I'm really concerned about my wifes situation. She's got these two chocolate cysts on her right ovary, and our gynecologist advised her to take Lupride Depot 3.75 injections monthly for three months to shrink the cysts and prevent damage to ovarian tissue during surgery, which could lead to infertility. Her periods have been a bit strange since we started this treatment. Her last one was on August 19th, but before that, she got it on August 1st. We gave her the injection on August 5th, within those five days of her cycle starting. But now, she got her period again earlier than expected. I thought it makes sense to take the next injection within five days of this new period, but the gynecologist says it should be given on the same date as last month, like September 5th. I'm a bit confused hereshould we stick to the once-monthly schedule, or go with the period dates?

Dr Dr Khaleel Ur Rahim

General Practitioner

• MBBS
• 1+ Yrs

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Kegels and Reverse Kegels for Premature Ejaculation (PE)

Understanding the PC and BC muscles:

1. PC muscle: Pubococcygeus muscle, responsible for ejaculation and orgasm.
2. BC muscle: Bulbocavernosus muscle, helps control ejaculation and supports the penis.

Kegels vs. Reverse Kegels:

1. Kegels: Contracting and releasing the PC muscle can strengthen it, but may not directly help with PE. Over-toning the PC muscle might even contribute to PE.
2. Reverse Kegels: Relaxing the BC muscle can help relax the pelvic floor, potentially delaying ejaculation and improving control.

Recommendation:

1. Try Reverse Kegels: Focus on relaxing the BC muscle to help manage PE.
2. Combine with other techniques: Use Reverse Kegels in conjunction with other methods, such as:
   • Start-stop technique: Stop and start sexual activity to regain control.
   • Squeeze technique: Squeeze the PC muscle to pause ejaculation.
   • Breathing exercises: Practice relaxation techniques to reduce anxiety.

Answered 04/07/2025