I am a businesswoman and my career has been very successful. With love, I have not been so lucky! You see, I have been divorced twice and I am now single.

I would very much like to find a man whom I could love, and who would love me. But I am currently avoiding sexual relationships because I am not too happy with the way I look in the 'private' department.

I feel that my vaginal area has kind of 'sagged' a little, and that it just does not look as good as it once did. I am afraid that when I finally find 'Mr Right', he may be disappointed.

Business takes me overseas regularly and the last time I was there, I saw an ad for 'vaginal rejuvenation'. It has been claimed that this procedure makes you 'a new woman' and also much better sexually.

The cost is about US$10,000 and I can just about afford that. Do you think I should go ahead, Doctor?

A Well, vaginal rejuvenation has become very popular in the last couple of years. There is even an Institute of Vaginal Rejuvenation in America.

It is a surgical procedure, usually carried out with a laser, rather than a knife. It is like a facelift, but on the vulva and vagina.

It involves 'trimming off' a lot of the lady's labia (vulval lips) to make everything look 'neater' from the outside.

And on the inside, the gynaecologist or plastic surgeon tries to 'firm up' the vagina, so as to make it narrower and tighter. That is not always easy, particularly if the woman's tissues have been badly stretched and weakened by childbirth.

You have not said whether you have any children. Usually, looseness of the vagina and prolapse (descent of the genital organs) are caused from having children.

Now, should you spend all this money on this new procedure? Frankly, I am very doubtful whether it would be worth it. You have no guarantee that the operation would make your sex life better. And you must bear in mind that any kind of surgery may be followed by unwanted complications, like bleeding or infection.

Also, a future male partner may think that your vulva looks just fine as it is! Most men do not spend a great deal of time staring at a lady's labia, except during oral sex. So a lot of men never even notice whether their lovers' labia are long or irregular. Only women worry about such matters.

You did not say whether your vaginal chamber has become too loose. Maybe it has, especially if you have had children. Did your partners complain that you were 'not tight enough'?

If that is the case, you might want to 'firm' things up. You could do this with the use of special vibrators, or through surgery.

Before going to the States to do an expensive operation, I would urge you to consult a gynaecologist here in Jamaica. Through an examination, he will be able to tell you if you really do need surgical intervention.

And if you do decide to go 'under the knife' (or laser), it will certainly cost you far less in Jamaica than having vaginal rejuvenation in America.

Q Doc, I am a divorced man who recently met a very nice woman. We have only been to bed once.

The problem is that I have not been able to properly enter her. To my surprise, I kind of got 'stuck' halfway in.

She told me it hurt so we stopped.

What do you think is the problem? Is there something wrong with my organ? I must add that neither of us had had sex for several years before that night.

A I do not think there is anything wrong with your organ. What happened to you and your lady love is very common, especially if the woman has not had sex for several years.

She simply could not RELAX her vaginal muscles that night. When this occurs, it is very difficult for the man to go all the way.

Please talk this over with her. When both of you are ready to try again, do ensure that she is relaxed. Make sure that the atmosphere is romantic!

A lubricant can also help. Engage in a lot of foreplay. If you do all of these, you should find that penetration will occur easier and everything should be just fine.

However, if you are still having difficulty, your partner should have an internal check-up by a doc.

Q Is there any 'health limit' to the number of orgasms a woman should have in a night?

Since I turned 40, I have been extraordinarily orgasmic with my new guy. But I am concerned that having six orgasms in a session might be bad for my body.

A Please do not worry, it does not matter how many times a woman comes. The process of an orgasm cannot harm your health.

Q Doc, 20 years ago when I was a younger, I did some pretty foolish things and contracted gonorrhoea.

Can I be sure that it is totally gone from my body? I am thinking of getting married and settling down.

A If it was properly treated with the right antibiotics, you should be OK.

However, if you have any urinary symptoms, like pain when urinating or a discharge from your penis, you MUST see a doctor and get some tests done.

Q Doctor, is it true that coffee makes a person pass urinate more frequently? If so, should my husband avoid coffee, because he has prostate problems?

A Well, coffee contains a very mild diuretic (that is, a stimulator of urination) called trimethylxanthine.

However, this is NOT a powerful drug. Recent research suggests that in modest amounts, coffee is no more diuretic than water is.

So it should be OK for your husband to enjoy his coffee unless he finds that it causes him urinary distress.

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