Vitu vilivyopo katikati ya miguu yako
Uume wangu ni dhaifu na sina nguvu za kushikiriki ngono. Kuna chochote ninachoweza kutumia ili kushiriki ngono kwa muda mrefu?
Ni kawaida kukosa nguvu za kushiriki katika ngono wakati mwingine na kuwa na uume dhaifu. Kuna mambo mengi yanayoathiri nguvu za kiume kwenye ngono kama afya zao za akili, lishe, na afya ya kimwili kwa ujumla. Magonjwa kama unyogovu, ugonjwa wa kisukari, na shinikizo la damu yanaweza kuathiri nguvu za kiume kwenye kushiriki ngono. Chaguo lako bora ni kumuuliza mtaalamu wa huduma za afya na kupata maoni yao.
Unaweza pia kumuona daktari ili kuona kama una ugonjwa wa kukosa nguvu za uume na kuna baadhi ya dawa ambazo unaweza pia kuchukua. Ikiwa unakabiliwa na aina fulani ya kukosa nguvu za kiume isiyohusiana na suala jingine, kuna baadhi ya dawa ambazo unaweza kuchukua.
Ninataka kutahiriwa lakini nina VVU, kuna tatizo?
Bila shaka unaweza kutahiriwa hata kama una VVU! Wanaume wengine wanadhani kuwa kutahiriwa ni kwa watu wasiokuwa na VVU ili kupunguza hatari ya kuambukizwa lakini kuna sababu nyingi (za jadi na za matibabu) kwamba kutahiriwa kunaweza kuwa sawa kwako pia. Ikiwa utatahiriwa, itakuwa ni wazo nzuri kuwa kwenye ARVs kwanza ili kuboresha mfumo wako wa kinga na kuhakikisha mchakato wa uponyaji unafanyika vizuri.
Wakati wote ninapofanya ngono na mpenzi wangu huwa namaliza haraka. Ni aibu. Nifanye nini?
Hii ni hali ya kawaida na inajulikana kama kumwaga mapema. Ni kawaida sana kwa vijana wadogo na hasa hupotea bila matibabu yoyote. Kuna mambo machache ambayo yanaweza kusaidia kupunguza kasi ya kumwaga kwako. Kwanza, anza taratibu. Pumzika kama unafikiri unapata msisimko haraka sana. Wanaume wengine hutumia kinga ili kupunguza msisimko kwenye uume wao ili kuzuia kumwaga haraka lakini kumbuka hutakiwi kutumia kinga zaidi ya moja kwa sababu zinaweza kupasuka. Ikiwa bado una mashaka, ongea na mtaalamu wa huduma za afya ambaye anaweza kutoa msaada wa ziada.
Wakati mwingine mimi hufanywa kwa ngono ya mkundu na inaumiza sana. Kuna chochote ninachoweza kufanya ili niifurahie zaidi?
Ngono ya mkundu haipaswi kuwa na maumivu. Mkundu wako umezungukwa na misuli ambayo ina asili ya kubana tofauti na uke, mkundu hauna kawaida ya kujilowesha wenyewe kwa hivyo ni mkavu sana. Ili kufanya ngono ya mkundu iweze kupendeza, unahitaji kuhakikisha kuwa mkundu wako umelainishwa na mafuta-maji. Tumia mafuta-maji kabla ya kujamiiana na wakati unapokauka. Ifuatayo, hakikisha misuli yako kuzunguka mkundu wako imetuliwa. Unaweza kutumia vidole vyako ili kupanua polepole misuli hii mpaka utakapohisi vizuri. Unapaswa pia kudhibiti jinsi ya kasi na kina unavyopenyaza ili uweze kutuliza polepole misuli yako. Ni rahisi kufanya hivyo ikiwa uko juu ili uweze kudhibiti jinsi mambo yanavyoenda.
Magonjwa ya zinaa
Nimegundua kwamba mtu ninayejamiiana naye ana magonjwa ya zinaa. Nifanye nini?
Ni rahisi kwa magonjwa mengi ya zinaa kuambukizwa kati ya washirika wa ngono hata wakati kinga na mafuta-maji kutumiwa. Kwa hiyo ikiwa mtu uliyefanya nae ngono ana magonjwa ya zinaa unapaswa kwenda zahanati na umjulishe mhudumu wa huduma za afya. Kumbuka, wakati mwingine magonjwa ya zinaa hayana dalili hata kama umeambukizwa. Hivyo ni vyema kupima na kutibiwa.
Nawezaje kupimwa magonjwa ya zinaa?
Jinsi ya kupimwa kwa magonjwa ya zinaa itategemea aina gani za huduma za afya unazopata. Unaweza kupata huduma za afya za kirafiki kwa kuwasiliana na mashirika ya mitaa yako. Vituo vingi vya huduma za afya vitaweza kutumia tone dogo la damu yako ili kupima VVU na Sirifi. Baadhi ya zahanati huenda zisiweze kupima magonjwa ya zinaa kwa urahisi kama Hepatitis A, B, na C, lakini bado unapaswa kuzungumza na mhudumu wa afya kuhusu magonjwa hayo. Hatimaye, magonjwa mengine ya zinaa kama Herpes, Chlamydia na Gono yanaweza kuchunguzwa au unaweza kupata tiba hata kama huna dalili ikiwa mpenzi wako ameambukizwa.
Ni maambukizi gani ambayo yanaweza kupata kama nimejamiiana na mtu mwingine bila kinga?
Unaweza kuambukizwa magonjwa ya zinaa kama hutumii kinga wakati wa kujamiiana na mwanaume mwingine au wanawake. Haya ni pamoja na Chlamydia na / au Gono, Syphilis, Hepatitis A, B, C, Vidonda (HPV), Herpes (HSV), na VVU. Pata maelezo zaidi kuhusu magonjwa ya zinaa haya hapa.
Kuna tatizo kwenye mkundu wangu, nadhani labda nina vidonda. Nifanyeje?
Vidonda vya mkunduni husababishwa na virusi vya zinaa vinayoitwa virusi vya papilloma vya binadamu. Wahudumu wa afya wanaweza kutibu vidonda hivi kwa njia mbalimbali kulingana na matibabu (kuvipoza (kinajulikana kama cryotherapy), kwa kutumia creams au lotions au wakati mwingine kwa upasuaji. Baadhi ya wanaume hawapendi kuzungumzia hili na wahudumu ya afya au kuwajulisha kwamba wamejamiiwa kupitia ngono ya mkundu.Kama ni hivyo, unapaswa kuzungumza na mashirika ya mtaani kwako kupata wahudumu wa afya ambayo hutoa huduma nzuri na ya kirafiki kwa wanaume wanaojamiiana na wanaume.
HIV
I think I’ve just been exposed to HIV. What do I do now?
If you believe you are HIV negative and that you were exposed more then three days ago then you should let your healthcare worker know and get tested after your window period. If you are HIV-positive then you should start ARV treatment.
If you think you have been exposed less than 72 hours ago (3 days) then you may be able to get P.E.P. If taken correctly, P.E.P will significantly reduce your chances of getting HIV. Find out more here.
After you have received PEP you will be reminded to come to the clinic after one month, and again after three months, to make sure that the PEP worked and that you are still HIV negative.
A guy came on me. Am I at risk?
Its normal to be worried if you are unsure how HIV is transmitted or if you don’t know if you have been exposed. For HIV to transmit each of the following has to happen:
- Your sex partner has to be HIV positive
- There has to be enough HIV in their to be transmitted. HIV-positive people on ARV medications who are virally suppressed do not pass on the virus to others.
- Their HIV-infected bodily flood (semen or blood) needs to enter your body through the inside of your anus, under your foreskin, the head of your penis, the pee tube at the end of your penis, your eyes, or an open cut or sore on your body.
If you are not sure if his cum actually went into your body or unsure of his HIV status or viral suppression then the risk is still there. The best thing would be to go for an HIV test and then again after 4-6 weeks to exclude the window period.
How long does it take to know if I am HIV positive or negative?
The time you are infected or exposed to the HIV virus depends on how your body responds to the virus by producing antibodies. You can generally test HIV positive between 4-6 weeks after exposure but a small percentage of people can take up to 3 months for this to happen. This time frame also depends on the HIV test being used so make sure to ask your healthcare provider.
I'm HIV-positive and feel so alone. What can I do?
There are many guys who are positive who feel exactly the same way as you do, you are not alone. The best thing for you to do is to find a support network of other people living with HIV or create your own support network by letting a close friend or family member you trust know about your status. Check with your local organizations to get a referral to these kinds of groups.
I'm negative and my partner is positive. What are my chances of being infected?
There are many ways now for people who have different HIV status to have sex safely.
- If the HIV positive partner has been on ARV medication for at least 6 months and has an undetectable viral load, then they will not transmit the virus to their sex partner.
- The HIV negative partner can start PrEP. Taking PrEP will provide 92-100% protection from getting HIV from their sex partner.
- Using condoms and water-based lube consistently will also prevent spreading HIV between partners.
Its important to open and honestly discuss your HIV status with each other so that you can find an easy and convenient option to prevent HIV.
I’m HIV-positive, where can I get ARVs?
You can get ARVS from a public health institution or through a funded NGO for free. Find a list of service providers here who can provide ART or a referral to best facility for you.
PrEP
Where can I get PrEP?
Unfortunately, PrEP is not easily available in many places yet. This is because it is still relatively new and governments are working to find the best way to make it available. You may be able to access PrEP through special projects that are providing it or even through a local clinic if it is available in your community. You should contact one of your local organizations to find out more.
