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Can I preserve my fertility?

I've heard so many horror stories of women who wait until their mid-thirties or later to have children, then find out that they are infertile. I'm 25 years old now and nowhere near getting married or having babies, yet I don't want this to happen to me when I'm ready. What can I do now to protect my fertility and make sure I am able to conceive when the time is right? It's causing me a lot of anxiety!!


What's the process for egg donation and is it safe?

1) I have seen multiple advertisements for egg donation in my school's newspaper. I could sell my eggs for $25,000 or more! That's a year of tuition! There's got to be a catch. When I do some research to find out the procedure and the risks, I only seem to find oocyte donation "businesses" — not the most straight forward sources on the subject. Alice, I trust you! Can you tell me... what have I got to lose?

2) I see lots of ads in the paper here at my school about egg donors wanted. I think that I would like to donate an egg, but I can't find any information on the net about donating — only about receiving a donation. Can you tell me what the process is like, how long it takes, and whether there are side effects or permanent long-term effects? Or point me towards some other resource.


Can I decrease the amount of sleep I need?

Is there any way that I can reduce the amount of sleep I need voluntarily? Right now, I need a lot of sleep (ten hours or more) and I would like to reduce this so that I can sleep healthily for eight hours a night. Is this possible, given the way that my body works? I have heard that it is, that I can "train" my body to require less sleep. It certainly isn't healthy to sleep fewer than eight hours if my body needs ten, of course. And I'm sure that some people are forced to sleep for six or fewer hours a night for years! Do their bodies just adapt?


What's normal when it comes to wet dreams?

1) Are wet dreams in a sexually active 23-year-old male unusual?

2) I only had about three to four "wet dreams" in my entire life and now I'm 20 years old. I wonder if it is normal, or it's because I masturbate often that I don't have these kinds of dreams. Is there a way of having one like that again?

3) I have a normal sex life with my wife (once or twice a week), but I have been having a problem lately. I have had about four wet dreams last year. I don't know why but I feel really bad about this. Is there something wrong with me? How can I stop this???


Why am I having sex dreams about my dad?

I am having these really weird dreams. They start off with me flirting with an older gentleman and then it evolves quickly into heated sexual passion. The thing that is really disgusting about it is that the older gentlemen switches personalities from random strangers inevitably into my father. I'm really upset about this whole "Electra-complex" thing and it rudes me out. I always wake up when it starts getting too heated and then I feel really ashamed for having dreamt it.

I have a good relationship with my father, although sometimes I wish that he would pay more attention to other aspects of my life other than my schooling and career. Is there something wrong with me? I am happy in my relationship with my boyfriend, I have lots of friends who care about me, I'm doing very well in school, etc., but I don't know why these dreams are happening all of a sudden. PLEASE HELP! Where can I go to seek more answers?

Maybe I should also tell you that my boyfriend and I are very good friends and I love him to death, but sometimes the sexual spark isn't there as it was with prior boyfriends. I don't know if this is because we have been together for so long (about 5 years) or if I've just gotten old and crotchety, but then where do these dreams fit in?


How do I tell my girlfriend I'm sterile?

I am an 18-year-old male. And I lost my ability to reproduce in a bull riding accident at a rodeo I competed in about two years ago. I would like to father children more than anything. And now I have a girlfriend who is talking of wanting to have kids in the future. But I can't bring myself to tell her that I can't because I still haven't dealt with the problem of coping with it myself. I need to know how to deal with the fact I cannot have kids, especially now that my significant other wants them, but is ignorant to the fact that I am sterile. Please help me ASAP! This is tearing me apart.


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)?


What is my risk of postpartum depression as a mom-to-be with social anxiety disorder?

I'm an anxious person. My clinical diagnosis is social anxiety disorder, but I have anxiety in many other situations and a couple of phobias to boot. I've seen therapists on and off for the past 20 years and have been on multiple SSRIs (I am off of anti-anxiety medications currently). I manage my anxiety with plenty of exercise, sleep, and relaxation exercises, but mostly I just accept that this is the way I am. My husband and I are starting a family soon, and my new worry is post-partum depression or anxiety. If I'm already moody, will the hormones and stresses of pregnancy drive me completely crazy? Does having a history of mental illness put me at a greater risk for developing a disorder like post-partum depression? Thanks for your help!


When should I take a pregnancy test if I have a late period?

My period is late this month, and I'm afraid that I may be pregnant. The weird thing is, though, my partner and I never actually had actual sexual intercourse (in other words, there was no penetration). I'm wondering if the wet environment could still be a risk. I'm hoping that it's due to stress and fatigue with finals coming on that causing this delay. How long should I wait before getting tested?


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?


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?


Is it possible to have orgasms after childbirth?

My wife and I had our first child last July. Until about 3 months ago, she was unable to reach orgasm at all. Of late, she has very small one's, but they don't seem to be getting much better. Prior to having the baby, she had strong, very quick (3-5 minutes) orgasms 90% of the time. I know the stress of being at work rather than home with the baby could play a part in this. Is this common and is there a way to mitigate the problem? 


How can I address being an "over-active" sleeper?

My entire life I have always talked in my sleep. According to my parents, it is just something I do. Both my parents say that it is almost impossible to sleep with me because I'm constantly kicking people, screaming, moaning, grunting, or anything else active in my sleep.

It's never been a problem for me, because I never remember doing any of it, unless I wake myself up while screaming. But now that I'm living with my fiancé it has become a problem. He's a lite sleeper and well... I'm not. So when I'm moving around I wake him up, and he never gets a full night's sleep. He's even occassionaly taken to sleeping on the couch. So I was wondering if there was any methods medically or herbal which might be able to stop my over-active sleeping patterns.


What are the health effects of only having one ovary?

I'm a 19-year-old female. I had my right ovary removed (oophorectomy) three years ago due to a very large ovarian cyst. I was assured by my gynecologist that I'm still capable of bearing children but wasn't informed thoroughly of all of the pros and cons in regards to this type of operation (e.g., can the estrogen loss have any negative physical affects?). If you could shed some light on this matter, it would be greatly appreciated. Thanks.


How do I get the most out of an all-nighter?

Some roommates of mine and I have been thinking about sleeping lately.

Usually we're all told to get eight to nine hours of sleep, and a lot of the time we do! The problem is, once in a while, when there's an essay to write or exam to study for, I or my friends may end up having no choice but to be up until 6 in the morning. No one's really explained what the best thing is to do if you have to be up.

What would you suggest? Should we eat? Take a quick nap before class, sleep during the afternoon or wait until evening? Any suggestions you have would be great.


What are the effects of staying awake for long periods of time?

1) What are the long-term effects of sleep deprivation?

2) Me and a few friends are planning on doing a fundraiser where we stay awake for five days straight. At first it was a great idea, but I started thinking about if there might be some serious damage to our bodies for staying awake that long. Will there be any long-term or short-term damage for staying awake for five days? If so, is it safer to stay awake for three or four days?

And how long can the body really go without sleep?


Does wearing ear plugs disrupt the natural ear cleaning process?

I am a very light sleeper so I began wearing ear plugs to be able to sleep uninterruptedly. I moved into a quieter neighborhood now and thought that I would be able to sleep without them but it turns out that my boyfriend is a snorer and so I have to keep wearing them. I know that ears clean themselves out at night but because I'm wearing the ear plugs I have a lot of wax build-up. How can I clean my ears? And also, do you think that prolonged use of ear plugs can cause some kind of damage?


What's polycystic ovary syndrome?

1) This is in reference to your Missed periods Q&A. Another cause of missed or late periods is PCOS (polycystic ovary syndrome). A lot of health care providers don't seem to be aware of this syndrome. In this syndrome, missed or irregular periods are caused by unusual hormone levels, sometimes in combination with insulin intolerance. Because missed and irregular periods cause scar tissue build-up in the uterus (which may cause endometrial cancer) and may cause infertility, it is important that your readers know to ask their health care provider about this syndrome. There are obviously other symptoms and complications, but I just thought that I might mention it to you so that you might read up on it for your readers. Thank you.

2) I was recently diagnosed with polycystic ovary syndrome (PCOS). I'm only 17 and am afraid that this will affect my chance of having children. Should I worry? Also, I know birth control pills will help me regulate my period, but if I take them, will it stop the effects PCOS has on me? Like me gaining rapid weight, missed periods, and losing my hair? This is really worrying me. Can you inform me on this syndrome?


If I'm recovering from anorexia, when should I expect to get my period back?

I was anorexic for three years and I have been in recovery for two. At the moment, I am doing well. I have a healthy weight, I eat a balanced diet, I work out regularly though not excessively, and I feel good. However, I haven't had my period in about three years now. I had been told it would come back once I reached a healthy weight, but so far, no deal, even though I've been at this weight for over a year now.

Before I became anorexic, I did get my period regularly. I am 23 years old. I am taking a calcium supplement daily to prevent osteoporosis, but I would feel more comfortable if I did get my period again. What is going on? How worried should I be? Should I go see a doctor? What can I do about this?


What can I do to stay concentrated while I study?

1) My problem is this: whenever I have to study late at night, or do anything late at night, I usually have trouble (a lot of trouble) concentrating on whatever it is that I have to do. I'm not going to try anything like No-Doz, but when I drink coffee or anything with caffeine, it just knocks me out even faster. I can't believe it — it's like caffeine's some kind of sleeping potion for me. Some of my friends say eating while you work can help you stay up. I tried that, too. Didn't work. Any suggestions? Or am I just better off sleeping and leaving the work 'till the next day?

2) I am a junior in college. I am pre-med which means I study all the time. However, I can really only focus when I study at night. When I study during the day, it seems that I cannot recall as much information as opposed to studying late at night. How come I can't stay focused during the day? What should I do to help me concentrate during the day?


Are short sleeps and long naps healthy?

I find that I'm most alert late at night, and at school I'll stay up till three or four in the morning. Since I've had morning classes in the past, I've tried to form a habit of going to bed earlier — around midnight or one — but realistically, I don't think this is ever going to happen. I was thinking of trying, when I go back to school this fall, to go to bed around three or four and sleep for four hours, and then also take a four-hour nap during the day. Is this a good solution, or will I be more tired than if I sleep eight hours straight at night? Thanks!


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?


Is my vegetarian diet making me feel tired?

I am a vegetarian and frequently feel like it takes a long time to "wake up" in the morning and some days I feel like I never quite get there. I can't help but think this may be diet related. I went to a doctor for a test for anemia which was negative and I always try to get a good nights' sleep (six to eight hours). In the past I have tried to gain weight and failed miserably. I remain a little underweight but get a good deal of exercise each day. Any ideas?


Can lowered testosterone levels in women reduce sex drive?

Do you have any information on the effects of low testosterone concerning sexual desire in women? After I got pregnant, I have had a significant drop in sexual desire and think it could be related to low testosterone. Any info on the subject? By the way, this problem had nothing to do with stress, marital problems, or the baby. Everything in my life is great except I lost my sexual desire and want to get it back. THANKS.


How can I wake up earlier?

I have the biggest problem getting out of bed in the morning. I set two alarms and I still go right back to sleep. For this reason, I am always running late to work. Do you have any suggestions on how I can make myself get up earlier in the mornings?

Thanks in advance for your help!


What should I do if I'm pregnant where abortion isn't legal?

I am really nervous because my period is a week late so far and I am studying abroad in Egypt. I really don't know who to talk to about this. Premarital sex is a big taboo, abortion is illegal, and I can't even find a pregnancy test at a pharmacy. What should I do? I can't come back to the U.S. with a big belly — I can't tell my family! I am so afraid! I left the U.S. a month ago (my partner is still there). I read that jetlag can influence your menstrual cycle, as can weight gain or loss. I was jetlagged, but my weight is more or less the same (except I am eating more rice and oil than I do normally). Could diet change your cycle? Anyway, I guess my main question is, what should you do if you find out you are pregnant in a conservative country where abortion is illegal and don't have enough money to fly home and back? Thanks.


What should I do if I'm pregnant and undecided?

I am nineteen-years-old. I just found out that I'm pregnant. I have been with the guy for two years and in college for one year. We are not financially stable. We have given it a lot of thought, but still do not know what to do. I have looked at the pros and cons and still I'm not sure. I have three little sisters and know that raising children is a hard job. Throughout this time I have leaned more toward the abortion, but don't feel like I know enough about it. Can you please HELP?