Questions about sex and health

Reader questions about sex, relationships, and health answered by experts: case analyses, anatomy, potency, contraception.

My wife and I are expecting our first child, and she is already worried that sex will be 'broken' after childbirth. And I don't know how to support her. What actually happens to sex after childbirth, and when will everything return to the way it was before?

Editorial

Answer

Judging by the stories of women who have given birth in the last two years, expecting things to be 'the way they were before' is not the most helpful mindset: what is involved is not a return to the past but a search for a new norm, which affects the body, the relationship, and one's sense of self as a mother. Desire does not simply disappear—it requires time and conditions, and fatigue, pain, unfamiliar sensations, and a changed perception of oneself affect intimacy; women describe this as ada...

I have uterine fibroids, and lately sex has become painful, and my desire has disappeared. The doctor says it's not serious, but I still care. Why does this happen and what can be done?

Editorial

Answer

Fibroids can indeed affect sexual life: they can cause pain during penetration (dyspareunia), and heavy painful periods often lead to anemia, which simply leaves no strength or desire. Additionally, psychological factors often interfere — fear of pain, embarrassment due to an enlarged abdomen, anxiety, and low self-esteem. It is important not to stay silent about this: start a conversation with your gynecologist directly, saying that you are concerned about the impact of fibroids on sex — such ...

Sometimes loneliness hits so hard that even leaving the house feels difficult, even though there are plenty of people around. What actually helps in such moments?

Editorial

Answer

This state is familiar to many: loneliness is not always about the absence of company, but about the feeling that you are a stranger here. The material describes three specific techniques. The first is visual reminders: photographs of happy moments with loved ones that bring back the thought that the world is bigger than the current pain. The second is headphones and a playlist, which both shield from the oppressive silence and give a sense of connection to a community. The third, the most powe...

During sex with a loved one, I sometimes get overwhelmed by fear and want to disappear. What is this and how can I help myself?

Editorial

Answer

What you're describing sounds like emotional activation or more intense flooding, when the psyche perceives what's happening as a threat and partially shuts down the 'thinking' part of the brain. This doesn't mean something is wrong with you: this is how survival mechanisms work, and they can kick in even in a safe environment, especially if there's past traumatic experience. It's helpful to make a personal plan in advance: write down in first person the steps that help you specifically, gather...

I noticed itching and small red bumps in the intimate area — is it necessarily some kind of sexually transmitted infection?

Editorial

Answer

Not necessarily: a similar picture can be caused by contact dermatitis from scented soap, pads, or lubricants, fungal infections (thrush, candidal balanitis, tinea cruris), molluscum contagiosum, and chronic skin conditions such as eczema or psoriasis. In menopausal women, itching and burning can be caused by decreased estrogen, and sometimes the cause is trivial — irritation from shaving or ingrown hairs. It is difficult to distinguish one from another by symptoms, because chlamydia and gonorr...

My partner and I practice sex with other couples, but we are afraid to tell a doctor — what if they judge us. How then can we monitor our health if I can't even bring myself to say it out loud?

Editorial

Answer

In similar closed communities studied in Indonesia, people also almost never seek medical care — not out of carelessness, but because they fear not infections but reputation: if others find out, the consequences seem worse than the disease. Therefore, they regulate the risk of infection socially: they screen new people 'at the entrance,' pass news about diseases through informal networks, and negotiate trust and honesty as seriously as the rules of sex. But this does not negate the medical side...

I have been taking tadalafil for two months, but there is no effect. Maybe it's not about the pills, but something else? What tests should I check?

Editorial

Answer

According to the study, in men for whom tadalafil did not help, the atherogenic plasma index (an indicator from cholesterol and triglyceride tests) was almost three times higher than in those for whom the treatment helped. Also, among 'non-responders,' excess weight and diabetes were more common. Therefore, it makes sense to discuss the results of lipid and sugar tests with a doctor. This does not guarantee the return of erections, but it may suggest that metabolic problems should be addressed ...

My girlfriend and I have been together for a year, and I watch porn. She says it bothers her, and I don't understand—it seems like I'm not doing anything wrong. How can I understand when it's really a problem for both of us?

Editorial

Answer

According to a study that followed 309 couples for a whole year, the frequency of viewing by itself says almost nothing—what matters is the motive. If porn for you is a way to get pleasure or to better learn about your body, it is linked to better sexual function for both you and your partner a year later. But if viewing becomes compulsive, interferes with life, and causes feelings of guilt, in women and people of other genders this was linked to worsened sexual function in the partner. In men,...

Why is it harder for women to get a pill for HIV prevention than for men?

Editorial

Answer

The main barrier, according to the study, is not cost or side effects, but so-called "sexual scripts": the persistent notion that a woman is heterosexual and "clean" by default and therefore cannot be at risk. Because of this, doctors often do not offer women HIV prevention, even when they should, and healthcare providers sometimes behave in a biased and judgmental manner. Participants also noted that both doctors and the healthcare system often consider HIV prevention a "man's" matter — for ga...

My wife and I have been trying to conceive for a year, but nothing happens. For some reason, all examinations and conversations about fertility mainly concern women — what about men? Maybe I should get checked too, or is it unnecessary?

Editorial

Answer

According to a survey of 5532 people planning conception, fertility problems were reported by 36.6% of women and 17.4% of men — but this rather indicates that women more often undergo examinations and are better informed about their condition, while in men diagnostics often begins later or does not begin at all. In men in this study, varicocele or epididymal cysts (3 times higher odds) and a history of sexually transmitted infection (4.6 times) were associated with conception problems. This is ...