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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?


Should I get the meningitis vaccine?

1) I'm a college student and I've heard in the media that meningitis vaccine shots are recommended. How do I get more information and a shot?

2) As a parent of a college freshman this fall, I was concerned about the increasing publicity that Meningitis has received recently over the networks. Since the population most likely to be infected includes young adults living in close quarters, do you recommend vaccination and where is it available?


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's up with FluMist?

I have heard numerous reports in the media where they make mention of the "live flu virus" in the flu vaccine, specifically "flu-mist." This is mentioned in conjunction with a warning to avoid contact with this and that (yadda, yadda) for a certain time period. This confuses me. I was under the impression that the flu vaccines contain dead viruses and that it was not possible to catch the flu from the vaccine. Which is it?


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.


What's polycystic ovary syndrome?

1) This is in reference to your Missed periods Q&A. Another cause of missed or late periods is PCOS (polycystic ovary syndrome). A lot of health care providers don't seem to be aware of this syndrome. In this syndrome, missed or irregular periods are caused by unusual hormone levels, sometimes in combination with insulin intolerance. Because missed and irregular periods cause scar tissue build-up in the uterus (which may cause endometrial cancer) and may cause infertility, it is important that your readers know to ask their health care provider about this syndrome. There are obviously other symptoms and complications, but I just thought that I might mention it to you so that you might read up on it for your readers. Thank you.

2) I was recently diagnosed with polycystic ovary syndrome (PCOS). I'm only 17 and am afraid that this will affect my chance of having children. Should I worry? Also, I know birth control pills will help me regulate my period, but if I take them, will it stop the effects PCOS has on me? Like me gaining rapid weight, missed periods, and losing my hair? This is really worrying me. Can you inform me on this syndrome?


How can I start practicing meditation, yoga, or tai-chi?

Recently I've been thinking a lot about ways to relieve my stress and other mental problems such as OCD and ADD and I have been hearing that meditation, yoga, tai-chi, etc. can possilby help with these problems that I have been suffering with all my life, but I am very confused as to which one would be the best for me.

Also, if I find out which one would work the best for me, how would I go about finding someone that could teach me these things? Or is a book a good way to go? If a book is a good way to go would you suggest one of those "The Complete Idiot's Guide to..." books?


If I'm recovering from anorexia, when should I expect to get my period back?

I was anorexic for three years and I have been in recovery for two. At the moment, I am doing well. I have a healthy weight, I eat a balanced diet, I work out regularly though not excessively, and I feel good. However, I haven't had my period in about three years now. I had been told it would come back once I reached a healthy weight, but so far, no deal, even though I've been at this weight for over a year now.

Before I became anorexic, I did get my period regularly. I am 23 years old. I am taking a calcium supplement daily to prevent osteoporosis, but I would feel more comfortable if I did get my period again. What is going on? How worried should I be? Should I go see a doctor? What can I do about this?


Is my hair addicted to dandruff shampoos?

I have dandruff that responds well to over-the-counter shampoo. Ergo, I have been using the stuff almost exclusively for ten years. No brand in particular, sometimes zinc pyrithione (the blue stuff!), sometimes coal tar (the smelly brown stuff!). Anytime I switch to non-dandruff shampoo for like three to four days straight, I get my dandruff back. I worry that I might be addicted to dandruff shampoo. Should I worry?


If I don't take birth control pills at exactly the same time am I unprotected?

I have two questions, first: On my birth control pill box instructions it says to take a pill each day at ABOUT the same time. I was wondering, does this mean that I should set an alarm to make sure I take it the exact minute every day (which is what I've been doing) or can I take it within a couple of hours difference if I decide to sleep in on Saturday?

Secondly: My doctor told me that if I miss a pill to consider myself unprotected for that month. However, after I left I realized that in biology class we learned that a ovum (or egg) can only survive a few days inside the fallopian tubes and uterus and then it get absorbed into the body (or dies). If I missed a pill then wouldn't I only be unprotected for the next couple of days (if an egg was produced in the 24 hr period that I didn't take the pill) instead of the whole month?


Can lowered testosterone levels in women reduce sex drive?

Do you have any information on the effects of low testosterone concerning sexual desire in women? After I got pregnant, I have had a significant drop in sexual desire and think it could be related to low testosterone. Any info on the subject? By the way, this problem had nothing to do with stress, marital problems, or the baby. Everything in my life is great except I lost my sexual desire and want to get it back. THANKS.