QUESTION AND ANSWER

Q.       A man with a larger penis is sexually more potent than   a man with a smaller one.?

Ans. The size of the penis, and male sexual potency are   unrelated. Male potency is a psycho-physiological   process stimulated by erotic thoughts, touch, fantasy,   etc. The erection of the penis is dependent on the nerves   and blood that reach it.

Q.     A large penis is of greater importance to a woman’s sexual gratification as it can easily touch the cervix.?

Ans. In a woman the outer one third of the vagina is sensitive to sexual pleasure. Even 5 to 7 cm  of an erect penis can give sexual pleasure to a woman as the outer one third of the vagina (i.e. approximately 5 cm) is sensitive to such kind of pleasure.The gratification through the penis touching the surface of the cervix does not arise.

Q.    Presence of hymen is the only test of a woman’s virginity.?

Ans. Presence of the hymen cannot be a test of  virginity . Sometimes the hymen can be broken due to heavy exercise, horse riding, use of tamopons, etc. A girl maybe virgin and still have a ruptured hymen. A girl may even be born without a hymen but this is rare.

Q.    Pregnancy is not possible when the hymen is intact.?

Ans. The male place the penis near  the female vagina and ejaculate the semen containing sperms outside the hymen. Although the penis has not entered the vagina , the sperms shed outside can very easily enter through  the small opening in the hymen and swim up through the vagina, cervix and uterus to the fallopian tubes. If such a sperm meets a mature ovum in the fallopian tube, fertilization can take place leading to pregnancy.

Q.¬†¬†¬†¬†A man can always ‚Äúwill‚ÄĚ on erection.?

Ans. No. It is not a voluntary action. Erection  depends on the proper working of the nerve connections and the blood supply to the penis. Erection occurs when spongy spaces in the penis gets filled with blood in response to physical stimulation, psychological stimulation or both. Even if a man desires to have an erection he may not get one due to fatigue or distraction.

Q.    Oral genital sex is abnormal.?

Ans.  This is one of the various forms of sexual expression between two people. It is not an abnormality. If two  or more partner are agreeable and  comfortable and get satisfaction from this sexual expression then it is normal for them.

Q.    Coitus should be avoided during pregnancy.?

Ans. Coitus during pregnancy is alright unless  the doctors advises otherwise for medical reasons. However, the sexual activity should not be uncomfortable for the pregnant woman and doctor’s advice on this is essential. In case of pain, vaginal bleeding, or past history of abortion, coitus has to be avoided, It is necessary to consider the willingness of the pregnant woman.

Q.    Frequent masturbation can lead to sexual inadequacy.?

Ans. Masturbation is normal and definitely does not lead to any of the above.

Q.    Masturbation is practiced exclusively by men.?

Ans. Masturbation is practiced by both men and  women. Whilst men self stimulate the penis, woman self stimulate the clitoris and the labia resulting in a climax.

Q.    Married people, mature people, adults and elderly persons, all practice masturbation.?

Married people, mature people, adults and elderly persons all practice masturbation.

Q.    Masturbation can lead to acne, insanity, tuberculosis, impotence, homosexuality, dark circles around the eyes, hairy hands, falling hair, mental retardation, diminishing size of penis and changes in the angle of  the penis.?

Ans. Masturbation is normal and definitely does not lead to any of the above.

Q.    Sex during menses is unsafe. ?

Ans. Biologically sex during menses is not at all unsafe. If both partners are willing and comfortable then they can have sex during menses without affecting their health.

Q.    A woman is impure during menstruation.?

Ans. Menstruation is a normal, healthy function of the female body. Hence restrictions placed on the woman have no scientific basis. She can carry on doing  all that she normally does. The age old restrictions laid on menstruating women are unfounded.

Some of these common restrictions are :-

  • No bathing or hair bath.
  • No cooking or entering the kitchen.
  • Not partaking in religious ceremonies.
  • No going out to games, parties, etc.

 Eating vegetarian and/or very small quantities of food.The menstruating woman is not impure and if she maintains menstrual hygiene, she need not even feel unclean.

Q.    Women do not experience orgasms.?

Ans. Women do experience orgasm.

Q.    Clitoral and vaginal orgasms are distinctly different.?

Ans. No, there is no such difference. Either the clitoris or the vagina or both can be stimulated to reach a climax or orgasm.

Q.    One drop of semen is equivalent to 40 drops of blood which in its turn requires a lot of nourishing food.?

Ans. This statement is  not scientifically correct. One drop of semen has no relationship with 40 drop of blood.

Q.    Men are born with fixed quota of semen and excessive dissipation of semen will devitalize them, promote ageing and will lead to seminal bankruptcy.?

Ans. Semen is being constantly prepared by the body and a healthy body can produce it throughout life. There is no fixed quota of semen in the body of a man.

Q.    Nocturnal emissions or wet dreams indicate  a sexual disorder.?

Ans. Nocturnal emissions are normal to any adolescent boy or adult man and hence should not be considered either as illness or a disorder. Testes are constantly producing sperms puberty, hence the older sperms have to be thrown out the body so that the fresh ones take their place. These emissions occur as a result of erotic dreams, or in a prone position in sleep it may cause local stimulation resulting in erection and emission of semen.

Q.   Absence or deficiency of sperms affects one’s potency.?

Ans.  The quantity or sperm produced by the male does not have any relationship with the erectile tissue of his penis. Hence his potency is independent of the absence or deficiency of sperms.

Q.   Swallowing of seminal fluid during fellatio (oral intercourse) leads to obesity and pregnancy.?

Ans. The semen consists of sperm cells, fructose and  alkaline material. None of these have the ingredients for making one obese. For pregnancy the sperm has to reach the fallopian tube or oviduct to meet the mature ovum and fertilize it.The only entry for the sperm is through the vagina. There is no connection between the digestive tract and the fallopian tube. So swallowing semen will not lead to pregnancy. The sperms are destroyed in the stomach due to the acidity in it.

Q.   Regular douching is essential to keep the vagina clean.?

Ans. A douche is a rubber pouch with a tube at one end. The pouch is filled with the fluid and the tube inserted in the vagina. The pouch is then squeezed so that the fluid squirts out of the tube into the vagina. The vagina is self-cleansing. Regular douching destroys the natural protection of the vagina resulting in irritation and infection. Douching is wrongly considered by some as a method of birth control. A douche should never be used unless recommended by a doctor.

Q.   Circumcision is the only way to keep the penis clean.?

Ans. Circumcision will not permit formation of smegma because the foreskin is removed.However , if a man is not circumcised he can keep himself clean by pulling back the foreskin and washing off the smegma underneath. Genital hygiene is important irrespective of whether the man is circumcised or not.

Q.   If a male having a sexual transmitted disease has sex with a virgin girl he will be cured of the STD.?

Ans. Having sex with a virgin girl, will not cure a person of STD’s . Not only does the person continue to be infected because he avoids seeing a doctor but it is also likely that the disease will be transmitted to the concerned girl.

Q.   A person can catch STD from using a public toilet.?

Ans. This is a very common fear among people. But it is  actually false because  the germs that cause these diseases are quite fragile and usually do not live long outside their human host.

Q.   Disappearance of the symptoms means the  cure of the STD.?

Ans. Being asymptomatic definitely does not  mean absence of the disease. In fact, in primary syphilis many of the signs disappear even without treatment. But the person is still infected throughout . Hence, it  is important to continue the treatment even when symptoms disappear.

Q.   Gonorrhoea is the first stage of syphilis.?

Ans. Gonorrhoea and syphilis are not the same STD. These are caused by two different micro-organisms.

Q.   Washing one’s private parts everyday is sufficient to prevent  an STD.?

Ans. While infection can be prevented to a  certain extent through personal hygiene,  being mutually faithful to one partner and using condoms are more effective ways of preventing STD.

Q.   Education in Human Sexuality in schools and   colleges will lead to sexual experimentation.?

Ans. This is a fallacy. Children and adolescents are  naturally curious about the facts of life and the changes that occur in their bodies. They want answers to their queries and will get the answers from any available source and deal with such information the way they deem fit. If this information is given through formal sexuality education programmes then along with correct information, there is a support system provided, values are built in, decisions of roles and responsibilities are discussed and the adolescent is aware of what is happening to his/her body.

Q.   Condoms break during sex.?

Ans. Condoms rarely break. The new condoms are very strong. People who are worried can  use a water base lubricant like K Y jelly but  not an oil base lubricant like Vaseline as this can cause the condom rubber to perish. Condoms, however, should not be used if they are old (so it is necessary to look at the expiry date on the wrapper.), or if they have  been kept in a hot place. Each condom should be used only once and never ever used beyond the expire date. If these instructions are followed , condoms will not break.

Q.   The pill cause cancer.?

Ans. Scientists have done many studies with women who use the pill regularly or irregularly. These studies do not show that the pill causes cancer. In fact they show that the pill can actually help protect the woman from some kinds of cancer.

Q.   What is Sildenafil ? Do Pfizer have two  drugs, i.e. is Sildenafil different from Viagra ?

Ans. Pfizer only have one drug for the treatment  of ED. Sildenafil is a general descriptor of the chemical that is in Viagra tablets. Viagr is a trade name from  Pfizer.

Q.   What is the mechanism of action of Viagra ?

Ans. Viagra works by inhibiting an enzyme called phosphodiesterase (PDE5) ,  This enzyme is found within the penis and his accounts for the relatively selective action of Viagra on ED. By inhibiting PDE5, Viagra increase the level of cyclic guanosine monophosphate (cGMP). Elevated cGMP levels result in relaxation of the cavernosal smooth muscle, which in turn results in engorgement of the tissue and erection. In patients with ED, cGMP levels may be low and would therefore be raised be raised by Viagra.

Q.   Does Viagra affect libido ?

Ans.  There is no evidence that Viagra affects libido.

Q.   Will Viagra affect ejaculation .?

Ans. Viagra is not known to affect ejaculation per second. However, it may reduce the period between detumescence, which is when you go flaccid , and when you are able to have your next erection.

Q.   Does everyone respond to Viagra.?

Ans. Unfortunately not. The overall response rate is somewhere in the region of 60-70% , with  roughly three-quarters of responders having a full erection. This response rate will depend on the patient population; the response rate in diabetes is marginally less and in postradical prostatectomy, slightly less that 50% of men are likely to respond.

Q.   Does Viagra have any side-effects.?

Ans. No drug is without side-effects. However, Pfizer have worked out the effective dose range that can be used to minimize side-effects. If the drug is used within this does range, usually 25-100 mg, side-effects are likely to be minimal . Incidentally, not every individual will, in fact, experience side-effects.

Q.   Does Viagra interact with other drugs I might be on.?

Ans. Viagra has been studied quit extensively for drug interactions, particularly with regard to diabetic and antihypertensive mediations. In general , Viagra does not later the blood level of these agents, but must not be taken in conjunction with nitrates.

Q.   I am normal; will Viagra or other drugs for ED enhance my sexual powers.?

Ans. There is no evidence that Viagra will in fact affects normal sexual function.

Q.   What does Viagra do for women.?

Ans. Clinical trials on the effects of Viagra on female sexual dysfunction are underway. In  the absence of these clinical results, it would be unwise to speculate as to whether Viagra may have any potential benefit in the female populations.