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Ask an Expert
Ask the Expert Team
Sutter Health
I'm female (36) with a Mirena IUD. I have lower abdominal pains that feel like my uterus is being squeezed. It's worse after my period or intense orgasms. My IUD was checked and it's in the correct place.
Although the Mirena IUD is an excellent method for contraception, control of menstrual bleeding, and cramping with periods, in some women it is not well tolerated. Since you have quite clearly identified your p... continue reading about I'm female (36) with a Mirena IUD. I have lower abdominal pains that feel like my uterus is being squeezed. It's worse after my period or intense orgasms. My IUD was checked and it's in the correct place.
Catherine A. Madison, M.D.
California Pacific Medical Center
For the first time in my life I experience vertigo after climaxing. Why is that?
Headaches after climax have been described over the years and are felt related to changes in the size of blood vessels after sex. Vertigo is more unusual and might suggest a problem with the inner ear system; a... continue reading about For the first time in my life I experience vertigo after climaxing. Why is that?
Ask the Expert Team
Sutter Health
What are the risks of getting your tubes tied? Are your early 20s too soon to get this procedure done?
In general, tubal ligation is a very safe procedure associated with the small risks of laparoscopy and anesthesia in a healthy woman, regardless of her age. However, other permanent methods of tubal steril... continue reading about What are the risks of getting your tubes tied? Are your early 20s too soon to get this procedure done?
Susan Maayah, M.D.
Palo Alto Medical Foundation
I'm 41 and have had my tubes tied/clamped. I'm in a committed relationship so we do not use condoms and are rather sexually active. Is there any need to douche? I never have, and have heard conflicting opinions from friends.
Douching is not recommended for several reasons.Douche cleansing fluids tend to alter the vaginal pH and this can negatively impact the vagina's normal healthy bacterial flora and mucus and make one more suscep... continue reading about I'm 41 and have had my tubes tied/clamped. I'm in a committed relationship so we do not use condoms and are rather sexually active. Is there any need to douche? I never have, and have heard conflicting opinions from friends.
Susan Maayah, M.D.
Palo Alto Medical Foundation
My physician recently changed my brand of birth control pills. I read reviews that described bad side effects for the new brand. Do all birth control pills have the same ingredients? If so, why would some cause different side effects?
All birth control pills are formulated with a synthetic estrogen and progestin hormone (with the exception of one that has progestin only). Most common side effects of birth control pills occur when you first b... continue reading about My physician recently changed my brand of birth control pills. I read reviews that described bad side effects for the new brand. Do all birth control pills have the same ingredients? If so, why would some cause different side effects?
Ask the Expert Team
Sutter Health
I've heard urinary tract infections (UTIs) are getting harder to treat. Why is this and who's at risk of developing one?
Urinary tract infections are one of the most common infections doctors treat. More than half of women living in the United States will get a UTI at some point in their lives. Urinary tract infections are caused... continue reading about I've heard urinary tract infections (UTIs) are getting harder to treat. Why is this and who's at risk of developing one?
Toni J. Brayer, M.D.
Sutter Pacific Medical Foundation
I have recently lost all desire to be intimate with my partner. I sometimes feel it to be repulsive. I do find him attractive, but the thought of sex or even just kissing him makes me freak out.
You say you have recently lost desire so I am assuming the sexual relationship was a good one previously. Any sudden loss of libido should be evaluated medically. Hormone imbalance, depression, weight changes o... continue reading about I have recently lost all desire to be intimate with my partner. I sometimes feel it to be repulsive. I do find him attractive, but the thought of sex or even just kissing him makes me freak out.
Susan Maayah, M.D.
Palo Alto Medical Foundation
If HPV high risk is detected during my PAP smear result, should I get vaccinated? Or is it too late for any benefit of a vaccine? I have been monogamous for the last 10 years. Also, what's the likelihood of getting cancer once HPV is detected?
High-risk HPV detection on a pap smear indicates you are at risk for developing cervical cancer at any point in the future. With a healthy immune system, many women clear this, but sometimes severe cases requir... continue reading about If HPV high risk is detected during my PAP smear result, should I get vaccinated? Or is it too late for any benefit of a vaccine? I have been monogamous for the last 10 years. Also, what's the likelihood of getting cancer once HPV is detected?
Deborah Quinn-Chen, M.D.
Palo Alto Medical Foundation
I am 51 years old. What is my chance of still getting pregnant, and how should I handle birth control as I move through menopause?
Women commonly believe that after a certain age they cannot conceive because they are too old. That is not entirely true. As a woman ages her fertility declines. A 45-year-old woman is less likely to conceive t... continue reading about I am 51 years old. What is my chance of still getting pregnant, and how should I handle birth control as I move through menopause?
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