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New cases in Pous 2064, HIV = 175, AIDS = 26, Death = 2. HIV rate is very high in Housewives than sex workers in Nepal ! ! ! HIV status in Nepal till 2005: Total Adult=70000, Adult Prevalence (15-49)=0.55%, Number of Women (15-49) LWHA=15,310 (22%), HIV Prevalence rate in IDUs=32.7%, HIV prevalence rate in sex worker=3.8%, HIV prevalence rate in client of SW=2.1%. The latest U.N. report shows that 65 million people have been infected with HIV since it was first identified 25 years ago. Twenty five million people have died of AIDS.

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Thumbs down Clarification on intercourse - 07-03-2007, 08:04 PM

Hi Doctor

After birth of child during lactation period is it safe to have intercourse ?

How to stop Premature Ejaculation (any time tested method or quality & right medicines) ?
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Re: Clarification on intercourse - 07-03-2007, 08:57 PM

Dear svrcrown,

There are various factors that determines the safety of sexcual intercouse after the birth of a child during breastfeeding.

After a normal child birth there are no special problems with intercourse. Sexual libido may be weaker and the blood levels of female hormones are normally low after child birth. Complications during the delivery and/or trauma will also dampen the woman’s appetite for sex.

Epsiotomy scars should be completely healed before intercourse is attempted. This usually occurs within 2 to 3 weeks but pain with intercourse may be a problem for several months afterwards.

In the first 3 months, if breast feeding is regular and successful and there is no need for bottle supplementation, then it is rare for pregnancy to occur because the breast feeding alters the balance of female sex hormones - however, breast feeding does not guarantee protection from ovulation and pregnancy.

Resuming sex after the birth will largely depend upon when you both feel ready. Many men go off sex after seeing the birth of their baby. Perhaps because of the strain of seeing their partner in distress or the physical trauma resulting from the birth.

You will both be tired to begin with. Firstly from the birth itself and then from the nights of broken sleep and demands of parenthood.

Your partner may have physical trauma around and inside her vagina (or lower abdomen with a caesarian section) that needs to heal. Let her decide when she is ready to resume sex. Take things very gently at first, at your partner’s pace and don’t forget to discuss contraception. Your partner can be fertile again within 2 weeks of having your baby. Even regular breastfeeding, although it reduces fertility, is not a reliable form of contraception.

It is not advisable to have penetrative sex in the days after the birth. There is a risk of air embolus - meaning that the penis can act as a piston inside the vagina and drive air into the maternal blood stream through the raw placental site.(afterbirth). This air can travel to the major organs and can be fatal. It is unlikely that an air embolus will occur after the womb has returned to its normal size. This takes 2 to 3 weeks after the birth.

To prevent immediate pregnancy, you will have to consult a doctor for available contraceptive options as we don't have the policy to prescribe you any drug medications.

Regarding premature ejacualation, we have already discussed this topic in this link Feel free to ask sex Queries

Hope this information help you, should you have any other querry please feel free to discuss here.

All the best


Disclaimer
The information provided should not be used for medical emergency, diagnosis or treatment of any illness.
A NMC registered doctor must be consulted for any kind of treatment.
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