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How can I manage dry vagina and anxiety related to intercourse?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have endometriosis and was under medication Endoreg 2 mg twice a day for 5 to 6 months. Since marriage, I have pain during intercourse, and anxiety related to that. I do breathing, and positive affirmation exercises to do it. Now, I want to plan a child, and the ovulation count is also very low. I have a dry vagina, and this makes it difficult for my husband too. He cannot ejaculate, and it is low pleasure due to the dryness for him. Since I am trying to conceive, trying not to use lubricant. Currently, I am on fertility drugs (Fertimod for five days) and doing follicular monitoring.

Do you have any suggestion for the dryness and anxiety?
Answered by Dr. Nidhi Jain

Education:

MBBS

Professional Bio:

Dr. Nidhi Jain is a General Practitioner specializing in Psychiatry and Sexology with 13 years of clinical experience. She completed her MBBS at the Gajra Raja Medical College and DPM at the Central Institute of Psychiatry. She specializes in diagnosing, preventing, studying, and treating mental disorders and can determine whether their symptoms result from a physical illness, a combination of physical and mental ailments, or strictly mental issues. Currently, she is practicing in Bukharia Skin and Mind clinic, Indore, Madhya Pradesh, India.

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Hi,

Welcome to icliniq.com.

Apply Lox 2 % jelly (Lidocaine) over penis of the male partner. It will provide lubrication for both of you, also will decrease the pain. It will not affect fertility. Use tablet Etirest (Etizolam) 0.5 mg at night (half an hour before intercourse). It will decrease anxiety. Consult your specialist doctor, discuss with him or her and take medications with their consent.

Also, do foreplay at least 30 to 40 minutes. It will dilate your vagina as well as provide natural lubrication. So, ultimately pain will decrease.

Patient's Query

Thank you doctor,

I have used coconut oil a few times which helps. But, he is unable to ejaculate inside me. I think he gets tired to finish or cannot due to pressure. Is there any way he can ejaculate outside and I can still get pregnant?

Do you have any tips?

Answered by Dr. Nidhi Jain

Education:

MBBS

Professional Bio:

Dr. Nidhi Jain is a General Practitioner specializing in Psychiatry and Sexology with 13 years of clinical experience. She completed her MBBS at the Gajra Raja Medical College and DPM at the Central Institute of Psychiatry. She specializes in diagnosing, preventing, studying, and treating mental disorders and can determine whether their symptoms result from a physical illness, a combination of physical and mental ailments, or strictly mental issues. Currently, she is practicing in Bukharia Skin and Mind clinic, Indore, Madhya Pradesh, India.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Hi,

Welcome back to icliniq.com.

The method using outside ejaculation (semen) is in vitro fertilization (IVF), which is not needed in your case.

Ask your partner to take tablet Dejac-T (selective serotonin reuptake inhibitor) one tablet one hour before intercourse. Also, take tablet Etirest 0.5 mg half an hour before intercourse. Dejac-T will maintain long-lasting erection, and he will ejaculate late. Etirest will keep him relaxed. Also, use lubricant. Consult your specialist doctor, discuss with him or her and take medications with their consent.

Answered by Dr. Nidhi Jain
Medically reviewed by iCliniq medical review team
Published At February 26, 2018
Reviewed At February 1, 2024

Education:

MBBS

Professional Bio:

Dr. Nidhi Jain is a General Practitioner specializing in Psychiatry and Sexology with 13 years of clinical experience. She completed her MBBS at the Gajra Raja Medical College and DPM at the Central Institute of Psychiatry. She specializes in diagnosing, preventing, studying, and treating mental disorders and can determine whether their symptoms result from a physical illness, a combination of physical and mental ailments, or strictly mental issues. Currently, she is practicing in Bukharia Skin and Mind clinic, Indore, Madhya Pradesh, India.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Nidhi Jain
Dr. Nidhi Jain

Psychiatry

Education:

MBBS

Professional Bio:

Dr. Nidhi Jain is a General Practitioner specializing in Psychiatry and Sexology with 13 years of clinical experience. She completed her MBBS at the Gajra Raja Medical College and DPM at the Central Institute of Psychiatry. She specializes in diagnosing, preventing, studying, and treating mental disorders and can determine whether their symptoms result from a physical illness, a combination of physical and mental ailments, or strictly mental issues. Currently, she is practicing in Bukharia Skin and Mind clinic, Indore, Madhya Pradesh, India.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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