On a recent gynecological visit, I requested an HIV test. The doctor, a woman, responded with the question, "Why, too many New York nights?" I was shocked by her response, but, because I felt intimidated by her, I disregarded her remark. After I told her that I had never been tested and thought it was time, she looked at me and said, "I think you're okay." Needless to say, I did not get tested by her.

During my exam, a Pap smear, she put on her rubber gloves and then realized that she couldn't find an instrument. So she rummaged through the drawer, went to the door and turned the knob, requested something from the nurse, closed the door, and proceeded with the exam. She never changed her gloves. I was appalled, but never said anything. I don't know why, but she totally intimidated me — one of those women who seem to have all, brains, beauty family, wealth, etc.

My question to you is, do I report this woman? If so, to whom? It happened several months ago and it was outside of NY state. I appreciate any reply. Thank you.

Wondering if there are any negative effects to masturbation while being sick. I hear it could be a cause of lower immunity levels, is that true?

I am a graduate student and have been using Health Services for a number of years. On recent visits, I couldn't help but notice a certain nurse practitioner on whom I now have a big crush (pardon the school-kid terminology). On my last visit through walk-in, luck would have it that I got this person to treat me (a random happening--I didn't choose it in any way). I felt somewhat awkward during the visit, yet happy to see this person. Nonetheless, I realize that this is not an ideal state of affairs, but I don't know how to handle it. I am due to return to this same N.P. for follow-up.

Should I tell this person that I feel awkward receiving medical treatment from someone I would rather be dating, or should I just make an appointment with another person? Would it be possible to seek medical attention from this person after letting them know how I feel? If I do end my medical relationship with this person, how would I begin a different one? There don't seem to be many occasions when students and the Health Service staff interact outside a medical setting. I would hate to pass up the possibility of meeting that someone special due to professional constraints that would not hold had we met under different circumstances.

For a number of years I have had acne from waist down. I can't find any information on it except for acne of the face and back. I'm embarrassed to wear shorts in the summer. Any suggestions?

What are the long-term side effects of substituting Vivarin for sleep? Last semester, I averaged only about three hours of sleep a day, and it doesn't look like this semester will be terribly different.

Thanks in advance.