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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.


How can I tell my religious parents that I'm a lesbian without them disowning me?

I have a question that I am very afraid to ask anyone else. I am a 21-year-old college student who has been in a three year lesbian relationship with my college roommate. We are both deeply in love with each other and when it came time to tell her parents about our relationship, they were very supportive of our decision. My parents, on the other hand, are a different story. I was brought up in a very strict Roman Catholic family, where homosexuality is very much frowned upon. How can I tell my parents that I am a lesbian and make them understand without disowning me?


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?


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?


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? 


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.


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?


Was I discriminated against?

I'm an Ethiopian student at a university in the US. I have been living in this country for many years and I love it. However, I've noticed a certain trend in people's general reaction concerning my place of origin. I speak English with no accent. When people first meet me, they assume that I'm an American. As such they behave normal until I tell them that I am a citizen of Ethiopia. At this point pretty much all of them immediately seem to develop a sort of superiority complex and start treating me as if I were an inferior being. They seem to respect me less and tease me every way they can. My opinions (even professional ones) are rejected as unacceptable.

Frustrated with this extreme prejudice, I lied to some of these people and told them that I actually am an American and not an Ethiopian. I noticed immediately that their attitudes towards me changed and started treating me as an equal. Encouraged by the result of this little social experiment, I've shied away from telling my place of origin to people to avoid mistreatment. However, I feel guilty doing it. Was I discriminated against because of my place of origin? Any words of wisdom for me, dearest Alice?


How do I understand my racial identity?

I'm black and I have many white friends. It doesn't bother me at all until I get around a lot of other black people or around certain family members. Sure some joke around with me saying I'm an "Oreo." But it really gets to me. I'm tired of people saying "acting white" or "acting black" or "the man keeps putting the black man down." It doesn't take long for race to come up in a conversation with some people. And that's when I really feel out of my element. I know no race is perfect. But I feel like where blacks are now is nowhere near what Dr. King was fighting for. Maybe I'm too emotional about it, but everyday I still wake up black.

For instance, I love all types of music, including rock, classical and country music. And these are some reactions: 1. Why am I listening to that "white people music"? and 2. I feel out of place if I don't know one of the latest rap songs. It's little things like this that just make me want to wish there weren't any races. But races and different cultures are beautiful and so much can be learned. I'm happy and comfortable with myself, but not my race as a whole. And on some days, it really gets me down to a point where I just cry. Am I just chasing an insatiable dream?


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?


How can I deal with disapproval of my interracial relationship?

My question is about interracial relationships. I came here from a really small town, very conservative — well, you get the idea. Now, my second week in, I met the most wonderful man. Only he is black. We have been dating now for over a year. He treats me wonderfully but I still get odd looks from people and my parents really don't approve.

I told them it shouldn't matter what color his skin is if I love him, but their small town values seem to say otherwise. How can I cope with the odd looks and my parents without losing my man?


How can I stay safe in a homophobic school?

I'm a teenage gal in a great relationship with another girl who goes to my school. We're both out to our parents and some friends, with okay reactions. The problem is, our school is pretty homophobic, and word is getting out that we're dating. My parents worry we might be physically or verbally assaulted at school. My neighbor, who owns guns, has already asked me about it, and I'm scared for our safety. What can two girls in a homophobic suburban school do? We don't have the same support system some college students do. We don't have a GSA and I don't trust any of the school staff much. Please help!


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.


What should I do if I'm worried about my sexual inexperience?

I grew up in a religiously conservative family, and now I go to a private Christian college. I will be a junior this year, but I've known since freshman year that the school and the religion just weren't right for me. I love the education, but I'm afraid I'm sexually deprived. When I hear all my friends who go to public school talk about parties and sex, it makes me feel like I'm really missing out. I wanted to transfer, but it just isn't fiscally possible. I'm a very mature person, but I haven't done anything sexual (not even kiss!). The girl to guy ratio at my school is 3:1, and most of the boys are very awkward. I want to experiment, but no one at my school does that. I'm afraid that when I graduate, I still won't have done anything, and no one will want me because I have no experience.


What should I do if my religious parents find out I'm changing faiths?

I need some good advice. All my life, I've been raised as a Catholic. Both my parents are fairly religious, but I have completely lost interest in Catholicism as a religion because I feel it does nothing for me but preach and tell me how to live my life. It has now gotten to the point that I have become very interested in alternative religions, so much so that I want to change faiths. However, I'm terrified my parents will find out. What should I do?


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?


What should I do if I'm a conservative Christian and I'm considering sex before marriage?

I'm a Christian, very conservative in upbringing, and I'm having difficulties in discussing sex in an open and casual manner. I told my male friends that sex should be done within the parameters of marriage. But they told me that I should have a first sexual experience so as to satisfy my wife or maybe a girlfriend (I don't have one yet). Should I follow their opinion regarding this? Should I first know the sexual dynamics of sexual intercourse before doing it with her?

I would appreciate your kind response.

Thank you.


Do mumps and swollen testes affect fertility?

I have a question about mumps: I had mumps while I was thirteen-years-old. I remembered that because of embarrassment. I was afraid to tell my parents about the inflammation (swelling of the testicles) at the same time I had mumps. I did not have treatment for the swelling of my testicles due to mumps. Later, the swelling went away about the same time as my mumps. Although I still can produce semen, I am deeply disturbed whether that swelling could have hindered my fertility (i.e., no production of sperm due to the blockage of the sperm channels).


How to gain weight while recovering from bulimia?

I was bulimic for about four or five months and went from 5'6.5" at 115 pounds to 95 pounds. I have not told anyone, and will not, so please don't ask me to, but I am back up to 110 to 112 pounds and pretty much graze throughout the day so I don't throw up. I mostly snack on white bread, fruit, potatoes, and cereal in large portions, but want to stop and eat a healthy, more balanced diet. The problem is, I am not sure what a healthy weight should be. Charts say I am too skinny, but I don't believe it because I know girls in the media are thinner than me and they seem fine. I want to be as small a weight as possible without being unhealthy. I skipped my period for three months but did get it in January. I have not lost any weight since then though, and I should have gotten my period about a week ago but didn't. I don't understand, it is so confusing, can you help me?


Can a catholic and atheist get married without any issues?

I know that this isn't exactly your province, but I was wondering if maybe you could direct me to another website that might be able to help us. My boyfriend and I are both college students. We have been together for quite a while and are starting to think about becoming engaged, but there is something that disturbs us. He is a religious Catholic, and I am an equally devout atheist. This is not an issue now (we're both very respecting of each other), but we're afraid that if we become more serious, it might be a problem. Are there any resources you could suggest to us for ways to handle this? Or stories of couples that have faced similar issues? Thanks!