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Women's Health Education Program WHEP Blog: Sexual Health

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Abstract Background

Pain Management With IUD Placement

As a medical student on clinical rotations, I have witnessed many office gynecologic procedures such as pap smears, IUD insertions and even colposcopies and endometrial biopsies. With IUD insertion specifically, I am always surprised by the wide range of patient reactions to what the provider usually describes as “a small pinch.” Some people tolerate these procedures well while others are visibly tearful and in a lot of pain. IUDs are an extremely effective and reliable form of birth control, but it is possible the pain of insertion deters some from utilizing this method.

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Woman holding birth control pills.

Birth Control

Birth control is an important decision that is often accompanied by many questions. There are several options available, each with risks and benefits. Thus, it is important to know all information in order to choose which method is best for you.

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Yeast cells, Candida albicans, SEM

Vaginitis

Vaginitis is defined by a combination of any of the following symptoms: abnormal vaginal discharge, abnormal odor, itching, burning and irritation. While this condition can cause embarrassment, it is very common, and most women have at least one episode in their lifetime. Vaginitis occurs due to an imbalance of healthy bacteria and change in vaginal environment because of age, sexual activity, hormonal status, immunologic status and underlying disease states. Vaginas commonly have normal physiologic discharge, which for most people is clear to white, not associated with discomfort or itching, and will vary in quantity throughout the menstrual cycle. “Normal” discharge varies from person to person.

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Vaccine bottle on a colored background.

HPV Vaccination

Human papillomavirus (HPV) is the most prevalent sexually transmitted infection (STI) in the United States; approximately 14 million Americans become infected each year. Although HPV most often presents asymptomatically and clears without major clinical consequence, it can persist and progress to anogenital warts, precancers or even cancers of the cervix, other anogenital tract and oropharynx. In the United States, over 40,000 cancers are diagnosed each year in both men and women that are attributed to HPV infection. In women, HPV is thought to be linked to greater than 90% of cervical cancer cases and approximately 70% of vaginal and vulvar cancers.

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Woman with hands holding her lower abdomen.

Why Does Sex Hurt? What Can You Do About It?

Did you know that one in five college-aged women experience pain with sexual intercourse? In fact, nearly three out of four women have pain during intercourse at some point during their lives.1,2 Does this mean that its normal and should be tolerated? No.

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Endometriosis Pain

Endometriosis

Endometriosis is the presence of endometrial tissues outside the uterine cavity. This estrogen-dependent disease has its highest incidence in women aged 25-29 years and affects about 10% of reproductive-age women. In women with pelvic pain, 70-90% have endometriosis. Similarly, women who struggle with infertility are found to have endometriosis 21-40% of the time. Women are at a 6-fold increased risk of endometriosis if a first-degree relative is diagnosed with a severe form of the disease.

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Cosmetic gel texture on green background.

New Conceptions of Contraception: What Is Phexxi?

If you have been watching a streaming service with ads in recent months, then there is a good chance an ad has popped up with Annie Murphy (Alexis Rose from Schitt’s Creek), promoting a new form of birth control approved on the market: Phexxi. Produced by Evofem Biosciences, Phexxi is a vaginal gel composed of lactic acid, citric acid, and potassium bitartrate. Approved last year, Phexxi is being marketed as a non-hormonal alternative to traditional hormonal oral contraceptives. It works by altering vaginal acidity directly before a sexual encounter to prevent sperm from being able to travel to and fertilize an egg.

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Abstract Background

Atrophic Vaginitis in Trans Men: A Topic Unexplored

Transmasculine people on testosterone may experience atrophic vaginitis. It is thought to be due to the suppressive effects of testosterone on estrogen, leading to an estrogen-deprived state that appears to be similar to the experience of many post-menopausal cis women. Atrophic vaginitis is a reflection of poor skin barrier function and low tissue resilience, and is associated with bacterial vaginosis (BV).

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Hot Fruit Tea with Oranges and Cinnamon

Tea and Sex - More Similar Than You Think

There is a brilliant video created by a police department in the U.K. that explains the concept of sexual consent in terms of making someone a cup of tea. If you offer to make someone a cup of tea and they don’t want a cup of tea, you should just not make them a cup of tea. You should not get annoyed that they don’t want tea, and you most definitely should not force them to drink the tea.

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