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SUZI GODSON
Impotence? Premature ejaculation? Inorgasmia? Sneezing? In the greater scheme of things, keeping a box of tissues by the bed is, I would suggest, a manageable sexual burden. After all, sneezing is not an entirely unpleasant experience. Indeed, it is often compared to orgasm because it is messy, takes about a second, requires copious Kleenex and strangers bless you afterwards.
If it makes you feel better, you are suffering from a serious-sounding but harmless medical condition. The propensity to sneeze at orgasm is closely related to the Achoo (autosomnal dominant compelling helioophthalmic outburst) syndrome, commonly known as photic sneezing.
This is a genetically inherited neurological phenomenon, which occurs when exposure to bright light triggers pupil constriction in the eye. Pupil constriction is a function that is controlled by the brain stem, the multi-tasking lower part of the brain. The brain stem connects the spinal cord to the brain and plays a vital role in a smorgasbord of neurological functions that include breathing, digestion, heart rate, blood pressure and arousal. Because the neural pathways for these functions run very close to each other, it is thought that light-sensitive sneezing, sneezing after a meal or post-coital sneezing occur when the pathways get muddled up with the pathway that registers irritation in the nose.
Thanks to studies by the US Military in 1993, we know that photic sneezing affects between 18 and 35 per cent of the population. Because it is impossible to keep your eyes open while you sneeze, the Air Force was concerned that uncontrolled sneezing presented a danger to pilots.
Though it sounds trivial, the sneeze is the second most powerful body convulsion after an orgasm. It removes air from your body at speeds up to 100mph and, as Muriel Simmons of the British Allergy Foundation, points out: “If you sneeze while driving at 70mph, you will travel 300ft with your eyes closed.”
There are no guaranteed ways to stop sneezing and I certainly wouldn't recommend pharmaceutical solutions for a problem as mild as yours. There are, apparently, several natural ways of dissipating the tickling sensation. If you press your tongue firmly behind your two front teeth where the roof of your mouth meets your gum palate, you may be able to stop a full-blown sneeze.
More masochistic suggestions involve using your nails and viciously pinching the skin between your thumb and your first finger. This, supposedly, distracts your brain and forces it to focus on a physical sensation other than your sneeze. A less painful diversion is squeezing the tip of your nose when you feel that first tingle and pressing the top of your upper lip with your finger.
Yet another says that trying to keep your eyes open prevents your body from allowing a sneeze to occur, but since people who suffer from post- coital sneezing often also suffer from photic sneezing, you might be better off shutting your eyes. When you consider the fact that climax precedes sleep by about 60 seconds for most middle-aged men, ten seconds of sneezing is unlikely to put off any reasonable partner.
Suzi Godson is the author of The Sex Book (Cassell, £16.99) and The Body Bible (Penguin, £16.99)
DR THOMAS STUTTAFORD
Whether it is the wrong music, a child crying or a dog scratching at the bedroom door, anything that disturbs the sensuous atmosphere of lovemaking can destroy the occasion. The romantic climate and erotic zest will wilt under an onslaught of sneezing. Frequently, it is the partner who sneezes whose mood suffers most as it makes them feel guilty and responsible.
Fortunately, the reader's problem of sneezing is one that often has a simple solution. I have been consulted frequently by patients whose lovemaking is disturbed by attacks of wheezing, sneezing or running eyes and nose. These are all symptoms that are physical rather than psychological.
The exertion of lovemaking may be enough to induce an attack of wheezing should the sufferer have asthma that is exercise-sensitive. The answer is simple. Take a precautionary puff from a prescribed short-acting broncho dilator inhaler before making love. Sneezing, snuffling and other symptoms of allergies can also be disastrously off-putting, but thankfully they can be helped by taking Neoclarityn, an antihistamine, an hour or so before entering the bedroom.
Other factors to consider are why the lover's antibody antigen reaction has been triggered. The standard explanation is that bedclothes and mattresses are notoriously dusty and the haunt of dust mites. The dust and their mites are liable to rise in invisible clouds, once released from their snug home, by the antics of the lovers. Sheets should be changed before lovemaking, mattresses vacuumed and cleaned regularly, and duvets sent to the laundry.
There are other situations that can destroy the romantic mood as easily as the reader's sneezing, and are much more common. I have often been consulted by patients whose girlfriends have ruined the occasion because they couldn't help giggling every time they made love, and it was undermining their relationships.
The first time I came across this, I assumed that it must be some hidden peculiarity of my patient. But, after so many similar stories, I realised that it was not unusual. It was probably of little help to these patients to be told that they weren't the only people to suffer from this affliction, and that it was only a sign of tension, not a reflection on their performance.
Making love can reveal all kinds of latent tics, mannerisms or inappropriate behaviour such as constant chatter, mindless exclamations, mumbled profanities, or constantly repeated thanks or apologies when partners are nervous or feeling twitchy.
It may have been more useful to my patients to learn that once they and their partners knew each other better, the problem of nervous laughter has every chance of disappearing. Unsurprisingly, it is usually the woman who dissolves into giggles, whereas men are more likely to wreck the occasion by developing cramp.
Dr Thomas Stuttaford, the Times doctor, spent many years working in a genitourinary clinic
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I suffer from hayfever and although it sounds stupid try thinking about the back of your neck when you feel the need to sneeze, i read it and sceptical but it rather confusingly works for me most of the time.
Warren, Liverpool,