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Questions on sexual intimacy not answered during Know Your Fertility Wellness Seminar on 3 March 2023? Dr Tan Tse Yeun, Senior Consultant, Department of Reproductive Medicine, KK Women’s and Children’s Hospital answers those questions in this article.

1. Does peeing after sex affect the chance of pregnancy and does it prevent UTI?
No, peeing after sex does not affect the chance of pregnancy. Urinating after sex may prevent urinary tract infection (UTI).

 

2. My wife often gets stomach cramps after sex, is that normal?
Some women report cramps after an orgasm. So cramps after sex may be benign, but if cramps are very severe or occur every time after sex, it is best to see a doctor to rule out conditions such as UTI or endometriosis.

 

3. Does bleeding during sex affect the chances of getting pregnant?
No, but bleeding during or after sex could be a sign of a gynaecological condition such as growths in the vagina or cervix or even cervical cancer. It is recommended to see a gynaecologist for an early assessment.

 

4. We are a newlywed couple, it’s been 4 months but whenever we wanted to have sex, I feel very stressed, thinking of how painful the process is, and end up failing. My husband is very understanding and waits for me patiently. Please advise on how to overcome this problem.
You are not alone. My advice is that you and your partner may benefit from an assessment at our Sexual Health Clinic. I would like to encourage you to seek help early to improve the treatment outcome. The situation that you are facing may be multi-factorial, and a thorough investigation is required.

 

5. My wife has trouble getting wet when she is tired or stressed from work and I can't keep it up for long when I’m too tired due to work. Should we just use a lubricant to cut short the foreplay time?
Yes, lubricants can be incorporated into your sexual routine to reduce discomfort for women and increase pleasure for both. It is advisable not to force intimacy when both of you are too tired or stressed. 

 

6. Is it true that having sex in the morning has a higher chance of pregnancy compared to sex at night?
There is no evidence to show that having sex at a specific time of the day will increase chances of conception. Rather, we advise couples to have regular sex. The highest pregnancy rates are seen when a couple has intercourse every one to two days during the fertile window.

 

7. I get painful cramps after having a series of orgasms during sex. Could that be a sign of something bad?
This may be benign, but if cramps are very severe or occur every time after sex, it is best to see a doctor to rule out conditions such as UTI or endometriosis.

 

8. Does the usage of Xylocaine for vaginismus affect the chances of pregnancy?
Xylocaine is a type of local anaesthestic gel. A laboratory study on it did not show adverse effects on sperm motility. However, other laboratory studies have shown that substances in lubricants can affect sperm mobility. For vaginismus, it is recommended to treat the condition rather than using a local anaesthetic gel which does not resolve the problem or give complete relief.

 

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