Sexual Health

Pregnancy is a normal part of life. During pregnancy a woman is not sick or fragile. It is true there are some restrictions in foods and activities, but for the most part women are encouraged to live a healthy,... continue reading  about  Is it okay to have sex during pregnancy?

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?

Great question, and one we get asked often. We also get asked about the use of Viagra. Sexual activity is generally categorized under "vigorous physical activity." Patients with known heart conditions need to c... continue reading  about  Can you participate in sex if you have an enlarged heart?

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?

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.

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.

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?

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?

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?