He is a 28-year-old women’s reproductive health advocate and specialist. MUKUDI JUNIOR explains how sexual abuse by housekeepers as a child led him into this career and the “southern” things women need to know.
You describe yourself as a health systems specialist and advocate for women’s health. What did you study?
I have a background in psychology, nursing and health systems management (diagnosing common women’s health issues using x-ray procedures) and then was interested in taking a course in women’s health women.
Has your education contributed to your career path?
Yes, my education led to my career path. I was brought up in a good family, but there was a case where a housekeeper sexually assaulted me. She used to “play” with my penis. I was only able to tell my mother when I was about 11-12 years old. Later we had another housekeeper who kept pestering me to have sex with her. Then when I was about 14 when I came home from school, there was this woman I knew who dragged me into some bushes by the side of the road and tried to sexually assault me. Luckily, I overpowered her and fled. These implications motivated me to study psychology and women’s health because I wanted to know about women.
Many male doctors deal with women’s reproductive health. Why?
I would say it’s basically a passion for women, mothers, babies and the whole process of bringing life to life. But the old wives tale is that opposites attract.
What are the most common cases you treat in women?
Infertility, sexually transmitted infections, sexual abuse and emotional abuse. Sometimes they come and they say I had this discharge, I feel pain during sex, others have miscarriages, etc.
What are some of the most common reproductive issues that women don’t experience?
Methods of contraception affect all ages. Another thing is to manage common infections (pelvic inflammatory disease, urinary tract infection, chlamydia), mainly reproductive health issues and infertility.
Are women generally accompanied by their partner during the consultation?
Yes and no.
Those who work on fertility come with their spouse, others do not. Most come with their spouse when there is a reproductive problem.
Most of the time, couples who are in stable marriages usually reunite, but also especially when there are reproductive issues.
As an expert, sometimes it’s better for the woman to come alone because sometimes clients don’t open up when the partner is around.
I believe knowledge of sexual health is very important because most of the cases come from a lack of information.
When should a woman get tested?
As soon as they can. When they are sexually active or have irregular periods or simply reproductive problems. For a woman over 30, it is important to check the reproductive systems, check for fibroids, etc. In case of problems, they can get help from experts.
How to put a patient for the first time at ease during the consultation?
It’s about creating a good environment and giving them adequate knowledge about their concerns and being empathetic. They are mostly concerned about my age, saying I am very young, but once I assure them of my credibility, they feel comfortable.
Do women come for routine exams or do they wait until they feel some discomfort?
I would say some come and some don’t, we expect different types of patients. But in my experience, educated or exposed women tend to show up regularly for medical checkups. This is highly recommended.
Does menopause mean you don’t need routine gynecological check-ups?
Not at all, in fact routine checks are encouraged, at least once a year or every three years when a woman has low risk factors. Certain irregularities in certain examinations and health checks may justify frequent visits.
Do you receive male patients?
Yes. Most of the cases I get are sexually transmitted infections, erectile dysfunction, masturbation addiction, or testicle problems.
What are the toughest issues you deal with?
There are women who make sexual advances to male doctors, so most of the time I make sure I have a nurse in the room. Another challenge is dealing with family issues, especially if it’s a sexually transmitted infection or when conflicts arise over the sex of a baby. So I have to advise them, that’s where my background in psychology comes in.
What would you advise women who perfume their vagina, shower and insert garlic?
Although there is information about douching and its safety practices, I do not recommend it as it upsets the balance of bacteria in the vagina and can alter the normal PH of the vagina It causes a lot of problems including pregnancy problems and also causes infections and it spreads. Douching is unnecessary because the vagina and cervix have glands that secrete to clean themselves.
At what age should parents invite their daughter to consult a gynecologist and why?
From 13 to 15 years old. At this age, it’s good for girls to know their development and make them feel comfortable about sharing personal information in the future. Remember that some girls may also be sexually active or have period problems.
Infertility in women, what should women do to avoid it
Most of the time, they need to maintain a healthy weight, as both overweight and underweight women are at increased risk for ovulation disorders, while increased physical activity has been linked to decreased ovulation. Smoking is also not good because it affects fertility and health of mother and fetus. Heavy alcohol consumption also decreases fertility and affects the developing fetus. I also advise young women to avoid stress.