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 Do men suffer from menopause like women?

The phase of life similar to menopause is called as andropause in men. It is marked by lethargy, sadness, weariness, lack of drive, irritability, poor concentration and sometimes loss of sexual desire in middle-aged men. This leads to boredom, lack of fitness, heavy drinking and lack of self-esteem.n Though, male menopause is controversial, as there isn~t any calculable fall in the levels of male hormones in middle age like females have fall in sex hormones drastically, yet it is advised that men experiencing the symptoms should exercise regularly and eat healthy, nurture a hobby, and have a peaceful mind and renew interest in life.

Q If I have urinary incontinence will I need to have cystoscopy?

The cystoscopy is one of the methods to diagnose the urinary incontinence. The test is done to find out and if possible remove any abnormality in the urinary tract. Whether you will require this test or not will be decided by your physician.

Q Small penis size medicine.

There are no natural means to increase the length of the penis. However, the length of a penis is not indicative of its performance. If your erect penis measured from base to tip is 3.5 to 4 inches long, then your penis is of normal size. Only the first 1 inch of a womans vagina is sensitive to sexual pleasure, hence even a 2 1/2 inch penis is adequate for intercourse. Most women are not concerned about the size of the penis. You should focus on increasing your sexual skills.

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 can sugar causes depression?

Studies suggest diet high in refined sugar can cause depression. Lots of refined sugar is linked with depression because it not only supply very little in the way of nutrients but they also use up the mood enhancing vitamin B. In fact, a study published in British Journal of Psychiatry found that those who had a diet which contained a lot of processed foods had a 58% increased risk for depression, whereas those whose diet could be described as containing more whole foods had a 26% reduced risk for depression.

Q Biotin and vitamin e for hair?

Both the biotin and vit E are helpful for the growth of hair.

Q Can a girl get pregnant without inserting? Just touch outside her vagina.

A girl can get pregnant only when the sperms enter the vagina. But this can happen even if you ejaculate near her vaginal opening. Please do not take any unnecessary risk. Either use a condom or stay as far from the vagina as possible.

Q My 11 year old son is diabetic, what are the symptoms of diabetic in a teen. Or just regular symptoms?

Symptoms of diabetes in children and teens are mostly the same as in adults. They include: thirst, weight loss, fatigue, and frequent urination. Particularly in children, diabetes can also cause behavioral problems, headaches, and stomach aches or pains. To check it for the teenagers unquenchable thirst, going to the bathroom frequently, losing weight, yeast infections, eyesight changes, and increases in appetite. Insulin dependant diabetes usually develops in teenagers.

Q Can you please educate me ..What is an orgasm?

Orgasm is sudden discharge of sexual tension accumulated during a sexual act characterised by sexual pleasure. In humans orgasm is achieved by physical stimulation of the penis in males and stimulation of clitoris in females. A men is said to experience orgasm when he ejaculates semen. In females orgasm is without any external ejaculation. A women can experience multiple orgasm during a single sexual act. Where as in males it is mostly single and followed by a refractory period.