful sexual intercourse might be:

  1. Vaginismus, a condition when the vaginal muscles tighten up mainly due to anxiety or fear and cause significant pain with a tearing sensation.
  2. The pain can arise due to vaginal infection due to yeast or any form of sexually transmitted disease or pelvic inflammatory diseases.
  3. A severe injury in the vagina during childbirth or any other accident and psychological stress can also cause severe pain during sex.
  4. Sometimes, uterine or menopause problems (formation of fibroids in the uterus) can also cause pain.
  5. Cyst formation in the ovary or endometriosis (when the inner tissue lining of the uterus tends to grow outside) can also cause severe pain during intercourse.

Among men:

  1. Some men can experience pain during intercourse because of allergy to the fluids of the vagina or the chemical content of certain contraceptives.
  2. You can experience pain because of undiagnosed sexually transmitted diseases like herpes or gonorrhea
  3. The pain might also occur due to urinary tract infections or side effects from certain medications.
  4. Severe pain just a few moments before ejaculation can be a result of inflammation of the prostate glands and should be immediately diagnosed as it might be a signal of prostate cancer.

For treating pain during sex in female, you should opt for the following procedures

  1. If the pain is caused due to vaginal dryness after menopause, you should consider the application of prescribed lubricants or jellies to reduce the pain.
  2. If the pain occurs due to severe anxiety or stress, sex therapy can help you improve physical intimacy.
  3. If there are other symptoms like severe bleeding or irregular periods in addition to the pain, a visit to the physician is recommended.

Quite similarly in men

  1. If the pain occurs due to severe anxiety or stress, sex therapy can help you improve physical intimacy.
  2. If the pain results from side effects of certain medications, you should try changing your prescribed medication after doctor’s suggestion.
  3. In extreme cases, the doctors might suggest hormone replacement surgery. If you wish to discuss about any specific problem, you can consult a sexologist.x
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If I sex with five girls at a same time. Like gang sex. Me and five girls, can I get hiv?

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
If I sex with five girls at a same time. Like gang sex. Me and five girls, can I get hiv?
Dear user. I can understand. Most commonly, people get or transmit HIV through sexual behaviors and needle or syringe use. Only certain body fluids—blood, semen (cum), pre-seminal fluid (pre-cum), rectal fluids, vaginal fluids, and breast milk—from a person who has HIV can transmit HIV. If any of the girls have HIV, you will be at risk. Take care.
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