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Tear in the area where penis connects the foreskin during intercourse. Advice - Online Doctor Chats

Date : 30-May-2013
User rating for this question
Very Good Posted in: Men Sexual Problems
Answered by

General & Family Physician
Practicing since : 2002
Answered : 106 Questions
Doctor:Hello
Doctor:Good evening
Doctor:This is xxxxxx here
Doctor:Please proceed with your query
User:Hello Doctor,,,,,i would like talk about male reproductive system
Doctor:Sure
Doctor:Please proceed
User:I am married since 7 months and have an important query
User:Topic: Tips on healthy genitals The junction in the pennis that connects the foreskin to the pennis gets a little torn when i have intercourse. This does not happen all the time. It happens when i have an intercourse after a break of about a week or so. So when i try to move the penis back and forth the cut insreases which pains, thus preventing me from continuing with the intercourse.
User:May there is something that I need to to know,,,,and I am not aware of
Doctor:Sorry to hear that
User:/
Doctor:But it is not uncommon
User:ohh is it
Doctor:It happens commonly due to increased friction while having sexual intercourse
Doctor:The simple measure you could take for this will be to use a good lubricant
Doctor:You can use KY jelly locally while having intercourse to prevent the tear or friction
User:the tear is not there when i use a condom
Doctor:You may continue to use the condom but also use an effective lubricant
User:ok Doctor,,i'll try with the KY jelly.,,,,,thank u
User:but am surprised that is uncommon
Doctor:I said it is not uncommon
Doctor:Means it is common
Doctor:Hope you understand it now
User:hahaha,,,,ohh yes,,,i read it wrong ;)
Doctor:that's fine
Doctor:Do not worry
Doctor:You will be fine soon
User:Can i ask another question
Doctor:Sure
User:I am told condoms are not 100% safe,,,,,,my wife recently got pregnant and she had to undergo an abortion as we have not planned for a baby for next one year atleast
User:is there a better way to handle such situation?
User:i mean to prevent pregnancy,,
User:but no compromise on my wife's health
Doctor:Sure
Doctor:There is always a best option to choose
Doctor:May I know your wife's age?
Doctor:The failure rate of of condoms - 20%
User:She's 25
User:she'll be 25 in August
Doctor:Oral contraceptive pills are a better option
Doctor:How long are you married for?
User:6 months
Doctor:It is better for her to go in for OCPs
Doctor:That is Oral contraceptive pills for a few month snow
Doctor:* months now
User:but does OCP have any side effects?
User:will it cause any problems at a later stage
Doctor:One contraindication is women who smoke are not advised OCPs
Doctor:I hope your wife does not smoke
Doctor:On long term use, OCPs cause weight gain which is very uncomfortable
User:nope she does not smoke
User:but she is sufferring from Migraine
Doctor:And, I think your sexual life is quite active
Doctor:Isn't it?
User:yes yes,,,,except for a month long gap now,,because of the abortion
Doctor:OCPs can increase migraine attacks
User:ohh that's really bad :(
Doctor:When condoms are used the right way, the protection is quite high
Doctor:For a short term of less than 6 months, OCPs can still be considered
User:i defeinetly do not want my wife to take the OCPs
Doctor:Ok
User:because of migraine
Doctor:It is always an informed choice of the patient
Doctor:Copper T is suggested only if the mother has one living child
Doctor:In your wife's case using condoms or OCPs for less than 6 months will be good
Doctor:Again, Migraine attacks are not very frequent with OCPS
User:ok
Doctor:It may happen, clinical studies suggest this
User:apart from weight gain & migraine is there any other side effectts?
User:will it cause any problem when we really want to have a child?
Doctor:Nothing as such
Doctor:Weight is common, migraine is rare
Doctor:weight gain is common
User:is the a way to prevent the weight gain?
User:*there
Doctor:Yes, she has to do physical activity while on OCPs
Doctor:Regular exercise will not make her gain weight
User:You mentioned "When condoms are used the right way, the protection is quite high",,,,can u plz point me to some links where i can get better info on this ?
Doctor:There are n number of links available on this
Doctor:But trust me
Doctor:A doctor will suggest you better than online stories
Doctor:When I say "right way" it means with correctly fitting condoms
Doctor:When the condom does not tear
Doctor:When there is no spillage the protection is almost 95%
Doctor:The failure of condoms is because of tear in them and it accounts for 15 to 20% of failures of contraception
User:and what u r saying is,,,,,the tear generally happens because of wrong usage,,,right?
Doctor:Right, I am talking about the tear in the condom
User:can one easily get to know that there is tear in the condom after the intercourse?
Doctor:Yes, one can know that
Doctor:The female partner gets to know it better
User:but wife would not know that the semen is released untill she see's my expression,,,,
User:rather she would ask me
Doctor:It comes by practice
User:last time she got pregnant was not because of the wrong condom usage...but we think we were a little unclear of the safe period- begin and end date
Doctor:It may be the cause
User:I suppose we should not fully trust the safe period,,,,,right?
Doctor:Right
Doctor:It is mostly not effective
User:understand
User:Thanks a ton for these valuable information doctor
Doctor:Thank you too
User:to summarise,,,its better that we try OCPs,,,,however we'll try to use this as less as possible....and rely more on condoms
User:and definetely no to safe periods
User:for the penis problem i'll ask for KY jelly at the medical store
Doctor:Perfect
Doctor:You got it right
User:ok thanks again doctor,,,,,,have a wonderful evening,,,,God bless u,,,tc,,bye
Doctor:Thank you
Doctor:God bless you too
Doctor:take care
User:Doctor,,,,am sorry,,,i do not know how this service works,,,,i mean the duration of the chat etc
User:i wanted to know on the usage of OCPs
User:should I open a new chat?
Doctor:I am here
Doctor:Give me a moment please
User:no prblem
Doctor:chat duration is unlimited
Doctor:OCPs are used in various conditions but its primary use is in contraception
Doctor:Are you there?
User:yes doctor
Doctor:ok
Doctor:You should not worry about other uses of OCPS
User:ok
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