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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.


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.


Should I refrain from using frozen condoms?

I'm not wrong when I say condoms can freeze, right? I had some condoms in my car when the temperature outside was definitely below freezing. They were only out in the cold for about thirty minutes. Would it be safe to still use them? Or, should I discard the condoms and get new ones? The box says to keep it below 100-degree temperature, but doesn't say anything about keeping them above a certain temperature. Safe or not?


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?


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?


What are the common reasons for condom failure?

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.


Are condoms from vending machines safe?

PLEASE, PLEASE, PLEASE answer this question for me. Are condoms you buy from machines in the bathroom safe? What I mean is, could they carry some sort of disease or STD or anything that can make me sick (I don't mean allergies)? And also, could you tell me if American condoms are better than other countries' condoms? I read that U.S. condoms are electronically tested for defects or diseases, but I was wondering if other countries like Europe or Thailand or whatever tested their condoms, too. If I was older, I would buy condoms from boxes, but until then, I am stuck buying them from bathroom machines.


How do I know what condom size will fit me?

1) In my shopping and looking for condoms, I NEVER come across a formal size chart. I have been told that I was "endowed" and that I need to look toward larger sized models, but all I ever see is "snug fit," "large," and "extra large," etc. How big is big? It would be most helpful if I knew what I was buying before I actually bought it. Do you know of the sizes of some popular condoms, or of a size chart resource?

2) I have just started sleeping with my girlfriend and I was a virgin previously. Unfortunately, a slight problem has interfered... I tried to use a condom the first time (a free one from Health Services) and it was too small on me. I only rolled up about 3/4 of the way and was *very* uncomfortable. Is there any specific brand that I could use that would be more comfortable?


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?


How can I make sure my condom works properly? 

1) Recently, during intercourse, my condom broke. Now, of course, I am very worried about it happening again. I am constantly checking the condom during sex and find that the condom is extremely tight against the tip of my penis whenever I check. I am afraid it will get tight again and break. I'm not sure what to do or where to go. Is the condom supposed to be very tight at the tip or not? Any help would be great.

2) Here's my query. I recently started having sex, and we are committed to using condoms. What is the "right" way to use a condom? I know how to put them on and take them off. But I'm petrified about having it break or come off. Also, someone told me that I should pull out immediately after I ejaculate. Is this true? This has happened before, but I have "stayed in" because I wanted my partner to have an orgasm. Is it really important to withdraw immediately after ejaculation?


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? 


Do birth control pills cause brain aneurysms?

Sadly, today I found out that a friend of my family has just passed away. The cause of her sudden death was a brain aneurysm. I have been researching brain aneurysms and have found out that oral contraceptives are thought to sometimes cause them. I am 19 and I am taking birth control, and now I am very worried. Can you give me some statistics about brain aneurysms linked to oral contraceptives? Thank you.


What are different types of condoms?

1) I've never bought condoms before. I'm a smart shopper — I look at things like quality and value when I buy anything — and I want to do the same with my condom purchases. But I don't know what to look for!!! And I'm not sure I'm ballsy enough to walk up to the pharmacist and ask, "Now, tell me, if your daughter were having sex, which brand of condom would you want her to use with her boyfriend?"

I want a really effective condom, that doesn't, like, smell weird or fit poorly or anything. And I don't want to whip it out and have my man laughing at it.

Who do I ask for advice on this??? Where do I go?

2) My boyfriend and I have recently decided that we will use condoms and spermicide for contraceptive purposes. We have begun experimenting with various brands/types of condoms, which has caused concern. Can you explain the various types of condoms, and/or the advantages/disadvantages of each, i.e., effectiveness, etc. Lambskin vs. latex vs. polyurethane??? We are monogamous and primarily concerned with pregnancy prevention.


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.


Can supplements affect birth control effectiveness?

1) Is it true that taking those Emergen-C packets or any other vitamin supplements can effect the effectiveness of your birth control pill?

2) I know antibiotics can lower the effectiveness of birth control, but can probiotics or prebiotics, such as a floral acidophilus FOS, also decrease effectiveness? I've been taking birth control pills for the past 10 years with no scares or baby bumps, and I don't want to wake up pregnant one day because I took a capsule that's supposed to be healthy! :)


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?


How can I put on a condom if I can't retract my foreskin when I'm erect?

I believe I have a mild case of phimosis. When my penis is not erect, I can retract my foreskin all the way back to reveal the glans. However, when I have a full erection, it is impossible to retract the foreskin to that extent. I can only retract it to reveal the slit and top part of the penis. Due to this problem, I have a question about condom use. I'm still a virgin, so I have never experienced intercourse using a condom. When I read the instructions on how to use a condom, they almost always instruct you to retract the foreskin completely if you are not circumcised. Since I cannot retract the foreskin while erect, is it still possible to use a condom without retracting the foreskin, and will this complication affect slippage of the condom or sensation problems during intercourse? On a side note, why is it recommended to retract the foreskin fully before putting on the condom? Thank you in advance.


Do I need to use condoms if my boyfriend might have an STI and not know it?

If my partner and I have been monogamous for three years (and I was a virgin before we met) and my partner tested negative for the HIV virus (twice, about two years ago, with a six-month gap between the tests) is it safe for us to use a birth control method other than a condom? That is, are there still any STDs that my partner might have without knowing it, that we should be worried about, even though nothing whatsoever has seemed wrong with either of us for three years and my partner has had several regular annual physicals in that time?


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?