Q what steps should I take if I think Ive got an STI?

If you think you may have a sexually transmitted infection (STI), go to your GP or local Sexual Health or GUM (genitourinary medicine) clinic. Most STIs can be treated, but its important to get any symptoms checked as soon as possible. The indications of when you should go for checking include pain when passing urine,itching, burning or tingling around your genitals, blisters, sores, spots or lumps around your genitals or anus, black powder or tiny white dots in your underwear (this could be droppings or eggs from pubic lice). Unprotected sexual intercourse with unknown person should also get a checking.

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 Brown discharge after sex?

If you have the discharge immediately after sex, then it might be possible that you are having the sex for the first time. If the discharge is after a few days, then it is suggestive of the pregnancy and the it is the implantation bleeding. When you rule out the two condition, then the probability goes to the any infection of the vaginal tissue. For this you must consult the gynecologist.

Q I ate viagra 100 mg tablets before 10 min i want the effects out from my body. How can i do this?

You cant really do much. Just wait for the effects to pass. They should wear off in about 4 hours.

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 WBC count is increased up to 16000, 5 days back. I had some antibiotics prescribed by doctor. Today I checked still the count is same or increased. Why is this? Is it a symptom of cancer?

The normal count of WBC is 4000-11000. Raised WBC count is not the only sign of cancer. There are other causes as well, of which infection is the most commonest cause. You should finish the course of antibiotic given by your doctor an then check the count. If it is still raised than it is necessary that you consult your doctor again.

Q Hairfall after delivery is it common how can i deal with it?

A hair cycle consists of 3 phases: anagen (growing), catogen (stoppage of growth and blood supply) and telogen(resting) phases. Normally upto 90% of hair are in the growing phase, 10-14% in the resting phase and 1-2% in the falling phase. Pregnancy and childbirth are stressful events for the body which pushes a lot of hair prematurely in the resting phase (telogen effluvium). This results in a large quantity of sudden hairfall. However, dont worry, this condition is temporary. In six months, the hair reverts back to its normal growth cycle. In the meanwhile, make sure you eat a healthy, well-balanced diet and remain stress free.

Q I have been seeing faces on walls doors etc. Sometimes they are scary looking, and look like they are in pain. Sometimes they are peaceful looking. Ill see them in clusters, male, female, even babies faces.

Can you relate to any experience or incident after which you started seeing these faces? How long has it been since they started and how frequently does it happen? Are you suffering from or are on treatment for any other disease/disorder? Any addictions to smoking, alcohol, drugs etc? If these faces have been appearing recently, just ignore them for a while. Try to divert your attention and keep yourself busy. Theyll probably go away on their own. However, if you have been seeing these faces consistently, it would be wise to see a Mental Health practitioner who will be able to help you out.

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 My three-month-old baby has cradle cap. His head smells sour, is this normal? Does cradle cap have an odour?

It is very normal to have an odor to scalp of your baby. This is generally due to sweat glands and its secretions. This smell may become more intense due to use of cradle cap. There is nothing to worry about it.