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Ask an Expert
Susan Maayah, M.D.
Palo Alto Medical Foundation
Does the clitoris disappear with age? After 70?
The clitoris never actually disappears, but it can become smaller over time after the loss of circulating female hormones with menopause. This is part of a normal condition with aging called urogenital atrophy.... continue reading about Does the clitoris disappear with age? After 70?
Ask the Expert Team
Sutter Health
I have recently been diagnosed with herpes simplex virus 1. Does that mean I will never be able to kiss?
Let's begin with a quick review of how our immune system works. When your body recognizes an invader, such as a virus, it quickly manufactures fighter cells — also known as antibodies — to that inva... continue reading about I have recently been diagnosed with herpes simplex virus 1. Does that mean I will never be able to kiss?
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?
Frank dela Rama, R.N., MSN, CNS, AGN-BC, AOCNS
Palo Alto Medical Foundation
I am a prostate cancer survivor, age 72, who remains interested in sexual activity. However I suffer from ED and have not found medications to be helpful. Are the penal constrictive devices an option? What other options are available?
Erectile dysfunction can be a side effect of prostate cancer treatment, but depending upon the treatment (surgery or radiation), the onset and quality of symptoms may be different. ED after surgery may stem mor... continue reading about I am a prostate cancer survivor, age 72, who remains interested in sexual activity. However I suffer from ED and have not found medications to be helpful. Are the penal constrictive devices an option? What other options are available?
Ask the Expert Team
Sutter Health
My husband had back surgery last year. He takes medication daily for chronic pain. The last few months he seems depressed and has very little interest in sex. Could the medication or the pain be causing this? Any suggestions on how I can help him?
It is not unusual for patients who take pain medication and are depressed due to chronic pain to have diminished interest in sex. It could be due to the medications, the depression, the chronic pain, diminished... continue reading about My husband had back surgery last year. He takes medication daily for chronic pain. The last few months he seems depressed and has very little interest in sex. Could the medication or the pain be causing this? Any suggestions on how I can help him?
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.
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
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?
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