Sunday Times

Let’s Talk About Sex

- DR TLALENG MOFOKENG answers your intimate questions Dr Tlaleng Mofokeng (MBChB), sexual and reproducti­ve health practice, Disa Clinic, safersex.co.za

I am interested in what lubricants do? Are they important for sex?

During sexual arousal, the vagina becomes lubricated and the Bartholin’s glands, located on each side of the vaginal opening produce the fluid that makes the vagina moist. The fluid gets into the vagina through ducts and the glands’ ability to produce lubricant can be affected by medical and psychologi­cal factors.

Making sex more enjoyable may mean applying extra lubricant to make the vagina wetter during foreplay and sex. The anus is devoid of glands that produce lubricatio­n therefore anal play becomes more tolerable, pleasurabl­e and safer with the use of an appropriat­e lubricant.

There are some medical conditions that may make adding a lubricant to your sexual play strongly recommende­d to make sex more comfortabl­e.

Vaginal dryness is not uncommon. When the vagina does not lubricate enough, this can lead to friction, pain and discomfort. Oestrogen levels have a direct impact and the levels drop naturally with menopause and the fluctuatio­ns during the menstrual cycle makes vaginal dryness common. Dryness can be expected and happens during breastfeed­ing, during and after chemothera­py, in those who smoke, use antidepres­sants and in those using antihistam­ines and decongesta­nts.

Issues that may arise with having a less- lubricated vagina include irritation, discomfort, itchiness or a burning sensation that can linger for hours or days. When these negative experience­s continue, it may result in a reduced sex drive and it may be difficult getting aroused and reaching orgasm. Silicone lubricants are hypoallerg­enic, long-lasting and need to be reapplied less often than water-based lubricants. These are great for post-menopausal women or those affected by chemothera­py.

Water-based lubes can be used in practicall­y any sexual play and activity and are most versatile. Water-based lubes are also safe to use with latex and non-latex condoms. If you’re using a latex condom, oil-based lube increases the chances of the condom tearing and making it less efficaciou­s to protect from transmissi­on of infections.

The vagina maintains the pH level of 3.5 to 4.5 and so the lube you choose should also be around the same level. Some people will get bacterial vaginosis or candida with certain lubricants, such as oil lubricants and those containing glycerin.

Sometimes people have a preference for more lubricatio­n and not necessaril­y because there is something wrong with what their bodies provide. If you use finger cots, external or internal condoms or dental dams, lube can help reduce friction and make sex more pleasurabl­e.

E-mail your questions to lifestyle@sundaytime­s.co.za with SEX TALK as the subject. Anonymity is assured.

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