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The pandemic seems to be winding down. There is so much confusion out there about what is safe and what is not. I choose to remain impartial and give people the resources they need to make decisions for themselves. The questions in my field are mainly will COVID19 and/or the vaccination affect my patient’s fertility, pregnancy, baby or health. This has been such a trying time for all of us. Not since the discovery of HIV has a virus had such unpredictable outcomes. Now 40 years later we are seeing advancements that allow persons infected with HIV to live longer and decrease the transmission rates. Unfortunately, the fear and prejudice associated with the HIV virus has a huge impact. The tracking and tracing that continues to go on with the COVID19 virus has created such a toxic environment of blame and shame. The way we have treated the COVID19 infected individual has been absolutely heartbreaking. We have separated the dying from their families. We have separated women giving birth from their families. The fear of this virus has mainly been due to the almost Russian Roulette wheels of symptoms an individual could be plagued with. Other than the obvious at risk-we had no way to predict who was going to have the most devastating or fatal symptoms. Yes, there are still new strains. Yes, people are still dying. Yes, the vaccine has not PREVENTED viral transmission. Yes, we have seen a reduction in the severity of the impact on most individuals. Yes, the Omicron strain has seemed to attached itself to everyone who had previously avoided infection. So, did the mandatory isolation of healthy people help? Everyone had to get it for us to get through this-but if you were one of the individuals who was at high risk of dying if you got the virus-I imagine you also would have been the first in line doing whatever you were told to do to by those you have always trusted previously to keep you healthy. Those over 80 remember their Grandparents dying of diseases in their 40-50’s. They do not question the medical community. The medical community has kept them alive far longer than any generation to live before them. So to the anti-vaccine people-I understand your concerns. And to the anti-establishment people-I understand your concerns. When the virus first hit, my first thoughts after hearing it was “created” and it was killing the sick, disabled and elderly, was that our government was trying to decrease the number of people they we “taking care off”. The cost of healthcare just keeps getting more and more expensive. Women and men are both working, sometimes even more than one job. No one is readily available to stay home to raise children and care for the elderly. Children are in daycare and the elderly are in facilities. Very few have the financial means to pay for these care facilities. The government retirement, disability, SSI, Medicare and Medicaid systems are not going to withstand the growth. Individuals are living retired for almost as many years as they worked. Most have major health problems requiring intervention, some have been concerned about rationing. Then you add the disabled who are entitled to these same benefits. I just really have no idea how this is working. I seriously, 100%, thought COVID19 was put out there intentionally to “lighten the load”. Now we will live with the aftermath-death, disability and prolonged COVID symptoms. Life has changed forever. We still don’t know the end game for vaccination requirements. I just don’t think there is a right or wrong answer-We have all just done the best we could to get through this nightmare. Be safe out there.

PS-My office staff keeps threatening to go to Vegas and strip on the weekends for $50k. I’m volunteering to be their body guard. I mean I am good with $5k for the weekend. Priorities…..🤕

Dating with the same last name….Hmmm. Asking for a friend. When it comes to relationships things are complicated enough without adding the extra worry of whether someone is biologically related to you. If you are dating to marry and procreate the rule of thumb is no closer than second cousins to prevent the breeding complications that occur from relatives producing a pregnancy. The idea being not all cases of lineal breeding is considered a negative. The blue eye trait is in fact a recessive gene purportedly due to at least one incident of two relatives having a pregnancy.
So if you are just dating and someone has the same “common” last name as you-What do you do? My recommendation is a family tree. The occurrence of adoption, divorce, infidelity and any number of other social exchanges will most likely prove you to be unrelated by biology even if by name.

If someone has these sores you would not want to kiss or touch the sores and ulcers. Ironically not everything shown here is the herpes virus but all can have a superimposed herpes or bacterial infection if exposed or contaminated.
The first picture with the blisters on the upper lip is a classic sign of a herpes virus-often differentiated by location: Oral or Type 1; Genital or Type 2; Chickenpox-Widespread; Shingles/Herpes Zoster-follows the infected nerve on one side of the body.
The second picture is Angular cheilitis caused by a vitamin deficiency-not contagious but open sore put the person at risk for getting other infections such as herpes or impetigo at the site of ulcer. The third picture is an image of canker sores which are a break down of the mucus membranes due to any number of reasons but typically not herpes and not contagious. The only way to know for sure if a sore is a herpes virus is to get a culture. When discussing Type 1, oral herpes, also called cold sores-which are very common, we must keep in mind these sores can occur anywhere the virus touches open skin or mucus membranes. A partner with an active breakout can transfer herpes from the mouth to the genital region during oral sex and visa verca. Knowing your status is important so you can prevent worsening your unrelated conditions or so you can treat the outbreaks so they are less painful and/or less frequent.

My home town is flooding these past few days. Send me your questions or topics as I will have plenty of time indoors.

How to stay safe in these scary times. We all worry about the effects of the Pandemic on our health and finances, but many people are struggling with the lack of sex. You don’t actually get COVID19 from having sex, but it is impossible to have sec with an infected partner and jot be exposed. Mental health scores are off the charts. We are truly seeing that the lack of intimacy, especially sex is causing many people to literally loose their minds. Now we have the Delta variant and everyone is worried that we are never going to go back to normal. Well honestly, the good old normal days were not free from disease. There is something to be said about keeping your circles small and pleasing your partner. Strange isn’t exactly good these days.

So in the interest of education, I am going to talk about the unicorn of the female orgasm also known as "squirting". Squirting and female ejaculation are two separate things that may occur during sex before, during, or after an orgasm. Squirting is the release of "fluid" from the urethra which is the opening at the tip of the tube exiting the body from the bladder. The fluid is essentially urine. The caviot is that it is mix with a lubricating, fluid from the Skene's glands which is essentially the prostate gland for a woman, see diagram. There is erectile tissue surrounding the urethra that contracts and releases with stimulation. The volume of fluid varies based on a couple of things: firstly the volume of fluid in the bladder and secondly how comfortable this woman is in releasing the fluid. You may see a lot of liquid expelled or you my see just a few dribbles. Sex is messy-so pad up if you want to play. Female ejaculation is the release of a small amount of thick, milky fluid that comes from the Skene's gland with arousal and/or during orgasm. So in short squirting, female ejaculation and orgasm may occur at any point during sex play. Refer to my previous post about female orgasm for ways to help with stimulation. The next natural question then is "How do I make my partner squirt". The G-spot is the area of hypersensitivity that is located in the anterior wall of the vagina, see diagram. This tissue can be hard to reach with fingers-so toys and penis are fine. The stimulation of the G-spot and the clitoris simultaneous is very effective in helping a woman achieve orgasm which is essentially the same way to achieve squirting and female ejaculation. Let the games begin.

The elusive female orgasm. Most women feel pressure to orgasm without asking for what they need. Most men feel compelled to please their partners. When approaching pleasing your partner understanding that each woman’s anatomy and nerve endings create a slightly different but very possible ability to produce orgasm. Regardless of desire-extra lubrication is always helpful. Be careful not to use things that could “burn or irritate” without first doing a spot test. Prolonged rubbing of “dry” tissues can cause hours and days of discomfort for the women after the act. Most women require external stimulation of the clitoris to orgasm. Coupling external stimulation of the clitoris with penetration may produce an entirely different orgasm which is often much more powerful. This can be accomplished by partners working together using their anatomy or toys. Every woman requires a different amount of pressure, speed and direction of stroke. Some women need direct clitoral stimulation and some need indirect stimulation through the hood because direct stimulation is to “sensitive”. Stopping and starting is also a good way to build the pleasure if at first it is not producing the desired results. Desire is the most powerful tool in producing the female orgasm.

We have all been there-lonely-horney and in need of a little action. Just take a breath and seriously consider all the reasons the relationship ended before jumping back in bed with the Ex. For one-you will be sleeping with all of the unknowns they slept with during the separation. For two-the relationship is doomed to end again for all the same reasons. And lastly, women attach to men through hormones and it will take you six months to a year to stop craving them. Do yourself a favor and take a chance getting to know someone new. Number 1 & number 3 still apply but at least you don’t have to deal with number 2!

We support body positivity! Let us help you love you! Sex is one of the best ways to do that!

So can someone explain to me how it is that people are getting paid to watch?