Sex is great (OK, great is an understatement, but let’s move on), but what do you do when it’s not? Pain during sex is surprisingly common and can happen for a number of reasons. This week, I’m going to break a few down of the most common causes so that you can get back to screaming from pleasure, not pain.

Vaginal Dryness
Vaginal dryness is probably the most common cause of painful sex, but it’s also the easiest to deal with. Vaginal dryness can be caused by the pill or antidepressants (both lower libido) or by inadequate arousal. To remedy the problem, indulge in more foreplay before the act (easy enough) and use a water based lubricant.

Vaginal Infection
If pain is severe or you feel itchy and irritated down there, it could be an infection (like of the yeast variety).  If you think you have an infection you should see a doctor. Over-the-counter medicine like Vagisil can help with itching or pain.

Vaginismus
Vaginismus is involuntary tightness of the vagina due to contractions of the pelvic floor muscles. If penetration is regularly painful enough to make it nearly impossible, it’s time to see a doctor. There’s no known cause or quick cure for vaginismus; according to Google Health, “treatment involves extensive therapy that combines education, counseling, and behavioral exercises. Such exercises include pelvic floor muscle contraction and relaxation (Kegel exercises).” Read More »

"Hm. That doesn't smell right..."

Got a health question? Don’t trust those “Doctors” at the University Health Center? Are you scared of Web M.D. because it always tells you you’re gonna die? Ask a real doctor, our friend Dr. Lissa Rankin. She’s here every Thursday to answer whatever you throw at her – like the ultimate cure for a hangover! – so ask away. Leave your question in the comments or send it over to us. Don’t be shy; she’s waiting for ya!

Q: After unprotected sex I noticed my urine becoming really smelly on a consistent basis, which is a new thing for me. There are no other symptoms-no burning or itching or anything, just the smelliness when I pee. Could this be an STD??

A: Usually, healthy urine has almost no odor (unless you’ve been feasting on asparagus or other foods or vitamins that are known offenders).  If you are dehydrated, your urine will be more concentrated and may have a stronger smell. Also, if bacteria have contaminated the normally sterile urinary system, which happens when you have a urinary tract infection, you may notice an odor.

Most of the time, when women approach me complaining of foul-smelling urine, they’re actually smelling their vagina. If you have a vaginal infection, such as bacterial vaginosis or trichomonas vaginalis, you may notice that your vaginal discharge, when it mixes with your urine, smells icky.

While it could be a sexually transmitted disease, such as trichomonas infection, which causes a vaginal infection characterized by a foul-smelling odor, most STD’s do not cause your urine to smell. Sex however, can trigger urinary tract infections, and infected urine may smell icky.

I would suggest a visit to the gynecologist. Make sure they check out your vagina, as well as your urine, to make sure there are no infections either place. And if you’ve had unprotected sex, go ahead and get tested for everything while you’re there. You can set a good example for your partner and feel more secure about next time.

–Dr. Lissa Rankin’s book, What’s Up Down There? Questions You’d Only Ask Your Gynecologist If She Was Your Best Friend, will be published by St. Martin’s Press in Fall 2010. She invites you to join her Pink online community (www.owningpink.com/forum) or read more of her writing at Owning Pink (www.owningpink.com).

I always said I had the best job on campus as an employee of the gym. Not only because I got to watch buff dudes lift weights all day, but also because I had a never-ending supply of free condoms available to me. The gym always kept a fully stocked jar of condoms for the average gym-goer to reward themselves with after a good workout. I’d always leave work with a handful of condoms that would supply my roommate and myself (and sometimes the random stranger desperately roaming the halls for a Trojan) for the weekend.

Although I didn’t choose the University of Richmond for it’s easy access to contraceptives, it is a much-appreciated perk. So, for the curious, Trojan has come out with their Sexual Health Report Card. The ranking, which measures access and availability of sexual health information and resources across 141 colleges and universities, named the University of South Carolina No. 1.

With a mascot like the Gamecocks, is anyone really surprised?

If you’re open about your sexuality and would appreciate a campus that supports you in your sexual exploits, here are the top five schools that are best equipped for you and all the sex you’re having (or desire to have): University of South Carolina, Stanford University, University of Connecticut, Columbia University and Florida Atlantic University. Read More »

I'm ready for ya, boys.

If you want be having sex, or be having more sex (and, come on, who doesn’t!?) the best thing you can do is make sure you’re prepared. Getting yourself ready for sex will put you in a mental mindset compatible with getting some. And feeling sexy will send out the come hither vibes that will make it happen.

Even if you’re having a dry spell, you never know when the opportunity to break it will arise, and you don’t want to be held back by granny panties or hairy legs.

Keep Up Your Grooming. Keep your down-there area groomed enough so that you’d comfortable with someone seeing it, should the situation arise. Nothing will kill the mood (or your self esteem) faster than an unkempt forest.

Keep Up Your Birth Control Routine. Don’t slack on taking your pill just because you haven’t been getting any or you’ll be sorry when you actually do! Not only will it mess with your cycle (spontaneous bleeding = bad), but it won’t be as affective and the last thing you want from a night of nooky is a night-of-nooky-bun-in-the-oven.

Be Tested Regularly. If you’re not having sex, you don’t need to be tested every three months, but make sure you’ve been tested since your last period of sexual activity. Health comes first! Read More »

Talking sex with your doctor isn’t always easy. Whether you are afraid she 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. 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 have had lower abdominal pain, sexual intercourse burns or hurts at times, it burns like hell when I urinate after sex and at night I get shooting pains across my lower abdomen and almost feels like I’m passing a kidney stone. (I have a huge history of these).  There is no discharge and no blood in my urine, but it is painful to urinate at times (like a knife is going through me) and I urinate frequently and feel the need to right after I void. Could this be an STD or a kidney/bladder infection?  I’m getting worried and I don’t know what to do. Read More »

"Hm. Maybe this job is better suited for a lady?"

[It's pretty obvious that the average CollegeCandy reader has some very strong opinions. Opinions that she likes to share with everyone on the site. We love a strong woman, so we thought we'd give her a real forum to discuss her thoughts, feelings, and perspectives. Every Friday I'll be featuring a hot topic (like the first-semester boyfriend!) and leaving it up to you, the readers, to duke it out. So, read it and get your debate on in the comments section below!]

Ok, let’s be honest, no one likes going to the doctor. Throw in a paper gown, putting your legs in stirrups and a “spreader” and it’s no surprise that a lot of us avoid going to the gynecologist like a plague of genital warts. But the truth is that there’s no way to really be in charge of your sexual life unless you bother to stay sexually healthy, and the lady-parts doctor is a necessary part of that.

While we try to give you hand with some of those problems here at College Candy, one of the biggest obstacles between “tear-my-hair-out terrifying” and “not my favorite thing, but bearable” is finding a down-there doctor you like, trust and feel comfortable around – and not surprisingly, a big factor for a lot of ladies is their doc’s gender. Read More »

Blonde is my natural hair color. I rarely drink this much. I’m enjoying being single.

We all lie, in some form or another. We lie to our parents (it’s not a hangover; it’s a stomach bug), our teachers (I’m late because the bus was delayed, not because I forgot to set my alarm), our employers (it’s my mom’s birthday, not some girl in my hall’s 21^st) and our sexual partners (you’re the best I’ve ever had!).

Lying to someone you’re sleeping with is dangerous territory, though. By lying to them, you could be endangering their physical (or mental) health. Which lies are OK to tell, and what things do we have to fess up too?

Lie: I’ve never worn this lingerie for anyone else.

Verdict: OK. We all have a favorite pair of lingerie, and we’ve probably worn it with more than one partner. After all, good lingerie is expensive, and we shouldn’t have to throw it out just because a relationship ends. But your partner probably doesn’t want to know what you wore last time you canoodled with someone else, so it’s okay to keep that information to yourself, or fib a little if it comes up.

Lie: I never slept with [insert friend here].

Verdict: BAD. The truth will come out eventually, and it will not be pretty. How would you feel if you found out one of your partner’s close friends was actually someone they used to sleep with? It’s best to have this information up front. 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 »

[The following post is courtesy of Vanessa Cullins, M.D., Vice President of Medical Affairs at Planned Parenthood. If anyone knows anything about the importance of testing and sexual health, it is Dr. Cullins.]

Here’s a disturbing tidbit:  A U.S. government study found that an average of 14 percent of college women become infected with a human papilloma virus (HPV) each year. At the end of a three-year study, 43 percent of college women were infected.  Why should you care?  Because in some cases HPV can lead to cancer. To avoid HPV infection, girls and women should be vaccinated with Gardasil, which prevents infection of the types of HPV that cause 70 percent of the cases of cervical cancer in the U.S.

Here’s another: An estimated 19 million Americans are infected with a new sexually transmitted disease (STD) each year and, by the age of 25, half of all sexually active young people will contract an STD. In fact, at least one in four teenage girls already has an STD.

Read More »

[The following post is courtesy of Vanessa Cullins, M.D., Vice President of Medical Affairs at Planned Parenthood. Upon speaking with Vanessa and asking for information on STDs we began discussing HIV/AIDS. Naively, I mentioned that college kids are safe and know to protect themselves against this deadly disease. Turns out, I was wrong, and thinking that way is incredibly dangerous.]

Once in a while, we get a variation of this question via e-mail: “I’m a woman in college, and I’m wondering if I still need to be worried about getting HIV. Isn’t it pretty much under control by now?”

HIV/AIDS is definitely still a threat — especially among young people and women. Today, women account for more than one-quarter of all new HIV/AIDS diagnoses, and women of color are especially affected by HIV infection and AIDS. The growing complacency about this deadly disease is alarming.  You cannot tell from looking at someone whether that person is infected with HIV or any other sexually transmitted disease (STD). That is why all sexually active people need to protect themselves against HIV. Read More »