Can I go off the pill without talking to a doctor?

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)?


How can I get over fear of rejection in romantic pursuits?

I am an undergrad who knows many people at my school. Interestingly enough while I am a very outgoing person and a very self-confident person, I am very shy when it comes to initiating a relationship. I know that I simply am afraid of the big "R" (rejection). I know that this is normal, but I feel that my fear is possibly causing me to miss out on a chance of having a good relationship.

I have been asked out a few times this year, but the guys did not interest me at all (one was divorced with two kids, the others I found nice but dull). All my friends are male, and I talk to them about my problems, but it hasn't helped at all. How can I gain self-confidence in the area of romance (I don't have a problem once I am in a relationship), and why is it that all my friends are males? Am I seen always as the sister or mother type? (Don't get me wrong, I am not interested romantically in any of my friends.)


Why do I lose my erection when I put on a condom?

I care for my girlfriend, whom I have been seeing for a few months now. I have no problem maintaining an erection when she performs oral sex on me. In fact I can climax twice in a relatively short time. We have, however, been unable to actually engage in intercourse, since when we go to put on the condom, I lose my erection. I'm not really having too much of a problem getting erect (i.e., I get an erection, and may lose it early on, but I am able to get and maintain another one for oral sex). What could be the problem? Stress? A lack of physical attraction? I will be grateful for any answer you can provide me.


How can I tell the girl I've been hooking up with that I just want to be friends?

I'm a 25 year-old guy, average looking, and I think I have a normal personality. I met this very nice and pretty girl a little more than a month ago. Almost since the beginning, all she wants to do is go to bed and make love. This was great in the beginning, but, you and some guys out there may think I am crazy, I am starting to get worn out. I like her very much and we get along great in bed, but I want to date her just like my friends date their girlfriends, although my friends tell me they wish they had my problem.

Anyway, when I suggest going out, she shrugs her shoulders and says that she likes to be in bed with me. I'm sure that you get a lot of inquiries about how to move a friendship over to bed. Can you give me some advice about how to move the bed over to a friendship?


What should I do if I'm interested in my nurse practitioner?

I am a graduate student and have been using Health Services for a number of years. On recent visits, I couldn't help but notice a certain nurse practitioner on whom I now have a big crush (pardon the school-kid terminology). On my last visit through walk-in, luck would have it that I got this person to treat me (a random happening--I didn't choose it in any way). I felt somewhat awkward during the visit, yet happy to see this person. Nonetheless, I realize that this is not an ideal state of affairs, but I don't know how to handle it. I am due to return to this same N.P. for follow-up.

Should I tell this person that I feel awkward receiving medical treatment from someone I would rather be dating, or should I just make an appointment with another person? Would it be possible to seek medical attention from this person after letting them know how I feel? If I do end my medical relationship with this person, how would I begin a different one? There don't seem to be many occasions when students and the Health Service staff interact outside a medical setting. I would hate to pass up the possibility of meeting that someone special due to professional constraints that would not hold had we met under different circumstances.


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?


How can I start dating?

I am beginning my sophomore year in college. Last year, I was disappointed to not become friendly with any women. I have been back a week and I'm looking to turn my situation around. I would like to start dating once and for all. Any suggestions?


Is there a connection between Depo-Provera and hair loss?

I have taken three Depo-Provera shots. My hair started falling out excessively several months ago. In looking for answers I found out that this is a side effect to the shots. I was not informed of that before I took the shots. I saw in one of your Go Ask Alice! answers that depo-provera suppresses the Follicle Stimulating Hormone and the Luteinizing Hormone. What is this hormone? Is this what makes my hair fall out? And do you know if there is anything I can do to stop it? My next shot is due by May 15 but I am not going to get it. Thanks.