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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?


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 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?


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?


Was I discriminated against?

I'm an Ethiopian student at a university in the US. I have been living in this country for many years and I love it. However, I've noticed a certain trend in people's general reaction concerning my place of origin. I speak English with no accent. When people first meet me, they assume that I'm an American. As such they behave normal until I tell them that I am a citizen of Ethiopia. At this point pretty much all of them immediately seem to develop a sort of superiority complex and start treating me as if I were an inferior being. They seem to respect me less and tease me every way they can. My opinions (even professional ones) are rejected as unacceptable.

Frustrated with this extreme prejudice, I lied to some of these people and told them that I actually am an American and not an Ethiopian. I noticed immediately that their attitudes towards me changed and started treating me as an equal. Encouraged by the result of this little social experiment, I've shied away from telling my place of origin to people to avoid mistreatment. However, I feel guilty doing it. Was I discriminated against because of my place of origin? Any words of wisdom for me, dearest Alice?


How do I understand my racial identity?

I'm black and I have many white friends. It doesn't bother me at all until I get around a lot of other black people or around certain family members. Sure some joke around with me saying I'm an "Oreo." But it really gets to me. I'm tired of people saying "acting white" or "acting black" or "the man keeps putting the black man down." It doesn't take long for race to come up in a conversation with some people. And that's when I really feel out of my element. I know no race is perfect. But I feel like where blacks are now is nowhere near what Dr. King was fighting for. Maybe I'm too emotional about it, but everyday I still wake up black.

For instance, I love all types of music, including rock, classical and country music. And these are some reactions: 1. Why am I listening to that "white people music"? and 2. I feel out of place if I don't know one of the latest rap songs. It's little things like this that just make me want to wish there weren't any races. But races and different cultures are beautiful and so much can be learned. I'm happy and comfortable with myself, but not my race as a whole. And on some days, it really gets me down to a point where I just cry. Am I just chasing an insatiable dream?


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?


How can I deal with disapproval of my interracial relationship?

My question is about interracial relationships. I came here from a really small town, very conservative — well, you get the idea. Now, my second week in, I met the most wonderful man. Only he is black. We have been dating now for over a year. He treats me wonderfully but I still get odd looks from people and my parents really don't approve.

I told them it shouldn't matter what color his skin is if I love him, but their small town values seem to say otherwise. How can I cope with the odd looks and my parents without losing my man?


How can I stay safe in a homophobic school?

I'm a teenage gal in a great relationship with another girl who goes to my school. We're both out to our parents and some friends, with okay reactions. The problem is, our school is pretty homophobic, and word is getting out that we're dating. My parents worry we might be physically or verbally assaulted at school. My neighbor, who owns guns, has already asked me about it, and I'm scared for our safety. What can two girls in a homophobic suburban school do? We don't have the same support system some college students do. We don't have a GSA and I don't trust any of the school staff much. Please help!


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.


What should I do if I'm worried about my sexual inexperience?

I grew up in a religiously conservative family, and now I go to a private Christian college. I will be a junior this year, but I've known since freshman year that the school and the religion just weren't right for me. I love the education, but I'm afraid I'm sexually deprived. When I hear all my friends who go to public school talk about parties and sex, it makes me feel like I'm really missing out. I wanted to transfer, but it just isn't fiscally possible. I'm a very mature person, but I haven't done anything sexual (not even kiss!). The girl to guy ratio at my school is 3:1, and most of the boys are very awkward. I want to experiment, but no one at my school does that. I'm afraid that when I graduate, I still won't have done anything, and no one will want me because I have no experience.


What should I do if my religious parents find out I'm changing faiths?

I need some good advice. All my life, I've been raised as a Catholic. Both my parents are fairly religious, but I have completely lost interest in Catholicism as a religion because I feel it does nothing for me but preach and tell me how to live my life. It has now gotten to the point that I have become very interested in alternative religions, so much so that I want to change faiths. However, I'm terrified my parents will find out. What should I do?


What should I do if I'm pregnant where abortion isn't legal?

I am really nervous because my period is a week late so far and I am studying abroad in Egypt. I really don't know who to talk to about this. Premarital sex is a big taboo, abortion is illegal, and I can't even find a pregnancy test at a pharmacy. What should I do? I can't come back to the U.S. with a big belly — I can't tell my family! I am so afraid! I left the U.S. a month ago (my partner is still there). I read that jetlag can influence your menstrual cycle, as can weight gain or loss. I was jetlagged, but my weight is more or less the same (except I am eating more rice and oil than I do normally). Could diet change your cycle? Anyway, I guess my main question is, what should you do if you find out you are pregnant in a conservative country where abortion is illegal and don't have enough money to fly home and back? Thanks.