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?

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?

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?

What are the risks of HIV infection for the passive partner of oral sex?

If one has a long-term partner and neither AIDS nor any other STD is a concern, is there any medical reason not to perform cunnilingus on a menstruating woman? My significant other is particularly horny during her period and would love cunnilingus at this time. I am willing but curious.

I am curious about double penetration (two penises in one vagina). Because of the increased friction, even if both men are wearing condoms, is there more of a risk that the condoms would break?

I currently use NuvaRing for contraception. Because the ring slowly emits hormones into the body via the vagina, my partner and I are wondering whether he will have an unhealthy amount of contact with these hormones during oral sex. Thanks.

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?