@thestraponqueen

happy new year

jean

Question

My partner and I use the ‘pulling out’ methods – which I believe is also known as ‘withdrawal’.

How safe is the withdrawal method ?

Also, on which days should we avoid sex if we are not using any form of contraception?

Answer

Well, the fact is that most family planning experts advise patients against the withdrawal method – also known as coitus interruptus.

But personally, I feel that it’s better than taking no precautions at all! But because your partner’s ‘pre-come’ is likely to contain sperms, you might well get pregnant.

Now you also ask about the natural family planning (fertility awareness) or rhythm method – ie making love on ‘safe days’ of the month. Trying to avoid pregnancy this way is very dodgy indeed! If you really want to have a go at this ‘safe period’ or ‘rhythm method’ of contraception, you should go along to a natural family planning clinic where they can teach you the most up-to-date and scientific way of using this technique.

For more information about pulling out alternatives:

contraceptive methods

Good luck.

Yours sincerely

Dr David Delvin, GP

‘stretched’ vagina?

Question

ever since the birth of my last child 13 years ago, I have been unable to feel a man’s penis inside me. Even when I have smear tests they don’t hurt.

My vagina seems to have stretched and it is affecting my love life. I have tried pelvic exercises but they don’t seem to have helped.

Answer

You usually have to do exercises for at least six months – under the supervision of a professional, such as a physiotherapist – to produce any great improvement in vaginal tone.

But really, it sounds as though you now need to see a gynaecologist. Please discuss with her whether a ‘tightening up’ operation is necessary.

Good luck!

Yours sincerely

Dr David Delvin, GP

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A person’s sexual health is part of good general physical health.  Whether or not a person is sexually active, genitals are a part of the body, and like any part of one’s body need some attention and care. Taking care of both the vulva and the vagina are part of  a woman’s good physical health, and is simple and easy.

First, find a health care provider who is interested in answering your questions.  Make sure you check out any of the following suggestions with your health care provider before beginning.

Lubrication:
Vaginal lubrication is a normal occurring moisturizer in the inside of the vagina.  Since the vagina and the inner labia of the vulva are mucous membranes, like the inside of the mouth, the vagina and inner labia need to have regular moisture.  Just as saliva lubricates the inside of the mouth, vaginal mucus is produced in the upper walls of the vagina and bathes the vagina and inner labia is a continual film of lubrication.  This process goes on from before a woman is born until she is menopausal. The process of lubrication is stimulated in part by the presence of estrogen in the body.

Lubrication not only helps during sexual activity. Lubrication protects the vulva and vagina from getting too dried up, itching, feeling painful, or experiencing tiny cracks from all the dryness.  Sometimes women feel like a  burning sesnsation after urination or sexual activity as well.

Vaginal dryness is a normally occurring reaction to any of the following:
-    Taking antihistamine medications, like hay fever medicines.  These are medicines that try to dry up your sinuses.  And they can dry up other parts of your body too.
-    Taking some antidepressants or other psychopharmacologic medications.
-    Many treatments for illnesses, like radiation, chemotherapy, or other medications can cause dryness.
-    The normal process of perimenopause and menopause can cause vaginal dryness.

Lubricants can be purchased at drugstore.com or at any drugstore. They are usually located in the same area where condoms are sold, or may be in the section for women’s health with menopausal products.

A list of topical lubricants is available at this website (see Lubricant list)

Many women are also able to take localized estrogen in the form of a small suppository in the vagina (Vagifem), a ring placed over the opening of the cervix (Estring), or a cream applied directly to the vulva and vagina (Estrace cream). The doses are small and the estrogen stimulates normal lubricating activity in the vagina.  Many women report that they experience positive side effects in increased urethral comfort and decreased urinary leakage with the use of this localized estrogen.

There are many women who are not able to take estrogen in any form, but many women, once they are post active treatment a certain length of time, are able to use this local estrogen. The localized estrogen is  available by prescription and must be approved by a woman’s health care provider. It is worth checking with your doctor or nurse practitioner about this.

Vaginal stretching:

The vagina is surrounded by muscles. If a woman is perimenopausal or post menopause, these muscles can either tighten or become too lax. A woman keep her vagina and supporting muscles in great shape and increase her overall comfort through regular stretching exercises for the vagina.

Even if a woman thinks she will not be engaging in any penetrative sexual activity, the vagina remains an important part of her body and in need of attention as part of her general physical health.  For instance,  a woman will continue to have regular gynecologic exams, may have a yeast infection and need to insert a suppository.  There are many reasons to continue to make sure the vagina is comfortable with some penetration.

Two types of stretching help. The first are Kegels.

The second type of stretching is to make sure that the vagina is comfortable being penetrated.  A woman can do this exercise during her shower or bath.  With wet fingers, insert one or two fingers into the vagina gently, pushing slowly up into the interior space and then make  a small circular motion with the finger, assuring that all the walls of the vagina are comfortable being touched.

Next, take the index finger or thumb and gently in a circular motion, press all the way around the opening of the vagina (called the introitus) in clocklike fashion. The woman pulls her introitus gently open as she moves her finger around the circle.  If you are having trouble imaging this, imagine opening your mouth and then taking your finger and pressing gently out in a circle against your lips, as if stretching your mouth wider.  Your introitus will respond to this motion by great vaginal comfort when being penetrated.

To remind herself to do the stretches, a woman can take waterproof magic marker and write the word “STRETCH” on her shampoo bottle.

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is your vagina or vulva too big –

or too small?

Written by Dr David Delvin, GP and family planning specialist

Worries about vaginal and vulval size are extremely common among women.

This is scarcely surprising, because a woman’s feelings about her own vagina and vulva are central to her sexuality.

If you are concerned about your own vagina or vulva, please don’t hesitate to consult a doctor and get yourself examined.

Quite a few women who write to us say that they’re not happy to consult their own GPs about this subject.

In the UK, a very useful alternative is your local family planning clinic. These clinics are staffed by (mainly) female doctors who are skilled in vaginal examination – and who carry out dozens of such examinations each week. They are also used to dealing with worries about ‘dimensions’. So they can rapidly give you an expert opinion about the size of your vagina or vulva.

Are you too big?

If you’ve never had children, it’s almost unthinkable that your vagina or vulva is too big.

Unfortunately, there’s a very common myth in some parts of Britain – a myth to the effect that a woman who has lots of sex will get a large vagina. This is just nonsense! No matter how much sex you have, it won’t affect your vaginal or vulval size.

But what does affect your dimensions is childbirth. Unfortunately, the more babies you have, the more likely your vagina is to become widened. This is due to damage to the muscles and other supporting tissues of the vaginal walls. It’s more common after difficult and prolonged labours. It can often be prevented by very determined use of the postnatal exercises that midwives and physiotherapists teach.

What happens if your vagina or vulva

really is too big?

Let’s look at the vagina (ie the interior) first.

If your vaginal ‘barrel’ is excessively big, so that you are ‘slack’, this can have the following effects:

• intercourse may be less satisfactory for you.
• intercourse may be less satisfying for your partner.
• you may be more liable to experience the phenomenon of air getting into (and out of) the vagina – a phenomenon known in some parts of the country as ‘fanny farting’.
• bath water may get into your vagina – though this isn’t likely to be a health problem.
• much more seriously, lax muscles and ligaments around the vagina may lead to prolapse (descent of the womb and other organs) in middle age or later life.

What can be done about a slack vagina?

If your vagina is overly large and slack, the possible courses of action are as follows.

• Urgently set about tightening up your vagina by doing pelvic floor muscle exercises. Any midwife, nurse, physiotherapist, or doctor can teach you to do them. However, you’ll need to do them intensively for six months in order to get much improvement. To get you started, try this:
  1. tighten up the muscles at the front of the lower part of your body – as if you were trying hard to stop yourself peeing.
  2. hold this contraction for 10 seconds.
  3. relax for 10 seconds.
  4. contract again for 10 seconds.
  5. continue to contract and relax like this for a full five minutes.
  6. repeat four times daily.
• You could also buy a vaginal muscle developer. However, these are expensive – about £75 to £200 – and you do have to work at them for quite a while to get any improvement. They’re now readily available through sex shops and the new mail-order organisations which sell sexual devices to women.
• Go to a gynaecologist (in the UK you’ll usually need a GP’s referral letter first) to discuss the possibility of a ‘repair’ operation. This draws the weakened pelvic tissues together and firms everything up.
• Finally, please note that as a temporary expedient, a woman whose vagina has become too big can improve the quality of intercourse (for herself and her partner) by simply popping a small vibrator inside during intercourse. This may sound surprising, but in fact, if you have had several children and become quite loose, there may well be plenty of room for both a small vibrator and a penis inside you – thus giving a much snugger fit.

What if you feel your vulva is too large?

A lot of women are desperately worried about the appearance of their vulvas – feeling that they are ‘too large’ or that the labia are ‘too long’, or that bits of it protrude unequally. (Sometimes they are influenced in these views by having seen misleading pornographic magazines or videos – in which the ‘heroine’s’ vulva appears impossibly neat and tidy!)

If that applies to you, my advice is to go to a Family Planning Clinic – because the women doctors there are dealing with this sort of worry all the time.

Very often, they’ll be able to reassure you that you are in fact normal.

But if there really is an abnormality, it can be corrected by surgery – carried out by either a gynaecologist or a plastic surgeon. Since the beginning of this century, such operations have become increasingly common; however, a high proportion of them are performed privately, rather than on the NHS. However, some National Health gynaecologists are willing to shorten the labia of women who are distressed by an irregular appearance.

What if you think that you’re too small?

Alternatively, do you think that you are ‘built’ too small?

I have to tell you that statistically this is most unlikely. Vast numbers of patients think that they are excessively small, but only once in a blue moon are they actually right.

The symptoms that make them feel that they are unusually small include:

• pain on intercourse
• inability to have sex at all
• inability to insert a tampon.

But the vast majority of women who complain of these problems do eventually turn out to be normal-sized. Nearly always, they are suffering from a degree of vaginismus – the common condition that makes the vaginal muscles contract whenever any approach is made to the genitals.

To find out if your vagina really is too small, you should have an internal examination by an experienced doctor who is good at putting patients at their ease.

The obvious place to go for this is a Family Planning Clinic – especially as the staff are mainly female. Indeed, many of the doctors and nurses have been specifically trained in dealing with this particular problem.

In the unlikely event that your vagina really does turn out to be too small, it is possible for a skilled gynaecologist to enlarge it surgically for you.

However, I must stress that in 30 years of practising sexual medicine, I have yet to see a patient who actually needed this operation.

This will…

• …make it easier for you to reach orgasm.
• …make your orgasms stronger/better as the muscles you’re exercising are the same as used during orgasm.
• …make your vagina more sensitive(you’ll feel more). When squeezing you’ll feel your partner much better inside. It will simply heighten your sexual satisfaction.
• …prevent prolapse and incontinence.
• …make childbirth easier and your muscles will regain more quickly after the birth.
• - For your boyfriend it will be a tremendous difference. You will get tighter. You can pull and squeeze your partner’s penis.
• - You don’t have to be nervous the first time you make love with a new partner, wondering what he will think of you as a sexual partner. You’ll have better sexual self-confidence. You’ll know that your present/future boyfriend/husband/lover won’t be disappointed.
• - Men prefer women with a strong vagina (to many men it’s more important that his lover has a strong vagina than having a perfect body). In some cultures women exercise their vaginal strength in order to help them keep their future/present husband.
• - You can be proud of your vaginal strength(just like one can be proud of one’s body).
• - The woman will get more control in bed. Many women enjoy that and think it’s fun.

Note: It’s important to continue to exercise and maintain the strength of the muscles as you grow older. At menopause, muscles may change and weaken. The stronger they are before this process begins, the better.

Specialty Definitions: Vaginal

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Modern Usage: Vaginal

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Usage Frequency: Vaginal

Source: compiled by the editor from several corpora; see credits.

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Expressions: Vaginal

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Frequency of Internet Keywords: Vaginal

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Modern Translations: Vaginal

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Ancestral Language Translations: Vaginal

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Rhyming with “Vaginal”

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Alternative Orthography: Vaginal

Juicing green vegetables contains so much properties, proteins, goodness, vitality that our body so craves for. We are unaware of what astonishing, magical ingredients that by juicing we are blessed with. Until you start juicing, and juicing the amount of juicing that I am saying to juice, will you feel a transformation in yourself.

You will initially start by juicing at least 2 liters of green vegetables per day and within a week, you will feel amazing. You will feel your skin looks so much more radiant, your nails have become stronger, your eyesight has improved too.

Green Juicing is full of vitality its add so much goodness into the body and at the same time, it treats all ills. Just by continuing to juice, you will notice a vast change in the way you feel, the way you look, and the transformation that juicing offers to your body temple. The properties that green juicing replaces back into your body is amazing surprising. It’s a transformation to your health which you won’t believe has transpired until it happens to you. Its going to be an amazing journey which you need to experience and there won’t be no turning back when you see what fantastic results juicing does to your body temple.

What results will you gain

The transformation of your being which you will encounter through juicing is mind blowing. Until you start juicing, you won’t understand or even begin to comprehend what happens to your inner being as well as your wellbeing. You won’t believe what an amazing experience you will be going through.

Through juicing you will need to at least begin by drinking 2 liters of green vegetable juice every day until your body has got accustomed to juicing and you have seen results. Once you have seen results you can alternate drink 1 liter green juice and incorporate 1 liter of juice with carrots and other fruit juices throughout the course of the day.

By drinking the 2 liters of juice on a daily basis, you will cleanse your body, you will revitalize your mind and it will also give you an uplift to your whole body system and also will improve your mind, body and soul. You will feel revitalized in your whole being, you will feel different, you will feel younger, healthier skin, much lighter in your body, lose weight, stronger nails, feel energized which your body has been missing for a long time! You will be more in tune to want to exercise, be it yoga, walking, pilates, swimming, aerobics etc. etc. whatever tickles your fancy!