DOCTOR'S ADVICE - Does this prevent pregnancy?

Published: Sunday | January 18, 2009


  • Q. Doc, I have been in a relationship for about two years now, and when having sex we always use a condom. However, a few nights ago we were 'in the heat of the moment', and we did not have any condoms available. I told my partner that I did not want to do it, as I am not ready for a child yet. So he promised me that he would not discharge in me … and then he did!

    Doc, this got me upset. However, I immediately rushed to the bathroom to urinate, in order to prevent a pregnancy. But doctor, is there a chance that I could have become pregnant, even though I urinated?

    A. Your story is a valuable lesson for other women. Again and again, men say that they 'will not discharge'. And then they do.

    In fairness to males, I must say that sometimes the guy does not really mean to discharge inside the woman. But the climax occurs before he can manage to withdraw.

    So I advise female readers to beware of the male who says: 'Oh, don't fret … I will just put it inside for a minute, but I won't discharge.' He probably WILL.

    Now, there is another important lesson to be learned from your email, and it is this. Like many people, you think that if a woman urinates immediately after sex, that will help protect her against pregnancy. I am afraid that is just NOT true.

    The female urinary opening is located several inches from the area where the man's sperm is deposited. So passing urine will not have the slightest effect in removing any of those sperms. Therefore, it cannot prevent pregnancy.

    Urinating after sex may have some minor value in preventing venereal disease since it can make it difficult for germs to establish themselves in the urinary pipe. But as a method of contraception, it is a waste of time.

    So where does this leave you? I am afraid that you are just going to have to wait and see whether your menses arrive. If they do not occur on time, please do a pregnancy test. I wish you well.

    Dry vagina

  • Q. I am 46, and I have noticed that my vagina is feeling a little dry during sex. That makes me uncomfortable.

    Could this be the first sign of menopause?

    A. Quite possibly. I think you should ask a doctor to give you a good internal check-up.

    If she thinks that the vagina is dry, she will probably recommend a lubricant. However, if it seems like your female hormone levels are beginning to fall, she may well prescribe a vaginal hormone preparation.

    Be of good cheer. It should be easy to get your vagina back to a healthy, moist state, so that you do not experience any discomfort or other problems during sex.

    Depressed

  • Q. I am a businessman, and have been badly depressed by my firm's financial situation. So my doctor put me on some 'antidepressant' pills. These do seem to be helping. However, in the last few weeks I have found that when I have sex with my wife, it is very difficult to have an orgasm. You will not approve of this, doc, but when I was in Mandeville on business recently, I went to bed with a real beautiful young woman who I met in a bar. I had no trouble in discharging quickly on that occasion. What do you think is going on?

    A. Well, the first thing to appreciate is that many antidepressant drugs have a side effect of delaying the male climax.

    So your recent difficulties in orgasming have almost certainly been due to your antidepressant pill. Therefore, you should ask your own doc to change you to a next one.

    Now, you probably want to know why everything went OK with the woman from Mandeville. My guess is that you had no difficulty in climaxing with her because of the fact that she was young and beautiful - and was also 'forbidden fruit'. The excitement of it all was no doubt a factor in helping you to discharge. Or maybe you just forgot to take your pills that day …

    Anyway, your escapade in Mandeville has laid you open to the risk of a sexually transmitted infection (STI). So I suggest you have a check-up as soon as you can. Please don't have sex with your wife until you have been told that you have no STIs.

    Using the coil

  • Q. I am going to be 40 in February. Can I continue using the coil, doc?

    A. Yes, you can continue employing the coil for as long as you want to. It is the pill - not the coil - which becomes a little more risky for women as they move towards their 40s.

    Too much liquor

  • Q On a visit to Miami, I had too much to drink at a party and nearly passed out. As I was regaining consciousness, I found that a Cuban girl was giving me oral sex. She did it to the point where I discharged. Doc, could this have given me VD or any other infection?

    A. That is unlikely, though herpes, gonorrhoea and syphilis can sometimes be passed on in this way. It is rare to catch HIV from oral sex.

    If you have no symptoms in the area of your penis, you are probably all right. But if you are fretting, you could get yourself some blood tests to make sure that all is OK.

    Not gay

  • Q. I am a guy who works in the hotel trade. I am not gay. Last week, I was real shocked when a German tourist pinched my bottom as he walked past me. Does this mean that he thought I am a homosexual?

    A. Possibly. Or maybe he just had too much to drink.

    You state that you are not gay. So really, you have nothing to fret about. But maybe something in your behaviour or speech suggests you are. If so, maybe you should consider modifying your demeanour so as to give a more macho image.

    Smoker

  • Q. I am a heavy smoker, doc, and last week I got a bad pain across my chest. Could this have been heart trouble?

    A. That is certainly a possibility - in view of the fact that heart attacks are far commoner in smokers. I suggest that you consult a doc and have an electrical test on the heart.

    Big breasts

  • Q. Hi, doc. I am 29 and have big breasts. Most men are fond of them. But now I am seeing a man who seems to be obsessed with them, and who likes to suck them all night.

    In fact, he has been doing it so much that I have started to produce milk! Will this harm my health?

    A No. But it is clear from the rest of your email that he is one of those guys who somehow got sexually 'stuck' in babyhood. Whether you want to spend the rest of your life with such a man is up to you.

  •