Monthly Archives: December 2021

Oral Sex and STIs

Oral Sex and STIs : I Wanna Know

Can someone be infected with a sexually transmitted infection (STI) from oral sex?

Yes. Many STIs, including chlamydia, gonorrhea and syphilis, can be spread through oral sex. However, the chances of giving or getting STIs during oral sex can be lowered by using a condom or dental dam.

What is oral sex?

By definition, oral sex is when someone puts his or her lips, mouth or tongue on a man’s penis, a woman’s genitals (including the clitoris, vulva, and vaginal opening), or the anus of another person. There are different terms used to describe types of oral sex:

  • Fellatio is the technical term used to describe oral contact with the penis.
  • Cunnilingus describes oral contact with the clitoris, vulva or vaginal opening.
  • Anilingus (sometimes called “rimming”) refers to oral contact with the anus.

Oral sex is common among sexually active adults. According to a national survey conducted from June 2006 through December 2008, over 80% of sexually active youth and adults ages 15-44 years reported having had oral sex at least once with a partner of the opposite sex. The same survey found that 45% or more of teenage girls and boys (ages 15-19 years) report having had oral sex with a partner of the opposite sex.

As with other types of sexual activity, oral sex carries the risk of STIs. It may be possible to get some STIs in the mouth or throat from giving oral sex to a partner with a genital or anal/rectal infection, particularly from giving fellatio. It also may be possible to get certain STIs on the penis, and possibly the vagina, anus or rectum, from receiving oral sex from a partner with a mouth or throat infection. It’s possible to have an STI in more than one area, for example in the throat and the genitals.

STIs Transmitted Through Oral Sex

Chlamydia

Site of initial infection:

  • Throat
  • Genital Area
  • Urinary Tract
  • Rectum

Symptoms: Often there are no symptoms. If there are symptoms, they might include a sore throat, abnormal discharge from the vagina, penis, or rectum, and/or a burning feeling when urinating.

Treatment: Easily cured with antibiotic medicines.

Gonorrhea

Site of initial infection:

  • Throat
  • Genital Area
  • Urinary Tract
  • Rectum

Symptoms: Often there are no symptoms. If there are symptoms, they might include a sore throat, abnormal discharge from the vagina, penis, or rectum, and/or a burning feeling when urinating.

Treatment: Can be cured with antibiotic medicines, but drug-resistant strains of gonorrhea are increasing in many parts of the world.

Syphilis

Site of initial infection:

  • Mouth
  • Lips
  • Throat
  • Genital Area
  • Anus
  • Rectum

Symptoms: Often there are no symptoms. In the first or primary stage of infection, may have a single sore or multiple sores on mouth, throat, genitals, or anus. In the second stage, may have a skin rash (often on the palms of the hands and the soles of the feet, but also on other body parts). The symptoms of syphilis will disappear with or without treatment, but without treatment the infection remains in the body and may cause organ damage.

Treatment: Curable with antibiotic medicines.

Herpes (types 1 and 2)

Site of initial infection:

  • Lips
  • Mouth
  • Throat
  • Genital Area
  • Anus
  • Rectum
  • Buttocks

Symptoms: Often no noticeable symptoms. At times, blisters or sores are present on the mouth, lips, throat, genital area, anus, or buttocks.

Treatment: There is no cure for herpes, but medications can shorten and decrease or prevent outbreaks.

Human papilomavirus (HPV)

Site of initial infection:

  • Mouth
  • Throat
  • Genital Area
  • Anus
  • Rectum

Symptoms: Often there are no symptoms, although some types of HPV can cause genital warts—small bumps in and around the genitals and anus, or in the mouth or throat. Others types of HPV can develop into cancer of the mouth, throat, cervix, or rectum.

Treatment: There is no cure for HPV infection, but 90% of persons clear the infection within 2 years. Genital warts can be removed through different methods, including freezing. Appropriate follow-up and treatment for genital and rectal HPV infections (detected by abnormal Pap smear and/or HPV test results) is essential for cancer prevention and detection.

Human immunodeficiency virus (HIV)

Site of initial infection:

  • Mouth
  • Genital Area
  • Anus
  • Rectum

Symptoms: Often there are no initial symptoms; however, after first being infected some people experience flu-like symptoms. HIV damages the body by destroying specific blood cells that help the body fight disease. HIV infection can lead to acquired immune deficiency syndrome (AIDS).

Treatment: There is no cure for HIV or AIDS, although anti-HIV medications can slow the progression of HIV infection and can help keep an HIV infected person healthy.

Note: Certain things have been suggested to increase a person’s chances of getting HIV during oral sex, if exposed to an infected partner, such as having poor oral health, having bleeding gums or gum disease, having sores in the mouth or on the genitals, or being exposed to the “pre-cum” or “cum” (also known as pre-ejaculate or ejaculate) of an infected partner. However, no scientific studies have been done to show whether or not these factors actually do increase the risk of getting HIV or STI from oral sex.

How can I reduce my risk?

The chances of giving or getting STIs during oral sex can be lowered by using a condom, dental dam or other barrier method each and every time a person has oral sex:

For fellatio (mouth-to-penis contact):

  • Cover the penis with a non-lubricated latex condom.
  • Use plastic (polyurethane) condoms, if a partner is allergic to latex.

For cunnilingus (mouth-to-vagina contact) and anilingus (mouth to anus contact):

  • Use a dental dam, or
  • Cut open a condom to make a square, and put it between the mouth and the partner’s vagina or anus.

The surest way to not get a sexually transmitted infection from oral sex is to abstain from vaginal, anal, and oral sex or to be in a long-term mutually monogamous relationship with a partner who has been tested and is known to be uninfected. However, many infected persons may be unaware of their infection because STIs often have no symptoms and are unrecognized.

Sexually active individuals should get tested regularly for STIs and HIV, and talk to all partner(s) about STIs. Anyone who thinks that he/she might have an STI should stop having sex and visit a doctor or clinic to get tested. There are free and low-cost options for testing available. It is important to talk openly with a sexologist in Delhi about any activities that might put a person at risk for an STI, including oral sex.

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what is erection

What is erection: myths and facts about this phenomenon!

There are many rumours and myths about male erection. Increasingly, men are asking themselves how to ensure a lasting and firm erection. Therefore, they are led to look for shorter shortcuts, both to increase erectile function and to increase the size of the penis.

What is erection?

Before we start debating anything, it is necessary to define what an erection is:

Erection is a physiological phenomenon, in which the male reproductive system (the penis) hardens due to the high blood supply to the vessels that compose it.

The main purpose of erection is to allow a man and a woman to be able to reproduce. But in order to achieve this state, many factors of different origins must be present.

What is an erect penis?

We must remember that the human penis has no bones, like those of some animals. In humans, the organs responsible for erection are actually two spongy areas called corpora cavernosa. The cavernous bodies are, as their name implies, composed of tiny caves.

When the person feels sexually stimulated, these areas fill with blood. In addition, as the penis is covered by a layer that does not stretch, it has no choice but to gain volume while straightening, as the corpora cavernosa are filled with blood.

However, it is necessary to remember that, for an erection to occur, there must be arousal and sexual stimuli. And it is in accordance with this desire that the brain orders the penis to be erect.

In a healthy man, an erect penis can support up to 8 times normal blood flow. However, a small problem in the complex erection system can already cause erectile dysfunction.

Erection is achieved through an eight-step process:

  1. First, sexual arousal is triggered.
  2. The brain transmits this signal to the body, through the spinal cord and nerves.
  3. The blood vessels then release nitric oxide.
  4. Nitric oxide relaxes the arteries of the penis.
  1. And the blood flow in the penis grows.
  2. The veins of the penis constrict, trapping blood in the limb.
  3. Erectile tissue fills with blood, swells and hardens.
  4. Finally, the penis is erect.

Why is the penis erect?

There are several reasons why the male sex organ reaches erection. These different causes are usually called stimulants and vary according to orders and types. We can define them as follows:

  • Physical stimuli, for example: touching, contact with the penis, caresses.
  • Provocations of a psychological nature, such as: desire for the partner, sexual imagination and many others.
  • There is also the order of the sensory, for example: looking at an attractive body, smelling a perfume, etc.

However, it is still important to note that a man’s penis can be erect even without any stimulation. That is, what happens, for example, during the night, when a person is sleeping. Usually called nocturnal erections, they can occur 3 to 6 times a night. Likewise, there are morning erections, which occur very early in the morning.

This means that, at any time of the day or night, the penis can become hard. And in many situations, rigidity can be either voluntary or involuntary.

Is erection synonymous with desire?

As stated earlier, in most cases, the man must be stimulated in some way to make the penis hard. It takes stimulation for the process to start in the brain.

However, there are situations in which the penis hardens without the man feeling any form of desire. This is the case, for example, with priapism: a problem caused by different diseases or neurological disorders. Thus, priapism is an erection that lasts more than 4 hours and is often accompanied by pain.

On the other hand, involuntary erections are perfectly normal in teenagers and adults. In addition, an erection, although in most cases caused by a stimulus, does not necessarily require a sexual desire. Many men, as we said earlier, have erection without arousal – night or morning.

Night / morning erection is one of the three main types of erections possible. Also called reflex erection, its particularity is to appear very early in the morning. In fact, extensive studies have been carried out to understand its origin, what are its causes and how it works:

Morning erection and REM sleep

Men have night-time erections while sleeping: when they go into deep sleep (REM), an erection begins, lasting a period of 20 to 25 minutes.

On average, a person has five erections per night, and, in total, men spend 25% of the night with an erect penis. Therefore, the morning erection is basically the last one of the nights. Furthermore, contrary to what many believe, morning erection has nothing to do with the urge to urinate: this is a myth.

Morning erection is healthy for the body

Not only is he normal, but he is also healthy too: his body is calibrated to wake up with an erection every morning. In fact, the absence of regular morning erections can signal some hidden problem. It can be a sign, for example, of something more serious with your heart, blood circulation, hormone levels or your sleeping habits.

In general, the absence of night or morning erections is an important indicator for other health problems, precisely because they are involuntary and not psychological or related to arousal.

If your morning erection stops occurring regularly, talk to a sexologist in Delhi.

The two main theories about why men have night-time erections concern hormone levels and increased blood flow:

  • Noradrenaline production drops during sleep (this is the chemical element responsible for the control of testosterone, which makes erection possible).
  • Nitric oxide increases during REM sleep (this is the chemical element that relaxes the arteries of the penis and increases blood flow enough to cause an erection).

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sex in the time of covid 19

Sex in the Time of COVID-19

With mandatory mask-wearing and physical distancing of at least six feet becoming the norm around the nation, the question remains—is sex safe?

In short—it can be, but sexologists in Delhi say any type of in-person sexual activity does carry some risk. But there are ways to have intimate contact and remain connected.

How is it transmitted?

Let’s start with what we know. COVID-19 is a respiratory disease, so direct contact with saliva—through kissing, for example—can easily pass the virus. While COVID-19 has not yet been found in vaginal fluid, it has been found in the feces of people who are infected. So this means that rimming (oral/anal contact) and anal sex may spread COVID-19 as well. Remember that condoms and dental dams reduce contact with saliva and feces during anal and oral sex or oral/anal contact.

A recent study has also found the coronavirus in semen, both in men who had active infections and those who had recovered, but it isn’t clear at this point if it can be sexually transmitted through semen.

What’s the risk?

So where does that leave us? With different levels of risk. Given we currently know about COVID-19 and how it’s transmitted, the safest sexual activity is solo or remote. Solo sex (a.k.a. masturbation) can be both satisfying and safe—just remember to wash your hands! And technology makes different types of remote options, like video chats, sexting, available too.

The next safest option is sex with someone you already live with, provided that person is also taking steps to reduce their potential exposure to COVID-19 (like social distancing, hand washing, wearing a mask in public spaces).

Here are a few basic tips on how to enjoy sex and to avoid spreading COVID-19:

  • You are your safest sex partner. Masturbation will not spread COVID-19, especially if you wash your hands (and any sex toys) with soap and water for at least 20 seconds before and after sex.
  • The next safest partner is someone you live with. Having close contact—including sex—with only a small circle of people helps prevent spreading COVID-19. All partners should be consenting.
  • You should limit close contact—including sex—with anyone outside your household. If you do have sex with others, have as few partners as possible and pick partners you trust. Talk about COVID-19 risk like you would other safer sex topics (e.g. PrEP, condoms). So ask: do they have symptoms or have they had symptoms in the last 14 days? Have they been diagnosed with COVID-19? People are considered likely no longer infectious if at least 10 days have passed since the day their symptoms started and if they have not had fever for at least three days.
  • If you usually meet your sex partners online or make a living by having sex, consider taking a break from in-person dates. Video dates, sexting or chat rooms may be options for you.

For couples from whom pregnancy is a concern, don’t forget contraception as well. Once again, condoms (both internal and external) can fill that role, and telemedicine options are available as well, if you can’t venture out to a clinic or pharmacy.

Relationships Under Lockdown

Some of you may be thinking, “Sex?! Are you kidding? My partner is driving me crazy!” You’re not alone. Even couples with healthy, strong relationships may find themselves under strain during this time—struggling with being confined 24/7 under stay-at-home orders. Others may be pressed because of distance, forced to live apart due to health concerns or quarantine.

If you’re feeling stress, there are resources to help. You can get tips on how to respect and help one another and disagree fairly. If you need more support, you can find a counselor who can offer phone or online support.

A Note of Caution for Parents

With schools canceled across the country, many kids are spending more time online, possibly with less supervision than usual as parents are struggling to work remotely while caring for children. For this reason, law enforcement has warned that kids are particularly vulnerable to online predators at this time. Some reports suggest an increase in digital activity among sexual predators who target children.

So what can parents do? Talk to your kids about the risks and help them learn how to identify “red flag behavior” in people they may meet online, like asking for personal information or encouraging secrecy. Be an askable parent willing to talk to your kids without judgement or shame.

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What is Impotence

What is Impotence

What is impotence? Explain its treatment as well?

The impotence of not being able to cohabit correctly even after sufficient stress or insufficient tension in the private part can be called impotence. Nowadays it is called erectile dysfunction (lack of right tension) rather than impotence or impotency.

There are four stages in a man’s sex cycle. Libido, adequate tension in the sense, penetration into the female genitalia and extremities. Lack of libido can sometimes result in disturbance of the nervous system, sometimes arousal may decrease. After 65-70 years of age, this problem also arises due to a lack of male hormones. A man gets enough excitement in one state, such as in the morning, while urinating, or during masturbation, but if he does not get excited in another state then this problem will be considered as mental, not physical. This problem is often found, especially in patients with diabetes.

Sugar is a major cause of impotence. In the sex cycle of diabetic patients, libido and peak/ejaculation state remain normal, but private part stress often decreases. Such patients should be under sugar control so that the problem does not escalate. If the decrease in stress persists even after the sugar is under control, then indigenous Viagra may prove to be effective in such a situation. This tablet is available in a quantity of 25, 50, or 100 mg, which should be taken one hour before coitus. This pill proves to be more effective on an empty stomach. This tablet should be taken at least once in twenty-four hours. Many times physical impotence, as well as mental impotence, are also associated. This pill works in both states.

Impotence never comes due to a lack of sperm. Even in case of impotence, it is useless to get sperm tested. The physical causes of impotence are many, such as disturbances in the nerves, lack of male hormones, or fear of failure in the brain once failed. Here, it is important for patients to understand that failure is common. It does not mean the end. For example, if a cricketer hits a double century in the first innings and gets out on zero in the second innings, it does not mean that he can never hit a century later. Such patients can get rid of the problem by increasing their confidence and consultation with a sexologist in Delhi.