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What should I do if I'm successful but not happy?

I'm not in college anymore, but students could benefit from this question, too. I'm single with a 'great' job (pays well, insurance, pension, etc.), a decent place to live, no debt... in short, life could be much worse. But the only thing lately that makes me happy is doing kind things anonymously for people. I'm rather wealthy but don't want a big TV or a fancy car. I'd rather spend a vacation at a local monastery meditating and performing service. I'd be committing economic suicide to quit my job, and so many are worse off, but 'success through hard work' doesn't make me happy. I'm sure a number of students must have these feelings already. What are your feelings about this, Alice?


Does marijuana produce serotonin?

My girlfriend tells me she uses marijuana to calm herself if she is having a stressful day. She has been doing this for many years. She says smoking pot is like self-medicating — it is better than using anti-depressants. She also claims smoking pot helps with depression because of how it helps produce serotonin in the body. What is serotonin and how does it help depression? Does smoking pot really help with managing your anxiety, depression, etc.?


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.


Should I refrain from using frozen condoms?

I'm not wrong when I say condoms can freeze, right? I had some condoms in my car when the temperature outside was definitely below freezing. They were only out in the cold for about thirty minutes. Would it be safe to still use them? Or, should I discard the condoms and get new ones? The box says to keep it below 100-degree temperature, but doesn't say anything about keeping them above a certain temperature. Safe or not?


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?


Why do I feel guilty after orgasming?

Every time I have an orgasm (alone or with a partner) I have intense feelings of guilt. I was not brought up in a religious household and was never told to "wait until marriage". I've been in long term relationships with all my sexual partners so it's not like I feel guilty for sleeping around. It's getting to the point where I'm not enjoying sex anymore because I dread the feelings I have after an orgasm. Is this normal?


Can I go off and on birth control pills on my own?

I've been on birth control pills for eight years and I'm thinking about trying a few months off them. They were prescribed when I was pretty young because of very irregular periods. I also was involved in a monogamous relationship for a number of years, so they were convenient. Now I have no steady partner, and am really curious to see how I feel without taking these pills. Would it be ok to go off them at the end of my pill pack or should I consult someone at health services first? If I go off for a few months and my periods are as horrendous as they were when I was younger, would it be safe to start up again on my own (I usually just see someone once per year for pill checks)?


Is it normal to spot with a NuvaRing?

I have been on the Nuvaring for three months now, and I am keeping it in for the four weeks then changing it because my doctor said there's no need for me to have a period. About two weeks ago I started having dark brown discharge and it has gotten more heavy, but only when I run or stand up real quick. Is this normal or should I call my doctor and find out what is going on?


What are the common reasons for condom failure?

I live in Prague, Czech Republic — Europe. Before asking any question, I should tell you that I really appreciate your service. As for my question, I would like to ask you about the most common reasons for condom failure as a contraceptive method. I suppose that the most frequent one is condom breakage. But what are the others? I am especially concerned about pregnancy risk implied by the accidental transfer of sperm in pre-cum to condom by fingers while putting it on.


Are condoms from vending machines safe?

PLEASE, PLEASE, PLEASE answer this question for me. Are condoms you buy from machines in the bathroom safe? What I mean is, could they carry some sort of disease or STD or anything that can make me sick (I don't mean allergies)? And also, could you tell me if American condoms are better than other countries' condoms? I read that U.S. condoms are electronically tested for defects or diseases, but I was wondering if other countries like Europe or Thailand or whatever tested their condoms, too. If I was older, I would buy condoms from boxes, but until then, I am stuck buying them from bathroom machines.


Can I treat depression on my own?

I'm a first year college student. Since the holidays I started experiencing a very strong horrible feeling; so horrible I preferred to die than to keep on feeling it (the suicidal thoughts come and go still, but it's not as strong as in the beginning). It's very puzzling though because I don't have a reason to feel like this, not one that I know of at least.

I thought of going to a psychologist, or psychiatrist, but I don't have money to do so, and I thought that maybe I should try curing myself first. Is there any way to try to fight depression by myself? Also, if I don't have a reason to feel depressed, what reasons could there be for what's happening to me? I read in other things you wrote to people that depression may be also caused by chemical imbalances in the brain. How do I know if that's happening to me?


How do I learn to not judge interracial relationships?

I find that I get a feeling that I do not know how to explain; it is sort of a sad, discouraged feeling, when I see a black man with a white woman. I am a black female adolescent (20 y/o). I am not a racist. Also, I know of many people both black and white who are not racists but feel the same way. I am not angry at interracial couples when I see them together or anything of that sort. How can I be at ease when I see them, besides that it is not my business? I want to know what possible underlying causes can make people feel this way. How do I unlearn this habit?


Can excessive orgasming deplete endorphins?

Since orgasms cause a release of endorphins into one's cerebral-spinal fluid and endorphins are also somewhat responsible for the emotion of happiness, etc., is it possible that excessive masturbation and/or intercourse would lead to a depleted level of endorphins in the system that could in turn cause one's affect to become somewhat "flat"? Could a sustained low level of endorphins in the system induce depression and/or mood disorder?


How do I know what condom size will fit me?

1) In my shopping and looking for condoms, I NEVER come across a formal size chart. I have been told that I was "endowed" and that I need to look toward larger sized models, but all I ever see is "snug fit," "large," and "extra large," etc. How big is big? It would be most helpful if I knew what I was buying before I actually bought it. Do you know of the sizes of some popular condoms, or of a size chart resource?

2) I have just started sleeping with my girlfriend and I was a virgin previously. Unfortunately, a slight problem has interfered... I tried to use a condom the first time (a free one from Health Services) and it was too small on me. I only rolled up about 3/4 of the way and was *very* uncomfortable. Is there any specific brand that I could use that would be more comfortable?


Is Mirena safe for those who have yet to give birth?

I have recently been advised that my on-going migraines might be caused and/or increased by the use of contraceptives containing estrogen. To that end, I have been recommended to switch to a progesterone-only form of birth control. Which, in turn, basically means I get to choose between Implanon and Mirena (I really can't stand needles, so Depo is out for me!). I am only 23 years old, and have not yet started a family. I do want to have children someday, and am very enticed by the idea of Mirena lasting to the point when I might want to begin trying to get pregnant. However, all of the advertisements for Mirena state that ideal candidates have already had children.

Is Mirena still safe for use in women who have not yet given birth? If so are there any additional side effects to consider in this instance?


Am I depressed?

1) How can you tell if you are psychologically depressed? How do you ask? What if you are only depressed sometimes? I am a first-year psychology student, I live in college, and I seem to be having plenty of mood swings lately. I used to be very bubbly and enthusiastic and happy and relaxed all the time, but lately, I've just been edgy and sad, and I cry a lot. What's going on? I've been at university now for nine months. I'm only seventeen, and I live away from home (and I'm happy about that). I still have fun sometimes, and I get involved a lot, but then something will happen and I just bomb. I feel helpless and useless and angry because I am unappreciated. It annoys my friends and that makes me feel even worse. What's going on?

2) How do I know if I am depressed and need help? For about a year now, I have been easily irritated, angry, I cry when something sad or happy happens, I have lost seven pounds (last year), sometimes I have a hard time sleeping at night. I go over everything I did wrong in a day, and I have a hard time trying to concentrate on reading. I have wanted to mention this to my doctor, but I am very shy about it. He says I am physically healthy. I have tried exercising, and taking warm baths to help me feel better. What is wrong with me?


How can I make sure my condom works properly? 

1) Recently, during intercourse, my condom broke. Now, of course, I am very worried about it happening again. I am constantly checking the condom during sex and find that the condom is extremely tight against the tip of my penis whenever I check. I am afraid it will get tight again and break. I'm not sure what to do or where to go. Is the condom supposed to be very tight at the tip or not? Any help would be great.

2) Here's my query. I recently started having sex, and we are committed to using condoms. What is the "right" way to use a condom? I know how to put them on and take them off. But I'm petrified about having it break or come off. Also, someone told me that I should pull out immediately after I ejaculate. Is this true? This has happened before, but I have "stayed in" because I wanted my partner to have an orgasm. Is it really important to withdraw immediately after ejaculation?


Why do I choose not to eat?

I really hope you can help me. I'm 21 years old and never had any problems with eating. At 18, I sunk into a very deep depression and since then my eating has not been the same. It started slowly, where I would just skip a meal every now and then, but now I sometimes choose to go for days without eating and it's not because I want to lose weight, even though I have lost quite a bit, I just feel like I can't change anything in my life. I love my friends and I always have a great time with them, but at the same time, I find it so much easier to not eat when with them. That's what I can't understand. Why, if I feel happy around my friends, do I still choose not to eat? I went for almost a week without eating when I was away with them. For some bizarre reason, I feel better about my life when I stick to my decision to not do something, but at the same time, I want to stop, but I'm afraid I'll get really depressed. It doesn't really hurt me, but my friends harass me and I can't help them to understand when I don't even understand. Why am I doing this??


Do birth control pills cause brain aneurysms?

Sadly, today I found out that a friend of my family has just passed away. The cause of her sudden death was a brain aneurysm. I have been researching brain aneurysms and have found out that oral contraceptives are thought to sometimes cause them. I am 19 and I am taking birth control, and now I am very worried. Can you give me some statistics about brain aneurysms linked to oral contraceptives? Thank you.


What are different types of condoms?

1) I've never bought condoms before. I'm a smart shopper — I look at things like quality and value when I buy anything — and I want to do the same with my condom purchases. But I don't know what to look for!!! And I'm not sure I'm ballsy enough to walk up to the pharmacist and ask, "Now, tell me, if your daughter were having sex, which brand of condom would you want her to use with her boyfriend?"

I want a really effective condom, that doesn't, like, smell weird or fit poorly or anything. And I don't want to whip it out and have my man laughing at it.

Who do I ask for advice on this??? Where do I go?

2) My boyfriend and I have recently decided that we will use condoms and spermicide for contraceptive purposes. We have begun experimenting with various brands/types of condoms, which has caused concern. Can you explain the various types of condoms, and/or the advantages/disadvantages of each, i.e., effectiveness, etc. Lambskin vs. latex vs. polyurethane??? We are monogamous and primarily concerned with pregnancy prevention.


Can supplements affect birth control effectiveness?

1) Is it true that taking those Emergen-C packets or any other vitamin supplements can effect the effectiveness of your birth control pill?

2) I know antibiotics can lower the effectiveness of birth control, but can probiotics or prebiotics, such as a floral acidophilus FOS, also decrease effectiveness? I've been taking birth control pills for the past 10 years with no scares or baby bumps, and I don't want to wake up pregnant one day because I took a capsule that's supposed to be healthy! :)


How can I help my friend who struggles with mental health and can't afford professional support?

1) I have a close friend who has a number of rather difficult issues. One of the most important is a long history of abuse (largely psychological) from her mother during her childhood. (She is now 19.) It is incredibly difficult to talk to her about any of these things. I would like her to see Psych Services, but I am worried about the fact that there are only a limited number of sessions available — that is actually one of the reasons she has offered to me as to why it would be a waste of time to go. Unfortunately, the only medical coverage she has is through her mother's medical insurance, she has no real money outside of her parent's control — it would be extremely difficult for her to pay for counseling, in other words, without alerting her parents. What can she do? What can I do?

2) I am actually asking for a friend of mine since this situation is getting worse, and I don't know how to help. The problem is that my friend is very depressed, and has very, very low self-esteem. While sometimes able to be cheerful and "happy," he claims to rarely feel that way and mostly just hates himself. He has mentioned suicide, although I think this is more an expression of the extreme self-hatred he feels than anything. I comfort him and often tell him how wonderful he is — what a good person, good qualities, etc., but I suspect he does not believe me at all. This has been going on for a long time now, and I think it stems from a somewhat unhappy childhood and adolescence. I don't know how to help him and I don't know what to do. I feel like being strong for him is just not enough, and I can't quite convince him that counseling may do some good. It seems to me that, recently, he has been feeling even worse about himself, to the point where nothing will comfort him. He cannot afford counseling, and he has no health insurance. Is there anything you can suggest for me to tell him or suggest to him? Any help will be greatly appreciated, because I just don't how to help him. Thank you so much.


How can I support a friend with mental health concerns when I’m struggling myself?

1) This is more of a coping question. I am a first-year who applied for a single room over the summer and was denied. I figured that everything would be okay nevertheless. I tried to look at the situation as a character-builder. Well, that is not the case. My roommate is very depressed. I talked to the RA on my floor, but she didn't take any action, except to talk with her. Unfortunately, my roommate is so ashamed of what's happening that she denied the facts, and the RA believed her. No one except me has realized yet that she is sleeping most of the day and all of the night, and that it is indeed a real problem. I have expressed my concern to her and encouraged her to go to counseling services. She went a couple of times and then started canceling appointments left and right. I have worried about her, but I have no backup whatsoever, so there is really nothing I can do to help at this point. We get along relatively well otherwise.

Right now, the concern I have is that her depression is pulling me down, too. I literally have not been alone anywhere for more than two to three minutes in weeks. I wanted a single because it's a requirement that I spend some time by myself, and I'm going crazy these days. The lights are always out in the room, and I've noticed that I'm sleeping more than usual myself as the situation has progressed. Also, I am having to deal with some personal issues of my own this semester, and I simply don't have the energy to take care of someone else who desperately wishes that I would do so. Any ideas would be greatly appreciated.

2) I know that when a friend is depressed, it's important to reach out, discuss the issue, and be there for the person as much as possible. But that's quite hard to do when I myself have a history with depression — I feel as if her emotions are taking me back to a place that I don't want to go. I really empathize with my friend and feel her pain, but at the same time know that I'd be useless to both of us if I'm in the troughs too. How can I help without sacrificing my always precarious emotional equilibrium?


How can I put on a condom if I can't retract my foreskin when I'm erect?

I believe I have a mild case of phimosis. When my penis is not erect, I can retract my foreskin all the way back to reveal the glans. However, when I have a full erection, it is impossible to retract the foreskin to that extent. I can only retract it to reveal the slit and top part of the penis. Due to this problem, I have a question about condom use. I'm still a virgin, so I have never experienced intercourse using a condom. When I read the instructions on how to use a condom, they almost always instruct you to retract the foreskin completely if you are not circumcised. Since I cannot retract the foreskin while erect, is it still possible to use a condom without retracting the foreskin, and will this complication affect slippage of the condom or sensation problems during intercourse? On a side note, why is it recommended to retract the foreskin fully before putting on the condom? Thank you in advance.


Do I need to use condoms if my boyfriend might have an STI and not know it?

If my partner and I have been monogamous for three years (and I was a virgin before we met) and my partner tested negative for the HIV virus (twice, about two years ago, with a six-month gap between the tests) is it safe for us to use a birth control method other than a condom? That is, are there still any STDs that my partner might have without knowing it, that we should be worried about, even though nothing whatsoever has seemed wrong with either of us for three years and my partner has had several regular annual physicals in that time?


Is there a connection between cortisol, depression, and weight loss?

I recently went to my doctor because I've been unable to lose weight. I've been on a successful diet, accompanied with a reasonable exercise plan, but I've seen no real results. A series of tests were run — I've got optimum blood pressure, low cholesterol, and I am not diabetic. But, when my cortisol levels were checked — they were very high. The doctor suspected there was a possibility that I might have Cushings' Syndrome — but another test was run and that came up negative.

I was doing research on the internet, and I found that there was a link between excessive cortisol and depression. I was diagnosed with clinical depression when I was 12 (I am now 21). And I am currently untreated. What is the link between cortisol levels and depression? Are excessive cortisol levels a physical manifestation of depression? Or does an excess of cortisol for some other reason cause depression? Does an excessive amount of cortisol cause weight gain, or in my case prohibit weight loss? And if there is a connection — will treatment for my clinical depression (in the form of prescription pills) help me?

I've been unable to find answers anywhere, or at least a good source to tell me to stop worrying — any help would be appreciated.


If I don't take birth control pills at exactly the same time am I unprotected?

I have two questions, first: On my birth control pill box instructions it says to take a pill each day at ABOUT the same time. I was wondering, does this mean that I should set an alarm to make sure I take it the exact minute every day (which is what I've been doing) or can I take it within a couple of hours difference if I decide to sleep in on Saturday?

Secondly: My doctor told me that if I miss a pill to consider myself unprotected for that month. However, after I left I realized that in biology class we learned that a ovum (or egg) can only survive a few days inside the fallopian tubes and uterus and then it get absorbed into the body (or dies). If I missed a pill then wouldn't I only be unprotected for the next couple of days (if an egg was produced in the 24 hr period that I didn't take the pill) instead of the whole month?


Can I take birth controls pills as emergency contraception?

Is there any way for a woman to combine her birth control pills to get the same effect as PCC (post-coital contraception)? If so, what is the dosage? For example, could I take three or four or even all of my birth control pills at once in order to get the same effect? I need to know the answer: How many pills will equal one PCC dosage? Please tell me because otherwise I'm going to take the whole month's worth at once.


Why does my boyfriend have difficulty orgasming with a condom?

After being on birth control pills for the past two-and-a-half years, I stopped taking them because of side-effects. Since going off the pill, my boyfriend and I have been using condoms with an additional spermicide. The problem is that he is having a difficult time having an orgasm. He says that the condoms do not provide him with enough stimulation to be able to ejaculate. As a result of this dilemma, our sex life has become almost non-existent.

Could it be the type of condoms that we are using? We're using latex condoms. What can we do? Our sex life is riding on this!