Tue | Aug 14, 2018

Dear Doc | I've lost sensation in my breasts

Published:Sunday | November 27, 2016 | 12:00 AM

Q Greetings. I seem to have lost the sexual feeling in my breasts and nipples. This has happened over the last six or nine months.

I am still interested in sex. But when my husband touches my bosom, I feel absolutely nothing. I push him away. And he does not like that.

Could it be anything to do with the fact that last year, my young daughter passed away in a tragic accident?

A Very definitely. I have seen a number of cases in which a woman lost her child - and then lost the erotic sensations in her breasts.

This is not too surprising. There is, of course, a really strong psychological connection between the breasts and the love of one's children. So sometimes, when something terrible happens to a child, the result is that the brain makes the breasts kind of 'shut down'.

Unfortunately, there is no medication that will make the 'sex sensation' in the breasts return. But, in most cases, it does come back gradually, over a period of months or years.

It is important that you talk this matter over with your husband. Make him understand that you cannot help what is happening. And reassure him that there is a good chance that your 'breast sensation' will return.


I need something stronger than Viagra


Q Doctor, I am 40, and my 'virility' is slightly less than it should be. So I have been using Viagra.

It works OK, but I find that arranging the 'timing' is a little difficult, because my girlfriend is away for a lot of the day. So by the time she comes home, the effect of the tablet has worn off.

I have heard that there is another pill which works like Viagra but lasts a good deal longer. Is this true?

A: Yes, it is. There is a pill called 'Cialis' (also known as 'Tadalafil') which lasts for a good 12 hours or so. Indeed, some folks claim that its effects can persist for up to 36 hours. But that is certainly not the case for everyone.

In other ways, Cialis is very similar to Viagra. It will give most guys a good erection. And it has rather similar side-effects to those of Viagra, although sometimes it can also cause backache and muscle pains - which Viagra does not do.

So talk to your doctor about Cialis. He will tell you whether it is suitable for you. By the way, I hope he has given you a check-up - to make sure that there is no underlying cause (like 'sugar') for your current lack of virility.


Are there any side effects to cunnilingus?


Q My wife wants me to give her that cunnilingus thing, so that she can reach orgasm faster.

But could I catch anything that way?

A No. Unless she had some kind of infection in the vagina, do not worry.


Switching to the mini-pill


Q My doctor has switched me from the Pill to the Mini-Pill, because I have just hit my 30th birthday.

Are there any side-effects, please?

A The Mini-Pill (also known as the 'progestogen-only Pill' or 'POP') is popular with women in their 30s, because of the fact that it carries practically no risk of causing a thrombosis (clot).

Serious side-effects are rare with the Mini-Pill. However, it can cause a few things, notably:

• Spotty skin

• Headache

• Irregular menses

• Breast tenderness

• Weight change

• Cysts on the ovaries.

But there are several different brands of Mini-Pill. So if by any chance you don't get on with the first one which you try, you can ask your doctor to switch you to a next one.


Could those five seconds give me a VD?


Q I have to admit that yesterday I cheated on my wife with a pretty girl from Mandeville.

It was only for around five seconds! But could that be enough to give me VD?

A Unfortunately, even five seconds of intercourse with an infected person would be enough to give you a sexually-transmitted infection. So if in doubt, please go to a doctor.


Sore clitoris


Q I had a lot of sex with a guy on campus last week. He was just one of those men who can keep on and on, for hours.

It was real nice, but now I find that my clitoris is quite sore and swollen. Is this serious?

A Probably not. It is a common result of prolonged and intensive sex. In fact, you may well have a little 'clitoral haematoma' - which is a small collection of blood inside the clitoris, like a bruise.

In most cases, this gradually goes down over the course of a week or two. But if the swelling hasn't disappeared within 14 days, you should get an examination from an doctor. And until the swelling has disappeared, please do NOT have sex. Your clitoris needs a rest.


Treating prostate cancer


Q I have been told that I may possibly have prostate cancer. If so, how could this be treated, please?

A Jamaica is believed to have the highest rate of prostate cancer in the world. I hope you haven't got it. But if you have, these are the main forms of treatment:

Radical prostatectomy. This means taking the prostate out by doing an operation, generally through a cut in the lowest part of the abdomen.

Brachytherapy. This means putting radio-active seeds into the prostate.

External beam radiation. This means sending radiation into the prostate from outside the body.

Androgen deprivation therapy (ADT). This means giving medication which treats the cancer by blocking the effects of testosterone.

This is a very complicated subject, and if you do have cancer, then clearly you must be guided by the doctor or surgeon in charge of your case. Good luck.


IS the coil 100% effective?


Q If I go on the coil, Doc, can you guarantee that I will not get pregnant?

A No. The coil or Intra-Uterine Device (IUD) is really effective, but it does have a failure rate of around one per cent or maybe a little more.

What that means is that if 100 women use it for a year, then probably one will get pregnant and around 99 won't.


Seminal fluid after a vasectomy


Q If I had a vasectomy done in New York, would I still produce sex fluid?

A Yes, you would. And there would be no change in its appearance or volume.


18 orgasms, is that possible?


Q My best friend astonished me by telling me that she once had 18 orgasms with a guy. Is that humanly possible? Should I be trying for this?

A It is really unusual. But it does occasionally happen. I have known cases in which female patients have reported experiencing up to 20 orgasms in a single very passionate and prolonged session.

However, statistics do suggest that most women are never going to have that number of climaxes.

Recent research indicates that among females who have multiple orgasms, a total of around two to three a night is about average.

Please bear in mind that sex is not an Olympic event. So there is no point in trying to break any records!

• Email questions to deardoc@gleanerjm.com