Protect Yourself Against STDs
Learn honest communication and safer-sex strategies to help you avoid sexually transmitted infections.
How to Talk to Your Kids About Sex
Research shows that parental involvement reduces kids’ risky choices. Whether you have toddlers or teens, learn how to build open communication about sex.
Why Your Preteen Needs the HPV Vaccine
This safe, accessible treatment permanently protects your child from contracting a common STD that causes many cancers, including cervical cancer.
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Ask an Expert
Ask the Expert Team
Sutter Health
I'm female (36) with a Mirena IUD. I have lower abdominal pains that feel like my uterus is being squeezed. It's worse after my period or intense orgasms. My IUD was checked and it's in the correct place.
Although the Mirena IUD is an excellent method for contraception, control of menstrual bleeding, and cramping with periods, in some women it is not well tolerated. Since you have quite clearly identified your p... continue reading about I'm female (36) with a Mirena IUD. I have lower abdominal pains that feel like my uterus is being squeezed. It's worse after my period or intense orgasms. My IUD was checked and it's in the correct place.
Frank dela Rama, R.N., MSN, CNS, AGN-BC, AOCNS
Palo Alto Foundation Medical Group
I am a prostate cancer survivor, age 72, who remains interested in sexual activity. However I suffer from ED and have not found medications to be helpful. Are the penal constrictive devices an option? What other options are available?
Erectile dysfunction can be a side effect of prostate cancer treatment, but depending upon the treatment (surgery or radiation), the onset and quality of symptoms may be different. ED after surgery may stem mor... continue reading about I am a prostate cancer survivor, age 72, who remains interested in sexual activity. However I suffer from ED and have not found medications to be helpful. Are the penal constrictive devices an option? What other options are available?
Karen Pantazis, M.D.
Sutter Amador Hospital
My husband had back surgery last year. He takes medication daily for chronic pain. The last few months he seems depressed and has very little interest in sex. Could the medication or the pain be causing this? Any suggestions on how I can help him?
It is not unusual for patients who take pain medication and are depressed due to chronic pain to have diminished interest in sex. It could be due to the medications, the depression, the chronic pain, diminished... continue reading about My husband had back surgery last year. He takes medication daily for chronic pain. The last few months he seems depressed and has very little interest in sex. Could the medication or the pain be causing this? Any suggestions on how I can help him?
Susan Maayah, M.D.
Mills-Peninsula Medical Center
I'm 41 and have had my tubes tied/clamped. I'm in a committed relationship so we do not use condoms and are rather sexually active. Is there any need to douche? I never have, and have heard conflicting opinions from friends.
Douching is not recommended for several reasons.Douche cleansing fluids tend to alter the vaginal pH and this can negatively impact the vagina's normal healthy bacterial flora and mucus and make one more suscep... continue reading about I'm 41 and have had my tubes tied/clamped. I'm in a committed relationship so we do not use condoms and are rather sexually active. Is there any need to douche? I never have, and have heard conflicting opinions from friends.
Jane Varner, M.D.
Palo Alto Foundation Medical Group
I'm a woman (60) who had not had sex for 10 years. I recently decided to start again, but intercourse was very painful. I have tried several times, but with the same results. What causes this pain and what can I do that will help?
First of all, you are not alone. Millions of women experience pain during intercourse, but most are too shy or embarrassed to bring it up. I congratulate you for raising the question! Intercourse is a wonderful... continue reading about I'm a woman (60) who had not had sex for 10 years. I recently decided to start again, but intercourse was very painful. I have tried several times, but with the same results. What causes this pain and what can I do that will help?
Susan Maayah, M.D.
Mills-Peninsula Medical Center
If HPV high risk is detected during my PAP smear result, should I get vaccinated? Or is it too late for any benefit of a vaccine? I have been monogamous for the last 10 years. Also, what's the likelihood of getting cancer once HPV is detected?
High-risk HPV detection on a pap smear indicates you are at risk for developing cervical cancer at any point in the future. With a healthy immune system, many women clear this, but sometimes severe cases requir... continue reading about If HPV high risk is detected during my PAP smear result, should I get vaccinated? Or is it too late for any benefit of a vaccine? I have been monogamous for the last 10 years. Also, what's the likelihood of getting cancer once HPV is detected?
Susan Maayah, M.D.
Mills-Peninsula Medical Center
Does the clitoris disappear with age? After 70?
The clitoris never actually disappears, but it can become smaller over time after the loss of circulating female hormones with menopause. This is part of a normal condition with aging called urogenital atrophy.... continue reading about Does the clitoris disappear with age? After 70?
Junaid H. Khan, M.D., FACC, FACS
Alta Bates Summit Medical Center - Alta Bates Campus
Can you participate in sex if you have an enlarged heart?
Great question, and one we get asked often. We also get asked about the use of Viagra. Sexual activity is generally categorized under "vigorous physical activity." Patients with known heart conditions need to c... continue reading about Can you participate in sex if you have an enlarged heart?
Ravin Agah, M.D., Ph.D.
Palo Alto Foundation Medical Group
What is the relationship between herpes and shingles? I have been diagnosed with herpes, and am experiencing breakouts of pimples/blisters on my arms, legs and chest, made worse by stress and physical activity that makes me sweat. What can be done?
Herpes and shingles are actually caused by two different viruses, from the same family. What we traditionally call "herpes" is caused by herpes simplex. Oral herpes, causing fever blisters and cold sores, is ca... continue reading about What is the relationship between herpes and shingles? I have been diagnosed with herpes, and am experiencing breakouts of pimples/blisters on my arms, legs and chest, made worse by stress and physical activity that makes me sweat. What can be done?
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