Sex Talk: Help! I get too wet during sex

Dr Tlaleng Mofokeng answers your sex questions

Q: During intercourse I become extremely wet. It gets worse a week before my period. We often have to abort mission as hubby loses momentum. I'm not on any medication or contraceptives.

A: The mucous-secreting glands of the cervix are affected by changes in hormone concentration. Immediately after menstruation, the mucous is scant and viscous, but it becomes copious and elastic as levels of oestradiol rise.

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Interestingly, around ovulation, the quantity of the secretions can increase 30-fold, leading to a notable increase in vaginal discharge as well as breast tenderness and abdominal cramps. In some people pre-menstrual syndrome starts soon after this.

After ovulation, as progesterone levels rise, the cervical mucous once again becomes thick, viscous and opaque and the quantity decreases.

The factors that affect the volume and consistency of the secretions are not limited to changes in hormonal levels.

The following may also affect the vaginal lining and cervix:

• Sexual excitement and arousal;

• Use of lubricants during intercourse;

• Vaginal infection or sexually transmitted disease;

• Douching;

• Pregnancy;

• Breastfeeding;

• Peri-menopause; and

• Surgery or procedures performed on the cervix.

Although the secretions are not caused by having sex, the fact that you notice the increase a week prior to your period means it is most likely related to your ovulation cycle.

The impact this has on your sexual pleasure is reason enough to get a medical check-up to ensure that you are not overlooking treatable causes.

• Dr Tlaleng Mofokeng (MBChB), sexual and reproductive health practice, DISA Clinic, 011-886-2286, visit safersex.co.za.

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