Dr.Care - ESPCare.com

Question:
Dr, my husband underwent a sinus operation on 13.4.2010. After the operation we realize that he got sexual dysfunction. Why?

Answer:
Healthy sexual function requires healthy body, healthy mind, normal neurological function and normal circulatory function. If the body function is down due to some weakness, it would be difficult to perform sexual function, so also a disturbed mind and disturbed neurological and circulatory functions, because for man, getting a firm and stable erection involve normal bodily functions. Your husband has gone through a sinus operation. Assuming the sinus was in the lower part of his body, maybe near the anus, any procedure done there can cause some local inflammation which might interfere with the local circulation and nerves function. If the sinus operation involves the inflamed sinuses behind his nose and he has to take medication to reduce nasal mucous swelling like anti histamines, that medication can interfere with the penile circulation and cause ED!. If it so happen that he has some metabolic disease like diabetes or high blood cholesterol, these can also worsen his erectile function, thus causing his present predicament. Maybe once his sinus has healed and he does not have to take the sinus medications (antihistamines) and his metabolic disease is controlled and he is able to move his body and exercises, he might be able to get back his sexual function. The chances are he might need to seek professional help for his erectile dysfunction rather than trying self help, more so if he is not young. Medical support in the form of PDE-5 Inhibitor like ‘Viagra’ or ‘Cialis’ might be able to pep up his sexual life and once he can get spontaneous erection, he might not need to take the medication.

ESP - Enjoyable Safe Pleasure - Your Intimate Care Partner

Question:

I’m a married woman with 3 kids.
After I give birth my 3rd child I found that each time I intercourse with my husband after a few second my vaginal is too wet that cause no feeling and I hardly got orgasm. Why?

Answer:

It is normal for there to be an increase in vaginal secretions during sexual excitement and intercourse, and this can vary from time to time, perhaps reflecting your hormone status and time of your period cycle. Sometimes it can appear excessive, but if it is clear and not offensive, then this is nothing to worry about. However if the secretion is foul smelling, yellowish, green or flaky white, this might indicate infections. Then you need to see your friendly Gynecologist.

When the vagina is soppy wet and slippery, you will not feel the penis and your husband will not feel your grip.He might however still ejaculate because of the “wet” sensation. You need to do the pelvic floor exercise (Kegel exercise) whenever you feel like doing it. This will tighten your vaginal passage and make it possible for the penis to apply enough pressure to the various points in your vaginal walls to make you to achieve orgasm. In addition, if your husband’s penis (the base ) can apply enough pressure to your clitoris, then you can achieve clitoral climax as well.

ESP - Enjoyable Safe Pleasure - Your Intimate Care Partner

Question :
What is the Islam view on husband suspecting his wife about her past integrity, because she is tested hepatitis b positive and what he should do about the issue? Thanks.

Answer:
It is sad when ones wife is infected with Hepatitis B. In that case her blood will also confirm that she is a carrier, unless she has been vaccinated from young and has Hepatitis B antibodies!
After having married her through thick and thin and now harboring doubts about her past integrity is even sadder. The doubtful Thomas need to read more about the transmission of Hepatitis B before he makes any conclusion. The passage below was taken from WIKIPEDIA and the source is very reliable. Please view the passage and take a look at the sentence highlighted.

Transmission of Hepatitis B

Transmission of hepatitis B virus results from exposure to infectious blood or body fluids containing blood. Possible forms of transmission include (but are not limited to) unprotected sexual contact, blood transfusions, re-use of contaminated needles & syringes, and vertical transmission from mother to child during childbirth. Without intervention, a mother who is positive for HBsAg confers a 20% risk of passing the infection to her offspring at the time of birth. This risk is as high as 90% if the mother is also positive for HBeAg. HBV can be transmitted between family members within households, possibly by contact of nonintact skin or mucous membrane with secretions or saliva containing HBV. However, at least 30% of reported hepatitis B among adults cannot be associated with an identifiable risk factor.

ESP - Enjoyable Safe Pleasure - Your Intimate Care Partner

Question:
I have itchiness in my external genital since I was a kid and up to now, usually I feel more itchy when I have my period and wear sanitary napkin.
Is it possible I have STD? If not why do I experience it? I hope you could help me with this problem.

Answer:
The condition you are suffering from is known as pruritus vulva or itching vulva. This is a common skin condition of the vulva or the female external genitalia which occur whenever the skin is dry or exposed to irritation. When you are having your period your female hormone estrogen is very low and this can reduce production of natural moisture of the vulva skin and cause dryness. Using the pad which probably might contain some preparation can cause some irritation and itchiness. So also the content of the menstrual flow that can also irritate the external skin. I would suggest that you apply some moisturizer (like the Her Genicare Cream) to your vulva every time before you put the pad or after bath. The moisturizer can make the skin become supple and soft and will reduce dryness and thus no itching. In addition you may also want to try using the ESP Her V-Exclusive wash which being a 100% natural wash can help your condition. Sometime itchiness of the vulva can be caused by yeast infection. It is common for women to get this infection in the vagina through contamination from the anus or the urethra and when the discharge from the vagina is exposed to the vulva skin, the skin become infected, inflamed and itches. You can also get yeast infection from your sexual partner. Then this transmission is through sexual intercourse and known as Sexually Transmitted Disease. If the itchiness persists even after using the moisturizer, then you have to see a doctor. Preferably a skin doctor.

ESP - Enjoyable Safe Pleasure - Your Intimate Care Partner

Original Question:
Ok, this is really strange. As I have gradually gotten older, I have totally lost my sex drive. I know about Viagra and other enhancements, but this isn’t about that.
I noticed today when I masturbated, that my penis is bent downwards.
I don’t think I have that disease that starts with a P, no obvious fibrous tissue growth and no trauma.
I don’t masturbate as much as I used to at least once or twice a day. Now, more like once or twice a month.
But this curve downwards is enough to make me notice. I do have a piercing and I like tight underwear which does make my penis bend down.
But I have had my piercing for years and I have always worn tight underwear. I need the support. I am larger than most guys and it just feels better.
I was thinking that since I don’t exercise it and keep it curled up in my pants, could this be the reason it’s starting to bed? And can I straighten it back out? I’m freaked out big time.

Answer:
There is this saying ‘If you don’t use you lose’. That goes with your penis. All these while you use it regularly like you mentioned, once or twice a day. This is not happening now and that is why your erection is not as firm as before. That same thing happens to your pelvic floor muscles that buck up your penis during erection. If that muscle is weak, it cannot lift up your penis. That’s why your penis appears bent during erection. There are other factors though with regards to the bending or curving downwards of your erect penis. You wear tight underwear which makes your penis bent down. This is ‘parking’ issue. If you park your penis upwards, then during erection it remains up! Otherwise it will remain humble as it is happening now. You also mentioned that you are large. The gravitational pull will not spare your penis during erection! The pierce you did to your penis does not cause the bend unless you put weights! There you are. The cat is out of the bag. You need to work on your pelvic floor by doing the Kegel Exercise.

(If you are a man, strengthening the PC muscle can help you develop firmer erection and greater ejaculation control. To identify that PC Muscle: Imagine you are urinating. Now squeeze the muscles you would as if you were cutting off the flow of urine. Those are your PC muscles. Now let go and try it again. You are contracting the anterior or frontal part of the PC muscle. Now squeeze your muscles as if you were trying to prevent yourself from passing gas — this is the posterior part of the PC loop. We are all pretty much, “tight asses”–we hold too much tension in these muscles. The challenge is to learn to relax these muscles at will. Now do the posterior squeezes rapidly five times in a row. Try to be conscious of relaxing your anus after every squeeze. Try not to squeeze your thighs, butt or abs–just the PC. You can do basic PC muscle Kegels pretty much anywhere, at work, in traffic, reading the Internet).You can get more details of this exercise in any website. However don’t expect miracles. You will probably see some improvement. But still age is catching up!

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Question: When I have intercourse with my boyfriend and if I’m on top I get this intense feeling in what seems like my lower abdomen. Its not painful, its just a discomfort. I don’t react to it positively but I don’t actually experience pain. Then after intercourse the very slight discomfort continues for maybe a few hours. What could be causing this discomfort?

Answer:

The woman on-top position in lovemaking has always been a choice for many women to take a dominant role in sex. It is also a position for deeper penetration. From your description of that ‘intense feeling in the lower abdomen’ and that the feeling dragged on for some more hours, looks like you are not prepared of the deeper penetration that you may get from this position. You should be aware that in the “woman on-top position”, it is the woman, who controls the depth of penetration and not your partner, unless of course he pushes his long penis upwards as you sink your vagina downwards. If this happens you will surely feel the discomfort like your abdomen is  being pounded, like a punch in your stomach as the tip of his penis hits the neck of your womb. That will surely stimulate your 10th cranial nerve called the Vagus Nerve and the dull discomfort that lingers is typical of that effect. Sometimes pushing the uterus upwards can cause this so called vagus response or vagus reflex. The simptoms may include a fainting feeling as well when the pulse rate and blood pressure reduce suddenly. However this vagus reflex is harmless but can be a deterrent though for future experimentations in woman on-top position. I would suggest you continue with the woman on- top position and this time you do a rocking or grinding movement so that you can get better stimulation of your clitoris and the perinum. You can also do the woman on top position with your back facing your partner to get better stimulation of the perineum. If you want a tighter fit, do keep your legs inside your partner’s thighs and you can rock back and forth to feel your partner’s penis being squeezed by your vagina for the most mind blowing orgasm and intimacy ever; not to mention the fun your partner will have viewing your front and rear in the best angle!

ESP - Enjoyable Safe Pleasure - Your Intimate Care Partner