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Doctors' Answers to "Frequently Asked Questions" - Sex


These comments are made for the purpose of discussion and should NOT be used as recommendations for or against therapies or other treatments. An individual patient is always advised to consult their own physician.

[posted 04/25/2000]
Question: Hello Dr.!
i have an embarassing question to ask of you!
I am a 26 yr old female, that has recently tried anal sex about a week ago! it did hurt me but there was no bleeding! Now i am feeling very terrible, i have blood coming from my anus now and i have a little fever , a little blister on my tounge, and my tounge is white. could you please advise me, this has been going on for one week approx!

Answer: The fever and blister would be the most bothersome, see your md to ensure that you don't have primary herpes. The rectal bleeding should have been present from intercourse if it was from the sex. I suspect another problem.

[posted 03/29/2000]
Question: Is ther any methods, foods, or prescription for increasig male ejaculate?
There is no specific problem, I would just like increase the amount.

Answer: Not to my knowledge.

[posted 08/13/1999]
Question: My husband has intense headache-type pain (building pressure) behind his left ear which builds intensity with sexual orgasm, at times preventing completion. After sex, the pressure subsides to only a dull ache. Prior to these events, he had a severe headache about 2 weeks ago, and afterward he had stabbing pains in the left side of his head approximately 2 or 3 times a day for about a week. This daily pain has disappeared. All that remains is the pain during orgasm. One other thing: he has had migranes for a great deal of his life, was tested by a physician and the results came up inconclusive. We're frightened by possible tumor, or maybe even high blood pressure creating a rush during orgasm. Thank you so much!!

Answer: He will need an MRI/MRA of his brain to rule out an aneurism of the cerebral circulation. Uncommon, but this is a classic story for those who have it. Occasional patients do experience headaches during sex, normally they don't mean much(although we still do the diagnostic tests) but repeated headaches are potentially a problem. See your md.

[posted 08/10/1999]
Question: I seem to have a problem that alot of men would actualy like to have , but not me. I have an extreemly strong sex drive. Why is this a problem. I also have very strong religious beliefs. I have an extreemly difficult time controling arousal. My mate wife died a few years ago, so I now have no outlet for this type of action. Masterbation is not an excectable option , even though I do frequently.I am interested in finding a new mate , but I don't want to be swayed by my sex drive to marry the first girl how likes me ,or ruin the right relationship by becoming psyical to soon. At the same time I don't want to comitt sex outside of marrage. Is there something I can get to elliminate my abillity to have an errection or remove my sex drive until I can get to a point where I can experience sex in it's proper place. I know it might seem out of the ordinary, because of where morals are today , but my religious beliefs are very strong and i want to do every thing i can to protect my good standing with god. Can you please help me. Also if there is something can you tell me how to get it. Thank you very much James.

Answer: Monthly Lupron shots should do it. This is a testerone receptor blocker used in prostate cancer(and others). Expensive, but should work.

[posted 08/7/1999]
Question: I know that Paxil and birth control pills can reduce sex drive. I have read that taking some testosterone can help increase the sex drive in women. Is this true?? What is the correct dosage (140 lbs) and what side effects are common???

Answer: Correct. We usually use a small dosage to avoid the masculinazation side effects which can occur with larger doses(hair, deep voice etc.).

[posted 08/5/1999]
Question: I have been taking Triphasil-28 since 10/95.
Two questions:
1. Does it make a difference if I take the green inert pills? Are they basically sugar pills provided to help keep you taking the pill every day?
2. Is there any relationship between sex drive and Triphasil-28. When my now-husband and I met in 1995, initially I wanted to have sex with him all the time. Then I started taking the birth control pills. Several years later (now) my husband and I argue all the time because basically I could care less if I had sex or not. This has been going on for quite some time. Looking back, it may have even started as far back as when I started taking the Triphasil. I also have rapid mood swings. Could these be related to the Triphasil? Should I see my gyn about changing pills? Are there any pills less likely to create such effects?
Thanks for any info/help you can give me!

Answer: About 10% of women will experience changes in their sexual drive on birth control pills. It has been debated for years as to whether it has to do with the pill and changes in your sexual steroid levels or whether it has to do with changing the frequency and safety of intercourse. For any individual, the only way to answer the question is to stop/change to another method of birth control and see the effect on your sexual drive. In general, you should consider using a barrier method, diaphragms etc, to avoid any sexual steroids in your body. This is because other pills could have the same problem. Once you have established how much is the pills and how much is not, you can go on to the next level of finding the problems in your marriages sexuality. A specialized counselor is usually necessary.

[posted 09/28/1999]
Question: Does Triphasil affect your sex drive?

Answer: Yes, some decrease, some increase depending on how your body metabolizes it. Testosterone is the hormone necessary for sex drive in both men and women. Consequently if one's testerone rises(metabolized in the fat to this hormone) it increases. If not, it decreases.

Reproduction and effects of Clonazepam and Paxil [posted 1/14/99]
Question: I currently take 10 mg Paxil once a day and 0.5 mg of Clonazepam twice a day. I am a male, 30 years old and my wife and I are currently trying to have a baby. I was wondering what effects these drugs have on my sperm count as well as the effects they may have on the sperm. Is my child more likely to have a birth defect due to either or both of these drugs?

Answer: None apparent.

Lack of sex drive and problems conceiving [posted 1/13/99]
Question: Can a supplement with wild yam extract and/or natural progesterones from soy extract help to increase my sex drive and possibly help to change my hormone levels to aid in increasing my chances in becoming pregnant? My husband and I have already had physicals and I have already miscarried once in the 7th week. My OBGYN says I am fine, but my progesterone level may be low. I have not been back to the doctor since January 1999 for my annual. After doing my own research and looking at my symptoms, I seem to fit in the category of low level progesterone. However, I don't care to take a synthetic form, so I was wondering if an over-the-counter pill/cream would be sufficient? Also, are they safe?

Answer: I wouldn't make these decisions without discussing them with your doctor. The "natural" estrogens don't have a significant estrogen impact from my prospective, and I doubt they would have a major contribution to your problem. However, I'm no an ob-gyn and I would discuss it with them. Offhand, I doubt it would make much difference one way or the other. However, if you are to supplement the progesterone you'd be better off knowing the amount you're receiving, difficult to impossible with "natural " sources.

Reducing Sex Drive  [posted 11/25/98]
Question: Is there a safe and effective drug to eliminate or at least significantly reduce the male sex drive? If there is would it be prescribed in Canada? Can you give me the name of some of these drugs?

Answer: Lupron is given as a shot every 4 weeks and effectively eliminates sex drive. Some of the SRI antidepressants(Paxil and the like) will lower it, Lupron abolishes it.

Loss of Libido [posted 11/13/98]
Question: Does the drug Accolate alone or in combination with aerobid,serevent and albuterol cause lack of libido and fatigue?

Answer: ot usually, check your liver functions however.

Loss of Libido [posted 11/11/98]
Question:Over the last 2 years I have noticed a steady decline in my libido, to such an extent that I no longer have any interest in having sex and if I do, I do not feel any sensations of arousal. I am female and 29 years old. I am sure this is not normal and I am quite concerned about it. I feel slightly embarassed about discussing this problem with my physician. What should my next move be??

Answer: On any medications? If not then you need an endocrine check out. This would include thyroid levels, prolactin levels and possibly estrogen levels. Are your periods regular? You need to find a physician who you can discuss this with without undue embarassment.

Can Paxil Treat Premature Ejaculation [posted 11/5/98]
Question: I've recently heard that paxil can be used to treat premature ejaculation, and I was wondering if this was true, and if it was common practice ?

Answer: Yes, and works pretty well since the side effect of this class of drugs is to decrease or eliminate orgasms.

Concerns About Infrequency of Wet Dreams [posted 10/28/98]
Question: I have a question and I hope you can help me. I am 15 (almost 16) years old. I have reached puberty, but there is something that worries me. I had my first 'wet dream' at age 13. I now 15 as i said before and now I rarely have them. It has been about 6 months since I last had a 'wet dream'. I am very active. I play sports, am pretty built and healthy. I am still a virgin, don't get involved in pornography, drugs or any of that negative stuff. I have never masturbated and I plan to wait until i am married before I have sex. I am not preoccupied with sex as some guys I know are. I hardly think about it (if at all), and I dont have a girlfriend. I have never kissed a girl, have never dated or any of that stuff. I have never been physically or sexually abused. I am a very happy teen. My parents are divorced but that doesn't bother me. I am giving you all this (perhaps unneccesary) information just in case it may be of some help in you telling me why it is that my 'wet dreams' are so infrequent. Is there something physically or emotionally wrong with me?

Answer: Do you want more? Most wet dreams come from erotic sexual dreams. The frequency of wet dreams is often over stated and most men have only several a year. Nocturnal erections are common, wet dreams less so. I wouldn't worry about it sounds pretty normal to me.

Medicines Reducing Sex Drive [posted 8/14/98]
Question: Is there a medicine that reduces the sex drive (libido) or the sexual tension, but not as a side effect?

Answer: Most of the SRI antidepressants will do this.

Prolonging Erections [posted 8/14/98]
Question: What drug therapies are currently available to delay ejaculation / prolong erections?

Answer: The SRI antidepressants sometimes do this, but often have decreased sexual drive as well.

Penile Implant [posted 8/11/98]
Question: I have a penile that is not successful. Would the new drugs sildenafil, apormorpyhine orphentolamine help improve my erection?

Answer: I'd try sildenafil. Very positive clinical tests, but I have no direct experience.

Increasing Sex Drive [posted 8/7/98]
Question: My wife heard of a new drug coming out that increases women’s’ sex drive, but she doesn't know the name. Have you heard of this drug? and what are the side effects?

Answer: I'm not aware of any specific drug for this purpose. In general, men's and women's sex drive is due to testosterone levels. In women, estrogen is metabolized to testosterone in the adrenal glands and in fat tissue. Consequently, women with low estrogen levels will generally have lower sex drives.

Intercourse and Pregnancy [posted 8/7/98]
Question: Is it possible to get pregnant without actually having intercourse?

Answer: Yes, but low risk depending on one's activity - penis around vagina, etc.

Drugs Used To Control Sex Drive In Men [posted 7/30/98]
Question: Recently I heard a talk show mention a drug used by the military for its soldiers to control their sex drive while at war. Is there such a drug? If so, do private citizens have access to this? Can you tell me a little about this drug and its effects?

Answer: Several drugs reduce sex drive, but I am unaware of any systemic effort by the military to blunt their soldiers sex drive. Write to the show and get the name of the drug and I'll be happy to give further information.

Penis Enlargement [posted 7/27/98]
Question: I am a 45 year old male and I want to enlarge my penis. They say to use pumps to enlarge it. Then I heard about stretching and weight bearing. Do any of these work are there any health problems related with the above questions. Most importantly, is it possible to happen at my age?

Answer: Nice fantasy, but nothing works that is not very dangerous to long term function of your penis. Work on technique.

Shyness and Sexual Repression [posted 7/23/98]
Question: I'm 19 years old and I haven't had a date with a woman, or had a sexual experience with a woman. I'm quite bright, and not what you would call ugly. I do have acne and that is one factor of my humiliation. Also, I need a slight surgery regarding my penis, as the skin under it has grown so that at full erection the skin is overly stretched if I pull the skin off it to reveal the head, this could also be adding to the shyness. My libido is to some extent overpowering. I masturbate 4-5 times each day and I am quite obsessed with the female body in the sexual content, and if I read anything about how to excite a woman sexually I take it to heart to use later, but until this moment there hasn't been any later. I would describe myself as a pleasant, rather dull person whose character is a bit like the character described under his starsign, the cancer. I look upon women as somewhat of a higher stature and respect them. I was wondering what could be the problem, how to solve it, and if I did in the end enjoy the company of the opposite sex some night how would I react to it? Would I deflate, sexually, or would my appetites continue to grow? I am pretty sure I haven't been abused sexually, but sexual experience of a certain kind has taken place, both when I was about 4-5 years old (with a girlfriend of a same age) and with my two step sisters when I was 12 (my mother and father divorced when I was 7, a silent and clean divorce, and my mother kept me and my sister in touch with our father). I felt my stepsisters breast while she was sleeping (she has enormous mammaries and she is the daughter of my stepfather and a year older than me) and the other one I played a game and got her out of everything, but I didn't penetrate her orifices because of last minute guilt (she was 8 and I twelve). Also, I feel somehow speechless around women, like I can't find anything to say to them. I had friends of both sexes all through childhood. I've moved quite a lot since I was 11-12 as at that time I moved to another part of the town, where I also made friends of both sex, but there I was teased for about half a year. I stayed there for two years. Then I moved to a different country until I was 16 years old. I've stayed at three different places within the first country since then and I've met women who might have taken interest. One was even hinting for a closer relationship, but I found her too ugly to accept her as a partner even though she was a wonderful person, but something about her wasn't acceptable to me. So, could you please answer the questions which I asked earlier. Also, might I have a problem concerning my mental health, or do I just have too much imagination for my own good?

Answer: You probably don't have any problems any different from any other normal 19 year old. Most children engage in sexual experimentation at some time, common and of no consequence. Most children will also engage in some homosexual experience, common and of no consequence. You might benefit from counseling to overcome your shyness. Also, there are licensed sexual surrogates available, but I doubt that this would be necessary. Find a counselor that specializes in sexual dysfunction. You don't have a dysfunction currently that I can ascertain, but this won't be the first time that sexual abuse as a child is repressed and manifests itself in different behavior. However, I suspect you only need to air out your anxiety and you will be fine (pretty common by the way). I am a physician, MD type.

Problems with Penis
Question: I have a boyfriend who is very self conscious about his penis and he tells me that something happened to it shortly after birth - something that alters the appearance of it - but he is too embarrassed to tell me if it is a disease, or something natural. I really need to know what it could be - if it’s something serious, or just something that he is over-reacting to.

Answer: It’s hard to tell without more information. It could be a congenital deformity which was surgically fixed or mumps which affected his testicles. Mechanical trauma is also a possibility. Sounds like he could use some counseling to help with his feelings concerning his penis.

Male libido elimination
Question: Is there a safe and effective drug or herb to eliminate or at least significantly reduce the male sex drive? If there is, what side effects are there and would it be prescribed in Canada?

Answer: There are testerone blocking drugs which will reduce male sex drive. These are prescription only. Also, most of the SRI antidepressants have this side effect but not usually used to reduce sex drive per se. There may be an herb, but I'm not well educated in herbal medicine.

Sex
Question: I had a baby 2 years ago. Since then, I have had no interest in any sort of sex. I do not think this is healthy for me since I am only 24. I am a little upset but not nearly as upset as my husband. Please help.

Answer: Several possibilities. First, how much time do you have available for fun/sex? Excess work and worry are the most common killers of sex drive. Second, what medications are you taking? Birth control pills will kill sex drive in many women, and alcohol is also a notorious depressant. Finally, do you feel depressed? Unrecognized post-partum depression is usually accompanied by lack of sex drive.

Vasectomy
Question: Is it possible to cause pregnancy after a vasectomy?

Answer: After the surgical procedure, pregnancy can result in several ways. 1. There is residual sperm in the system for about 3-4 weeks after the procedure. Intercourse too soon after the surgery can result in pregnancy. 2. Improper tying of the tubes can lead to small numbers of the sperm migrating from one cut end to the other and then into the penis. There were cases of this at first until the procedure was perfected. However, there is always a small chance of reconnections occurring or sperm migration. 3. Surgical procedures can be performed with microsurgery to reconnect the spermatic cords resulting in restored fertility about 80% or so. There are many babies born to men in second or third marriages who need surgical correction.

Sperm abnormalities
Question: I'm a 35 year old male and I have noticed in the last year or so, discoloration and an unusual texture/clumpiness in my sperm during ejaculation. Is this a serious problem?

Answer: This probably represents a low grade bacterial infection of your prostate. Most of the fluid in ejaculate is supplied by the prostate. I would get your physician to check this.

Erection
Question: My penis, when erect, is bent sharply downwards. Is there anyway of straightening this problem out?

Answer: What you are probably describing is Peyronnie’s Disease of the Penis. This is an inflammatory condition of one or both of the chamber of the penis. Consequently, they do not engorge symmetrically and the penis deviates to one side. In severe cases this can prevent intercourse. I would consult an urologist for treatment options. Unfortunately, they do not make major differences.

Dark spot on skin of penis
Question: Hello, I'm a 26 year male and have a concern about a dark spot located on the foreskin of my penis. It is located directly underneath where the non-circumcised skin meets the circumcised part (where the skin bunches up), and looks almost like a bruise, but doesn't hurt at all. I have intercourse quite often and was wondering if that might have something to do with it, but I'm not sure. I also thought it might be where my penis rests against my leg primarily, but am unsure. It seems to be just a discoloring of the skin, but I thought I would check here to see if anyone might know how I can make it go away.

Answer: If this spot hasn’t been present your entire life it needs to be looked at. Penile cancer is uncommon but treatable in early stages. Other possibilities are different sexually transmitted diseases.
Decreased libido
Question: I have been on paxil and benzodiazepines, and since the beginning of the treatment I have felt no interest in sex.

Answer: This is a common problem with SRI antidepressants. There are two orations: 1) Try a drug called Serzone. It is similar, but more selective binding. I have several patients who have better sex drive on this drug and adequate treatment of depression. 2) Some recent literature implicates the use of low level amphetamines with SRI antidepressants to blunt the effect on sexual drive and performance.

Strange urology/sexual problem
Question: I have a strange, puzzling problem. After ejaculation, I get pain in my lower abdomen and testicles. This is aggravated when I lift weights. I have had a hernia operation and a vericoselectomy, all to no avail. Is it my prostate? Also, I tend to ejaculate prematurely. I am a virgin and do not have any kind of STD.

Answer: Ejaculation pain is not usually seen in hernias. This can occur with epidymitis - an infection of the collecting system for sperm (common in men and may or may not be related to STD). A trial of antibiotics would be the best way to decide if it is an infection of this system.

Penis enlargement
Question: Are there any health risks in using an over the counter pump for penis enlargement?

Answer: Mainly local trauma, otherwise nothing special.

Sex Drive
Question: I was wondering if there were any over the counter medication that could be used to repress the biological sex drive? Or if there aren't any drugs for that express purpose, are there any that repress the sex drive as a side effect that would not be too harmful if not used for its actual intended purpose?

Answer: Many drugs depress the sex drive or sexual ability. Over the counter the most common is alcohol. Inability to become sexually aroused is notorious for this drug. Some people are sexually depressed with anti-histamines; although, less commonly. Among prescription drugs, there are two different sexual effects. The first is impaired sexual arousal-not being able to get an erection or vaginal lubrication. Many blood pressure drugs are responsible for this effect. Second is the actual suppression of sexual drive. Serotonin Reuptake lnhibitors(SRI) like prozac, paxil etc are notorious for this effect. Some seizure medications also can have this effect occasionally.

Decrease in Sexual Drive
Question: Is there a drug (or drugs) on the market that is specifically designed to decrease sexual drive in men? If so, are they safe and can the effects be easily reversed?

Answer: Testerone is about the only one. However, long term use is not safe and is not recommended for this purpose. It tends not to have reversible side effects-depending on the side effect. Common side effects are acne(reversible), liver damage(not rev), elevated blood counts(rev) and cancer of the prostate(not rev).

Loss Of Ejaculate
Question: I am a 23 yr. old male who has been on about 3 - 6 week cycles of sustanon 250 (testosterone mixtures) with weekly injections of 250 mg. only. Presently I am 238 lbs. at 6'1" and my gains have been great at this dosage but my problem is with my erections. They are as strong as ever and perhaps more frequent but it is harder to ejaculate than ever before. When I eventually do climax, my ejaculate is much less than before I used steroids. I went to a urologist, without telling him about my steroid use, and he told me that my prostate was enlarged. What does this mean? I thought that such a small dose would not be that bad. I thought this was the recommended doctor's prescribed amount.

Answer: Different people have different responses to steroids. Testerone clearly will stimulate prostate enlargement. I'm not sure why it should affect your ejaculate in volume or ability to reach orgasm. Steroids can cause severe side effects in some patients and need to be monitored closely when administered. Clearly, the person giving you the steroids has not explained the potential risks and there is no monitoring of potential problems-let the buyer beware.

Estadiol
Question: I am a transsexual and I am currently taking 6 mg Estadiol daily. I would like to start taking an Androgen blocker, but the one my doctor prescribed cost over $200 per month and as I am paying for this "out of pocket" it is prohibitive. He did some research, but nothing was any less expensive, so: Do you know of an Androgen blocker that is in the 50-75 dollar per month range? I also would appreciate any other info you might have in this area or perhaps a web site that might help (I've spent many hours and days stumbling through the web).

Answer: Unfortunately, all expensive and few alternatives. Castration might be an option to reduce long term costs. There really aren't many effective testerone blockers-we usually use them in prostate cancer and all are expensive.

Ejaculatory Pain
Question: My husband and I have a real stumper. We've seen our regular GP and a respected Urologist with no success. During ejaculation my husband gets a vertical sharp pain under his left arm. The site would suggest heart problems, but there was no "glitch" on a heart monitor worn during ejaculation. My husband is 47 with no history of heart disease. He has prostatis and frequent urinary infections. Can you help?

Answer: Does this occur with any ejaculation or just with intercourse? Also, how long has it been present. How long does it last? During ejaculation there is a major sympathetic neuro outpouring. I suspect this is the answer; but, would appreciate any input on the above questions.

Breast Discharge
Question: My girlfriend had a white milky liquid come out of here nipple during sex, what is this stuff?, what does it mean?

Answer: This is called galactorrhea and is the usual "milk" formed by the breast. Does she have it at other times? There are several conditions which produce these, estrogen(birth control pills), excessive prolactin secretion, anti-depressants, depression itself-etc. I would bring it to her physician's attention; but, it may not turn out to be anything of consequence.

Broken Condom
Question: My girlfriend and I were making love the other night and my condom broke. What are the chances of her getting pregnant?

Answer: Depends on the timing of her period and her natural fertility. Mathematically about 5% per intercourse. The next time this happens douse with a spermacidal solution. Also, taking 4-5 birth control pills at once will usually block fertility(but, she will be a little nauseous). Many couple use a spermicidal vaginal insert along with the condom to prevent this problem. Lastly, when you put the condom on, it should be slightly floppy at the top-not tight to your penis. This will reduce the risk of further breaks.

Venereal Warts
Question: Are there any over the counter medications sold that will eliminate venereal warts? What is available over the counter that will relieve the discomfort of venereal warts?

Answer: These are difficult enough to eradicate with prescription medications-I'm not aware of any that will work and will not damage the sensitive tissues where these warts occur.

Loss of Erection
Question: I am a 43 yr. old male and have suddenly have suffered with the lack of the rock hard erection I had a yr. ago. Since this time I have also been diagnosed with mild low risk diabetes and take medications (Zestril 5mgx1 and glyburide2.5mgx2 each day). I do have mild numbness in my toes and finger tips, but no numbness in my penis. I have a large desire or sex drive, and my wife says I satisfy in every way but intercourse. If she masterbates my penis it feels fantastic and I eventually will get semi hard and even orgasm. However my wife and myself as well are very frustrated and I am afraid this may become a fatal issue in our marriage. I guess the Zestril is for high blood pressure and the glyburide is for the blood sugar which I have been taking for 6 months, and my doctor says he feels all of this is very mild or low risk. I have not spoken to the doctor about this condition but will soon. I am responding to you as it seems you are the specialists in this area of concern or treatment. My wife sees ads for male sexual disorders and thinks I should inquire ,but I told her that I have heard stories of rip-offs and things such operable procedures gone foul etc. I have promised her my next visit w/ my Doc it will be addressed. I do not feel this is a psychological problem as my wife first thought ( tired of marriage or sexual sat w/ her) as I have a great desire for her and I now have to find other ways to please her. But it is very frustrating/embarrassing to know a year ago this thing was rock hard and now is limp? I have read of a drug or herb called muira puama that has claims to work? Do you have suggestions or advice, I sure could use it!!!

Answer: The current most common cause of erectile dysfunction are medications. First, stop the Zestril for 2-3 days(watch your blood pressure) and see if the erections return. Zestril is a blood pressure medication; but, is also used in Diabetics to reduce long term renal failure, so it is difficult to know why you are on it. If the erections return, bring it up with your physician and work on another blood pressure pill(unless it is not being used for hypertension). Secondly, if the erections show no sign of return you will need several hormones checked. These are prolactin, TSH, testerone. Imbalance in any of these can cause erectile dysfunction and is easily correctable. Also, diabetics tend to have other hormone imbalances commonly-so check these. Finally, will be the mechanical solutions. Diabetes Mellitus commonly will affect erections; but, usually only if the diabetes is present for in excess of 5-8 years. Smoking will accelerate this problem, if you are smoking it is important that you stop.

Lower Stomach Pain
Question: I have been having a pain in my lower stomach every time I have sexual intercourse. I only have the pain when the penis hits a certain spot. I don’t know if maybe I have a cyst or if its going to deep and hitting something it should not be.The pain feels like someone is punching or pulling on the inside of my stomach. I have had the pain for a couple of months now and it is starting to scare me. If you could please tell me what you think I would greatly appreciate it.

Answer: Several possibilities, all of which will need a pelvic exam and /or an ultrasound. You are probably accurate about the cyst, other possibilities include low grade infection of the tubes.

Loss of Sex Drive
Question: I just turned 40, am married to a 33yr old MAN. and have a four yr old girl. I am suffering from a complete loss of sex drive I am taking trazadone for sleep and depression, which is not helping much anymore.I have been on it for about 3 and a half years now. I just had an angigram done on my heart because of chest pains, but everything was OK. The doctor put me on Lorazepam 0.5mg two times a day. When I take this I feel more confused and depressed. My question is there anything I can take for the loss of sex drive with these meds? Hurry my husband said soon he will go elsewhere.

Answer: Antidepressants that don't affect the sex drive tend to be Serzone and St. John's Wort(although the effectiveness of this herb is still being researched. Wellbutrin also may have less effect than the SRI antidepressants.

Inhibition
Question: I am unable to let loose during sex with my husband. I would like to know why I am this way or what I can do to change?

Answer: This will require some ongoing counseling. Usually, this problem is rooted in attitudes and issues from childhood. Often, there is a history of sexual abuse(which may not be remembered). Other possibilities are approaches or attitudes by your husband which trigger emotional memories of your father. I would contact a psychiatrist who specializes in sexual dysfunction. This may take some time and money, but, will be the best investment of your life.



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