רטיבות יתר בזמן קיום יחסי מין

1) Excessive lubrication and FSD ( Gila Bronner)





A 32 year old single healthy woman, complaining of excessive lubrication points out that her present partner -a 39 year old single man- loses his erection shortly after penetration, saying that “He doesn't feel anything”. He is a premature ejaculator (1-2 min after penetration). In the past she had good sexual relationships, with many partners who were satisfied, but she describes several cases of men who lost their erections. She is easily aroused and reaches orgasm by manual, oral, vibrator stimulations. She has tried to have sex with a tampon inside her vagina. He functioned better and she could feel his penis moving inside her for the first time.





While Dr.Louise-Andrée Saulnier reported satisfactory results, in similar cases, after combining Kegel exercices with Biofeedback for both partners, Dr. Pierre Assalian suggested a more simplistic approach. It consisted of changing the sexual position or instructing the woman to raise her legs during intercourse as well as prescribing a PDE5 inhibitor to the male partner to increase penile girth. He diagnosed the case as "floating penis", resulting from the high arousal of the female partner.



Dr. Hussein Ghanem pointed out that it shouldn’t be taken for granted that excessive vaginal lubrication was the cause of the ED and PE. The male partner should therefore be evaluated and prescribed a PDE5 inhibitor & an SSRI if necessary. Dr. Sudhakar Krishnamurti emphasized the added value of using studded or ribbed condoms by the male, or even a female condom.



Dr. Dave Rabinowitz pointed out that since vaginal lubrication was an exudation-resorbtion phenomenon and that no glands were involved, anti-cholinergic and nor-epinephrinergic interventions were unlikely to make a significant difference. This excess vaginal lubrication was probably due to an excess local production of the hormone “VIP”. Dr. Kevan, on the other hand reported success with Baclofen, while Dr. Patrice Cudicio advised the use of pseudo ephedrine to reduce lubrication.

Israeli sex therapists and physicians recommended a multi-disciplinary approach. It consisted of treating the male partner's PE and ED and using a condom. The condom would delay ejaculation whilst ruling out the cause of absent sensations; being either the excessive lubrication or a vaginal muscles problem. They also advised that a colposcopy be performed to check for any cervical pa