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Question:
My wife and I had sex the other day, and when I ejaculated, my semen had blood in it. I have no blood in my urine. What could be wrong?

Answer:
Blood in the semen is known as hematospermia. This condition is actually fairly common and in younger men, it's very rarely a sign of serious problem. Hematospermia has many potential causes, the most common of which is inflammation of the seminal vesicle (the small glands that produce most of the fluid in semen). Other possible explanations may include inflammation or lesion in other parts of the reproductive system (e.g., the prostate, urethra, testicles and epididymis), trauma to the genitals or certain infection.

Hematospermia will usually clear up on its own, but it's good idea to check in with your health care provider just to be sure. If you're Columbia student, you can make appointment at primary Care Medical Services by calling x4-2284 or logging-in through open Communicator. It's especially important to meet with your provider if you keep noticing blood for more than ten ejaculation or two month's or if you're 40 years of age. These might indicate a rarer, more serious cause like a systemic infection or for older men cancer.

When you visit a health care provider for hematospermia, S/he may do any of a variety of tests to pinpoint the cause. These may include semen analysis and culture, blood work, urinalysis and culture, a digital rectal exam (to check  the prostate, and/or imaging studies like ultrasound). When there's a diagnosis, you and your health care Provider discuss any treatment option that might be necessary.

Question:
My roommate and I were wondering whether or not there was a difference sleeping with a man with an uncircumcised penis or one that has been cut? My roommates current boyfriend is uncircumcised and she has heard or stories about sleeping with men that have uncircumcised penises.

Answer :
Circumcision has become so popular in the united states in the past fifty years-oughly 6 percent of American male infants are circumcised-hat uncircumcised penises can be relatively hard to come by (pun intended). If you haven't encountered one before, an uncut member is a surprise. As with anything unknown, myths and stories about uncircumcised penises abound. And as is always true, different people have different preferences-some people have reported a preference for uncircumcised men while others prefer circumcised. Either way when beginning sexual relationship with an uncircumcised man, it's a great idea to educate yourself about these potential differences, so you can have an idea of what to expect and what you can do.

The simple difference between a circumcised and uncircumcised penis is a thin layer of skin, the foreskin, Which is highly sensitive and surrounds the end of the uncircumcised penis like a sleeve. when erect, an uncircumcised man's foreskin generally retracts over the shaft, exposing the head of the penis and looking very similar  to a uncircumcised penis. During intercourse oral sex and masturbation, the retracted foreskin acts like a lubricant or a sleeve. As the penis thrusts, it glides on its own bedding of movable skin, which minimizes friction. A circumcised penis, which has had the foreskin surgically removed, may need additional lubrication for both partners to experience pleasure. Because of this, some people prefer uncircumcised partners.

For some uncircumcised men, the foreskin doesn't retract completely when erect, leaving the head of the penis covered. If you or your partner desire, you can be manually retract the foreskin by gently pulling it back over the shaft. Foreskin is very delicate, has tones of nerve endings, and should be handled carefully. You can ask your partner now far back to pull the foreskin and how he likes to be touched. If your partner experiences any pain when trying to retract the foreskin, stop! For more information about foreskin pain, check out Frenulum brave foreskin doesn't fully retract when penis is erect-surgery? And penis pain could be phimosis.

It's common for the partner(s) of uncircumcised men to notice a distinct odor or taste when coming in close contact with the penis and foreskin. A distinct smell around the genitals is normal for men (and women), however if the odor seems overly strong, it may be time to gently suggest taking a shower together to wash up. It's also possible for uncircumcised men to have an infection under their foreskin; if there are any signs of irritation, redness, offensive odor or other abnormal symptoms, your partner may need to see a health care provider.

On bonus of circumcision is that removing foreskin can lower the chance of contracting certain sexually transmitted infection (STIs). HPV (human Pamplona virus), a prevalent STI that is linked to cervical cancer in women and penile cancer in men, is transferred by contact of mucous membranes with sexual fluids. Removing the foreskin shrinks the surface area of mussel skin vulnerable to the virus, decreasing the chance of transmission. In an uncircumcised man, the glans of the penis, which is exposed and has thicker skin, is resistant to abrasions and therefore less susceptible to the entry of viruses. The same decreased vulnerability applies to HIV and other STLs.

While studies suggest that circumcision lower the risk of contracting these diseases, they also show that behavioral factors such as using a condom or getting tested before having intercourse, are more effective risk reducers than just circumcision.  Cut or uncut, remember that condoms and other safer sex practices are still important in preventing STIs.

While your first glance a foreskin may give you a bit of a jolt, it's nothing to panic over. Try experimenting with this new situation you're in. Because the foreskin is so sensitive, it can be pleasured just like any other sensitive, erotic part of the body. Using the tongue or the  fingers to stimulate the foreskin and  the head is often extremely pleasurable for the man. You may be pleased of find that foreskin offers a whole new dimension of pleasure not only for your partner but for you as well.

Question:
My boyfriend has had pain during urination and ejaculation. We have been only with each other for the last past year and neither of us have stud's. The info I have found on the internet makes me believe may be he has urethritis. My Question is, can you cause damage to the urethra during oral sex? I don't want to get to personal, so I will leave it alone, but I want to know, can you cause damage due to any force to urethral opening?

Answer:
It's unclear from your question whether your  boyfriend always or only sometimes has pain with urination and ejaculation. A good guideline to use is that whenever someone has either constant or recurrent pain, it's time to confer with a health, are provider at get some answer.

It's common for men to have a burring sensation, discomfort, or pain when they first urinate directly after ejaculation; this is because friction applied to the urethra during masturbation, anal or vaginal intercourse, or receiving oral sex can cause some minor irritation to the tissues of the urethra. The urine passing over these irritated tissues causes a burning sensation. However, pain while urinating and/or ejaculating can also occur with inflammation or infection of many of the structures of the urinary/reproductive tract, such as the urethra (tube that leads from the bladder out the end of the penis), prostate (gland that encircles the neck of the bladder and urethra), and epididymis (sperm-carrying tube within the testicles). Both sexually transmitted and other types of infections can affect all of these structures, Allergies to ingredients used in lube and/or latex condom or mechanical injury to the urethra from objects inserted into the penis, could also cause your boyfriend's discomfort.

In order to diagnose an infection in your boyfriend's reproductive/urinary tract, he usually needs to provide a urine sample for testing. A sterile swab may be inserted into the tip of his penis to get material from the urethra for analysis. Pressure on the prostate may be applied during a rectal exam, in order to obtain prostate fluid for examination.

If your boyfriend does have an infection, it will probably be treated with antibiotics directed against the specific organism that is identified. Sometimes, even if no organism is identified, a trait of antibiotics is given, to see if the symptoms is relived. If antibiotics don't relieve your boyfriend's symptoms, he may be referred  to a specialist in the urinary tract  (urologist), who may wish to use a magnifying scope instrument to examine your boyfriend's urinary tract in an attempt to figure out why he is having such regular discomfort and pain.

Regarding your question about oral sex causing damage to the urethra : receiving plain oral sex may cause irritation to the urethra, as described above, but it's unlikely to cause actual physical damage. However, inserting items into the urethra could potentially cause irritation or damage and could also certainly introduce a variety of organisms than could cause serious infection.

Your boyfriend can experiment with emptying his bladder prior to (and after) sex. These simple acts also can help to reduce irritation.