How does one develop bacterial vaginosis?

Even though bacterial vaginosis is not considered a sexually transmitted disease you can acquire it sexually. 

You can easily acquire the infection from a new sexual partner(s) and from an old sexual partner who may have been promiscuous behind your back. Other risk factors for bacterial vaginosis include wearing an IUD, excess douching and recent antibiotic use. 

Some women develop the infection without any of the above risk factors- this is called bad luck.

I am a 24 year old female and during sex i have noticed a very foul odor (smells fishy) coming from the vagina. Do you know what it may be?

Yes, most likely you have acquired bacterial vaginosis. This infection is caused by an organism known as gardnerella. 

Bacterial vaginosis is very common and often associated with vaginal discharge and a foul odor. During intercourse, viable sperm can cause release of volatile amines from the discharge. Bacterial vaginosis is not considered to be a sexually transmitted disease. 

However, you do  need treatment. The disorder is easily diagnosed by looking under a microscope or by smelling the discharge (whiff test). The infections is treated with either clindamycin or metronidazole. These antibiotics can help resolve the infection in a few days. 

In the meantime, maintain good genital hygiene and avoid intercourse for a few days. Your partner does not have to be treated.

Does Viagra cause spontaneous erections?

When you buy Viagra pills, you will discover that you will still need a partner to have sex. Moreover, the penis has to be stimulated before it will become erect. Men who buy Viagra will discover that the pill does not result in spontaneous erections. However, the erection can last anywhere from 2-4 hours.


Aphrodisiacs are so called “love hormones” or induce the “cuddling feeling”, but Viagra does no such thing. Viagra does not automatically enhance feelings of affection, attraction or sexual arousal. Viagra will only increase the potency of an erection but does not enhance sexual feelings. Therefore, Viagra is only meant to treat erectile dysfunction. 


Men who have no problems achieving an erection will not benefit from Viagra. Men who are lonely or are trying to seek partners for sex should not buy Viagra, as it has ZIPPO aphrodisiac properties.

Is Viagra like an aphrodisiac?

Absolutely Not. 


Many men buy Viagra with the mistaken belief that it will somehow increase their attraction towards the opposite sex. Viagra is not an aphrodisiac. Aphrodisiacs are substances that increase attraction and Viagra has no such properties. No matter who many Viagra pills you consume, it will never act like a magnet and increase your attraction for sex partners. Unfortunately, many online websites suggest that men buy Viagra pills for its aphrodisiac properties. This is misleading advertisement and a bunch of crap.


There is no ideal aphrodisiac that work for everyone. Commonly reported aphrodisiacs include chocolates, oysters, rhino horn, tiger’s penis, raw beetles, Spanish fly, alcohol and yohimbine. Unfortunately, none of these substances work as true aphrodisiacs and many of them have harmful side effects.

Is women’s sexual dysfunction due to testosterone deficiency?

Sexual dysfunction or decreased libido is a common complaint in women. While the exact numbers are not known, it is estimated that decreased libido in women affects close to 3-13 percent of women of all ages. For many years, it has been believed that the sexual dysfunction may be due to a deficiency in the male sex hormone, testosterone.   

Androgen activity has long been thought to be a major modulator of a woman’s sexual desire and response. Many women have been self-treating themselves with off- label prescriptions of testosterone. Some have even been using formulations that are especially designed to treat men with hypogonadism.

Many studies have looked at levels of testosterone in women who have a variety of sexual disorders but the results have been inconsistent and not always reproducible. A few randomized studies have shown that there is only a mild benefit from use of transdermal testosterone in postmenopausal women who have low sexual desire. Based on these studies, topical testosterone is approved for use in many European countries. 

However, in the USA, such therapy has been viewed with suspicion chiefly because the long-term side effects are not known. The other reason why testosterone therapy has not been widely used in the USA is that testosterone deficiency has never convincingly been demonstrated in women with low sexual desire.

The problem with measurement of testosterone is that it has several metabolites and most are difficult to measure in blood or urine. The one major criticism of the studies that showed benefit of testosterone is that not all women responded and the benefits were mild. In addition, some women did engage sexually but did not achieve any satisfaction.

In conclusion, more than 3 million prescriptions for non-compounded testosterone formulation are written each year. However, women who resort to these hormones should first understand that no androgen deficiency has ever been shown in sexually dysfunctional people. Moreover, the long-term side effects of this male sex hormone are not trivial. Finally, Testosterone therapy is extremely risky in women who have a history of breast or uterine cancer or those who have heart or liver disease.