Many newlyweds or live-in partners face one or the other difficulties while establishing physical relationship. Even if there is no problem, still there are few queries which keep on troubling them but they are unable to clear them with someone reliable. At last, they are left with the information or misinformation available on the net.  Dr. Irwin Goldstein, M.D., director of sexual medicine at Alvarado Hospital in San Diego said that sex drive is not a subject most doctors are comfortable discussing, because it's not something they learn about in detail in medical school. Similarly, most of the qualified doctors in India don't discuss this major aspect of psychosexual health. Following are some of the most common queries usually raised by young couples -

1. Is female orgasm mandatory for pregnancy?

It is a well-known fact that male orgasm is needed for the release of semen and sperms which when meeting with the egg in the female womb, resulting in pregnancy. But the release of eggs in females is not related to orgasm or female climax. Usually, one egg is released in the female body every month and pregnancy can occur if intercourse takes place during that duration, and sperms are deposited in the vagina, even if there is no female orgasm. 

2. Is it abnormal to have excessive wetness in the vagina prior to or during intercourse?

Whenever a female is aroused there is an increase in secretions in the vagina naturally and even excessive wetness is also not abnormal until it is associated with foul smell or itching. Also, Its not normal if it's lasting for days even after the intercourse. This can be an indication of vaginal infection and a gynecologist consultation should be taken before the infection spreads to other parts.

3. What are the options in case there is a problem of excessive dryness during intercourse?

Sometimes there may be a problem of excessive dryness too, quite commonly seen among young couples. There are many lubricants and lubes available in the market, but it is advisable to consult a gynaecologist in case you are facing this problem. Because many such lubricants contain chemicals that are harmful to sperms and there may be a problem in achieving pregnancy in case you are trying to conceive.

4. Semen that is released inside the vagina, doesn't stay in and comes out immediately.

This is one of the most common queries raised by couples facing problems in achieving pregnancy. Its absolutely ok, until and unless there is a problem with the release of semen. Once semen is deposited inside the vagina, pregnancy can definitely occur, even if some amount is leaked outside. Couples facing problems in conception can take extra precaution and a female partner can put a pillow beneath the buttocks and keep lying down for at least 30 minutes. This way maximum number of sperms will be available for fertilization. I usually tell my patients that after treating so many patients of infertility I have seen that it is even more beneficial if they go to sleep thereafter. That way both the body and mind are relaxed. Stress, which plays a major role in infertility, is usually taken care of at that particular moment. 

There are many more queries and apprehensions faced by couples dealing with infertility. It is always better to consult a well-qualified gynaecologist without any hesitation.