Sexual Health & Disorders Online Doctors Consultation — page 5

Hi DK, You don’t need to worry. The activities you mentioned—closed-mouth kissing, breast kissing, and sucking—carry an extremely low to negligible risk for STDs, including HIV and syphilis. These actions generally don’t involve the exchange of bodily fluids that spread such infections. Test Results: Your tests after 32 days are also reassuring: 1. RPR (Syphilis): Negative at this stage is reliable. 2. 4th Generation HIV Test: 32 days is within the window period, and a negative result is highly accurate (over 99%). What You Can Do: 1. No further testing is necessary unless you experience symptoms. 2. If you’re still anxious, you could retest at 6 weeks for HIV, though it’s not strictly needed. 3. Practice safer intimacy and use condom to minimize any future anxiety. Please feel free to ask if you still feel anxious.

Sexual weakness, erectile dysfunction (ED), and timing issues can be caused by a mix of physical and psychological factors — especially at your age (30). Stress, anxiety, past trauma, or even performance pressure can play a major role. On the physical side, conditions like AVN (Avascular Necrosis), diabetes, or side effects from medications may also impact sexual health. It’s crucial to consult a urologist or a sexologist who can assess hormone levels (like testosterone), blood flow, and nerve function, and offer tailored treatment like medication, therapy, or lifestyle changes. A healthy sex life often starts with addressing both mind and body. Simple daily habits like regular exercise, cutting down on alcohol and tobacco, managing weight, and sleeping well can boost sexual health naturally. Equally, talking to a psychologist or sex therapist can help you release stress and rebuild confidence. Don't hesitate to reach out to a medical professional near Sironj or in your district — many cases like yours improve quickly with the right support and guidance.

The male genitalia includes the penis, testicles, prostate, and various glands that work together for sexual function and fertility. The testicles are responsible for producing sperm and the hormone testosterone. Testosterone not only affects sexual function but also plays a role in energy levels, muscle growth, and overall vitality. Low testosterone can lead to issues like reduced libido, erectile dysfunction, and fatigue, so it's important to monitor your levels if you experience these symptoms. Common conditions that can affect sexual health include erectile dysfunction, Peyronie’s disease (curvature of the penis), and prostatitis (inflammation of the prostate). Early warning signs of problems could include pain, changes in shape, difficulty maintaining an erection, or discomfort during urination. If you notice any of these symptoms, it's best to speak with a healthcare provider who can offer guidance and recommend treatments. To maintain sexual health, adopting a healthy lifestyle is key. Regular exercise, a balanced diet, and maintaining a healthy weight can help improve blood flow, hormone balance, and overall function. While regular sexual activity can support sexual health, there’s no "ideal" frequency – it’s more about what feels right for your body.

The clitoris plays a key role in sexual pleasure as it contains thousands of nerve endings, making it highly sensitive. It’s the primary organ for female sexual pleasure, and its sensitivity can fluctuate over time due to various factors, such as hormonal changes, stress, medications, or even lifestyle factors like diet and exercise. Hormonal changes during different phases of your menstrual cycle or due to birth control, pregnancy, or menopause can also impact sensitivity. It’s normal for sensitivity to vary, but if you’re experiencing a consistent decrease or numbness, it might be worth exploring further. Vulvodynia, a condition involving chronic pain or discomfort in the vulva, can sometimes affect clitoral sensitivity, but it’s just one of many possibilities. A pelvic exam can be useful for ruling out any physical issues and ensuring that everything is functioning properly. However, it’s also important to consider stress management, emotional well-being, and overall health, as these can all influence your experience of pleasure and sensitivity. If you feel like your sensitivity has decreased over time, there are a few steps you can take. Kegel exercises, which strengthen the pelvic floor muscles, may improve blood flow to the area and help with sensitivity. Also, making sure you're practicing stress-relieving activities, maintaining a balanced diet, and having open communication with a partner can help. If the issue persists, it might be worth seeking a specialist, like a gynecologist or sexual health expert, who can provide more tailored guidance.

Dear Vaibhav, Thank you for sharing your concern. Premature ejaculation (PE) is a common issue and can be influenced by both physical and psychological factors. Since you’ve been taking medication for 2 years but still feel frustrated, it's important to re-evaluate the approach. First, we need to identify the type of PE: -Lifelong PE usually has a biological basis - Acquired PE often relates to psychological issues like performance anxiety, relationship stress, or underlying conditions like depression or anxiety A few steps can help: 1. Get a proper reassessment to rule out causes like prostatitis or hormonal imbalances 2. Psychological evaluation to address anxiety, stress, or negative sexual experiences 3. Techniques like the stop-start method or squeeze technique (if you’re open to behavioral strategies) 4. Consider involving your partner in treatment if possible 5. Some patients benefit from a short course of medicine plus therapy, followed by gradual tapering The goal is not lifelong medication but finding the right combination of strategies for long-term control. A detailed consultation will help in tailoring the best plan for you. Warm regards, Dr. Aman Shaba Consultant Psychiatrist 7992489808

It's completely understandable to feel anxious about changes in your body and to question what is considered "normal." First, it's important to acknowledge that everyone's anatomy is different, and variations in vaginal openings are common. Many people have similar concerns about their bodies, and there's a wide range of what can be considered normal. From what you've described, the discomfort with tampon insertion could suggest several possibilities, including variations in your hymen or even increased tension in the pelvic floor muscles. Conditions like vaginal stenosis or an imperforate hymen are less common but can cause discomfort or issues with penetration. However, it's critical to note that without a professional evaluation, it's not possible to ascertain the cause. Since you've expressed concerns about your anatomy and you've never had a pelvic exam, it would be beneficial to schedule an appointment with a healthcare provider who specializes in gynecology. Here’s how to proceed: 1. **Find a Provider**: Look for a gynecologist or a family physician experienced in women's health. You can start by checking with your primary care provider if you have one. 2. **Prepare for Your Visit**: It may help to write down your concerns and any specific symptoms you've noticed. You can mention your anxiety around discussing this and that you haven't had a pelvic exam before. This will help your provider understand your situation better. 3. **Discuss Your Symptoms**: During your appointment, describe your experiences, such as the discomfort with tampon insertion and your worries about your anatomy. Your provider will likely perform a pelvic exam, which can help assess your anatomy and alleviate some of your concerns. 4. **Addressing Your Concerns**: If there's any indication of a specific condition like hymenal remnants affecting your vaginal opening (which is relatively uncommon), your gynecologist will discuss this with you and outline any necessary steps or treatments. 5. **Know When to Seek Help**: If you experience any new symptoms such as pain, unusual discharge, or changes that concern you, seek medical attention promptly. 6. **Reassurance**: Remember, many people have similar concerns, and the healthcare professional will provide you with clear information tailored to your specific situation. Your body is continually changing, and sexual health can evolve over time. It’s important to approach this with an open mind and allow a healthcare professional to guide you through understanding your anatomy. Knowing that you're taking steps to address your concerns is a positive move toward your overall well-being.

Sperm quality and count can be affected by several factors. These include lifestyle choices like smoking, excessive alcohol use, and a poor diet, as well as environmental factors such as exposure to heat, chemicals, and toxins. Stress can also play a role by impacting hormone levels, and lack of sleep can decrease sperm production. Even your weight and exercise habits matter; being overweight or sedentary can reduce sperm health. To improve sperm quality, consider making a few changes: eat a balanced diet rich in antioxidants, maintain a healthy weight, exercise regularly (but avoid overexertion), and reduce stress with relaxation techniques. It’s also important to avoid heat exposure to your testicles (e.g., hot tubs, laptops on your lap) and limit alcohol and smoking. If you’ve been trying for over a year without success, it’s a good idea to see a fertility specialist. They may suggest a semen analysis to assess sperm count, motility, and morphology. They can also help guide you through potential next steps.

Hi sanket With regards to your concern Sex is pleasure between the partners. There is no limit for sex. As long as both partners are comfortable it can be performed for that duration. Average duration for sex is 3-4 minutes. To enjoy sex do foreplay with your partner. Condoms are safe 99 percent but if there is vigorously activity risk of tear in condom possibility is there. Any barrier device is good but among all Condoms have a slight advantage.