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?

I have a latex sensitivity, but would like to perform safer oral sex. Are lubricants on non-latex condoms harmful if ingested? I can't seem to find non-latex, non-lubricated condoms anywhere.

I've seen you have given so much great advice in the past I was hoping you could give me some. I always use a condom when I have sex. I don't seem to last as long as I want to. I was thinking of trying one of those gels or creams that make you last longer. Is this stuff safe to use with a condom? Could it possibly break down the condom, causing it to fail? Thanks for any help, Alice.

I live in Prague, Czech Republic — Europe. Before asking any question, I should tell you that I really appreciate your service. As for my question, I would like to ask you about the most common reasons for condom failure as a contraceptive method. I suppose that the most frequent one is condom breakage. But what are the others? I am especially concerned about pregnancy risk implied by the accidental transfer of sperm in pre-cum to condom by fingers while putting it on.

My boyfriend and I are having sex 2 days after my menstrual cycle. I am on birth control. I finish my cycle on a Saturday and start the new cycle on Sunday. We usually have sex on the Saturday night before I start the new cycle. Is it safe to have sex even though you have finished your menstrual cycle but have not started taking the pill for the next cycle?

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?

How can I take a condom off without it ripping the hair off of my penis? I have considered shaving and other hair removal methods, but rejected them on the basis that the solution is nearly as painful and/or troublesome as the problem. The pain caused by this problem can kill the mood real quickly even if my partner and I are ready for more.