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?

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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 five months pregnant and recently had an accident that caused jaw fractures I had surgery and now my teeth are broken so I'm stuck on liquids and soft foods. I'm worried this diet won't give my baby enough nutrients to grow properly. What foods can I eat to make sure my baby stays healthy even with these restrictions?

Soft foods like mashed pulses, smoothies, and fortified milk can ensure nutrition for your baby during recovery.

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Can chia seeds really affect menstrual cycles? I took a 5-day course of Deviry, but I'm still not getting my period. It's never been delayed this long2 months nowand my pregnancy test came back negative. I'm really confused and worried about what's going on. What could be the reason for this delay?

Your symptoms suggest a viral infection, possibly influenza or a respiratory virus. The recurring fever pattern is common in such cases. Continue taking Dolo 650 for fever management, and consider adding a humidifier to relieve congestion. Consult your doctor about adding antiviral medication or adjusting your current medication regimen.

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I'm really worried because my partner and I had sex, but not full-on intercourse, and now she's missed her period. I'm really scared some of my fluid might have gotten into her vagina. Is there a chance she's pregnant, and if so, what can we do to prevent it?

The burnt plastic smell and taste, particularly with raw vegetables, may indicate a condition like parosmia or phantosmia. The recent jaw pain could be related to a dental issue or sinus pressure. Consult an Ear, Nose, and Throat (ENT) specialist or a primary care physician for a proper evaluation. Additionally, a dentist should also be consulted to rule out any dental issues.

Answered by 1 Apollo Doctors