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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Have Proper Sexual Intercourse?

We have been married since 1 year and couple of months back my wife's hymen has broken. Since then only once we had been able to do sex properly. On all other occassions while inserting penis, it comes out and never we had proper sex. Due to this we are losing interest in sex and always get a feeling it is never going to right. Hence we are trying to do sex only for our first child instead of sexual pleasure. Please suggest any remedies.
Mon, 21 Mar 2016
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OB & GYN Specialist 's  Response
Hello,

Thanks for writing to us. I am trying to solve your problem.

According to your history, she has tough hymen, which takes more time to rupture completely. Vaginal dryness should be ruled out. It causes unable to achieve orgasm being more excited.

There are several underlying causative factors in association with. These include:

1) Psychological causes/ stress/ anxiety/ emotional upset.
2) Pelvic trauma/ infection/ history of pelvic surgery/ vaginal dryness (more common).
3) Hormonal imbalance, particularly low level of estrogen.
4) Use of certain medication or neurological causes associated with reduce sensitivity to clitoris.

The following measures are helpful to gain sexual pleasure:

1) Need complete body fitness- by the means of taking healthy diet with consuming more vegetables & fruits, drink more water to stay hydrated, regular physical exercise through running/ jogging/ treadmill etc.

2) Try to avoid stress/ tension/ anxiety by regular yoga/ meditation or breathing exercise (20-30 at a times).

3) Keep more time on foreplay with your partner and give time to arouse yourself more & more before actual vaginal penetration or partner's ejaculation.

4) Specific treatment- by means of hormonal patches (estradiol) or medication to correct other hormonal imbalances, using clitoral vacuum pump devices or vibrator and drugs to improve blood flow/ sexual sensation/ arousal.

In recent study, drugs like sildenafil/ vardenafil (though used in men) are quite useful in the reversal of female sexual dysfunction. Also you need to treat other underlying causes.

5) Vaginal dryness can be treated with water based lubrication/ jelly/ estradiol cream etc.

6) Maintain genital hygiene properly and need adequate sleeping with complete relaxation. Avoid using unnecessary medication.

Hope, it helps for your information. Good luck.
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How To Have Proper Sexual Intercourse?

Hello, Thanks for writing to us. I am trying to solve your problem. According to your history, she has tough hymen, which takes more time to rupture completely. Vaginal dryness should be ruled out. It causes unable to achieve orgasm being more excited. There are several underlying causative factors in association with. These include: 1) Psychological causes/ stress/ anxiety/ emotional upset. 2) Pelvic trauma/ infection/ history of pelvic surgery/ vaginal dryness (more common). 3) Hormonal imbalance, particularly low level of estrogen. 4) Use of certain medication or neurological causes associated with reduce sensitivity to clitoris. The following measures are helpful to gain sexual pleasure: 1) Need complete body fitness- by the means of taking healthy diet with consuming more vegetables & fruits, drink more water to stay hydrated, regular physical exercise through running/ jogging/ treadmill etc. 2) Try to avoid stress/ tension/ anxiety by regular yoga/ meditation or breathing exercise (20-30 at a times). 3) Keep more time on foreplay with your partner and give time to arouse yourself more & more before actual vaginal penetration or partner s ejaculation. 4) Specific treatment- by means of hormonal patches (estradiol) or medication to correct other hormonal imbalances, using clitoral vacuum pump devices or vibrator and drugs to improve blood flow/ sexual sensation/ arousal. In recent study, drugs like sildenafil/ vardenafil (though used in men) are quite useful in the reversal of female sexual dysfunction. Also you need to treat other underlying causes. 5) Vaginal dryness can be treated with water based lubrication/ jelly/ estradiol cream etc. 6) Maintain genital hygiene properly and need adequate sleeping with complete relaxation. Avoid using unnecessary medication. Hope, it helps for your information. Good luck.