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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?


Why is mpox being spoken about as if it's a gay STD?

So I'm wondering some stuff about mpox. Why is mpox being spoken about as if it's a gay STD? Mpox can be spread through nonsexual contact and fomite transmission, according to health authorities, and many other diseases such as the flu and corona can be obviously spread through sexual intercourse (via close contact). Additionally, according to the CDC, Ebola can be spread through semen of a previously infected male a while after recovery while not symptomatic (which appears to be unlike mpox in which it's only spread while actively symptomatic and, although mpox is extremely severe, it doesn't last for more than several weeks) but Ebola isn't thought of as a STD (and of course Ebola can obviously be spread through nonsexual as well as sexual contact) just like corona and the flu among many other diseases. Yet mpox is basically now thought of as being a STD — and a gay STD at that — whereas other diseases that also spread through nonsexual means like mpox aren't. This is very concerning to me both because it would be contributing to ineffective containment measures which would let mpox continue spreading and because it could lead to an increase in discrimination against an already marginalized demographic. What's going on here?


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 should I do if I want to be a gay man though I'm a straight female?

I am a straight female in my mid-twenties. Well, not really. Ever since my childhood I have been fantasizing about being a male. Specifically, I increasingly fantasize about being a homosexual male and even have dreams of having male organs. I have a steady boyfriend that enjoys anal play which really excites me (I imagine myself having anal intercourse with him). Since I am not technically a male, I also enjoy watching homosexual intercourse and fantasize about watching my boyfriend with another man.

I feel like I am having sexual identity issues. Have you heard of anyone else having a similar experience? Do you think a bisexual partner would be ideal for me? Do you think role playing or three-way sexual experience would help me get satisfied?


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.