Dr Mini Salunkhe: How can I maintain perfect sexual health?

Here are questions from readers that were addressed by a leading obstetrician and gynecologist Dr. Mini Salunkhe. The identities of the solution-seekers have been withheld to protect their privacy.

What are the chances of a successful pregnancy, after going through two miscarriages?

Even if you’ve had unexplained recurrent miscarriages you still have a 75 percent chance of carrying a normal pregnancy to term. In the first trimester, most of the miscarriages are because of chromosomal abnormalities which are usually non-repetitive.

If you’ve had a late miscarriage, your gynecologist will be able to find the reason and prevent another similar one. Try not to put yourself under too much pressure; you have a good chance to become a mother. Get yourself in the best possible health and meet your gynecologist as soon as possible.

How safe is it to use epidural anesthesia during delivery? Does it have any harmful effects and is it practiced correctly in India?

Epidural anesthesia is the most popular method of pain relief during labor pains. It is being practiced in India more often nowadays. It produces pain relief with minimal side effects. It has numerous benefits. It can help you to deal with prolonged labor fatigue, reduces labor discomfort and allows you to remain active and alert during labor.

Side effects are minimal in the hands of an experienced anesthetist. They may be a temporary drop in blood pressure, tingling sensation, and difficulty in pushing. Overall, it is a safe and very effective method of pain relief during labor.

Doctor, I just read about genital herpes and I am scared. How can I prevent it? How do I become sure of the symptoms? Please help me.

Genital herpes is a sexually transmitted disease. The symptoms may be in the form of blisters, sores and influenza-like symptoms with swollen lymph nodes. The vaginal area may become red, inflamed and could be itchy with some tingling. It may burn when urine falls in that area. Genital herpes may be mistaken for yeast or bacterial infection. It can be diagnosed by physical examination, a swab test, and a blood test. You can prevent genital herpes by using protection when you have sex and also find out your partner’s sexual history. Some may consider protection, such as condoms, as a hindrance but they are very important. Even professionals on sites like Tube V
use condoms so there’s really no excuse to not use one, especially if it’s the first time having sex with a new partner. Using a condom is far better than managing genital herpes. Getting tested for genital herpes or other STD’s by simply checking out sites like Prioritystdtesting.com, to book in for a test will also help the situation, as it is always best to be safe than sorry.

Dear Doctor, I am a sexually active person but I am not aware of what it means to be sexually healthy? Can you please guide me as to how I can maintain perfect sexual health as a woman? It would be very helpful.

Exercise is known to have many health benefits and one of them is to maintain sexual health as well. Pelvic floor exercises like Kegels, in particular, are very helpful. Try to restrict smoking and drinking as it would definitely lead to a healthier sex life and better sexual health. Maintaining good genital hygiene is crucial for a healthy sexual life. It is also important to be relaxed and happy. Having a positive attitude and going in for psychological counseling if your sexual drive is low will also be very helpful. Communication with your partner and small yet simple gestures of affection towards him or her go a long way to remain sexually healthy.

Thank you, readers, for your queries. I hope I have been able to answer them and clarify your doubts. I would be more than happy to take time off to answer all your questions week after week. You can reach me via editorial@pune365.com

Dr Mini Salunkhe

Dr Mini Salunkhe

Dr Mini Salunkhe is a senior gynaecologist practising in Pune for over a decade. Apart from being a private practitioner, she is a consulting obstetrician and gynaecologist at Inamdar Hospital. Dr Salunkhe addresses reader queries every Friday on Pune365.
Dr Mini Salunkhe