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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.


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?


Can I determine whether my girlfriend is a virgin?

I had my first sexual experience with my girlfriend a few months ago. She told me she was a virgin, but after having intercourse, I didn't believe her and was hurt. She didn't seem to be in any pain, there was no bleeding, and there was no hymen. She makes up all these excuses like "not all girls have them." Should I believe her? Is there a sure-fire way of determining whether or not I was her first? It is making me angry. Can you ease my pain?


Is anal sex okay if I'm in remission from Crohn’s?

I have had Crohn's disease for 16 years and am in remission right now. Recently my boyfriend and I have been toying with the idea of anal sex, but I'm concerned about it given my health issues. I have a lot of thickening of the terminal ileum walls and worry that the "trauma" of anal sex could set off a flare up and be painful because of the narrowing. Any thoughts? I'm way too embarrassed to discuss this with my male doctor. Thanks!


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)?


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?


How deep is the average vagina, and does it elongate when something's in it?

I was wondering about the depth of the vagina. I've read statistics that say that the average vagina is only 3 to 4 inches deep. This seems way too small to me, since the average penis is considerably longer than that. Wouldn't that mean that most penises would crash into the cervix repeatedly during intercourse? Since this obviously doesn't happen, my question is this: does the vagina actually elongate during intercourse to accommodate the entire length of the average penis?


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?


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?


What does it mean if I desire anal sex?

I am a well-adjusted late twenties male with a steady girlfriend. Lately, I have been increasingly fantasizing about various types of anal penetration. I have discovered that during masturbation, this brings me very intense pain/pleasure. Even though I think it may be satisfying to experiment with a vibrator or other objects inserted by my girlfriend, I find myself drawn toward trying the real thing (i.e., having anal sex with a penis). The problem is, I definitely do not consider myself homosexual and, in fact, the thought of the actual act with another man actually repulses me. Am I trying to have the real thing without going through a bisexual experiment or what?


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 can I do if my new relationship is affected by my partner's former abuse?

My current girlfriend is still getting over an abusive relationship that she was involved in two years ago. The abuse included repeated rape throughout the two-and-half-year-long relationship. She has never been able to enjoy sex and cannot bring herself to do it again. Despite her feelings for me, she cannot relax enough during sex for it not to hurt her. I have not forced her into having sex she cannot enjoy. We have been together for nearly a year now and the problem does not seem to be getting better for her. She has nightmares and is uncomfortable and afraid in many day-to-day situations. She is worried that going to a counselor will mean she will be in counseling for the rest of her life to get over this. This has become such a hindrance to us being happy that I sometimes wonder if it is best to stay with her to try to help her through this, or whether I am out of my league.


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! :)


How can I have more pleasurable sex when my partner's penis is too large?

I have encountered a problem I never expected; my boyfriend is quite simply very large. I am unable to perform oral sex except for the first couple of inches due to the girth, and vaginal sex is not totally satisfying for him because he is too long and cannot fully penetrate without causing me significant pain. I've seen my doctor, and am reassured that there is physically nothing wrong with me — no infections or scarring, but am finding it difficult to come up with a solution. Any suggestions?


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?