Doc­tor’s AD­VICE

Jamaica Gleaner - - NEWS - Email ques­tions to Doc at sat­ur­daylife@glean­ and read more in the ‘Out­look Mag­a­zine’ to­mor­row.

QHi, Doc­tor. I started my menses around three years ago, and around a year af­ter that, they be­came ex­tremely painful. That has con­tin­ued most months since then, and painkillers are usu­ally not enough to help me. This is af­fect­ing my stud­ies.

Is it all in the mind?

ANo, it cer­tainly isn’t. The truth is that a high pro­por­tion of teenage girls get quite se­vere pe­riod pain at times – mainly be­cause the womb (which is still pretty small) is con­tract­ing in an ef­fort to ex­pel the men­strual blood.

A gen­er­a­tion or two back, many doc­tors be­lieved that this pain was largely psychological. They often ad­vised these poor young women to ‘pull them­selves to­gether’.

Then the Pill ar­rived – and sud­denly, most of the young ladies who went on it found that they lost their pe­riod pain. So much for the idea that it was psychological.

What you should do now is to go and see a nice, help­ful doc. She will check you and dis­cuss with you whether go­ing on the Pill, or some sim­i­lar hor­mone prepa­ra­tion, would re­move your pe­riod pain. My guess is that it would.

QDoes it hurt to have a coil put in, Doc? I am keen on hav­ing sex with my fi­ancé and I want to try that method.

AWell yes, the in­ser­tion is often rather painful, es­pe­cially in young women who have never been preg­nant. This is be­cause their wombs are smaller than those of ladies who have had chil­dren.

But, usu­ally, the pain does not last long. With luck, it will be all over in a few min­utes. Nev­er­the­less, I would make two rec­om­men­da­tions: Be­fore­hand, take a dose of aspirin or parac­eta­mol; If you have a car, do not at­tempt to drive your­self home be­cause you might be a lit­tle bit shaken.

Doc, I am a guy who is con­vinced that my or­gan is shrink­ing. Is this pos­si­ble?

I am 17, and last week for the first time in my life I went with a girl. (We did fol­low your ad­vice, and used a con­dom.)

She seemed quite happy with ev­ery­thing, but I was not! I just felt that my or­gan was much smaller than it used to be. Dur­ing sex, I felt as if it was only around three inches long.

Is this pos­si­ble, Doc? I have seen on the net where there is a con­di­tion called ‘shrink­ing pe­nis syn­drome.’ Have I got it?

AQWell, ‘shrink­ing pe­nis syn­drome’ is a psychological con­di­tion which is quite

Doc­tor, I some­how splashed over the front of my girl­friend’s pants last night when we were ‘fool­ing around’. Be­cause of this, we are wor­ried! By the way, we are both 18.

Do you think she will be­come preg­nant?

AThat is most un­likely. Many young cou­ples do crazy things like let­ting the young guy’s ‘man-fluid’ get on to the gus­set of the young lady’s pants.

This is not to be rec­om­mended, but, in prac­tice, the chances that the sperm will find their way com­mon in some coun­tries, but not in Ja­maica. It mostly oc­curs in Malaysia and China. And it is also known as ‘Koro.’ You can look this word up on the In­ter­net, if you wish.

It is caused from anx­i­ety and fear about the size of the male or­gan. Typ­i­cally, a young man starts to fret that his pe­nis is get­ting smaller. As his ner­vous­ness in­creases, that re­leases anx­i­ety chem­i­cals into his blood­stream. And these have the ef­fect of mak­ing his or­gan even tinier – rather like what hap­pens in cold weather or a cold shower.

I am rather doubt­ful that your pe­nis was ‘only three inches long’ dur­ing sex. But what you should do now is to go to a doc­tor and have your equip­ment checked out. I am sure he will be able to re­as­sure you that all is nor­mal. through the ma­te­rial into the vagina and up to the womb are not very high.

How­ever, please take more care. And if there is the slight­est chance that you and your girl­friend are go­ing to progress to hav­ing in­ter­course, then the two of you should con­sult a doc­tor for ad­vice about con­tra­cep­tion. Do not take any risks!

I am a deeply ashamed young woman of 21, Doc­tor. I al­lowed a smooth-talk­ing, older man to re­move my clothes and play around with me. I would not let him have full sex (that is, in­ter­course), but I did let him have what they call ‘breast sex’. I know that it is quite a pop­u­lar thing with some peo­ple, but I did not like it. In con­trast, he was highly de­lighted and told me how ex­cit­ing I was and how he wanted to see me again.

How­ever, I was rather dis­gusted by all the mess and I re­fused to see him again – even when he of­fered me money. But what I want to know is whether he could have given me any sex­ual trans­mit­ted in­fec­tion (STI) through that breast sex?

AWell, I think you were very wise to ‘dump’ him! When young women start ac­cept­ing gifts of money from older, richer guys, they are dan­ger­ously near to pros­ti­tu­tion.

As far as ‘breast sex’ is con­cerned, you seem to be aware that many cou­ples go in for this some­times. One rea­son for this is that they re­gard it al­most as a sort of con­tra­cep­tion. They know that a fe­male can­not get preg­nant this way.

Breast sex has be­come more pop­u­lar in re­cent years, thanks to the fact that ma­jor Amer­i­can women’s mag­a­zines (like Cos­mopoli­tan) have de­voted ar­ti­cles to it and have stated that it is quite a nice thing to do.

Be that as it may, I think you can be re­as­sured about one thing; it is very nearly im­pos­si­ble for breast sex to give any­one an STI. There are very rare ex­cep­tions to this rule – for in­stance, if a guy has syphilis.

How­ever, I feel that there is prac­ti­cally no chance that this older guy has given you any in­fec­tion in your breasts or else­where.

QMy girl­friend fears she is preg­nant by me. Would that ‘af­ter-sex Pill’ work for us?

Un­for­tu­nately, it is now 10 days since we had sex, Doc.

AI am afraid that is far too late. There are now two main types of so-called ‘morn­ing-af­ter pill’ in the world.

One of them has to be taken within 72 hours (that is, three days) of sex. The other has to be swal­lowed within 120 hours (five days) of ex­po­sure. Be­yond those lim­its, these tablets will not work.

There is also what is called the post-coital coil or ‘af­ter-sex coil’. But that, too, has be used within five days of tak­ing a sex­ual risk. Sorry.

QI am fe­male, age 18. Doc, I have had a cou­ple of wild dreams in which I had sex with other girls. The dreams were quite en­joy­able, but left me feel­ing guilty in the morn­ing.

Do you think that this kind of dream­ing in­di­cates that I am re­ally a les­bian?

ANo I don’t. Lots of young women have wild night­time dreams in which crazy, sexy things hap­pen. That’s just how some dreams are.

Ad­mit­tedly, it is al­ways pos­si­ble that you are go­ing to turn out gay, but at the mo­ment, we don’t re­ally have any sub­stan­tial ev­i­dence for that.

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