Male bulbourethral gland secretions as physiological lubricant for vaginal dryness - A pilot study

Background: Vaginal dryness is common during and after menopause due to declining oestrogen, vulvovaginal atrophy (VVA), up to about a year after delivery during breast feeding and in many other conditions. This can be distressing to painful for women and may cause discomfort and dyspareunia. This study was performed to evaluate the use and practicability of secretions of male bulbourethral glands (Cowper's glands) to alleviate the discomfort, dyspareunia or pain at sexual activity, because of inadequate lubrication of vagina. Method: When a healthy male is sexually aroused, Cowper's glands produce a mucous-like fluid called pre-ejaculate. This fluid is a clear, colourless, viscous, and salty liquid, which is emitted from the urethra of the penis. A lubrication free wet condom on penis during foreplay can prevent loss of these secretions during an extended foreplay and lubrication around penis due to these secretions can effectively serve as physiological lubricant during coitus. Result: This technique and secretion of Cowper’s glands are a good lubrication for dryness of vagina during coitus. Sexual function assessment revealed a marked improvement in all domains of sexual function to both partners. A physiological secretion being natural to the sexual act and providing motive for extending foreplay; it is arguably the best lubricant for coitus in situations of dry vagina. Conclusion: Supposedly the secretions may also help in reducing dose of HRT for menopause, extended foreplay adds to psychosexual benefits and a boost to sexual hormonal milieu.