Medics say cases of patients being uneasy with some medical conditions are common, leaving many at risk of severe health complications or even death because they would not step forward for help. 

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1. Anal itching

This is a common problem which may be caused by poor hygiene, anal warts — sometimes caused by human papillomavirus (HPV) — hemorrhoids, dyes or other agents in toilet paper, fungal infection, lice, or sexually transmitted infections.

2. Vaginal flatulence

This involves sudden loud emission of air from the vagina and mainly happens during or after sexual intercourse, body stretches or exercise.

Though the sound produced may be comparable to flatulence from the anal opening, it has no odour. The condition is caused by loose pelvic muscles that cause vaginal muscles to expand and trap air inside. 

3. Urinary incontinence

This is a common yet embarrassing condition where one loses control of the urinary bladder. People suffering from this condition report varied severity, from occasional urine leaks when they sneeze or cough to inability to hold back urine. Medics attribute the condition to weakened pelvic muscles and the urethral sphincter.

4.  Sexual dysfunction

 Sexual dysfunction has become a common problem among Kenyan men and women, but many are too anxious to talk about it with their partners and doctors. 

In women, it is mainly manifested through reduced sex drive and vaginal dryness, while in men it is characterized by erectile dysfunction or premature ejaculation.

5. Vaginal odor

This is one of the biggest problems that women face, but many do not discuss it freely with family or doctor. One of the greatest causes of the problem is chlamydia, gonorrhoea or bacterial vaginosis; an overgrowth occurring due to vaginal bacteria.

6. Anal fissures

 In this condition, one develops cracks in the anus. This can be very uncomfortable and painful in extreme conditions. Dr Mitei said the condition may be caused by a hard stool passed by a constipating patient, causing fissures.