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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!!


Does a snack at half-time boost energy to finish a sports game?

My soccer coach is suggesting we eat bananas at half-time of our soccer game to rebuild our energy for the second half. I understand that bananas are a very good source of energy, among other things. I don't see any detriment to this idea, but my question is this: Does the consumption of bananas result in an immediate energy boost? I have always been led to believe that food must be digested through the system before the body realizes the benefits, and that usually takes several hours. Can you enlighten me?


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.


Is fear of dietary fat considered an eating disorder?

Are there other types of eating disorders other than anorexia and bulimia? For example, I have this fear of unnecessary fat in food and eat everything "plain," that is, without butter, oil, dressing, or sauce, etc. I thought that it's good that I'm this health conscious, but my friends say that it's a little obsessive. Is this an eating disorder?


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)?


Are grains and vegetables sources of protein?

I know that plants (besides soy) are considered "incomplete" protein sources, because they don't contain all of the essential amino acids. However, why is it that the nutrition facts of many grains and vegetables say they have protein? For example — a serving of pasta has seven grams of protein, corn has twp grams, and chickpeas have six grams. Is this considered "incomplete" or "complete" protein, and how can you know how much complete protein you are eating when you mix, for example, a serving of corn, and beans? I think average people should eat 50 to 60 grams of protein a day, but how can you ever know how much you are really eating if you are mixing incomplete proteins that together contribute to your day's protein requirement?


Are other drinks besides water still hydrating?

I frequently hear that beverages with caffeine or alcohol are not good for replenishing fluids and preventing dehydration. But in reality aren't they just a bit less effective at hydrating your body than other beverages? In other words, if you were stuck in the desert with nothing to drink but beer, coffee and cola, would you actually be worse off and die of thirst sooner if you drank these beverages versus not drinking anything at all?


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 drinking tea without tea bags better for you?

You've been a hero(ine) of mine for quite some time. I hope YOU can answer this question (it seems no one else can).

I've been reaping the benefits of green tea for about a year now, and I feel great! Just recently I began opening the tea bags after brewing, and putting the tea leaves in with the actual brew and drinking the leaves as well. Does this add more health benefits to green tea? I would think so! So far, no one has been able to answer this question directly. Please let me know if you know!

Stay Awesome Alice! May your boards hum forever!


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?


Why am I insatiably hungry and losing weight?

I've read a lot lately about midnight snacking and late night eating and obesity and calorie worries, but my problem lies in the opposite direction — I'm LOSING weight, and insatiably hungry, day and night! The only advice I get is, "Eat healthy," which is preaching to the choir, since I consume more fresh produce, mostly vegetables, and home-cook all my own meals. At a recent nutrition check-up, the nutritionist patted me on the back in congratulations for having one of the healthiest lifestyles he's seen, and shrugged at my inexplicable hunger. The fact is, I'm in the kitchen every other hour, and my body doesn't differentiate between awake and asleep anymore when it comes to hunger. I go to bed on a full stomach, and wake up every three hours to eat again. It's exhausting! I'm falling asleep during the day — but never more than an hour, because hunger strikes. And amid all this, my grocery bill climbs and my weight drops. I don't get it. What am I doing wrong?


Am I too nuts for nuts?

I just checked serving sizes for different kinds of nuts, and it turns out that I eat 500 to 1,500 calories worth of nuts every day. I eat a couple of different types (almonds, peanuts, cashews) and nut butters. I've never had a problem with this; I'm on the thinner size of average and feel relatively healthy. I know nuts are healthy for you, but can they be too much of a good thing?


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? 


Are waxy fruits safe to eat?

I get the apples provided in the dining hall on campus every day and have noticed that they are completely coated with wax (scratching the surface produces white flakes). I was wondering, how harmful is the wax if I eat two or three apples a day?


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.


Should I be concerned about BPA from hard plastic water bottles?

I use Nalgene bottles for about 75 percent of the water I drink each day. Therefore, I was startled to find out that there is some possibility that these bottles leach chemicals into the water. I've found conflicting opinions about the veracity of these claims on the Internet. What's the truth? Should I dump my Nalgene for glass? You have an earlier post about bottled water, but it doesn't seem to address this issue specifically, and you recommend purchasing reusable bottles like the ones that might be poisoning me. The bottles I use have #7 on the bottom in the recycle symbol.


Are overcooked pasta and beans still nutritious?

I know if I cook vegetables too long, they would lose nutrients. How about pasta and beans? Do they lose their carbohydrates and proteins and other nutrients in them if I cook too long? I always cook pasta and beans for over an hour because I like nice and soft and plumed pastas and beans. Am I eating zero nutritious pasta and beans?


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?


Is raisin bran a good source of iron?

I was recently turned away from a blood donation site for slightly low hemoglobin. I'm a menstruating woman and a vegetarian, so it wasn't a big shock. I'm trying to add more iron to my diet in the form of beans and cruciferous veggies and eggs (cooked on cast iron!), but I've run into some confusion. The pamphlet I got from the blood bank suggests raisin bran as a very good source of iron. Several health articles and studies I've found online also point to raisin bran, but others say that wheat bran inhibits iron absorption and should be avoided when trying to raise iron levels. Sometimes the conflicting information comes from the same source! Can you shed any light on this, Alice? Would a bowl of raisin bran a day help or hurt my iron intake?


Is there a connection between soy products and male impotence?

I once read an article stating the soy products (espcially soy milk) can lead to impotence within males if taken to a high degree. I go through random bouts in my life where I cut out cow milk completely and drink just soy milk for long periods of time (not because I'm lactose intolerant but for argued health benefits). I'm just wondering whether drinking strictly soy milk every day (at least 3 10-oz. glasses for me) is overkill.