How may having spina bifida affect sex?

1) I'm 20 years old. I have spina bifida and I can walk perfectly normal but I have incontinence with my bladder. I get a lot of urinary tract infections, too. I've been with my boyfriend for 3 years now. I am kind of worried about having sex with him because I always pee myself. I was wondering what I should do to stop getting these infections so I get be comfortable during sex and not have to think that I will pee on the bed.

2) I have been friends with a guy who has spina bifida for a while now, and recently, things took a turn for the better — we are just starting a relationship. I know that he has sensation below his waist, and can get an erection, but I wondered if there is anything about how his disability will affect our sex life. I am anxious for it to be pleasing for both of us, and although we are open enough for me to ask him questions, I would like to go in prepared so to speak! Is there anything that will be able to help me in making sure that the first time for us won't be awkward, uncomfortable or downright crap?!


How do I communicate that I’m about to ejaculate during oral sex?

I tried looking through all of the letters, and even tried searching, but I didn't see anything pertaining to this:

I've never had a blow job, but would like one...some day...:) I was wondering, if, when you peak, if it's acceptable to just let yourself cum inside the person's mouth? Should you give a warning? Should you attempt to restrain from it?

I realize this question may sound rather juvenile, but who else can I turn to?


What is pre-orgasmic?

1) I know this may seem like a strange question, but what exactly IS pre-orgasmic? Does it mean that a person hasn't yet had an orgasm, or that her body isn't ready yet? I remember reading in one of your answers that many women under the age of twenty are pre-orgasmic. Why is this? Also, what is/are the purpose(s) (besides pleasure) of orgasm in women?

2) Hi, I'm not from the USA, so you may call me "the foreigner boy." I'm a 20-year-old male... I have had a lovely, nice, 19-year-old girlfriend for the past two years and I love her very much! We've started making love after six months of being together. We’ve had oral sex since the very beginning of the relationship. My girlfriend was a virgin before we met and me too. The problem is this: She never reaches orgasm! We really did try it all... it's very disturbing because she doesn't understand why I think it’s a BIG DEAL! And I really want her to have orgasms, but she just can't reach it... We really did try it ALL!

She tried to masturbate alone a few times and still had the same feeling... It’s not that she doesn't have fun, but she never really reaches the Peak! It seems as if she is stopping herself from having orgasm. Any secret I haven't read or heard about could be helpful! Thank you for your time!


What's the difference between a vaginal and clitoral orgasm?

What's the difference between a vaginal and clitoral orgasm? Is it only possible to have a vaginal orgasm during intercourse? If you can have a clitoral orgasm through other activity, but not intercourse, why is that? If your clitoris is stimulated during intercourse, will that give you a clitoral orgasm during sex? So how do you have a vaginal one? Can you have both at the same time?


Why do I experience pain after masturbating at night?

Sometimes I masturbate before I go to sleep at night. Usually nothing is wrong, but sometimes (and this always occurs at night, I've found) after I masturbate, a few minutes later I have to urinate. And when I do, it is usually very painful. The feeling doesn't pass either. My scrotum usually gets very tightened up, and there is painful feeling above my crotch. Usually I just sit there, drink some water until the feeling goes away. ANY idea what this is?


Where can I find the birth control sponge and what’s the efficacy rate?

1) I've always used condoms combined with a sponge for birth control. That worked well because if anything happened with the condom, there was always a backup — it made me feel safer. Then I get to New York, I go into three drug stores, and none of them have sponges. Now what? I don't want to rely on just condoms, I don't want to take pills because the whole hormone thing is rather frightening, and a doctor said that diaphragms make you more prone to get urinary tract infections, which I get frequently. So what am I supposed to do? What's up with this total absence of sponges?

2) In exploring other forms of contraception, what is the reliability rate of the "sponge"?


Are there any nutritional benefits to swallowing semen?

1) I'm worried. What happens if you eat your own sperm?

2) Today a girlfriend and I were discussing the nutritional value of sperm. While performing oral sex, if you swallow, I was told that it is very high in protein. However, I was also informed that it is very high in calories. This may seem like a weird question, but I would like to know what nutritional benefits are involved when "swallowing" and how many approximate calories are in a man's ejaculation? Thank you for your help in this matter.


What are the symptoms of a heart attack?

1) I've heard that the symptoms for heart attack differ for men and women. Could you please send me info on these differences? Also could you give me some possible diagnosis for a feeling of heaviness in the chest?

2) Is it possible to have a heart attack without knowing you're having a heart attack?


Is stress causing my chest pain?

1) For the past year now, I have been getting sharp chest pains. Sometimes it feels like I am about to have a heart attack. I find it painful to breathe for the couple of seconds that it happens. The sharp pains occur mostly in the lung/heart area. However, I have also felt them in the lower chest area as well. I don't know what is causing this.

Also, it occurs most frequently during the school year. I should also note that during the school year, I tend to eat greasy fatty foods. However, I had my cholesterol level checked (95) which is low. These pains come any time of day, while I am sleeping, walking, sitting, etc. I am 21-year-old female, if that helps.

By the way, I have a doctor's appointment back home later this month. But I want to have an idea why this happening. Others mentioned to me things about stress, something about a dog's heart, and I was even thinking that it might be cancer.

2) I've recently been experiencing chest pains in the sternum area. Although I don't believe it is related to heart trouble, I think the pain is originating from the bones or muscles attached to the sternum. I have seen doctors but most are clueless as to where the pain may be specifically originating. An interesting side is that during times of stress, the pain is more severe and concentrated at specific points along the sternum. One hypothesis is that the pain may be related to an injured sterno-manubrial joint. If indeed this is the case, what therapy is available to a poor, uninsured student? My mental health is being affected since my once pumped-up, rock hard body is slowly atrophying since I can't lift weights without extreme pain. I'm depressed because the size of my chest is now smaller. What do I do? What's wrong with me?