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 feel very uncomfortable with all things sex. I am not very experienced and get really nervous when the opportunity arises. How can I fix that?

A: To answer your question completely, I would want to know more about you. Why are you uncomfortable with all things sex?  Is it because you’re young and inexperienced, or have you had past experiences, such as rape or sexual molestation, that rock your foundations and understandably lead to uncomfortable feelings regarding sex?  And how is your relationship with your sexual partner?  Many people are uncomfortable with sexual activity when they don’t know or trust their partner well.  Are you uncomfortable because you don’t really understand your body? Or are you having pain?  There are many reasons why someone might feel uncomfortable with sex.  Sometimes, those feelings arise to protect you and are worth honoring. But sometimes, they get in the way of sexual bliss and can cause problems. 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 took the embarrassment (and speculum!) factor out of the equation and asked you, the CollegeCandy readers, to submit the questions you had regarding STDs and sexual health to our new pal, OB/GYN Dr. Lissa Rankin. Check out the first batch of questions she answered and get the rest of the info below:

1. If you have a high risk strain of HPV and so does your current partner, will my chances of it progressing to cervical cancer increase if we do not use a condom, and just use birth control? I am positive he is also monogamous.

Bummer about the HPV, but rest assured, you’re so not alone. As many as 80% of sexually active young people will test positive for HPV, even in the absence of symptoms.  If you and your partner already have a high risk strain of HPV and you’re both completely monogamous, using a condom probably won’t help you unless there are other strains of HPV or other STDs that the two of you have not already transmitted to each other.  Whether or not your high risk HPV leads to precancerous changes of the cervix, or worse, cervical cancer, has much more to do with how well your immune system functions.  The best thing you can do to avoid cervical cancer once you have high risk HPV is to eat a whole foods, healthy diet, exercise regularly, get enough sleep, take a multivitamin, manage your stress in healthy ways, and generally take good care of your body – all things that strengthen your immune system.  If you have access to an integrative medicine physician or a naturopathic doctor, there are herbal formulas that can help your body naturally fight the HPV.  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 took the embarrassment (and speculum!) factor out of the equation and asked you, the CollegeCandy readers, to submit the questions you had regarding STDs and sexual health to our new pal, OB/GYN Dr. Lissa Rankin. She shares her experience and knowledge below. There were so many questions that we had to break it into two parts, so come back later to read the rest!

1. How does someone get tested for STDs?
If you wish to be screened for STD’s, screening is simple.  Readily available blood tests exist for HIV, hepatitis B and C, syphilis, and herpes.  Chlamydia, gonorrhea, and trichomonas can all be tested from swabbing the vagina or cervix, as well as from a urine test, and it’s important to get tested, since the presence of these infections may make you more susceptible to contracting HIV.  HPV testing can be performed at the time of a pap smear, although this test is usually only done if your pap smear is abnormal.  Genital warts, pubic lice and molluscum contagiosum are usually diagnosed by a doctor’s visual inspection or, sometimes, a biopsy.  Most STD tests are readily available at any OB/GYN or primary care medical office.

2. How often should I get tested?
I recommend being tested any time you change sexual partners (or any time your partner does). So if you break up with your boyfriend and he hooks up with someone else, then wants to get back together, it’s time to get tested again.  If you’ve been tested once and everything was negative, it’s a good idea to get retested in 6 months, just to make sure.  After that, as long as you’re with the same partner and you know for sure your partner is faithful, you’re probably safe to just get your annual pap smear. Read More »

Jill Grimes, MD, is a board-certified family practice physician in Austin, TX. She is an associate editor for the 5-Minute Clinical Consult textbook, and clinical instructor at UMASS Medical School.  Her book, Seductive Delusions: How Everyday People Catch STDs, proves how serious STDs are for all of us – yes, even you! We had a chance to speak with Jill and she had this to share with everyone at CollegeCandy:

Okay, ladies, it’s time for a sneak peak behind closed exam-room doors. Outside, we are bombarded with the constant message that sex is all about fun, excitement, and personal empowerment – our bodies, our choice. Inside, however, we see a disconnect between these choices and unexpected consequences. People like “us”- whether that’s preppy Greeks, computer geeks, scholarship athletes, nurturing elementary ed majors, intense pre-law or pre-med majors, or any other student – these aren’t the kind of people who would be at risk of carrying a sexually transmitted disease, right?

WRONG!

As a private practice family physician located near a major university, I’m here to give you the REAL scoop about the STDs we diagnose every day, in women just like you.

The majority of my patients have had fewer sexual partners than they can count on one hand, and yet my colleagues and I diagnose genital herpes, chlamydia, and HPV (either obvious genital warts or abnormal Pap smears) like crazy! To be honest, one of the most common things we hear when we diagnose someone with genital herpes is “but there’s NO WAY I can have herpes, because I haven’t even had sex yet!” Of course, they’ve had oral sex, but they didn’t realize that cold sores = Herpes and cold sores in the mouth + genitals = Herpes down low. Read More »

When’s the last time you took a trip to visit your good old friend, the doctor? Chances are you’ve missed some really important appointments! It’s time to suck it up and face the music, sister.

Here are three necessary dates you need to jot down in that calendar of yours:

Your Gynecologist:

You’re probably used to a getting a little more romance prior to anyone coming near your cookie, but you’re gonna have to make an exception here! You should have your first pap test done once you become sexually active or once you turn 21, whichever comes first. The doctor will use a device called a speculum to widen the opening of the vagina so that the cervix can be examined for cancerous cells. This will only be uncomfortable for a minute as they take a swab of your cells. You should get your results within 3 weeks. If you don’t have this test done annually, you are putting yourself at risk for undetected cervical cancer. Hey, and while you’re at it, go get yourself the HPV vaccine and give cervical cancer the one-two punch!

Your Dentist:

Those needles, that drilling, the disappointing absence of this month’s Cosmo in the waiting room. No one likes making a date with the big D! (Well, that big D.) But if you don’t go for your 6 month checkup like you know you should, your dentist won’t be able to catch a small issue before it turns into a huge (not to mention painful and expensive!) problem. Say you do have a cavity; if your dentist finds it quickly, he can fill it right away. If you let a cavity hang out in your tooth for too long, you will end up having to suffer a crown and root canal. Your dentist also needs to regularly check you for periodontitis, oral cancer, gingivitis, and decay. So, catch up on your flossing and give Dr. Giggles a call.

Your Optometrist:

Staring at a computer for hours, not wearing eye-wear in the tanning bed, binge-drinking, and smoking cigarettes are all ways we damage our eyesight on a daily basis. An annual check up with your Optometrist can help determine if you are at risk for glaucoma or macular degeneration (a slow progression of blindness. Remember Amanda from ANTM season 3? She had macular degeneration!). A quick visit will determine if you have either of these conditions as well as evaluate your vision. You’ll take a puff of air to the eye, have a flashlight waved over your pupil and read some letters off a poster. Way easier than any exam you’ll take in class!

So, if you want to avoid resembling a guest on Jerry Springer (blind, toothless and probably full of vadge cancer), you need to get your bum to the doc. It may not be the greatest way to spend an afternoon, but it sure beats developing a serious disease! And if you just can’t bring yourself to go alone, have a friend tag along. She probably needs to go too.

Whew! What a year, right? We saw it all: Britney’s bald head, governors getting it on with prostitutes, a new Facebook, the collapse of Wall Street, the rise and fall of Sarah Palin, a horrifying plane crash that killed some and spared others, the election of our first black president (!!), lots of young mommies, and a whole lot more that I drank too much to remember.

Things were busy over here, too. We discovered the guys not worth holding onto, and the perfect vibrator that is. We began to understand why crazy sex positions are totally worth it, and why sex on the beach is a must-do for 2009.

We found a totally hot new band that will change the way you think about music, learned the 14 truths about men, and laughed with the funniest ladies out there.

We found out that guys get Brazilians (?), argued the merit of leggings, and filled our entire closet with new clothes….for free!

We took our first trip to the gyno, learned a ton of new euphemisms for sex, and sought out some not-so-obvious places to meet a man. We looked back at our favorite things from middle school.

We hated/loved Facebook.

And we dipped our toes in the Cougar pool.

2008 was a good year. Here’s hoping 2009 can be as much fun (both in the bedroom and out of it).

Childbirth is excruciatingly painful. Sounds like a no-brainer, right? Yeah, that’s what I thought, too. But ABC’s 20/20 is going to broadcast a segment on a new documentary called “Orgasmic Birth,” about women who said that giving birth was one of the most ecstatic (and orgasmic) moments of their lives.

In the segment, to be broadcast on Friday, January 2nd at 10 pm, Tamra Larter says that she spent part of her labor for her second child making out with her husband! “The physical touch and the nurturing was just really comforting to me,” she said, “[The birth] was happening, and I could hardly breathe, and it was like, ‘oh, that feels good.’”

Um. Ew?

Dr. Christiane Northrup, OB-GYN, was interviewed by 20/20 and reported that it is possible to experience orgasmic childbirth, according to “basic science.” She says, “When the baby’s coming down the birth canal, remember, it’s going through the exact same positions as something going in, the penis going into the vagina, to cause an orgasm.”

With all due respect to Dr. Northrup, I’m not buying it. And I think it’s great that Ms. Larter was able to get it on during labor (Sidenote: what’s her kid gonna think when he reads that ten years from now?), but either she has a really, really high threshold for pain, a really big va-jay-jay, or they must have slipped her the epidural without telling her. Also, if your baby gives you an orgasm, isn’t that moderately incestual? Just sayin’.

I have no children at the moment, and I have never given birth, so I guess you could say, “don’t knock it till you try it.” But I believe childbirth may be the one thing that you really don’t have to try to knock.  So, here are just a few reasons why I’m not expecting childbirth to be orgasmic:

1. An eight-pound baby is way bigger than a penis.

It’s true that the kid will be coming out the same way his daddy’s manhood went in, but even if that dad were Ron Jeremy (ew, btw), the biggest penis in the world couldn’t possibly compare to the size and weight of a healthy newborn. Read More »

So the other day I woke up at 7:30 in the morning to have a little date with a speculum. That’s right, ladies! A gyno appointment! Vajayjay invasion before most people were sitting in their cubicles! Nothing says good morning like lubed-up metal and poking fingers.

The only thing that was worse than realizing some lady in pink scrubs got more intimate with me than a dude has in months was realizing just how many months it’s been — and having to say it out loud. See, for us single gals, going for your annual pap is a big, giant reminder of your past transgressions…or lack thereof. Have you slept with too many losers? Haven’t slept with anyone since the last full moon? Were you so drunk you can’t really remember if you used a condom or not? And how about your pubes…when was the last time you shaved or waxed?

I mean, all of those questions and more are answered when a girl goes to the gyno, and the answers aren’t always awesome. For instance, I realized I’ve been without sexy time for enough months to basically compile a year, and when the doc asked me when me last sexual encounter was, I let out this weird half-laugh, half-moan and cut my celibacy in half. I was embarrassed to tell my gynecologist about my empty sex life! Who am I? Read More »