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Answer to Case Study #1:Explain to Comfort that within
a woman’s genital tract are glands that produce lubricating fluid
when she is sexually aroused. It is a normal response and a key sign that
the woman has achieved excitement. The lubrication (or wetness) is nature’s
way of protecting the delicate vaginal tissues from possible irritation
from the friction of penile-vaginal intercourse. If penile penetration
occurs before lubrication, friction can cause abrasions (breaks in the
skin or tissues), resulting in pain, bleeding, and an opening through
which infections, including HIV, can enter the system. Some cultures use
herbs or special preparations to cause vaginal dryness, which is believed
to enhance men’s pleasure, but this practice puts women at risk of
tissue damage and infection. Offer Comfort the support of inviting her
husband to discuss the issue. Assist Comfort in explaining normal lubrication
to her husband through role play.
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