HELP! My pe­nis is crooked!

Jamaica Gleaner - - OUTLOOK -

QDear Doc, I am a mid­dle aged man with a se­ri­ous is­sue. My pe­nis is crooked! And as if that wasn’t bad enough, when­ever I get an erec­tion it hurts! Why is this hap­pen­ing?

AIt is quite com­mon for the pe­nis to curve slightly to ei­ther the left or the right when it is erect. How­ever, if you have a sig­nif­i­cant bend in your pe­nis, which is caus­ing you to have pain or dif­fi­culty hav­ing sex, you may have what is called Pey­ronie’s dis­ease.

Pey­ronie’s dis­ease causes the pe­nis to be­come curved when it’s erect. The con­di­tion mostly af­fects men over 40, but it can hap­pen at any age.

Com­mon symp­toms of Pey­ronie’s dis­ease in­clude: A thick­ened area or hard lump on the shaft of the pe­nis. A curve in the pe­nis when it’s erect (it usu­ally curves up­wards).

Pain in the pe­nis dur­ing an erec­tion.

The pe­nis look­ing like an hour­glass.

Loss of length or thick­ness of the pe­nis.

In se­vere cases, the curve in the pe­nis can make hav­ing sex dif­fi­cult, painful, or even im­pos­si­ble.

Pey­ronie’s dis­ease can lead to erec­tile dys­func­tion.

Op­tions for the man­age­ment of Pey­ronie’s dis­ease in­clude ob­ser­va­tion, med­i­cal ther­apy, or surgery, de­pend­ing upon the sever­ity and psy­cho­log­i­cal im­pact of the dis­ease.

Many men do not need treat­ment, be­cause they do not have pain and the con­di­tion is not af­fect­ing their sex­ual func­tion. The con­di­tion also some­times im­proves with­out treat­ment.

There are var­i­ous non-sur­gi­cal treat­ments avail­able, in­clud­ing medicines and in­jec­tions of steroids into the af­fected area.

Not in­ter­ested in sex

QI have an is­sue that has been of con­cern for quite some time now. I am usu­ally em­bar­rassed to tell my doc­tor, so I fig­ured it would be easy to write you. I sim­ply do not like sex. I just am not in­ter­ested in it and I don’t want to do it; and when I do, it seems to al­ways hurt. Is there any­thing, be it medicine or coun­selling, that can take to change this?

ASex­ual prob­lems that women might have can in­clude any or all of the fol­low­ing: Hav­ing pain dur­ing sex. Not be­com­ing aroused or ‘ex­cited’ dur­ing sex.

Not hav­ing an or­gasm dur­ing sex.

Not want­ing to have sex (“low de­sire”). Some­times these can come and go, and might not cause any dis­tress. How­ever, if you are very wor­ried about your prob­lems, there are treat­ments that can help.

Some women may have prob­lems with sex through­out their adult life, while in other women, prob­lems de­velop later in life. The cause and man­age­ment de­pends on which cat­e­gory you fall into.

Sex­ual prob­lems can be caused by many things.

For in­stance, a woman might have sex­ual prob­lems if she has un­re­solved is­sues with her part­ner or in her re­la­tion­ship.

Sex­ual prob­lems can also be linked to med­i­cal events in a woman’s life. Com­mon ex­am­ples are that sex can be painful for a woman in the weeks or months af­ter child­birth; and some women lose in­ter­est in sex, and have pain dur­ing sex, as they get older and af­ter they go through menopause.

Some med­i­cal con­di­tions can also lead to sex prob­lems. These in­clude:

Dry­ness to the vagina. Pain in the lower belly, such as from an in­fec­tion, post surgery, or en­dometrio­sis (this con­di­tion is also as­so­ci­ated with painful pe­ri­ods). Changes in the mus­cles near and around the vagina. Mood prob­lems, such as de­pres­sion.

Sex­ual prob­lems can also be a side ef­fect of cer­tain medicines. For ex­am­ple, medicines to treat de­pres­sion or heart dis­ease.

Treat­ment usu­ally de­pends on the un­der­ly­ing prob­lem.

So, if you are hav­ing re­la­tion­ship prob­lems, you can try to im­prove your re­la­tion­ship with your part­ner by

Talk­ing to your part­ner about how to make sex bet­ter. Mak­ing an ef­fort to have more fun to­gether.

Go­ing to coun­selling.

Women with pain or dry­ness dur­ing sex of­ten feel bet­ter if they use vag­i­nal lu­bri­cants. These are sold over the counter with­out a pre­scrip­tion. An ex­am­ple of a lu­bri­cant that can be used dur­ing sex is K-Y Jelly.

If us­ing a lu­bri­cant is not enough, a woman can also use a vag­i­nal mois­turiser. Vag­i­nal mois­turis­ers are used sev­eral times a week, but not nec­es­sar­ily dur­ing sex. Ex­am­ples in­clude Re­plens and K-Y SILK-E.

It is also im­por­tant to stay as healthy as pos­si­ble and get treated for any med­i­cal prob­lems you have. Women who feel healthy and happy are more likely to be happy with their sex life.

If you don’t know why you are hav­ing sex­ual prob­lems, your doc­tor can help you fig­ure it out. How­ever, you need to find one who you are comfortable with in or­der to have the dis­cus­sion.

dear­doc@gleanejm.com

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