10 Famous People with HIV

1.) Charlie Sheen

The actor who is best known for the long-running TV series Two and a Half Men. Charlie Sheen revealed his HIV status in 2015. He was known to have used illegal drugs and had high-risk sex.

2.) Freddie Mercury

The famous frontman of the rock band Queen, Freddie Mercury died from complications of AIDS in 1991 at just 45 years old.

3.) Magic Johnson

The basketball superstar of the LA Lakers, Magic Johnson went public with his HIV status in 1991. He is still in good health with daily medications to control his HIV infection.

4.) Greg Louganis

Greg Louganis shot to fame for winning multiple gold medals for diving including Olympic gold. He famously hit his head on the springboard during the 1988 Seoul Olympic games sparking fears of HIV possibly spreading to other athletes via his blood being in the diving pool.

5.) Rock Hudson

The American heart-throb TV star of the 50’s and 60’s, Rock Hudson died from complications of AIDS in 1985 at 60 years of age.

6.) Fela Kuti

Famous musician and activist Fela Kuti died from complications of AIDS in 1997 at the age of 59 years old.

7.) Liberace

Famous pianist and showman Liberace died from complications of AIDS in 1987 at the age of 68.

8.) Andy Bell

Pop group Erasure frontman Andy Bell was diagnosed with HIV in 1998.

9.) Tina Chow

Famous model and jewelry designer Tina Chow was diagnosed with HIV in 1989. She became an activist and educated many on HIV and AIDS. She passed away in 1992 at the age of 41 from complications of AIDS

10.) Paddy Chew

Paddy Chew was the first person with the courage to come out publicly about his HIV status in Singapore. He wrote an autobiographical play called Completely With/Without Character. He passed away in 1999 from AIDS complications.

 

Other Related Articles:

 

HIV PrEP for Travel – Things You Need to Know

What is HIV PrEP?

Use of oral anti-retroviral drugs by HIV-uninfected people to block the acquisition of HIV before exposure to HIV.

Why HIV PrEP?

Many trials have been conducted to determine the effectiveness of oral HIV PrEP across couples of all orientations. When patients follow the treatment and prevention strategies closely, significant prevention of HIV levels was achieved
In 2014, WHO (World Health Organisation) developed consolidated HIV guidelines for key populations, including men who have sex with men, sex workers, transgender people. In those guidelines, HIV PrEP was strongly recommended for men who have sex with men (MSM).6
During travel, the risk of acquiring HIV is the result of a change of HIV prevalence at the destination, and more importantly the change of sexual behaviour abroad and the increase of risk-taking behaviour. Studies have shown that amongst the MSM community, awareness of a special form of PrEP use, often described as “holiday PrEP” is becoming increasingly popular. This holds true even for MSM who do not consider themselves to be at high risk for HIV.7

How?

Prior to starting PrEP, your doctor will do blood tests to monitor your kidney and liver function, a full STI screen if you have not had one recently and also an HIV test.
Subsequently when on PrEP, your renal function will be monitored every quarter. Long-term PrEP use will also require monitoring of your bone density.

When?

How you take your PrEP depends on10:

  • how far in advance you plan on having sex
  • how regularly you have sex.

It does not necessarily depend on how much sex you have.

There are 4 Different Ways to Use HIV PrEP

There are 4 different ways to take PrEP, we discuss this further below:

1. Daily PrEP


Daily PrEP Regimen: 

  • Lead in time 7 days.
  • Taken daily at the same time  +/- a few hours ok

Type:

  • Anal, Vaginal/Frontal sex

Considerations:

  • Can be taken any time of the day with or without food
  • In the event a pill is missed, adequate protection is still conferred.

2. On-Demand PrEP (Event-Based Dosing)

On-Demand PrEP Regimen: 
Planned condom-less sex 24 hours in advance:
Strictly:

  • take 2 pills 2 – 24 hours before sex
  • take 1 pill on the day of sex
  • take 1 pill 24 hours later

If having sex for an extended period of time, perhaps over a few days or a weekend, continue to take a pill every 24 hours until you have 2 sex-free days.


The regime requires the patient to take 2 tablets of the HIV PrEP medicine between 2 to 24 hours prior to the event followed by 1 tablet 24 hours after the initial dose and a final tablet 48 hours after the initial dose. Medical studies show that the protection provided against HIV for this regime is not as good as if the medicine is taken daily.
Furthermore, thus the regime is more complex and therefore increases the risk of the patient taking the wrong amount of medicine at the wrong time.

Type: 

  • Only for Anal sex
  • More studies required to show effectiveness in Vaginal/Frontal sex

Considerations:

  • This option is not recommended if you have an active hepatitis B infection. The drugs in PrEP also suppress the hepatitis B virus and so starting and stopping PrEP can cause viral flare-ups and liver inflammation.

3. Ts and Ss (Tues, Thurs, Sat, Sun dosing)


Ts and Ss Regimen:

  • Daily dosing for 7 days,
  • then dropping down to 4 pills per week on Tues/Thurs/Sat/Sun

Type: 

  • Only for Anal sex
  • More studies required to show effectiveness in Vaginal/Frontal sex

Considerations:

  • If you only have sex once or twice a month, you might not want to take a pill every day.
  • 4 pills per week will maintain a good baseline of the drug in your system and you can choose to increase up to daily 7 pills per week when you know you’re in a more sexually active period.
  • Some people using PrEP On Demand find that they might be taking 4 pills per week most weeks of the month and so opt for structuring this into the Ts and Ss instead.

4. Holiday PrEP


Holiday PrEP Regimen:

  • PrEP before a pre-planned block of time when your risk of exposure to HIV will be higher due to:
    • an increased number of partners of unknown HIV status
    • situations where condoms are not easily or always used
    • where alcohol or substances might be used
    • having sex while travelling to a country with a high HIV prevalence
  • Based on a 7-day period we recommend 7-7-7:
    • 7 days daily dosing before the period
    • 7 days daily dosing during the period (or for as long as the specific period lasts)
    • 7 days daily dosing after the period.

Type: 

  • Anal, Vaginal/Frontal sex

Considerations:

  • 7 days of PrEP before and after your last sexual encounter for several reasons:
    • 7 days lead-in provides adequate levels for both anal and vaginal or frontal sex.
    • 7 days lead in before the holiday or travel will allow the body to adjust to any possible side effects, most people do not experience any and these should have subsided within a week.

Worry Less, Worry Free!
PrEP is an ‘opt-in’ treatment – it is not meant to be taken forever.
Trying to stay HIV negative during the holiday or trip result in an anxious and stressful experience.
Your peace of mind and release from this stress and anxiety is important so that you can enjoy the moments that matter with your partner!
Safe Trip and Have Fun!
This article was written by Dr Tan & Partners, in collaboration with Oogachaga.


References

  1. Vivancos R, Abubakar I, Hunter PR. Foreign travel, casual sex, and sexually transmitted infections: systematic review and meta-analysis. International Journal of Infectious Diseases. 2010;14(10):e842–51.
  2. Svensson P.,et al. A meta-analysis and systematic literature review of factors associated with sexual risk-taking during international travel. Travel Medicine and Infectious Disease. 2018; Jul – Aug;24:65-88
  3. https://wwwnc.cdc.gov/travel/page/std
  4. https://www.fitfortravel.nhs.uk/advice/general-travel-health-advice/sexual-health-risks
  5. Riddell Jt, Amico KR, Mayer KH. HIV Preexposure Prophylaxis: A Review. Jama. 2018;319(12):1261-8.
  6. WHO Guidelines Approved by the Guidelines Review Committee. Guideline on When to Start Antiretroviral Therapy and on Pre-Exposure Prophylaxis for HIV. Geneva: World Health Organization Copyright (c) World Health Organization 2015.; 2015.
  7. Elsesser SA, Oldenburg CE, Biello KB, Mimiaga MJ, Safren SA, Egan JE, et al. Seasons of Risk: Anticipated Behavior on Vacation and Interest in Episodic Antiretroviral Pre-exposure Prophylaxis (PrEP) Among a Large National Sample of U.S. Men Who have Sex with Men (MSM). AIDS and behavior. 2016;20(7):1400-7.
  8. Brett-Major DM, Scott PT, Crowell TA, Polyak CS, Modjarrad K, Robb ML, et al. Are you PEPped and PrEPped for travel? Risk mitigation of HIV infection for travelers. Tropical diseases, travel medicine and vaccines. 2016;2:25
  9. Hampel B, Reinacher M, Fehr JS, HIV pre-exposure prophylaxis (PrEP): Is it time to rethink HIV prevention in travelers?, Travel Medicine and Infectious Disease (2018), doi: 10.1016/j.tmaid.2018.06.008
  10. https://www.iwantprepnow.co.uk/how-to-take-prep/

Sexual Health Advice for Traveller

Passport, Phone, Plane tickets and….. PrEP!

Planning your next trip – for business or pleasure, or both? Apart from the usual, do you make plans for your own sexual health?

What? Why?
Whether you’re straight, gay, lesbian, bisexual, transgender or just curious and questioning, lots of people have casual sex when they travel, so you’re not alone.
However, lots of research and experience show that the risk of developing a sexually transmitted infection (STI) – like HIV, syphilis or others – is increased when you travel. 1
This could be due to increased risk-taking behaviour when we travel abroad. The reasons may include increased freedom, alcohol and drug use, loneliness, peer pressure or a general sexual lifestyle when you’re abroad.2
Of course, there are those who travel abroad specifically for sex, in what some call “Sex Tourism”, which is the intention of travel overseas to purchase sex. This usually involves travelling to neighbouring countries to purchase sex from commercial sex workers.
Whatever your reasons for travel, if you’re unprepared for sex you may be putting yourself at risk and participate in behaviours that you wouldn’t consider at home.3
 

So how? Top tips for your Sexual Health Risk Reduction  (T.R.A.V.E.L)

T for Testing & treatment of STIs

  • Please get tested prior to travel as blisters, ulcers, bumps provide an entry point for STIs into the body. Having an STI increases the risk of HIV transmission by 10 fold!
  • Periodic STD Screening & Anonymous HIV Testing can keep your status in check
  • Don’t assume your partner is STD-free because s/he doesn’t mention it and, STDs are often asymptomatic. Talk openly with him or her about your STD and HIV status and date of the last testing3

R for Rubbers & Lube

  • Unprotected (without a condom) sex with a new/casual partner carries a risk of contracting STIs or blood-borne viruses.
  • Stock up on condoms and lube, keep them in a cool place, practice using them and get confident in talking about using them before you go.

A for Alcohol & Drug Use

  • Be careful when having sex after alcohol use. With alcohol or other drugs, one is more likely to take risks: not using a condom, having sex with someone you normally wouldn’t have sex with. We encourage condoms to be used for all forms of sexual activity especially with new/casual partners.

*Note: We do not support illicit drug use and urge our readers to abide by the host country’s drug laws. Singapore has strict anti-drug laws. Any citizen or permanent resident found to have abused controlled drugs overseas will be treated as if he or she had abused drugs in Singapore. Furthermore,  possession, consumption, manufacturing, import, export, or trafficking of controlled drugs in any amount are illegal.

V for Vaccinations

  • Discuss with our DTAP team the risk of infections, STIs and Blood Borne Viruses and any vaccines that are available (plan ahead as some vaccinations may take up to 6 months for full immunity). The vaccines that we recommend are the HPV (human papillomavirus) vaccine, also known as Gardasil 9, Hepatitis A and Hepatitis B vaccination.

E for Education

  • Empower yourself with information where sex may be available, at your travel destination.4
  • Ensure you are vaccinated against Hepatitis B, carry and use kite-marked condoms, consider taking oral HIV PrEP (Pre-exposure Prophylaxis) prior.

L for Living and travelling with HIV

 
Get tested after you return and last but not least, consider PrEP before you travel!  Learn more about Travelling with HIV PrEP (Pre-Exposure Prophylaxis)

Safe Trip and Have Fun!
This article was written by Dr Tan & Partners, in collaboration with Oogachaga.


References

  1. Vivancos R, Abubakar I, Hunter PR. Foreign travel, casual sex, and sexually transmitted infections: systematic review and meta-analysis. International Journal of Infectious Diseases. 2010;14(10):e842–51.
  2. Svensson P.,et al. A meta-analysis and systematic literature review of factors associated with sexual risk-taking during international travel. Travel Medicine and Infectious Disease. 2018; Jul – Aug;24:65-88
  3. https://wwwnc.cdc.gov/travel/page/std
  4. https://www.fitfortravel.nhs.uk/advice/general-travel-health-advice/sexual-health-risks
  5. Riddell Jt, Amico KR, Mayer KH. HIV Preexposure Prophylaxis: A Review. Jama. 2018;319(12):1261-8.
  6. WHO Guidelines Approved by the Guidelines Review Committee. Guideline on When to Start Antiretroviral Therapy and on Pre-Exposure Prophylaxis for HIV. Geneva: World Health Organization Copyright (c) World Health Organization 2015.; 2015.
  7. Elsesser SA, Oldenburg CE, Biello KB, Mimiaga MJ, Safren SA, Egan JE, et al. Seasons of Risk: Anticipated Behavior on Vacation and Interest in Episodic Antiretroviral Pre-exposure Prophylaxis (PrEP) Among a Large National Sample of U.S. Men Who have Sex with Men (MSM). AIDS and behavior. 2016;20(7):1400-7.
  8. Brett-Major DM, Scott PT, Crowell TA, Polyak CS, Modjarrad K, Robb ML, et al. Are you PEPped and PrEPped for travel? Risk mitigation of HIV infection for travelers. Tropical diseases, travel medicine and vaccines. 2016;2:25
  9. Hampel B, Reinacher M, Fehr JS, HIV pre-exposure prophylaxis (PrEP): Is it time to rethink HIV prevention in travelers?, Travel Medicine and Infectious Disease (2018), doi: 10.1016/j.tmaid.2018.06.008
  10. https://www.iwantprepnow.co.uk/how-to-take-prep/

Penile Rejuvenation in Singapore

Our body ages, that is an undeniable fact. Our skin gets saggy, our muscles get weaker, our blood vessels get stiffer – basically ageing.
We do whatever we can to slow down this inevitable march towards geriatrics.
We eat healthily, we take vitamins and antioxidants, we exercise regularly, we use skin products, we go for facials etc.
As life expectancy increases and lifestyles change, preserving a healthy sexual function has become more important for both men and women alike. Vaginal rejuvenation treatments including creams and laser therapies have always been available. But only recently, penis rejuvenation treatments started gaining popularity.
Nowadays many men realize that they should not wait until they suffer from erection problems or wait until their partners start to complain before they seek help. Just like everything else we do to maintain ourselves, maintaining a healthy penis function has become a priority. As they say, prevention is better than cure.
Penile rejuvenation is for people without any problems with their erection but who just want to preserve what they currently have or perhaps make it just that little bit better.

Things to do to maintain your penis health

1. Regular exercise

Yes. In spite of how trite and boring this sounds, regular exercise will help with blood flow all around the body including where it matters most for men.

2. Do not smoke


Smoking damages your blood vessels. That is how it increases the risk of strokes and heart attacks. However, years before the blood vessels in the heart or brain gets affected, the blood vessels in the penis will get affected.

3. Regular Erections

via GIPHY
The penis, just like any other organ, needs fresh blood flow to be healthy. Blood brings oxygen and all sorts of great nutrients that organs need. The body naturally has erections while you sleep exactly for this purpose. So it is truly a maxim of use it or loses it.

4.) Penile Rejuvenation Treatments

via GIPHY
Penis rejuvenation treatments are aimed at maintaining the health of the erectile tissue within the penis (corpus cavernosa) and the blood vessels within the penis. This maintains not only a healthy function of the penis but also prevents shrinkage of the penis due to tissue atrophy.
The most popular form of penile rejuvenation is using Low-Intensity Waves (also known as GAINSwave) to stimulate the penis tissue. This is a painless therapy that takes only about 20 minutes. There is no downtime. You can resume your normal activities immediately after treatment. There are no side effects. Most people only require a single session. This service is available at our Somerset branch. If you like to know more about this drop us an email at hello@dtapclinic.com.sg

That’s all Guys! Be Nice. 


Related Read:

  1. STD Risk for Receptive Unprotected Anal Sex in Men
  2. 10 Ways to Improve Sexual Performance for Men
  3. ElectroShock Wave Treatment for Erectile Dysfunction in Singapore
  4. Weak Erection? Erectile Dysfunction? Improv Erection with Pills
  5. Weak Erection: Does Size Matters?
  6. What Do You Need to Know about Prostate Massage
  7. Pearly Penile Papules (Bumps On Penis)
  8. What Causes Men’s Pattern hair loss (Androgenic Alopecia)
  9. Pills That Prevent HIV – HIV PrEP & HIV PEP
  10. What are the Causes of Foreskin Infection?

Top Travel Tips for Persons Living With HIV (PLHIV)

Planning for a long Vacation or Preparing for a Business trip? The travel preparation can sometimes be challenging for People Living with HIV (PLHIV).
Making sure there is enough medication. Making sure you get the correct travel vaccine or visiting the doctor to get prescription (just in case you might be questioned during immigration check)

Travel Tips For Travelling with HIV (B.R.A.V.E)

B for Board, Bottle

Carry Your HIV Medication with You on Board
Carry your HIV medications with you on Board rather than checking them in and have a memo from the prescribing doctor’s memo with you.

Carry Your Doctor’s Memo with You
The contents of the memo should confirm that the medication is necessary during the trip. It does not need to discuss HIV and can state the medications are for a chronic medical condition and for personal use.

Use Medication’s Original Packet or Bottle
It is also advisable to have the medication’s original packet/ Bottle, showing the name of the person carrying the medication and medication details.

R for Reveal, Reiterate

You Don’t Need to Discuss Your HIV Status!
When crossing international borders, one might be questioned on the medication carried. Preparing for these questions can facilitate an easier border crossing experience. HIV need not be discussed or Revealed and that these medications are for a chronic health problem can be Reiterated.

A for Adjust, Avoid,  Anonymous Testing, Advice

Adjusting Your Dose Timing
Discuss with your doctor dose timing adjustments when travelling across different time zones. Medication can usually be taken one or two hours later for a number of days until the timing fits with the destination country. The process should be reversed on return.

Avoid Missing Your Medication Dose
Missing medication doses should be avoided at all cost. Treatment breaks should be avoided unless discussed with your doctor.
 
 Advice, Anonymous testing
If you are travelling in and out of Singapore and need advice on HIV treatment or testing, At Dr. Tan & Partners, we provide a safe and discreet environment for testing. You can find out more about Anonymous HIV Testing.

V for Vaccinations

General principles for vaccination of PLHIV as follows:

  • Killed or inactivated vaccines do not represent a danger to immunocompromised people and generally should be administered as recommended for other people.
  • Live-virus or live-bacteria vaccines such as BCG, oral poliovirus, typhoid (Ty21a), varicella, Yellow fever should be avoided unless the benefits outweigh the cons

The main vaccinations we recommend for PLHIV besides the country-specific vaccinations are.

  1. HPV Vaccination
  2. Hepatitis A
  3. Hepatitis B
  4. Influenza
  5. Pneumococcal
  6. Meningococcal

E for Extra Medication

Bring Extra Medication
It is imperative to bring enough medication and slightly more for a few days as getting a prescription or purchasing your medications in a foreign country may not always be possible. Furthermore, there is no way to ascertain whether the purchased medication might be of the same quality, type and efficacy.

If you are travelling with a partner/s who are not HIV positive, you can find out more information on getting PrEP (Pre Exposure Prophylaxis) for their protection as well – Non-HIV partners for HIV PrEP.

Here are some further resources you can explore to find out more about the country you are travelling to and its restrictions if any:
1.) www.aidsmap.com – HIV-related services worldwide and access country-specific information and news 
2.) www.hivtravel.org – International database on HIV related travel and occupation

Safe Trip and Have Fun!
This article was written by Dr Tan & Partners, in collaboration with Oogachaga.

What is Rapid Chlamydia & Gonorrhea PCR STD Testing?

Chlamydia and gonorrhoea are 2 common Sexually Transmitted Infections (STIs) which can infections in various parts of the body such as penis, vaginal, anus, throat and eyes.
Most commonly you will experience discharges from the penis/ vaginal or discomfort when passing urine.
However, the majority of men may not have any symptoms and for women, 50% may also not have symptoms.
The infection will stay in the body for a few weeks after the symptoms have been treated.
In rare instances, Gonorrhoea and Chlamydia can continue to cause damage to the body, specifically the urethra and testicles. Pain may also spread to the rectum. An overview of Gonorrhoea

At Dr Tan and Partners, we recognize that symptoms like abnormal vaginal discharges, penile discharge or discharge from the rectum can cause quite a bit of worry.
Thus, we have introduced a Rapid STD testing (next day results) that can detect these 2 infections within a day.
Which means that you can get the necessary treatment quickly as well.
All it requires is a urine sample or swab from the vaginal/ throat/ anal

This Rapid STD Testing detects for the presence of the DNA of the 2 organisms, making the test very sensitive

If you think you may have symptoms suggestive of chlamydia or gonorrhoea infection or if you think you may have been exposed and you are interested in an STD Screening, please visit a doctor for further evaluation.

Take Care!


Other Reads:

  1. Do I Have HIV Rash? Or Are They Other STD-Related Rashes?
  2. Weak Erection? Erectile Dysfunction? How to Improve Erection with Pills
  3. HPV Infection & HPV Vaccination for Men who have sex with Men
  4. STD Risk for Receptive Unprotected Anal Sex in Men
  5. Low HIV Risk Doesn’t Mean No HIV Risk
  6. HIV PrEP for Travel – How You Need to Know
  7. An Overview on STD from an STD Doctor
  8. Everything You Need to Know about Herpes Simplex Virus
  9. How Do I Treat Oral Herpes (Cold Sores)
  10. Syphilis Symptoms – Painless Sore & Ulcers
  11. HIV Symptoms – What You Need to Know
  12. 10 Common HIV related Opportunistic Infections

11 Causes of Dyspareunia in Women (Pain During Intercourse)

Dyspareunia or Pain During Intercourse is a condition whereby people experience pain during sexual intercourse. Both men and women can experience pain during sex sometime during their lives. However, it is much more common for women. Particularly in young women who are inexperienced or women who are in the perimenopause or menopause stages.
 
There is not much awareness about this topic as there is still a stigma surrounding it. Consequently, women are not speaking to their sexual partner, friends, close family or doctor when faced with this issue. If the situation is not dealt with, it may lead to other problems. Besides not being able to enjoy sex, the pain will progressively worsen due to the muscles tightening up.
Dyspareunia will have a negative physical impact on you, as well as being able to emotionally affect you and your partner’s relationship.
 

Pain During Intercourse can be classified into either deep or superficial pain during sex.

 

Causes of superficial pain include:

1.) Vaginismus

Vaginismus is the spasms of vaginal muscles which arises from the fear of being hurt. This can cause both deep and superficial pain, making sex extremely painful and sometimes even impossible. As a result of fear of vaginal examinations, women with vaginismus may never be able to use tampons or have a pap smear test.
The causes of vaginismus can be attributed to a restrictive upbringing, a history of rape or sexual abuse as a child, or past painful vaginal infections such as genital herpes.
 

2.) Lack of Vaginal Lubrication

This is arguably the most common cause of dyspareunia. Lack of vaginal lubrication can be due to nervousness, failure to relax, not having enough foreplay, or having unskilled foreplay performed by the male partner. Dyspareunia because of this can be resolved through increased foreplay, using lubricants by both counterparts, or if the female can become more relaxed.
One feature of menopause is the fall in production of the female hormone oestrogen, this causes vaginal dryness in perimenopausal or menopausal women. In this case, using lubricants during sex should reduce the pain substantially. Other treatment options available for these women are hormone replacement therapy (HRT) or vaginal hormone creams with the purpose to actively boost oestrogen production.
 

3.) Vaginitis (Inflammation of the Vagina)

Vaginitis is essentially the inflammation of the vagina which is caused by infections from thrush (candida), trichomonas or bacterial vaginosis (BV).
Common symptoms of this condition would be abnormal vaginal discharge, as well as itchiness and a burning sensation in the vagina and vulva (opening of the vagina).
 
Another type of causes, especially if associated with an infection, can also cause pain.
This includes:

  • Genital herpes
  • Foreign body in the vagina
  • Forgotten tampon

Generally, treating the infection will simultaneously clear dyspareunia.
 

4.) Vulvitis (Inflammation of the Vulva)

Vulvitis is the inflammation of the vulva (opening of the vagina) that can progressively lead to cracks in the skin of the vulva. It can also cause pain (including dyspareunia), itching and a burning sensation in the vulva.
Contact dermatitis is a common skin disorder that can also lead to inflammation of the surrounding skin of the vulva either due to an allergic reaction or direct exposure to agents like perfumed soaps, douches or lubricants.
 

5. Injury

Injuries to the vulva commonly stem from labour. During labour, episiotomy cuts or tears can occur. If unattended to, it may cause pain during sex for an extended period of time. Otherwise, badly healed stitches can cause pain too.
If you are experiencing any of these problems, it is advised to see a doctor sooner.
 

Causes for deep pain include:

6. Problems with the Cervix

During sex, the penis is able to come into contact with the cervix (opening of the womb). This can cause pain due to deep penetration, also known as ‘collision dyspareunia’. This open contact can also cause STDs such as gonorrhoea, chlamydia, trichomoniasis, genital herpes and others.
Additionally, if an intrauterine contraceptive device (IUD) or ‘coil’ planted at the cervical canal becomes displaced during sex, this can also cause pain.
 

7. Problems with the Uterus (womb) or Ovaries

Womb disorders or other problems in this region can cause deep pain during sex, such as:

  • Fibroids
  • Fixed retroverted uterus
  • Ovarian cysts

 

8. Endometriosis

Endometriosis is a disorder in which the tissues intended to line the uterus start growing outside the uterus. The location where endometriosis occurs will determine how much pain you experience during sex. The pain is expected to be more intense if endometriosis occurs behind the vagina and lower part of the uterus.
 

9. Pelvic inflammatory disease (PID)

PID is caused by a sexually-transmitted infection in the upper female genital tract (pelvis). During sex, pressure on these badly inflamed tissues in the affected region can cause deep pain.
 

10. Pelvic Adhesions

Pelvic adhesions are when the tissues in the upper female genital tract (pelvis) become stuck together. This development is usually due to the aftermath of surgery, injury (trauma), radiation treatment or infection, like a complication of pelvic inflammatory disease (PID). These adhesions can cause pain, including dyspareunia.
 

11. Ectopic Pregnancy

An ectopic pregnancy is when the pregnancy is located outside the womb, like in the fallopian tubes, cervix or ovary. As this type of pregnancy develops, it will stretch out the surrounding tissue, creating discomfort. Pressure on this region during sex will cause more pain.
If you are experiencing repeated pain during or after sex, do not hesitate to see a doctor or visit our clinic as dyspareunia is not normal and often the underlying cause is curable. The longer you leave it, the more issues it may cause to yourself and also may lead to a detrimental effect on your relationship with your partner.
 
If you are experiencing Pain During Intercourse, it is highly recommended to visit our doctor at our Women Clinics as soon as possible, especially if the pain becomes persistent. Most causes of dyspareunia are not serious. However, there is a few that can be severely detrimental to your health and well-being.
 
Take Care!

Other Interesting Reads:

    1. What You Need To Know about HPV, Cervical Cancer, Pap Smear & HPV Vaccination
    2. 11 Causes of Dyspareunia (Pain During Intercourse)
    3. What is HPV Vaccination (Gardasil 9)
    4. 10 Causes of abnormal Vaginal Lumps and Bumps
    5. An Overview of Gonorrhoea
    6. What is the Treatment for Cold Sores? What causes Cold Sores?
    7. Sex During Period (Sex & Menstruation) What To Know

 
 

Is Premature Ejaculation a Problem?

Too Fast? Too Slow?

Premature ejaculation or PE occurs when a man reaches orgasm and ejaculates with minimal stimulation or within a very short period of time.
There is no uniform cut-off timing for what constitutes as PE, and in the past, most experts would agree that last less than one minute is a cause for concern.
However, newer guidelines suggest that any man who feels they do not have control over when he ejaculates and that it causes distress to him and his partner can be considered to have premature ejaculation.

Is Premature Ejaculation a Problem?

Of course, Premature Ejaculation is a real problem if:

  • It is causing or arising from inter-personal relationship problems.
  • It is causing or arising from psychological issues like anxiety and depression.
  • It is a sign of hidden erectile dysfunction (ED).
  • It is due to a low serum Testosterone level.
  • It is a sign of an underlying medical disease.
  • It is due to stopping a drug.
  • It is severe enough to affect fertility.

Sometimes premature ejaculation may be caused or worsened by other conditions, such as anxiety and depression, erectile dysfunction, prostatitis and testosterone deficiency.
These conditions will be assessed with a clinical history and may need further investigation if appropriate.

Is there any treatment for Premature Ejaculation?

There are several options for treatment of premature ejaculation, although a combination of certain medication and non-pharmacological treatments often give the best results.

If you think that you or your partner may be suffering from premature ejaculation, please visit our Men’s Clinics for a thorough evaluation and discussion on Premature Ejaculation Treatment options.

Take Care!


Related Read:

  1. STD Risk for Receptive Unprotected Anal Sex in Men
  2. 10 Ways to Improve Sexual Performance for Men
  3. Weak Erection? Erectile Dysfunction? Improv Erection with Pills
  4. Weak Erection: Does Penis Size Matters?
  5. Pearly Penile Papules (Bumps On Penis)
  6. Phimosis – Unusually Tight Foreskin 
  7. An Overview of STD – From an STD Doctor
  8. What are the Signs & Symptoms of HIV and AIDS?
  9. What Causes Men’s Pattern hair loss (Androgenic Alopecia)
  10. Pills That Prevent HIV – HIV PrEP & HIV PEP
  11. What are the Causes of Foreskin Infection?

What Are the Top 7 Reason Men Undergo Circumcision?

Circumcision has always been a hot topic for discussion. Some are against it, and some are for it. One thing for sure is that it has a lot of benefits.
Circumcision is a medical procedure for foreskin removal.
I will be sharing with you the Top 7 Reasons of circumcision so that you can make your own decision if it is something suitable for you.

Better Hygiene

The presence of the foreskin increases moisture and warmth around the penis. And this promotes the collection of smegma which is a combination of shed skin cells, skin oils, and moisture.
When accumulated, it will contribute to a foul odour and leads to poor hygiene.
When circumcised, they won’t be any more space for the smegma to accumulate.
So your penis will have better hygiene and even smell better.

via GIPHY

Reduce Risk of Balanitis


Balanitis is an infection of the penis tip and foreskin. It is most commonly caused by Candida which is a type of yeast.
It’s uncomfortable and irritating and for some people, they get infected multiple times.
When you’re circumcised, you have an almost negligible risk of getting balanitis.
Saves you the trip to the doctors and the money to see one.

Reduce the risk of STDs and HIV

In Africa, adult circumcision is advocated in order to bring down the HIV epidemic.
Some STDs are treatable (see STD treatments) however HIV is not (see HIV Management).
If you can further reduce the risk of contracting this deadly disease, why not?

via GIPHY

Prevent cancer

Circumcision is also associated with a lower risk of getting penile cancer, and reduced risk of cervical cancer in their partners.
You’re not only saving yourself but also your partner. It’s a win-win!

via GIPHY

Less UTIs

Bacteria usually cause UTI’s or urinary tract infection.
Symptoms include painful urination and or blood in the urine. It’s very annoying to have.
Will be quite useful to have one less disease to be worried about.

via GIPHY

Better Sex

Nowadays many women prefer men who are circumcised or cut. There are various reasons for this. Some like the appearance and find it a turn on.
Some love it that it is cleaner and smells better and it makes them feel more comfortable during sex. And of course, when you are circumcised you won’t have pain during intercourse. Which could be due to a tight foreskin or from paraphimosis.
Paraphimosis is a condition where the foreskin gets stuck below the head. It’s a medical emergency that requires immediate treatment.
Better sex is always a lovely bonus.

via GIPHY

Last longer in bed

With the foreskin removed, the head of the penis will get exposed all the time.
This will lead to keratinisation of the head. Hence it will desensitize it.
When more desensitized, it will help you last longer in bed. And now you’re gonna be a stud in the bedroom.

via GIPHY

That’s All Folks!
If you wish to know more about Adult Circumcision and How is it performed visit our Mens Health Page.


Related Read:

  1. STD Risk for Receptive Unprotected Anal Sex in Men
  2. 10 Ways to Improve Sexual Performance for Men
  3. Weak Erection? Erectile Dysfunction? Improv Erection with Pills
  4. Pearly Penile Papules (Bumps On Penis)
  5. Phimosis – Unusually Tight Foreskin 
  6. An Overview of STD – From an STD Doctor
  7. What are the Signs & Symptoms of HIV and AIDS?
  8. What Causes Men’s Pattern hair loss (Androgenic Alopecia)
  9. Pills That Prevent HIV – HIV PrEP & HIV PEP
  10. What are the Causes of Foreskin Infection?

What are the Causes of Swimmer’s Ear or Outer Ear Infection?

(OTITIS EXTERNA aka Swimmer’s ear or Outer Ear Infection)
The external ear canal is the part of the ear that connects the outer ear to the eardrum. This outer ear infection takes place in the external ear canal and usually presents a sudden painful condition usually caused by bacterial infection, inflammation or sometimes fungal infection.
People who are predisposed to outer ear infection includes the young and adolescent group, people with skin conditions like eczema or psoriasis, and people with excessive ear wax production.

The natural defence mechanism of the ear canal

  • The narrow ear canal serve to reduce entry of contaminants
  • The sticky nature of the ear wax helps to maintain a harsh environment for bacteria, helping to trap fine debris and also repel water.

 

What are the Causes of Swimmer’s Ears or Outer Ear Infection?

A moist ear canal can serve as a reservoir for bacterial (most common cause) or fungal infection to seed on.
Other factors that contribute to outer ear infection:

  • Exposure to contaminated water, swimming pool or hot tubs
  • Contact with allergic or corrosive chemicals such as hair dye or spray
  • Excessive ear canal cleaning with cotton buds
  • Skin barrier impairment over the ear canal secondary to eczema/ psoriasis or abrasions secondary to scratching
  • Using ear canal devices such as earphones, hearing aids, diving caps
  • Complication from water irrigation during ear wax removal procedures

Concurrent infection which causes inflammation and swelling of the skin. This leads to obstruction, itch and scratching of the ear canal which will create further injury, thus worsening the condition.
 

What are the Signs and symptoms of Swimmer’s Ears or Outer Ear Infection?

  • Ear pain
  • Itch
  • Discharges from ear
  • The feeling of blocked ear
  • Reduced hearing

 

What are the treatments for Swimmer’s Ears or Outer Ear Infection?

The treatment goal is to control pain and treat the infection.

  • Careful cleaning of the ear canal using specialized equipment
  • Eardrops to reduce inflammation and hinder the growth of bacteria and fungus

With the removal of debris in the ear, this will facilitate the absorption of ear drops in the ear canal.
In addition, the doctor can place a sponge or wick in the canal if it is swollen. This will increase the delivery of ear drops into the ear canal.

How to take care of your ears?
It is important to avoid the ear canal from getting wet during treatment. Extra precautions should be taken while showering. Avoid swimming 7-10 days during infection is of great importance.
 
If you swim regularly, consider

  • Shake your ears dry after swimming
  • Blow dry the ears with low setting dryer held from a distance away
  • Use earplugs during swimming

 
Are there any Follow-ups?
A patient needs to be follow up 36-48 hours after treatment initiation to monitor symptoms. Sometimes, the ear may need cleansing again using specialized equipment by a doctor in addition to the installation of ear drops.

Most external ear infection improves within 7-10 days.

If you think you have outer ear infection, please speak to any of our friendly doctors at any of our clinics to discuss further, or drop us an email at hello@dtapclinic.com.sg