I'm planning to have vaginal sex for the first time and I'm kind of nervous about which lubricant to use so it doesn't cause any irritation or pain. I've heard some can have side effects, and I'd really like to avoid that. Any advice on choosing the right one?

Answered by 1 Apollo Doctors

Dr Ranjith Darla

General Practitioner

MBBS
3+ Yrs

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Premature Ejaculation (PE): Understanding and Addressing Quick Discharge

Premature ejaculation (PE) is a common condition where ejaculation occurs sooner than desired, often within 1-2 minutes of penetration. Since you've been experiencing this issue for 5 years, it's essential to understand the possible causes and explore treatment options.

Possible Causes:

Psychological factors: Stress, anxiety, depression, or relationship issues can contribute to PE.

Neurological factors: Imbalances in neurotransmitters like serotonin and dopamine can affect ejaculation timing.

Hormonal imbalances: Hormonal changes, such as low testosterone, can impact ejaculation.

Physical factors: Prostate issues, urethritis, or skin conditions can cause PE.

Lifestyle factors: Smoking, excessive alcohol consumption, or lack of physical activity can contribute to PE.

Treatment Options:

Behavioral techniques: Try the "stop-start" method, "squeeze" technique, or pelvic floor exercises to improve control.

Topical anesthetics: Apply creams or sprays containing lidocaine or benzocaine to reduce sensitivity.

Oral medications: Selective serotonin reuptake inhibitors (SSRIs), such as dapoxetine, can help delay ejaculation.

Counseling: Address underlying psychological issues through therapy or counseling.

Natural remedies: Explore herbal supplements like ashwagandha, maca, or tribulus terrestris, which may help improve ejaculation control.

Consult a Healthcare Professional:

Discuss your symptoms with a urologist, sexologist, or a primary care physician to determine the underlying cause and develop a personalized treatment plan.

Remember, premature ejaculation is a treatable condition. With patience, persistence, and the right guidance, you can improve your ejaculation control and enhance your overall sexual well-being.

Dr. Ranjith Suggests...

Consult a Obstetrician and Gynaecologist

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Answered 04/07/2025

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I'm trying to understand if the semen is actually entering during intercourse because my wife says she doesn't feel it inside, and sometimes it comes out. She's also experiencing some pain when I try to insert it. How can we tell if the semen is actually getting in?

To improve the chances of conception, you can try using a sperm-friendly lubricant to help the semen stay inside the vagina. Additionally, you can try different positions such as placing a pillow under your wife's hips after intercourse to help tilt the pelvis and encourage the semen to travel towards the cervix. It's also important to ensure that both you and your wife are in good health, eating a balanced diet, and avoiding substances like tobacco and excessive alcohol which can affect fertility. If you continue to have concerns, it may be helpful to consult with a fertility specialist for further guidance.

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I'm curious about the safety of oral sex with my partner. We've never been with anyone else, and we're both in good health. We're interested in exploring this intimately in our marriage, but we want to know if it's safe for our health, especially since we're quite health-conscious. Could you advise us on this?

Oral sex is generally safe for a healthy, monogamous couple with no history of sexually transmitted infections (STIs). Since both of you are medically fit, there is minimal health risk. Maintaining good hygiene and regular health check-ups ensures it remains a safe and enjoyable part of your intimacy.

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How much does a hysterectomy usually cost if I have uterine fibroids and need the surgery

A hysterectomy due to uterine fibroids can cost anywhere from ‚Çπ50,000 to ‚Çπ2,50,000 in India, depending on the type of hysterectomy and other factors like the hospital and surgeon. The average cost of a hysterectomy can range from ‚Çπ80,000 to ‚Çπ1,50,000 in cities like Mumbai,

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