Categories
Sexual Health

Viagra, Cialis, Spedra, Caliberi or Levitra: The Best Medication for Erectile Dysfunction in Singapore

For most men who have trouble keeping an erection firm enough for sex (erectile dysfunction), oral medications are often the first line of treatment as these medications work well and cause few side effects (if any). 

With so many erectile dysfunction (ED) medications on the market, does it make any difference which one you take? In this article, we compared the pros and cons of Viagra, Cialis, Spedra, Caliberi, Levitra and their generics to help you decide which one is right for you.

Oral Erection Medications In Singapore

Viagra, Cialis, Spedra, Caliberi and Levitra are oral medications commonly prescribed by doctors in Singapore for the treatment of erectile dysfunction (ED). You may also know them by their generic names:

ED medications are designed to be taken as needed or on a daily basis to help promote an erection during sexual stimulation. Not all of these medications work the same for everyone, so a doctor may suggest that you start with one and try another type if you’re not getting the results you want.

How Does Erectile Dysfunction (ED) Medication Work?

According to the Singapore Urological Association, the recommended oral treatment for ED is phosphodiesterase type 5 (PDE-5) inhibitors. 

Viagra, Cialis, Spedra, Caliberi and Levitra are all PDE5 inhibitors that work by relaxing the blood vessels. This increases the rate of blood flow to the penis when you get aroused to create and sustain an erection.

They also enhance the effects of nitric oxide, a natural chemical your body produces that relaxes muscles in the penis. Relaxed muscles increase blood flow and allow you to get an erection in response to sexual stimulation.

How Fast Does Erectile Dysfunction (ED) Medication Work?

The onset time (how soon the drugs start working) determines how soon you can engage in intercourse.

There are 2 types of ED medications

  • As-needed. As-needed ED medications as the name suggest are taken prior to any sexual activity. It is best suited for men who are able to predict when they’ll have sex or if they don’t want to take a pill every day.
  • Daily. These ED treatments are taken daily. Best suited for men who don’t like to plan ahead and want to be ready 24/7, or carry pills on them.

The onset time for as-needed ED treatments ranges from 15-60 minutes while the onset time for daily ED medication is continuous.

MedicationHow To Take ItOnset
Viagra® (Sildenafil)
Sildenafil
Take 1 pill on empty stomach 30 minutes before sex 30-60 minutes
Cialis® (Tadalafil) 20mg
Tadalafil 20mg
Caliberi® (Tadalafil) Orodispersible Films 20mg
Take 1 pill/film with or without food 30 minutes before sex30-45 minutes
Cialis® (Tadalafil) 5mg
Caliberi® (Tadalafil) Orodispersible Films 5mg
Take 1 pill/film daily with or without foodContinuous
Spedra® (Avanafil) Take 1 pill with or without food 15 minutes before sex15-30 minutes
Levitra® (Vardenafil)Take 1 pill with or without food 30 minutes before sex. A high-fat meal might keep it from absorbing as quickly.30-60 minutes
Oral Erection Medications in Singapore, How To Take & How Fast They Start Working

How Long Does Erectile Dysfunction (ED) Medication Last?

ED medications break down at different rates in the body. The duration of action (how long the effect lasts) ranges from 4-36 hours. Each dose should be sufficient to provide a full cycle of intercourse, from erection to climax. 

It is not guaranteed for the effect to last through another cycle. For men who have sex more than once a day, Cialis 5mg and Caliberi 5mg will be preferred.

MedicationDuration of Action
Viagra® (Sildenafil)
Sildenafil
4-5 hours
Cialis® (Tadalafil) 20mg
Tadalafil 20mg
Caliberi® (Tadalafil) Orodispersible Films 20mg
24-36 hours
Cialis® (Tadalafil) 5mg
Caliberi® (Tadalafil) Orodispersible Films 5mg
Continuous
Spedra® (Avanafil) 6-12 hours
Levitra® (Vardenafil)4-5 hours
Oral Erection Medications in Singapore & How Long They Last

How Much Does Erectile Dysfunction (ED) Medication Cost?

The cost of ED medications will depend on factors such as brand name, retailer and dose. Generic medications typically cost about 80% to 85% less than the same brand-name drug.

One of the best ways to save money on ED pills is to use services like Siena, which offers bundled purchases for a discounted price and provides both brand name and generic.

Do Generic Medications Work The Same As The Brand-Name Equivalent?

As the FDA explains, generic medications are required by law to be the same as their brand name equivalent in dosage, safety, effectiveness, strength, stability and quality, as well as in the way it is taken. Drug companies that produce generic medications are also required to do so in an environment that’s held to the same strict standards as that of the brand name medication.

In other words, the generic sildenafil that’s legally sold in Singapore provides exactly the same effects as the brand name Viagra and is equally safe to use.

Where To Buy Viagra, Cialis, Spedra, Caliberi and Levitra in Singapore?

The only (safest and legal) way to get Viagra, Cialis, Spedra, Caliberi, Levitra or other ED pills in Singapore is with a valid prescription from a Singapore-licensed doctor.

Singapore Telemedicine Service for Erectile Dysfunction

We get it. Going to a brick-and-mortar clinic for your sexual issues can be awkward and mundane. With Siena, you can now speak to a doctor online and get your ED treatment delivered discreetly, all from the comfort of your home.

References

Categories
Sexual Health

Priligy (Dapoxetine) for Premature Ejaculation: How It Works, Potential Side Effects & Where To Buy In Singapore

Premature ejaculation (PE) is a very common sexual problem in men – and, it doesn’t just occur among the younger, more inexperienced ones. In Singapore, PE affects 34% of men at some point in their lives. The good news is, PE is a treatable condition.

In this article, we will be digging deeper into Priligy (Dapoxetine), the first and only prescription medication developed specifically for the treatment of PE:

  • What is premature ejaculation;
  • How does Priligy work for PE;
  • Effectiveness of Priligy;
  • How to take it;
  • Potential side effects;
  • Where to buy Priligy in Singapore.

What Is Premature Ejaculation?

Premature ejaculation (rapid ejaculation, premature climax or uncontrolled early ejaculation) is a condition wherein a man ejaculates with little sexual stimulation or sooner than him/his partner would like.

Though there is no fixed time frame which constitutes PE, it is often defined as “premature” as long as ejaculation occurs sooner than desired. Most sources cite a duration of 30 seconds – 4 minutes.

Ejaculating early can be extremely frustrating for men and so taking Priligy (Dapoxetine) to counteract it can have a very positive effect on mental health and self-confidence. Taking Priligy pills can also improve the user’s sexual or romantic relationships, as PE can often cause problems in this area.

What Is Priligy and How Does It Work?

Priligy (Dapoxetine) contains the active ingredient dapoxetine and is taken on demand for the treatment of premature ejaculation in adult men aged 18-64 years old.

Dapoxetine belongs to the group of medicines called Selective Serotonin Reuptake Inhibitor (SSRI). It works by increasing the serotonin level in the nervous system which in turn help to:

  1. Increase the time it takes to ejaculate; and
  2. Improve control over ejaculation.

How Effective is Priligy?

Priligy (Dapoxetine) has been proven to work in around 80% of men (approximately 8 out of 10), effectively lengthening the time it takes them to ejaculate by 2-3 times.

How To Take Priligy

Priligy (Dapoxetine) may be taken when needed, anywhere from 1 – 3 hours before sexual activity. 

Priligy is not affected by whether or not it’s taken with food, so you do not need to worry about having something to eat. However, you should avoid taking Priligy with alcohol as this may cause, or worsen, unwanted side effects such as dizziness and sleepiness.

The most effective period after taking Priligy is around 1 – 3 hours after first taking the medication. However, the effects of Priligy can last for up to 12 hours. Despite this, it is recommended that you utilise its effects within the first 1 – 3 hours. 

Do not take Priligy more than once a day or the dose prescribed for you.

What Are The Potential Side Effects of Priligy (Dapoxetine)?

Priligy (Dapoxetine) is rapidly absorbed and has a short half-life which minimizes the adverse effects that are common to the SSRI’s.

The most common side effects – similar to many drugs – include dizziness or light-headedness, headache and nausea.

More serious side effects are rare. If you experience symptoms of a drug allergy (which can include swollen face, breathing difficulties or hives), seek immediate medical attention. 

Where To Buy Priligy (Dapoxetine) In Singapore

In order to purchase Priligy (Dapoxetine) in Singapore, you will first need to see a doctor for a prescription as it is a prescription-only medication.

Singapore Telemedicine Service for Premature Ejaculation

We get it. Going to a brick-and-mortar clinic for your sexual issues can be awkward and mundane. That’s why more than 9 in 10 men in Singapore who reported having experienced PE have not sought treatment, creating a heavy impact on their partners.

With Siena, you can now speak to a doctor online and get your PE treatment delivered discreetly, all from the comfort of your home.

References

Categories
Sexual Health

Viagra® (Sildenafil) For Erectile Dysfunction (ED): Effectiveness & Where To Buy In Singapore

Viagra®, also sometimes known as “the little blue pill”, is the most famous name in treating erectile dysfunction (ED). It was the first oral pill to treat ED and was approved by the U.S. Food and Drug Administration (FDA) in 1998.

In this article, we share more on how Viagra® works to treat ED, potential side effects, Viagra® alternatives, and the safest way to obtain Viagra® in Singapore.

What Is Viagra®? 

Viagra® is a brand-name prescription drug that’s approved to treat ED. With ED, you are unable to get or keep an erection firm enough for sex.

Viagra® is often mentioned alongside a drug called Sildenafil / Generic Sildenafil. While these two medications might have different names, they contain the same ingredient and work exactly the same. In comparison with Viagra®, generic sildenafil is much more affordable and wouldn’t burn a hole in your wallet.

How Does Viagra® Help To Treat Erectile Dysfunction?

An erection occurs when nerves in your penis are stimulated. This results in muscles around the penis, known as the corpora cavernosa, to relax and allow blood to flow in, causing an erection. 

Sildenafil, the active ingredient in Viagra®, is a PDE-5 inhibitor that works by relaxing the blood vessels, allowing blood to flow into your penis when you get aroused to create and sustain an erection. 

Viagra® helps you get hard. If you often find yourself climaxing too fast, you may have premature ejaculation (PE), which is treated with a different medication.

How Effective Is Viagra®?

In multiple clinical studies, between 43% and 83% of men who took Viagra® had improved erections (these success rates varied depending on the cause of their ED and the dosage of Viagra® being used).

How Long Does Viagra® Last?

According to Viagra®’s FDA label, the drug can help to produce an erection up to 4 hours after pill-talking but its effects usually start to taper off after 2-3 hours. 

As you get older, your metabolism slows down. Hence, some people notice Viagra® works for a longer period as they age. 

Can you climax more than once with Viagra?

Viagra® may not work again immediately after ejaculation. Your stamina, natural refractory period, and level of arousal are just some factors that can determine how many times you’ll be able to come before the medication wears off.

How To Take Viagra®?

Viagra® may be taken anywhere from 30 – 60 minutes before sexual activity. This is the average time needed for Viagra® to start working, but in some cases, it can take up to 2 hours to work. 

Do not take Viagra® more than once a day or the dose prescribed for you.

How To Take Viagra® For Best Results?

Viagra® works best when taken in the right conditions. Below are some tips that you can use to take Viagra® more effectively and get the best possible results from each blue pill:

  1. Eat a light meal beforehand

Viagra® does not need to be taken with food to work. However, a light meal can help to prevent indigestion/stomach upset!

Avoid large meals and high-fat foods (eg. fried, greasy food) before taking Viagra®. The fat in the meal can potentially delay the absorption of Viagra® in your body, meaning it may take longer to take effect. 

Had a large meal? Wait a couple of hours to allow enough time for digestion before taking Viagra®.

  1. Try to relax

If you feel anxious, nervous, depressed, or stressed, your body may not respond well to sexual stimulation. If this is the case, try to relax, make yourself comfortable, and give yourself time for the medication to work! Viagra® usually starts to work within 30-60 minutes. You may take it up to 4 hours before sexual activity.

  1. Get in the mood

Viagra® will not work if you are not sexually aroused! Try giving each other a sensual massage or taking a warm bath together. Extend your foreplay, and you may even want to try role-playing to shake things up a little!

  1. Avoid alcoholic drinks after taking

Alcohol can decrease blood flow to your penis, making Viagra® less effective and shorter-lasting. 

Also, Viagra® can lower blood pressure. Combining it with alcohol can increase this effect. If your blood pressure drops, symptoms like dizziness, lightheadedness, and headache could also hinder your hard-on and mood.

Potential Side Effects Of Viagra®

Viagra® is generally safe when taken under the advice and supervision of a medical professional. According to the NHS, most men have no side effects or only minor ones. 

Mild side effects

Common side effects include:

  • Headaches are mostly mild and go away quickly with rest. If the headache is bothersome, take paracetamol painkillers that can be purchased over-the-counter. 
  • Facial flushing where the skin on your face feels hot. Open a window, turn on a fan or lie down and rest to cool down if flushing occurs.
  • Indigestion or stomach pain. Take with a light meal if Viagra® causes stomach upset. However, do note that food can delay the absorption of the medication, meaning it may take longer for Viagra® to work. 
  • Stuffy nose.
  • Visual disturbances (eg. blurring of vision, blue tinge in vision).

Common side effects typically go away over time as you adjust to the medication. If you experience any of the above, keep taking the medicine, but tell your doctor if these side effects bother you or do not go away.

Serious side effects

Serious side effects from Viagra® are rare, but they can occur. Stop your medication and contact your doctor immediately if you experience any of the following:

  • Chest pain. 
  • Allergic reaction. Symptoms can include swelling of the face, eyes, lips or tongue, difficulty in breathing, or itchy skin rashes over your whole body. 
  • Priapism, a prolonged and sometimes painful erection that lasts more than 4 hours.
  • Sudden vision loss in one or both eyes.
  • Sudden hearing decrease or loss. May also involve other symptoms, such as tinnitus (ringing or buzzing in ears) or dizziness.

Alternative ED Pills To Viagra®

While Viagra® is considered to be the most common medication for ED, there are quite a few on the market. They all work the same — improve blood flow to the penis so that you can have and keep an erection long enough to have sex, but can differ in the cost, how fast they start working and how long their effects last. 

ED PillsCharacteristics
Viagra® (Sildenafil)– Taken prior to sexual activity
– Onset: 30-60 minutes
– Duration: 4-5 hours
Generic Sildenafil– Taken prior to sexual activity
– Onset: 30-60 minutes
– Duration: 4-5 hours
Spedra® (Avanafil)– Taken prior to sexual activity
– Onset: 15-30 minutes
– Duration: 6-12 hours
Cialis® (Tadalafil) 20mg– Taken prior to sexual activity
– Onset: 30-45 minutes
– Duration: 24-36 hours
Generic Tadalafil 20mg– Taken prior to sexual activity
– Onset: 30-45 minutes
– Duration: 24-36 hours
Levitra® (Vardenafil)– Taken prior to sexual activity
– Onset: 30-60 minutes
– Duration: 4-5 hours
Cialis® (Tadalafil) 5mg– Taken daily
– Onset: Continuous
– Duration: Continuous
ED drugs: How soon they start working and how long they last

How And Where To Get Viagra® In Singapore?

The only (safest and legal) way to get Viagra® (Sildenafil) or other ED pills in Singapore is with a valid prescription from a Singapore licensed doctor.

ED pills may result in harmful physical reactions if they are not taken in the right dose, if you have certain medical conditions, or if you’re on certain medication. As such, it is important for a doctor to access your health condition before he/she can deem your suitability for Viagra® and at what dose.

Avoid counterfeit viagra

Oral medications for ED are among the most counterfeited medications in the world. A Straits Times article in 2014 reported that 11 men in Singapore have died after taking illicit sex drugs.

Never buy medication for ED from unauthorised sellers or if the medication is of unknown origin. These illegal products have no guarantee on the contents, efficacy, safety and quality. So you actually have no idea whether the pill will work or worse, if the pill will harm you. 

Where to get a doctor’s prescription for Viagra®?

A Viagra® prescription can be obtained from a General Practitioner (GP) or urologist (private and public sector). However, talking about our issues in bed may be a little awkward, and having to make a trip down to the clinic deters most men from seeking the help they need. 

With Siena — a MOH-approved digital health & wellness clinic for men, you can get a personalized ED treatment prescribed by a SG licensed doctor online and delivered discreetly to your home at $0. Simply start by answering some questions on your lifestyle, symptoms and medical history. 

The Bottomline

If ED is affecting your relationship, sex life or self-esteem, it is best to seek help from a medical professional. They’ll help you find the solution that’s right for you, and potentially catch other health problems before they become severe.

At Siena, we believe in empowering men with access, choice and knowledge to navigate health issues that matter. We provide affordable access to ED treatments, delivered conveniently to your door in discreet packaging to ensure your health remains confidential.

References

Categories
Sexual Health Uncategorized

Erectile Dysfunction (ED): Symptoms, Causes, Treatments In Singapore

Are your erections, or rather, lack thereof, causing disappointing nights for you? We’ve got you covered! Here’s a comprehensive guide on everything you need to know about erectile dysfunction.

What is erectile dysfunction?

Erectile dysfunction (ED), sometimes known as impotence, refers to the inability to get or sustain an erection that is firm enough for sex. It is one of the most common sexual problems that men encounter. In fact, a study published by the Singapore Medical Journal has revealed that among Singaporean men above the age of 30, about 1 in 2 of them have had ED at some point in their lives. 

Symptoms of erectile dysfunction

If your penis fails to perk up very occasionally, chances are it is completely normal, especially if you’re recently feeling a little stressed out. However, if you routinely have difficulty getting or maintaining your erection, you might want to get it checked out – it may be ED. Some men also find themselves losing interest in sexual activities or having lower self-esteem about their erections. These psychological factors may ultimately result in ED.

The mechanics of erectile dysfunction

Imagine someone filling up a balloon with water. The balloon expands in size and becomes more turgid. Likewise, when a man is sexually aroused, your brain sends signals which cause blood to flow into your penis. Blood fills up spongy tissues, known as corpora cavernosa, causing the penis to become more rigid.

Now, imagine if the tap that you are using to fill the balloon is faulty. Water flows out so slowly that there isn’t enough force to stretch and fill up the balloon. That’s exactly how ED works. When blood flow to your penis is blocked or slowed down, your penis remains flaccid. Other causes of ED may be a disruption in brain signals arising from depression, anxiety or stress. 

Causes of erectile dysfunction

You might have heard that ED is “all in your head”. For many years, experts believed that emotional and psychological problems were the sole causes of ED. Well, this is partially correct and partially wrong. Here’s the truth – ED can be caused by a multitude of factors, including emotional, physical, lifestyle factors and many more. 

Psychological and emotional causes of erectile dysfunction

Your brain plays a key role in a good erection. It is responsible for feelings of sexual excitement, as well as transmitting nerve signals to allow blood flow to your penis. The common psychological culprits of poor erection include: 

  • Depression
  • Anxiety
  • Stress
  • Low self-esteem
  • Guilt
  • Performance anxiety
  • Relationship conflicts

Physical causes of erectile dysfunction

Contrary to popular belief, ED is not “all in your head”. Any chronic disease that decreases blood flow can result in ED. If you have any chronic diseases, it is important to keep them under control. Common diseases include:

  • Diabetes
  • High blood pressure
  • High cholesterol

Besides those mentioned above, there are also other less common, albeit more serious diseases that can contribute to ED. These include: 

  • Hormonal imbalance
  • Parkinson’s disease
  • Alzheimer’s disease
  • Benign prostate hyperplasia (BPH)

Does old age cause erectile dysfunction?

Is age just a number in the onset and progression of ED? Well, maybe, maybe not. Although ED becomes more common with age, growing old does not always cause ED. Some men remain sexually functional, even in their 80s. On the other hand, younger men, including teenagers, can have ED due to lifestyle factors such as drinking, smoking and overall health.

Treatments for erectile dysfunction

Depending on what caused your ED, you may be recommended for different treatment options. Most ED pills belong to a class of medication known as “phosphodiesterase type 5 inhibitors (PDE5 inhibitors)”. To put their mechanism of action in simple terms, these pills cause your blood vessels to relax, increasing the blood flow to the penis. 

Different pills follow different treatment schedules. Generally, ED pills can be categorised into two groups: the as-needed pills and the daily pills. 

As-needed pills/strips

These pills/strips are taken prior to any sexual activity. They are recommended for men who are able to predict when they have sex or men who do not wish to take pills daily. 

  • Viagra® (Sildenafil), also known as the blue pill. These pills were the first FDA-approved oral treatment for ED. 
  • Generic Sildenafil. These pills contain the same ingredient and work exactly the same as its branded option, Viagra®. In comparison with Viagra®, generic sildenafil is much more affordable and wouldn’t burn a hole in your wallet. Generic sildenafil is also the most popular treatment option at Siena.
  • Spedra® (Avanafil). These pills are great for men who prefer spontaneity. They are fast-acting and are effective just 15 minutes after taking them.
  • Cialis® (Tadalafil) 20mg. These pills are long-lasting and are effective for up to 36 hours after taking them. 
  • Tadalafil 20mg. These pills contain the same ingredient and work exactly the same as its branded option, Cialis®. But cheaper!
  • Caliberi® Tadalafil Orodispersible Films 20mg. These strips contain the same ingredient and work exactly the same as Cialis® but dissolve on your tongue.
  • Levitra® (Vardenafil). These pills are the branded alternatives to Viagra®, the blue pill.

Daily pills

These ED pills are to be taken every day. They work best for men who don’t like to plan ahead and want to be ready around the clock.

Other treatment options

Other options include testosterone therapy if you have low testosterone, penile injections, vacuum erection devices, intraurethral medications, penile implants or even surgery.

Lifestyle changes for better performance

Keeping a healthy lifestyle not only boosts your overall health, but also your sexual health. Here are some tips that you can follow: 

  • Keep a heart-healthy diet: A poor diet that is full of fats and sugars can lead to clogged arteries, diabetes and heart disease, which eventually spirals into ED. Reduce fats and sugars while incorporating more vegetables and fruits into your diet. 
  • Stay within your healthy weight range: If you are overweight, it’s best that you shake off that excess weight.
  • Exercise regularly: Not only does exercise promote blood circulation, it is also amazing at alleviating stress. In short, exercise targets both root causes of ED. Having 30 minutes of exercise for at least 5 days a week is bound to boost your health and energy, both in and out of the bedroom.
  • Quit smoking and drinking: As both smoking and drinking increase your risk of ED, we recommend that you sever your ties with them. Trust us, your body and penis will thank you. 

Finding the best treatment for erectile dysfunction

There is no one-size-fits-all treatment for ED. To choose the best treatment option for yourself, take into account your lifestyle, preferences, medical history and affordability. If you’re experiencing ED, it’s a good idea to speak to a doctor at Siena. They’ll help you find the solution that’s right for you, and potentially catch other health problems before they become severe.

References

Categories
Sexual Health

Oral and Genital Herpes: Causes, Symptoms and Treatments in Singapore

Herpes is one of the most common sexually transmitted diseases (STDs) in Singapore. There is currently no cure for herpes, so people who are infected have it forever.

However antiviral medications are available to treat sores, speed up the healing process, limit outbreaks and lower your chances of giving the virus to other people. And the good news is, outbreaks usually become less frequent over time, and even though herpes can sometimes be uncomfortable and painful, it’s not dangerous. People with herpes can have relationships, have sex and live totally normal lives.

In this article, we will discuss the:

  • Types of herpes (oral & genital herpes);
  • How do you get herpes;
  • Symptoms of herpes;
  • How to prevent herpes;
  • Available treatments for herpes in Singapore.

What Is Oral & Genital Herpes?

Herpes is a contagious viral infection caused by the herpes simplex virus (HSV). There are notably two members of this family: HSV-1 and HSV-2.

  • HSV-1: This type primarily causes oral herpes, characterized by cold sores or blisters inside of/around the mouth and on the face.
  • HSV-2: This type primarily causes genital herpes, which involves sores that appear on or around your genitals, anus, buttocks, and inner thighs. Sores can also develop inside the vagina.

How Do You Get Herpes?

Herpes spreads through close contact with a person who has the infection. The virus can be found in the skin and saliva. If you have herpes simplex, you are most likely to pass the virus to another person when you have sores. But you can infect someone else even if you have no symptoms (also known as asymptomatic viral shedding).

People may transmit or contract HSV-1, or oral herpes, through

  • Kissing.
  • Touching a person’s skin near the mouth.
  • Sharing food utensils, lip balm or razors.
  • If you receive oral sex from someone who has a cold sore, it may spread a herpes infection to your genitals.

People may transmit or contract HSV-2, or genital herpes, through

  • Intercourse, including anal, vaginal-penile and vaginal-vaginal.
  • Oral sex (giving or receiving) with someone who’s infected.
  • Skin-to-skin contact without ejaculation.
  • Touching open sores, including while breastfeeding.
  • Childbirth by a mother or gestational parent who has an active infection.

Symptoms Of Herpes

Most people infected with HSV may experience mild to no symptoms, leaving them in the dark about their infection, or even mistaking these signs as a skin condition instead. This is when transmission usually occurs as the individuals will dismiss the symptoms and leave the infection untreated while continuing to engage in sexual intercourse.

This is why it is useful to know the hallmarks of a herpes infection so that you can seek help as soon as possible. Here are some common signs that you can look out for:

  • Cold sores around lips, mouth or tongue. They may look crusty or like fluid-filled blisters;
  • Sores on their genitals, anal and surrounding areas;
  • Tingling, itching or burning;
  • Pain on urination;
  • Flu-like symptoms (headache, fever, muscle aches); and
  • Swollen lymph nodes in the groin area.

What Triggers A Herpes Outbreak?

Herpes infection is lifelong, and symptoms can recur over many years. A herpes outbreak may be triggered by:

  • Stress;
  • Menstruation;
  • Illnesses;
  • Surgery; or
  • A suppressed immune system (due to chemotherapy, AIDS, transplant etc.)

While some people may only have one outbreak during their lifetime, others may have several recurrences a year. Recurrent episodes are usually shorter in duration (usually 1 week) and less severe/painful than the initial episode. Though the virus will always be present in the body, the number of outbreaks often decreases over the years.

How To Prevent Giving Or Getting Herpes

The best way to avoid herpes is by practising abstinence (not engaging in sexual intercourse) but most people have sex at some point in their lives. Here are some ways that can help lower the risk of giving or getting herpes:

  • Always use protection like condoms and dental dams when having sex can lower your risk of giving or getting herpes.
  • Taking antiviral medication every day (preventive treatment) inhibits the activity of the virus, thereby lowering the risk of infecting partners.
  • Abstain from sexual activity when you feel a herpes outbreak coming or during a herpes outbreak, even with a condom. There may be sores on places the condom doesn’t cover (e.g. scrotum, butt cheeks, upper thighs, and labia).
  • Abstain from sexual activity sex until your sores are totally gone, and the scabs heal and fall off.
  • Avoid touching your sores and if you do, wash your hands with soap and water immediately.
  • If you have a cold sore on your mouth, don’t kiss anyone — especially babies, children, or pregnant women.
  • Always tell your sexual partners that you have herpes before you have sex, so you can work together to prevent it from spreading.
  • Encourage your sexual partner(s) to be evaluated and treated for any STDs as well.

Treatment For Herpes In Singapore

There is currently no cure for herpes but prescription antiviral medication (Acyclovir) can be used to stop the spread of the herpes virus in the body. This helps to lessen symptoms, speed healing of your infection, limit outbreaks and lower your chances of giving the virus to other people

Topical antiviralsOral antivirals
– Temporarily relieve the pain and discomfort and may help the sores (if any) heal faster
– Most effective when used at the start of an outbreak
– If you have frequent or severe recurrence, a daily dose will help to prevent them (suppressive therapy)
– If you have occasional outbreaks, start treatment when you feel one coming on (episodic therapy)
Prescription antiviral medication (Acyclovir) and how to use them

Where Can I Buy Antiviral Medication For Herpes In Singapore?

Topical and oral antiviral medications are only available with a prescription from a licensed doctor in Singapore. 

With MOH-approved telemedicine providers like Siena, you can now get your herpes treatments discreetly, conveniently, and inexpensively, all from the comfort of your home! Connect with one of our doctors via an online video consultation and if prescribed, we deliver your treatment plan right to your door in discreet packaging at $0.

References

Categories
Sexual Health

How To Have The Sex (& Sexual Health) Talk With Your Partner

This article is contributed by our partner, Noorindah from Shy & Curious.

Constant communication is an important part of all relationships — and that includes talking about sex.

What We Talk About When We Talk About Sex

Sex talks aren’t just about pleasure. Other topics about sex can include:

  • sexual health
  • family planning and contraception
  • what you and your partner like and how to deal with differences
  • consent and boundaries

Having these conversations help lay the groundwork for a better relationship as you learn about each other and try new things together, all while being on the same page.

It’s also worth getting past the awkwardness to talk about health, especially sexually transmitted infections (STIs) and birth control. Avoiding these important conversations might be endangering your health and altering the future you’d hoped for.

How To Start The Conversation

Here are some common difficult conversations related to sex and sexual health with some ideas on conversation starters. As always, speak in a neutral setting and time (e.g. outside the bedroom/NOT during sexy times) as you want both parties to be calm and feel safe since these conversations can be emotionally charged.

1. How do I bring up STI testing with a new sexual partner? 

Desired Outcome: You want to be sexy but still stay safe when it comes to a new partner. You want to know if they’ve been recently tested and practice safe sex.


Conversation Starter: “Just to make sure we’re on the same page, I’m sexually active and my last STI test was X. How about you?”


When it comes to discussing sexual health, keep it short, simple and direct. Lead with your own information first so they’ll feel less self-conscious about volunteering theirs.

2. How do I talk about birth control with my partner?

Desired Outcome: You’re thinking of getting intimate in bed with your partner and would like to find a birth control method(s) that best suits both of you.


Conversation Starter: “I think it’s great that we’re taking the next step in our relationship and it helps me feel closer to you. I do want to talk to you about sharing the costs for birth control together since I’m not ready to have a child yet. I definitely prefer the peace of mind with birth control instead of hoping we get lucky with the pull-out method.”

Birth control is a shared (and big) responsibility for everyone involved. Whether it’s pregnancy, STIs or how you feel while on different birth control methods, you and your partner share the experience. So why not make sure the end result is what you both wanted and expected by having the birth control talk before hitting the sheets?

When it comes to birth control, you’ve got options and even better, there are no bad options! At Siena, speak to a sex-positive and judgement-free doctor via tele-consultation about your options and get a personalized prescription that will work best for you and your health needs.

3. How do I bring up emergency contraception with my partner?

Desired Outcome: You’ve had unprotected sex in the past 72 hours and suspect that there might be a probability of getting pregnant. You want to let your partner know of your situation and purchase emergency contraception together.


Conversation Starter: “I don’t mean to alarm you but I think that the condom broke during our last session together. I want to be on the safe side and get the morning-after pill. Will you accompany me to get it?”

Don’t worry, it happens to the best of us! Whether it’s an accident or the heat of the moment, emergency contraception exists exactly for that reason. While it’s perfectly reasonable to ask for your partner’s emotional support (and split the cost as well as it takes two to tango!), there’s also a much easier way of getting your emergency contraception without having to head down to the clinic. Telemedicine platforms like Siena provide a range of emergency contraception at transparent and affordable pricing, and literally couriered to your doorstep incognito! While it might be called the morning-after pill, Siena also offers an emergency contraception pill that can be taken up to 120 hours after unprotected sex. That’s a 5 days window to quell the panic – but obviously don’t use this as an excuse to treat emergency contraception as a form of birth control. 

4. How do I introduce the idea of using sex toys with my partner?

Desired Outcome:  You don’t want to replace your partner but you’re interested in exploring using sex toys together so you can both enjoy different sensations and experiences. 


Conversation Starter: “So I’ve been reading about all these cool toys for the bedroom and I’m quite intrigued. Are you open to exploring these sex toys together with me? I think it’ll be fun to try something new and I’ll love to have that experience with you… ”

For some, the idea of sex toys and pleasure accessories may seem quite foreign or seen as ‘dirty’ because as a conservative Asian society, we’ve been conditioned to view sex as purely procreational. Pleasure hasn’t been placed in the forefront of conversations around sex so talking about owning, receiving and giving pleasure is still seen as taboo or weird.

The stigma around sex toys is also exacerbated by the misconception that a partner’s worth is also determined by how much they can give pleasure to their partner through just their genitals alone. (A.k.a if you have to use a toy in the bedroom, it means that you’re not sexually satisfied by your partner.) So when it comes (pun intended) to trying out sex toys to a partner who might be new to this world, we suggest emphasizing that it’s all about the shared experience, and mutually giving and receiving different types of pleasure as a fun way to strengthen your bonds. 

5. How do I bring up my kink/fetish with my partner?

Desired Outcome:  You are ready to share with your partner a sexual kink that you would like to experience with them. 


Conversation Starter: “I really love being with you and how much sexual chemistry we have. There’s been something I’ve wanted to share with you but since I felt quite vulnerable about it, I wanted to wait till we were closer. I’m actually quite turned on by BDSM and have wanted to explore it with someone I trust. Is this something you’ll be keen to explore with me? It’s ok to let me know if you’re not comfortable with the idea either. ”

Similar to our notes on introducing sex toys, be prepared that your partner might not initially know how to react if they’re not used to speaking openly about their sexual fantasies and pleasure preferences. Keep the dialogue open-ended and emphasize that while it might be your personal kink, they’re free to say a hard ‘No’ or that they can try it first but set up boundaries that they’re comfortable with. Remember that consent isn’t set in stone. While they may be open to trying it at first, they have the right to retract consent during play or afterwards if they’re uncomfortable and you should respect that decision.

6. How do I give constructive feedback about sex with my partner?

Desired Outcome:  Everything’s great except for that one thing in the bedroom! You want to speak to them after sex about how it can be better. 


Conversation Starter: “That was amazing! I really liked it when you did X. I wasn’t a fan when Y was happening but it felt really good when you switched it to X. ”

It’s often been called the ‘shit sandwich’ when it comes to delivering constructive feedback and it works even for sex! You’ll want to start by complimenting what you did enjoy during sex, then mentioning how it didn’t feel as good when they did the other act instead. Avoid accusatory negative comments like “You were pulling too hard” and rephrase it to focus on the act and how it felt (e.g. “It can get painful and intense when there’s a strong grip. I like it best when you focus on this part instead.”)

7. How do I tell my partner that this is my boundary?

Desired Outcome:  You gave consent previously but it’s now making you feel uncomfortable to engage further. You would like to stop and set a boundary to prevent it from happening again. 


Conversation Starter: “Can I speak to you about something important? I feel uncomfortable when X happens/you do Y. I know I’d initially said that I’ll like to give it a try but now I realize it’s not right for me. This is my boundary and I hope you respect that.”

For more tips on having the Talk® with your partner, do read the full article here.

Conclusion

We hope these scripts have given you some ideas on how to navigate those difficult conversations with your sexual partner. Keep it short, simple and direct. Don’t feel guilty or the need to apologize for putting up a boundary. You also shouldn’t feel the need to explain why it makes you uncomfortable – it’s a line you’ve drawn up and the only expectation on their end is to respect it. 


About Noorindah Iskandar
Noorindah is the founder and writer behind Shy & Curious – an online platform that explores sex and love without the fear of having to hide your Google search history! With honesty and humour, she writes articles and essays about sex, relationships and intimacy through personal stories and informed insights.

Categories
Birth Control Health Sexual Health

Generic versus Brand Name Birth Control: Everything You Need To Know To Decide Between The Two

When it comes to choosing your preferred choice of birth control pills, do you perceive brand name to be better than generic? Well perhaps, it’s time to rethink some of the criteria you typically use to evaluate whether one is better than the other! 

After all, both brand and generic birth control have to undergo rigorous review processes to establish their safety and effectiveness, before being approved for sale by the United States Food and Drug Administration (FDA). 

By the time you’re done with this article, you’ll hopefully get a better idea of their similarities, differences and why there’s no reason to worry no matter which type of birth control pills you’re prescribed. 

What Is A Brand Name Birth Control Pill? 

They’re the pioneers and innovators! Brand name birth control is exclusively protected under a 20-year patent before the generic version of the drug can be released. 

Some of the common brand names include Yaz, Yasmin, Microgynon 30, Mercilon and Diane 35

What Is A Generic Birth Control Pill? 

As the term suggests, they are the generic versions of brand name birth control. Once the patent expires, generics can enter the market to compete too. 

According to the FDA, generics are “copies of brand name drugs that have exactly the same dose, intended use, side effects, route of administration, risks, safety, and strength as the original drug.”

Liza, Estelle 35 and Drospera are a few examples of generic birth control pills. 

So You Might Be Wondering, What’s The Difference Between Generic And Brand Name Birth Control Pills? 

By law, trademark protection requires generic drugs to look different from their brand name counterparts despite having the same effects. Thus, they differ in terms of: 

  • Size 
  • Shape
  • Colour
  • Packaging 
  • Inactive ingredients (e.g. fillers, flavours, preservatives, binders) 

However, it’s important to note that these slight variations will not affect the efficacy of the birth control pills for pregnancy prevention although they may affect the type of side effects you experience (if any).

Some women may face breakthrough bleeding, mood changes, acne or other side effects when switching from one type of birth control to another. 

Birth control has many other benefits besides preventing pregnancy. It is often used to treat heavy menstrual bleeding, period cramps, and PMS. If you’re more sensitive to hormonal variations, you may also find brand name birth control more suitable compared to generics. 

One last differentiating factor between generic and brand name birth control is the cost. Generics are cheaper as they can cost up to 85% less than the branded version.

But ultimately, they work the same! 

Clearing Your Misconceptions On Generic Birth Control

As you’ll see in this section, especially for those of you who are still wary about going on generic birth control, there’s no need to get worked up if you’re prescribed generics!

Generic birth control is as safe and effective as the original brand name birth control

Don’t you worry, both generic and brand name birth control have the same benefits and effects. Manufacturers have to prove that the drugs are bioequivalent, such that they work the same way and are proven to be equally effective. 

Generic drugs can only be FDA-approved if they meet all the same requirements that are also applied to brand name drugs. They also have to adhere to the same quality, strength and purity standards as branded birth control. 

Cheaper doesn’t mean it’s less effective 

You pay for what you get right? Yeah, we know what you might be thinking. 

But it’s different when it comes to birth control medications. The quality of your generic birth control pill is not at all compromised despite its lower cost! In fact, the majority of women also do well on generic birth control. 

The only reason why generics are less expensive is simply because they didn’t have to invest in actually creating the drug. New drugs are usually subjected to years of testing through clinical trials, research and development which can cost up to millions of dollars. 

But for pharmaceutical companies manufacturing generic birth control, all they need to do is manufacture the product and here’s the good news. They pass on these savings to customers like you!

What To Do If You Experience Problems With Your Birth Control Pills

Generally, as both generic and brand name birth control contain the same active ingredients, any side effects are likely to be similar even if you decide to opt for the latter. 

If you do experience problems, definitely seek professional advice from your doctor. If you recently changed your birth control, ask to be switched back to the one you’re used to, or even another generic version of the same formula.  

Should I Choose Branded or Generic Birth Control? 

It really depends on you. We’re just here to assure you that no matter which type of birth control you choose, they’re all safe and work the same!

But if cost is a factor for you when it comes to buying birth control, it might be worth trying generic birth control pills first.

And if you’re sensitive or possibly allergic to certain drugs or ingredients, have a look at the list of inactive ingredients before you decide. Although in most cases, you usually won’t be able to predict and know for sure how your body will react to the contraceptive pill till you try it.

Remember, be patient with yourself as it’s all about trial and error! Here at Siena, we’re ready to help you explore your options just so you can find the perfect birth control suitable for your unique bodies.

References: 

Categories
Birth Control Emergency Contraception Health Sexual Health

Preventing Unintended Pregnancies: What You Should Know About Having Safe Sex

Unintended pregnancies are pregnancies that are mistimed, unplanned or unwanted at the time of conception.

In Singapore, the Ministry of Health revealed that there were 10,960 abortions in 2012 whereby roughly one in four pregnancies were terminated. Furthermore, a 2018 study by KK Women’s and Children’s Hospital’s Clinic for Adolescent Pregnancy revealed that nearly one in three girls and young women even had successive pregnancies before the age of 21, suggesting a need to improve care for pregnant adolescents. 

Aside from teenage pregnancies, this article still stands even if you’re a 35-year-old mom with two kids, and perhaps you know it’s more than you can ever handle. Or if you and your partner have already decided that right from the get-go, having kids is a definite no in your lifetime.

And that is why knowing how to prevent unintended pregnancies can be so important, no matter your age, background or individual differences.

Causes of Unintended Pregnancies 

Unintended pregnancies can happen for many reasons. It could be due to last-minute accidents or emergencies, carelessness and for some, even the lack of sexual education. In order to take the necessary steps in planning for when (or if) you want to conceive, it’ll probably be useful to first understand the likely causes of unintended pregnancies. 

Accidents or ineffective use of birth control

Although birth control can help prevent pregnancy, it won’t do you any good if you aren’t taking it on time or changing it as needed. And birth control methods, even when used correctly, can fail. Globally, an estimated 33 million unintended pregnancies are the result of incorrect use or contraceptive failure.

If you prefer to only rely on the rhythm method (abstaining from sex only during your most fertile days) or withdrawal (pull out) method, it’s important to note that you’re essentially using the least effective of birth control methods. They are less reliable mainly because it’s harder to control several important factors involved.

For instance, pre-cum may also contain sperm such that even if the other party pulls out every single time, there’s still a higher chance of pregnancy. And, if you’ve been nailing your ejaculation timing perfectly, remember that even just one slip up can potentially cause pregnancy. 

Also, although male condoms are easily accessible and offer protection against sexually transmitted infections (STIs), they’re only about 85 percent effective in real-life conditions for pregnancy prevention (one of the lowest). The efficacy of condoms depends on when and how it’s worn while there’s also a risk of condoms tearing and breaking during sex. 

Having sex without using any birth control 

Studies have found that among couples who have regular sex without contraception, 84% get pregnant within a year and 92% within two years. Several plausible reasons for not using birth control could be due to personal preference, lack of access to birth control, or cultural and religious norms and beliefs. 

If you’re one of those who don’t use birth control regularly or not at all, this might increase your chances of getting pregnant. This is especially so for couples who are fertile and also frequently have sex. 

Unaware of your fertility status 

For some women, they may be unaware they’re capable of getting pregnant if they:

  • Have prior experience struggling with infertility
  • Do not have regular periods 
  • Are going through perimenopause (menopause transition which occurs several years before menopause)

Although the above factors usually suggest a decrease in fertility, it is still possible to conceive. Thus, some women face unintended pregnancy when they least expect it. 

Non-consensual sex

Unintended pregnancies can also be a result of rape or forced pregnancy. This is a severe reproductive health risk that usually always leads to negative consequences for victims. 

Youths are at a higher risk of being exposed to non-consensual sexual experiences due to individual factors like financial need and alcohol consumption, and also environmental factors like poverty, early marriage and gender inequality. 

Ways You Can Prevent Unintended Pregnancies 

It all begins with you and most importantly, your knowledge and understanding of your own sexual and reproductive health. Hence, you may find it beneficial to keep the following guidelines in mind!

Practise safe sex

A really basic rule! Don’t be afraid to take charge of your own safety when it comes to your sexual health. You should take all precautions such as using condoms to prevent transmitting or getting STIs, and even hormonal birth control to prevent unintended pregnancies. 

Compared to the rhythm and withdrawal methods, hormonal contraceptives have much higher success rates. What’s more, there are many types of birth control you can choose from if you decide to go on hormonal birth control, ranging from the birth control pill, patch and vaginal ring. It all depends on what suits you the best in terms of your own preference and lifestyle.

If used perfectly, these methods are at least 99 percent effective at preventing pregnancy! With that said, if you’re not on any form of hormonal birth control, remember to use protection (i.e. condoms) every time you’re engaged in any form of sexual encounter. 

Still can’t wrap your head around your options? Before settling on a decision, you might want to do some research or speak with a doctor to figure out which contraceptive works well for you. 

Communicate with your partner

It’s important to be transparent about your sexual past, personal preferences and even your decisions about sex and pregnancy. Besides being able to learn about potential STIs and each other’s thoughts on having kids (especially for long-term couples), it’ll definitely help to maintain open communication with one another. 

Emergency contraception to the rescue 

Got caught up in the heat of the moment? Simply forgot about protection because you weren’t exactly in a sober state? Never expected your trusty condom to fail on you? 

We get it. Accidents happen. 

But that’s what emergency contraception is for! Also known as the morning-after pill, you take it to prevent pregnancy if you’ve had sex without contraceptive protection. The pill will then work to prevent or delay your ovaries from releasing an egg (ovulation). It should be taken as soon as possible after unprotected sex.

But do note emergency contraception is intended for occasional use, not as a primary form of birth control.

Consider long-acting reversible contraceptive methods 

Research has shown that long-acting contraception like the intrauterine device (IUD) and implants are essential in reducing unwanted pregnancy rates, abortion and even repeat abortion. Overall, they’re likely to have a positive impact on women’s ability to take control of their reproductive health. 

In comparison with other methods that depend on user adherence, these long-term contraceptive methods are more reliable, cost-effective and also offer better prevention against unintended pregnancies. 

Abstain from sex

This might be an unfavourable option but hey, it’s something that works and is definitely 100% effective for both pregnancy and STIs prevention. If you ever come to this decision, it’ll definitely help to share your feelings with your partner so both of you are agreeable and understanding of the situation. 

To Sum It Up

Educating yourself on the strategies and precautions needed to prevent unintended pregnancies is really important for quality family planning. I mean, what’s not to love about enjoying both great sex and child-free days especially when you’re not yet ready?

Being able to gain access to effective contraception with minimal barriers (or even stigma) can make a huge difference. And it’s really all you need in order to learn how to prevent unintended pregnancies. 

With Siena, you can speak to our female doctors via a tele-consult, purchase your contraceptives online and await your discreet package in the comfort of your home at no extra cost! 

Getting your birth control with Siena

References: 

Categories
Sexual Health

Premature Ejaculation (PE): Symptoms, Causes, Treatments in Singapore

Remember the proverb, “slow and steady wins the race”? Whether or not you actually heed this advice in your daily life, I’m sure you’ll agree that this proverb holds potent truth in bed. Indeed, coming too fast in bed often ruins the mood and can be extremely distressing for both you and your partner.

With 1 in every 3 men aged between 18 and 59 years old experiencing premature ejaculation (PE) at some point, PE is more common than you think.  

What is premature ejaculation (PE)?

Premature ejaculation occurs when:

  1. A man orgasms and ejaculates sooner than he or his partner would like.
  2. A man orgasms with very little stimulation.

How soon is too soon?

There is no clearly defined time period of what constitutes PE. The time frame can vary across individuals, depending on what he or his partner constitutes as “too soon”. International guidelines often cite that a man has PE if he ejaculates within 1 minute of entering your partner. Once again, this isn’t a hard-line definition, and it really depends on you and your partners’ preferences and feelings. 

What if it happens only occasionally?

It’s okay to have some disappointing nights, you can’t always have it all. However, if the problem occurs almost every time for more than 6 months and causes you significant distress, then you may have PE. 

Types of premature ejaculation

Also, did you know that not every PE is the same? Here, we break down the 2 different types of PE for you.

  • Lifelong PE (primary PE): These men have been experiencing PE ever since their first sexual encounter. 
  • Acquired PE (secondary PE): These men have previously had normal ejaculations, but later developed PE.

Lifelong PE is often caused by psychological factors, whereas acquired PE can be caused by a mixture of both psychological and biological factors. Moving on, let’s explore the different reasons for PE. 

Causes of premature ejaculation

PE may be due to psychological factors or physical factors, or a mixture of both. It’s good to know the common causes of PE so that you can identify which ones have led to your PE. 

Psychological factors

Anxiety is one of the leading factors of PE. This usually comes in the form of performance anxiety, where a man is concerned about his sexual performance. However, anxiety and stress about other aspects of life, such as work or relationship problems, can also play a part in PE. Other psychological factors that cause PE include depression, guilt, low self-confidence and unrealistic expectations about sex. 

Think back about your teenage years. If you recall masturbating hurriedly for fear of getting caught by your parents or others, that might have caused a lasting effect and led to your PE today. Besides that, traumatic sexual experiences at a young age or strict upbringing that frowns upon sex as shameful can lead to PE. 

Biological factors

Ever heard of serotonin, the happy hormone? Not only does serotonin boost your mood, but it is also the controller of your sexual desires and erection. The higher the serotonin levels in your brain, the longer it takes for you to ejaculate, allowing more satisfactory and happier sex. However, when serotonin levels are low, the time to ejaculation is shortened, causing PE. Not so happy anymore.

Besides serotonin imbalance, other medical conditions can also lead to PE. These include erectile dysfunction (ED), diabetes, an overactive thyroid and some prostate-related conditions. Genetics or simply an overly sensitive penis may even be at blame. 

Medical treatment for premature ejaculation

Oral medication

A common way to treat PE is using selective serotonin reuptake inhibitors (SSRIs). This is a class of drugs that increases the level of serotonin, hence prolonging the time it takes to ejaculate. They may also help increase your sense of control over ejaculation. If deemed medically appropriate, Siena can prescribe you an SSRI medication known as Priligy®, which contains dapoxetine. 

In men who have both PE and erectile dysfunction (ED), ED pills can help. These include sildenafil (Viagra®), also known as the blue pill, as well as avanafil (Spedra®) and tadalafil (Cialis®). These pills improve blood flow to the penis, which is necessary for an erection. 

Not sure if you have ED? Check out our previous blog article to learn more about ED.

Sprays and creams

Some men may find that local anaesthetic sprays and creams help reduce penile sensation, increasing the time to ejaculation. These sprays or creams should be applied onto the head of the penis up to 30 minutes before sex. You should wash the spray or cream off your penis 5 to 10 minutes before sex or put on a condom to prevent absorption of the spray or cream by your partner. Otherwise, it may cause vaginal numbness in your partner during vaginal sex. The condom also helps reduce your penile sensation, ultimately prolonging your time to ejaculation. 

Other tips and tricks to combat premature ejaculation

There are several natural ways to combat premature ejaculation. These include behavioural therapy, psychological therapy, lifestyle changes and even switching up your sex positions and techniques. We’ll save those for the next blog post, so do keep a close lookout for it!

Our final tip to all men with PE is to talk to your partner and seek treatment. Keep in mind that PE does not only affect you, but it can also lead to frustration and feelings of hurt from your partner. This may, of course, be a difficult topic to approach. However, your partner can be a great pillar of emotional support, and an open discussion with your partner will help to pave the way for mutual understanding. 

Lastly, remember that PE can be easily treated. That’s fortunate, but it means nothing if you shun away from seeking treatment. We know that visiting the clinic for treatment can be embarrassing and daunting, and that’s where we step in to help you. At Siena, simply fill up a questionnaire to answer the awkward questions and connect with one of our doctors for a video consultation, all from the comfort and privacy of your own home. 

References

  • What are the DSM-5 diagnostic criteria for premature ejaculation (PE)? Latest Medical News, Clinical Trials, Guidelines – Today on Medscape. (2021, June 4). https://www.medscape.com/answers/435884-30677/what-are-the-dsm-5-diagnostic-criteria-for-premature-ejaculation-pe. 
  • Nazario, B. (2020, July 7). Premature Ejaculation: Symptoms, Causes, Treatment, & Prevention. WebMD. https://www.webmd.com/men/what-is-premature-ejaculation. 
  • NHS. (2019, July 24). Ejaculation problems. NHS Choices. https://www.nhs.uk/conditions/ejaculation-problems/. 
  • Premature Ejaculation. Premature Ejaculation: Causes & Treatment – Urology Care Foundation. (2020, July 16). https://www.urologyhealth.org/urology-a-z/p/premature-ejaculation. 
  • Lowy, M. (2018). Premature Ejaculation Fact Sheet. Healthy Male (Andrology Australia). 
  • Urology Care Foundation. (2020). Premature Ejaculation Patient Guide
Categories
Birth Control Health Sexual Health

Birth Control and Infertility: Reversible Birth Control Can’t Cause Infertility or Affect Future Pregnancy — Here’s Why

Reversible birth control has no effect on fertility 

No, reversible hormonal contraceptives will not cause infertility or affect your future pregnancies, regardless of which method you’re on (i.e. birth control pills, patch, vaginal ring, IUD) or how long you’ve been using it.

Most women gradually regain fertility and are just as likely to conceive as women who have never been on birth control. Only sterilisation is considered a permanent and irreversible birth control method.

A 3-year study conducted to uncover the association between oral contraceptive use and the time to pregnancy revealed that long-term use of oral contraceptives did not affect the ability to conceive in the future. This same study of 3,727 participants even found that longer-term use of combined oral contraceptives was associated with a greater likelihood of pregnancy.

In a separate study of 2,000 women who planned to conceive after being on the birth control pill for seven years, 21% of the women managed to conceive within one cycle. After stopping birth control, approximately 80% of the women were pregnant within a year. 

Benefits of birth control

Perhaps, you haven’t heard of the wide range of health benefits that come from using birth control. Many women also use it to manage their migraines, relieve menstrual cramps and cope with painful disorders like endometriosis and premenstrual dysphoric disorder (PMDD)

Especially if you’re sexually active but aren’t ready for kids yet, birth control is one of your best options. Used perfectly, most methods are at least 99 percent effective and safe, helping you to prevent unwanted pregnancies! 

So why is infertility still a persistent myth?

You may be wondering if this long-standing myth has some truth to it. After all, it’s a pretty common misconception and you’re bound to hear about it. While birth control doesn’t affect fertility, there are a few reasons why some may assume otherwise. 

1. Fertility delay

You should resume your menstrual cycle within about three months of stopping reversible hormonal contraceptives, if not earlier. However, depending on the contraceptive used and the individual person, there could be a fertility delay that makes it seem as if birth control has adverse effects on your reproductive health. 

According to research, it’s possible to experience a short-term fertility delay of two to six months once you’re off oral contraceptives. This shouldn’t be a huge problem but if you’re concerned, it’s best to speak with your doctor.

A longer delay of menstruation that lasts at least six months after you stop taking oral contraceptives may mean you’re experiencing post-pill amenorrhea. For some, it can take longer than usual for their body to start producing the hormones essential for ovulation and menstruation again, even after stopping the pill. Despite its medical term, this is usually not due to birth control use, but rather an underlying health condition or simply your body’s natural reaction. (Source: Healthline

2. Underlying health conditions

Birth control’s primary function is to release synthetic hormones that trick your body into thinking you’re on a menstrual cycle despite overriding your own body’s natural hormonal cycle. Sometimes, this may mask certain health issues that lead to anovulation (lack or absence of ovulation) or irregular ovulation. 

Several health conditions include: 

  • High levels of stress
  • Hyperprolactinemia 
  • Hyperthyroidism or hypothyroidism 
  • Low body weight 
  • Obesity 
  • Premature ovarian insufficiency 
  • Polycystic ovary syndrome (PCOS)

If you think you may be suffering from any of the above conditions, or experience a lack of menstruation, heavy bleeding or irregular period cycles, speak with a healthcare professional immediately. The longer you leave an underlying health condition untreated, the longer and harder it might become to conceive.

3. Age

If you’ve been on birth control since you were a teen and find it hard to conceive now that you’re older, birth control’s not to blame! It’s definitely not because you’re a long-term birth control user. 

Fertility changes with age and a woman’s peak reproductive years are usually between the late teens and late 20s. Hence, women tend to face a decrease in fertility by age 30 which becomes more rapid as they grow older. By 45, it’ll be challenging and unlikely for women to naturally become pregnant. 

You may not know this but women are actually born with a fixed number of eggs in their ovaries, which is estimated to be around two million. As they grow older, the number of eggs decreases. Upon hitting puberty, it would have already decreased to about 400,000 eggs! 

As the remaining eggs in older women are likely to contain abnormal chromosomes, there is also a higher risk of fertility-related disorders like uterine fibroids (non-cancerous growths of the uterus) and endometriosis. 

Essentially, female fertility can be affected by age as both the quality and quantity of eggs decline.

When should I forgo reversible birth control if I’m trying to conceive?

It doesn’t matter if you’re a short-term or long-term birth control user. As long as you’re off birth control, your body should naturally start to ovulate again.

If you’re trying to conceive and have already come off birth control for a few months, don’t worry if you’re not pregnant yet. Sometimes, this can take anywhere from a few months up to a year.

But if your menstrual cycle doesn’t resume for an extended period of time after stopping birth control, you may want to consider seeking professional help. 

Comparing birth control methods: how long it takes to become fertile again

Birth Control Method Duration
The combination pill and the mini pill– Your menstrual cycle should resume once you stop taking the pill
– Can take up to three months
Hormonal or copper IUD– Your menstrual cycle should resume within a month after removal
– Can take up to three months
The vaginal ring and contraceptive patchYour menstrual cycle should resume within the normal three months after discontinuing use 
The contraceptive injection or shotYour menstrual cycle can take up to a year to resume

Some parting advice 

Although it may take longer for some to resume their natural menstrual cycle after stopping reversible hormonal contraception, this is usually a temporary delay. Generally, long-term birth control use will also not affect your ability to conceive at a later stage. 

So relax and give your body some time to readjust! If you’re still worried or simply want to find out more about your birth control options, don’t hesitate to connect with one of Siena’s doctors today.

References: