'I am experiencing difficulty in sex after my prostrate operation'

Mar 24, 2014, 13:03 IST | Dr Prakash Kothari and Rachna Kothari

Clinical sexologist Dr Prakash Kothari and Counseling Psychologist Rachna Kothari answer your sex-related queries

Q. I am 47 years old. 2 years back I got prostate operation done. After which, I am experiencing difficulty in sex. It is not as it used to be. Is this because of the operation?
— Feeling Low
A. Usually if prostate operation is done properly by a Trans Urethral Route (TUR), then sexual performance would be the same as before. His desire, quality of erection, ability to sustain and pleasure at the time of orgasm remains unchanged. However, after orgasm, the ejaculation may not be outside but will be retrograde i.e. in the urinary bladder. This is because of bladderneck disturbance.

Q. I am 28 years old and I want my sex life to be always healthy. What should I do?
— Healthy
A. 3 small S’s i.e. Stress, Smoking and Scotch are not good for the big S i.e. Sex! It is also advisable to go easy on foods rich in high blood Fats (Cholesterol, triglycerides etc) because they lead to thickening of the blood and narrowing of the blood vessels which can hamper the flow of blood into private parts, which in turn may lead to erectile dysfunction. Balanced diet, maintaining fitness and yoga can also take you a long way.

Q. I’m married with 2 children. In one of my business trips, I was high and I casually indulged in sex just once with one of my assistants. I didn’t use any protection. Can I be a victim of AIDS?
— Worried
A. Yes, you can. There are cases where after a single sexual encounter individuals have become HIV + (AIDS). Though such incidences are rare, one needs to be really careful, as there is no cure for AIDS. Till date, prevention is the only cure and education is the only vaccine. Whenever you indulge in a sexual encounter with a partner other than your spouse; you must use a condom. Please get your blood test done for HIV after 90 days of the encounter. If it’s negative, recheck by repeating the same test after another 90 days in another reliable laboratory. If it’s negative, you may conclude that you are not HIV+.

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