I've been using name brand birth control pills for eight years and now my insurance company will only cover generic birth control pills. Do you know anything about the pros and cons of using generic pills as opposed to name brand pills? Are they as effective?

I've seen the recommendations. I've seen the suggestions for do-it-yourself workaround (cutting open a condom, plastic wrap... ). What I *haven't* seen is practical usage advice — how to place the thing effectively, how to overcome the limitations of losing direct contact, how to arrange things to permit vaginal penetration with fingers while still maintaining protection and so on. Best-practice condom use isn't perfectly obvious either, but at the most basic level it's pretty straightforward. If you want to build acceptance for barrier use during cunnilingus, it needs to be at least as clear and/or at least as well-documented.

Dear Alice,

I recently had a routine HIV screening done for prenatal labs. It was positive. Thank GOD, western blot came out to be negative. My OB is reassuring me not to worry, that false positives sometimes come out in pregnancy, and as long as the western blot is negative — I'm negative. Could you explain a little more in detail as to why and if you agree with my doctor? I'm at very little risk otherwise and had a negative HIV test about five years ago and am with the same person (my husband).

I recently had an IUD inserted. I'm not currently having sex, but wanted to be prepared as I am seeing someone who I may become sexually involved with.

My concern is I was told the IUD would need to be removed if I had sex with a partner and then changed partners later. This IUD is a 5-year IUD and the cost was quite a bit. If I have sex now and then stop for a year (or any period of time) and was to become sexually involved again with another partner, why would it need to be removed? If STDs are not an issue, does it still need to be removed?