discharge, pain and sexual desire

Let’s talk frankly about things we are often embar­rassed or afraid to dis­cuss in the doc­tor’s office. But still, we advise you to nev­er be shy to ask ques­tions if some­thing both­ers you.

questions to the gynecologist


What discharge is considered normal?

The secre­tions change through­out the men­stru­al cycle. Nor­mal­ly, imme­di­ate­ly after men­stru­a­tion, there are few of them, they should be trans­par­ent, white and odor­less. Clos­er to ovu­la­tion, their num­ber and vis­cos­i­ty increase (they are sim­i­lar in con­sis­ten­cy to egg white). After ovu­la­tion, the dis­charge begins to resem­ble milk dilut­ed with water. Clos­er to men­stru­a­tion, lumps and a sour-milk smell may appear. All this is absolute­ly nor­mal. Signs of patho­log­i­cal dis­charge are any col­or oth­er than white, the pres­ence of an odor (except for sour milk), an unusu­al con­sis­ten­cy of dis­charge (cur­dled, watery, foamy).

Coitus interruptus: is it possible to get pregnant?

Coitus inter­rup­tus does not apply to con­tra­cep­tive meth­ods. How­ev­er, if this hap­pened strict­ly before the onset of ejac­u­la­tion and the sperm did not enter the vagi­na, preg­nan­cy is unlike­ly. Get­ting a small amount of sperm from the lubri­cant into the gen­i­tal tract is unlike­ly to lead to con­cep­tion. The inef­fi­cien­cy of this method is usu­al­ly due to the fact that the reac­tion fails the part­ners, and the sperm still enters the vagi­na.

Sex during menstruation: is it safe?

Sex life dur­ing men­stru­a­tion is high­ly unde­sir­able. Blood is a good sub­strate for the repro­duc­tion of microor­gan­isms, includ­ing pathogens. Through the open canal of the cervix, they can enter the uter­ine cav­i­ty from the vagi­na (nor­mal­ly, it should be ster­ile). Out­side of men­stru­a­tion, the vagi­nal flo­ra is not able to pen­e­trate into the uter­ine cav­i­ty, since the cer­vi­cal canal is closed by a mucous plug, which acts as a fil­ter. Dur­ing men­stru­a­tion, the canal is filled with blood, and the road to the uter­ine cav­i­ty is open … In addi­tion, dur­ing inter­course, the risk of path­o­gen­ic flo­ra enter­ing the vagi­na and fur­ther into the uter­ine cav­i­ty increas­es.



What is the cause of pain and cramps during urination?

These are symp­toms of cys­ti­tis. Treat­ment of acute acute cys­ti­tis that has arisen once is a sim­ple task. As a rule, antibi­otics and urosep­tics are used, plen­ti­ful drink­ing is rec­om­mend­ed. A big prob­lem is often recur­rent cys­ti­tis. He is able to tor­ment a woman for years, aggra­vat­ing sev­er­al times a month, or after each sex­u­al inter­course (the so-called post­coital cys­ti­tis). But even in this case, the prob­lem can be solved: first, a urine cul­ture is tak­en with the deter­mi­na­tion of sen­si­tiv­i­ty to antibi­otics, then a long (up to a month) course of ther­a­py with select­ed antibac­te­r­i­al drugs is car­ried out. After that, to pre­vent relapse, a drug is pre­scribed that cre­ates local immu­ni­ty in the blad­der. It must be tak­en with­in 3 months.

Why does it hurt during intercourse?

Pain dur­ing the intro­duc­tion of the penis, that is, in the area of ​​​​the entrance to the vagi­na, as a rule, are asso­ci­at­ed with psy­cho­log­i­cal prob­lems, a crack in the pos­te­ri­or com­mis­sure of the labia mino­ra, an inflam­ma­to­ry process, her­pes, insuf­fi­cient lubri­ca­tion, cica­tri­cial changes after child­birth. If pain occurs with deep pen­e­tra­tion or in cer­tain posi­tions, then most often it can be man­i­fes­ta­tions of endometrio­sis, uter­ine fibroids, inflam­ma­tion of the appendages, adhe­sions in the pelvis or ovar­i­an cysts.



Discharge from the nipples: is it very serious?

If the dis­charge is puru­lent, this is a reflec­tion of the inflam­ma­to­ry process in the mam­ma­ry gland. Urgent­ly address to the mam­mol­o­gist! Bloody — a sign that may indi­cate the devel­op­ment of a tumor. It is nec­es­sary to be sur­veyed at the oncol­o­gist. Milk-like dis­charge may indi­cate the devel­op­ment of a benign tumor in the pitu­itary gland (pro­lactin­o­mas) and an increase in the hor­mone pro­lactin in the blood. In the vast major­i­ty of cas­es, it is harm­less. It is not removed, and the treat­ment con­sists in tak­ing a drug that reduces the lev­el of pro­lactin. Rarely, these tumors are large enough to com­press part of the optic nerve, result­ing in visu­al field loss.

Why does sexual desire disappear?

The rea­sons can be divid­ed into 2 groups: psy­cho­log­i­cal and phys­i­o­log­i­cal. The first includes severe stress, con­flicts with a part­ner, expe­ri­enced trau­mas, and much more. To the sec­ond — tak­ing hor­mon­al con­tra­cep­tives (you just need to change the drug), anti­de­pres­sants. As well as the pres­ence of gyne­co­log­i­cal dis­eases, in which sex­u­al life becomes painful and unpleas­ant (after the cure, every­thing is restored), gen­er­al seri­ous dis­eases. In each case, you need to under­stand sep­a­rate­ly.

Advice from the edi­tor: always and for all issues that both­er you and are relat­ed to health, con­sult a doc­tor.

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