Is it important to have a primary health care provider?

I've been hearing a lot about having one health care provider follow my medical history, but I'm fairly healthy and don't have a chronic disease. I've been switching from my local doctors when I'm home to the on-campus docs. Is it really that important, given that I'm a healthy individual?


How can I get my girlfriend to swallow?

My girlfriend and I have been dating for a year, and I love her very much. We have a mutually fulfilling sexual relationship, and we communicate well. Recently, I told her of my fantasy of her performing oral sex on me and swallowing my sperm. She said that would be "gross," and has never brought me to climax during oral sex because she does not want me to come in her mouth. I perform oral sex for her, and I enjoy having her sexual fluids on my face and tasting them. We have discussed sexual fantasies before and have pleased each other very much. But she will still not accept my sperm in her mouth, and I feel like she does not want to accept a part of me into her body -- that she does not have the fullest desire to please me. When I first asked her to do it, I expected her to want to pleasure me, to have desire for my penis. Now, I feel like she thinks my body is not desirable. My question is: what must I do or say to make her change her mind, to make her understand how much I wish she'd do this?


Can I use ice cubes to improve oral sex?

I see that in several messages and answers, that reference is made to oral sex accompanied by the use of ice cubes. I'm pretty ignorant about this and would be very grateful to you if you would tell me more about this. My boyfriend and I have a very good sex life and we enjoy making love, but we're also on the look-out for new things to try. I've asked my friends about this and some of them thought it was a joke! Thanks for the help.


What are my rights as a patient?

On a recent gynecological visit, I requested an HIV test. The doctor, a woman, responded with the question, "Why, too many New York nights?" I was shocked by her response, but, because I felt intimidated by her, I disregarded her remark. After I told her that I had never been tested and thought it was time, she looked at me and said, "I think you're okay." Needless to say, I did not get tested by her.

During my exam, a Pap smear, she put on her rubber gloves and then realized that she couldn't find an instrument. So she rummaged through the drawer, went to the door and turned the knob, requested something from the nurse, closed the door, and proceeded with the exam. She never changed her gloves. I was appalled, but never said anything. I don't know why, but she totally intimidated me — one of those women who seem to have all, brains, beauty family, wealth, etc.

My question to you is, do I report this woman? If so, to whom? It happened several months ago and it was outside of NY state. I appreciate any reply. Thank you.