Dr.Care - ESPCare.com

Original Question:
Masalah saya ialah
a.Vagina saya mengeluarkan cecair kekuningan dan berbau hanyir.
b.Vagina saya mengalami masalah kekeringan dan apabila melakukan perhubungan intim, saya akan merasa sakit

Bagaimana cara untuk saya mengatasi masalah ini. Terima Kasih.

Jawapan Soalan:
Cecair yang keluar dari vagina kebiasaannya jernih dan jarang berbau kecuali cecair yang keluar itu hasil keradangan vagina akibat jangkitan. Jika cecair itu kekuningan maka kemungkinan besar cecair yang keluar itu mengandungi nanah dan kuman. Anda perlu rujuk kepada doktor untuk menjalani pemeriksaan dan ujian kepada cecair itu, menentukan jika anda ada menghidap jangkitan faraj. Rawatan sewajar akan diberi setelah doktor mengesan infeksi.
Keradangan faraj menggangu proses penghasilan cecair pelembap mukosa faraj dan secara langsung membuat faraj kurang menghasilkan cecair pelicin dan menggangu hubungan intim seksual. Apabila masalah faraj dah selesai, keadaan akan menjadi sediakala. Untuk sementara waktu anda boleh gunakan pelicin atau ‘lubricant’, seperti yang dipaparkan dalam laman ini.

Answer:
Vaginal secretions are usually watery, colourless and odourless unless the vaginal secretions were due to vaginal inflammation caused by infections. If the vaginal secretions are yellowish there is a strong possibility the secretions contains pus cells and bacteria. You need to seek medical assistance and need to be examined if the vaginal secretions contain infections. Appropriate treatment will be provided by the doctor once the infection has been identified.
Inflammation of the vaginal mucosa affect the proper function of the mucosa and will interfere with the production of natural lubrication and affect sexual intimacies. Once the vaginal problems are overcome then the situation will be resolved. Meanwhile it is recommended to use vaginal lubricants and examples of such lubricants are in this web.

ESP - Enjoyable Safe Pleasure - Your Intimate Care Partner

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 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 ‘poisonous’ drug like Viagra without doctor’ 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.

ESP - Enjoyable Safe Pleasure - Your Intimate Care Partner

Question:
I’m worried because my new partner says he wants to have oral sex on me, but I’m concerned and embarrassed about my piles. Do you think he’ll be disgusted? What can I do about them?

Answer:
When men decide to go down, they are interested in lashing their tongues on their partners’ clitorises and the upper part of the vulva. It is unlikely they lash their tongues on the lower vulva which is closer to the anus if they are freakish to the anus. Even if they do so it is unlikely they notice the odd looking anus or the piles if the piles are protruded. If the piles are not that prominent it will not be noticeable. If you are not comfortable to give in do inform him that you may want sometime to think about giving him the permission to go down on you. I am sure he will respect your wishes. During that time you can get treatment for your piles.

ESP - Enjoyable Safe Pleasure - Your Intimate Care Partner

Question:
Dr, I’m a woman, happily married for 4 years and have a wonderful & active sex life.
So far, I don’t have problem with my sex health since 2 weeks ago.
As a normal woman, I don’t have problem with my vaginal discharge/white discharge.  But since 2 weeks ago, the color & quantity change. From pure white to yellowish or almost greenish.
I haven’t seek any help, but it’s really a disturbance.
Need your kind advice on this matter.

Answer:
Glands inside your vagina and cervix make small amounts of fluid. This fluid flows out of the vagina each day, carrying out old cells that have lined the vagina. This is your body’s way of keeping your vagina healthy and clean. The discharge is usually clear or milky and doesn’t smell bad.
The color and thickness of the discharge change with your monthly cycle. The discharge is thicker when you ovulate (when one of your ovaries releases an egg), when you breastfeed or when you’re sexually excited. Changes that may signal a problem include an increase in the amount of discharge, a change in the color or smell of the discharge, and irritation, itchiness or burning in or around your vagina. This is called vaginitis. A discharge that’s stained with blood when you’re not having your period could also be a sign of a problem. So also the yellowish and almost greenish discharge. If you have any of these signs, you should not hesitate to see your doctor or a gynecologist. Below are some tips of how to ward off vaginitis.

Tips on preventing vaginitis

• After using the toilet, always wipe from front to back. This may help prevent getting bacteria from your rectal area into your vagina.
• Wear cotton underpants during the day. Cotton allows your genital area to “breathe.” Don’t wear underpants at night.
• Avoid wearing tight pants, pantyhose, swimming suits, biking shorts or leotards for long periods.
• Change your laundry detergent or fabric softener if you think it may be irritating your genital area.
• The latex in condoms and diaphragms and the sperm-killing gels that are used for birth control can be irritating for some women. If you think one of these things is a problem for you, talk to your doctor about other types of birth control.
• Avoid hot tubs.
• Bathe or shower daily and pat your genital area dry.
• Don’t douche.
• Avoid feminine hygiene sprays, colored or perfumed toilet paper, deodorant pads or tampons, and bubble bath.

ESP - Enjoyable Safe Pleasure - Your Intimate Care Partner

Question:
I’m worried because my new partner says he wants to have oral sex on me, but I’m concerned and embarrassed about my piles. Do you think he’ll be disgusted? What can I do about them?

Answer:
When men decide to go down, they are interested in lashing their tongues on their partners’ clitorises and the upper part of the vulva. It is unlikely they lash their tongues on the lower vulva which is closer to the anus if they are freakish to the anus. Even if they do so it is unlikely they notice the odd looking anus or the piles if the piles are protruded. If the piles are not that prominent it will not be noticeable. If you are not comfortable to give in do inform him that you may want sometime to think about giving him the permission to go down on you. I am sure he will respect your wishes. During that time you can get treatment for your piles.

ESP - Enjoyable Safe Pleasure - Your Intimate Care Partner

Question:
I’m 23 and have just started being sexually active. My problem is my vagina feels pain and sore whenever my partner uses a condom. Without it, everything is fine. Both of us feel that using condoms is the best and safest way of contraception and we would like to stick to it. How do I remedy this problem?

Answer:
Some man and woman experience adverse effects with condoms. They are allergic to the additives that are present in the condom besides the proteins and the lubricants. With new generation condoms that are hypo allergenic this is no longer an issue and if some mild effects are present like mild pain and soreness, the reasons might be the dryness of the vagina and maybe the prolonged friction brought by the less sensitive penis(less sensitive because of the condom).In these cases a good water based lubricant would help. If this too does not help then you need to consider other method, like the pill for example or non penetrative sex for contraception

ESP - Enjoyable Safe Pleasure - Your Intimate Care Partner