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- Make sure there is plenty of lubrication to help reduce friction.
- Warm baths and massage can help with relaxation of muscles. This can help when width is an issue.
- When length is an issue grab hold of his penis to a level of comfort for you. This can control the depth of penetration yet still give the sensation to your partner that his penis is "covered".
- You can also place a penile ring on him and to let him know that placing his penis past the ring is uncomfortably for you.
- Also avoid positions where there is deep penetration for you.

Although most women do not get UTIs by having sex, sexual activity can put a lady at risk for a UTI. This tends to be an issue more in women who have 3 or more UTIs a year.
Research has shown that the following sexual behaviors may put a woman at increased risk.
- Spermicides containing Nonoxynol-9 may promote UTIs. It has been shown to help E. coli bacteria stick to the wall of the vagina or opening to the bladder. If enough stick there you develop an infection. Blueberry and cranberry juice have been shown to reduce the "stickiness" of E. coli helping to reduce infections.
o Barriers such as diaphragm and the cervical cap because they require the use of spermicides as listed above.
- Frequent sex - one theory possibly due to change in the vaginal pH from semen. This could in theory decrease the good bacteria that keep the vagina acidic. If the vagina is not acidic bacteria that cause UTIs can grow.





There are many sexually transmitted diseases. Some of these need to be checked for at least one a year. This is called screening. Other you can get tested for based on symptoms. This is called diagnosing.
1. Why should a person be tested?
· Untreated infections can lead to spread of infection to another person.
· Some infections (gonorrhea and Chlamydia) can lead to infertility
· Almost all of these infections can cause harm to an unborn or newborn baby. They can lead to birth defects, early labor, and blindness or sever illness from infections and fetal death.
· Some infections (including syphilis and HIV) can even result in disability or death to the infected person if left untreated.
2. What can a person be tested for
· HIV,
· Gonorrhea,
· Chlamydia,
· Syphilis,
· Trichomoniasis, or "trich"
· Bacterial Vaginosis
3. Who should get tested?
· Anyone who wants to be tested
· Anyone with penile or vaginal discharge
· Men who have symptoms such as burning with urination and recent sexual activity especially age less than 45
· Pregnant women
· Sexually active female age 25 years and younger (specifically for gonorrhea and Chlamydia)
· Anyone who tests positive for at least one STD
· Someone who is HIV positive or has AIDS
· "High risk" patients. This includes anyone who has had sex with more than 5 people in a lifetime or more than 1 person in a year.
· Men who have sex with men
4. How often should a person be tested?
· HIV: CDC (Centers for Disease Control) now recommends that everyone should be screened for HIV at least once a year regardless of whether you are having sex. On an individual basis if you doctor thinks you have no risk, they may not offer it to you.
· Women usually are tested or offered testing once a year at their routine physical to prevent missed diagnosis of gonorrhea or Chlamydia.
§ During routine pregnancy evaluations
· Men who have sex with men may be offered specific testing such as syphilis once a year
· People who are HIV+ or have AIDS tend to receive testing at least once a year
5. What about herpes and genital warts?
· Unfortunately, some STDs have to be diagnosed because there is little you can do to screen for it. Things like herpes and genital warts fall into this category. An example is a lot of people have cold sores or fever blister in their life. Taking a blood test to say you have had a cold sore when there is no sore just costs the patient money and pain (through a blood draw or unnecessary stress) and there is absolutely no treatment that would be given for this. But if a person has a cold sore on their lip then they can go to the doctor and get diagnosed and treatment if needed. This is the same with herpes of the genitals and genital warts. You have a "sore" or you don't. If there is a sore, you need to be treated. If there is no sore there is no treatment no matter the blood test results.
For more information: http://www.cdc.gov/std/healthcomm/the-facts.htm
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I still recommend condoms. Polyurethane condoms (latex free) are available and do protect against sexually transmitted diseases such as HIV, gonorrhea, and Chlamydia. They do not cause the irritation that people may get from latex allergies.
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Don't' worry your cervix is not a plug that hold your insides up or in so nothing will fall out.
Multiple studies show that women who have had hysterectomies have improvement or no change in sexual function. Some studies show even an increase in sexual frequency and the orgasm. There does not seem to be any data stating the partners have any complaints about sexual satisfaction.
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