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Is it ok to use stimulant drugs to study?

1) I have a large amount of course work, which is combined with a job and extra-curriculars, and while I want to succeed in all of them, I find that I simply don't have enough time, even though I currently sleep only 4 or 5 hours a night. I mentioned this to a group of my friends here at school, and it turns out they all take stimulants to help them manage jam-packed undergraduate life. The pills are called ADDERALL and PROVIGIL. I have acquired some for myself, but before I take them, could you tell me if either has serious health risks? I do not have any other health problems or take any other medications. A few of my friends tell me that they sometimes stay awake for as long as 3 or 4 days. If it is reasonably safe, that would be great! Thank you.

2) Given the fact that this is a top-notch school, it's total hoo-ha that you haven't included any info on all the non-hard core, but still illegal, "study stimulants." Is all this ADDERALL gonna do me permanent damage or what?


If my partner and I both have HSV-1 and HSV-2, will having sex cause more outbreaks?

I have tested positive for herpes 1 and herpes 2. My boyfriend has also tested positive for herpes 1 and herpes 2. This a a long-term stable relationship. Neither of us has outbreaks very often.

Since this is a monogamous relationship, do we need to use any protection for genital or oral sex? I understand that we both have antibodies for 1 and 2 so I don't believe we can reinfect each other. However, when I consulted some doctors and sites, they suggested refraining from any sexual intimacy whenever one of us has an outbreak or feels an outbreak is about to happen.

My question is: if we both already have herpes 1 & 2 can we a) re-infect each other or b) cause either of us to have more outbreaks? Also, can we spread the virus to other locations on our own bodies?

Thanks, Alice. I hope you can help us.


Are there tests for herpes and genital warts?

I have recently gone to a Planned Parenthood STD Clinic. From what they told me, they tested for everything "curable" (i.e., they did not test for HIV, genital warts, or herpes). I know where to get tested for HIV, but my question is: are there tests for herpes and genital warts? What are the odds of someone having herpes or genital warts and being asymptomatic? I plan to use a condom during intercourse regardless, but must I do the same for oral sex as well? Is there any way of knowing for sure if someone is clean of STDs?


Should I start PrEP?

If my husband takes antivirals or post-exposure prophylaxis can we still have sex with a condom and still complete the process like normal? It is affecting our sex life because he does not want to infect me. I don't want to be infected but I knew what I was getting into from the start. I might start PrEP as it is now available to me. What are your thoughts?


Why do I keep getting trichomoniasis?

I ended a relationship about a year ago. I have always seemed to have a yeast infection when I went to doctors before. In my relationship I had went to the doctors before because of discharge and just told them I didn’t need to really be looked at because I know what it is. Well at the end of my relationship I went to the doctor to get a whole check-up. Come to find out that what I thought was a yeast infection turned out to be trichomoniasis. I think I have had it for a couple of years now. I have gone to be treated for it two times. Each time it would go away and then come back. I was wondering if it was because I had it for such a long time?


How can I help a friend who’s struggling with alcohol?

1) I have two friends who I think are drinking too much. I don't know what to do. They are very defensive should anyone say anything to them about their excessive habit, and a lot of our friends are giving up on them. This has become a daily thing and their schoolwork and friendships are all suffering. They are both 21; one recently broke up with his girlfriend of several years and the other has been single for a while and he hates it. I know that has a lot to do with it. Please suggest some non-intrusive ways to help them. I'm really at a loss.

2) Last year, I became very good friends with a guy on my floor. He was a little out of the ordinary in the way he dressed, as well as in some of his opinions and habits. I had the feeling that he did drink more than he should, and he also did pot. I did not worry too much about it because it appeared to be more of a lifestyle choice than an addiction, and it did not cause him major troubles.

Unfortunately, he started to have academic problems. He did not do his work, missed classes, and eventually exams as well. I still did not relate these things to his alcohol and drug habits, and I hoped that once he got over the adjustment everyone needed to make in freshman year, he would be fine. Well, he wasn't. He did not come back to school this fall, and when I called him, I learned that he had gone through a lot that summer. He was diagnosed with depression and a cocaine addiction, put on Prozac, and sent to therapy. At that point, I thought that he was on the right track because he was also going to get a job and planning to take classes at a nearby college.

However, when he came to visit me a month later, he had already had two beers before he even came here and got more and more drunk as the evening progressed. I would not let him drive home, but he ignored my warnings and left anyway. I was very disturbed because a friend of his had just been in a drunk driving accident. I was very mad at him, told him clearly that I will always be his friend but prefer not to talk to him or see him if he showed up drunk again. He did not call for a while and neither did I. When he called me yesterday and I told him that I thought he should do something about his alcohol problem, he kept repeating his excuses, that he drinks because he is Irish, that he doesn't care if he dies early as long as he had fun in life, etc. On the other hand, he can't find a job and seems to be very depressed. I want to help him, but I don't know how. Any ideas?


Can I get AIDS from a mosquito bite or by handling raw meat?

1) Can you get AIDS from a mosquito bite? I heard you can't, but I'm really paranoid about this. Actually, it wasn't a bite — I squashed the bug and all the blood in it splattered everywhere and then here I am with someone's blood on a cut in my finger. HELP! I'm really freaking out. I don't know if I should get tested or not again, because I did get tested before (negative), but the anguish of waiting for results was horrible. Maybe I'm just ultra paranoid?

2) Is it possible to contract AIDS by handling raw bloody meat?


Will Valtrex protect me from developing genital herpes from a partner who has a cold sore?

Dear Alice, 

I take Valtrex daily to protect me from cold sores I get on my face. I haven’t had one since I started taking it a few years ago. My partner gets cold sores on his mouth and has recently performed oral sex on me while having a cold sore. Will the daily Valtrex protect me from developing genital herpes? How will this affect me in the future?


How can I get rid of pubic lice?

1) I have recently discovered that I have what appear to be crabs in my pubic hair. They are itchy and annoying and appear to be laying eggs. How do I get rid of them?

2) I think I have pubic lice, a.k.a. "crabs." Do I need to see a doctor about this problem, or is there over-the-counter medication of some kind I can use to expel the little buggers from their new home? Also, I'm curious as to how I got them since I haven't had sex for several months and this is a recent development. Can one contract this problem from sharing clothing, towels, or bedclothes?


How can I stop smoking pot?

I have been doing weed for about six months now and on occasion a few other drugs. I usually do it only on average three times a week and a lot more on the weekends. I feel that it is ruining my life because my concentration is terrible and my marks have dropped significantly (20 points). I feel like I'm in a dream all the time and it just isn't fun anymore. I have heard that pot is not addictive but I have tried to stop but I feel sick and irritable if I don't smoke up. I have realized I need to quit but I can't. Why can't I stop if this "soft drug" is not addictive? Am I crazy? Please help. I want my life back. Thank you so much.


How long does it take for HIV antibodies and symptoms to develop after exposure?

My question is about AIDS/HIV: I had a sexual affair that lasted two-and-a-half months, and, unfortunately, I was not using condoms. I happen to know nothing about my partner's previous sex life. I know that, for a test to show something, you must wait for six to nine months. I would like to know whether, provided that I am infected, I will experience any symptoms in this six to nine month period? Is it possible to have the virus and not have any symptoms or indications all this time? Right now, I am a graduate student and I am experiencing anxiety, fatigue, sleepiness, weight loss (three to five pounds in the last two months). Are these related to the disease, or is it just in my mind?


Why is drinking alcohol suddenly making me sick?

I have never had a problem with alcohol tolerances in the past. I could drink at least four or five drinks and be fine that night and the next morning. Now, I find myself getting violently sick after drinking just one or two. Even after a glass of wine I want to puke it up. Is there something physically wrong with me? I know the obvious solution is to stop drinking entirely. But, I shouldn't be this sick after drinking just one drink. Have you ever heard of this before? Can you help me figure out the problem?


Can chlamydia make sex toys a vector for reinfection?

I have looked through your archives but have not found an answer to my question. I was diagnosed and treated for chlamydia about a month and a half ago. Do I need to get rid of any sex toys I have? Is it possible to become reinfected by using a sex toy that you used while you were infected if you wash it before using it? Please help me find the answer to my question. I really need to know ASAP! Thank you in advance.


Can I have some details about gonorrhea?

1) What are the symptoms of gonorrhea?

2) How long of a time frame could you have gonorrhea and not know it? The doctors say you can't track how long you have had it so how do we know? I feel my last partner gave it to me and that was nine months ago. Is that possible?

Thanks. I can't get much information in regards to this subject so I have no idea. And it can't be received from sitting on a toilet or anything of that sort, correct?


Do I have to disclose my past HPV diagnosis?

I was diagnosed with HPV three years ago, it has since cleared — become undetectable. Since being tested and learning that I had HPV, I'd been in relationships and told my partners prior to having sex that I had it and we always used condoms. The last pap I got showed that the virus had become undetectable. I'm currently single and what I'm wondering is, if I have casual sex (with a condom, of course), do I have to tell the person that I've tested positive for HPV?


What should I do if we became intimate before I told him I have herpes?

I recently started dating a man. On the first date, we became intimate (which I did not plan on happening). The day after, I told him that things moved too fast and that maybe we should get to know each other before becoming intimate again. My big concern is that I have genital herpes, and have been faced with the problem of becoming intimate before sharing that I have herpes. I came up with a plan on how to share this info, but it didn't happen in this particular relationship. Now, I don't know what to do because I am worried that I have shattered the trust in this relationship. Should I just walk away from it and use it as a lesson on how to approach a relationship next time or tell him?


How can lesbians protect themselves from herpes?

1) All the information I have found about herpes is written for heterosexual couples. Are there studies about herpes in lesbians? How can I prevent transmission of the virus to my partner? I'm totally asymptomatic.

2) I'm female, in a relationship with another female. She is okay with the fact that I have herpes. I JUST NEED TO KNOW HOW TO PROTECT HER from contracting the virus. Please help me out here.


How do I break the cycle of addiction?

My uncle shoots heroin. My father used to do cocaine. My moms' (both of them) used to smoke weed with their friends when I was eight. I smoked weed when I was twelve. I sold weed at 14.

I don't want to continue in the vein of my addictive family (no pun intended). How hereditary is addiction? What measures can I take to avoid falling into the same hazy trap of my family members?


How effective are at-home HIV testing kits?

I got tested for HIV a year and a half ago. Since then, I've been with two other people. One guy was a virgin but we had unprotected sex sometimes. He was tested in December (after us being together for one year) and it came back negative. I'm afraid to get tested again because I heard that the guy I was with two years ago before I was tested is HIV positive. I was already tested after I heard this and it came back negative. But, people around campus just won't stopped talking and I'm starting to panic. So, I thought about doing an at-home test because I'm too scared to go to the clinic. I found an at home test that says that you can get at home results in 15 minutes.

It's called the HOME ACCESS and it says it's FDA-approved. Is this accurate? Also, I have another question: with the information I provided you, do you think I'm at risk?


At what age can I get the HPV vaccine?

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.


What are my chances of getting cancer if I have high-risk HPV?

I just found out I tested positive for high-risk HPV. My pap smears have been normal for years. I'm 45 years old and have had lots of basal cell skin cancer. I'm scared to death of getting cancers that are caused by HPV. I'm so stressed. What are the odds that I will actually get cancer, now that I am supposedly high-risk? It appears there it nothing I can do at all to prevent this from happening other than keeping up with my visits and pap smears and hoping I beat the odds. I just wonder at how much risk am I when they say I am HIGH-RISK???


Are there routine STI tests that I should be doing?

I have talked to my doctor, to my local Planned Parenthood, and to the local health department. I have gotten the same story from all of them, that unless there are symptoms or a reason, one shouldn't have STD lab work done (or that there wasn't a 'routine' inclusive screen). It wasn't until recently that I discovered that a lot of STDs are asymptomatic. Are there 'routine' tests that should be performed for each of us (besides my normal annual)? If so, where can one go for this kind of testing and what should be tested for?


Can you get HIV from fingering someone?

1) While I found a lot of info on oral sex and AIDS on this blissfully honest site, there didn't seem to be any info on "fingering" (not sure of the technical term?) a woman. I'm in a high risk AIDS country and recently "used my fingers" for a couple of minutes to delight a local woman who has turned out to be having her period. After noticing a considerable amount of bloody discharge, we stopped. But do I have a considerable AIDS risk? There were no cuts on the fingers I used but a small, possibly healed, cut on the thumb of the same hand. Break it down for me. I'm a bit on edge.

2) Can you contract HIV from anal fingering your partner if you had cuts/scratches on your fingers?


Who will see my STI test results?

I have been thinking about getting tested for STIs for a while now but have been concerned with medical privacy policy. From the research I have done, I have not been able to find if I tested positive for an STI would I be referred to in name as a 'risk to public safety' or simply as a statistic. I know that this will be placed in my medical records and documented for the rest of my life. Will I have a label attached to my name for the rest of my life? Who will be notified if I do test positive for something like syphilis or herpes?


Where can I find support as an adult child of an alcoholic?

1) Are there any adult children of alcoholics groups on campus?

2) My father is an alcoholic and I've been told that I should stay away from drinking altogether. I'm a freshman this year and it seems like most of my friends always want to go to keg parties or hang out and drink. Sometimes I drink with them, but then I feel guilty and worried afterwards as I think about my dad. It's hard to avoid alcohol here, but I don't want to follow in my father's footsteps either. Any advice or support you can give would help. Thanks.


How can I have fun without drugs?

I think it would be a good idea for me to stop smoking marijuana and cut down on my drinking, at least during the school year. The problem is, I have been doing it for so long it is almost as though I have forgotten how to have fun without it. Contributing to this problem is the fact that many of my friends smoke or drink to have fun. Many of my other friends just do not seem to have fun at all; they stay in Friday and Saturday nights to do work. I've found it difficult to quit, I think because I'm just not sure of what's out there to do that's fun without being stoned or drunk. Can you recommend anything that's fun whether you're intoxicated or sober, so that I don't have to stop hanging out with certain friends if I want to relax and have fun? I want to finally enjoy life without relying on an altered state of consciousness. What's there to do when you're sick of renting movies? Also, any tips for resisting the urge to take people up on their offer to toke up? (I'm never pressured into it, but it's like the dieter who's offered some chocolate cake — it's there, it looks sooo good, and the fact that other people are doing it makes it seem more "okay.") Thanks so much.


Why am I itchy after the condom broke?

I've just had my first condom break ever. I'm on the pill, so I'm not worried about pregnancy, but a couple of days afterwards I had yeast infection-like symptoms — no unusual discharge, just itching. If I pick up some over-the-counter yeast infection medication and the symptoms go away, would I be safe to assume that was the problem? Or should I definitely go in for an STI check?


How do marijuana and Prozac interact?

I have two friends who were recently diagnosed with depression. They were both prescribed Prozac by their respective doctors. Both of them are heavy marijuana users and both failed to mention that to their doctors. One has been on Prozac for two months and the other for six weeks. I have noticed that their behavior has become strange: mood swings, paranoia, oversleeping, fatigue. They continue taking their Prozac (20 mg a day) and continue smoking pot. I am afraid that there might be some negative interaction between the substances, one being an antidepressant and the other a depressant. Can you provide some insight?


Is it dangerous to have sex with animals?

1) I recently had intercourse with a sheep at a friend's house. He is a sheeprancher and one day he was talking about how good it was. He left town for a few days and asked me to feed his animals. I took the chance and gave it a try. The strange thing is that I enjoyed it more than having sex with my girlfriend. When I was a young lad I was molested by a female babysitter. I was wondering if you may think that the earlier incident in my life has affected my sexuality. I liked it so much that I want to do it again, but I am worried that I may contract a STD from the ewe. I have heard that you can.

Could you please help me?

2) I have read about men and women having sex with animals, e.g., dogs (Women on Top by Nancy Friday, Simon & Schuster, 1991). Apart from it being against the law (I think), are there medical reasons why this is not a good idea? For example, are there STDs that can be passed from animals to humans? Are there immunological consequences from depositing sperm into the vagina of another species? Is this kind of sex common?


Should I confront my partner about how he gave me herpes?

The man I have been seeing for six months, and with whom I have fallen in love, has transmitted genital herpes to me; I was diagnosed only yesterday with a primary outbreak — very painful, indeed. There were times when it seemed he avoided/did not want intimacy, which was often puzzling, because he was usually very interested; however, now I suspect it was because he feared infecting me. That I now know he has herpes seems to explain a lot of the "distancing" behavior, but I wish he had been open and honest with me. I have not told him yet, and my feelings are in a state of turmoil. What is the best way to approach this? I really have feelings for him, and I know he has strong feelings for me.