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My wife and I have less than 10 times intercourse because each time she feels pain during penetration. What should I do?

Question:
I have been married for 1 year. My wife and I have less than 10 times intercourse because each time she feels pain during penetration. What should I do?

Answer:
First intercourse can be daunting for most women when they are trying to relax their vaginal opening to allow penetration of the penis. In fear, the vaginal entrance muscles can go into spasms and it will make penetration and lovemaking activities uncomfortable to the women, especially if the vagina is less lubricated. You wife needs to learn to relax her vaginal muscles to facilitate your penis to penetrate. She can use artificial lubricant like the ESP Natural Gel until she is confident with penetrative sex. Relaxing the vagina like in the process of avoiding urine or passing bowel can be used as a tip for her to allow your penis to penetrate her. If the pain still persist, then she needs to see her Gynecologist to inspect her genital area in case she has some inflammation of her vagina.

Could you please let me know about other ED drugs, which are safe and effective that can be bought over the counters without any hassles?

Question:
I will be sixty (come next January) and my wife is two years younger. We have sex once a week with the aid of Viagra. However, I read a recent article on Viagra which stated that it can cause “stroke in the eyes”. Since then I have stopped taking Viagra and now am unable to have sex anymore. My sex life is empty and I am at a total loss because I feel very embarrassed to go to the doctor or pharmacies to ask for other ED drugs at my age. Could you please let me know about other ED drugs, which are safe and effective that can be bought over the counters without any hassles?

Answer:
Erectile dysfunction of various stages afflicts about 2.4 million Malaysian men above the age of 40 and you are not alone. Less than 2% of these men ever seek medical assistance. A majority of them are like you, trying all sorts of medications without doctor’s prescription or without seeking advise from your friendly Family Physician. Seeking medical assistance is never a hassle and ones see the pharmacist to fill ones prescription and not seeking treatment. Being sick is not a sign of weakness so also having problems with erection.It is high time men understand this. Taking a scheduled drug like Viagra without doctor’s advice can be dangerous because you do not know who to refer to if you were to experience any side effects. The loss of vision associated with PDE-Inhibitor like Viagra is due to a condition called nonarteritic anterior ischemic optic neuropathy (NAION). NAION presents itself with a painless onset of a vision loss in one eye. The most common visual symptom is an inferior visual field defect, where the lower half of an object appears blurred blocked; the drug’s label currently has no warning of a risk of permanent vision loss. However Viagra as with other PDE-5 inhibitors like Cilais and Levitra have been the favorites because of the convenience of being oral medications. These drugs are safe if prescribed by a Physician and not otherwise. There are other treatment options available for the management of erectile dysfunction besides the oral medications. Intracavernosal injection therapy, vacuum erect aid devices and penile implants are some of the treatment available. Complimentary therapy includes active glycoprotein extracts of the herbs Tribulus and Eurycoma (Tongkat Ali) which has been found to be proerectile and seems to work for some men with mild ED.

Could you please let me know about other ED drugs, which are safe and effective that can be bought over the counters without any hassles?

Question:
I will be sixty (come next January) and my wife is two years younger. We have sex once a week with the aid of Viagra. However, I read a recent article on Viagra which stated that it can cause “stroke in the eyes”. Since then I have stopped taking Viagra and now am unable to have sex anymore. My sex life is empty and I am at a total loss because I feel very embarrassed to go to the doctor or pharmacies to ask for other ED drugs at my age. Could you please let me know about other ED drugs, which are safe and effective that can be bought over the counters without any hassles?

Answer:
Erectile dysfunction of various stages afflicts about 2.4 million Malaysian men above the age of 40 and you are not alone. Less than 2% of these men ever seek medical assistance. A majority of them are like you, trying all sorts of medications without doctor’s prescription or without seeking advise from your friendly Family Physician. Seeking medical assistance is never a hassle and ones see the pharmacist to fill ones prescription and not seeking treatment. Being sick is not a sign of weakness so also having problems with erection.It is high time men understand this. Taking a scheduled drug like Viagra without doctor’s advice can be dangerous because you do not know who to refer to if you were to experience any side effects. The loss of vision associated with PDE-Inhibitor like Viagra is due to a condition called nonarteritic anterior ischemic optic neuropathy (NAION). NAION presents itself with a painless onset of a vision loss in one eye. The most common visual symptom is an inferior visual field defect, where the lower half of an object appears blurred blocked; the drug’s label currently has no warning of a risk of permanent vision loss. However Viagra as with other PDE-5 inhibitors like Cilais and Levitra have been the favorites because of the convenience of being oral medications. These drugs are safe if prescribed by a Physician and not otherwise. There are other treatment options available for the management of erectile dysfunction besides the oral medications. Intracavernosal injection therapy, vacuum erect aid devices and penile implants are some of the treatment available. Complimentary therapy includes active glycoprotein extracts of the herbs Tribulus and Eurycoma (Tongkat Ali) which has been found to be proerectile and seems to work for some men with mild ED.

Is there anything we can do differently to speed up an orgasm?

Question:
It takes me forever to have an orgasm. My husband is so patient with me. He touches me in all the right places and it feels good. Is there anything we can do differently to speed up an orgasm?

Answer:
Recent studies on female orgasms reported women need to be mentally prepared and ready for a sexual encounter and cannot be rushed to sex. This means that what is happening to you might just be the issue of being rushed into lovemaking when you are actually not that ready. Maybe your husband needs to take it slow when come to arousing you. You need to lead him on and work your self into getting off at your own pace. This will also be rewarding to him since men feel great if they can make their partner climax. This is an ego thing for men.

Whenever I get my period, I seem to want sex more and I get aroused easily. This is extremely frustrating for me. Is this normal? What can I do to solve my predicament?

Question:
Whenever I get my period, I seem to want sex more and I get aroused easily. This is extremely frustrating for me. Is this normal? What can I do to solve my predicament?

Answer:
This is a common phenomenon for women and you are not alone. This happens because the libido hormone for women testosterone is at a higher peak than estrogen. Some women get off by letting their husband fondle their nipples and breasts. Some even go to the extent of allowing the husband to touch their labia and the clitoris. There are also cases of women having sex during period and to avoid menstrual flow these women stuffed tampon into the upper vagina. This is not advisable because the menstrual blood can flow backwards and cause endometriosis. You can make a choice. For Muslims they can still have non penetrative sex as this is permissible.

My husband is 46. Lately when we have intercourse his sperm ejaculation is less than before. Should I be concerned about this, or is it normal as men get older?

Question:
My husband is 46. Lately when we have intercourse his sperm ejaculation is less than before. Should I be concerned about this, or is it normal as men get older? I would appreciate any help on this matter.

Answer:
The volume of the male ejaculate (the semen) is dependant on the frequency of lovemaking, the quality of male climax and testosterone. The more frequent the man has sex the lower the semen volume will be. If he is very aroused his ejaculate will be more and if his testosterone level is low normal, the accessory sexual glands will be less active and will produce a small volume when he ejaculates. Taking Onions will not help. It will make lovemaking repulsive. Tell him to take water soluble extract of Tongkat Ali if he is keen to try herbal preparation. If this persists he may need to see his physician for a medical check to check his testosterone and other signs of Andropause. He may need Testosterone replacement therapy if the assessment is positive for Andropause.

I’m not an anal sex fan, however, I was just wondering if it’s okay to actually have anal sex safely without the use of a condom. I mean, do feces get on the penis on insertion? If not, what about the other bacteria that are present in the anus — won’t they cause an infection?

Question:
I’m not an anal sex fan, however, I was just wondering if it’s okay to actually have anal sex safely without the use of a condom. I mean, do feces get on the penis on insertion? If not, what about the other bacteria that are present in the anus — won’t they cause an infection?

Asnwer:
You are on the right tract when you mentioned about the bacteria and the feces that might land on your penis. The bacteria might not do any harm to you but may cause harm to your partner if after pulling out your loaded penis from the anus you insert it straight into your partner’s vagina. If your partner has an infection already, not using the condom will endanger you if you have an abrasion on your penis. Feces and anal mucus also contains HIV/AID virus if one is inflicted with the infection. Wearing a condom is the least you can do to avoid infection from your partner or to avoid infecting your partner. Be wise – Use condoms whether you have straight sex or otherwise.

There are some black spots on my penis, will it affect anything?

Question:
There are some black spots on my penis, will it affect anything? Each time I have intercourse, I have quick ejaculation. I have done circumcision, it is due to this that it become more sensitive and trigger quick ejaculation?

Answer:
Any discoloration on the penis needs to be examined by the doctor if it has not been there before, so also the black spots. If the spot is a bump on the penile skin, it might be wart. Penile wart is contagious because it can spread to the female partner genital skin. Adult circumcision, expose the head of the penis that can be sensitive to touch. This can make the head of the penis sensitive during sex and fast to ejaculate. Maybe by applying local anesthetic gel or cream, the sensitive feeling can be overcome. If this is not helpful, then you probably need to be treated for rapid ejaculation. There is a medication that can delay ejaculatory response that can be prescribed to you for which you need to see a doctor.