For the vagina to function perfectly,
couples must understand that the normal vagina is a self-cleaning organ.
It discharges which is a normal function of that process. This ensures
that the vagina is in the right condition. Most women have some amount
of clear or milky odourless discharge that will be noticeable on their
underwear during their entire lifetime but some women produce more
discharge than others. The colour and thickness of the discharge changes
with a woman’s monthly cycle. For instance, it is thicker after
ovulation, when breastfeeding and when a woman is sexually excited.
Vaginal discharge is generally heavier when ladies are younger and it
becomes less as they age. In fact, many women will have dryness problems
as they grow older, particularly during menopause. During pregnancy,
vaginal discharge often increases.
For the vagina to be serviceable at all
times, it is advisable to keep it from unbalanced environment and keep
the vagina area clean and dry. This lessens the onset of infections. For
instance, after using the toilet, wipe from front to back; never back
to front. Wiping from back to front can bring bacteria from the anus
into the vagina and urethra which can cause infection. Wear cotton
panties during the day as this allows air to freely get to the vagina
area. Avoid wearing tight pants for a long period especially because we
are in the tropical region. Make sure that the laundry detergents are
not the types that easily irritate the genital areas. Long period of
soaking in the bathtub may change the environment of the vagina.
Instead, shower-bathe often. It is better to avoid feminine hygiene
sprays, coloured or perfumed toilet paper and deodorant pads. If you
notice any discharge that appears unusual in colour or smelly, it is
advisable to see your doctor, because vaginal health affects more than
just the couple’s sex life. It is an important part of a woman’s overall
health. Vaginal problems can affect fertility, desire for sex and
ability to reach orgasm. It can also affect other areas of marriage and
impacts a wife’s self-confidence.
Knowing the signs and symptoms of vaginal
problems and what you can do to protect against such is important. The
vagina is a closed muscular canal that extends from the vulva — the
outside of the female genital area — to the neck of the uterus (cervix).
Various factors can affect it. For instance, forceful sex or an injury
to the pelvic area can result in vaginal trauma. Diabetes can cause
vaginal dryness and prolonged use of antibiotics does increase the risk
of a vaginal yeast infection. Certain antihistamines can cause vaginal
dryness. Some birth control products can cause vaginal irritation.
Some conditions that might affect the
vagina are persistent or recurrent genital pain just before, during or
after sex (dyspareunia). Pain during penetration might be caused by
involuntary spasms of the muscles of the vaginal wall.
An infection or change in the normal
balance of vaginal bacteria can cause inflammation of the vagina such as
discharge, odour, itching and pain. Common types yeast infections,
which are usually caused by a naturally occurring fungus called Candida
albicans; and trichomoniasis, which is caused by a parasite is commonly
transmitted by sex. Sometimes when the supporting ligaments and
connective tissues that hold the uterus in place become weak, the
uterus, bladder or rectum might slip down into the vagina (uterine
prolapse). As a result, the vagina also is pulled down.
It is very important to be managed by a
well-trained midwife during normal vaginal delivery as vaginal tears are
relatively common during childbirth. In some cases, an episiotomy which
is an incision made in the tissue between the vaginal opening and anus
during childbirth may be needed, and when not well handled, such vaginal
delivery can decrease the muscle tone of the vagina. This can affect
the sexual function of the vagina. Anxiety and depression can contribute
to a low level of arousal and result in discomfort or pain during sex.
Trauma — such as sexual abuse or an initial painful sexual experience —
also can lead to pain associated with sex.
Changes in a woman’s hormone levels can
affect the vagina. For example, estrogen production declines after
menopause, after childbirth and during breast-feeding. Loss of estrogen
can cause the vaginal lining to thin (vaginal atrophy) — making sex
painful. The vagina loses elasticity after menopause; that is the end of
menstruation and fertility.
So when a wife or husband notices the
following, it is good to seek for help: a change in the colour, odour or
amount of vaginal discharge — especially when accompanied by a fever,
vaginal redness, itching or irritation, vaginal bleeding between
periods, after sex or after menopause, a mass or bulge in the vagina, a
sensation of pressure or heaviness in the vagina.
Question and Answer
Morning erection as one ages, is it normal?
I was in a party last week where some
friends argued that early morning erection is not important to good
sexual life. They said that as you age, you should not look forward to
experiencing morning erection anymore. Please, is this true?
Mr Noso Tochukwu
Early morning erection is an
indication that all is well, although men have several night-time
erections. On average, a sexually healthy man has three to five
erections during a full night’s sleep, with each erection lasting 25-35
minutes. It is common for men to wake up with an erection, informally
called “morning glory.” This is in fact the last in the series of
night-time erections. The cause of night-time erections is not fully
understood. However, studies suggest they are closely associated with
the phase of sleep known as REM (rapid eye movement) sleep. This is when
dreaming is most common. Whatever their cause, most sex therapists
agree that night-time erections are a sign that everything is in working
order. When men do not experience this, they need to visit a sex
therapist.
Is it possible to ’see’ your period when you are pregnant?
I am still bleeding after the pregnancy
test indicated positive and my doctor said there is no reason to be
alarmed but I am afraid.
Mrs Emason
Technically, no. Normally, pregnancy
prevents the drop in hormones that causes the uterine lining to shed
off. However, when you are pregnant, you can still experience spotting
or light bleeding around the time you would normally expect your period,
although it is not considered an actual period. Known as implantation
bleeding, this is a harmless event that occurs when the fertilised egg
first burrows into your uterus and breaks some of the blood vessels in
its lining.
I have pain when about to ovulate
I always experience pain in my belly area
each time I am about to ovulate, is this normal or am I infected with
some illness or disease or what? The funny thing is that I always feel
like wanting to make love, do you have any idea of what is wrong with
me?
About a fifth of women can actually
feel something happening in their ovaries around ovulation. This can
range from mild achiness to twinges of pain. Some women feel ovulation
as one-sided backache or a tender area. This condition is called
mittelschmerz, it may last anywhere from a few minutes to a few days. If
you notice these sensations at roughly the same time each month, check
your cervical mucus.
Ovulatory pain can be a useful guide
to when you’re fertile. Many women experience heightened sexual desire
in the several days immediately before ovulation. Feeling sexy may all
be signs that you’re at your most fertile. You may notice a peak in
sexual desire at this time.
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