Talking sex with your doctor isn’t always easy. Whether you are afraid she or he will judge you,  you just don’t feel comfortable sharing the intimate details of your life between the sheets, or you can’t think straight with a speculum between your legs, many people get tight lipped in the doctor’s office. But that doesn’t mean you don’t have questions.

We thought we’d help and every Thursday our friend Dr. Lissa Rankin will be answering your questions. The ones you couldn’t ask your doctor in person and didn’t really trust the Yahoo community to answer for you. Just leave your questions in the comments, or send em over to us. (We’ll keep it all anonymous for you.) Dr. Lissa will answer anything – really, anything – about sex and other lady things. Don’t be shy; she’s waiting for ya!

Q: I’ve been on the pill (normal combination pill) for 3 years. I am very happy with it. I never miss a pill, but I take it at very different times during the morning. Does this decrease the effectiveness?

A: It’s always better if you can take your pill as close to the same time as possible, but if you normally take it at 8am and the next day, it’s not until 11am, that shouldn’t make much difference. The one exception is very low dose pills like Yaz and Mircette (pills with 20 micrograms of estrogen). In this case, it’s more important to try to remember to take your pill at the same time.

Q: I was also wondering, is it possible to use the pill with the Mirena IUD? Would you recommend it?

I hear you, sister. I’m assuming you DO NOT want to get pregnant! While I appreciate the sentiment, I would not recommend using a Mirena IUD with a birth control pill. Both contain hormones that act differently. And since both the Mirena IUD and oral contraceptives are highly effective, I don’t see the reason to assume the risks of both. If you’re particularly worried about pregnancy and want to use double protection, consider condoms plus the Pill or condoms plus an IUD. But adding two hormonal methods together can really mess up your system.   Read More »

Talking sex with your doctor isn’t always easy. Whether you are afraid she or he will judge you,  you just don’t feel comfortable sharing the intimate details of your life between the sheets, or you can’t think straight with a speculum between your legs, many people get tight lipped in the doctor’s office. But that doesn’t mean you don’t have questions.

We thought we’d help and every Thursday our friend Dr. Lissa Rankin will be answering your questions. The ones you couldn’t ask your doctor in person and didn’t really trust the Yahoo community to answer for you. Just leave your questions in the comments, or send em over to us. (We’ll keep it all anonymous for you.) Dr. Lissa will answer anything – really, anything – about sex and other lady things. Don’t be shy; she’s waiting for ya!

Q: I am weighing my birth control options with my boyfriend. There are so many different choices now, so which is the least likely to fail? Any help would be appreciated!

A: In my opinion, the two reversible birth control options that are the most reliable are the Mirena IUD and Depo-Provera. Other hormonal contraceptives are also highly effective if used correctly.  Barrier methods, such as condoms and the diaphragm, are the least effective for pregnancy prevention.  To help you, I’ll go through each birth control method, one by one. Read More »

It’s been almost six months since I wrote to you all about my blood clot experience, and, let me tell you, has it been rough. I’ve gone through a lot of snags that I didn’t expect, but then again I didn’t expect to get a clot either.

I’ve spent the first half of 2009 looking like a heroin addict from all the blood tests I’ve gotten and a pill-poppin’ animal (thanks, Lil Wayne) from all the medications I’m taking. I can’t even count how many times I’ve told the story of what happened and answered countless questions. I particularly love the, “Aren’t you young?” question.

Yes, I’m young.
Does it mean I’m invincible? No.

The first few months were very difficult for me because I was still adjusting to the medication and trying to process the fact that I almost died. Coumadin, or Warfarin, is a blood thinner. I quickly found out that being on blood thinners makes you cold. Almost all the time. So walking to class was hard because I was freezing my little butt off. And don’t even try me on going to parties at night. Since my clot was bigger, it took a long time for it to disappear, which made it hard for me to breathe a lot of the time. Long walks across campus got me winded, and I couldn’t exercise. Pretty much, my whole love for being fit and athletic went out the window.

Along with my lack of exercise, my love for healthy foods like salad, broccoli, asparagus, basically anything green (yeah, kiwi too), was gone. Since foods that are green are rich in vitamin K, a blood thickening agent, I couldn’t eat them unless I did it consistently. I decided it was better not to eat them at all because my blood level was so hard to regulate in the first place. Read More »

Talking sex with your doctor isn’t always easy. Whether you are afraid she or he will judge you,  you just don’t feel comfortable sharing the intimate details of your life between the sheets, or you can’t think straight with a speculum between your legs, many people get tight lipped in the doctor’s office. But that doesn’t mean you don’t have questions.

After so many of you wrote in to ask Dr. Lissa Rankin questions during CollegeCandy’s STD Awareness Day, we thought we’d bring her back more regularly. So, every Thursday she will be answering your questions. The ones you couldn’t ask your doctor in person and didn’t really trust the Yahoo community to answer for you. Just leave your questions in the comments, or send em over to us. (We’ll keep it all anonymous for you.) Dr. Lissa will answer anything – really, anything – about sex and other lady things. Don’t be shy; she’s waiting for ya!

Q: I am on the birth control pill and I want to stop using condoms with my boyfriend. I know he is clean, so I am not worried about STDs, but I am worried about pregnancy. Is the birth control pill enough to keep me from getting pregnant? Am I safe without condoms? I’m sorta freaking out, so any answers you can give me would be greatly appreciated.

A: Well, you know what they say- the only perfect birth control is abstinence (with one famous exception- and even that is highly contested!).  But the birth control pill, when taken daily – without fail – is extremely effective. Are you the type that forgets your pill from time to time?  Lower dose pills (ones that have 20 micrograms of estrogen, like Yaz or Lo-Estrin 1/20) are pickier pills, meaning that it’s more important that you take them at the same time every day.  But if you’re good about taking your pill every day, around the same time, you’re pretty darn close to protected (>99%). Read More »

This morning on Good Morning America, hypocrite Bristol Palin discussed her plan to push an “abstinence-only” message on teens. She couldn’t quite explain how abstinence got her where she is today (with, ahem, a child at age 18), but she was very confident that “abstinence is the only way you can effectively, 100%, prevent pregnancy.”

Props to B. Palin for that brilliant realization (and for basically admitting being a mom sucks), but since, as she said herself just weeks ago, “abstinence is unrealistic,” why don’t we figure out a more-um-successful way to stay child-free, while still satisfying our libidos.

Enter: Birth Control!!

Crazy, right? This stuff comes in all sorts of forms: patches, IUDs, condoms, looking at teen mothers trying to care for their kids and realizing how much less fun life would be with a child… Oh, and the pill, which, when taken correctly (not a difficult feat to accomplish if you can swallow a pill), is 99.9% effective. Certainly more effective than preaching abstinence…and then having unprotected sex with your hockey playing boyfriend in the middle of the Alaskan wilderness. And most of the pills now come in pretty packaging! (Yaz has a tidy blue suede case with fun stickers that help you stay on track and turn birth control into a fun craft project).

Of course, we all (should) know that hormonal contraception doesn’t prevent against narsty STDs, so, unless you and your sex-bud have been tested and are exclusively hookin’ up, please use condoms too! I can tell you from looking at some pretty graphic books that Syphilis ain’t pretty. Neither is abandoning your education to raise a child on welfare and food stamps. So instead of shooting moose, go get yourself some nooky. Because, like Ms. Bristol once said, not getting any is just “unrealistic.”

Just remember to pop that very important pill first.

We talk a lot about birth control around here (a natural progression from our daily musings about sex). We think its ability to stop babies is pretty badass, but many of us aren’t sure if that is worth all the crappy side effects: headaches, bloat, moodiness, debilitating cramps….We seriously thought we had it pretty bad until we found out that all of our suffering was nothing compared to those unlucky ladies who opted for the birth control patch.

While it was marketed as every woman’s dream birth control option (“Lower estrogen! Lasts all month! No need to remember those pesky daily pills!”), it has recently become every woman’s worst nightmare.

“The patch actually delivered much higher doses of estrogen than the pill; Johnson & Johnson failed to reveal this to the public for six years. At least fifty deaths have been attributed to the patch because of this, with thousands more women reporting alarming symptoms.”

The people behind the patch have been dealing with major lawsuits from patch users who experienced blood clots, strokes and heart attacks! Read More »

This was a strange week. Really strange.

“First my mom (and a whole bunch of old people) joined Facebook. Then I find out that women don’t orgasm during sex, TRL decides to close its doors, dudes like having sex when their lady is on the rag and Hugh Hefner lost one of his ladies to a magician?

Sarah Palin’s email was hacked into.

I had some plastic thing shoved into my baby maker.

My friend got a man and I got jealous.

Is it a full moon or something?

I definitely need a drink, but do I go to a house party for free booze, or the bar for a better scene? Or maybe I shouldn’t even get dolled up and stay home to bake a pie with rum instead.

Hm. The pie isn’t a good idea, especially since I only pretend to work out and I want to make sure to fit into some awesome new runway inspired duds. And maybe the bar isn’t a good idea either, considering the future of my wallet is totally unknown.

I’ll just have my boys pick up a 30 pack. Pure bliss.

Like many long term relationships, my relationship with the birth control pill had many ups and downs.

Up = no babies.

Downs = weight gain, extreme emotions and severe migraine headaches.

For a while, the ups far outweighed the downs, but it soon got to a point where the headaches became debilitating (thus making me unable to have sex anyway), and I had to call it quits with the little pill. I tried other forms of birth control – the Nuva Ring, which was just too weird, and abstinence, which was just not realistic – and none of it worked.

I figured I was doomed to be sans BC forever, until my doctor told me about the IUD.

What is an IUD?

Basically, it’s a small object that is inserted through the cervix and placed in the uterus to prevent pregnancy. The doctor inserts the IUD onto your cervix where it stays for up to 10 years. If you want to get pregnant, you simply head back to the doctor and have it removed and your period and ovulation schedule return to normal. The IUD is 99.9% effective at preventing pregnancy and you never have to remember to take a pill again! Read More »