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Monday, June 24, 2024

FAQ: The Most Generally Requested Questions on Intercourse

By Dr. Josh

Well being
Most Commonly Asked Questions about Sex

As a urologist, I get requested about intercourse quite a bit from my sufferers and pals alike. Actually, I get extra questions on intercourse than urination.  A few of these questions are easy, whereas some will be particular and sophisticated. Whereas I want I might say I’ve the reply to each query I get, that merely isn’t the case.  At the same time as a sexual well being knowledgeable, I’m continuously studying.  I study from my colleagues, and I study from my sufferers. I’m lucky to have an avenue like this to share my data. What follows is a group of probably the most generally requested questions I get about intercourse.  I think a few of you could have had comparable queries, however maybe didn’t really feel snug voicing them.  Properly, I hope you study one thing about your self and what most individuals on the market proceed to seek out perplexing about intercourse.

Is Erectile Dysfunction Inevitable/Regular At My Age?

Erectile dysfunction (ED) is a typical concern amongst my male sufferers. Many wonder if experiencing ED is an inevitable a part of growing older. The reality is that whereas age is usually a contributing issue because of modifications in blood movement and hormonal ranges, ED isn’t an inevitable consequence of getting older and ED isn’t regular at any age. It’s additionally necessary to level out that ED can happen at any age.  Whereas it’s extra generally seen in older males, I’ve loads of youthful sufferers who battle with their erections.  Sadly, too typically youthful males who search assist for ED are dismissed or ignored.  They’re advised that it should “all be in your head,” however that’s not at all times the case.

It’s important to grasp that varied elements past age contribute to ED.  These embrace underlying well being circumstances like diabetes, heart problems, and hypertension, unhealthy way of life selections like smoking and extreme ingesting, remedy negative effects, interrelationship battle, and psychological elements like stress and anxiousness.  In the event you’re somebody who finds it onerous to get or keep onerous, search skilled steering from somebody who makes a speciality of sexual well being.  ED isn’t inevitable and could also be a symptom of a extra critical psychological or bodily well being subject that wants consideration.

Questions about erectile dysfunction and painful sex

How Typically Ought to I Get Examined for Sexually Transmitted Infections?

In the event you’re somebody who engages in intercourse with multiple particular person, sexually transmitted infections (STI) ought to at all times be prime of thoughts.  Many STIs are on the rise.  In line with the Facilities for Illness Management and Prevention (CDC), in 2021, chlamydia, gonorrhea, and syphilis continued to extend in the USA.  Whereas intercourse must be enjoyable, it’s necessary to take the mandatory steps to guard your self and get screened for the commonest sexually transmitted infections. How typically you get examined can differ relying in your threat.  Whereas anybody who has intercourse can get an STI, sexually energetic homosexual, bisexual, and different males who’ve intercourse with males (MSM) are at better threat. Along with having increased charges of syphilis, greater than half of all new HIV infections happen amongst MSM.  Individuals who have intercourse with a number of or nameless companions, those that interact in intercourse work, and anybody having intercourse below the affect of medication and/or alcohol ought to get examined repeatedly.

The CDC recommends all sexually energetic adults and adolescents from ages 13 to 64 must be examined not less than as soon as for HIV.  Additionally they advocate all sexually energetic homosexual, bisexual, and different MSM must be examined not less than yearly for syphilis, chlamydia, and gonorrhea.  These partaking in higher-risk sexual behaviors must be screened for HIV and different STIs extra ceaselessly (about each 3-6 months). Lately, there was elevated give attention to STI and HIV prevention utilizing remedy.  Pre-exposure prophylaxis with drugs like Truvada and Descovy (each oral drugs) and Apretude (an injectable) reduces the danger of getting HIV from intercourse by about 99% when taken as prescribed. Doxy-PEP stands for doxycycline post-exposure prophylaxis, which represents one other latest technique to assist scale back STI threat.  It entails taking one 200mg capsule of doxycycline as quickly as doable however no later than three days after having intercourse with no condom.  In a number of research utilizing Doxy-PEP diminished the danger of STI by as much as 75%. Fortunately, we’ve come a good distance in our combat in opposition to HIV and STI.  The trick to conserving your self protected from these is understanding your threat and testing repeatedly.  In the event you belong to a high-risk group, think about discussing a few of the prevention methods we mentioned together with your healthcare supplier.

Causes for premature ejaculation

What Causes Untimely Ejaculation, and Can It Be Handled?

Untimely ejaculation (PE) entails ejaculating ahead of desired, typically inside minutes of beginning sexual exercise.  PE is considered one in all, if not the commonest sexual well being downside.  As many as 1 out of three individuals say they’ve struggled with PE sooner or later.  PE can also be a situation that doesn’t simply have an effect on the person experiencing it, however their associate as properly.  Untimely ejaculation can result in emotions of inadequacy, melancholy, anxiousness, and relationship points. The precise reason behind untimely ejaculation isn’t recognized. PE was as soon as considered a psychological subject, however healthcare suppliers now acknowledge that untimely ejaculation entails a fancy interplay of psychological and organic elements. Psychological elements might embrace melancholy, anxiousness, stress, guilt, unrealistic expectations about intercourse, insecurity, historical past of sexual repression and/or abuse, and relationship issues.  Organic elements embrace age, hormone ranges, sure neurotransmitters like serotonin, and erectile dysfunction. Fortuitously, efficient remedies for PE exist, starting from behavioral therapies, workout routines, and counseling to drugs or topical functions.  Figuring out the reason for PE is essential in tailoring the best therapy plan for every particular person so for those who’re somebody with untimely ejaculation, be certain that to hunt assist from a sexual well being skilled.

Questions and treatments for premature ejaculation

Is Ache Throughout Intercourse Regular?

There’s that “regular” phrase once more.  We already understand how I really feel about it.  However I’ll make an exception on this case and say emphatically that ache throughout intercourse is completely not regular. I can’t let you know what number of instances I’ve been requested this query, principally from my feminine sufferers. Sadly, ladies hear from their friends and even their physicians that intercourse is typically painful and go on to consider that it’s regular.  In the event that they muster up the braveness to debate the subject with a supplier, they’re typically met with disbelief, dismissed, or advised merely to have one other glass of wine.

Ache throughout intercourse, also called dyspareunia, is a typical downside with a lifetime prevalence of as much as 30%.  In the event you’re somebody experiencing dyspareunia, you’re not alone.  There’s nothing inherently unsuitable with you.  And also you don’t simply must have one other drink and push by it.  Dyspareunia can stem from varied elements, together with inadequate lubrication, hormonal deficiencies, vaginal infections, pelvic ground points, endometriosis, and/or psychological elements However there are actual, science-based options on the market, so intercourse now not needs to be painful.  Each particular person has the appropriate to interact in pleasurable intercourse in the event that they so need.  So, if dyspareunia is stopping you from doing that, hunt down assist from somebody skilled in treating people who expertise sexual ache.

What Life-style Modifications Can I Make to Enhance My Sexual Operate?

As a common rule, what’s good in your general well being is sweet in your sexual well being.  With 2024 simply across the nook, you could already be making a listing of resolutions you intend on conserving.  Why not make one to enhance your sexual well being? Train is sweet for the thoughts, physique, and soul.  Common bodily exercise will help enhance vitality, temper, and sleep, scale back anxiousness, enhance testosterone ranges, and construct endurance.  And guess what: all these issues assist enhance sexual perform.  In the event you’ve been out of the health club for some time, begin sluggish.  Strolling, swimming, and light-weight cardiovascular train will help maintain your ticker and pecker in tip-top form. Particular pelvic ground workout routines like Kegels also can assist strengthen the muscle mass wanted for sexual exercise.

Consuming a well- balanced, heart-healthy eating regimen might give your intercourse life the soar begin it wants.  A number of research have discovered sexual well being advantages from the Mediterranean eating regimen particularly.  In a single latest research, members who constantly adopted a Mediterranean eating regimen had higher erectile efficiency, blood movement, train capability, increased testosterone ranges, and more healthy arteries than those that had been much less constant.  In the event you’re seeking to stage up your bed room sport, think about following the tenets of Mediterranean delicacies: eat loads of fruit, greens, and wholesome fat and reduce crimson meat as a lot as doable. Sexual well being stays an integral a part of general well being and well-being.  And questions come up for everyone now and again.  Whereas those I’ve shared in the present day characterize solely a small pattern, hopefully, you permit right here having realized a little bit extra about how I take into consideration intercourse when speaking to sufferers and how one can take steps to have a extra fulfilling intercourse life.  In the event you nonetheless have questions that want answering, attain out to your native sexual well being knowledgeable or comply with me on social media. I by no means develop bored with discussing all issues intercourse and I promise you’ll be entertained and educated on the similar time.

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