Q I am 43 year old man and my wife 41 year we have 4 year and 6 month daughter. We are very confused whether to go for second child as my only daughter feels very lonely. Can you advice?

First, determine whether you and your wife are physically, mentally and financially ready to have a second child. It is definitely possible to conceive at this age; however there are many factors that you should take into account before arriving at a decision. A womans fertility decreases drastically in her forties so there is a major possibility that your wife may have to use donor eggs to achieve pregnancy. The risk of complications during pregnancy such as diabetes and high blood pressure increases. Moreover, there are higher chances of premature and still births. You may need to use assisted reproductive techniques thus escalating costs. I am not trying to discourage you, but giving you the facts. On the other hand, some women do get pregnant well into their 40s, and many of them have complication-free pregnancies and healthy babies. Both of you should make an informed decision after knowing all the pros and cons. For any further clarification, visit a gynaecologist who will brief you about all available options. Do consider the possibility of adoption too.

Q Is it advisable to have sex during a period?

A period offers natural contraception while it lasts. If both partners do not mind the mess caused by blood loss, they can go ahead. However, its best to avoid intercourse for the first 2 days of the period because vaginal opening remains open due to blood discharge hence chances of getting infection increases.

Q how to do anal sex? does it creat any problem?

Anal sex is practiced by many heterosexuals, as well as homosexual couples. The anal area has many erotic nerve endings in both men and women. Because of this, many couples (heterosexual or homosexual) can derive pleasure from some form of bottom stimulation. Anal sex should be avoided by couples in which one of the partners has been diagnosed with an STI until the treatment has proven to be effective. In order to make anal sex safer, the couple must ensure that the anal area is clean and the bowel empty and the partner on whom anal penetration occurs should be able to relax. Regardless of whether anal penetration occurs by using a finger or the penis, the condom is the best barrier method to prevent transmission of STI. Since the rectum can be easily damaged, the use of lubricants is highly recommended even when penetration occurs by using the finger. Especially for beginners, using a condom on the finger is both a protection measure against STI and a lubricant source. Most condoms are lubricated and they allow less painful and easier penetration. Anal stimulation with a sex toy requires similar safety measures to anal penetration with a penis, in this case using a condom on the sex toy in a similar way. It is important that the man washes and cleans his penis after anal intercourse if he intends to penetrate the vagina. Bacteria from the rectum are easily transferred to the vagina, which may cause vaginal infections. When anal-oral cos ntact occurs, protection is required since this is a risky sexual behavior in which illnesses as Hepatitis A or STIs can be easily transmitted, as well as enteric infections. The dental dam or the plastic wrap[citation needed] are effective protection means whenever anilingus is performed. Anal sex has a number of health risks. Anal intercourse is the riskiest form of sexual activity for several reasons, including the following: The anus lacks the natural lubrication the vagina has. Penetration can tear the tissue inside the anus, allowing bacteria and viruses to enter the bloodstream. This can result in the spread of sexually transmitted infections including HIV. Exposure to the human papillomavirus (HPV) may also lead to the development of anal warts and anal cancer. Using lubricants can help some, but doesnt completely prevent tearing. The tissue inside the anus is not as well protected as the skin outside theanus. Our external tissue has layers of dead cells that serve as a protective barrier against infection. The tissue inside the anus does not have this natural protection, which leaves it vulnerable to tearing and the spread of infection. The anus was designed to hold in feces. Repetitive anal sex may lead to weakening of the anal sphincter, making it difficult to hold in feces until you can get to the toilet. The anus is full of bacteria. Even if both partners do not have a sexually-transmitted infection or disease, bacteria normally in the anus can potentially infect the giving partner. Practicing vaginal sex after anal sex can also lead to vaginal and urinary tract infections.

Q I get angry very often. How can I control my anger?

Getting angry is normal. One needs to concentrate not on "not feeling angry" or "controlling anger" but on how to manage that anger correctly. First of all try to identify the things, people, or situations that trigger anger. You can even keep a dairy. Note the ways in which you react to these situations. Then look for alternative ways of responding to the same situations. Practice this alternative adaptive response till it becomes a part of your nature. Recognizing anger and triggers, practicing alternatives and doing this persistently with positive attitude is the key.

Q How much sleep does a 3 year old need?

The child aged 3 years need a sleep of 9 to 12 hours during night and 1 to 3 hours (1 nap) of sleep in the morning. The total time of sleep varies about 12 to 13 hours.

Q How to make artificial vagina?

Hello. There are n number of techniques to make fake vagina at home. You can use any soft but firm material for this, like a glove inside towel roll, or two pillows on each other, or toilet paper roll and condom etc. Remember that you should use soft and non-hurtig material to make it at home. Though none of this home made techniques make you feel the actual goodness of having sexual intercourse with a female, but you can feel some closer to it. More better option we can suggest is to buy an artificial vagina from the shop of sex toy. The feel with these kind of sex toys is more realistic and more easier than making it at home. Hope this finds helpful for you.

Q I have sagging breast, since 2 years. I m very concerned about my sagging breast.

There is not much you can do about sagging other than gym exercise which will tone up the muscles and make breasts firm. Wear well fitting bra and sports bra during any strenuous physical activity. Breast lift surgery may help you to recover the condition to some extent.

Q My two year daughter fell from the slide this morning. In evening she passed white stool with bad smell.

Episode of fall and the white stool does not seem to be connected. But at the same time white coloured stool can not be ignored. Stool gets its normal yellow- brown colour due to bile. White colour stool indicate that either the bile is not produced or it is obstructed. Hence it should be evaluated by the doctor. Consult your family physician at the earliest.

Q How can i overcome intrusive thoughts?

The person having anxiety has to cope with intrusive thoughts. To overcome intrusive thoughts, it is important to realise that you are in complete control of yourself. People with intrusive obsessive thoughts are gentle and non-violent. You have to believe in yourself. It is you, who can help yourself and no one else. Try to solve the thoughts "logically" by telling yourself some positive statements. You have to relax yourself and give out the negative energy stored in your body and mind. It is advised to have a change in the attitude. A change in attitude will quickly disarm the emotional reaction you are having to the fearful thoughts.

Q What is histrionic disorder?

Histrionic personality disorder is characterized by a long-standing pattern of attention seeking behavior and extreme emotionality. Someone with histrionic personality disorder wants to be the center of attention in any group of people, and feel uncomfortable when they are not. While often lively, interesting and sometimes dramatic, they have difficulty when people arent focused exclusively on them. People with this disorder may be perceived as being shallow, and may engage in sexually seductive or provocative behavior to draw attention to themselves.