1) I know this may seem like a strange question, but what exactly IS pre-orgasmic? Does it mean that a person hasn't yet had an orgasm, or that her body isn't ready yet? I remember reading in one of your answers that many women under the age of twenty are pre-orgasmic. Why is this? Also, what is/are the purpose(s) (besides pleasure) of orgasm in women?

2) Hi, I'm not from the USA, so you may call me "the foreigner boy." I'm a 20-year-old male... I have had a lovely, nice, 19-year-old girlfriend for the past two years and I love her very much! We've started making love after six months of being together. We’ve had oral sex since the very beginning of the relationship. My girlfriend was a virgin before we met and me too. The problem is this: She never reaches orgasm! We really did try it all... it's very disturbing because she doesn't understand why I think it’s a BIG DEAL! And I really want her to have orgasms, but she just can't reach it... We really did try it ALL!

She tried to masturbate alone a few times and still had the same feeling... It’s not that she doesn't have fun, but she never really reaches the Peak! It seems as if she is stopping herself from having orgasm. Any secret I haven't read or heard about could be helpful! Thank you for your time!

Sometimes I masturbate before I go to sleep at night. Usually nothing is wrong, but sometimes (and this always occurs at night, I've found) after I masturbate, a few minutes later I have to urinate. And when I do, it is usually very painful. The feeling doesn't pass either. My scrotum usually gets very tightened up, and there is painful feeling above my crotch. Usually I just sit there, drink some water until the feeling goes away. ANY idea what this is?

1) I've always used condoms combined with a sponge for birth control. That worked well because if anything happened with the condom, there was always a backup — it made me feel safer. Then I get to New York, I go into three drug stores, and none of them have sponges. Now what? I don't want to rely on just condoms, I don't want to take pills because the whole hormone thing is rather frightening, and a doctor said that diaphragms make you more prone to get urinary tract infections, which I get frequently. So what am I supposed to do? What's up with this total absence of sponges?

2) In exploring other forms of contraception, what is the reliability rate of the "sponge"?

I am 28 years old, and became sexually active two years ago. My husband is the only man I've ever had sex with, and I am his only sexual partner as well. Where does the gene or whatever it is that the HPV vaccine helps guard against come from? Because I'm too old to get the vaccine, are my chances of getting cervical cancer from this particular gene increased then? Thank you for your help.