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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.


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?


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?


Why do I keep getting trichomoniasis?

I ended a relationship about a year ago. I have always seemed to have a yeast infection when I went to doctors before. In my relationship I had went to the doctors before because of discharge and just told them I didn’t need to really be looked at because I know what it is. Well at the end of my relationship I went to the doctor to get a whole check-up. Come to find out that what I thought was a yeast infection turned out to be trichomoniasis. I think I have had it for a couple of years now. I have gone to be treated for it two times. Each time it would go away and then come back. I was wondering if it was because I had it for such a long time?


How can I help a friend who’s struggling with alcohol?

1) I have two friends who I think are drinking too much. I don't know what to do. They are very defensive should anyone say anything to them about their excessive habit, and a lot of our friends are giving up on them. This has become a daily thing and their schoolwork and friendships are all suffering. They are both 21; one recently broke up with his girlfriend of several years and the other has been single for a while and he hates it. I know that has a lot to do with it. Please suggest some non-intrusive ways to help them. I'm really at a loss.

2) Last year, I became very good friends with a guy on my floor. He was a little out of the ordinary in the way he dressed, as well as in some of his opinions and habits. I had the feeling that he did drink more than he should, and he also did pot. I did not worry too much about it because it appeared to be more of a lifestyle choice than an addiction, and it did not cause him major troubles.

Unfortunately, he started to have academic problems. He did not do his work, missed classes, and eventually exams as well. I still did not relate these things to his alcohol and drug habits, and I hoped that once he got over the adjustment everyone needed to make in freshman year, he would be fine. Well, he wasn't. He did not come back to school this fall, and when I called him, I learned that he had gone through a lot that summer. He was diagnosed with depression and a cocaine addiction, put on Prozac, and sent to therapy. At that point, I thought that he was on the right track because he was also going to get a job and planning to take classes at a nearby college.

However, when he came to visit me a month later, he had already had two beers before he even came here and got more and more drunk as the evening progressed. I would not let him drive home, but he ignored my warnings and left anyway. I was very disturbed because a friend of his had just been in a drunk driving accident. I was very mad at him, told him clearly that I will always be his friend but prefer not to talk to him or see him if he showed up drunk again. He did not call for a while and neither did I. When he called me yesterday and I told him that I thought he should do something about his alcohol problem, he kept repeating his excuses, that he drinks because he is Irish, that he doesn't care if he dies early as long as he had fun in life, etc. On the other hand, he can't find a job and seems to be very depressed. I want to help him, but I don't know how. Any ideas?


Can I get AIDS from a mosquito bite or by handling raw meat?

1) Can you get AIDS from a mosquito bite? I heard you can't, but I'm really paranoid about this. Actually, it wasn't a bite — I squashed the bug and all the blood in it splattered everywhere and then here I am with someone's blood on a cut in my finger. HELP! I'm really freaking out. I don't know if I should get tested or not again, because I did get tested before (negative), but the anguish of waiting for results was horrible. Maybe I'm just ultra paranoid?

2) Is it possible to contract AIDS by handling raw bloody meat?


Is it normal for straight men to masturbate together?

1) I'm a 21 year old male virgin. I have a male friend the same age. Every now and then we watch an X-rated movie together and masturbate at the same time and in the same room. We have done this for a number of years. We are both straight. Is this a normal act for men or not?

2) I'm male and eighteen. I have known my best friend for over two years now. He is the same age, and we are roommates in college. We are straight and love women. But every now and then we will sit beside each other and masturbate each other before we go to bed. Is this normal? Or is there something wrong? Should we be doing this at all?


Will Valtrex protect me from developing genital herpes from a partner who has a cold sore?

Dear Alice, 

I take Valtrex daily to protect me from cold sores I get on my face. I haven’t had one since I started taking it a few years ago. My partner gets cold sores on his mouth and has recently performed oral sex on me while having a cold sore. Will the daily Valtrex protect me from developing genital herpes? How will this affect me in the future?


How can I get rid of pubic lice?

1) I have recently discovered that I have what appear to be crabs in my pubic hair. They are itchy and annoying and appear to be laying eggs. How do I get rid of them?

2) I think I have pubic lice, a.k.a. "crabs." Do I need to see a doctor about this problem, or is there over-the-counter medication of some kind I can use to expel the little buggers from their new home? Also, I'm curious as to how I got them since I haven't had sex for several months and this is a recent development. Can one contract this problem from sharing clothing, towels, or bedclothes?


How long does it take for HIV antibodies and symptoms to develop after exposure?

My question is about AIDS/HIV: I had a sexual affair that lasted two-and-a-half months, and, unfortunately, I was not using condoms. I happen to know nothing about my partner's previous sex life. I know that, for a test to show something, you must wait for six to nine months. I would like to know whether, provided that I am infected, I will experience any symptoms in this six to nine month period? Is it possible to have the virus and not have any symptoms or indications all this time? Right now, I am a graduate student and I am experiencing anxiety, fatigue, sleepiness, weight loss (three to five pounds in the last two months). Are these related to the disease, or is it just in my mind?


Can chlamydia make sex toys a vector for reinfection?

I have looked through your archives but have not found an answer to my question. I was diagnosed and treated for chlamydia about a month and a half ago. Do I need to get rid of any sex toys I have? Is it possible to become reinfected by using a sex toy that you used while you were infected if you wash it before using it? Please help me find the answer to my question. I really need to know ASAP! Thank you in advance.


Can I have some details about gonorrhea?

1) What are the symptoms of gonorrhea?

2) How long of a time frame could you have gonorrhea and not know it? The doctors say you can't track how long you have had it so how do we know? I feel my last partner gave it to me and that was nine months ago. Is that possible?

Thanks. I can't get much information in regards to this subject so I have no idea. And it can't be received from sitting on a toilet or anything of that sort, correct?


Do I have to disclose my past HPV diagnosis?

I was diagnosed with HPV three years ago, it has since cleared — become undetectable. Since being tested and learning that I had HPV, I'd been in relationships and told my partners prior to having sex that I had it and we always used condoms. The last pap I got showed that the virus had become undetectable. I'm currently single and what I'm wondering is, if I have casual sex (with a condom, of course), do I have to tell the person that I've tested positive for HPV?


What should I do if we became intimate before I told him I have herpes?

I recently started dating a man. On the first date, we became intimate (which I did not plan on happening). The day after, I told him that things moved too fast and that maybe we should get to know each other before becoming intimate again. My big concern is that I have genital herpes, and have been faced with the problem of becoming intimate before sharing that I have herpes. I came up with a plan on how to share this info, but it didn't happen in this particular relationship. Now, I don't know what to do because I am worried that I have shattered the trust in this relationship. Should I just walk away from it and use it as a lesson on how to approach a relationship next time or tell him?


How can lesbians protect themselves from herpes?

1) All the information I have found about herpes is written for heterosexual couples. Are there studies about herpes in lesbians? How can I prevent transmission of the virus to my partner? I'm totally asymptomatic.

2) I'm female, in a relationship with another female. She is okay with the fact that I have herpes. I JUST NEED TO KNOW HOW TO PROTECT HER from contracting the virus. Please help me out here.


How effective are at-home HIV testing kits?

I got tested for HIV a year and a half ago. Since then, I've been with two other people. One guy was a virgin but we had unprotected sex sometimes. He was tested in December (after us being together for one year) and it came back negative. I'm afraid to get tested again because I heard that the guy I was with two years ago before I was tested is HIV positive. I was already tested after I heard this and it came back negative. But, people around campus just won't stopped talking and I'm starting to panic. So, I thought about doing an at-home test because I'm too scared to go to the clinic. I found an at home test that says that you can get at home results in 15 minutes.

It's called the HOME ACCESS and it says it's FDA-approved. Is this accurate? Also, I have another question: with the information I provided you, do you think I'm at risk?


Can I bond with teammates without alcohol?

I am a freshman on a collegiate varsity sports team. Team gatherings, when we are not practicing, usually consist of excessive drinking with and without drinking games. I did not drink in high school and when I tried drinking with the team it made me feel really sick. I want to bond with my teammates (they are really great when not drunk) but I don't know how because if I am the only guy in the room not drinking I can't play drinking games with them, discuss favorite types of alcohol, or even carry on a real conversation because at a certain point in the night they stop forming coherent sentences. I need to be friends with this group of people but I would like to do so in a way that allows me to remember the night in the morning. Is this possible? What should I do?

While I don't really approve of their lifestyle (why devote six days a week to practice only to reduce your performance with alcohol?), I make no moral judgement. I don't want to change their way of doing things, I just want them to respect my way.


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?


At what age can I get the HPV vaccine?

I am 28 years old, and became sexually active two years ago. My husband is the only man I've ever had sex with, and I am his only sexual partner as well. Where does the gene or whatever it is that the HPV vaccine helps guard against come from? Because I'm too old to get the vaccine, are my chances of getting cervical cancer from this particular gene increased then? Thank you for your help.


What are my chances of getting cancer if I have high-risk HPV?

I just found out I tested positive for high-risk HPV. My pap smears have been normal for years. I'm 45 years old and have had lots of basal cell skin cancer. I'm scared to death of getting cancers that are caused by HPV. I'm so stressed. What are the odds that I will actually get cancer, now that I am supposedly high-risk? It appears there it nothing I can do at all to prevent this from happening other than keeping up with my visits and pap smears and hoping I beat the odds. I just wonder at how much risk am I when they say I am HIGH-RISK???


Are there routine STI tests that I should be doing?

I have talked to my doctor, to my local Planned Parenthood, and to the local health department. I have gotten the same story from all of them, that unless there are symptoms or a reason, one shouldn't have STD lab work done (or that there wasn't a 'routine' inclusive screen). It wasn't until recently that I discovered that a lot of STDs are asymptomatic. Are there 'routine' tests that should be performed for each of us (besides my normal annual)? If so, where can one go for this kind of testing and what should be tested for?


Can you get HIV from fingering someone?

1) While I found a lot of info on oral sex and AIDS on this blissfully honest site, there didn't seem to be any info on "fingering" (not sure of the technical term?) a woman. I'm in a high risk AIDS country and recently "used my fingers" for a couple of minutes to delight a local woman who has turned out to be having her period. After noticing a considerable amount of bloody discharge, we stopped. But do I have a considerable AIDS risk? There were no cuts on the fingers I used but a small, possibly healed, cut on the thumb of the same hand. Break it down for me. I'm a bit on edge.

2) Can you contract HIV from anal fingering your partner if you had cuts/scratches on your fingers?


Who will see my STI test results?

I have been thinking about getting tested for STIs for a while now but have been concerned with medical privacy policy. From the research I have done, I have not been able to find if I tested positive for an STI would I be referred to in name as a 'risk to public safety' or simply as a statistic. I know that this will be placed in my medical records and documented for the rest of my life. Will I have a label attached to my name for the rest of my life? Who will be notified if I do test positive for something like syphilis or herpes?


How do I talk about ableism without losing friends?

I have an invisible disability and I'm really getting into disabilities activism. Even in liberal circles ableism is still pretty accepted and this upsets me. However, when I try to educate people around me, it sometimes goes awry. I had one friend get upset when I called her out for using the word "retard." Another got upset when I pointed out that her Facebook post of inspirational people with disabilities (that just showed people with disabilities doing normal things) was a little offensive and tried to tell her about "inspiration porn." I get that using the word "retard" is normal as is "inspiration porn." I just don't think it should be.

I know my friends are caring, socially conscious people. I expect people to be a little upset, but ultimately I would also expect them respect the fact that it's really not OK to objectify people with disabilities in the way that inspiration porn and the use of words like "retard" do. What I want to know is how do I point out that people are expressing a harmful social bias, without having them get so upset that they write me off as an over sensitive concern troll?


Should I smoke?

Hi! Your site is very helpful. I have a few friends who smoke. We are friends since the past four years; they started smoking about a year ago. They tell me to smoke, I don't do it, so they call me a jerk. I have never TOUCHED a cigarette in my life.

Should I smoke?

If I smoke one cigarette about once a week, will it harm me in any way?

Will it make me a chain smoker?

Which is the safest brand of cigarette, health wise?


How can I have fun without drugs?

I think it would be a good idea for me to stop smoking marijuana and cut down on my drinking, at least during the school year. The problem is, I have been doing it for so long it is almost as though I have forgotten how to have fun without it. Contributing to this problem is the fact that many of my friends smoke or drink to have fun. Many of my other friends just do not seem to have fun at all; they stay in Friday and Saturday nights to do work. I've found it difficult to quit, I think because I'm just not sure of what's out there to do that's fun without being stoned or drunk. Can you recommend anything that's fun whether you're intoxicated or sober, so that I don't have to stop hanging out with certain friends if I want to relax and have fun? I want to finally enjoy life without relying on an altered state of consciousness. What's there to do when you're sick of renting movies? Also, any tips for resisting the urge to take people up on their offer to toke up? (I'm never pressured into it, but it's like the dieter who's offered some chocolate cake — it's there, it looks sooo good, and the fact that other people are doing it makes it seem more "okay.") Thanks so much.


Can I hang with younger students?

I am over 26 years old but I still am an undergraduate student. I find myself constantly hanging out with people much younger than I am and I sometimes feel out of place. Is it wrong to hangout with a younger college crowd?


Why am I itchy after the condom broke?

I've just had my first condom break ever. I'm on the pill, so I'm not worried about pregnancy, but a couple of days afterwards I had yeast infection-like symptoms — no unusual discharge, just itching. If I pick up some over-the-counter yeast infection medication and the symptoms go away, would I be safe to assume that was the problem? Or should I definitely go in for an STI check?


Is it dangerous to have sex with animals?

1) I recently had intercourse with a sheep at a friend's house. He is a sheeprancher and one day he was talking about how good it was. He left town for a few days and asked me to feed his animals. I took the chance and gave it a try. The strange thing is that I enjoyed it more than having sex with my girlfriend. When I was a young lad I was molested by a female babysitter. I was wondering if you may think that the earlier incident in my life has affected my sexuality. I liked it so much that I want to do it again, but I am worried that I may contract a STD from the ewe. I have heard that you can.

Could you please help me?

2) I have read about men and women having sex with animals, e.g., dogs (Women on Top by Nancy Friday, Simon & Schuster, 1991). Apart from it being against the law (I think), are there medical reasons why this is not a good idea? For example, are there STDs that can be passed from animals to humans? Are there immunological consequences from depositing sperm into the vagina of another species? Is this kind of sex common?


How can I handle all my friends dumping their problems on me?

I'm the peacemaker among my friends, the introverted listener. But lately I find myself dealing with my friends and their problems more than ever. The problems drift from abuse in their homes, relationship problems, suicide, and MORE! It seems like I'm walking around with the weight of the world on my shoulders — literally, and its making me dive headfirst into depression. Don't get me wrong, I like being trusted and thought wise for advice I give, but sometimes I know I'm just being used, and all I need to do is listen. But I also feel helpless towards many of the situations, example, drug abuse or violence in their homes. They're expecting my help most of the time! I can't suggest counselors, because it's un-thought of here, my friends usually have been to more than their fair share in their years, and it flat out doesn't work. Our school counselors are bogus, teachers really don't listen, and I'm a small girl who can't necessarily take on the world!! On top of trying to help friends of mine (close and not-to-close) I've got my own problems too! It's insane.