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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 someone's sexually adventurous, does that mean they're more likely to cheat?

If my wife is sexually adventurous, does it mean she's more likely to cheat? My wife is slowly opening up to me about how sexually adventurous she wants to be (I'm talking bondage-type stuff), and I'm afraid that maybe she might cheat in the future if her "appetite" isn't met. I haven't voiced any of these concerns, I've been completely supportive of it and actually would be completely ok with doing all of it. I just worry that maybe the adventure-ness might be a sign of promiscuity?


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!


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!


Why can't I stay erect?

1) It seems that I can't maintain an erection for more than a couple of minutes during intercourse. In fact, sometimes it doesn't seem to want to get up and play at all. The girlfriend is really starting to take this personally, but I know it's not her fault. Help! Are there any vitamins, diets, etc. that may help?

2) To put it very simply, I am having trouble having erections for a while now. I used to be able to. I can't have them at all, during intimate encounters or during masturbation. I get a little "hard" but cannot get completely hard. Could you please help me? Thank you!!


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?


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?


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? 


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.


How do I feel more comfortable with a new sex partner?

First, I'd like to thank you for this service! It's been so informative to read the advice you've given others. I'm a female grad student and have just gotten into a relationship for the first time. I have a few questions regarding oral sex: my boyfriend loves to suck my nipples and I feel great when he's doing it, but after a while, my nipples start to feel tender and actually hurt sometimes... is this normal? He's not rough when he's doing it, so I'm not sure why this happens.

Also, when my boyfriend "goes down" on me, I worry about what he thinks of my smell and taste. He says he likes it, but I can't be sure... is there some way of finding out if my scent is normal? Can he pass any infections (to my vagina) from his saliva? (He has had only 1 one-night stand affair and he used a condom that time).

Also, I masturbate him (I stroke his penis) until he "comes," but I'm afraid of tasting his "come." He hasn't asked me to, but I think he would like it if I did... how can I overcome this inhibition? Are there any risks for me? I appreciate any help/advice... Thanks a lot!


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 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?


Is there a connection between soy products and male impotence?

I once read an article stating the soy products (espcially soy milk) can lead to impotence within males if taken to a high degree. I go through random bouts in my life where I cut out cow milk completely and drink just soy milk for long periods of time (not because I'm lactose intolerant but for argued health benefits). I'm just wondering whether drinking strictly soy milk every day (at least 3 10-oz. glasses for me) is overkill.


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?


What's the difference between fluid during arousal and discharge?

This might sound like a gross question, but I do need an answer! When my partner performs oral sex on me, I'm not sure if my vagina is moist because I'm wet or because I have vaginal discharge... which is what? Isn't it normal for a woman's vagina to be somewhat moist, and to have a little discharge? When a woman gets wet, how can she tell? And know the difference between that and discharge?

Also, my partner and I haven't tried intercourse yet (I am a virgin)... I've read your previous answer to a man who said his penis might be too big for his partner; I am worried that I'm too small/tight for my partner. It doesn't look easy for him to even enter, and I don't know how I can make my opening wider to accommodate him (how much foreplay, how long?). How much pain does the woman feel? Thanks a lot!!


Why was my first time so painful?

1) I have never had sex, but I have tried now twice with my boyfriend, and it has been incredibly painful. It felt like there was a barrier inside me, and the second time I bled. I feel like I am relaxed, and my boyfriend is very gentle and slow, but it still really hurts — more than I think it should. I am able to use tampons — I'm not that small — but I don't know what the problem is. Is it supposed to hurt this much? Could there be something wrong?

2) I'm a virgin, and the first time my boyfriend inserted his fingers in my vagina, it hurt a lot, and I got sore down there. I didn't reach an orgasm, but faked it so he would stop. I didn't enjoy it at all and I was wondering... is this going to happen when I have sex? Is it going to be as disappointing?


What can I do if I'm experiencing an aversion to sex with my long-term partner?

I've been with my boyfriend for just over 4 years. Our sex life has always been the strong thread in our relationship, even when we've had trouble in other areas. We both feel we are the best sexual matches we've ever had. But over the past 8 months things have slowly degraded on my end. He is still as excited as ever, but I just don't feel like it. When we try, I actually feel physically protective, as if blocking my body from a stranger, especially my breasts. It's like a physical compulsion to protect, but neither of us have a history of abuse in our relationship or outside of it, and his approach is loving and open. When he's clothed and we're not about to have sex I love holding him, being held by him, standing next to him, touching him, etc. I'm not physically repulsed by his body: I recognize that he's a ridiculously attractive man! I had some advice that I shouldn't force myself to have sex if I don't want to, but I've also heard the opposite: that I should stop thinking and just push through my body's shutdown. Most of the times when I do force myself I end up enjoying it, but that doesn't take away this "repulsion" feeling at the start. The worst thing is that he feels rejected and dissatisfied and keeps asking what he can do to turn me on. What to do?


If I don't take birth control pills at exactly the same time am I unprotected?

I have two questions, first: On my birth control pill box instructions it says to take a pill each day at ABOUT the same time. I was wondering, does this mean that I should set an alarm to make sure I take it the exact minute every day (which is what I've been doing) or can I take it within a couple of hours difference if I decide to sleep in on Saturday?

Secondly: My doctor told me that if I miss a pill to consider myself unprotected for that month. However, after I left I realized that in biology class we learned that a ovum (or egg) can only survive a few days inside the fallopian tubes and uterus and then it get absorbed into the body (or dies). If I missed a pill then wouldn't I only be unprotected for the next couple of days (if an egg was produced in the 24 hr period that I didn't take the pill) instead of the whole month?


Why am I foaming after sex?

Today my partner and I were having sex and he "released" himself inside me. After sex, he began using a dildo on me until I was satisfied. Well, after going in and out of me real hard and fast, a foam-like substance began to appear. The foam was exactly like hair mousse. I am not on any type of birth control (he has a vasectomy), and I was recently tested for STDs a couple of months ago and everything was fine. Could you please tell me what this may have been from!