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    Dr.Promodu's Institute of Sexual & Marital Health Pvt. Ltd.
    Pathadipalam, Edapally P.O.,
    Kochi - 682 024.
    Tel : 0484-2 555 301, 2 555 304,
    Helpline: 93875 07080.

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Frequently Asked Questions

Is there any chance of HIV infection if my partner use condoms?

Recently I had sex with my boy friend on a few occasions. Actually we were planning to marry. Later on I got information that he had sex with some others also and I stopped this relationship. We used condoms every time, but I'm not sure if it was enough protection against HIV. One of my friends told that HIV can get through the small holes in the rubber. Is it correct? I am scared of HIV. Is there any chance for to get the infection?
It is very unlikely for you to get an infection if your partner had used condoms when ever you had sexual intercourse. There are no holes in the condom. If used properly, condoms are some what good protection against HIV and many other sexually transmitted diseases.

Can I get pregnant the first time I have sex?

Yes! You can get pregnant the first time you have sex if it is during your fertile period that is the ovulation time. If you want to avoid pregnancy, you should use birth control methods right from the first time you have sex.

Can I get pregnant by swallowing the semen during oral sex?

No, you can’t. Swallowing semen is the same as eating something that passes through your digestive system. It can’t make you pregnant because your mouth or digestive system doesn’t have any connection with your reproductive system. But remember that you can get sexually transmitted diseases through oral sex if your partner is infected. So you should use a condom during oral sex.

What is premature ejaculation?

Premature ejaculation is a condition in which the male partner ejaculates before he or his partner wishes. WHO defines premature ejaculation as the inability to control ejaculation sufficiently for both partners to enjoy sexual interaction. In severe cases, ejaculation may occur before vaginal entry or in the absence of erection. In short premature ejaculation is the inability of a man to control the ejaculation till the completion of sexual intercourse in such a way that both partners achieve full sexual satisfaction. Premature ejaculation may be classified as lifelong or acquired. Life long PE may begin during teenage. Acquired PE is secondary to other conditions.

I got married 3 months ago. Both of us are healthy, but unable to have sexual contact. What could be the cause? Is there any remedy for this?

Non consummation of marriage or an inablity to engage in sexual intercourse could be due to various reasons. Husband's inability to achieve and maintain sufficient erection for penetration (erectile dysfunction), ejaculating prior to the attempt of penetration (premature ejaculation), wife fear to cooperate for sexual intercourse, pain during the attempt, lack of interest of any one partner, dislike towards the partner, wrong positions, wrong methods, lack of knowdge of the couple etc can cause this problem. There is treatment for this problem. Both husband and wife need to undergo a clinical evaluation by a team of doctors consisting of sexologist, andrologist and gynecologist. By proper evaluation the cause can be identified and treated successfully.

Whether all ladies will have pain during the first sexual intercourse?

No. It depends on each individual's condition. For some women hymen may be intact and may experience a little pain and bleeding when it is ruptured during the first intercourse. This is one of the most common causes of pain during the first intercourse. The hymen can rupture due to several reasons such as excercise, dancing, jumping, running or some other causes. If the hymen is already broken women may not experince bleeding or pain. Many other physical and psychological factors like infections, tightness of vagina, fear of injury or pain, relationship problems etc can lead to pain. Couple needs physical examination and treatment if the pain persists indefinitely. What ever may be the cause it can be identified and treated successfully.

What is safe period? How can I find it?

Safe period is the time in a woman's menstrual cycle during which there is no chances for conception. Ovulation period is the known as the fertile period. Safe period can be calculated correctly only if the periods had been regular for the previous 6 months. The normal menstrual cycle is 28 days, usually varies from 26 to 31 days with several days at the beginning that are infertile (safe), a period of fertility (fertile or ovulation period), and several days just before the next menstruation that are infertile (Safe). If it is a 28 days cycle ovulation is expected on the 14th day. The first day of bleeding is considered as day one of the menstrual cycle. Days 1 to 7 and day 21 to rest of the cycle is calculated as "Safe Period" for individuals with regular 26-30 days cycles. In simple terms one week prior to and one week from the first day of a menstruation can be considered safe. But please remember that the so called safe period need not be safe always. It can go wrong when ever the periods become irregular.

We have regular sexual contact, but my wife did not conceive. Doctor told that my sperm count is very low. What is the cause of low sperm count?

There are different causes for low sperm count.  This condition is known as oligospermia in medical terms. Causes may vary form an infection to testicular damage. One of the most common causes is varicocele. When consider the treatment, the first step to success is identification of  accurate cause. If the cause is identified then the treatment is very easy. Different investigations are available to detect the cause. One has to undergo these tests in a step by step manner under the guidance of a well experienced andrologist. This condition can be treated and corrected. Earlier the better. If the treatment is taken after developing azoospermia (absence of spermatozoa) the chance of recovery becomes low.

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