[Susan MD]

As a woman who was fit and healthy until age 32 when I developed health problems that decreased my ability to walk, I have a lot to say about wheelchair manners. There is no need to crouch as if you were stooping to speak to a child. Just because someone is in a wheelchair does not mean they are stupid (I have a 160 IQ). Do not cut off a person in a wheelchair or a scooter from their group. People often cut in front of me when I am with my small children. It is OK to offer help (and often appreciated), but respect "NO" if you hear it. It is OK to politely ask why I am in my situation. Also note Scooters do not have brakes - I can go, but can not stop immediately. I will run over you if you cut in front of me!

User Detail :  

Name : Susan MD, Gender : F, Sexual Orientation : Straight, Disability : Lupus, Race : White/Caucasian, Religion : Catholic, Age : 37, City : Chicago, State : IL Country : United States, Occupation : Physician, Education level : Over 4 Years of College, Social class : Middle class, 

[Susan MD]

The Catholic ideal is to be open to the gift of children, but the church recognizes the importance of sex in marriage and the economic necessity to control family size. Fertility awareness is the ideal for spacing children. The church accepts contraception as a side effect of certain medications that are used to treat other problems (birth control pills to control heavy periods or endometriosis), and it recognizes the need for contraception in special situations such as medical problems. They say you should follow your doctors advice when it comes to these types of situations. Even then though they ask that should conception occur you be open to it (i.e. no abortion unless medically necessary). At least this is how the nun who did my premarital counseling explained it when I told her I needed to be on good contraception because should I conceive while on chemotherapy the baby would most likely have problems. The church very much teaches now that couples should enjoy all of the pleasures that marriage brings - including sex.

User Detail :  

Name : Susan MD, Gender : F, Sexual Orientation : Straight, Disability : Lupus, Race : White/Caucasian, Religion : Catholic, Age : 37, City : Chicago, State : IL Country : United States, Occupation : Physician, Education level : Over 4 Years of College, Social class : Middle class, 

[Susan MD]

There are prescription creams that can help. I don't know how much you are trying to lose, but if you lose enough that you have loose skin to remove often a lot of the stretch marks can removed when the loose skin is removed. Stretch marks will fade with time. I am overweight(100+ pounds) and bless my husband he never comments about anything except telling me he doesn't see me naked enough. Learn to love yourself totally and if the marks still bother you see a plastic surgeon. Also my very thin teenager has them all over his back from growing tall too quickly. Even thin men can have them!!

User Detail :  

Name : Susan MD, Gender : F, Sexual Orientation : Straight, Disability : Lupus, Race : White/Caucasian, Religion : Catholic, Age : 37, City : Chicago, State : IL Country : United States, Occupation : Physician, Education level : Over 4 Years of College, Social class : Middle class, 

[Susan MD]

If you have never placed any object in your vagina then you might have some pain and discomfort. On the other hand if you have used tampons, vibrators, or have ever been manually stimulated without incident then you should have no problem. There is absolutely no health risk in buying a couple of sizes of vibrators or dildos and gently inserting them (well lubed) at home to stretch the hymen prior to first intercourse. Occassionally a woman will have an unusually thick or tight hymen that requires surgical removal prior to being able to have intercourse. If you are unable to insert a tampon or 1-2 fingers comfortably see your physician. Female on top position allows you better control of penetration. As far as lube I recommend Astroglide. By all means take it slow and enjoy.

User Detail :  

Name : Susan MD, Gender : F, Sexual Orientation : Straight, Disability : Lupus, Race : White/Caucasian, Religion : Catholic, Age : 37, City : Chicago, State : IL Country : United States, Occupation : Physician, Education level : Over 4 Years of College, Social class : Middle class, 

[Susan MD]

Finally a discussion on wheelchair/Scooter manners!!! I am partially ambulatory and get so frustrated with the rudeness of others when I am in a chair. My chair/scooter is an extension of my body...treat it as such. Appropriate social kindness is appreciated. If you would do it for someone with an arm load of packages, assume it is ok to offer to me also. (open door, pick up a dropped item...) Please do not cut in front of me like I do not exist and separate me from my friends and family and small children. I am a person on a scooter trying to keep up with my kids not a semi on the freeway that you do not want to get stuck behind. It is ok to explain my disability to your children in postive non derogetory terms. I can't walk, but my mind is fine!!! Scooters do not come with brakes, only accelerators. I can not stop if you rudely cut in front of me...Do so at your own risk!!! Yes you may use the handicapped restroom stall without incurring a fine and you do not have to rush me to the head of the line when it opens though offering it would be nice. Though I have complete control of my bowels and would decline jumping to the front of the line, some in wheelchairs do not and would appreciate the offer.

User Detail :  

Name : Susan MD, Gender : F, Sexual Orientation : Straight, Disability : Lupus, Race : White/Caucasian, Religion : Catholic, Age : 37, City : Chicago, State : IL Country : United States, Occupation : Physician, Education level : Over 4 Years of College, Social class : Middle class, 

[Susan MD]

Do other people think you smell? If they do not I would see a ENT to rule out chronic sinus infection, a neurologist to rule out seizure disorder or brain tumor, and perhaps a psychiatrist if that does not pan out. If other people smell on you what you think you smell I would see a gastroenterologist to rule out problems such as colon cancer which can make you smell that way. Also consider a geneticist or endocrinologist to rule out metabolic syndromes that can make you smell bad. Very bizarre diets can give you an unusual odor, but a balanced diet without heavy spices should not make you smell. Keep looking for a reason!! Find a Family practitioner or internist that you can work closely with and start with a complete physical. Even a retained old tampon you are not aware of can cause this smell.(I have seen many a case of smelly forgotten tampon!!)

User Detail :  

Name : Susan MD, Gender : F, Sexual Orientation : Straight, Disability : Lupus, Race : White/Caucasian, Religion : Catholic, Age : 37, City : Chicago, State : IL Country : United States, Occupation : Physician, Education level : Over 4 Years of College, Social class : Middle class, 

[Susan MD]

You have already learned what good comestic physicians know about black skin. If you traumatize it even a little you can end up with permanent skin discoloration. Do not use anything on your skin that might irritate it without consulting a dermatologist who is well versed on black skin as well as correcting skin tone and texture. Though I am white due to my unseen racial heritage of Native American and African American I also fight this. A little scratch or irritation will leave a permanent unsightly dark spot. My plastic surgeon gave me a prescription creme that helps some.

User Detail :  

Name : Susan MD, Gender : F, Sexual Orientation : Straight, Disability : Lupus, Race : White/Caucasian, Religion : Catholic, Age : 37, City : Chicago, State : IL Country : United States, Occupation : Physician, Education level : Over 4 Years of College, Social class : Middle class, 

[Susan MD]

I believe it is out of fear. Not of you, but of their own risk of AIDS. They probably have the false belief that since they are middle class, non minority, straight, and non drug addicted they are safe from contracting HIV. Then they meet you...White, straight, educated, middle aged, Midwesterner and start thinking subconsciously 'Wait that guy is like me...people like us don't get HIV. How did he get it??? He's got to be gay or something, because people like me don't get AIDS.' They are likely subconsciously looking to calm their fear about that one risky behavior they did once (or more than once) and subsequently justified their risk as low because they are straight and not drug addicted. I know that was my reaction when I met my first few straight white married HIV Patients. If you chose to respond you could quickly shut them down, by replying 'I don't know how I was exposed, but I am glad I decided to get tested.' You may be surprised how often you will be asked how they can be tested too!!!

User Detail :  

Name : Susan MD, Gender : F, Sexual Orientation : Straight, Disability : Lupus, Race : White/Caucasian, Religion : Catholic, Age : 37, City : Chicago, State : IL Country : United States, Occupation : Physician, Education level : Over 4 Years of College, Social class : Middle class, 

[Susan MD]

Yes, frequent manual stimulation of the nipples either through sexual play or mechanical means like using a breast pump(which is how adoptive moms can breast feed their babies) can cause milk production. Normal sexual stimulation usually does not cause it, but excessive stimulation can. Should you begin to lactate see your doctor to rule out other causes and then either cut back on the stimulation or adjust to the fact that you will lactate until you stop the excessive stimulation. There is no harm in this type of lactating.

User Detail :  

Name : Susan MD, Gender : F, Sexual Orientation : Straight, Disability : Lupus, Race : White/Caucasian, Religion : Catholic, Age : 37, City : Chicago, State : IL Country : United States, Occupation : Physician, Education level : Over 4 Years of College, Social class : Middle class, 

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