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UNCONSUMMATION Management 1. Both the partners should attend the counselling session. 2. Anatomy of male & Female genitals should be explained to them with the help of clay model, charts or slides. 3. Examination of the genitals: One finger PV examination of the females should be done in the presence of the male to enable him to understand the site and the direction of the vaginal barrel. 4. The following instructions will help the couple in overcoming Unconsummation. For the couples who sleep on the floor. Lights should be on or the coitus should be done during the day. The couple should engage in foreplay till he gets erection of penis and she gets lubrication of vagina. The female should be in a supine position on the bed, with a pillow under her buttocks, and with her thighs flexed and abducted at her hips. This rotates her pelvis and brings her vaginal opening accessible for the penetration by the male. The male should squat on his heels ( vajrasan or Namaaz Position) Between her thighs. In this position he being perpendicular to her body is in a position to locate and align his penis with the vagina which is at the lower end of vertical cleft, and in upward and backward direction. Then he advances towards her that his right thigh is under her left one , and his left thigh is her right one. On reaching near her vulva, he separates the labia by his left hand and inserts his penis by his right hand. In the event of difficulty, the female should help him with her hand in guiding the insertion penis. Supporting his body on the knees and holding her thighs by his hands he makes to and for movements of his pelvis till he ejaculates in the vagina. For the couples who sleep on the cot: (T position ) Light should on or the coitus should be done during the day. The female sleeps on the cot in a supine and slide down till buttocks are on the foot end the bed. She flexes and abducts her thighs, and the male kneels on the floor between her thighs, supporting his knee on the pillows so as to align his penis with her vaginal opening. In this position the male is perpendicular to the female. The advantages are that he can see the external genitals of both and maneuver the penetration, can make pelvic movements by holding her thighs, and can stimulate the clitoris simultaneously while doing intercourse. Outcome The success rate is high. once the couples learn the coital act they simply wonder as to how they could miss such a simple and universal procedure