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?

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?

I am not sure who the father of my son is. Is it possible to tell the father of the baby simply by knowing blood types and Rh factors of myself and the potential fathers?

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?

What are the risks of HIV infection for the passive partner of oral sex?

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? 

If one has a long-term partner and neither AIDS nor any other STD is a concern, is there any medical reason not to perform cunnilingus on a menstruating woman? My significant other is particularly horny during her period and would love cunnilingus at this time. I am willing but curious.

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?