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Ask the Gynecologist

Dr. Lifton's Frequently Asked Questions


Table of Contents

  1. What are the effective methods of birth control?
  2. Which birth control methods do NOT prevent unwanted pregnancy?
  3. What are the general symptoms of Sexually Transmitted Diseases (STDs)?
  4. What are the major risk factors of STDs?
  5. What should every person know about STDs?
  6. What exactly are HIV and AIDS?
  7. Tell me about Gonorrhea and Chlamydia?
  8. Tell me about Hepatitis B?
  9. Tell me about Hepatitis C?
  10. Tell me about Vaginitis?
  11. Fact or Fiction:  "Condoms will protect me from STDs"
  12. Fact or Fiction:  "Only people who have sex a lot will get STDs"
  13. Fact or Fiction:  "If I don't have symptoms, I don't have to be checked for STDs"
  14. Fact or Fiction:  "I won't get pregnant even though I don't use contraception"
  15. Fact or Fiction:  "AIDS is a gay or homosexual disease"
  16. What are some other common myths about STDs?
  17. What are the short and long term consequences of STDs?
  18. How can I find out answers to more of my questions?

What are the effective methods of birth control?

  • Abstinence
  • Condoms - male and female
  • Birth Control Pills
  • Injections
  • Diaphragm
  • Inserts
  • Norplant insertions
  • Mini-pill (progesterone only)
  • Regular birth control pills
  • IUDs - Intrauterine Devices
  • Cervical caps
  • Creams
  • Jellies
  • Foams
  • Film
  • Surgical sterilizations - tying of female tubes or male vasectomy - meant to be PERMANENT - reversal very costly and sometimes doesn't work
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Which birth control methods do NOT prevent unwanted pregnancy?

  • Breastfeeding
  • Douching
  • Withdrawal
  • Taking birth control pills only the day of, the day before, or the day after intercourse
  • Standing
  • Having intercourse for the first time
  • Having infrequent intercourse
  • Rhythm
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What are the general symptoms of STD's?

  • Unusual vaginal discharge (changes in odor, color, consistency, amount)
  • Bleeding during intercourse
  • Pelvic pain
  • Tingling or itching in the vaginal area
  • Blisters or sores in the sexual areas
  • Warts or bumps in the sexual areas
  • Persistent vaginal yeast infection
  • Jaundice
  • Swollen lymph nodes in the groin
  • Pain, difficulty, or failure when urinating
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What are the major risk factors of STDs?

  • Unprotected anal sex
  • Unprotected vaginal sex
  • Sharing needles (for piercing, tattooing, or drugs)
  • Unprotected sex on a female with her period
  • Unprotected sex on a male who "comes"
  • Unprotected oral-anal contact
  • Getting feces or urine in anus, vagina, or mouth
  • Unprotected finger or fist insertion
  • Unprotected oral sex on a male who DOES NOT "come"
  • Unprotected oral sex on a female who DOES NOT have her period
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What should every person know about STDs?

    The fastest growing population is the high school population.  Females are more susceptible to STDs than males because of their anatomy.  In most women (and some men), there are no symptoms of STDs.  Not only does a sexual partner not tell about the disease, often the woman herself doesn't know she has it.  If discovered early enough, treatment can be simple (often antibiotics).  However, if a case goes untreated, the damage can be permanent, life-altering, or life-threatening.  Immunity to STDs does NOT develop, and some STDs are incurable.  STDs have nothing to do with cleanliness or grooming.  STDs know no geographical or socioeconomic boundaries.  STDs can be transmitted by oral sex, anal sex, vaginal sex, or even by heavy petting.  Penile penetration does NOT have to occur.

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What exactly are HIV and AIDS?

    HIV is the Human Immunodeficiency Viral retrovirus which results in the bodies inability to fight infection.  AIDS is the Acquired Immunodeficiency Syndrome and is subsequent to HIV by 3-10 years.  Abstinence is the only guaranteed method of prevention.  Symptoms range from none to specific infections or a specific skin cancer.  Drug abuse, promiscuous activity, tattooing, and sharing needles are among the high risk activities for HIV and AIDS.  Blood tests are the main method of determining the presence of the virus and there is currently no cure.

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Tell me about Gonorrhea and Chlamydia?

    Gonorrhea and Chlamydia are very closely related, in terms of symptoms, infection sites, and treatments.  In fact, they are complimentary infections, meaning that if you have one disease, you more than likely have the other one, too, and you are treated most times for both diseases.  The only difference between the diseases is that each disease is caused by different bacteria.  A main symptom is a pusy discharge, but often there are none.  Both diseases can involve the cervix, rectum, throat, and/or the opening to the bladder.  Different antibiotics are used to treat each disease, and can only be prescribed by a doctor.  The high risk category includes intravenous drug users and sexually liberated persons.  If you are included in this high-risk category, you should undergo periodic testing.

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Tell me about Hepatitis B?

    Hepatitis B is a viral disease of the liver and can only be avoided through abstinence.  Jaundice is the main symptom.  Promiscuous activities and drug use are in the high risk category for this disease.  Identification of infection is done through blood testing, and treatment can range from nothing to liver transplant.

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Tell me about Hepatitis C?

    Hepatitis C is a viral disease that leads to infection of the liver and can eventually cause liver cancer.  Again, abstinence is the only effective method of prevention.  (A trend is appearing!).  Symptoms, testing, and treatment are similar to that for Hepatitis B.

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Tell me about Vaginitis?

    Vaginitis is an infection of the vagina.  Male/female condoms and abstinence are the main forms of prevention.  Symptoms include itching and unusual discharge.  Antibiotics and various creams are the normal treatments.

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Fact or Fiction:  "Condoms will protect me from STDs"

    Fiction:  A recent report from the Department of Health and Human Services evaluated 8 widespread STDs.  The results?  Condoms give girls and women no protection from 7 of the 8 STDs studied, even when used correctly.  Condoms do not stop genital HPV - the cause of almost all cervical cancer.  If you have sex, you are at risk!

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Fact or Fiction:  "Only people who have sex a lot will get STDs"

    Fiction:  Even if you've only had sex with one person, there's a chance that you've been infected with an STD.  Remember, you're sleeping with every person they've ever slept with.

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Fact or Fiction:  "If I don't have symptoms, I don't have to be checked for STDs"

    Fiction:  You could have an STD and not even know it.  Some people have no symptoms.  Some people might have itching, sores, and extra fluids from their sex organs, or a burning feeling when they pee.  Get checked routinely to be certain that you are healthy!

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Fact or Fiction:  "I won't get pregnant even though I don't use contraception"

    Fiction:  There are many methods for preventing unwanted pregnancy and one or several of them must be used.  Abstinence is the most preventive.  Please see the following website for a variety of these methods and their failure rates.  http://www.youngwomenshealth.org/summarychart.html.

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Fact or Fiction:  "AIDS is a gay or homosexual disease"

    Fiction:  Infection with HIV, the virus that causes AIDS, is increasing more rapidly among heterosexuals.  Many people are being infected with HIV through sexual activity with someone of the opposite sex.

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What are some other common myths about STDs?

    Some common myths:

  • You can tell if someone has an STD.
  • You can tell if you have an STD.
  • Getting an STD is no big deal - it's easy to treat and then you're immune.
  • If you're clean, well dressed and groomed, you won't catch them.
  • If you live in certain areas, you're immune from them.
  • You must have sexual intercourse to catch them.

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What are the short and long term consequences of STDs?

    Short term consequences:

  • Bad health
  • Infertility
  • Discomfort
  • Distress (emotional and physical)

    Long term consequences:

  • Blockage of the fallopian tubes which can lead to infertility and ectopic pregnancy.
  • Pregnancy loss and increased newborn deaths caused by transmission of the infection to the infant during pregnancy and childbirth.
  • Genital cancers
  • Enhanced transmission of HIV/AIDS
  • It can be a large medical expense that people are not prepared for

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How can I find out answers to more of my questions?

    To find the answers to more of your questions contact me, Dr. Lifton, by clicking here.  I am qualified to answer all gynecological questions. All information is private and confidential.  Thank you for visiting my site.

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Contact:
Lifton, Lloyd, MD, PC
575 Rivergate Lane suite 207
Durango, CO 81301
Phone: 970-259-0701
Fax 866-241-4305
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