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Advice on sexual position to prevent spilling of semen - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Sexual Problems
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3479 Questions
User :   Hi,
User :   Hi,
User :   Hello
User :   HI
User :   I"M Dr XXX
User :   Sir i would like seek medical advice on sex related problems
User :   Ok
User :   Please proceed with you query
User :   Sir i am 31 year old male married 8 months back and i have sex
User :   Ok
User :   twice a week on an average and my blood group is o+ and wife blood group is 0-
User :   Ok
User :   whenever i have sex most of the times the semen coming out of the Penis is leakeing at the Wife outer vagina
User :   OK
User :   I shall help you
Doctor :   hi
User :   hi
Doctor :   are you back?
User :   yes
User :   and she has not conceievd yet
Doctor :   Dr. XXXXXXXX here
Doctor :   semen coming out of vagina is not the only reason that can be attributed for your wife not getting concieved
User :   and my size of penis is 4.5 inches when it is erected and normally 1.5 inches
Doctor :   I will need to ask you few more questions, shall I proceed?
User :   Ok
Doctor :   penis size is not a problem, the problem is there if the sperm counts are not normal
Doctor :   or when there is problem with th woman reproductive system
Doctor :   since when are you married?
User :   last 8 months
Doctor :   conception can take upto 2-3 years time also, so do not worry
Doctor :   in the meantime follow these tips and suggestions that I am going to suggest
User :   Ok sir but when i had sex last time my forskin of the penis went back upto 1.5 inches and could not restore it to mnormally and went to surgeon he then removed easily
Doctor :   1) if your wifes periods are regular, then having intercourse during her fertile period (egg release time) wil help
Doctor :   the problem with foreskin can happen, if there is infection of the penis head
User :   and adviced not to have sex for one week
Doctor :   get checked for infection in both of you, and take treatment simultaneously
User :   And told also if you penetarte againn it will pierece and starts bleeding
Doctor :   and avoid having intercourse while being on treatment
Doctor :   the most common cause for the penis skin not going back is balanitis, or infection of the penis head
User :   ok not told not worry also
Doctor :   which can be treated
Doctor :   also get vaginal examination and test doen for your wife too in case she is having vaginitis ot infection
Doctor :   which can be one of the reason for your problem
User :   this was the first time i think the penis went inside her vagina and she also told the expoeriance was good
Doctor :   2) get vaginal swab examination of your wife done and take treatment simultaneously for both of you.
Doctor :   to eliminate any infection that could also lead to her not being able to conceive.
Doctor :   3) get blood test done for your wife: LH, FSH, TSH, Prolactin, complete blood counts, and ultrasound abdomen
User :   and now my concren is if the foreskin goes and chances are there for pierecing?
Doctor :   4) get semen analysis and testosterone levels checked for yourself.
Doctor :   once the infection is treated in both of you, the chances are less that it can get peirced
Doctor :   but if there is recurrent infection then the problem might recur.
User :   and what to do now for having intercourse
Doctor :   so good hygeine is essential
Doctor :   while on treatment avoid intercourse as advised by your treating doctor
User :   yes both always after intercourse take bath and wash cleanly
Doctor :   as having intercourse can lead to re infection if the infection is still present
Doctor :   have you followed what I have said?
User :   for her period time happen usally in 30 to 38 days time
Doctor :   does she have regular periods?
User :   yes but the time may vary
User :   whom to consult for the above problem sexologist or urologist?
Doctor :   if she is having 30 days periods then her fertile period would be between 12 -18 th day taking day1 as first day of her bleeding
Doctor :   an andrologist or a sexologist consultation would be helpful
Doctor :   if the conception is an issue then an infertility specialist should be consultant.
Doctor :   have you followed what I have said?
User :   yes
Doctor :   is there anything else you would like to ask me?
User :   ok is it to have sex after treating the foreskin also now?
Doctor :   after you finish with the complete treatment course and repeat examination saying that it is healed
Doctor :   you can resume normal sexual life.
User :   but he has not given any pill or anything and told to come after a week time thats all
Doctor :   while having intercourse go for positions that allow deep penetration in which the semen coming out can be minimised
Doctor :   placing a pillow under buttocks also helps in minimizing the semen leaking out.
User :   yes using pillow every time.
Doctor :   ok
User :   and this is the first time penis gone deep which i and wife could feel.
Doctor :   ok, then you can continue to follow the same along with positions that allow for deep penetration and high ejaculation of semen
User :   and how the doctor can tell that foreskin will not pierce?
Doctor :   he can make out after a thorough examination if the problem is solved or not
Doctor :   is there anything else i can help you with?
Doctor :   are you there?
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