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Question Asked:

"Good Afternoon, I'm male 30yrs old, d problem is that I don't seem to get any feeling of enjoyment during intercourse wit my wife. I heared that sex is full of enjoyment but d only one I feel is when I'm ejaculating. pls is something wrong with me?"

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    A 31 years year old male asked:
    2 years ago
    Good Afternoon, I'm male 30yrs old, d problem is that I don't seem to get any feeling of enjoyment during intercourse wit my wife. I heared that sex is full of enjoyment but d only one I feel is when I'm ejaculating. pls is something wrong with me?
    Dr. Rofiat L answered:
    2 years ago
    Good afternoon. No there is nothing wrong with you. You are really meant to enjoy sex through out. What you described sounds like a psychological issue to me. You may need to carry your wife along and increase your foreplay. Pls see a psychologist or Urologist for further advice if you are still not comfortable. All the very best.
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    A 31 years year old male asked:
    2 years ago
    Could penile sensitivity led to that? I think mine is less sensitive, if that's d case what should I do?
    Dr. Femi O answered:
    2 years ago
    Actually penile insensitivity is usually secondary to ingestion of some drugs, prior surgery or even trauma. It may rarely be natural in some people. I believe you should make an appointment with a urologist as this will accord you opportunity to talk one on one with a doctor, to be examined and to have some test done for proper diagnosis. You will also enjoy the benefit of a follow up. All the very best.
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    A 31 years year old male asked:
    2 years ago
    Good morning, I can remember 7 yrs ago I have a great penile sensitivity until one day I applied anti fungal cream (ABF 3 CREAM) on it to clear rashes, the rashes dies off but since then it wasn't as sensitive as it use to be. Should that b d cause or even if that is not it, pls as a specialist in urology do you think it is possible to get my sensitivity back?
    Dr. Femi O answered:
    2 years ago
    hello, sorry about this.I read through your complaints and I understand how this can be frustrating for you.There are certain things you however need to take note of.Male orgasm is quite different from that of females. Males only *feel* the sex more during ejaculation,they feel very little sensation before ejaculation.Females can have multiple orgasms while a man is even yet to achieve one.Note that the glans of the penis(at its below part) is the most sensitive,the shaft have very little sensitivity.The cream you used wouldn't give make your penis insensitive during sex.Also note that if you have sex too often,it may also become less pleasurable to you.these are things you must consider carefully.And you really need to understand how the male sexual organs work.I am happy you get pleasure during ejaculation,this makes me confident that you are fine.
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    A 31 years year old male asked:
    2 years ago
    tnx Doc. this is very helpful. I now have a renewed confidence in my self.
    Dr. Femi O answered:
    2 years ago
    am glad you have gotten to know more about how things work for males in terms of sexuality.literarily, females may be enjoying sex more while males only get to really enjoy during orgasm which for males is only during ejaculation.thanks for choosing Kangpe health care app.have a good night rest.
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    A 31 years year old male asked:
    2 years ago
    Good Afternoon Doc. I realized that on the average I only ejaculate once every 3 days, any time I mate with my wife within this period I cannot ejaculate. Also my ejaculate doesn't shoot out, and the volume is not more than 2 teaspoonful or less. Please Doc. are these 2 scenarios normal or there's more to that?
    Dr. Femi O answered:
    2 years ago
    hello,hope your day has been fine?the volume of semen you produce depends on how often you have had sex in the preceding days.If you continue to have sex daily,then on the subsequent days,the volume will sure be depleted.That's why a man going for semen analysis is asked to abstain from sex for 5 or 6days so as to get true and more accurate results.Also,the amount of water you have in your body van affect the semen volume.so staying hydrated can help.Note that semem doesn't have to shoot out during ejaculation.The sperm cells can swim by themselves to fertilize a woman's egg.
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    A 31 years year old male asked:
    2 years ago
    Tnx Doc, What are factors that lead one to go for testosterone and sperm analysis?
    Dr. Femi O answered:
    2 years ago
    if there is low sex drive,if a couple has been trying to achieve pregnancy after one year of adequate,regular,sexual intercourse.
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    A 31 years year old male asked:
    2 years ago
    gud evening sir, the volume of my wife's periodic discharge have increased, more than what she is used to seeing, is this a normal situation?
    Dr. Femi O answered:
    2 years ago
    hello,hope your day was fine?I don't understand what you meant by periodic discharge. can explain?
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    A 31 years year old male asked:
    2 years ago
    I mean the amount she bleeds in this month menstruation surpass any other, is it a problem?
    Dr. Femi O answered:
    2 years ago
    how many bads was she using before per day and what is the number now?over how many months have you noticed this?does she have increase in size of the abdomen whereas she isn't pregnant?
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    A 31 years year old male asked:
    2 years ago
    before she was using 2 to 3 pads but now she uses 4 to 5, and d blood come in lumps. It is in this month she has started experiencing dis prob. And yes her abdomen have increased in size and she isn't pregnant.
    Dr. Femi O answered:
    2 years ago
    oh,that seems to be features in keeping with uterine fibroid.let her have an abdominopelvic ultrasound done.then let's review the result.
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    A 31 years year old male asked:
    2 years ago
    Good afternoon doc. My wife is having some tiny rashes at the opening of her vagina, and they are itchy. What should she apply to get rid of them.
    Dr. Femi O answered:
    2 years ago
    hello,I hope your weekend has been fine?such rashes (and most skin conditions) are best diagnosed when seen physically. let her see a doctor please.
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    A 31 years year old male asked:
    2 years ago
    Good morning doc. I use to have pain in my both testicles when I press them. The pain is around the epididymis area, I went to hospital and I was given antibiotics and pain relievers, I took the drugs for months. But I still feel the pain even though it reduced. I went for USS, please see the result in the attached file. What should I do now?
    Dr. Femi O answered:
    2 years ago
    hello,sorry about this.I saw the attachment .the ultrasound showed that there is no problem with the testicles.but let me ask;how bad is this pain?any history of trauma/injury to that area?did you notice it after sexual intercourse or you had an erection without ejaculating recently? does the testes feel warm?
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    A 31 years year old male asked:
    2 years ago
    The pain is not bad in fact I don't even feel it unless when I pressed the area. I haven't had any injury there and hv no trauma history, and its not warm. I don't hv d pain during intercourse I only feel d pain when pressure is applied to the area. I normally ejaculate once in every 3 days, so within d 3 days interval I hardly ejaculate even if I want to.
    Dr. Femi O answered:
    2 years ago
    hello,you may be having what we call blue balls.it is the pain felt at the testicles due to erection without an ejaculation.Have you started drinking plenty of water like I adviced you sometimes back?did you notice any changes after you started?have you ever abstained ,stayed without sex or an erection for days?if yes,did you have such pain during this period of abstinence?
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    A 31 years year old male asked:
    2 years ago
    I haven't been drinking plenty of water but I will start to. All my life I never had sex or ejaculated before until October last year after my marriage.
    Dr. Femi O answered:
    2 years ago
    OK start drinking plenty of water.think less about sex so you won't be in a situation where you will have erection and not ejaculate.I adviced you to drinking at least 4litres of water per day sometimes back.this will add volume to your semen.
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    A 31 years year old male asked:
    2 years ago
    Good afternoon Doc. Thank you very much, you have been very helpful. My wife have recently done vulvo vaginitis test, the result is as per attached. Please who does it mean.
    Dr. Femi O answered:
    2 years ago
    hello,according to the result,there is no micro organism growth.if she has vaginal itching and discharge, let her use fluconazole 150mg stat then mycoten cream twice a day after bath.
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    A 31 years year old male asked:
    a year ago
    Good day sir, Me and my wife have been trying to conceive for almost a year and half now with no success. Please advice us on what to do.
    Dr. Femi O answered:
    a year ago
    hello sir,welcome back to kangpe.Do you have any child at the moment?has she ever conceived before?do you live together?how often do you have sex?
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    A 31 years year old male asked:
    a year ago
    We don't have children, she do not conceived before, yes we are living together and we have sex twice on average in a week.
    Dr. Femi O answered:
    a year ago
    alright,welcome back.twice is low,it should be three and above per week evenly spread.Does she have a regular menstrual cycle? does she sometimes have milky breast discharge?what investigations has she done and have you done semen analysis?
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    A 31 years year old male asked:
    a year ago
    tnx, she have regular menstrual cycle, and she doesn't have breast discharge. She hasn't done any investigation, but I'm considering doing semen analysis.
    Dr. Femi O answered:
    a year ago
    ok good then.she should enter her details into the kangpe cycle planner at thr top right corner of your app.it will show you her fertile days(days she is most likely to conceive if you have sex).you should time your sex around this period and then every other time as you wish.This will greatly improve your chances.you can do your semen analysis.But the input of a gynecologist will be beneficial for you as couple.
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    A 31 years year old male asked:
    a year ago
    Morning Doc. Please what is your advice concerning use of vaginal lubricants. If it's advisable to use them can suggest a particular brand for me. Thanks.
    Dr. Femi O answered:
    a year ago
    welcome back sir,yes they can be used to enhance sexual act,but some are known to impeed sperm motility in the female genital tract thus can affect chances of conceiving in couples desirous of pregnancy.But there is a brand designed to act and feel like the natural vaginal secretion and which has been found not to affect sperm movement.its called PRESEED.you can try that out.goodluck sir.
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    A 31 years year old male asked:
    a year ago
    Good day Doc. I hv been trying 2 find if my wife is ovulating using an ovulation prediction stick. Her cycle is 28 days, so I hv been checking around day 14 but the test always comes negative for the last 3 months in succession. Please what should I do?
    Dr. Femi O answered:
    a year ago
    hello,welcome back.yes,for a 28days cycle,she is likely to ovulate on day 14,but this isnt absolutely so.there could be one or two days change.it better you marry this information with signs of ovulation such as rise in body temperature,egg white vaginal discharge that stretches,spotting of blood,mild lower abdominal cramps etc.Or to be very certain,she can have folliculometry with ultrasound at a reliable diagnostic centre.
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    A 31 years year old male asked:
    a year ago
    Good morning doc. pls can skin disease interfere with fertility? I read something regarding that from internet and I didn't understand it well?
    Dr. Femi O answered:
    a year ago
    Good morning and i hope you had a nice night?what kind of skin disease are you talking about specifically?They are so numerous.
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    A 31 years year old male asked:
    a year ago
    I use to have some rashes that appears on my face, back, chest and along my arms when ever I change the bathing soap I'm used to (dettol). It's not itchy unless I sweat. It disappear completely when I apply a cream (ABF 3 CREAM). What makes to ask this question is that I went for semen analysis, and the lab technician called to tell me that there's infection in the sample, that he will investigate to find out what type of infection it is.
    Dr. Femi O answered:
    a year ago
    Alright good.Can you send in a picture of the rash as an attachment so that we can appreciate it better?
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    A 31 years year old male asked:
    a year ago
    Good evening Doc. I couldn't get d picture of d rashes bcos I don't have them now. Now my question is I'm currently taking nature's field Adam desire drug, is it safe if I take evergreen formula for men, which is a fertility drug? is it OK to use them together?
    Dr. Femi O answered:
    a year ago
    As a medical doctor,it would be difficult to comment about herbal or the so called natural medicines.You should ask the sellers about them and the possible drug drug interactions.
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    A 31 years year old male asked:
    a year ago
    thanks doc. I'm really appreciating your answers, they ar very helpful, more grease to ur elbow sir, and I hope u don't mind the type of my questions, I'm just trying what I think I can to get children, thanks.
    Dr. Femi O answered:
    a year ago
    You are welcome.I will advice that you ensure you are seeing a gynecologist with your wife for thorough sequential evaluation.Have a good night.
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    A 31 years year old male asked:
    a year ago
    Please based on your experience, if I'm to seek for a specialist (gynaecologist or urologist) how much d u think I will spend for the consultancy apart from d 1000 payable for kangpe service? pls doc. I need it even if it is rough estimate cos I want know if I will b able to adopt it. I'm currently enjoying NHIS services, should I not b able to afford it, d u think seen d docs in my NHIS hospital is sufficient? tnxs.
    Dr. Femi O answered:
    a year ago
    Hello,i understand your concerns.But i am a doctor only on kangpe.The charges aspect is being handled by the admins.So i do not have an idea of the costs.NHIS is very good.You can enjoy the benefits if your health service provider has a specialist in those aspects of medicine as its worker or if they do invite specialists from other hospitals to see some of their patients that need them.Hope this helps.
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    A 31 years year old male asked:
    a year ago
    Good evening Doc. I collected my semen analysis result:' CONSISTENCY: viscous SPERM COUNT: 31 million/ml LIQUEFACTION: liquify after 10min PH: 8.0 COLOUR: greyish MOTILITY: 1. rapid linear progression: 50% 2. slow linear progression: 20% 3. non progressive: 20% 4. immotile cell: 10% MORPHOLOGY: 1. normal forms: 60% 2.abnormal forms: 40% 3. big head 4. middle piece (++) 5. tail (+) VIABILITY: 1. viable: 70% 2. non viable : 30% CELLULAR ELEMENTS 1. Puss cell: 2-4 hpf 2. Ephithelia cells: numerous 3. culture: staphylococcus aureus was isolated SENSITIVITY: 1. gentamycin (+++) 2. clindamycin (++) 3. ciprofloxacin (+) 4. vancomycin (+) RESISTANCE: ceftriaxone Pls Doc. help me explain in detail about what this result means, tnx.
    Dr. Femi O answered:
    a year ago
    Hello,this is a seminal fluid analysis result with microscopy culture and sensitivity included.The semen analysis is okay.There is no problem found however,the microscopy culture and sensitivity shows presence of a bacteria meanimge you might be having urinary tract infection.However,that organism cultured is a normal commensal of the human skin.Well,we have an antibiotic sensitivity pattern.Gentamycin is strongly recommended for you to treat the infection according to that result.
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    A 31 years year old male asked:
    a year ago
    Yes I already agree to start taking the gentamycin injection. Does that means I'm ok? Can I take some drugs to improve the sperm?
    Dr. Femi O answered:
    a year ago
    you can continue with your natural medicines.But ensure you complete the gentamicin. for 5-7days.
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    A 31 years year old male asked:
    a year ago
    Good evening Doc. Today I took my first gentamycin injection. I'm planning to take my wife tomorrow for checkup. Please doc. I use to hear that some people can ejaculate 2 times or more in a day and it baffles me, because I sometimes can spend 4 to 5 days without ejaculating no matter how I try, in fact d average duration for me to ejaculate is 3 days. Should I be worried?
    Dr. Femi O answered:
    a year ago
    Good to hear from you again.Well,the amount of semen produced is dependent on how hydrated you are and how often you have sex or the number of rounds per episode.Also,it depends on how long you have abstained.The longer the days,the more the volume.Do not compare yourself with others.A semen analysis result should include the volume,but you omitted it in the result you sent in.(note that you will be told to abstain for a number of days before the test)
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    A 31 years year old male asked:
    a year ago
    Good evening Doc., today I completed 5 days of gentamicin injection, and I took my wife to teaching hospital for d fertility check. They requested for hormonal test and HSG, she is for d HSG next Saturday while they told us they will notify us when d hormonal test is ready. So for my own case is there anything I need to do now after those injections before seeing d gynaecologist that they about to refer us to?
    Dr. Femi O answered:
    a year ago
    Good morning Sir and sorry fot the late reply.Its good you have completed the medication.There is nothing more to do on your own part.Let your wife go ahead with her tests.
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