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Can excessive orgasming deplete endorphins?

Since orgasms cause a release of endorphins into one's cerebral-spinal fluid and endorphins are also somewhat responsible for the emotion of happiness, etc., is it possible that excessive masturbation and/or intercourse would lead to a depleted level of endorphins in the system that could in turn cause one's affect to become somewhat "flat"? Could a sustained low level of endorphins in the system induce depression and/or mood disorder?


Will Valtrex protect me from developing genital herpes from a partner who has a cold sore?

Dear Alice, 

I take Valtrex daily to protect me from cold sores I get on my face. I haven’t had one since I started taking it a few years ago. My partner gets cold sores on his mouth and has recently performed oral sex on me while having a cold sore. Will the daily Valtrex protect me from developing genital herpes? How will this affect me in the future?


Am I depressed?

1) How can you tell if you are psychologically depressed? How do you ask? What if you are only depressed sometimes? I am a first-year psychology student, I live in college, and I seem to be having plenty of mood swings lately. I used to be very bubbly and enthusiastic and happy and relaxed all the time, but lately, I've just been edgy and sad, and I cry a lot. What's going on? I've been at university now for nine months. I'm only seventeen, and I live away from home (and I'm happy about that). I still have fun sometimes, and I get involved a lot, but then something will happen and I just bomb. I feel helpless and useless and angry because I am unappreciated. It annoys my friends and that makes me feel even worse. What's going on?

2) How do I know if I am depressed and need help? For about a year now, I have been easily irritated, angry, I cry when something sad or happy happens, I have lost seven pounds (last year), sometimes I have a hard time sleeping at night. I go over everything I did wrong in a day, and I have a hard time trying to concentrate on reading. I have wanted to mention this to my doctor, but I am very shy about it. He says I am physically healthy. I have tried exercising, and taking warm baths to help me feel better. What is wrong with me?


How can I get rid of pubic lice?

1) I have recently discovered that I have what appear to be crabs in my pubic hair. They are itchy and annoying and appear to be laying eggs. How do I get rid of them?

2) I think I have pubic lice, a.k.a. "crabs." Do I need to see a doctor about this problem, or is there over-the-counter medication of some kind I can use to expel the little buggers from their new home? Also, I'm curious as to how I got them since I haven't had sex for several months and this is a recent development. Can one contract this problem from sharing clothing, towels, or bedclothes?


Why do I choose not to eat?

I really hope you can help me. I'm 21 years old and never had any problems with eating. At 18, I sunk into a very deep depression and since then my eating has not been the same. It started slowly, where I would just skip a meal every now and then, but now I sometimes choose to go for days without eating and it's not because I want to lose weight, even though I have lost quite a bit, I just feel like I can't change anything in my life. I love my friends and I always have a great time with them, but at the same time, I find it so much easier to not eat when with them. That's what I can't understand. Why, if I feel happy around my friends, do I still choose not to eat? I went for almost a week without eating when I was away with them. For some bizarre reason, I feel better about my life when I stick to my decision to not do something, but at the same time, I want to stop, but I'm afraid I'll get really depressed. It doesn't really hurt me, but my friends harass me and I can't help them to understand when I don't even understand. Why am I doing this??


How long does it take for HIV antibodies and symptoms to develop after exposure?

My question is about AIDS/HIV: I had a sexual affair that lasted two-and-a-half months, and, unfortunately, I was not using condoms. I happen to know nothing about my partner's previous sex life. I know that, for a test to show something, you must wait for six to nine months. I would like to know whether, provided that I am infected, I will experience any symptoms in this six to nine month period? Is it possible to have the virus and not have any symptoms or indications all this time? Right now, I am a graduate student and I am experiencing anxiety, fatigue, sleepiness, weight loss (three to five pounds in the last two months). Are these related to the disease, or is it just in my mind?


Can I get AIDS from a mosquito bite or by handling raw meat?

1) Can you get AIDS from a mosquito bite? I heard you can't, but I'm really paranoid about this. Actually, it wasn't a bite — I squashed the bug and all the blood in it splattered everywhere and then here I am with someone's blood on a cut in my finger. HELP! I'm really freaking out. I don't know if I should get tested or not again, because I did get tested before (negative), but the anguish of waiting for results was horrible. Maybe I'm just ultra paranoid?

2) Is it possible to contract AIDS by handling raw bloody meat?


Can chlamydia make sex toys a vector for reinfection?

I have looked through your archives but have not found an answer to my question. I was diagnosed and treated for chlamydia about a month and a half ago. Do I need to get rid of any sex toys I have? Is it possible to become reinfected by using a sex toy that you used while you were infected if you wash it before using it? Please help me find the answer to my question. I really need to know ASAP! Thank you in advance.


Can I have some details about gonorrhea?

1) What are the symptoms of gonorrhea?

2) How long of a time frame could you have gonorrhea and not know it? The doctors say you can't track how long you have had it so how do we know? I feel my last partner gave it to me and that was nine months ago. Is that possible?

Thanks. I can't get much information in regards to this subject so I have no idea. And it can't be received from sitting on a toilet or anything of that sort, correct?


Do I have to disclose my past HPV diagnosis?

I was diagnosed with HPV three years ago, it has since cleared — become undetectable. Since being tested and learning that I had HPV, I'd been in relationships and told my partners prior to having sex that I had it and we always used condoms. The last pap I got showed that the virus had become undetectable. I'm currently single and what I'm wondering is, if I have casual sex (with a condom, of course), do I have to tell the person that I've tested positive for HPV?


What should I do if we became intimate before I told him I have herpes?

I recently started dating a man. On the first date, we became intimate (which I did not plan on happening). The day after, I told him that things moved too fast and that maybe we should get to know each other before becoming intimate again. My big concern is that I have genital herpes, and have been faced with the problem of becoming intimate before sharing that I have herpes. I came up with a plan on how to share this info, but it didn't happen in this particular relationship. Now, I don't know what to do because I am worried that I have shattered the trust in this relationship. Should I just walk away from it and use it as a lesson on how to approach a relationship next time or tell him?


How can lesbians protect themselves from herpes?

1) All the information I have found about herpes is written for heterosexual couples. Are there studies about herpes in lesbians? How can I prevent transmission of the virus to my partner? I'm totally asymptomatic.

2) I'm female, in a relationship with another female. She is okay with the fact that I have herpes. I JUST NEED TO KNOW HOW TO PROTECT HER from contracting the virus. Please help me out here.


How effective are at-home HIV testing kits?

I got tested for HIV a year and a half ago. Since then, I've been with two other people. One guy was a virgin but we had unprotected sex sometimes. He was tested in December (after us being together for one year) and it came back negative. I'm afraid to get tested again because I heard that the guy I was with two years ago before I was tested is HIV positive. I was already tested after I heard this and it came back negative. But, people around campus just won't stopped talking and I'm starting to panic. So, I thought about doing an at-home test because I'm too scared to go to the clinic. I found an at home test that says that you can get at home results in 15 minutes.

It's called the HOME ACCESS and it says it's FDA-approved. Is this accurate? Also, I have another question: with the information I provided you, do you think I'm at risk?


How can I help my friend who struggles with mental health and can't afford professional support?

1) I have a close friend who has a number of rather difficult issues. One of the most important is a long history of abuse (largely psychological) from her mother during her childhood. (She is now 19.) It is incredibly difficult to talk to her about any of these things. I would like her to see Psych Services, but I am worried about the fact that there are only a limited number of sessions available — that is actually one of the reasons she has offered to me as to why it would be a waste of time to go. Unfortunately, the only medical coverage she has is through her mother's medical insurance, she has no real money outside of her parent's control — it would be extremely difficult for her to pay for counseling, in other words, without alerting her parents. What can she do? What can I do?

2) I am actually asking for a friend of mine since this situation is getting worse, and I don't know how to help. The problem is that my friend is very depressed, and has very, very low self-esteem. While sometimes able to be cheerful and "happy," he claims to rarely feel that way and mostly just hates himself. He has mentioned suicide, although I think this is more an expression of the extreme self-hatred he feels than anything. I comfort him and often tell him how wonderful he is — what a good person, good qualities, etc., but I suspect he does not believe me at all. This has been going on for a long time now, and I think it stems from a somewhat unhappy childhood and adolescence. I don't know how to help him and I don't know what to do. I feel like being strong for him is just not enough, and I can't quite convince him that counseling may do some good. It seems to me that, recently, he has been feeling even worse about himself, to the point where nothing will comfort him. He cannot afford counseling, and he has no health insurance. Is there anything you can suggest for me to tell him or suggest to him? Any help will be greatly appreciated, because I just don't how to help him. Thank you so much.


How can I support a friend with mental health concerns when I’m struggling myself?

1) This is more of a coping question. I am a first-year who applied for a single room over the summer and was denied. I figured that everything would be okay nevertheless. I tried to look at the situation as a character-builder. Well, that is not the case. My roommate is very depressed. I talked to the RA on my floor, but she didn't take any action, except to talk with her. Unfortunately, my roommate is so ashamed of what's happening that she denied the facts, and the RA believed her. No one except me has realized yet that she is sleeping most of the day and all of the night, and that it is indeed a real problem. I have expressed my concern to her and encouraged her to go to counseling services. She went a couple of times and then started canceling appointments left and right. I have worried about her, but I have no backup whatsoever, so there is really nothing I can do to help at this point. We get along relatively well otherwise.

Right now, the concern I have is that her depression is pulling me down, too. I literally have not been alone anywhere for more than two to three minutes in weeks. I wanted a single because it's a requirement that I spend some time by myself, and I'm going crazy these days. The lights are always out in the room, and I've noticed that I'm sleeping more than usual myself as the situation has progressed. Also, I am having to deal with some personal issues of my own this semester, and I simply don't have the energy to take care of someone else who desperately wishes that I would do so. Any ideas would be greatly appreciated.

2) I know that when a friend is depressed, it's important to reach out, discuss the issue, and be there for the person as much as possible. But that's quite hard to do when I myself have a history with depression — I feel as if her emotions are taking me back to a place that I don't want to go. I really empathize with my friend and feel her pain, but at the same time know that I'd be useless to both of us if I'm in the troughs too. How can I help without sacrificing my always precarious emotional equilibrium?


At what age can I get the HPV vaccine?

I am 28 years old, and became sexually active two years ago. My husband is the only man I've ever had sex with, and I am his only sexual partner as well. Where does the gene or whatever it is that the HPV vaccine helps guard against come from? Because I'm too old to get the vaccine, are my chances of getting cervical cancer from this particular gene increased then? Thank you for your help.


What are my chances of getting cancer if I have high-risk HPV?

I just found out I tested positive for high-risk HPV. My pap smears have been normal for years. I'm 45 years old and have had lots of basal cell skin cancer. I'm scared to death of getting cancers that are caused by HPV. I'm so stressed. What are the odds that I will actually get cancer, now that I am supposedly high-risk? It appears there it nothing I can do at all to prevent this from happening other than keeping up with my visits and pap smears and hoping I beat the odds. I just wonder at how much risk am I when they say I am HIGH-RISK???