Candidiasis – Genital Thrush – Yeast Infection
Candidiasis – Genital Thrush – Yeast Infection
The following © information is an extract from
“Sexplained One – Sex & Your Health” by Helen J Knox used here with permission.
What is genital thrush?
Genital thrush, or candidiasis, is one of several fungal or yeast infections and it is not categorised as a sexually acquired infection.
Although there are approximately 150 different types of candidiasis, genital thrush is usually caused by the organism called Candida Albicans, and occasionally another called Candida Glabrata.
Here, the term genital thrush rather than Candida, candidiasis or yeast infection will be used. But around the world, it is also called by other names.
What are some other names for genital thrush?
Genital thrush is commonly called:
* yeast infection;
* fungal infection;
* genital thrush infection.
In women, it is also called vulvovaginal candidiasis (VVC).
Previous names include:
* Monilia Albicans;
* Oiladum Albicans;
* Mycotorula; and/or
Is genital thrush sexually acquired?
No. Genital thrush is not sexually acquired. Anyone can develop it, even if they have never had sex.
If the vagina is dry, it may be aggravated by penetrative sex and by the internal ejaculation of, particularly alkaline semen.
Oral sex may increase a woman’s chance of developing genital thrush, but masturbation is quite safe.
Where does genital thrush come from and occur?
Genital thrush is caused by the yeast, called Candida, which commonly lives asymptomatically — that is without showing any symptoms — and without causing any harm, in healthy, balanced bodies.
When normal conditions change, it multiplies.
It particularly likes warm moist areas of the body, such as the vulva and vagina in women and under the foreskin of uncircumcised men.
It can live in skin folds, such as sweaty armpits, under large breasts, in the groin, between fingers and toes, under nail beds and in the mouth and gut.
It also lives in the nappy area and the mouth of babies, older people and those whose immune system is not working properly.
Genital thrush commonly affects women rather than men, particularly at times of hormonal fluctuation.
However, men whose genital skin reacts to genital thrush commonly present with balanitis. Women generally exhibit increased vaginal discharge and irritation. (see Balanitis)
How common is genital thrush?
The majority of women will experience genital thrush at some time in their lives and many harbour it without any symptoms that require treatment.
Genital thrush is the second most common cause of abnormal vaginal discharge in women of childbearing age; the first being BV (Bacterial Vaginosis) – and many women with thrush think they have BV and vice versa – although, the two can be found concurrently.
When does genital thrush most commonly occur?
Genital thrush commonly, but not exclusively, occurs:
* around the time of a woman’s menstrual period;
* during pregnancy;
* when some antibiotics are taken, since they may upset the normal levels of gut and vaginal bacteria;
* if vaginal sex occurs after anal, without washing the penis or changing the condom;
* when bubble bath or scented soap is used;
* and when synthetic underwear is worn instead of cotton.
Can genital thrush be treated?
Yes. Genital thrush can be treated and may not be troublesome again.
However, Candida is commonly found in healthy people and given the right conditions; it may reappear problematically in anyone.
If there are four or more outbreaks of genital thrush in a year, further investigation about the underlying cause and a variety of treatments may be recommended.
How is genital thrush passed on?
Genital thrush is not considered to be a sexually transmittable infection; merely a condition brought on by an imbalance of the normal environment.
Can a man get genital thrush?
Yes. Men who are not circumcised may develop genital thrush under their foreskin, particularly if they do not wash the area regularly and keep it dry.
Circumcised men are not commonly affected by genital thrush. (See Balanitis)
Men whose partners have genital thrush do not need to be treated unless they have symptoms as well.
Do any other infections present in a similar way as genital thrush?
Genital thrush sometimes presents in a similar way as BV, and they are often found together.
Many women think they have genital thrush, simply because they itch when they actually have vulvitis (inflammation of the vulva, the external female genital area) for a range of reasons.
(See BV and Non-Sexually Acquired Common Skin Changes.)
What are some other triggers and causes of genital thrush?
Genital thrush is more common
* are pregnant;
* wear tight jeans or nylon underwear;
* wear thongs or g-string underwear;
* are taking certain antibiotics;
* have diabetes;
* are run-down, stressed or unwell;
* have unprotected sex with someone who has genital thrush.
Although not a specific risk factor for genital thrush, washing internally can upset the normal bacterial balance, which encourages BV (bacterial vaginosis) to develop — and genital thrush.
Tight trousers or nylon underwear
Synthetic clothing encourages sweating and enables a warm moist area for the yeast to flourish.
Therefore, wear cotton underwear instead of synthetic. To kill any remaining spores (yeast particles) after washing underwear, and to reduce the chance of re-infection, ‘hot iron’ the gusset and seams of any underwear worn during an outbreak of genital thrush.
Tampons and sanitary pads are not thought to cause genital thrush. However, it may be helpful to wear pads rather than use tampons during a menstrual period, particularly if you are someone who leaves tampons in place longer than the manufacturer recommends, or if you use a more absorbent one than you need.
Tampons are designed to absorb fluid. Occasionally, extended use can contribute to vaginal dryness, subsequent irritation and occasionally malodour (unpleasant smell), suggestive of BV – both of which may trigger genital thrush.
Some sanitary pads are more comfortable than others. Some seem to encourage sweating more than others, which can trigger genital thrush.
Choose your pads carefully, particularly if you get recurrent attacks or vulval discomfort during or close to your menstrual period.
Chemicals used in the bath can trigger an outbreak.
As much as you may want to smell nice and feel fresh and clean, avoid using products, which can irritate and dry the skin, or even trigger allergy or BV (see BV).
These include products like vaginal perfumes and deodorants, bubble bath, scented soap and, in particular, disinfectants such as Dettol or TCP in your bath.
Sometimes allergic reactions look like genital thrush to the naked eye, so it is sensible to take a swab from the affected site for laboratory confirmation and diagnosis. (see ‘Tests’ below)
To avoid friction soreness and subsequent irritation, if you are dry before or during sex, use water-based lubricant instead of saliva, which may contain Candida.
If you use latex condoms, avoid scented oils or non ‘latex-friendly’ products, which may encourage an imbalance of vaginal conditions, cause further irritation and make a latex condom break.
Always wipe from front to back after opening your bowels.
If you wipe the other way, you can introduce bowel germs to your vaginal and urethral entrance, giving unfriendly bacteria the opportunity of triggering cystitis (see cystitis).
Who else can genital thrush affect?
Other conditions with which people are more prone to genital thrush include:
* uncontrolled diabetes
* psoriasis or eczema (skin conditions);
* asthma (a lung condition);
* underactive thyroid gland (hypothyroidism);
* impaired immunity (immunosuppression) – for example, people who have HIV disease (AIDS), are living under severe stress and are, therefore, ‘run down’. The same is true for people with cancer who are being treated with chemotherapy or people on anti-rejection medication following an organ transplant.
Can yeast or fungal infection affect other parts of the body?
Yes. Yeast infection can affect other parts of the body.
Since the different types of yeast or fungal infection can affect all areas of skin, babies, immunosuppressed and elderly people are most commonly affected.
Some examples include:
* fungaemia – candidiasis or yeast infection can involve the oesophagus (the passage food takes from the mouth to the stomach) and become ‘systemic’. In other words, the yeast or fungus can affect the entire system via the bloodstream. Thankfully, this medical condition is very rare, but it can occur and can be life-threatening;
* intertrigo – also called Cutaneous Candidiasis, is a yeast infection of the skin that is caused by Candida. It develops in warm moist or sweaty areas of the body, such as in the armpits, under large breasts, in the groin of overweight people, or in the folds of skin under babies’ nappies;
* seborrhoeic dermatitis – which simply means inflammation of the skin. One form, commonly called ‘dandruff’, occurs on the scalp. Dry, scaly patches may occur on other areas of the body after inflammation of the skin. When it occurs as eczema, it is called seborrhoeic eczema.
Yeast or fungal skin infections are commonly named after the affected parts of the body, in Latin.
Some examples include:
* Tinea pedis — Athlete’s foot, which is a fungal infection in the moist skin fold between the toes;
* Tinea cruris — commonly called ‘jock itch’, is an infection in the groin, where the leg joins the pelvis;
* Tinea capitis — which presents as red, itchy areas on the head and can destroy hair growth in the affected area;
* Tinea corporis — commonly called ‘ringworm’, presents as a fungal infection of the skin on the arms, legs, chest or face — and, perhaps surprisingly, has nothing to do with having worms;
* tinea unguium — also called onychomycosis, (pronounced ony-ko-my-ko-sis) is when the fungal infection causes thickened and perhaps crumbly nails.
Does the oral contraceptive pill give a woman genital thrush?
No. Today’s oral contraceptive pills contain a low dose of oestrogen compared with the higher dose pills of the past.
So, although the vagina is exposed to the female hormone oestrogen, which can encourage the growth of candida, nowadays, healthy women, who use the combined oral contraceptive pill are no longer thought to be at an increased risk of developing genital thrush. (Ref: FRSH.org 2012)
Can I catch genital thrush from a toilet seat?
No. You cannot ‘catch’ genital thrush from a toilet seat. It is a condition that develops not an infection that can be transmitted.
What about sharing sex toys, towels or other intimate objects?
Although not considered to be a sexually acquired infection, just as you would not share sex toys, towels or other intimate objects with someone you knew to have a sexual infection, it is more hygienic not to share them with someone who has genital thrush, either.
See the section on Safer Sex.
What might a man notice if he has genital thrush?
Men with genital thrush may notice one or more of the following:
* a thick, smelly discharge under their foreskin, which may smell a bit ‘cheesy’ and can itch;
* balanitis or balanoposthitis — inflammation or irritation of the glans penis and prepuce, commonly known as the head of the penis and foreskin;
* penile erythema — or reddening of the skin — commonly under their foreskin or on the tip of their penis;
* penile fissures — or tiny tears or splits to the skin of their penis;
* penile oedema — or unusual swelling, caused by fluid retention;
* if they are uncircumcised, men may develop phimosis — a swollen, tightened foreskin which, if left untreated and there is sufficient difficulty retracting it (pulling it back) over the head of the penis, may require circumcision (surgical removal) to resolve the problem.
What might a women notice if she has genital thrush?
Women with genital thrush may notice one or more of the following:
* commonly there is a thick, white vaginal discharge — with a curd-like consistency that is similar to cottage cheese;
* malodour — although thrush does not usually smell, there may sometimes be a yeast-like odour (a similar smell to that of mixing dough to make bread);
* vulval and/or vaginal irritation and/or itching, which may be quite intense;
* superficial pain during sex and/or generalised erythema in the vulva (redness and soreness in the genital area);
* vulval rawness and redness from scratching, which may lead to an excruciatingly painful, burning sensation when passing urine;
* generalised oedema (swelling, due to fluid retention), fissure formation (small skin tears) and lesions (sores) away from the initial area which may appear like a very sore ‘nappy rash’, perhaps even spreading to the anal area and buttocks.
Where is genital thrush found in the body?
As the name implies, genital thrush is found in the genital area.
Oral Thrush can also occur. It is found, as its name implies, in the mouth.
What complications may occur if genital thrush is not treated?
Genital thrush is not a life-threatening condition and depending on how severe an outbreak is, may disappear without treatment.
However, since it can appear at times of illness and vulnerability to other infection, recurrent cases should be investigated carefully, understood well and perhaps treated differently.
Excruciating discomfort can occur with genital thrush, especially in a woman if she develops cystitis (inflammation of the bladder) at the same time.
This combination can make passing urine an agonising but, though thankfully not life-threatening experience.
NOTE: if this happens to you, passing urine in a warm bath of water may be more comfortable, minimising the discomfort felt when urine passes over inflamed or broken skin. Make sure you wash the bath out carefully afterwards, before anyone else uses it!
Can genital thrush cause infertility?
No. Genital thrush is not associated with infertility.
Does genital thrush affect the baby if a woman has it when she’s pregnant?
- No. Genital thrush does not affect the baby during pregnancy. Small babies often develop thrush in their mouth, which is easily treated.
- The presence of asymptomatic genital thrush (without bothersome symptoms) is quite common in pregnancy.
- The hormonal fluctuations of pregnancy often encourage symptomatic genital thrush to occur.
- Some treatments are not recommended for pregnant women.
- If self-medicating during pregnancy, or buying treatment without a prescription, it’s important that women only use a treatment that’s recommended by a qualified healthcare professional.
- If I’ve had genital thrush, will I still be able to have a baby?
- Yes. Having genital thrush does not stop women becoming pregnant or having a baby. It does not affect fertility. Indeed, many women experience genital thrush during pregnancy.
What tests are there to check if I’ve got genital thrush?
Tests for genital thrush depend on the setting in which examinations are undertaken. They include:
* swab analysis — when a sample of the discharge is taken with a long handled, sterile cotton wool bud that is gently rolled through the discharge, or over a sore or itchy area. The laboratory then cultures (grows) the specimen in an incubator for a few days before confirming diagnosis and recommending appropriate treatment;
* glass microscopy — a similar sample is taken with a swab and then rolled over a glass microscope slide. That’s then treated with special chemicals. Skin cells that have been sampled are destroyed, but the Candida remains untouched. The spores (small powdery cells) and hyphae (branches) of the yeast infection become visible under the microscope. When lots of them are present, it suggests that yeast infection is present;
* physical examination — undertaken by an experienced healthcare professional, who can see and sample the discharge as well as listen to your description of signs and symptoms. They may give you their clinical diagnosis and perhaps, suggest initial treatment to alleviate symptoms while waiting for laboratory confirmation. Depending on their qualifications, they may also offer additional examination to check for pelvic tenderness, suggestive of further infection.
* urine tests — these may be performed to rule out diabetes as an underlying cause, particularly in recurrent cases;
* and sometimes, blood tests may be suggested to rule out conditions such as diabetes, anaemia or HIV infection, which can each suppress the immune system and predispose people to genital thrush — or in rare cases, check for fungaemia, the presence of fungus in the blood.
Where can I be tested for genital thrush?
- If you are worried about having genital thrush, think you may have a SAI or want just more information about them, you can talk to:
- * your local sexual health or genito-urinary medicine (GUM) clinics;
- * staff at your local family planning clinic. Depending on which country you are in, they may be able to help;
- * your family doctor or the practice nurse, who may be equipped to help you and take samples;
- * your nearest hospital, which can give you advice, local information and the opening times of appropriate clinics.
How soon after unprotected sex can I be tested for genital thrush?
Tests for genital thrush can be performed anytime, especially when there are symptoms from which to take samples.
How accurate are the tests for genital thrush?
On physical examination, classic genital thrush is easy to see. Laboratory tests are extremely accurate and reliable. The benefit of double-checking with a laboratory test is to ensure that the presence of another treatable infection is not being masked by genital thrush symptoms.
Can the test show how long I’ve had genital thrush?
- No. Tests don’t show how long genital thrush has been present. When you have it enough to require treatment, you are generally aware.
- If I have genital thrush, should I have tests for other sexual infections?
- Yes. If you have genital thrush and are sexually active, you should have tests for other sexual infections.
- Sexual infections tend to ‘hunt in packs’, co-exist or travel together, making the presence of another infection possible when genital thrush is present and it can mask (or hide) gonorrhoea, chlamydia, herpes or warts.
Is there a link between genital thrush and HIV infection?
Yes. There appears to be a link between HIV and recurrent genital thrush, and particularly oral thrush that won’t go away. It can indicate that someone’s HIV infection has progressed towards HIV disease or AIDS. When genital thrush is present, an inflammatory reaction occurs, causing vulnerability to further infection.
If I have genital thrush, should I have an HIV test?
- Yes. You should have an HIV test if you have genital thrush.
- It’s important that everyone knows his or her current HIV status. If you have not been screened in the last year or since you changed sexual partner(s), it is a wise thing to do.
- People who have recurrent genital thrush would be particularly wise to rule out HIV infection as an underlying reason for its recurrence.
Do I need to be tested after treatment, to make sure I’ve been cured?
No. You don’t need a test of cure after treatment for genital thrush.
However, depending on your trigger factors, genital thrush commonly recurs and can take some time to understand.
How much does a genital thrush test cost?
Depending on where in the world you are and in the interest of public health, tests for genital thrush and STIs are usually free or at a minimal charge.
If you are seen privately, charges vary according to tests taken and the laboratory used for analysis.
What treatment is there if I’ve got genital thrush?
Treatment consists of:
* steroidal and non-steroidal anti-fungal creams (such as clotrimazole / Canesten®), pessaries (solid pellets of medication that are inserted into the vagina), orally administered capsules and homoeopathic or self-help remedies are the most common treatments;
* creams are commonly given to men who have genital thrush/balanitis.
Although not scientifically proven and not recommended as first-line treatment by healthcare professionals, some women find that:
* putting live natural yoghurt onto a tampon and inserting that into the vagina or putting the yoghurt around their vulva (external genital area), can be soothing, reduce scratching and in turn help the body rebalance itself (pregnant women should not use a tampon but merely apply it externally);
* adding a tablespoon of vinegar or a single drop of tea tree oil to their bath water can be beneficial;
* inserting a fresh clove of garlic into the vagina twice a day for a few days may help. Obviously, it has to be removed before another is inserted.
Two Additional Notes
(1) If you are pregnant and if they don’t already know, mention this to your doctor or pharmacist, as some treatments are not recommended for pregnant women.
(2) If you use latex condoms, remember that latex and oil-based products don’t mix. Some vaginal medication contains oil, which could damage a latex condom. It is safer to avoid sex entirely while using vaginal medication, which also allows time for healthy bacteria to rebalance and comfort to return in the vagina.
Can genital thrush go away without treatment?
Yes. Genital thrush can disappear without treatment. It doesn’t HAVE to be treated because, with time, genital thrush generally disappears on its own.
However waiting for this to happen will prolong discomfort, which can sometimes be quite severe.
After treatment for genital thrush, how soon will I feel normal again?
It depends on how severe the outbreak of genital thrush is. After treatment, it commonly takes a week or two to feel completely ‘normal’ again.
What should I do after I finish my treatment for genital thrush?
After treatment for genital thrush:
* avoid sex for seven to 14 days, to allow normal conditions and comfort to return to your vagina;
* work out your trigger factors, so you can avoid them and, hopefully, further outbreaks of genital thrush in the future.
Will my partner(s) need to be treated for genital thrush, too?
- If your partner does not have any symptoms of genital thrush, they do not need to be treated.
- If, however, they have symptoms, they should be tested and treated according to how they present.
- The most common presentation for men is balanitis or inflammation of the head of the penis. (see Balanitis)
Can I have sex while I’m using treatment for genital thrush?
No. You should avoid sex while you are using treatment for genital thrush. Although it may feel as if having sex can help to ‘scratch’ the itch, this can increase the soreness and discomfort afterwards, and prolong the healing process.
NOTE: Remember — condoms and oils don’t mix, and some treatments for genital thrush contain oil.
How can I avoid developing genital thrush?
Check the genital thrush triggers and causes, already mentioned, and avoid them or, as much as possible, avoid whatever you notice as your own trigger factor.
The following may help some people:
* avoid washing yourself too frequently or using disinfectants and bubble bath in the water;
* stop using soap – just clean yourself with water, soap substitute or aqueous cream;
* use sanitary towels/pads rather than tampons during a menstrual period;
* avoid tight fitting clothing and underwear made from nylon, use cotton instead;
* avoid wearing thongs or g-strings;
* wear stockings instead of tights;
* women should wash and wipe the genital area from “front to back”;
* inform your doctor or pharmacist if you think you may have developed genital thrush after taking antibiotics, so they can give you additional treatment.
Is there a vaccination against genital thrush?
No. There is no vaccination against genital thrush. It is not caused by a viral infection but by yeast.
Can I become immune to genital thrush or can I catch it again?
No. You cannot become immune to genital thrush. Once you have been treated, you can develop it again.
If I get genital thrush again, will it show in a similar way?
Yes. Genital thrush usually presents in a similar way each time.
How soon can I have sex after my treatment for genital thrush?
Depending on how severe the outbreak was, to give your body time to return to normal and for sex to feel comfortable again, you should avoid sex during treatment and for approximately seven to 14 days after it ends.
What about oral sex and genital thrush?
An association between recurrent genital thrush and recent female receptive oral sex (cunnilingus) has been found.
What about vaginal sex and genital thrush?
Vaginal sex does not cause genital thrush, but it does develop in the vagina for a range of reasons, as already mentioned.
What about anal sex and genital thrush?
Anal sex is not generally linked with genital thrush. In order not to contaminate the vagina, there should be no vaginal penetration after anal without either washing the penis or changing the condom.
Although anal sex is not linked directly with genital thrush, if it is practised, it should always be protected.
There will always be a risk of contact with blood during anal sex and having unprotected anal sex, just once, with an infected partner could be enough to contract HIV or Hepatitis B/C.
Can a woman catch genital thrush if she has sex with other women?
A woman may pass genital thrush to another woman if there is mouth to vulva contact, in other words, unprotected oral sex.
Can a man catch genital thrush if he has sex with other men?
No. Genital thrush is not transmitted between men. Although genital thrush is commonly considered to be a female infection, men can develop balanitis or inflammation of the head of their penis. Rectal thrush occurs in MSM, especially those with HIV infection.
Logically, unprotected oral or penetrative sex between men could trigger balanitis, perhaps caused by genital thrush. Particularly if their immune system is not working properly or their personal hygiene is not as good as it could be.
Can a child get genital thrush?
Yes. Although thrush is not a sexually acquired infection, it can develop on other warm moist areas of anyone’s body, not just adults or the genital area.
Is there a link between genital thrush and cervical cancer?
No. Genital thrush is not linked with the development of cervical cancer.
However, women with cervical cancer may be more prone to developing genital thrush, due to an imbalance in normal vaginal conditions.
All women, who have ever been sexually active (even if they are not now), should have regular cervical smear tests (pap / Papanicalou tests).
When I use hormonal contraception, will the treatment interfere with my protection?
See the section on Safer Sex.
Here are some images:
3rd March 2017MATURE CONTENT: This video seems to be circulating but it took some searching to find the source for reference and context. It might be interesting to watch. “Runway Purses” – Male Catwalk Models (WARNING ALL Men Are Naked And Obviously Confident Individuals) NO VIDEO OF NAKED FEMALES – Just men.
3rd April 2016‘Vaginal Fisting’ leaves me fearful for future MY boyfriend and I love to play sex games, and recently he put his fingers in me, then very slowly pushed his entire fist in. I didn’t realise what he was doing and though the fist was a bit uncomfortable at first, it felt good – so good […]
15th October 201510 questions to ask a new partner before sex Are you having sex with anyone else ? How many sexual partners have you had ? Have you ever had a Sexually Transmitted Infection (STI) ? Have you ever had a sexual partner who had HIV or another STI ? How long has it been since […]
12th May 20168 More Men In The Willy Gallery Just a quick update, for visitors to WillyWorries.com’s gallery collection of normal, healthy male genital pictures. Eight more men have just been added… and more will follow in due course. These are genuine medical pictures, taken by the ‘Willy Owner’ to help other men who are concerned about […]
11th October 2015Am I gay or bisexual? Is there anyway you can tell if you’re bisexual or gay ? I need to know because I find I have strong feelings about some men I meet. I admire their strong bodies, often look at their crotch to see if they are well-endowed and, if they’re good looking or […]
2nd April 2017Since I was diagnosed with raised blood pressure two years ago, I have been on medication and my blood pressure has come under control but I have noticed side effects. This has had an enormous effect on my relationship, as I have lost my sex drive. Recently, I have doubled up on the tablets as […]
5th May 2017Can you tell me what the average vagina looks like? In a simple word, the answer is “no”, I can’t, because this area of a woman’s body is as unique and different, although similar, as breasts, toes, noses and faces differ but have similarities. Furthermore, the vagina is a hidden area and a […]
19th October 2015Delayed ejaculation Just as many men ejaculate quickly, there are men who are unable to ejaculate when they choose to do so but there are techniques to help and enable penetrative ejaculation to occur easily. Some can ejaculate during masturbation but not during penetration. This also has implications for fathering a child – but can […]
13th April 2016Eating faeces: Is it the latest fad ? I WATCHED a video recently where people ate faeces (feces). I thouht it was one of the sickest, weirdest and most revolting things I ever saw. I was talking about it and was told that in America this is the latest fad and is called ‘scat’ sex […]
28th December 2014Embarrassing bodies: Most people have a concern or two about their body; whether something is normal, or something to be concerned about. This website aims to help people who are embarrassed or worried about their bodies or worried about their body image, mainly related to issues related to their contraception and sexual health. It is […]
21st November 2015My goodness, I ache down there… what on earth is wrong with me? One of my rugger mates said I might have Epididymo something, or twisted my balls and developed something called testicular torsion . What’s Epididymo-Orchitis got to do with it? Your friend might be on the right track if you have any of the […]
19th August 2017As a clinical nurse specialist, working in the field of sexual and reproductive health for over 30 years, I thought I had heard just about everything and was ‘unshockable. I was so wrong. And this is the second time in my career that I have felt this way. ((… The first was many years ago […]
6th April 2016First-time sex romp with risky result I’M really worried and urgently need your advice. I had intercourse with a prostitute – something I never did before – and the condom burst. When it burst she felt it and managed to push me off so I did not come in her. But I am really […]
2nd April 2017Two years ago, I was diagnosed with genital warts. After I’d been given treatment for several months, the warts disappeared. I was feeling much better as if I had started a new life, and soon afterwards I met someone I really liked and we started to go out. We are in a loving and caring […]
6th April 2017Fractured penis, what was the healing process like? I had the painful misfortune of fracturing my penis. It was surgically repaired the same day and 10 weeks later everything works, but I’m still working out some kinks (bumps, etc.). Do you know anyone who may have had this happen to them, and can you offer […]
23rd April 2017What About Thrush? (Also Called Yeast Infection or Candidiasis) Hi I heard a friend of mine talking about “thrush” recently and although she gave a thorough explanation, I would like a medical overview. Can you provide one? I mean, I’d really like to know if it’s thrush or it’s BV (bacterial vaginosis) that she’s talking […]
7th April 2017I shower regularly and pay close attention to my penis and testicles while bathing, but still for some reason when I roll back the foreskin, it never smells fresh. This has been happening for the past 6 months, and I’m always self-conscious about it now. As a result, I’ve been refusing oral sex from my […]
8th April 2017The Vagina, Clitoris, Urethra, Vulva, Labia Majora, Labia Minora – what are they all? I want to see pictures of each of them, if you have them, as I am lost with all of this… These are all parts or areas of every woman’s genitalia. Many women, especially young and inexperienced sexually, merely say […]
8th November 2015High – Medium – Low Risk Sexual Activities HIGHEST RISK ACTIVITIES High risk activities include: •Anal sex (buggery/sodomy) without a condom. •Vaginal sex without a condom. •Giving oral sex (a blow job/fellatio) to a man if his ejaculate enters your mouth. •Giving oral sex to (going down on/cunnilingus) a woman during her period. •Finger insertion […]
25th October 2015How are condoms removed ? After ejaculation, it is essential to withdraw BEFORE your penis goes flaccid again. HOLD THE CONDOM ON THE SHAFT OF YOUR PENIS WHILE YOU WITHDRAW. This is because when your previously erect penis returns to its flaccid state, it ‘shrinks’ and if you do not hold the condom in place […]
22nd July 2017How Can I Find An NHS Sexual Health Clinic Near Me It is getting harder to find NHS sexual health clinics locally because so many have recently been closed. This is because of Government cuts and is a situation that is not likely to be reversed in the foreseeable future. If you are in the […]
26th April 2017Need to shrink vagina – How can I get my vagina to be tight? THIS might sound weird, but in March I had sex with an ex-boyfriend. Now my current boyfriend is coming to see me. I am scared he will find out that I had sex because I might not be tight, being that I […]
16th October 2015How do STIs affect my Immune System ? If our immune system response is overactive, we develop allergic reactions and auto-immune disease. If our immune system response is insufficient, we develop immuno-deficiency which results in infection and/or illness. Protection from infection is dealt with by our white blood cells. They form part of our reaction to […]
26th October 2015How should I dispose of a condom ? When air is in a condom, it tends to float in water – therefore it’s better to wrap your used condom in a tissue, and dispose of it in a waste bin, rather than try and flush it down the toilet. As latex, polyurethane and some other […]
25th October 2015How should I put on a condom ? After ensuring that you are about to use a reliable condom – suitable for intercourse, not just novelty: · Take it from its pack and check that it is still in date. · Check that it carries the CE/British Standard or other internationally recognised mark of quality. · […]
7th April 2017I don’t understand how “amazing” penetration is supposed to feel. I can feel the g-spot being stimulated, but it just feels like I’m going to urinate. I have tried stimulating my clit while being penetrated, but the sensation doesn’t overpower the urge to urinate. Is this a case of me not having a naturally sensitive vagina? […]
12th October 2015My fiancé and I have been together for 7 years and faithful to each other. Our problem is that I sometimes forget to take the Pill, so we sometimes use condoms. One in 10 times after sex – with or without condoms – he has several boils which present themselves on the head of his […]
4th November 2015What can I do if I’m allergic to condoms? Hypo-allergenic (low allergy) ones are available. However, it may not be the condom but the lubricant on it that’s causing your discomfort. · Try changing from condoms with spermicide on them – ie. nonoxynol 9 or 11 – to condoms which are lubricated only. Dryness can make […]
1st April 2016I want him to wear a condom COULD YOU help me come up with a way to tell my friend that I would like him to wear condoms. We have been together for a long time, so I really need to know a good way to ask him to do this? – S Dear S, […]
8th November 2015INTRODUCTION To Safer Sex Information and advice provided on our website is universal and non-judgmental – ie. it can apply to anyone regardless of sexual orientation. Information and advice is offered on the basis that no-one can really tell, by looking at another person, whether or not they have a Sexually Transmitted Infection (STI). •Not […]
13th April 2016It was just a little lick … but will it cost me? What are the chances that I could get a sexually transmitted disease (STD) from my guy licking his finger before fingering me? I’m pretty sure I run a risk, but I’m specifically wondering if there are certain STDs I should beware of now. […]
6th April 2017After trying anal sex, my anus has been itching like crazy. At first, it was a bearable itch that occurred during mornings and nights, but has progressively worsened. I’ve been applying Vaseline® to my anus to help alleviate some of the itch, and recently I started feeling a couple of bumps or small lumps around […]
23rd July 2017Hi I’m just getting my head around Google+ and found that there’s a facility to build a community and let people interact – so I’ve opened one for WillyWorries.com as a ‘Contraception and Sexual Health’ community, which I am hoping will grow to be as popular and as well respected as the Cyber Clinics of […]
5th July 2017Just this week, BBC TV’s Victoria Derbyshire Show has been discussing labiaplasty (surgical alteration of the labia majora/labia minora ) stating that girls as young as NINE are requesting cosmetic surgery to alter their vulva!! What on earth is going on? It’s illegal to alter the genitals of a minor in the UK and most […]
11th February 2016According to the World Health Organisation: There is compelling evidence that male circumcision reduces the risk of heterosexually acquired HIV infection in males by approximately 60%. Three randomized controlled trials have shown that male circumcision provided by well trained health professionals in properly equipped settings is safe. WHO/UNAIDS recommendations emphasize that male circumcision should be considered […]
18th October 2015Men: Refractory period – lasting minutes or hours Ejaculation commonly occurs with orgasm – although they are two separate events: ejaculation is the act; orgasm is the feeling. · Ejaculation may be forward or backward. · Forward is necessary for pregnancy. · Retrograde – ie. backwards into the bladder – is common after prostatectomy. · […]
11th October 2015My mother keeps telling me I should not have sex until after I’m 21 as cervical cancer runs in my family. She links it to early sex by my grandmother and two aunts. She does not have it but said she started having sex at 16, my present age, and suffered emotionally and otherwise because […]
3rd April 2017My boyfriend is married but insists on having sex with me without a condom. I know he hardly has relations with his wife, but I feel I need to protect myself just in case. Though I’m sure she doesn’t have any disease, I’m worried about getting silent viruses – the type you get without any […]
12th October 2015My Girlfriend’s Shy About Her Breasts I am going out with a girl who loves sex and gives me a good time. But the weird thing is that I cannot touch her breasts. If I try to kiss her nipples or caress her breasts, she gets cold immediately. It’s really weird. Even during love-making she […]
6th April 2017This is an issue that’s been bothering me for some time but I have been too embarrassed to discuss it. My penis and scrotum are almost always shrivelled and I just can’t get it up. Probably 98% of the day my genitals are in this “shrinkage” state. I know that issues like the air temperature […]
13th February 2015Names and descriptions are being added for each photograph in the galleries. This is a hugely time consuming task but will help the site to be found by search engines. Please bear with us while we are reconstructing WillyWorries.com Thank you.
11th October 2015New Boyfriend – Rimming and Anal Sex Request My new boyfriend loves to have oral sex with me, and puts his tongue in my rectum. Because I have always thought my behind is for waste only, I feel uncomfortable – but have not told him yet. One night he put his finger in; although it […]
12th February 2016Valentine’s Day Is Coming – check this out: Rape and consent: What you need to know before you have sex “It is respect, it is decency, it is empathy and it is the cornerstone of a good, healthy sexual encounter” written by Katie Russell for The Independent newspaper, although she works for Rape Crisis Tuesday 3 November […]
18th October 2015Premature ejaculation Premature ejaculation is a very common experience. It has been defined by Masters & Johnson – the US sex therapists, who pioneered sex therapy and research – to be when on at least 50% of occasions ejaculation happens before the partner is satisfied ! Others define it as being when the man ejaculates […]
11th October 2015I need advice on lasting longer in bed. I am only 24 years old but suffer from premature ejaculation. Sometimes I finish in 3 to 5 minutes. Is this a disease? If so, can it be cured? Or, is it I get too hyper and lose control so easy and fast ? Please help me […]
15th January 2016If you are teaching young people, or merely interested in pornography, here’s something to make you think about the difference between real sex and porn sex. It’s particularly useful if you are explaining the difference to young people.
3rd April 2017Every now and then I get redness on my penis that then turns into little white spots that go away a day or two later. It doesn’t hurt, but it is unsightly. Thankfully, whenever I wash them they begin to peel away. In the past, I have gotten outbreaks of warts down there but they’re […]
20th October 2015Retrograde ejaculation Retrograde ejaculation, or ejaculating backwards, in to the bladder, also has implications for fertility and is a common problem following prostatectomy – and also with diabetes. Occasionally, during masturbation, a young male prisoner will try to prevent anyone else from seeing that they’ve been masturbating, by putting their finger or thumb over the […]