Sexual Health News

[Big Sexy]

Sex anxiety: How can you overcome it?
https://www.medicalnewstoday.com/articles/321304.php

Whether you're a woman or a man, you might have experienced sexual anxiety over the years. Feeling anxious sometimes about our prowess between the sheets is normal, but when it happens repeatedly, this can affect our quality of life. So, what can you do to dispel the doubts and lead a healthy sex life?

Sexual anxiety — or sexual performance anxiety — is something that affects men and women of all ages, regardless of how much experience they have with intercourse.

For some, this type of anxiety is short-lived and may appear briefly in the wake of a new sexual encounter.

Other people, however, might find it difficult to enjoy a wholesome sex life because of it, and they may experience this type of anxiety with more regularity.

But how does sexual anxiety manifest? Well, according to sex therapist Claudia Six, it has different expressions among men and women, though in most instances, it is related to the fear that some aspect of their presence between the sheets may be disappointing for their partner.

"In women, sexual performance anxiety can show up as difficulty getting interested in sex, difficulty getting aroused, or difficulty with orgasm. In men, we know what it looks like — difficulty getting an erection, keeping an erection, or coming too soon. I put all that under the umbrella term of 'sexual performance anxiety.'"
- Claudia Six

And why do we feel sexual performance anxiety? Here, the matters get a little more complex, but to simplify: we tend to become insecure about how well we do in bed or what we may look like to our partners, or we may simply be daunted by the idea of becoming so intimate with someone.

In some cases, sexual performance anxiety stems from a past traumatic experience — perhaps related to sexual violence. If that is your situation, please do not hesitate to seek out specialist advice. If you are based in the United States, your first port of call should be the Rape, Abuse, and Incest National Network hotlines.

But, in most cases — as sex educator Amy Jo Goddard explains — this response is conditioned by the way in which we were brought up to think about certain aspects of sex and our own bodies, and by social expectations that impact our relationship with our own sexuality.

Below, we give you some tips about how to tackle these moments of uncertainty and worry both before and during sexual encounters, so you can enjoy a happier, healthier sex life.

Own your body

Body image is often an important factor in achieving a healthy sex life. If we feel insecure about the way that our body looks, we may worry about whether or not our partner finds us attractive. This, needless to say, is not at all conducive to enjoyment.

Studies have noted that a significant number of men and women have body image issues, which might lead to all manner of anxieties when the time comes to slip between the sheets with that special person.

For instance, a study published in the Journal of Sex Research found that about a third of college women feel unhappy with how their body looks, and that this self-consciousness was detrimental to enjoying their time in bed with a partner.

Other research — that studied young men enrolled in the military — found that more than a third of the participants had a poor image of their own genitalia, which often led to erectile dysfunction.

So, what can be done if you're worried that your body isn't "supermodel quality," whatever that may mean? According to sex educator and researcher Emily Nagoski, you should take steps to get comfortable in your skin by actively acknowledging everything you like about your body — repeatedly.

She advises doing the following exercise. "You stand in front of a mirror, as close to naked as you can tolerate. You're going to look at what you see there, and you're going to write down everything you see that you like."

"And then do it again tomorrow, and then do it again the next day, and the next day." The key, says Nagoski, is in repetition, so that you can begin to get comfortable with your body and love it for its unique beauty.

Learn more about (your kind of) sex

Another obstacle that may be contributing to your sexual performance anxiety — although you may not like to hear this — is simply a lack of appropriate sex education.

This doesn't necessarily mean that you don't yet know which bits go where, but perhaps that you haven't been fully prepared for the realities of a sexual encounter. The reality is that everyone functions differently and has different needs.

Maybe you're not sure about the techniques of achieving — or giving — pleasure. Or, perhaps you've heard myths about pregnancy, or how your body is "supposed" to react during sex.

Or, you may even be worried that your wants and needs aren't "normal."

If you have any worries at all about sex, it may be worth speaking to a healthcare professional to get reassurance, reading a book (or two) exploring this topic, or joining workshops led by sex educators.

As Goddard explains, "[A]dults need sex education, too. If we didn't learn it somewhere, then how can we have the fulfilling sexual lives that we really want to have?"

"Stop telling yourself how broken and unfixable you are, because you're not. You just didn't get the education that you need, you just didn't get the resources that you need."- Amy Jo Goddard

On that note, you may also find it helpful to self-educate simply by exploring your own body and what gives you pleasure. Take the time to learn what turns you on and how you like things done.

Despite the fact that masturbation is — unfortunately — still typically portrayed as a shameful or even dangerous act, research points to the contrary, explaining that it can actually improve our relationship with our bodies and with our sexuality.

Express what you enjoy

Once you know what you enjoy, it's very important to learn to voice your needs when in bed with an intimate partner, and to explain what's going through your head.

If you trust this person enough to want to get it on with them, why not tell them if something isn't working?

You could also encourage them to do more of something that is.

Open communication may just be the best way forward if you are worried about taking a long time to orgasm, being unable to stay aroused, or being afraid that you won't even become aroused in the first place.

A study published last year in the Journal of Marital and Family Therapy worked with 142 committed couples and found that intimate partners who freely communicate their sexual needs and desires have a more healthy and fulfilling sex life.

In their paper, the authors explain that "women who communicated about sex more reached orgasm more often," and that speaking openly about sexual needs in a couple was linked to better relationship and sexual satisfaction among both men and women.

Six urges anyone who is experiencing sexual anxiety to reflect and embrace the awareness that they are "not a disappointment," and that "there is room for [their] needs." She also explains that everyone needs to "find [their] voice" in order to "have a good time in bed."

"So how do we set ourselves up for success?" Six asks. "Gentlemen, please let go of 'performing.' 'Performing' is 'entertaining an audience.' And ladies, know your bodies and what brings you pleasure."

To dispel any unwanted tension in the wake of a sexual encounter, she advises people to "[o]pen [their] mouth, say what's happening in the moment, it takes the charge out of it."

And remember: whoever you're getting into bed with really wants to be there, with you, and that they are looking forward to the time you're about to spend together.

So, take advantage of this moment of connection to acknowledge that your partner welcomes your presence and your sexual needs, and that they want you both to be comfortable and at ease with each other.

[Big Sexy]

Why are there white bumps on my penis?
https://www.medicalnewstoday.com/articles/321281.php

Whiteheads and other small, white bumps on the penis are common and usually harmless.
White bumps on the penis may be pimples caused by acne, pearly penile papules, or bumps called Fordyce spots. However, white spots can also be caused by some sexually transmitted diseases (STDs) and may require treatment.

This article will look at some possible causes and treatments of whiteheads and other bumps on the penis.

Can you get whiteheads on your penis?

Whiteheads are a common form of acne. They are more common in areas of skin with lots of pores, such as the face, chest, and back, but can also occur on the penis. They are more common on the base or the shaft of the penis.

Whiteheads develop when a pore becomes clogged with the skin's natural oil, called sebum, along with sweat, dead skin, or other debris. When bacteria get into the pore, they can cause inflammation and small, fleshy-white rounded bumps.

These spots are harmless. They usually go away on their own and should not cause any significant discomfort.

Other bumps on the penis

Whiteheads on the penis are easily misidentified, and bumps on or around the penis may be something different. In some cases, they could be a sign of an underlying health condition that requires treatment.

Alongside whiteheads, potential causes for bumps on the penis include:

Pearly penile papules

Pearly penile papules are small, fleshy bumps that usually develop in rows around the head of the penis. It is not clear what causes them, but they have no other symptoms and do not pose a health risk.

These bumps usually develop after puberty and may occur in between 14 and 48 percent of males.

Fordyce spots

Fordyce spots are small, yellow-white bumps that develop on various parts of the body. They are common on the lips or inside the cheek, but may also form around the head or shaft of the penis.

Fordyce spots are oil glands that do not have hair follicles, as most other oil glands do. They may be mistaken for a symptom of a STD, but they are harmless and usually do not have any symptoms.

Tyson glands

Tyson glands are small sebaceous glands that can form on either side of the frenulum, which is the elastic tissue that connects the foreskin to the head of the penis. These are also completely normal.

Ingrown hairs

Ingrown hairs can develop in any area where hair grows, including the pubic area. They occur when a hair grows back into its follicle, causing itchy, red bumps to develop. They can be painful or uncomfortable but are not serious.

Most ingrown hairs will go away on their own, but sometimes they can become infected. A person can remove the hair from its follicle using a sterilized pin or tweezers before applying an antibacterial cream.

Skin tags

Skin tags are small, soft skin growths. These are more common in middle-aged males and are not a cause for concern.

Molluscum contagiosum

Molluscum contagiosum is a contagious skin infection that causes clusters of small, firm bumps to develop on the skin. These lumps have a small dimple in the middle, and so they can be identified from other conditions.

They can occur on or around the penis and can sometimes be itchy. This condition often clears up on its own, but in some cases, it may require treatment using creams or gels.

Lichen planus

Lichen planus is a rash of purple-red bumps that can develop anywhere on the body, including the penis. The rash can be itchy and uncomfortable but does not always cause any symptoms. This condition may require treatment with a short course of steroid cream.

Bumps caused by STDs

Some spots or bumps that develop on the penis are caused by a STD and will require treatment. These include:

Genital warts

Genital warts are a caused by a STD and may develop after a person has come into contact with the human papillomavirus (HPV).

Genital warts appear as small, flesh-white bumps that grow on the shaft or head or the penis, or under the foreskin. Genital warts can disappear without treatment, but some cases require medication.

Treatment for genital warts may involve using a cream to destroy the wart tissue, undergoing cryotherapy to freeze the wart off, or a combination of both.

Syphilis

Syphilis can cause white or red ulcers to develop on or around the penis. Syphilis is a STD caused by coming into contact with the bacterium Treponema pallidum.

This bacterial infection requires treatment, which is often a single shot or a short course of antibiotics. If left untreated, it can pose a significant health risk.

Genital herpes

Genital herpes can cause grey-white sores to form on or around the penis. They are a STD that is caused by coming into contact with the herpes simplex virus (HSV).

These sores can be itchy and uncomfortable and may spread to other areas of the body. They are treated using antiviral medication, but the virus cannot be cured.

Treatments and home remedies

Whiteheads caused by acne do not usually cause other symptoms or pose a health risk, and so medical treatments are not required.

A person can treat or prevent whiteheads on the penis using the following methods:

avoid touching the area to stop whiteheads from spreading
wash the area regularly to stop bacteria and oil from building up
avoid picking or popping whiteheads, as this can cause irritation and scarring
use over-the-counter (OTC) medication that reduce bacteria and excess oil
Some OTC acne medications contain chemicals such as benzoyl peroxide, salicylic acid, or exfoliants. The skin of the penis is very sensitive, so anyone who notices irritation should stop using the treatment.

Home remedies that could help reduce the spread of whiteheads include:

Tea tree oil. Tea tree oil has anti-inflammatory and antimicrobial properties, which can help to reduce whiteheads.
Witch hazel. Witch hazel is a plant extract that is an ingredient in many OTC acne medications. It may act as a cleanser to clean out pores and reduce whiteheads.
Some home remedies, such as apple cider vinegar and lemon juice, are too acidic for sensitive skin and people should not use them on the penis.

When to see a doctor

If a person has bumps on their penis that get worse or do not go away by themselves, they should consult a doctor, as the bumps could be a sign of a more serious condition. This is particularly important when the person is sexually active.

If the bumps are itchy, painful, or occur with other symptoms, a person should seek medical attention as soon as possible. Until a doctor can confirm the cause of the bumps, a person should avoid sexual activity to reduce the chances of spreading an infection.

[Big Sexy]

Why does urine smell like ammonia while pregnant?
https://www.medicalnewstoday.com/articles/321340.php

n most cases, an unusual ammonia-like vaginal smell during pregnancy is caused by changes in urine. This can be due to lifestyle factors, such as dietary preferences, dehydration, and supplement use.
What a person eats and drinks during pregnancy can affect the smell of their urine. Sometimes, after using the restroom, small amounts of urine can remain on the outside of the vagina, causing it to take on the smell of urine.

Some infections, such as urinary tract infections (UTIs) and sexually transmitted infections (STIs), can also cause the vagina to smell odd or unpleasant.

Causes
There are several reasons why the vagina may smell like ammonia, including:

1. Increased nasal sensitivity

Some pregnant women are more sensitive to certain smells, even in trace amounts.

This heightened sense of smell is called hyperosmia.

Ammonia is found naturally in the urine but does not usually give off a strong smell.

However, a pregnant woman may become more aware of a faint smell of ammonia that she did not previously notice.

Some researchers think women's nasal sensitivity increases during pregnancy to trigger nausea and vomiting, helping the mother to avoid digesting toxins that may harm the fetus, especially during the first few months of pregnancy.

Some limited research suggests that hyperosmia may be related to changes in circulating levels of the hormone human chorionic gonadotropin (hCG) during pregnancy.

2. Dietary changes

During pregnancy, many women experience cravings for foods they would not usually eat. Sudden dietary changes can cause the urine to smell different.

Certain foods contain nutrients and vitamins that may cause urine to smell like ammonia. These foods include:

asparagus
Brussels sprouts
garlic
onions

3. Vitamins and supplements

Many vitamins and supplements, especially those containing types of vitamin B, often cause changes in urine color and smell.

Pregnant women should always consult a doctor before taking new vitamins or supplements.

It is often best to increase the daily intake of foods rich in nutrients such as calcium, iron, and folic acid. Avoiding having to take unnecessary supplements can help reduce the risk of side effects and overdose.

4. Dehydration

When the body is dehydrated, the kidneys have less fluid available to dilute the urine, resulting in concentrated, stronger-smelling urine.

Many pregnant women experience some dehydration, especially before they know they are pregnant.

If a person does not drink plenty of water, the body will be unable to produce as much urine as usual. Urine will likely be darker than usual and might be bubbly.

5. Urinary tract infections

Around 8 percent of pregnant women develop urinary tract infections (UTIs), which can cause an ammonia smell.

Most UTIs are caused by bacterial infections, usually by a species of bacteria called Escherichia coli or E. coli.

Aside from the effects on odor, UTIs also cause:

painful or burning urination
sudden, intense urge to urinate
dark or cloudy urine
pelvic or lower abdominal pain
It is essential for pregnant women to talk with a doctor if they suspect they have a UTI because an infection can affect the growing baby.

Prevention

The best way to stop the vagina from smelling like ammonia during pregnancy depends on the cause of the condition.

However, following some lifestyle tips may help reduce the likelihood, severity, and duration of the smell.

Easy ways to help prevent the vagina from smelling like ammonia include:

Practicing good hygiene

Practicing good hygiene can help reduce the likelihood of developing infections and an ammonia-like smell. Tips for good hygiene include:

Changing and washing clothing and bedding regularly. Clean clothing is also less likely to contain trace amounts of urine, which may be more noticeable to pregnant women.
Wiping from front to back. Make sure to always wipe from the vagina toward the anus to reduce the spread of rectal bacteria and chance of infection.
Washing the genitals with plain soap and lukewarm water. Make sure the vagina is clean, but avoid exposing sensitive vaginal tissues to irritants found in scented body wash, vaginal deodorants, antiseptic products, and spermicidal products.
Avoiding douches and diaphragms. Douching and the use of diaphragms can irritate vaginal tissues and allow external bacteria to enter the urinary tract, spreading infection.

Staying hydrated

One of the easiest ways to stop the vagina from smelling like ammonia is to ensure that the body has enough fluid available to dilute the urine properly.

Drinking cranberry juice or apple cider vinegar

Many people believe that cranberry juice and apple cider vinegar can help acidify urine, which may help reduce its smell.

While cranberry juice has long been used as a home remedy for UTIs, there is no conclusive evidence that it is effective.

Urinating more often

The longer urine sits in the bladder, the more concentrated with uric acid it becomes. Holding in urine also gives bacteria time to multiply.

Urinating more often or before the urge to urinate occurs might help reduce the concentration and smell.

Eating probiotics

Probiotics are healthy intestinal bacteria. Eating foods rich in probiotics or probiotic supplements may help reduce the risk of bacterial UTIs.

Some research shows that probiotics found in fermented milk products, such as yogurt or kefir, may help prevent urinary infections and promote vaginal health.

Practicing safe sex

Sexual activity without using a condom or having multiple sexual partners increases the risk of developing conditions associated with urine that smells like ammonia. This includes UTIs and some sexually transmitted infections (STIs).

Is it a sign of an STI?

A vagina that smells like ammonia is rarely a sign of a STI.

However, some STIs are known to cause intense or foul-smelling urine, especially chlamydia. It is essential to get tested for STIs, as infections such as chlamydia often occur without symptoms.

Additional signs and symptoms of STIs associated with foul smelling urine include:

lower abdominal pain
vaginal discharge
painful urination
cloudy urine
painful, swollen labia or external genitalia

Treatment

If the vagina has an ammonia smell because of specific lifestyle factors, such as dehydration and dietary preferences, a person can make simple changes to reduce the odor.

Common tips for reducing ammonia-smelling urine include:

staying hydrated

avoiding foods that can cause urine to smell like ammonia, especially asparagus
limiting supplement or multivitamin use, especially those containing B vitamins
practicing safe sex
practicing good hygiene
urinating more frequently
Most UTIs and STIs are easily treatable with antibiotics if caught early enough. However, not all antibiotics are safe for pregnant women to take.

Penicillin and cephalosporin-based antibiotics are considered safe to take during pregnancy, while trimethoprim, fluoroquinolones, and sulphonamides should be avoided.

What is ammonia?

Most ammonia in the body is a by-product of the digestion of protein in the intestines. Millions of microbes, primarily bacteria, inhabit the intestines and help digestion.

After digestion, ammonia is taken up in the blood and drained into the liver where it is broken down into uric acid and glutamine, which are less toxic substances.

Uric acid then travels in the blood to the kidneys where it is diluted with water and expelled from the body in urine.

Ammonia is toxic and high levels of ammonia in the blood can cause symptoms including:

confusion
sleepiness
irritability
disorientation
High levels of ammonia may occur if the liver is unable to convert ammonia into uric acid, usually due to severe hepatitis or cirrhosis.

If left untreated, very high blood levels of ammonia can eventually cause difficulty breathing, seizures, coma, and death.

Outlook

The vagina can smell like ammonia for a variety of reasons, especially during pregnancy.

The condition is typically harmless and associated with factors such as dietary changes and dehydration.

But if the vagina smells like ammonia for longer than a few days, or does not change with lifestyle changes, a woman should talk with her doctor.

Pregnancy is known to increase the likelihood of some conditions associated with unusual smelling urine, such as UTIs and STIs, which require prompt medical treatment.

While very rare, chronic ammonia-smelling urine can be a sign of severe medical conditions, such as kidney or liver failure.

[Big Sexy]

What can cause vaginal swelling?
https://www.medicalnewstoday.com/articles/321333.php

Vaginal swelling can be concerning and uncomfortable, but it rarely indicates severe illness.
People with vaginal swelling often assume that they have a yeast infection, but this is just one of many possibilities. Vaginal swelling can be caused by allergies, sexually transmitted infections (STIs), cysts, or rough intercourse. Treatment will depend on the cause.

Anyone who experiences vaginal swelling should look for signs of infection and consult a doctor for a diagnosis and treatment.

Causes

Here are 14 possible causes of vaginal swelling, along with possible treatment options.

1. Allergy

An allergic reaction may cause the vagina to swell. The vagina is a sensitive part of the body and may react to any number of ingredients found in personal care products such as:

soaps
lubricants
vaginal washes and douches
tampons and pads
vaginal contraceptives
body lotions and creams
latex condoms
Swelling may appear in response to a new product, but a product the body is familiar with can also cause an allergic reaction. If a person suspects that they are allergic to a particular product, it may be a good idea to stop using it and consult a dermatologist.

2. Irritation

Even if an allergy is not present, the body may react adversely when it comes into contact with specific products. Even the most popular and most widely used chemical ingredients may cause vaginal swelling.

Chemical fragrances are often to blame. They can be found in many products that come into contact with the vagina, including:

laundry detergent
perfumes
toilet paper
body washes
bath bombs and soaps
Some types of cloth may also cause vaginal irritation and swelling. Lace or polyester underwear, in particular, may irritate the skin.

Sometimes, the cut of underwear is responsible for the swelling. Thin thongs or G-strings may not cover the labia entirely, which may cause unnecessary friction in the area throughout the day that can lead to swelling.

It is important to identify and avoid irritants. If a person stops using a specific product and the swelling goes down, they may have found the culprit.

Anyone unable to identify the cause of vaginal swelling should visit a doctor or dermatologist.

3. Rough intercourse

Sexual intercourse can cause the vagina to swell. If the vagina is not sufficiently lubricated, added friction may lead to discomfort or pain during sex, and swelling of the vagina after sex.

Rough intercourse can also tear vaginal tissues, putting a person at higher risk of infection.

If a person suspects that rough intercourse has caused vaginal swelling, they may want to spend more time engaging in foreplay or use a lubricant to reduce friction.

An over-the-counter pain reliever or nonsteroidal anti-inflammatory drug (NSAID) may help if the swelling is causing pain.

4. Gartner's duct cysts

A duct that forms in fetuses when the urinary and sexual organs are developing usually disappears after birth. If part of this duct remains, it is known as a Gartner's duct. The remaining tissue may attach to the vaginal wall and develop into a cyst.

Gartner's duct cysts tend to be harmless, but they can become problematic when they grow. A Gartner's duct cyst may become infected or cause pain and swelling in the vagina.

In some cases, the cyst will appear as a growth on the outside of the vagina.

Surgery is often necessary to remove a troublesome Gartner's duct cyst. Once the cyst is gone, symptoms should diminish.

5. Bartholin's cysts

The Bartholin glands are on either side of the vaginal opening. They secrete moisture and help to provide lubrication.

A cyst on one of these glands may go unnoticed until it becomes infected, at which point an abscess may form. Also, the skin around the vagina may become inflamed and painful. In some cases, there may be a burning sensation or bleeding.

If the cyst or abscess is small, it may drain on its own. A warm, shallow bath may help to ease the pain, and over-the-counter medications can reduce pain and swelling.

In more severe cases, a doctor may recommend antibiotics, surgical drainage, or removal of the cyst.

6. Cellulitis

Cellulitis is a bacterial infection of the inner layers of the skin that may cause the skin to become swollen, red, and tender. A person can develop cellulitis when the bacteria enter a cut, such as one sustained when shaving the pubic area.

Cleaning a cut regularly may help to combat infection. In some cases, a doctor will recommend antibiotics.

7. Bacterial vaginosis

An overgrowth of harmful bacteria in the vagina may lead to vaginosis. Symptoms may include swelling and a grayish discharge with a foul smell.

Many cases resolve on their own, but a doctor may recommend antibiotics to speed up recovery.

Cleaning the vaginal area regularly and avoiding potential irritants can help to prevent bacterial vaginosis.

It may also be a good idea to avoid products such as douches, which disrupt the bacterial balance in the vagina.

8. Yeast infection

A yeast infection is caused by an overgrowth of the Candida fungal species. It can cause vaginal swelling, and other symptoms may include:

burning
pain during sex and urination
redness
thick, chunky discharge
irritated skin
Yeast infections are treated with antifungal medications. However, it is a good idea to see a doctor for a diagnosis because other conditions have similar symptoms.

9. STIs and cervicitis

Some of these infections can cause inflammation of the cervix, which is called cervicitis. Symptoms of cervicitis can include pain during intercourse, bleeding between periods, and abnormal discharge.

Below are some STIs that can cause vaginal swelling.

Chlamydia: This can seriously damage a woman's reproductive system and may also lead to painful urination and unusual discharge.
Gonorrhea: Symptoms in women are often mild and are easily confused with those of an infection in the urinary tract or bladder. Other symptoms include bleeding between periods and increased discharge.
Trichomoniasis: This is caused by a parasite and may have no symptoms. When they appear, symptoms can include itching, soreness, pain while urinating, and changes in discharge.
Anyone who suspects that they have an STI should see a doctor.

10. Genital herpes

The herpes simplex virus often causes clusters of tiny, painful blisters to appear near the vagina. These can burst and become painful sores.

While some people notice no symptoms, others find that swelling, pain, and body aches accompany these sores.

There is currently no cure for genital herpes, but prescription medication may shorten or prevent outbreaks.

11. Edema

The term edema describes a collection of water or fluid in the body. Edema in the vagina is usually caused by lymph nodes or veins failing to drain.

Conditions that enlarge the uterus or put pressure on the veins in the pelvis, such as uterine fibroids or pregnancy, can cause edema to form.

A doctor has to identify the cause of the edema to treat it. Gently massaging the area may help to reduce swelling in some cases, but this should be done under the guidance of a doctor.

12. Pregnancy

Pregnancy may also cause the vagina to swell.

As the fetus grows, it can place pressure on the pelvis and nearby muscles and blood vessels.

This pressure can cause inflammation and affect the return of blood and fluid from the lymphatic system, which may lead to swelling.

Anyone experiencing uncomfortable vaginal swelling during pregnancy should consult a doctor about safe medications.

13. Sexual assault

Injury from rape or sexual assault may also cause vaginal swelling and bleeding, as well as pelvic pain.

Resources are available for people who have been forced into sexual activity. Organizations like the Rape, Abuse, & Incest National Network (RAINN) in the United States offer free, confidential support. The organization's 24-hour hotline also connects callers with local services that can help. The number for the RAINN hotline is 800-656-HOPE (4673).

People who have experienced rape or sexual abuse should consider visiting a doctor to discuss options and receive any necessary treatment.

14. Foreign objects in the vagina

When the body tries to expel a foreign object lodged in the vagina, symptoms may include:

pain
swelling
itching
irritation
fever
foul discharge
In some cases, a doctor may need to remove a foreign object.

Regularly cleaning the vagina may prevent objects from becoming stuck in it.

When to see a doctor

Swelling of the vagina is usually not the result of a severe medical condition. Anyone uncertain of the cause should visit a doctor.

Seek a professional diagnosis if the following symptoms are present:

signs of infection, such as fever or chills
painful or unbearable symptoms
persistent symptoms
Anyone who suspects that they have an STI should see a doctor.

To discover the cause of vaginal swelling, a doctor may perform a physical exam or a blood test. Many medications are available to treat vaginal swelling, and most incidences can be treated quickly and effectively.

[Big Sexy]

Everything you need to know about wet dreams
https://www.medicalnewstoday.com/articles/321351.php

While wet dreams are typically associated with adolescent boys, they are a common experience for both sexes from puberty through adulthood. The medical term for a wet dream is nocturnal emission.
In this article, we look at the facts about wet dreams and debunk some of the myths surrounding this normal, healthy occurrence.

What are wet dreams?

Wet dreams are when a person orgasms involuntarily while they are sleeping because of a dream, which may or may not be erotic.

They are called wet dreams because when a male has this type of dream, he may awaken with wet clothing or bedding. This is because semen, the fluid containing sperm, is released during ejaculation.

However, the same term is also used to refer to when a woman orgasms during sleep.

Wet dreams are not caused by masturbation during sleep; they occur without any manual stimulation.

Research has found that, on average, 8 percent of dreams have some sexual content. In the same study, both men and women reported having an orgasm in about 4 percent of their erotic dreams.

The facts and myths about wet dreams

There are many myths about wet dreams, which can make them confusing or cause anxiety if a person does not know what to expect.

1. Wet dreams do not reduce sperm count

Some people believe that wet dreams will reduce a man's sperm count. However, wet dreams are a way for the testicles to remove older sperm and help with the natural formation of new, healthy sperm in the body.

2. Women can have wet dreams

Many people associate wet dreams with men or, more specifically, adolescent boys, but women can also have wet dreams.

A female wet dream may result in orgasm as well as additional vaginal secretions from arousal.

Men may be more prone to wet dreams because they naturally produce several erections a night.

3. Wet dreams do not reduce a person's immunity

Some people believe that wet dreams can cause a person to have lower immunity to things such as a cold or infection. This is a myth and has no basis in fact.

However, wet dreams can help reduce excess sperm in the testicles, which is a healthy function for a male's reproductive system.

4. Wet dreams only happen during puberty

While wet dreams are most common during puberty, they can also happen during adulthood.

Wet dreams tend to occur more often in puberty due to hormonal changes. Hormone levels in adults are much more consistent, making it less likely that they will have a wet dream.

Wet dreams may also be more frequent during adolescence because younger boys may not frequently be masturbating or having sex, so the older sperm is released during sleep instead.

5. Wet dreams are not a sign of illness

It is a myth that wet dreams are a result of an underlying illness or medical condition. In fact, the opposite is true.

Wet dreams are a normal occurrence and may be a sign of healthy sexual functioning.

6. Masturbation probably cannot prevent wet dreams

While masturbation may reduce the number of wet dreams a person experiences, it does not guarantee a person will never experience them.

Evidence linking masturbation and wet dreams is lacking, but a person can experiment to see if it helps in their situation.

Try masturbating before bed for a week or more, followed by the same length of time without masturbating, to see if there is a difference in the frequency of wet dreams.

7. Wet dreams will not shrink a penis

Some people believe that wet dreams reduce the size of the person's penis. However, there is no scientific evidence for this.

There are no illnesses, conditions, or natural occurrences that will cause the male reproductive organ to shrink.

8. Some people never have wet dreams

Wet dreams are a natural occurrence for both men and women. They cannot be controlled or stopped, and a person should not feel ashamed to have them.

How often wet dreams occur varies between individuals. People may have:

no wet dreams ever
only a few, sporadic wet dreams during adolescence
several, frequent wet dreams throughout adolescence but none in adulthood
regular or sporadic wet dreams throughout their life

9. Wet dreams are not always erotic dreams
Wet dreams are often associated with sexual or erotic dreams. However, this is not always the case.

A person can have a wet dream without dreaming about sexual activity and may become aroused due to stimulation from friction with the bedding or other factors.

10. Sleeping on the stomach may induce a wet dream

One study suggests that sleeping on the stomach makes it more likely the person will experience a sexual dream.

The evidence is limited, however, and more studies need to be done to determine if sleep position plays any role in whether a person experiences wet dreams.

Prevention and coping

While there is no proven way to prevent wet dreams, there are some techniques that may reduce them. However, these methods do not guarantee any results.

If wet dreams make a person embarrassed or uncomfortable, or they are negatively affecting their life, the following methods to reduce or eliminate wet dreams might help:

masturbating or having sex more frequently
meditating or practicing relaxation techniques before bed
speaking to a psychologist or counselor about dreams
A person experiencing wet dreams needs to know that it is a perfectly natural occurrence and that climaxing during sleep is an involuntary reaction that cannot be prevented.

Having wet dreams is not a sign that a person is not having enough sex or that they are unhappy with their sexual partner.

A person experiencing regular wet dreams in adulthood should be open and comfortable speaking with their partner about their experiences. This can reduce anxiety and any embarrassment a person may feel.

A person embarrassed by their wet dreams may wish to speak to a counselor.

Outlook

Not everyone will experience a wet dream, but for people who do, it is important to remember they are a normal, healthy part of life.

Wet dreams are often associated with teenage males, but they occur in both men and women and may continue after puberty.

[Big Sexy]

What causes an enlarged clitoris?
https://www.medicalnewstoday.com/articles/321367.php

There is no standard size for a clitoris, but it usually grows with sexual arousal. When a person is not aroused, a hormonal imbalance or another medical condition can cause enlargement of the clitoris.
The clitoris is a female sexual organ. It is located just above the urethra, where urine is released from the body.

The medical community refers to an enlarged clitoris as clitoromegaly or macroclitoris. This refers to a clitoris longer than 10 millimeters (mm) in an adult or 9 mm in a newborn.

A swollen clitoris in an adult is not usually a cause for concern. However, a child or newborn with a large or swollen clitoris should be evaluated by a pediatrician to rule out certain conditions.

In this article, we look at causes of clitoral enlargement at several stages of life. We also explore symptoms and treatments.

Causes in adults

Sexual excitement

An adult's clitoris usually swells because of sexual excitement or arousal. During arousal, more blood flows to the genitals, and the clitoris can fill up and appear larger. A similar process occurs in the penis.

Blood flow quickly returns to normal after orgasm, and the clitoris returns to its usual size. If no orgasm follows arousal, it can take hours or day for the clitoris to shrink. This will not harm a person, but if the clitoris remains swollen and rubs against clothing, it can cause irritation or discomfort.

Inflammation of the vulva

An enlarged or swollen clitoris may be caused by general inflammation of the genitals. This is known as vulvitis, which describes inflammation of the vulva.

Causes of vulvitis include:

An allergic reaction to a product such as a laundry detergent, soap, moisturizer, or lubricant
An infection, such as a yeast infection or a sexually transmitted infection (STI)
Excessive friction during sex or masturbation
The genitals have abundant nerve endings, and overstimulation of this sensitive area can cause pain or swelling. If a person handles the genitals more gently, discomfort should subside within a day or two.

Symptoms of a yeast infection are similar to those of many STIs. See a doctor for a diagnosis and treatment.

If a person suspects that an allergic reaction is causing vulvitis, they should avoid contact with any products that might be responsible. See a doctor if symptoms do not improve within a week.

Hormone disorders

Female hormones (estrogens) and male hormones (androgens) are normally present in the body. Testosterone is one example of an androgen.

An excess of any androgen can cause the clitoris to swell. The following may be responsible for this hormonal imbalance:

Polycystic ovary syndrome (PCOS)

In this condition, many small cysts form on the ovaries, which cause an excess of androgens in the body. A small study from 2015 found that a larger clitoris was strongly linked to a diagnosis of PCOS.

The following factors may also indicate PCOS:

extra face and body hair
acne
weight gain
Irregular periods
fertility problems
Hormone medication and lifestyle changes are usually sufficient to manage this condition.

Anabolic steroids

These steroids are used to build muscle and boost athletic endurance.

Anabolic steroid use can also lead to an excess of male hormones. This can result in:

an enlarged clitoris
extra facial hair
a deeper voice
acne
serious health issues that can affect the heart, liver, and kidneys
Steroids should only be used to treat designated medical conditions under a doctor's careful supervision.

Adrenal gland tumors or growths

The adrenal glands secrete hormones. If a tumor or another type of growth form on these glands they cannot function properly. In this event, a person may develop a hormonal imbalance and an enlarged clitoris.

A person may also experience other hormone-related symptoms, such as weight gain, menstrual changes, or excessive hair growth.

Treatment for adrenal gland tumors depends on many factors, such as the size of the tumor and whether it is cancerous.

Causes in children

Several conditions can cause an enlarged clitoris in a child. Only a doctor can make a proper evaluation and diagnosis.

An enlarged clitoris in a child is usually caused by one of the following conditions:

Congenital adrenal hyperplasia

This disorder of the adrenal glands leads the body to produce too much androgen, which can result in swelling of the clitoris. It may be difficult to determine whether the genitals are male or female.

Disorders of sex development

Congenital disabilities that affect the sex organs can cause an enlarged clitoris at birth. Many additional types of developmental complication fall under this category.

Other disorders

Growths may cause the clitoris to appear unusual in size or shape. According to a 2013 report, the following factors can cause clitoral enlargement in children:

a lympho-angiofibroma, which is an abnormal, noncancerous growth that contains lymphatic other connective tissues
an epidermoid cyst, a noncancerous growth filled with fluid
a fibroma, a noncancerous tumor
The report stated that surgery was successful in removing the growths from these children.

A report from 2017 described a hemangioma, a noncancerous birthmark containing blood vessels, which had developed on an infant's clitoris, causing it to appear abnormally large and red. Hemangiomas often disappear after several months or years. Surgery may not be required.

When to see a doctor

Changes in the appearance of the clitoris or other genital organs should be checked by a doctor if a person has:

clitoral swelling that does not go away within a couple of days
pain, redness, or a feeling of heat, which may be a sign of infection
unusual vaginal discharge
blisters on the genitals
itching
pain during urination
bleeding in the area
Outlook
If swelling of the clitoris goes away in a few days, it usually does not indicate a serious condition.

However, a child who has enlarged or swollen genitals should be evaluated by a pediatrician, to rule out certain conditions.

[Big Sexy]

What causes dark nipples?
https://www.medicalnewstoday.com/articles/321383.php

A person's breasts will change over time due to natural events that include puberty and pregnancy. The nipples themselves do not change color, but the circular area of skin that surrounds each nipple, which is known as the areola, may change.
Most of the time, color changes in the areola are benign. However, there are occasions when a change in the color of the nipples needs medical attention. Causes of darkening nipples include:

oral contraceptives
puberty
pregnancy
hairs around the nipples
menstruation
breast-feeding
cancer
Read on to learn more about each of these circumstances that can lead to a person's nipples darkening.

1. Oral contraceptives

Birth control pills contain synthetic versions of the hormones estrogen and progesterone. Taking these pills can help prevent unwanted pregnancy.

Birth control pills may affect the body in a similar way to other hormonal changes. They may cause the area around the nipples to darken, but this should clear up once a person stops taking the pill.

Birth controls pills can also cause melasma, which is when brown or grey pigmented patches form.

2. Puberty

A person's estrogen levels spike during puberty when the ovaries release the hormone. This spike in estrogen causes the breasts to develop.

The nipples may undergo changes that usually include darkening and elevation from the surrounding skin as the breasts grow.

3. Pregnancy

As a fetus grows in the womb, the breasts start to prepare for the baby that will soon be born.

The body produces additional estrogen and progesterone to help prepare for milk production to feed the newborn infant. The breasts change when this hormone production occurs.

It may be noticed, during pregnancy, that the breasts become sore and swell. The nipples will also darken, which is believed to help the baby identify the food source.

Darker nipples in pregnancy are temporary. After pregnancy and breast-feeding, the nipples will lighten again.

4. Breast-feeding

As described above, breast-feeding causes many changes, including darker nipples.

Scientists think that the areolas may darken to help a newborn latch on to its mother's breasts. But hormonal fluctuations that enable milk production are also likely to cause some change in the color of the nipples.

Newborns have very poor eyesight, and darker nipples may be an evolutionary way of helping a newborn find their food source. The nipples will return to their previous color over time after breast-feeding has ended.

5. Hairs around the nipples

It is not uncommon for a person to have tiny hairs that grow around the nipples. These tiny hairs may be darker than some of the other hair on an individual's body.

The dark hairs can make the nipples appear darker when they grow close to the nipples.

6. Menstruation

Menstruation is a natural part of the reproductive cycle. The ovaries prepare to release an egg for fertilization during this cycle.

In turn, the breasts experience changes at different points in the menstrual cycle. These alterations occur because the menstrual process is driven by changes in hormone levels in the body.

Breasts will go through some changes during ovulation, as well. Breasts may become tender or swell as the hormone levels change. Similarly, an individual may notice that the nipples become darker while the cycle takes place.

7. Cancer

Paget's disease of the breast is a rare form of cancer that begins in the nipple area.

The early signs of Paget's disease include darkening nipple color along with other signs and symptoms that include:

flattened nipple
yellow or bloody nipple discharge
flaking or thick, crusty skin around the nipple
itching or tingling around the nipple
People may develop this cancer at any time in their lives after puberty. However, it is more common in older adults than younger people.

If a person has any signs of this cancer, they should consult a doctor as soon as possible.

When to see a doctor

People see natural changes in their nipples and breasts as their bodies develop and age. Many life events, such as menstruation, pregnancy, and breast-feeding can all cause the nipples to darken.

However, a doctor should be seen if any of the following are noticed:

peeling
flaking
only one nipple changing color
itchiness
redness
lumps
If someone suspects they are pregnant, they should also consult a doctor immediately.

Takeaway

Nipples naturally change in color over time and due to many different biological events during a person's life. The color change is nothing to worry about, and the nipples will usually lighten again after the normal body changes have occurred.

An individual should consult a doctor to rule out underlying causes and get treatment if nipple-darkening is accompanied by any other symptoms not related to normal events.

[Big Sexy]

How to prevent endometriosis pain during sex
https://www.medicalnewstoday.com/articles/321417.php

Endometriosis occurs when cells that resemble the uterus lining grow elsewhere in the body, including the ovaries, fallopian tubes, or bowel. Sometimes, these growths can get in the way during sex, which can be painful.
Symptoms of endometriosis include heavy menstrual bleeding, painful periods, and sometimes, pain during sex.

Dyspareunia is the medical term for pain during sex. It frequently occurs in people with endometriosis because penetration and other movements associated with intercourse can stretch and pull the endometrial growths.

In this article, we look at the ways that endometriosis can lead to painful sex. We also discuss tips for managing this pain, including positions, toys, timings, and how to talk to a partner about the condition.

Why is sex painful with endometriosis?

Pain during sex is a common symptom of endometriosis. Penetration and other movements related to intercourse can pull and stretch endometrial tissue, particularly if it has grown behind the vagina or lower uterus.

Vaginal dryness can also cause this pain. Some means of addressing endometriosis, such as hormonal treatments or a hysterectomy (surgical removal of the uterus), can cause dryness.

What does sex feel like with endometriosis?

Not every woman with the condition experiences pain during sex.

Those who do may experience the following:

pain that is acute or feels like stabbing
pain deep in the abdomen
pain ranging from mild to severe
This pain varies from person to person and may depend on the type of intercourse. Some experience pain only during deep penetration, for example, while others experience pain after sex, rather than during it.

Best positions for endometriosis

Some positions put less pressure on areas of the pelvis that contain endometrial tissue. An individual should experiment with their partner to discover the positions that are best for them.

However, many people find that certain positions are better than others. For example, when the person with endometriosis is on top, they can control the depth and speed of penetration, allowing them to determine a comfortable pace.

Also, comfortable positions often involve shallow penetration. Some of these positions include:

face-to-face
spooning
raising the hips of the person with endometriosis
a modified doggy style
The missionary position is often painful for women with endometriosis.

Sometimes any form of penetrative sex is painful, and a person may prefer to engage in other types of sexual activity, including:

oral stimulation
massage
foreplay
using toys

Other tips for sex with endometriosis

Anyone experiencing pain during sex should talk to their doctor to determine a pain management plan.

Below are some additional steps a person with endometriosis can take to reduce pain during sex:

having penetrative intercourse at certain times of the month. It may be less painful in the week after ovulation, or in the 2 weeks following a period.
extending foreplay to increase the amount of natural lubrication before penetration
practicing gentle and slow penetration
using plenty of lubricant during sex
communicating with a partner about what does and does not feel good
having a warm bath or taking a painkiller to ease symptoms before sex
trying different positions
practicing forms of sexual activity that do not involve penetration
attending counseling or sex therapy to deal with consequences of endometriosis and improve communication

How to talk to a partner about endometriosis and sex

It may feel intimidating, embarrassing, or otherwise uncomfortable to speak about sex with a partner, but communication is key for a healthy sex life.

Telling a partner when sex is painful and talking about what is and is not pleasurable can make sex more enjoyable for everyone involved, as well as increase feelings of intimacy.

It is important to share feelings, needs, fears, and frustrations around sex. A partner may be experiencing similar feelings, and worry about causing pain or discomfort.

It may be easier to start this conversation in a neutral place outside the bedroom.

The way a person approaches the subject matters. It is best to use sentences that invite dialogue rather than criticize. Sentences should begin with "I" rather than "you." For example, a sentence beginning with "I really liked when you..." is better than, "You don't touch me anymore."

Partners should discuss preferred positions, those to avoid, and their favorite types of physical stimulation.

Overall, dealing with painful sex may be a difficult and emotional task. The goal is to foster genuine and open communication, to ensure that sex is pleasurable and free of pain for each partner.

Takeaway

Endometriosis can cause severe abdominal pain, which often occurs during or after sex.

Although treatment can help to relieve the symptoms of endometriosis, including pain during sex, it is a good idea for partners to foster an environment of understanding and communication about forms of sex that are pleasurable and free of pain.

[Big Sexy]

Could this implant protect women from HIV?
https://www.medicalnewstoday.com/articles/321524.php

Researchers in Canada have developed a vaginal implant that aims to protect women from becoming diagnosed with HIV.

In a paper now published in the Journal of Controlled Release, they report how they successfully tested the vaginal implant in laboratory animals.

HIV, which is the virus that causes AIDS, hijacks activated immune T cells to use their machinery to complete its life cycle — that is, to produce copies of itself and spread. A major site of transmission is in the female genital tract.

The new vaginal implant slowly releases drugs that keep the T cells of the female genital tract in a resting, or "quiescent," state, which is much less productive for the virus.

Unlike activated T cells, quiescent T cells block the early stage of the HIV life cycle, "resulting in a largely inefficient [transmission]."

Some sex workers 'naturally immune' to HIV

Senior study author Emmanuel Ho, who is a professor in the School of Pharmacy at the University of Waterloo in Canada, and colleagues came up with the idea of a vaginal anti-HIV implant after studying sex workers in Kenya, East Africa.

There, they observed that many female sex workers did not become HIV-positive, even though they were having sex with clients who were.

Further investigation revealed that the women's natural resistance to HIV came from the fact that their immune T cells remained in a quiescent state.

When they realized this, the researchers wondered whether it might be possible to induce T cell quiescence in the female genital tract with drugs.

This approach could "provide an excellent women-oriented strategy against HIV [transmission]," they note in their study paper.

Prof. Ho says that they decided to pursue the idea of a vaginal implant rather than a drug that is taken by mouth because "some drugs taken orally never make it to the vaginal tract."

A vaginal implant that can block HIV could offer a cheaper, more reliable way of preventing transmission, he adds.

Implant induces 'an immune quiescent state'

There are 36.7 million people living with HIV or AIDS worldwide, including 2.1 million children under the age of 15.

Most of the 160,000 children newly diagnosed with HIV each year live in sub-Saharan Africa. Their mothers transmit the virus either during pregnancy, while giving birth, or when breast-feeding.

The implant is a porous, hollow tube filled with a drug that is secreted slowly and is absorbed into the walls of the female genital tract. The tube has two flexible arms that prevent it from moving around.

In their study, the researchers filled the vaginal implant with hydroxychloroquine and tested it in rabbits.

The implant caused a significant reduction in activated T cells, indicating that it induced "an immune quiescent state" in the female rabbits' genital tracts.

"What we don't know yet is if this can be a stand-alone option for preventing HIV transmission or if it might be best used in conjunction with other prevention strategies."

Prof. Emmanuel Ho

"We aim to answer these questions with future research," he concludes.

[Big Sexy]

Nuts may boost male fertility: study
https://medicalxpress.com/news/2018-...-motility.html

Eating nuts "significantly" boosted the number and health of sperm in young men in a scientific trial, researchers said Wednesday.

The findings "support a beneficial role for chronic nut consumption in sperm quality," they said, but stressed the study participants were all healthy, apparently fertile men.

The potential benefits of nuts for men struggling with fertility have yet to be probed.

For the study, researchers recruited 119 men aged 18-35, who they divided into two groups.

One group ate 60 grammes of almonds, hazelnuts, and walnuts daily on top of their usual "western-style" diet, while the second group got no nuts.

After 14 weeks, the nut group "had significant improvements in their sperm count, vitality, motility (movement) and morphology (shape)"—all associated with male fertility, said a statement.

"Moreover, the subjects in the nut group also showed a significant reduction in their levels of sperm DNA fragmentation, a parameter closely associated with male infertility."

The results were consistent with sperm improvement observed in other studies that looked at diets rich in omega-3, antioxidants such as vitamin C and E, selenium and zinc, and folate.

Nuts are rich in many of these nutrients.

The study results were presented at a meeting of the European Society of Human Reproduction and Embryology in Barcelona.

Does this mean that men hoping to conceive a child should add nuts to their diet?

"We can't yet say that," said study co-author Albert Salas-Huetos of the Rovira i Virgili University in Spain.

"But evidence is accumulating in the literature that healthy lifestyle changes such as following a healthy dietary pattern might help conception—and of course, nuts are a key component of a Mediterranean healthy diet."

[Sin4bkk]

Any No17 Delay Spray sellers here? PM me. Thanks

[Big Sexy]

What to know about sex during pregnancy
https://www.medicalnewstoday.com/articles/321648.php

After about 9 months of reduced sexual activity during the development of a fetus, a couple may be ready to resume intercourse shortly after having a baby. But at what point after delivery does it become safe to continue having sex?
In general, it is recommended that a person avoids sexual intercourse during the first 4 to 6 weeks following a vaginal or cesarean (C-section) delivery. However, it is important to speak with your healthcare provider before resuming sex.

Most often, especially in cases of a C-section, perineal tear, or episiotomy, it is recommended to wait until after you are seen for your 6-week postpartum visit for approval from a health care provider to resume sexual activity.

Following childbirth, your body is in a healing phase in which bleeding stops, tears heal, and the cervix closes. Having intercourse too early, especially within the first two weeks, is not recommended due to a risk of postpartum hemorrhage or uterine infection.

When a woman is ready to resume sexual intercourse following the birth of a baby depends on several factors, including:

pain levels
fatigue
stress
sex drive
fear of sex or pregnancy
vaginal dryness
postpartum depression

What will sex after giving birth feel like?

Due to the hormonal changes experienced during the postpartum period, many women experience vaginal dryness, which may continue past the typical 4-6 week timeframe if breastfeeding; this is due to low levels of circulating estrogen.

Breastfeeding can also lower your sex drive. In addition to lower levels of circulating hormones, painful sex may accompany a perineal tear or episiotomy, which can last for several months following the birth of a baby.

Steps that can reduce pain associated with sex after pregnancy include:

controlling the depth of penetration with varied sexual positions
increasing vaginal lubrication
taking pain medication
emptying the bladder
taking a warm bath
Vaginal lubrication such as over-the-counter (OTC) creams or gels may be useful in relieving the symptoms of vaginal dryness. If you are using barrier method birth control, using a water-based lubricant is recommended to avoid weakening the latex.

Alternatively, oral or manual stimulation may be an option during the healing process. For some people, an appointment with a pelvic floor rehabilitation specialist may be recommended to evaluate and treat painful postpartum sex.

Sex following childbirth may feel different due to decreased vaginal muscle tone and stretching. Typically, this laxity in vaginal tone is temporary, however, and is affected by factors such as genetics, the size of the baby, the number of previous births, and the use of Kegel exercises.

Hormones can cause a variety of interesting - and, at times, inconvenient - symptoms. For example, during sexual intercourse, your breasts may leak milk due to the hormonal response to orgasm. Try pumping before having sex to reduce this symptom.

Hormones can cause a variety of unusual symptoms. For example, during sexual intercourse, your breasts may leak milk due to the hormonal response to orgasm. Try pumping before having sex to reduce this symptom.

Kegel exercises

Kegel exercises of the pelvic floor muscles can help provide strength and stability to the vaginal area following the delivery of an infant.

They are simple and can be performed almost anywhere.

The first step is to find your pelvic floor muscles. These can be easily located by stopping the flow of urine next time you visit the bathroom. The points at which you feel the strain are the pelvic floor muscles.

Follow these steps to perform a Kegel correctly:

Relax the muscles in your chest, abdomen, thighs, and buttocks.
Squeeze the pelvic muscles in a similar manner to the way the muscles were found in the first found. Try to stop an imaginary stream of urine mid-flow.
Hold this for between 5 and 10 seconds.
You should be able to feel a tightening and upward movement of the anus, bladder, or vagina. This means you have successfully completed a Kegel.
Break for 5 to 10 seconds and repeat this 10 times.
Repeat this 3 times per day.
You should be able to increase the length of each squeeze and the number of sets as the pelvic floor muscles become stronger.

Over time, this should help make sex less painful and more enjoyable.

Birth control options following childbirth

Having a reliable method of birth control following delivery is important to prevent an unintended pregnancy. If you are interested in immediate contraception, you can consider barrier options such as condoms or progestin-only contraceptives (Depo-Provera or the mini-pill).

The timing for a copper or hormonal intrauterine device or utilizing a fitted barrier method of contraception such as a diaphragm or cervical cap should be discussed with your healthcare provider.

If you are interested in combination birth control methods containing both estrogen and progesterone, such as pills or a vaginal ring, speak with your healthcare provider to see if this option is right for you.

The timing when a woman and her partner resume sexual intercourse following the birth of a child is ultimately a personal decision. Women should speak with their partner and health care team about any concerns that may be present.

[Big Sexy]

Over 10 percent of PMS cases linked to drinking habits
https://www.medicalnewstoday.com/articles/321592.php

If you are a woman, you may be acquainted with the confusing hell of premenstrual syndrome. Nobody knows exactly what factors raise the risk, but data point the finger at alcohol.

Do you experience mood swings and changes in appetite before your period?

Do your breasts get so sensitive that you start to wear loose-fitting tops and bralettes just so you don't hurt yourself?

Do these and other premenstrual symptoms — changes in your sleeping pattern, sporadic nausea, and headaches, for example — interfere with your normal lifestyle to a lesser or greater degree?

If so, you may have premenstrual syndrome (PMS), which many women commonly experience.

Though the exact causes and risk factors for PMS are unknown, several studies have suggested that women who regularly drink alcohol are more likely to experience the symptoms.

A new systematic review and meta-analysis of the relevant literature now confirms that there may be more than a little merit to the claim that alcohol influences PMS.

The researchers who conducted the analysis hail from: the University of Santiago de Compostela in Spain, the Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública in Madrid, also in Spain, and the University of Southampton, in the United Kingdom.

An article detailing the findings of this research, whose first author is María del Mar Fernández, was published yesterday in BMJ Open.

Risk heightened by 45 percent
The researchers extracted and analyzed the data from 19 studies conducted across eight countries and, combined, worked with more than 47,000 participants. They found a "moderate association" between alcohol and an increased risk of PMS.

The estimated percentages, however, are far from negligible: drinkers are estimated to have a 45 percent higher risk of PMS, and heavy drinkers have an even higher risk, at 79 percent.

Thus, del Mar Fernández and colleagues think that 11 percent — or approximately 1 in 10 — of PMS cases may have to do with the women's drinking habits.

However, as it often goes with studies that observe relationships without looking at the possible underlying mechanisms, there is a caveat: the researchers are unsure as to the direction of the causal relationship.

In other words, though they find it likely that alcohol consumption puts women at a heightened risk of PMS, it may also be the case that individuals up their alcohol consumption in an attempt to ease their symptoms.

After all, popular knowledge has it that drinking certain types of alcohol — usually red wine — can help to ease cramps related to the menstrual period.

Still, the study authors believe that the high numbers and the consistency of the links revealed by studies looking at the relationship between alcohol and PMS suggest that alcohol is the probable culprit in this equation.

Many women may drink too much
"Worldwide, the proportion of current female drinkers is 28.9 percent, while that of heavy female drinkers is 5.7 percent," the study authors write.

"In Europe and America," they add, "these figures are much higher and reach 59.9 percent for current drinking and 12.6 percent for heavy drinking in Europe."

According to data from the National Institute on Alcohol Abuse and Alcoholism, 5.3 million adult women in the United States have alcohol use disorder. Also, among the women who drink, 13 percent indulge in more than seven drinks per week.

"If [the] association [between alcohol consumption and PMS] is of [a] causal nature," write the researchers, "eliminating heavy drinking in women would then prevent 1 in every 12 cases of PMS in Europe."

As to how alcohol may raise the risk of premenstrual symptoms, several biological mechanisms could be at play. Among these, the study authors mention the fact that alcohol could create hormonal imbalances by influencing the levels of certain sex hormones.

Another effect of alcohol, they say, may be that it alters levels of serotonin — which is a hormone largely held responsible for mood alterations and disorders such as anxiety and depression — in the brain.

[Big Sexy]

What should you do about a pimple on the penis?
https://www.medicalnewstoday.com/articles/321630.php

Pimples can develop on the penis, although they are more common elsewhere on the body. Pimples are usually harmless, and it may not be a cause for concern if one develops on the penis.
Pimples, however, can sometimes resemble the symptoms of other conditions, such as a sexually transmitted disease or STD, and so it is important to know if a growth on or around the penis needs medical attention.

This article will discuss other signs to look out for that could indicate an STD, methods for treating a pimple on the penis, and when to see a doctor.

What is a pimple?
Pimples develop when the oil glands on the surface of the skin are blocked by oil, dead skin cells, or other debris.

This blockage can trigger an immune response, causing the area to become inflamed and swollen.

The resulting small lump is known as a pimple, and pimples can occur anywhere on the body.

Signs of an STD

Pimples appear as small, round bumps on the skin's surface. The base is usually red or flesh colored.

The tip of a pimple can either be white (whiteheads), black (blackheads) or the same color as the base, depending on the type of debris that has caused the build up. Some pimples also contain pus.

Factors that increase the likelihood of a pimple include:

tight-fitting clothes
humidity
excessive sweating
shaving
poor hygiene
oily skin
Being aware of these factors can help to determine the likelihood of it being a straightforward pimple that has developed or something else.

Pimples can occur regardless of sexual activity, which also helps to narrow down the cause of a bump.

It is possible that an STD is causing them if someone is sexually active and other symptoms also occur.

There are three STDs, which we give details of here, with symptoms that could be mistaken for pimples.

Genital warts

A primary symptom of genital warts is the growth of small, flesh-white colored bumps on the shaft, or head of the penis.

The tips of warts can be shaped like cauliflowers and can vary greatly in size. It is also possible for genital warts to appear on areas surrounding the penis, such as the scrotum or inner thigh.

Genital warts often disappear on their own, but can be easily treated with creams or freeze and heat therapy.

Genital herpes

Genital herpes causes gray-white blisters with a red base to develop on the penis or surrounding areas. They are often uncomfortable, itchy, and can spread to the anus.

The blisters can become open sores and ooze fluids and will crust over. Blisters can also appear around the mouth or lips.

Genital herpes is usually treated using antiviral drugs.

Syphilis

White or red painless ulcers on or around the penis can develop as a symptom of syphilis.

A bacterial infection causes the condition and can pose a serious health risk if left untreated.

Syphilis is typically treated using antibiotics.

Treatment

Medical treatment is rarely required for pimples. Pimples will disappear on their own after a few days, in most cases.

It is important to avoid itching or popping the pimples. This can worsen the condition and may cause permanent scarring and superimposed infection.

Addressing the likely causes of pimples is the best method of preventing them from developing again.

Methods to reduce the risk of pimples include:

avoiding humid environments
minimizing activities that induce sweating
wearing loose-fitting clothing and avoiding clothing that rubs and causes friction
showering regularly
avoiding rubbing or touching the affected region
changing bedding and clothing regularly
Over-the-counter (OTC) medications, such as benzoyl peroxide, salicylic acid, or exfoliants, can be helpful for reducing the appearance of pimples.

The region around the penis is highly sensitive, so these medications must be used cautiously.

When to see a doctor

A doctor should be seen if pimples occur with other symptoms that may include:

fever
headaches
fatigue
swelling in other areas, such as glands in the groin
skin rashes or irritation
sores developing in other areas, including the face
muscle aches

Takeaway

If action has been taken to reduce the risk of a pimple developing, or they do not disappear after one week, it may be worth consulting a doctor.

If there is any uncertainty over whether a growth is a pimple or not, it is important to seek medical advice, to ensure they are not a symptom of a more serious condition.

[Big Sexy]

Why does my urine feel hot?
https://www.medicalnewstoday.com/articles/321654.php

Urine can feel hot for two reasons — either because the temperature of the urine is warmer than usual, or because urinating causes a burning sensation.
Both symptoms point to a possible infection, so it is important to seek medical care, especially if there are other symptoms as well.

In this article, we look at what a normal temperature should be, and what causes unusually hot or burning urination in men and women. We also look at when a person should see their doctor, and possible treatments for this symptom.

What is normal?

Urine is generally the same temperature as the body — on average 98.6°F.

This means that when the urine comes out of the urinary tract, called the urethra, it can feel warm on the skin that it touches, including the genitals, hands, or legs. In cold temperatures, a person may observe steam rising from urine.

Noticing that urine feels warm or hot is perfectly normal. Urine may feel especially warm if a person's body or hands are cold.

However, if a person notices that their urine feels warmer than usual, or hot as it comes out of the urethra, this may mean that there is an infection or injury. A hot, burning, or painful sensation when urinating is called dysuria.

Symptoms
A hot sensation when urinating can feel painful, and may even cause a person to withhold their urine. Parents of young children who do not want to urinate should consider the possibility of burning during urination.

Most people who feel a hot sensation when urinating notice other symptoms, too. Those may include:

swelling in the genitals or urethra
discharge from the vagina or penis
fever
foul-smelling urine
dark urine
cloudy urine
increased need to urinate
difficulty urinating
nausea and vomiting
pain in the back or abdomen

Causes of hot urine in both sexes

If a person's internal body temperature increases — for instance, if they have a fever caused by an infection or if they have just done intense exercise — then their urine may also be warmer than usual.

Below, we provide a list of causes for hot urine or burning urination.

Urinary tract infection (UTIs)

Urinary tract infection (UTIs)

Urinary tract infections are among the most common reasons why urination feels hot or burns when coming out. A UTI occurs when harmful bacteria, often E. coli, get into the urinary tract.

UTIs most commonly affect the bladder. People with UTIs may experience the following symptoms:

burning pain when they urinate
a frequent need to urinate
an intense urge to urinate even immediately after going
foul-smelling urine
blood in the urine
In most cases, antibiotic treatment quickly cures a UTI. Left untreated, the infection can spread to the kidneys or other areas of the body. UTIs can affect both sexes, but are more common in women than in men.

Other infection

One of the ways that the body fights infection is by heating up. This is why people often develop fevers when they are sick. When the urine is a higher temperature than usual, this could mean that a person has a fever.

A fever could be due to an infection anywhere in the body, so it is important to track symptoms and see a doctor if they do not get better.

When the urine feels physically warm and it burns to urinate, this may mean someone has a UTI or an infection in the kidneys.

Injuries near the urethra

Urine is acidic. This means that when it comes into contact with an injury, even a small one, a person may experience a hot, burning sensation. An injury in or around the urethra can cause the urine to feel hot coming out.

People who shave their genitals may have tiny cuts near the urethra. Friction-related injuries from sexual intercourse, tiny pimples, cuts, and scrapes can all make the urine feel hot.

Small injuries usually go away on their own. If the urethra hurts, a fever occurs, or there is a large wound, a person should see their doctor.

Sexually transmitted infections (STIs)

Sexually transmitted infections can cause urinary tract problems. They may also injure the genitals or the area surrounding the urethra, causing pain during urination.

Anyone who is or has been sexually active can get an STI, even if they have previously tested negative. Some STIs are symptom-free for a long time, so a long period without symptoms does not necessarily mean person does not have an STI.

Chlamydia is an STI that commonly causes burning pain when urinating. It can also cause discharge from the vagina or penis, and in men may cause the testicles to swell or hurt.

Interstitial cystitis

Interstitial cystitis is a poorly understood chronic illness that causes symptoms of a UTI, even when a UTI is not present.

This condition is more common in women than in men.

Researchers do not fully understand what causes it, but one potential cause is damage to the tissue of the bladder. People with interstitial cystitis may experience burning when urinating, or other unusual sensations, such as a feeling that the urine is too hot.

Causes in women

Causes specific to women include:

Post-childbirth pain

After childbirth, many women experience tears in the area between the vagina and the anus, which are known as perineal lacerations. Tears can occur near the urethra, or inside the vagina.

If urine comes into contact with these injuries it can cause burning pain in the weeks following birth.

Spraying the area with a warm perineal irrigation bottle during urination can reduce pain.

Vaginal infection

A vaginal infection can irritate the tissue of the vagina and vulva. When this irritated tissue comes into contact with urine, it may burn and feel hot.

It is impossible to diagnose a vaginal infection based solely on burning, so it is important to see a doctor when urination burns. The symptom could be caused by infections such as:

a vaginal yeast infection
bacterial vaginosis
vaginitis
vulvodynia

Post-menopausal vaginal changes

After menopause, the body produces less estrogen. This can change the vaginal tissue, causing it to shrink and weaken. The vagina may also feel dry, which can make the skin and other tissues feel tender and sore.

When urine comes into contact with the vagina or urethra, it may feel hotter than it did previously because of these changes.

Causes in men

Causes specific to men include:

Prostatitis

Prostatitis is swelling, pain, and inflammation in the prostate, often due to a bacterial infection. Men with prostatitis may experience pain or burning when urinating, as well as changes in the flow of urination.

They may also have nausea and vomiting, or pain during ejaculation. It is important to diagnose the cause of prostatitis, so men who suspect they have a prostate issue should see a doctor.

Epididymitis

The epididymis is a tube that contains the sperm on top of the testes. An infection or inflammation in this tube can cause painful burning when urinating. Men with epididymitis may also experience swelling around the testicles, pain in the penis or testicles, and a fever.

This painful condition is usually caused by a bacterial infection or surgery and responds well to antibiotics and rest.

Treatment

Treatment for hot urine depends on the cause. Because the urine can feel hot for so many reasons, and because many diagnoses have similar symptoms, it's important to see a doctor before trying home treatment.

Many causes of painful or hot urination can easily be treated with antibiotics.

Drinking plenty of water can also help flush bacteria from the urinary system and make the urine slightly less acidic.

When to see a doctor

When the only symptom is hot urine and urination does not hurt, it is often safe to wait to see a doctor. See a doctor immediately for:

a very high fever
pain in the back, as this could indicate a kidney infection
uncontrolled vomiting
See a doctor within a day or two for:

painful urination
foul-smelling urine
frequent urination

Outlook

Urine is naturally hot, but quickly cools after it leaves the body. People who inadvertently put a hand in their stream of urine may be surprised by how hot urine feels.

Most causes of hot urine are easily treated, and symptoms will usually get better within a few days. Prostatitis, however, can be difficult to treat and interstitial cystitis is a chronic pain syndrome.

It is important to see a doctor who specializes in treating urinary disorders to reduce the severity of symptoms and decide on appropriate treatment.

In most cases, nothing is wrong. When urine feels hot or painful coming out, though, it's time to see a doctor. Most urinary problems are common and easy to treat, so there's no need to feel anxious or ashamed. In many cases, diagnosis only requires a urine sample and a medical history.