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 Hi, My son is 5 years old. About a year ago he had adenoidectomy and insertion of grommet in his ear for ear infection. Now one of the grommet is coming out and he is complaining of ear pain. Can you advise if he needs repeat surgery?

If the grommet is coming out and he is complaining of ear pain, there is need of reinsertion of grommet. My advise to you is revisit your ENT surgeon, who have operated your son. Because he is in a better position to advise you and do further management.

Q Do childhood earaches cause hearing loss later in life?

The ear ache in childhood has different causes either related to ear or some other parts like teeth, head, mouth etc. In most of the cases, it is related with the hearing loss in later life. But, the deafness has many other serious conditions in adult life which are not related with the childhood earache.

Q Diagnosis of high cholesterol

The diagnosis of high cholesterol levels is based on a simple blood test. Usually a complete Lipid profile is advised to test the levels of different components of cholesterol and triglycerides. Total cholesterol levels should be less than 200 mg/dl. LDL levels less than 100 mg/dL ( 2.6 mmol/L) are considered optimal. An acceptable HDL range is between 40- 60 mg/dL (1.04-1.56 mmol/L). Triglyceride levels should be maintained less than 150 mg/dl. High levels of HDL have a protective effect against heart disease whereas high levels of LDL and triglycerides increase the risk of heart disease and stroke.

Q My age is 26 . I have a sex problem . I could not have my first sex as my penis did not erect and get hard.

If you are capable of getting erections during masturbation or at any other time, then you are absolutely fine. At that time, you may not have gotten an erection due to anxiety. However, if you have never had an erection in your entire life or have suddenly stopped getting them now, then you must visit a urologist.

Q What can i do if my child is overweight?

Overweight children are more likely to grow up into overweight adults, so your concern for raised weight of child is appropriate. It is usually better that the child maintains their current weight while they continue to grow in height. Making changes to your family~s lifestyle can make a real difference to your child~s weight. Eat regular meals, together as a first step towards a healthier diet. Use homemade food rather than relying on ready-made meals to help you to lower the fat and sugar content in your meals. Avoid the diet like snacks and meals that are high in fat or sugar, such as chocolate, biscuits, sweets and fizzy drinks, and aim to replace these with healthier alternatives such as fruits. Exercise is helpful to burn extra calories in your child. Kindly focus on light exercises done by your child like standing up, moving around, walking at a slow pace and less energetic play. Also active play (such as hide and seek and stuck in the mud), fast walking, riding a bike, dancing, swimming, climbing, skipping rope, gymnastics are helpful depending upon the age.

Q My doctor tells me my test results are normal, but I still have a few thyroid symptoms. Should I worry?

If the thyroid function test is done for the first time and the reports are normal, then there is nothing to worry about. However if you are taking the medicine for any thyroid disorder, then though your results are normal you may have the symptoms for few days.

Q I am diabetic and having erectile dysfunction and very late ejaculation. I do not have babies planning due to it. Why is erectile dysfunction caused in diabetes? What can I do?

Uncontrolled diabetes causes damage to small blood vessels and the nerves that control erection. Damage to these blood vessels and nerves leads to the development of erectile dysfucntion. As far as fathering a child is concerned if you have healthy sperm quantity and quality you need not worry. For erectile dysfunction it is necessary that you keep your blood sugar levels under control. Treatment options include oral medications, penis pumps, surgery and implants. Consult an andrologist to know what treatment option will suit you best.

Q Why is one pupil bigger than the other in a 2 month old baby boy?

1 in 5 babies can born with different sized pupils without any underlying disorder. If other family members also have similar pupils, then the pupil size difference is possibly genetic and nothing to worry about. However, certain underlying conditions such as Homers disease, aneurysm, tumor, increased intracranial pressure, meningitis can cause a difference in pupillary size. If your baby does not have any other sign and symptom and he is healthy otherwise, then there is nothing to worry about. But our advise will be to get him examined once to rule out any underlying disease.

Q I am 14 and I get chest pains whats wrong with me ?

To evaluate whats wrong with you, we need further details about nature of your pain, your gender and lifestyle. Some of the common causes of chest pain at your age could be due to acidity, stress, anxiety, prolonged cough, trauma to the chest region, etc. Chest pain due to heart disease is less likely at your age. If it is recurrent and very sever, get yourself examined.