About me

I am an OB/GYN and a pain medicine physician. I write a lot about sex, science, and social media, but sometimes I write about other things because, well, why not?

I’ve been called Twitter’s resident gynecologist, the Internet’s OB/GYN, and one of the fiercest advocate’s for women’s health. I have devoted my professional life to caring for women.

I’m here to build a better medical Internet. You can’t be empowered about your health if you have incorrect information. I got interested in online snake oil and dubious science when my own children were born extremely prematurely. I found separating the facts from the fiction difficult and I am a doctor, so I started thinking if this is hard for me how does everyone else manage? It put the bad information that my own patients were bringing into the office in perspective. I know people sit up late at night Googling things and fall down rabbit holes of misinformation because I’ve been there!

I first started my quest to help provide quality information by writing a book, The Preemie Primer, a guide for parents of premature babies. After my kids got a little older and we were spending less time in intensive care units (it was a rough first few years) I decided to turn my attention to reproductive health, because it seems the Internet is infested with snake oil and malignant misinformation.

In addition to my academic publications, my writing has appeared in places like The New York Times, The Cut,  USA Today, The Hill, and Self. I broke the news that Dr. Ben Carson had his name on a paper that used aborted fetuses for research (he had claimed that aborted fetal tissues was never needed. Ever.). I took on the Toronto Star (and won) when they published a tabloid worthy piece on the HPV vaccine. I was the person who drew attention to Trump’s information deficient medical letter.

I have a new book that will be published (I hope) by the end of 2018, but check back for updates. It is tentatively called The Vagina (and Vulva) Bible. It’s every single thing I want women (and men) to know about the lower reproductive tract.

I was born and raised in Winnipeg, Canada and graduated from The University of Manitoba School of Medicine in 1990 at the age of 23 (I started young). In 1995 I completed my OB/GYN training at the University of Western Ontario and moved to the United States to complete a fellowship in infectious diseases at the University of Kansas. After completing my fellowship I continued my studies in pain medicine. I am board certified in OB/GYN in both Canada and the United States. I am also board certified in pain medicine by the American Board of Pain Medicine and by the American Board of Physical Medicine and Rehabilitation. That’s why I have so many letters after my name.

I have two boys who are budding skeptics and keep me so honest it hurts and a third who died at birth. That hurts in a different way. I also have a lab named Hazel and a one-eyed cat named Luna who is often the star of my Twitter and Instagram feeds. She was a Handmaid for Halloween this year!


Thanks for reading and sharing!

Jen Gunter MD, FRCS(C), FACOG, DABPM, ABPMR (pain)

342 replies on “About me”

  1. Dear Dr. Gunter,
    I was moved by your article in the New York Times of November 18, 2019. I can only say that I have seen much of what you are talking about in my 40 years of clinical practice, teaching, and research in child and adolescent psychiatry and developmental disabilities. I salute your wisdom, courage, honesty, and love.
    With kind regards,
    Bill Klykylo

    William M Klykylo , AM, MD.
    Professor Emeritus of Child and Adolescent Psychiatry
    Boonshoft School of Medicine, Wright State University

  2. Dr. Jen,
    Thank you. Thank you for taking on endless hate to get accurate information to all of us, may we continue to learn from one another and share helpful proven solutions to the future. As a woman, as a mother, as a human, thank you.

  3. I love Luna and her displaying her Handmade’s
    Costume. Luna is a cutie who I’m certain has quite the interesting personality.

    Luna aside, I will look forward to reading more from your site and also reading your most recent book.

    I just saw your interview/discussion on TVO which has led me to your blog.

    Thank you Dr. Gunter for boldly going to where few have gone before. Maybe next Halloween you can yourself have a fun costume. I picture a Captain of a Star Trek vessel as you are most certainly charting new territory.

    So thank you and bravo!

  4. I read you article in the Uk Observer newspaper at the weekend and was glad you got such a lot of space in a mainstream press.
    I’ll also be buying a copy each of your book for my two daughters who are smart but given the other pressures teenagers face need some fact-based advice delivered in no-nonsense way. Keep doing what you’re doing – it makes a difference.

  5. Hi Dr Gunter

    I read your interview in today’s Observer in the UK. I am delighted to see a well-qualified, incredibly savvy doctor taking on the anti-science woo-woo that passes for health advice in some places these days. It never ceases to amaze me that the charlatans will take advantage of the lack of knowledge of the general public to sell them cr*p. It somehow seems worse when it’s a woman doing it to other women.

    Keep on shouting loudly to drown out those unscrupulous voices Doc!

  6. I only found a post from one commenter on your site asking for information on vaginal lasers such as Mona LisaTouch as a solution for us estrogen receptor – positive cancer treatment veterans. That was years ago, but I don’t see any response from you!

    In my case I have nearly complete vaginal atrophy following months of intensive chemotherapy and nearly a decade of aromatase inhibitors. I risked the vaginal estrogen ring, but it had almost zero effect. Finally, it appears there is a solution – but there are questions.

    Do you have relevant information, experience and a point of view on laser therapy treatment for those of us who aren’t ready to give up ????

  7. Thank you for sharing about your children. My wife had 2 miscarriages before we finally had our daughter and then 1 more miscarriage after. It was a very painful experience to go through. During our first pregnancy, I told everybody I knew about the great news. It was immensely painful having to repeatedly tell people our baby died.

    I can’t remember if I found out about the elevated miscarriage rate in the county we lived in before or after I installed a whole-home water filtration system, but not too long after we started filtering the water supply, we got pregnant again and had a baby girl. The last miscarriage was after we moved and no longer had a filtration unit.

    I like your candor and am going to start reading what you have to say. Men and women are very different and I believe your open and honest dialogue can help me better understand my wife, which will in turn, hopefully, make our relationship even better. Thanks!!


  8. Hi Dr. Jen!

    As a Women’s Health/Reproductive Health NP, I love following your blog. I’ve greatly enjoyed your humor, thoughtful information and ability to de-bunk common “trends” in this area.

    One area I’m trying to understand better is the use of vaginal and/or oral probiotics for vaginal health (specifically, trying to reduce recurrence of BV using non-antibiotic tactics). From my understanding research and FDA-approval is lacking, so my stance has been I can’t recommend OTC probiotic regiments but if patients want to try them– go for it. Recurrent BV can be so frustrating for patients and it bothers me that I only have a few tools in my toolkit to try to prevent this.

    Do you happen to have any insight on this? Would love to see an article clarifying our current knowledge on this!

    Alix V.

  9. Hello, Jennifer!
    I am a huge admirer of yours, I’m a scientific translator and I want to translate your book into Spanish (I would be honoured). I am from Argentina and currently feminism is rising really high and the government does everything in its power to not teach young girls and women about sex education, it is alarming what women don’t know about themselves. It is the perfect moment to publish it because this huge movement of women would totally endorse this book! How can I contact you or anybody to talk about rights?

    Best wishes and looking forward to hearing from you.

  10. Dr Gunter, I just read your NYT piece “I didn’t kill my baby” and wanted to say thank you.
    As someone who’s partner managed 11 pregnancies with 2 lives births (and they remain mostly happy and definitely healthy), I empathize with your pain and admire your courage to write as eloquently as you did.
    Most of our losses were early, but we did have one at 26 weeks who had been infected with fifths disease and who, after heroic but unsuccessful in utero medical we let die. We knew, even had she survived the kind of quality of life should wouldn’t have and the challenges it would have placed on our family. While that decision was “easy”, I never thought I would recover from that kind of pain. But we did and, after several more losses, had a healthy 2nd daughter.
    I too am Canadian, and thank the enlightened and compassionate care we received, who left us alone with our daughter for all the time we needed and who took pictures of all of us (and that I have never looked at again).
    So thank you from the bottom of my heart for all you write, for your wit and disarming charm. Please don’t stop!

  11. After reading your NYT piece, I wanted to say your story educated me on the truth of The
    Born-Alive Abortion Survivors Act.
    As a pro lifer I had images of near term babies being murdered because some fickle mom to be had changed her mind and didn’t want a baby after all.
    As a Antepartum nurse, I should’ve known
    Throughout my career I’ve had way to many
    patients use abortion as birth control while others would do anything to have just one viable birth. Some, knowing the inevitable outcome but never refusing to give up.
    Unless these women had other medical
    issues, the majority were transferred
    to a Postpartum unit to recover and we
    never really knew what happened next.
    We had done our job and now it was time for
    the NICU and Postpartum nurses and doctors to take over.
    Over the years we receive hundreds of photos
    and letters from former patients w healthy babies and children detailing their progress
    and thanking us for our care and support.
    I now realize it’s bc of all the successful outcomes and never really hearing about
    the other side is why I came to my con-
    clusion that there would be a wave of
    mass murder in the delivery room.
    Being pro life I’m totally against abortion but
    certainly not against birth control and Planned
    Parenthood. I’ve never assisted w an abortion
    but provided post care unjudgmently.
    I don’t believe in pushing my opinions and beliefs on to my patients. I’ve pushed my way
    through enough protesters and insults just to
    to get into work to see the ugliness that these
    so called Christians propetuate in the name of religion. They’re so caught up in their hate
    that they’ve forgotten the fundamentals
    of their so called beliefs.
    I know that you’ll get flack for your piece
    but I want to say thank you for opening
    my eyes.
    Sincerely, A. OReilly

  12. Thank you for your moving and factual piece in the NYT today. I hope your piece will give strength to others who have been in your shoes to speak out.
    Another ObGyn: who does abortions including those for women like Dr. Gunter who just didn’t want the inexplicable pain of the birth of a baby who would immediately die; has delivered babies who have died immediately; babies who have died in their parents arms when the parents would have wished otherwise. And those women most often will home to take care of their family who will ultimately make up the workforce of the USA.

  13. Hi Jen! I’m reaching out as I’m the producer of a fertility podcast for Knix, based in Toronto. We are huge fans of your work and would love to interview you for our soon-to-be-launched podcast. Happy to promote your book during the show and in shownotes and social media of course! Please let me know if you might be available.

  14. So my mom (now 92) worked as Exec Dir of several PP affiliated throughout my childhood and twenties. She also worked for women’s charities in Maine and the AIDS Project. Just wanted to say hi, from another Jen who is LOVING who you are, what you are doing. My mom loves it too 🙂 When you are fed up with the idiots, please take a breath and keep going. 🙂

  15. First I want to start off with saying thank you so much for publicly coming out and educating the public about late term abortions. Secondly I would like to give some background as to my gratitude, in March of 2018 I was diagnosed with Cancer after a lengthy stay in the hospital a few blood transfusions later. After being released I immediately started a very strong chemo treatment at the wonderful Cancer Treatment Centers of America. This was my first experience with chemo and to be honest I didn’t really even know anyone who had been through Cancer or chemo.Long story short after 3 cycles(6 chemo infusions) my doctor called me as I was waiting in the hospital lobby right before I was heading upstairs to start treatment and he said, “Ms. Harris I have some interesting news for you”, I asked what is it, he replied, “ good news is that the cancer is no longer showing up on your scans but the interesting news is that you are VERY pregnant”. At that moment all the air left my lungs and my legs could no longer stand. I had just shaved my head and I had some of the sickest days I had ever experience and all I could think of was the safety of my baby. I thought to myself if chemo has had this much of an effect on my 31 year old adult body I couldn’t imagine the effects it was having on my baby. So the doctor informed me he really didn’t know what to do as I am his first patient who has ever been pregnant. It turns out there is a very small window were a pregnancy can go undetected through blood or urine and that’s why none of the doctors I saw during that time knew.
    Fast forward a month later and a lot of research and doctors advice, my fiancée and I knew the hardest decision and best choice for our family would be a late term abortion. It was incredibly difficult to find a doctor in Arizona, California or Nevada who would entertain the idea of aborting a fetus in the second term especially with a mother who was placenta previa,going through a strong chemo regimen,with no liver,spline, and partial stomach recectomy plus throw in the fact that the blood type I have was hard to come by. I had to have the procedure done in a hospital however I found a doctor who took me on and he is one of the most amazing people to come into my life. He took me on and agreed to perform the very risky procedure. He induced me on July 31.2018 and I gave birth to our son Miles Jackson Pyle on August 1,2018 he was stillborn so the surgery wasn’t necessary. That night I had a full on emotional breakdown so bad my doctor suggested I see a therapist and I did and it has helped immensely. So I guess I say all that because I could have never been brave enough to tell that part of my story unless people like you come out to speak for us mothers who can’t sometimes find the words to explain to people that it’s not just about politics and “a women’s right to choose” there are real mothers out here who have medical reasons and real stories of hurt,pain and turmoil behind a clever twitter hashtag.I lived it and still am. So again thank you for speaking out and for all the work you do. Bless you.

  16. Hello Dr. Gunter!

    I am a third year pre-med undergraduate student and I just wanted to say thank you for having your blog and being so open about women’s health and the different issues that arise from it. You are an inspiration to us all and make me all the more excited about this journey that I’m embarking on! Thank you for sharing your insight and I can’t wait to be a part of women’s health as well!

  17. Hi Dr Jen,
    I have alot of questions regarding my c section… i am still in alot of pain after 1 year. The pain comes and goes. It hurts when i push to pee or bend. I always try to tell my Ob but all she says is you need more time to heal. I need help in explaining to her that it’s painful and all she tells me is to take ibuprofen. please help

  18. Very glad you liked it (please don’t ‘approve’ this one – this is just message to you). If you would like to see the essay question, send me an e-mail. If you’d like, I’ll also bcc you on the e-mail I will send to my students in a few days with reflections on their performance on the essay (in which I will also alert them to the reality behind the essay).

  19. I teach evidence in law school. One of my essay questions was based on you (Julie Gamble) v Goop (Loop). Thanks for giving me something worthwhile AND fun to use in my work.

  20. Just read your two NY Times articles. I would ask the following of you: Please don’t imply that most men are ignorant of female anatomy. Way back at age 18 or 19, I was taking a test in zoology. One question referred to a line pointing to part of a vulva. What is this? Labia minora, I wrote. “Hey,” said an instructor. “Half the girls in the class got that wrong.” I’m male, but the anatomy of the opposite sex is not rocket science. Secondly, please don’t use “vagina” when you mean “vulva.” I realize that you did use forms of the latter term, and if the news editor wrote the headlines, I apologize. Anyway, as you know, “vulva” is all-encompassing; “vagina” is a subset of “vulva.” But far too many people use vagina when they mean vulva. How do I know? I’m a doctor as well (of philosophy). Observing language trends is second nature to me. I’m also a former journalist and professor of English. I wish people were half as hung up on their language usage as their bodies. But many couldn’t care less, even at the level of business and media.

    1. That was a joke, right? Dude with gravatar advertising that he skis in Taos — a journalist, no less! With a PhD! Which he will tell you about! — comes here to well-actually the *doctor who is a doctor for a living, also a vagina-haver* about use of the word “vagina”, because obviously somewhere between med school and the computer all the knowledges fell out of her head. Also, he won a test when he was 18 or 19.

      Why are there not drones with cannons loaded with copies of Rebecca Solnit’s book?

  21. Dr. Jennifer “Jen” Gunter:

    Hello, I recently read your article on the New York Times, “Your Vagina Is Terrific (and Everyone Else’s Opinions Still Are Not)”, published on December 21, 2018.

    I don’t agree all men are the way that you described in your article. There are some good, honest men out there. But, apparently you may have not come across, just yet. I don’t know, if you did or not. But, generalizing all men is not rational thinking. It is easy to generalize but doing so is not rational thinking. As an educated person, you should know this. There are good m, honest men (like me) who are not as ‘mean’ like the other men.

    Thank you.

    P.s. I enjoyed reading your writing.

    1. Dear Lionel: I have conducted a scientific study and concluded that the men who announce themselves as “good, honest men” are the ones most likely to go through your wallet while you’re in the shower.

  22. Dear Dr. Jen,

    First, thanks for the “your vagina is fine, he’s a jerk” columns — they’re wonderful. Maybe 15 years ago there was a wonderful book that was all photos of dozens of women, young, old, big, small, just everybody — and closeups of their breasts and vaginas, just so you could take a good look and see what “normal” looked like. An enormous range. I wish I’d bought it when I saw it — I can’t remember the name, and it’s exactly the kind of book I’d leave on my daughter’s bed, and she’d be mortified and wouldn’t speak to me for days but she’d read it. I think it would jerkproof her for life, at least in that regard, and also ease her mind about her own normal worries.

    Second, would you please shine some light on this “Are you currently sexually active” question we keep getting at the GP’s/gyno’s? Because we all know it’s supposed to mean “with someone else,” particularly if the followup’s about the sex and number of partner(s), and not only does that blank out a lot of sexual activity, it means that important questions aren’t getting asked. If you’re masturbating, are you doing it safely? Cleaning sex toys properly, being smart about what you’re inserting where? Anything hurt when you come, or when you touch it? Are you able to orgasm, is this important to you? Noticing any changes? We should be getting asked all these things. I haven’t met anyone I’ve wanted to have sex with in…six years? A lot of years. But I always put “yes” on the sexually-active question, wait for questions back, and I get the up-down to see if it’s possible I’m still menstruating, then questions about birth control and chlamidya testing. Not good enough.

  23. @DrJenGunter I read NYT your article. I realize it’s not for me (“Yes, I’m angry at men”). But I wanted to let you know I have often thought women were goddesses (&felt lucky as you suggested I should). I wonder if it occurs to you women undermine men with the same frequency/malice? Any articles you have written thag have acknowledged this phenomenon will be appreciated. I deal in nuance as much as I can so any sign of it will be enjoyed. Thanks.

  24. Jen: Just ran across your writing from NYT. Glad to see you out there on the front lines, trying to clear up so much misinformation. I’m a physician who grew up in the sixties and thought things were changing. Unfortunately the internet is proving to be as much a curse as a blessing and the misinformation and disinformation is overwhelming people. Sad to see what its doing to the youngsters. Keep up the fight.

    1. Dear Dr, Jen,

      I, also, read your article in the New York Times and it broke my heart. I apologize on behalf of all of us men. The way men speak of women, especially when women are not around, has always been a source of shame and disgust. I know it is not much but it is from the heart: I am sorry.


      Frank Paiano
      San Diego, California

  25. Dr. Gunter,
    I tested HSV1 9.45 INDEX and HSV 2 3.46 INDEX on my first time. I retested HSV 1 12.70 INDEX and HSV 2 2.41 INDEX. These were Type Specific. However, the HSV 1&2 IGM SCREEN mark NEGATIVE ( ). Can you tell me what this means, please? Thank you.

  26. Good morning Dr. Gunter,

    I am reaching out to say thank you. I was reading your Twitter feed this morning and saw the thread about your decades long experience living with a binge eating disorder. Your simple honesty brought me to my knees. I am a 50 year old awesome, successful, happy and active woman…who has also lived with this eating disorder for 37 years and who has also just gone back into treatment. Thank you for just quietly and honestly ‘raising your hand’ to acknowledge what your truth is. It just feels good to to know I am not alone.

    Sending strength to you.

    I wasn’t sure exactly how to reach you, but found this link from your blog.

    Katie Doyle

  27. Dr. Gunter: Love your blog! Could you please do a post on the chiropractic “Webster Technique.” https://icpa4kids.com/training/courses/perinatal-care-with-included-webster-certification/ Chiropractors claim, without evidence or even biological plausibility, that it makes birth easier, They used to claim that it could turn a breech baby but they’ve gotten a lot more careful about saying that in public now, although I imagine it’s at least implied in the privacy of their treatment rooms. A Science-Based Medicine post debunks the Webster Technique but a post by you would be beneficial in exposing this pseudoscience to a wider audience. https://sciencebasedmedicine.org/certification-in-chiropractic-techniques-legitimate-care-or-tomfoolery/

  28. I was very happy to hear you on Recode Decode! I am a PA in TBI and headache medicine and the garbage info is everywhere. The main part of my initial visit is education, education, education. I always tell the patient and their family members what is known medically and what is not proven. I am all for placebo effect if it isn’t hurting them, but there is so much misinformation that leads to expensive “treatment” and hanging hopes and expectations on things that make no sense medically.
    Thank you for getting the real word out there!

  29. Can you comment on simple endometrial hyperplasia..age 60.. Best method to thin endometrium? Would I be a candidate for IUD Minera? Thank u

  30. Dr. Jenn, I am a retired anesthesiologist, now in the cannabis world.
    What is your thought on the potential efficacy in using a sterile THC/CBD preparation, as part of the infusion mixture (along with local anesthetic and possibly short acting narcotic), for labor epidurals. BTW, I am aware that not all patients require epidurals, so for some, this is a moot point. But, for those that do, it seems that there might be a synergistic effect. Thanks

  31. Second paragraph, you have a possessive instead of a plural. In other words, take out the apostrophe in “advocate’s.” I wonder if you will let this comment through, since you didn’t publish my other one.

  32. I started following you on twitter earlier this year and just want you to know you inspire me. I’m presently watching “A User’s guide to cheating death” and putting a face and personality to your tweets is quite compelling.

  33. Hi Dr. Gunter,

    My name is Stephanie and I’m reaching out on behalf of the women’s health site, bloodandmilk.com. Blood + Milk is the official content site of organic feminine care brand Cora, and was made to provide women with raw and honest information and narratives on the experience of life as a female. Cora is a social-give back brand that provides sanitary pads to girls in Africa/India with every purchase of their products to help keep girls in school and end period poverty. Cora’s founder, Molly Hayward, was inspired to launch Blood + Milk in response to the lack of a single dedicated site focused solely on the physical, emotional, and spiritual female experience. Molly and the Blood + Milk team are huge fans of your work and many writings and would love to tab into you for a piece on their site. Would you be interested in connecting or contributing to the platform? Feel free to check out the site and let me know your thoughts. (www.cora.life) (www.bloodandmilk.com)

    Again thank you for all you do and the wisdom you share to help empower women everyday!


  34. Dear Dr. Gunter – Just read your piece in the NY Times on the “False Idols of Wellness”. Great article. You’re absolutely right re medicine & religion being long intertwined. Are you familiar with the writings of Prof Robert C. Fuller? Specifically, “Alternative Medicine and American Religious Life”? It was an eye opener – and explained a lot re the quasi-religious new-agey zealotry of the alt-medicine crowd. Highly recommend it. Thanks for your much-needed take on this topic. If you haven’t already discovered him, you may find a kindred spirit in the MD who blogs at “Respectful Insolence”:
    BTW, is “levigates” a real word? Cheers!

  35. Dear Dr. Gunter,

    Thank you for writing the New York Times article “Worshiping the False Idols of Wellness”. People are much more prone to believe purveyors of magical thinking than boring old reality. Too bad they don’t realize the study of reality (science) is responsible for them surviving childhood, let alone living an average of almost 80 years.

    It would be one thing if quackery only had deleterious effects on the immediate user. For someone who uses a worthless or dangerous product, they really only have themselves to blame. But the use of some “health” product by billions of people can have very far-reaching negative consequences.

    For example, studies on the use of omega 3-fatty acids in fish oil for cardiovascular health have found little or no benefit on cholesterol levels and have found nothing on survival. Unfortunately, the only source is fish oil is fish, most of which are anchovy-sized fish harvested in the millions of tonnes and used not only for fish oil but the pet food trade. Unfortunately, the harvest had has catastrophic ecological consequences in many marine environments, including many fisheries.

  36. Dr. Jen,

    I read your article in the times and it was pleased to find someone clarifying the science vs wellness issues. My wife has been sucked into the wellness vortex and I am deeply concerned she may not get out. For over two years, she has limited her diet to about 17 different foods, because of pseudo food “allergy” testing results (salycilates allergy) and very bad memory. She was also given a non-AMA approved test for metals and is convinced she has high mercury levels.

    I attended one visit to a well-respected immunologist at the University of Washington with her. After taking notes and listening intently, he told her she needs to start eating all foods again, and she is not allergic to anything. She will not talk about that visit and now carefully screens any provider for their acceptance of her own “assessment”. I find that the general providers will not try to contradict her theory, or offer a clear rebuttal.

    I am hoping you can give me a reference of someone who might be able to cut through the fog. I have searched for someone who would do a blind food-allergy test, but no luck. We live in Washington State, but I wiould be willing to travel, as would she if she had some hope.

    Thanks for listening

  37. Really appreciate your takedown of Goop. Gundry may be wrong but mansplaining is gratuitous and unfounded. If you wouldn’t allow Hazel and Luna to be used in the obscene protocols,where nonhuman animals who want to live as much as you and I, and neither volunteer, nor sign consent forms. than stop citing them.

  38. Dr Gunter, Could you revisit your comments about maternal death rates in the USA? We(Medicine and OBGYN) are again being roasted as the source of ?? high ratio. Your observation years ago of 6-7/100,000 needs to be re-investigated and shouted out if still appropriate.
    tmyers md facog

  39. Hi Dr. Gunter,

    I am interested as to how you got double board certified in obgyn and pain management!

  40. Hello Dr. Gunter, I was wondering if you know of data or studies that document multiple orgasms in women. I’ve become interested in the subject, but I haven’t been able to find much around, as if it was rare, or nobody studied it.

  41. Hi Dr Gunter, I’m sorry for contacting you here, but you responded to one of my comment questions before and were so informative, I thought, why not. I live in a country where it’s often impossible to get to see an obgyn, mines next available appointment is in June! So u don’t know whether to beg for an appointment. Basically, I used a tampon with too high of an absorbency than I needed. When I took it out, it seemed normal and intact but had fluffing at the tip which isn’t so unusual. The next day I bled out a chunk of cotton, so obviously some got stuck inside. I’ve felt around and I can’t feel anything else, should I be concerned? Should I ask for a checkup saying it’s urgent? I’m sure, that this wouldn’t be the first time that a tampon has left fibres behind based on what I’ve been reading, but is the first time I’ve seen them. I’m not sure what to believe or how much I should panic and hoped, you could shed some light? Would I just bleed any other left over fibres out?

  42. Hi Jen…..we went to med school together! I’m Janice B. Feeling very nostalgic as I read your blog and see your photos. You look great and you’re doing much needed work! Would love to talk more.

  43. Dear Dr. Gunter, I just read your wonderful “My Vagina is Terrific” article. It was wonderful! I think all of us, male and female, have spent an unfortunate bit of time worrying about our genitals – their appearance, size, smells, and (ultimately) pleasure-giving capability. My first husband gave me an unfortunate amount of grief about odor. But it took Amy Sedaris, believe it or not, to finally tell me how to keep a healthy crotch from being odorous without irritating it with soap. She had a silly little riff in one of her books telling us to wash it with warm water, working water between all the folds (removing all the dead cells and old mucous). My mother certainly never taught me how to clean my vulva – she couldn’t bring herself to talk about it. Gynecologists never did either. I was glad to try it, and even gladder to find that it is very effective. I do think every doctor that deals with the health of the lower reproductive tract should share this information with their patients. Not only will they be happier with the way they smell, but this reduces irritation and (my personal experience) makes them less prone to yeast infections and bladder infections.
    Thank you for all you do!t

  44. I would like to add that women will not ask for Addyi flibanserin because however much sex they are experiencing is enough. Even if that is none.

    1. Hi. Re sexless marriage – While there may be many reasons for such a situation, an obvious though painful to accept one, is that one spouse is not attracted or is repulsed by the other. Maybe just physically, but also perhaps one more levels. A lot of people stay married without love and friendship “for he kids” or to avoid the divorce stigma, but in such situations, sex doesn’t belong. It’s one thing to have meaningless sex with a stranger, or pay for it with a sex worker – one can suspend reality for fantasy but when your partner is full and rich with negative layers, it’s quite difficult to be in the mind frame for intimacy or desire…So it’s not libido that’s mismatched, it’s not liking the other. And it’s difficult for a woman to accept she’s unattractive to a man, even one with whom she has poor relationship.

  45. Loved your article in theNY T today (Mar. 11th.)
    As a Womens Health NP and a career of 50 years, my career has changed from starting out in the NICU for ten years, managing L&D for 20 years and practicing OB/GYN and a pelvic floor and continence center, (NP run), I LOVED your article today and also your review of GOOP, which had me laughing out loud.
    You are so right, sexuality and relationships ARE complex. My partner has MS and the old adage ” familiarity breeds contempt” is not far from the truth. He takes his Cialis and is ready to go, but I can’t get mentally separated from the urinals, condom caths, occ bowel accidents, and me cleaning him up. Libido flew out of my window a long time ago. I often participate with him as he does so many sweet things for me, but I really can’t get into the sex thing. Easier, faster and more satisfying alone. Thinking of starting a class or support group fit thise with partners with disabilities.
    Keep up your writings. They are great!!!

  46. A friend posted a link on our forum to your recent NYT article on your experiences with a sexless marriage. Thank you for sharing your story. I wanted to share with you and your readers there is an excellent peer-support forum on this topic, called “I Live In A Sexless Marriage”. Google “ILIASM Forum” to find it. Please join us there if you wish to do additional research, and/or feel free to refer patients and friends who could benefit. Kindest regards, Dan

  47. Hi.
    I enjoyed your 3/10/18 piece; important topic.
    Important for everyone to be a sexual initiator.
    So I applaud your efforts.
    A couple concerns to share with you because they are common:
    Scheduling in it’s many forms
    Being unilateral in a partnership
    Not getting to know the other, so being in the dark.
    I wonder if longer courtships would help us slowly break through our presumtions about each other…

  48. Hello Dr. Jenn G,

    I comend you on your candor and truth seeking. To a fellow Canadian (and a UWO alum), I only hope that your words and actions inspire other medical practitioners here in Canada to start blogging and sharing their experiences and knowledge. As I start my own company in clean and sustainable beauty products, digging deeper into the ingredients and the integrity of this industry is at the top of my priorities. I’m looking forward to reading more of your posts and learning more! If you know of other doctors in Canada worth following… . please pass on your recommendations!

  49. Thank you very much for your excellent NYT article on Sunday about sexual pain. I had this, and a wonderful nurse practitioner at NYU recommended the book “Healing Sexual Pain” to me back in 2013; it was invaluable. I appreciate the clarity and succinct manner in which you described the issue! Much appreciated.

  50. NY Times has you practicing in California. Referenced Sun/Post article IDs you as Canadian. Blog cites Canadian background, but no (after cursory search) location of practice. Just thought that you might want to clarify at some point for your readers. Interesting blog.

  51. THANK you for being so genuine and real! From one “doctora” to another, I am proud of your work! Keep it going!

  52. I read your article in the NYTimes 2/4/18 this morning and am a 68 year old mother of 2 who experiences painful intercourse for about 10 years.
    I’ve been told to use lubricant but that hasn’t helped. My husband and I always enjoyed great and satisfying sex but haven’t for years. I’m afraid we’ll never have sex again because he’s doesn’t want to hurt me. Any suggestions?!!!! Help

  53. Hi,
    I have just come across your blog and I was wondering if you would mind answering a question via email?

  54. I just read your article on the dangers of following actors’ medical recommendations (coffee enemas). Thank you for your sharply pointed, forceful, unambiguous voice.


  55. Hi Dr. Gunter. Glad to read you are doing such good work. I met you once on April 27,1993 when you worked as a resident at Victoria Hospital with Dr. Maynard.
    You may remember the baby girl that had a very difficult birth that day. Happily she is 25 YOA now.
    I never saw you again, but always wanted to say thank you.

  56. I loved your demolition of Gwyneth Paltrow’s coffee enema nonsense in the Guardian and I think it’s lovely that you’ve called your laboratory Hazel!

  57. Thanks for your piece in the NYT. Very spot on as well as poetic. If comfort from a random stranger is any comfort at all, I send you comfort. I’m very sorry for your loss.

  58. Re your article in NY Times, 19 November, my dad was an obgyn for about 45 years. Sometimes he’d complain about some women’s hygiene (“You wouldn’t believe how filthy some people are.”). I (straight male) have had many sex partners and only two who—though they bathed daily, and I like giving and receiving oral sex—had a vaginal odor that was…less than fresh. A wonderful, smart woman worked for us, and she apparently had a condition (trimethylaminuria?) that caused a fishy smell (she married a guy who had a very low—if any—sense of smell!). Point is, “mansplaining” aside, some people do, in fact have a bodily odor that is (thinking of a charitable word…) unpleasant. Maybe some men have a penis that is unappetizing in the same way. Devoid of personal experience in this regard, I’d be interested in your thoughts.

  59. Jen,
    I read your Dec 24 column in the NYT with interest, as I am one of your sorority sisters. After my son’s stillbirth in 1985 I did research and wrote a look with a colleague, Kathleen Gilbert, called Coping with infant or fetal loss: The couple’s healing process, 1992, Brunnel/Mazel. Based on our interviews of intact heterosexual couples, we provide practical suggestions, including to medical professionals. There is other scholarship on the topic as well, some more recent. But you are right that even all these years later, there is much to be done.

    My book was still available on Amazon last time I checked.

    Sincerely, Laura S Smart, PhD
    Certified Family Life Educator

  60. Hi Dr. Gunter,

    I just read and shared your recent article FB about abortions that appeared in the IJ. I am an NP and I worked for Planned Parenthood in San Rafael for 25+ years. I appreciate the effort you did to clarify the medical words that should be used when discussing pregnancy termination. In my lifetime I have watched as the anti choice movement has claimed the vocabulary of reproductive health to reflect their own prejudices. They portray pregnancy as a very happy event…a life style choice and not a health issue that should be monitored ….witness the increase in maternal morbidity and mortality! I would recommend you interview my friend Suellen Miller CNM and do a blog on her recent Lancet article…Thank you for your insights, Kendra Downey

  61. Saw your article in the NY Times today. Thanks for being a great role model for my daughter.

  62. I produce a daily radio show in LA called This is Happening with host jerry Qucikley. Wanted to have you on tomorrow to discuss your New York time article. Wanted to tape at ether 11:30 or 1:00 pst for about 15 minutes. It will air later in the day our show airs everyday between 4-5 pst. Please ask anything and have a great day, Josh

  63. Read your N.Y. Times piece on vaginal mansplainig. Just so you don’t give up all hope on men, I appreciate your comments and expertise.

  64. I just read your article on NYT – I’m sorry so many men are so insensitive and clueless though I’d like to think they might be the loud minority of men? As a man, I’ve certainly encountered fellow men like how you describe though thankfully that’s been the exception in my experience.

    Further, thank you for being a thoughtful intelligent contributor to our society in terms of female health (as well as caring for premature babies). It’s comforting that women can get proper care from physicians like yourself whereas historically, it was only the dumbest men in medical school who became OB/Gyn’s.

  65. I just read your piece for the Times. You’re amazing. Your voice is powerful; something important for men, as well as women, to hear. Keep writing.

  66. This may be of no interest to you, but in the interest of accuracy I would like to point out that your NY Times article of November 16 or 17 spoke of Lysol ads of the 1950s with reference to keeping a husband by one’s youthfully disinfected vagina. FWIW, those Lysol ads show 1928 for date of publication. The woman’s hat, the style of the car, even the style of the ad are indications of a much earlier era. The Times should have picked up on this, but I guess fact checkers went the way of proof readers. I love The Times, but it’s saddening to see things uncorrected.

  67. Your fine posts about women’s medical rights opened my eyes to the Fictional Fetus in nearly every discussion I have with medical professionals. EVERY discussion about any health issue starts with an inquiry about whether I’m pregnant or plan to become pregnant: I’m subconsciously told at every turn that the health of the Fictional Fetus is more important than my own health.

    No more. Last time a doctor led with that I said, “I’m not a baby-making vessel attached to a life support system. I am a full human, and this issue is important to my own health.”

    Maybe this isn’t the outcome you were going for… but thank you.

  68. Thanks for blogging and trying to educate the masses. As a dermatologist with many patients who only want to use “natural” products, I was most appreciative of your piece on insecticides. I plan to share your well researched comments with them.

  69. I’m interested to know your opinion on essential oils. I have many friends who use them religiously for everything. I’ve done some research- and there’s conflicting information.

  70. I’m so happy I read the article in the NYT this morning! Keep up the wonderful work & f-bombs!!

  71. Have you heard the these new pads called ‘Cherish by Nspire’? Some claims are that it’s healthier than current menstrual pads. If you could do a post it would be great.

  72. Dr. Gunter,

    Thanks for your informative post. I am working on developing a Facebook chat book to help make clinic web pages more engaging. It can help answer questions about one’s practice and also do patient intake to turn the visitor into a patient.

    I would love to hear your feedback about this.

  73. Hi Dr. Jen,
    I’m never one to write in but your blog is such a wonderful breath of fresh air that I’m compelled to do so, and congratulate you on such wonderful debunking of idiots (i.e. goop) and straightforward explanation of health issues. Your correction of misinformation is such a passion it reminds me of my dad (Physics prof at UofM), who did the same but on nuclear power issues. Being from Winnipeg and about the same age as me you might have seen some of his letters (typed! mailed with a stamp! before twitter!) to the WFP where he argued with the anti-nuclear activists, and talked about climate change before it was cool. He’s passed on now but he would heartily approve of your efforts to correct the record–as we all do. Thank you. And if you’re interested: http://jovan.jovanovic.ca/

  74. Dr. Gunter-
    You are a funny human. I am an English teacher, and I wouldn’t even f**k with your grammar; it’s not necessary, and you nailed the point. Thank you for being honest and sharing your wisdom with the world. I appreciate your candid and science based rhetoric. Keep writing!

  75. Dr. Jen, I just discovered your blog today and I have to say: you are amazing! I am a family doctor in Canada and struggle with people who prefer to trust “natural” things to scientific, evidence based medicine. I just read your GOOP post and OMG, I was so relieved to read that passion in the voice of someone who is ACTUALLY qualified to make claims about the TRUTH! Thank you for being so thorough in your research, for bringing down every argument against you so well (and with plenty of humor – you made me laugh several times in your post), and for taking the time to correct this troublesome era of misinformation. I look forward to read more of your blog posts!

  76. Thank you for raising awareness about this dangerous pseudoscience nonsense.

  77. Hi Dr. Jen

    I think you were my OB/GYM for my first born at KU Med Center back in 1987; a 2 month early preemie. If so, I have always wondered where you went to. I just happened to come across your incredibly perfect responses to Goop. I’ve never been a Paltrow fan and had no idea she was so….not smart is the nicest way I can say it. Anyway, good to find you!

  78. I read your article about Goopists and jade eggs in vaginas…eeew! Gemmologists know about all the toxic processes the “jade” is subject to , bleaching, dyeing, waxing to mention a few. The egg women seem to have missed any thoughts about how healthy their eggs are. Please consult a local Gemmologists for full details to use in your next article. ( in Australia we use two m’s in gemmologist)

  79. Have you seen the article comparing GOOP products to those sold by Alex Jones on Infowars? It’s on Quartz Daily Brief this morning.

  80. Dr. Gunter,

    Don’t know if you remember me, but I knew you at KU. I had no idea you had a blog and become so accomplished, although I’m not surprised. Thank you for your care and kindness. I’m happy you have done well. Best wishes.

  81. I would like you person opinion about Nerium ad the oleander plant thank you Karen

  82. Thank you for having the courage to call out Ms Paltrow. Her machine seems to be able to shut down any professionals that expose the frauds and Self Appointed Experts in her posse. People with celebrityitis need guidance and science based information.
    You go girl!
    Tired of the “Poop”

  83. Dr. Gunter, I’d like to subscribe to your blog but when I click on subscribe it doesn’t work. Any ideas? Thanks

  84. Hello,

    I always end up shaking my head whenever I read about GP/goop/jade eggs on your blog. Today I clicked through to Leyla Martin’s website so I could shake my head at her too. I was quite horrified to read a claim by her that jade egg practices can heal the trauma of sexual abuse. Isn’t there a trading regulation against profiteering from that kind of horrific experience? Not to mention the obvious hocus pocus bs that it is.

    Just wanted to add that to the already ridiculous ways in which goop et al are taking advantage of women. I read it here: laylamartin.com/programs/jade-pleasure/

  85. Pingback: My Boulet
  86. I just discovered your blog!!!! Yes!!! If only Safari will let me subscribe! I’m am still a fish outta water..lol about to start residency, also I have begun blogging about medicine (still very early stages), but my focus is on forgotten diseases/tropical diseases/ and health disparities. Awesome blog!

  87. Hi Dr. Jen- I was hoping you could recommend someone such as yourself who is a GYN but specialized in pelvic/hip/SI pain in northern california- near the east side of the SF bay area, central valley or Sacramento? I have found OBs, and I have found pain specialists, but none who combines the two specialties. Thank you.

  88. Dr. Jen, regarding TRUMP article awhile ago on testoserome, etc: it seems dutasterome and/or finasterome reduces PSA besides hair loss. would it be risky to assume taking this may be useful in prostate savior technique?? probably need a doctors prescription? I am not going for a prostate biopsy (& my psa is high!). Howard

  89. I am concerned about pediatric transition of self diagnosed trans teens. There isn’t evidence in favor of early transition but there is a lot of political weight in favor. Meanwhile there is a growing community of detransitioners who feel harmed by having been encouraged to medically transition. Is this something you could speak to?

  90. Dear Jen,

    I came across your site while looking for data to my sister (who lives in another state)about Trump apparently writing his own Dr. letter, and in reading your impressive background, saw that you have experience in pain management.

    I am hoping that my finding your blog is a fortuitous coincidence for me. I am trying to find evidence to deliver to my own Pain Dr’s nurse practitioner to show that the new drug Movantik can produce false positive urine tests for hydromorphone, before it is too late.

    I am hoping that you may have already encountered a situation where urine tests performed by “Millenium Laboratories” appear to be unable to distinguish the new OIC drug Movantik from hydromorphone, or have spoken to another physician who has encountered the same thing, or perhaps know of a resource I could reach out to to help find proof that this is the case.

    I have called the FDA, Astra-Zeneca, and others that they have suggested I contact, with no success so far, and cases they have opened won’t even start to be investigated until it is too late for me to remain in my Dr.s pain management practice.
    (Somewhat Twilight-Zone-like, of those I called, Millennium was the only one that would not even try to answer any question I posed, instead deflecting even the simplest of any question I tried to ask, until the question was “How can I get a copy of this recording?”, at which point the person on the other end put me on hold for two minutes, and asked me for a callback number when she returned).

    [ This Monday afternoon, when I see my electrophysiologist at UCLA (a periodic followup for a succesful atrial flutter repair via ablation a few years ago) I will try to see if there is a pharmacologist there who might be willing to speak with me about this, but I’m just barely not holding my breath]

    Because the Nurse Practitioner has repeated the same test multiple times, with no change in variables, (but somehow hoping she can tell me the results were different) I have a short time frame left. (I’ll be seeing the Dr. himself a week from now regarding a urine test I was administered just before beginning this investigation a week ago, and barring some miracle, I expect he will “discharge” me).

    I know that P.M.physicians may feel a patient could say anything on their own behalf, and the environment in which they have to practice these days leads them to feel themselves up against inordinate pressure to protect their licenses, so finding proof that the urine positives are indeed false positives soon is likely the only thing that will vindicate me, keep me from being discharged, and keep me from being “branded” as unwanted in any subsequent practice.

    Below is a brief summary of my reasoning for believing that naloxegol is the culprit. Would you, or perhaps one of your readers, be able to suggest additional resources I have not considered?

    While trying to research this on the web (which is not easy, as my field before retirement was computer science, not pharmacology), googling for variants of “false positive” led me to an article at the US National Library of Medicine (US-NLM) which ended with the conclusion:

    “clinicians should be aware that the commonly used opioid antagonist naloxone can produce false-positive opiate immunoassay results.

    That was the first interesting hit I found, as available literature stated that naloxegol is essentially “PEGylated” naloxone (naloxone with the addition of a very short bit of polyethylene glycol, serving to inhibit passage across the blood-brain barrier). Looking further, I found an article in the Journal of Biochemical Chemistry that was mostly greek to me, but contained structural images on it’s last page showing just how close the structures of naloxone and hydromorphone are to each other, independently seeming (at least to my layman’s eyes) to provide support for the conclusion drawn by the US-NLM article.

    It seemed possible, then, that the same conclusion about naloxone might also apply to naloxegol, although I have not found an irrefutable reference for this as of yet.

    I’m assuming that an antibody designed to match surface features that distinguish hydromorphone from other opiates could also match features of a more recently introduced molecule, naloxegol, bearing those same features.

    Thinking about this in computer science terms, unlike antibodies produced naturally to key on specific antigens (in an environment where an antibody is being used to match one of a fairly small subset of members of a huge, but sparse domain), as far as I can tell, antibodies produced in the lab do not have the luxury of being tailor-able “at run-time”, and so must act similarly to search functions for “hash buckets” in Computer Science.

    Trying to search a huge domain when the range of possible values is sparse can be an enormously expensive task, so one can instead use an algorithm (called a “hash algorithm”) which assigns (or retrieves) values to or from a limited number of “buckets” that can each hold the specifications or values of several interesting members of the sparse sets, related by the design of the hash algorithm).

    A bucket can hold several different values, so once a search has “hashed” to a particular bucket, a “distinguishing function” can do the rest of the work, identifying the correct member within the bucket . Yes, there are two lookups done, rather than one (first the hash lookup, then the differential), but the cost doing it this way can be many orders of magnitude less than the alternative. The only “serious gotcha” is that the “distinguishing function” must have been designed to consider all possible values that could have led one to the hash bucket in question, otherwise one could get “a wrong answer”.

    Given the number of opioid-ish molecules with surface features similar to hydromorphone, I would wager that a procedure similar to that used in “hash lookup” mechanisms may already be used by the urine tests, but that it had not occurred to test designers yet to add a function to distinguish (the completely unscheduled) naloxegol from it’s older cousins.

    (One hope I have is that there may be a different kind of test that does not need to use what I am calling a “distinguishing function” if something like that is even used by the type of test I have been administered).

    1. Dear Jen,

      I don’t know the degree of relevence, but as I was starting to coalescing a list of published items I had found, I also found and just added an abstract about circumstances of GS/MS false positives to the others. If appropriate and accepted in the moderation process, could you keep it together with my previous posting?

      – Thanks

      Desperately (and more so, day by day) looking for reports of false positives for opiates (especially hydromorphone) being reported in those taking nalexogol (sold as Movantik), as has been reported in those taking naloxone (a non-PEGylated naloxegol, (to say it backwards)).

      The article “https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2975969” at the US National Library of Medicine ends it’s discussion with the conclusion
      “clinicians should be aware that the commonly used opioid antagonist naloxone can produce false-positive opiate immunoassay results.”

      I’ve also noted the substantial similarity between the structures of hydromorphone and nalexogol as displayed in in the wikipedia pages:
      The last page of the article http://www.jbc.org/content/268/21/16059.full.pdf
      in the Journal of Biochemical Chemistry shows comparable similarity between hydromorphone and nalexone
      (also noting slight “style preference” difference between that Journal’s drawings and ones in Wikipedia pages)

      Bearing in mind that I’m not a chemist, and much of this is over my head,
      could this have any relevance:

      Ann Clin Lab Sci. 1995 Jul-Aug;25(4):319-29.
      Mechanism of interferences for gas chromatography/mass spectrometry analysis of urine for drugs of abuse.
      Wu AH1. Toxicology Laboratory, Hartford Hospital, CT 06102, USA.

      Although gas chromatography/mass spectrometry (GS/MS) is recognized as the definitive procedure for confirming positive immunoassay screening results of urine for drugs of abuse, targeted GC/MS analysis does have limitations.
      [ . . . a brief mention of false negatives, then back to . . . ]
      False positive results can also occur through a number of mechanisms. Two substances with the same mass spectrum require gas chromatographic conditions that enable adequate separation of the compounds prior to MS analysis. In the case of optical isomers, special columns or derivatives must be used for identification and quantification. The widespread use of selected ion monitoring may further limit GC/MS assays. Drugs that produce similar high molecular-weight mass fragment ions could potentially interfere if they have similar GC retention times and if inappropriate ions are selected for monitoring. The conversion of one drug to another by the GC/MS instrument itself is a particularly insidious problem.”

      Poster’s comment: Might hydromorphone and nalexogol count as two substances that substantially share the same mass spectrums?

      Unfortunately, I only “grok” part of that Abstract, but obviously, I’m wondering if the similarity of the hydromorphone and nalexogol structures as mentioned above might also extend to similarity of their mass spectrums (or conversely: might the presence of the very short PEG chain throw off mass spectrums commonality by a noticable amount, or again alternately: might the little PEG segment get separated and/or discarded during later processing or perhaps via interaction with any of the eight other medicines I’m presently prescribed???):

      1. [I tried posting this a fewminutes ago, but it seems to have gotten lost (no copy with comment about awaiting moderation) – apologies if it appears again ]

        P.S. After writing the above, I came across an article stating that naloxone is a “structural analogue of oxymorphone”. Since two different molecules, both present, cant both be oxymorphone, could this be a source of confusion for the GC-MS technician, who needs to make a distinction?

        Would I be correct in making the uneducated guess that subsequent to the ionization process, the active portions of naloxone and naloxegol would be identical, making the previous paragraph have the same truth value if the compound naloxegol is substituted for naloxone in the first sentence?

        I think I’m very near to losing my Dr., as I couldn’t convince him that there would be any importance to reporting to Millennium the fact that I’m taking Movantik or any of the meds (all of which he has in my chart) Rx’d by other doctors, and I’m afraid that without knowing what other drugs I’m taking, they will again report detecting hydromorphone despite [ fentanyl, oxymorphone, and naloxegol ] being the complete set of opioid drugs present.

        The net result of that would be “discharge” and the concomitant need to find a new physician despite the stigma of being discharged hanging over my head.

        So, if anyone reading this can point me toward any definitive documentation that could help with this issue, or suggest some way to resolve it, I would be greatly appreciative.

        Thank you

      2. Update: I saw the doctor, and although he is not convinced that naloxegol is what is being reported, and still does not believe it is of any importance to tell the lab about non-pain meds, he agreed to prescribe two weeks of Relistor in place of Movantik, and call me in at a random time for another test.

        I have my fingers crossed, but (at least in wikipedia) the main part of the relistor molecule looks much like main part of the movantik and dilaudid molecules, so I am worried that the same thing could happen with methylnaltrexone as it did with naloxegol.

        On the other hand, methylnaltrexone is a much older molecule than nalexogol so there may be a greater chance that it’s spectral signature is present in the MS library the lab has.

        Again, if anyone reading this can help direct me towards a solution, I would greatly appreciate it.

  91. I saw your interaction with Dr Dude online. I’m not media savvy but saw on his FB page his main medical practice was in radiology…. we know how much he actually dealt with patients…ZERO. I’m a disabled RN because a highly respected hospital could not diagnose my severe weight loss over 10 month period. But they did take me off my IBD medication worsening my condition to include adult failure to thrive and osteoporosis. My body was literally eating itself. Anyway, health care, insurance, and big Pharma need fixed. Price of epi pens? Narcan? Shortages of resuscitative drugs? Please!!!! Lastly, people who cuss have been proven to be honest!!! ✌🏻

  92. Hi Dr. Jen!

    I’ve read several articles that you’ve written on the “abortifacient” qualities (or lack thereof) of the Mirena IUD. I’ve been obsessing about the “evidence” that some groups, mainly religiously affiliated groups, say they have for Mirena’s ability to prevent implantation of a fertilized egg (if the egg even ever gets fertilized in the first place). You’ve also mentioned the potential for miscarriage. I’m obsessing about what some are calling “embryonic deaths”. I’m just not sure if one can call a fertilized egg “life”….considering that more than half of fertilized eggs fail to implant “naturally”. I would love to see what studies you reference. I trust your medical background, but I’ve developed an unhealthy obsessive complex over fertilized eggs and the 2 years my wife had a Mirena IUD between our two kids before my vasectomy. Any help you can give me would be GREATLY appreciated. Thanks so much!

  93. Dr. Gunter, I recently found you on Twitter and have enjoyed following you. Thank you for everything you do and keep it up!
    Sheldon Weisgrau

  94. Just read your article on Huffington Post on Abortion Myths. My name is Emily, I am a high school girl from Texas. Last year I met with one of my representatives, Giovanni Capriglione. I asked him about Texas HB2, and he swore to me it was all for the protection of women’s health. I can’t impart the amount of frustration and disrespect I felt listening to him speak.

  95. I am a nursing student and am trying to collect data regarding late-term abortions. A lot of friend of mine have a strong misconception and I would like to arm myself with research and facts. I read your article on HuffPost regarding this subject and saw you mentioned 80% of late-term abortions are due to fetal anomalies. Could you please tell me where I could find this information? I had a tough time finding out anything in the way of why women get late-term abortions. I found a lot of “it could be any reason.” Thank you so much for your insights and knowledge.

  96. Hi Jennifer, I’m concerned that the overemphasis on the term rip is taking away from the great article.

    People can be ripped from their homes from eviction but are never physically ripped.

    Everything in your article is really great information but it focusing on ripped as a literal term detracts from all of that.

    Hope this helps.

  97. Doc, your thoughts, ideas and experiences are really nice and true. You have worked very hard in your specialties. This is indeed a true spirit of life.
    well, I am a medical transcriptionist and medical biller, working for two companies currently while living in an unfortunate country, Pakistan. I too believe on hardwork and working on different kinds of medical reports from many american hospital and also for NHS london. while still working on EHR and voice recognitions and insurances, i think still future of medical documentation is kind of vague vision, especially for me as i am living in such country, which has approximately closed doors of all other european countries.
    Hopefully, your writing will be more helpful and informative for me, keep up this good work !

  98. Hello Jennifer! This is Nancy, co-founder of TOM Pads. If you can please reach out to me, i’d really appreciate it.
    I just have a few points I’d like to clarify about our pads. Thanks!

  99. Media inquiry: writer looking to talk to you about pubic hair grooming and JAMA and UCSF study. I’m with the Bay Area News Group and Mercury News and was working on story the next couple days about women’s attitudes about their public hair and reasons for trimming or removing.

  100. Definitely agree that doctors should blog. I’m new to WordPress, just had a browse through your profile and I am interested and excited to read more into some of your thoughts.

  101. Left a reply on an old post about the horrors of depo provera but it doesn’t log anywhere for some reason. Endometriosis and polycystic sufferer, nothing compared to side effects of d_p.

  102. Hi, I am wondering if you have come across anything that has changed your view about Nerium Oleander Cream? I have seen older retirees using it and I am concerned about heart health and if it can be absorbed thru small skin lesions and acne where there could be small scratches, etc..? Thanks

  103. I was really interested in reading your blog after I saw your post on real self about not washing your face.

    After looking at many of your topics, however, I came to the realization that you are just another liberal blogger who is biased even before you do your “research.” You have your own agenda like the many folks you talk about in your posts.

    I am extremely disappointed. Was hoping for an unbiased report on many of your topics, but it was no where to be found.

    1. Ah, you mean that you hoped that Dr. Jen shared some perhaps-faith-based assumptions that define the boundaries of your world view? Here is the top dictionary definition of the term “liberal,” which you seem to interpret to mean the opposite. “open to new behavior or opinions and willing to discard traditional values.”

  104. Dear Dr Gunter,

    What part of the country do you have your practice ? As an ultrasound profession who has been in the industry since 1990 (like yourself) I am often asked for recommendations for health care professionals. I’d be interested in learning more about your services


    Milind S. Gupte
    Better Imaging Solutions

  105. Hello my name is Heidi and I have been experiencing myofascial pain since I had my first baby by c section. It’s been a long lonely road trying to get some help in all areas from go to consultants to gynaecologist’s to Physio therapist. I Have baby 2 now again by c section and have nowhere left to go having recieved so little help. I’m not sure but ireland seems to be very far behind in terms of knowledge of this.

  106. Hello Dr,
    V happy to see your blog and I read a few posts. You are doing a great job. I have been wanting to blog for a long time but have been putting it off due to so many reasons,one of them being…I was really unsure if there are doctors out there who blog regularly. Well,any way I just started last month. And reading your blog gives me the motivation to continue posting regularly.

  107. I have a question — I have, in my past, had a few abortions. I am not proud of this, but I am not uncomfortable with it either (never wanted children). I have since had a total hysterectomy (endometrioses which had latched onto my urethra). I have not had any unusual “female” problems since then. Why is it that doctors ask on the forms if the patient has had an abortion, or they want to know how many pregnancies and live births?

    I ask because I can hardly wait for the day that some representative proposes that not only abortion is illegal, but that hose who had them in the past will be brought forward and punished. I know, probably won’t happen, but our lawmakers seem to have gone off the deep end in this issue.

  108. No, I don’t really believe that they are feminists. I have been reading the site and:

    some of them support FGM (provided it’s done in a hospital)
    some say that a percentage of rapes is acceptable in order to protect Muslim migrants (Cologne) and people like Stefonknee Wolscht (Google it).

  109. Certainly will be very interesting if you ever write about Canada’s health care system vs. U.S. since you’ve worked in both systems. My sister is an emergency medicine doctor in Greater Toronto Area..in practice for last 15 yrs. I have several other siblings in other positions working at hospitals in GTA area also.

    By the way, I am concerned about a sister early 50’s who has some huge fibroids that should be removed..but she is delaying it. She looks pregnant. She has seen a gyn-ob and has been lectured by her dr. Dr.-sister thinks if it’s not life-threatening she shouldn’t worry about it…. I’m concerned since I’ve read other experiences of women patients ..

  110. I have been cut open hip to hip 3 times for cervocal cancer procedures hysterectomy being the last two and I have constant pain at surgery site and a mass behind my scar who could I see to treat this I live in nc us

  111. How virus is converted in toxins and how it will be more likely to go out from the body? Urine? sweat ? Acne nails hair ???

  112. I have a chronic lung infection that comes and goes [tests suggest atypical, CAP, gram negative? and mycoplasma pneumonia bacteria (though this does not give strong lunged people pneumonia!)]. Recently the colour of my urine deepened, the urge to urinate became very , and it keeps me from sleeping at night when this condition makes me feel a little agitated. I wonder if some bacteria from the lung could cause this. I feel slight sensitivity in the ovaries but I am post menopausal ( a young senior who can swim fifty pool lengths). What about multiple infections?

  113. I can’t find a contact address so I’ll leave this here:

    A simple improvement to your website: The archives should have the archive page selector box on them. I was looking for a post of yours in the archives and each time I had to go back to the main page to select the next month.

    Previous Month/Next Month buttons would also be nice.

  114. Odd request. Many OBGYNs don’t discuss kink, and what is and isn’t safe with regards to it. With 50 Shades of Grey coming out a few years back, I find a lot of people have become more open and intrigued with kink, specifically BDSM. Would you mind writing your medical thoughts on the topic? It can be any forms of kink.

    Here are some questions I feel should be started with:
    Nipple Clamps: Can they cause permanent damage if not used properly? If so, what constitutes proper use? Can they affect breastfeeding?
    Anal Play: What types of problems can occur from not being careful? What constitutes properly being careful (safe sex with regards to anal play)?

    There are tons of articles out there filled with opinions and experiences, but I have a hard time finding a medical opinion on the topic, and I think it would be nice to have some medically related thoughts on the topic.

    Thank you!

  115. Thank you for debunking the Goop article so brilliantly! I read Goop -and my field is public health – and this guy has been making various (strange) claims about the basis for breast cancer without backing them up with legitimate (or any) research. I’m glad the question of his credibility is getting some attention now.

    Btw he didn’t actually coin ‘Conscious Uncoupling’; he used someone else’s concept without attribution.

  116. Hi dr Gunter for some reason I wanted to get tested for herpes so I went to my doctor and he did a blood test he did a hsv I/II Igm it came back as positive for both 1. 24 I have been win my wife for 5 years and I had never had sores can this be right

  117. Hello. I so appreciate your site. Thank you. I sent you a tweet but you probably receive so many. I had a cs and think I have that nerve pain you write about. Do you have any dr recommendations in London or nyc? thank you.

    1. Sarah, the subject wasn’t J&J….I think the subject was about a medical article about a colloid cyst and Carson.

      it is part of a really big book that is sold on Google books called ‘pediatrics hydro’ for 149.00 On Tue, Sep 15, 2015 at 2:51 PM Dr. Jen Gunter wrote:

      > Sarah commented: “Would like to read your take on the j&j investigave > piece hufpost published today. 9/15/15 > http://highline.huffingtonpost.com/miracleindustry/americas-most-admired-lawbreaker/ > ” >

  118. Hi Jennifer –
    I’d like to interview you about fetal pain for Salon. You would have a lot of control over the structure of the article, which would be formatted as a written interview. If you are interested you can reach me at ValerieTarico at Hotmail. Previous articles can be found in my archive at ValerieTarico.com.

  119. Been following your blog for quite awhile – while not a doctor, I work as a compliance officer and have found your posts, whether directly related to my work or not, worthwhile reads. I have ranged from total agreement to total disagreement with you – and frankly, I like that because it means you believe in what you write.

    I also wondered if you will be writing about the upcoming lawsuit Planned Parenthood is going to file against the state of Lousiana regarding the defunding of Medicaid to PP. That is an issue I am following closely as I worked at PP before my current position. I saw firsthand what services they provide and frankly, they get a bad rap because regardless of one’s position on abortion, there is so much more offered there. And I saw many young men as clients, not just women.

    Sorry to ramble – just letting you know I read your posts religously and am hoping you will supply your expertise to this.

  120. If you find a lab i have placenta pills from two babies and extra “powder” I’d be happy to donate for a study

  121. well, this isn’t a slame or anything but you did write an an article about a research article and it’s Author about Colloid Cyst.

    our group +100 members in the United States and over 1000 over in Europe are doing some grass root research you might be interested in…

    about the article, we are also talking about you.

    maybe you would like to join us?

    Houston Genaux
    2008 endoscopy/ 3erd vent/ Colloid Cyst

  122. You wield the lasso of truth, we wield the lasso of mayo. Its more powerful than you might think… We’re talking over 2.7 billion milligrams of cholesterol avoided. Shoot me an email if you’re intrigued.

  123. Enjoyed your blogs recently about the U of T and its lack of oversight in allowing a homeopathic quack to teach a course. Am also from Winnipeg (Fort Richmond) and went to U of M medical school. Now an anesthesiologist in Toronto. Some of my Korean friends have been going on about some new herbal supplement called HemoHIM… it sounds like snake oil to me:

  124. I’ve been Dx’d w/HSV 1 & 2. So your blog is helpful to me. I’m still trying to understand it. At this point, I’ve not seen my family in person, only telephone conversations. Thanks again for your expertise. Please add me to your emailing list. MN

  125. Dr. Gunter –

    I am so glad I found your blog! Fourth year medical student applying for Ob-Gyn. Can’t wait to read more.


  126. Hello my question is my ob gyn did prescribe me tramadol 50mg one every six hours. So I only take two a day for pain then I space it out 24 hrs or more. And I’m 22 weeks preg. I don’t wanna go cold turkey as I’m afraid of seizures. And tramadol is only thing that helps my back. Been on it for a few years. I just cut back pregnant.. Am I doing right thing? Please help! Thanks

  127. This is perhaps outside of your specialism, but if you have any views on chronic lyme disease, I would be interested in reading them. Many thanks.

  128. Fetuses don’t gain the capacity for sentience until roughly 25 weeks, as Dr. Gunter explained. The capacity to feel pain ie basic awareness is not possible until the thalamus and the cortex reach functional maturity, and that isn’t until at least 25 weeks gestation.

    Also, recent studies have demonstrated that fetuses are incapable of discerning pain from touch until at least 35 weeks in:


    And I do not believe that your story is true, considering the survival rate of 21 week neonates.


    “”Infants born at 22-23 weeks gestation have a 1-10% chance of survival, with the high end requiring the most advanced NICU care possible. Of those survivors, greater than 95% will suffer profound neurodevelopmental impairment NICHD/NIH. By profound neurodevelopmental impairment, I do not mean the child will have a learning disability, or need to walk with canes, or have mild cerebral palsy. I mean the child may suffer from intractable seizures, need a feeding tube because of being unable to swallow, have varying degrees of blindness and deafness, have spastic quadraplegia and be wheelchair bound, never speak, never crawl, never walk, never run, etc.

    I have cared for many infants at the edge of viability. It is always emotionally draining. There is no justice to it. The extreme measures involved to keep a 22-23 week infant alive is staggering, and it is ugly. I once had a patient who had an IV placed on the side of her knee due to such poor IV access. When that IV infiltrated, I gently pulled the catheter out, and her entire skin and musculature surrounding the knee came with it, leaving the patella bone exposed. I have seen micro-preemies lose their entire ear due to scalp vein IV’s. I have watched 500 gram infants suffer from pulmonary hemorrhages, literally drowning in their own blood. I have seen their tiny bellies become severely distended and turn black before my very eyes, as their intestines necrose and die off. I have seen their fontanelles bulge and their vital signs plummet as the ventricles surrounding their brains fill with blood. I have seen their skin fall off. I have seen them become overwhelmingly septic as we pump them with high powered antibiotics that threatened to shut down their kidneys, while fighting the infection. I have seen many more extremely premature infants die painful deaths in the NICU, then live.””

  129. Ii was wondering about your statement that the fetus cannot feel pain at 20 weeks. I have 2 friends whose babies were born prematurely at 21 and 22 weeks respectively. I’m pretty sure they could feel pain if they were dropped or stuck with a needle or something like that. Do you disagree? And on what basis of you did you make that statement?
    Nancy Kingston

    1. The survival rate at 21 weeks is 0% and at 22 weeks <5% so it's curious your friends histories.

      Thalamocortical fibers don't start penetrate the cortical plate until 24 weeks. The cortical changes needed to interpret ion nocioception as noxious are likewise not developed before 24 weeks.

  130. I need to delete one of my previous comments. How do I do that? I cannot find anything that would allow me to do that. I feel trapped. Thank you.

  131. Hi Jen,
    I love your blog. I live in Eugene Oregon. I have had intense abdominal pain with N/V/D. For 5 years since my first c-section. I had my second baby over a year ago and the problems seems to be getting worse. Can you recommend someone in Eugene that could help me? I am at the end of my rope and I don’t know what todo. I have had 2 colonoscopies and endoscopies, and my PCP thinks I am crazy because no one can figure out what is wrong with me. I feel like a hypochondriac and I am always in pain. Anyway I could go on and on about what I have been through. I am sure you are very busy and won’t have a chance to get back to me and this understandable. If anyone out there know any doctors Ian eugene that can help with this please email me. I have done so much research on my own, but Dr. Gunter’s blog has been the most helpful.

  132. Delighted to have found your well informed and well written blog. In one of my jobs I worked extensively with Doctors and other health professionals and learned that the area that needed more attention from the patient perspective was the art of clear communication. Looking forward to lots of reading here. Regards from Thom at the immortal jukebox.

  133. Ok. Well see i have talked to a doctor and they said that it’s “normal”. And they prescribed me tramadol. That and ibuprofen doesn’t work for the pain. But I don’t even know. They used glue instead of stitches and staples. I still have drainage and leakage still a foul smell and still in excruciating pain.

  134. I was reading your article about the nerve pain from c sections. Well i had a cesarean almost 9 month’s ago. And I’m in constant pain. It doesn’t hurt where my scar is. It hurts above it mainly in the middle. Sometimes it can feel like something is in there. When i lay on side like fetal position i can feel like a huge hard knot about 3 inches long but it’s so hard that i don’t even know.

    Plus is it normal to still have leakage on scar? Because i have discharge that comes out in middle that is white very thick puss that has a foul smell to it. As well at on one side that will have discharge that looks like puss and blood. I have tried ibuprofen but they do not work. Pain is consistent all the time.

  135. I found your article on blood testing for herpes a breath of fresh air. I am one of those people who was tested for herpes by my internist along with all general blood work without being askes and without any herpes symptoms either orally or genitally. Had I known the information I read and the sociopath psychological ramifications of being positive for HSV 2 without a history of herpes nor previous transmission to partners, I would not have allowed someone to test me without my consent. It makes me angry because I also wasn’t given any information from my doctor about what to do with the diagnosis afterwards. He just said, you have herpes. I feel violated by ineptitude. I told my GYN that I had it without symptoms and he erroneously told me it just means I was exposed and since I was asymptomatic, I didn’t have to tell my lovers or be afraid of transmission. So for the past five years I buried this in denial. Thankfully, I haven’t infected anyone that I know of. The fact that everyone says if you have HSV2, you have it generally is astounding as you say if you test negative for HSV1 and only HSV2, and have no genital symptoms, you may only have it orally. I also tested positive for Epstein Bar. I am wondering what that means if anything as Epstein Bar is an oral virus. I wish I could know definitively what I have. The fact that I was tested without symptoms and the fact that I wasn’t tested before giving birth makes no sense. If anything that should be the only time without symptoms that it could be warranted. As far as I know, I could have had herpes for thirty years and just now am finding out. I really appreciate the information, I don’t see anything but standard rhetoric anywhere else and most doctors are ignorant and are a part of the population that stigmatized you.

  136. hi dr jen, i know you from the article on nerium cream . interesting article . i saw an alleged autism mom on FB who posted a home video promoting the opportunity to other autism moms to have the home buisness . i remarked i would check it with poison controll . PC tells me there is so little nerium in the proprietary mix its considered safe . ok . next i accessed other links and found this MLM buisness structure may be a PYRAMID SCHEME which is illegal . hmm this woman ex-friended me fast as i begun to ask questions . quite defensive . and annother autism mom also did likewise .my question is , are the desperate autism moms being exploited.i bet they do need funds . then again they seem to be trying to generate a political enity . i can see where some supposed autism moms could be frauds playing on the destitute . deplorable . any feedback? allensouth2000@yahoo.com

  137. Someone I knew mailed me nerium day and nerium night dreams to try for 6 days. I got so sick on the nerium. I never throw up and I was throwing up all over. My tongue felt numb and I had a really bad taste on the tip of my tongue. I was really scared so I called poison control. The man acted concern then talked to his supervisor about me. After talking to the supervisor you would have thought he was a nerium salesperson. He said nerium held seminars for poison control and he said it was so safe a child are some. He said the reports on the internet of it being toxic were false. He asked me my age and what health issues I had and add could be from something else. I only have high blood pressure and he acted like 59 was ready for the grave so who cared if I was poisoned. I find it extremely odd poison control is promoting nerium as a great product, even when I told him a little had got in my eyes. And the most ironical thing is the woman that sent it to me got real sick, too. I don’t know what I should do. Thank you for your time
    Yours truly,

    Terri Stewart

  138. Dr Jen. Please advise about reading of HSV IgG positive (33) in first test and unequivocal in the second test after 15 days. Does it suggest virus has become dormant?

  139. You stated, If your question is, “Do I have genital herpes,” that answer can’t be answered reliably with a blood test.
    Well then, what will answer this question?

  140. i have no son…. If I was on your site it probally was to ask if you could use coconut oil to mositurize the vaginia because of age it dry .. and then would it be safe to use polypropolyene condoms that contain silicone/dimethecone lubricant.. as I do not know if it would be safe conconut oil mixed with the silicone lube?????
    I cannot use vagifem anymore yeast.. right now I have taken 2 tsp of nystatn 4 x day for 2 weeks and did a feces test and I still have yeast. my fam dr said to take it for 2 more weeks…… It gives me constipation and hemroids…
    for side effects……. I simply do not know what to about
    1.. concom/ silicone/coconut oil
    2. yeast………..systematic

  141. Hi, came across this because of your entry about your son going into an NHS hospital. Very interesting read. You might be interested that UK online adult material filters don’t allow your site to be read on mobile phones unless you enter a credit card to show the network provider that you are over 18.

    Keep up the good work.

    All the best


  142. question 1. I need advice.. oddly enough my gyno has no idea. I am now using coconut oil to keep away vaginial dryness.. NOW what kind of condom can I use? all I can find is one propolyne that contains a LUBRICANT I do not need the lubricant they say it is silicone so now.. how is that going to react with my coconut oil as I use it in my vaginia every night. Please advise.. I definatly want to use a condom but how and what kind. I am also sensitive to lubs. never used silicone before..
    Question 2 what about silicone toys.??? coconut oil?? yes no

  143. Hi Dr. Genter. Really enjoyed your piece in the Independent re the NHS. I too write for the Indy sometimes. Please check out my blog and follow back if you don’t mind. Thank you so much!

  144. Hi Dr Gunter,
    I am the health correspondent for the Daily Mail.
    I just read your extraordinary blog about attempting to pay for your son’s NHS care. Unfortunately not everyone is as honest as you-you make some very valid points about our system.
    I just wondered if it would be possible to speak further on this matter and if there was any way I could get in touch?
    Sophie Borland

  145. Hello! I am a content strategist and EIC of a site and would love to discuss a writing opportunity with you (but can’t dig up an email contact here). Can you please be in touch? Many thanks!

  146. Greetings –
    I write about women’s issues, reproductive rights, and contraceptive technologies for online news and opinion sites with the broad goal of empowering women and children to flourish. My short term goal is lowering barriers that young and poor women face in obtaining top tier contraceptive methods that fit their goals and bodies.

    Right now I am working on an article about contraceptive class action suits and how they affect access and method mix. A number of “relevant experts” have been generous with their time, including providers, ngo advocates, and one exec in a small mission-driven drug company, and I’m wondering if you might have some thoughts to add to the mix.

    Here is a little more context. This winter I became concerned that TV ads paid for by law firms seeking class action clients were creating a de-facto anti-advertising campaign against most effective contraceptives. The ads tap anxieties about a long list of known but rare side effects, and some that are questionable. Women have no way to put the information in perspective, no information about absolute risk, and no way to weigh what they hear against the health and life risks associated with unintended pregnancy. For some low information women these ads may be the primary formal source of birth control information.

    I recognize and value the importance of litigation in protecting women’s health. At the same time, I wonder if today’s pattern is tipping the balance against positive health outcomes.
    The routine class action litigation that has grown up around contraception has the potential to increase barriers and possibly morbidity and mortality in the following ways:
    • It stifles innovation by increasing financial risks and costs and by delaying potential returns to investors, reducing method mix and woman-friendly options
    • It increases costs to public health agencies and end users, making top tier methods unaffordable for some
    • It distorts risks and produces fear among members of the general public, creating ambivalence that can lead to risky inaction

    That said, no contraceptive is risk free, and some women get hurt. So we need means to guard against negligence and care for those who are harmed even if the net net is a vast improvement in public health and wellbeing.

    I would like to put together a thoughtful article on the topic and would love to get your input. Here are my questions:
    Is your sense generally that the current balance serves the public interest?
    If not, how do you perceive the nature and magnitude of the problem?
    Do you have any direct experience e.g. anecdotes that can be included in a story?
    Do you have or know of any relevant data?
    Do you have any thoughts about how we might refine or revise the current system so that women have recourse when they are harmed while also reducing the harm that comes from increased costs, decreased utilization and low method mix?
    Can you point me to anyone who would have additional knowledge on this topic?
    Any chance you’d be willing to schedule a call and share some of your thoughts?
    Valerie Tarico, Ph.D.
    Senior writing fellow, Sightline Institute
    Co-founder, Progress Alliance of Washington
    Member, Board of Advocates—Planned Parenthood of the Great Northwest
    Article Archive: http://www.awaypoint.wordpress.com
    vt at valerietarico

  147. Firstly, kiddos in taking on ” Mr. Will” ! Masterfully written. I have always said that if someone were to drag me from my just left of centrist, though eclectic, views it would be him. MY reason? I think he is the most brilliant fanatical ideologue the far right had produced. Albeit, he suffers from the same situational ethics problem they all do. To wit: When the facts, even from your own camp, fly in the face of your opinion (dogma?), then fall back on Aristotelian catharsis – the death penalty is good because it makes “Us” feel good. I am opposed to any form of feel good legislation whether it is for the barbarism of the death penalty or even the worthlessness of new legislation regarding gun control. Neither WORKS!
    But I digress.

    I am writing here to move the Nerium “conversation” forward. I assume that you were not in the least surprised by the attacks ad hominem? That’s what cults do.

    As an OB/Gyn I think you will be aware of my work. I pioneered the field of bioabsorbable subcutaneous drug delivery systems such as ANNUELLE(R)- which I invented as well as systems for vast array of other applications both in reproductive medicine as well as many other clinical applications where active pharmaceutical agents. (APA) are delivered via the reticuloendothelial system. I have published on this MOA as well as most of the clinical trials if Annuelle in prestigious peer reviewed journsls.

  148. Recently I have sent to your website (for discussion entitled A study rating female attractiveness: the journal Fertility and Sterility publishes misogyny – 2012) my little comment (at number 21), to thank you because you have defended the science and women’s dignity.
    As human being, as thinking mind, as woman, suffering from endometriosis for 26 years, as philosophy teacher and as scholar of psychoanalysis, I don’t share these kinds of “research”. So, thank you again: your criticism give me heart.
    I’m also surprising because of the classification Expertscape, by Association of Palo Alto, California, with regard to the world’s leading experts in this field: between the Italian “women and men of science” expert about the endometriosis, who are at the first positions in the world, are also the inventors of that “research”. Do you think it’s possible and true? What do you think about that? I hope you would like to write also about this subject.
    I’ll read your Website again. It’s very interesting for me.
    Maria (Roma)

  149. Recently I have sent to your website (for discussion entitled A study rating female attractiveness: the journal Fertility and Sterility publishes misogyny – 2012) my little comment (at number 21), to thank you because you have defended the science and women’s dignity.
    As human being, as thinking mind, as woman, suffering from endometriosis for 26 years, as philosophy teacher and as scholar of psychoanalysis, I don’t share these kinds of “research”. So, thank you again: your criticism give me heart.
    I’m also surprising because of the classification Expertscape, by Association of Palo Alto, California, with regard to the world’s leading experts in this field: between the Italian “women and men of science” expert about the endometriosis, who are at the first positions in the world, are also the inventors of that “research”. Do you think it’s possible and true? What do you think about that? I hope you would like to write also about this subject.
    I’ll read your Website again. It’s very interesting for me.
    Maria (Roma)

  150. Jen, I just read your response to George Will’s bs. on rape. Rock it girl! I had the same exact experience as you. Though…I must admit…I’d be hard pressed to be so politically correct when discussing it as you have…My God woman…you are sharp! 🙂

    I look forward to following you path!

    Peace & 🙂

    Marie Tyler Wiley

  151. I just want to applaud and thank you for writing the open letter to George Will.

  152. Thank you so much for your eloquent response to George Will. Unfortunately I read it in a faculty meeting and didn’t expect it to make me re-live my own experience. But I’m curious if you heard from him, or had it published more widely. I am so discouraged by the growing misogyny in our world. Thank you for speaking truth to power.

    Amy Levi (I have a bunch of letters after my name, too, but it’s not worth explaining it !)

  153. Hi,
    I am approaching your website to see if you are open to inserting text link ads in your blog posts. If you are interested, Please let me know and we can talk about the cost and other details. Contact me at emailviveknow@gmail.com.


  154. Just found your blog. Nice.

    I an an RN with not nearly so many letters after my name, but I too have written a book and it gets published in a few weeks. I am looking for influential persons in the blogosphere and found you.

    The book is titled The Sacrament of the Goddess. It’s on amazon. Google the title.

    I’d like to send you a copy to read and review. Send an email to me at joeniemczura@gmail.com


  155. Dr. Gunter, Your description of chronic pain, scar tissue and possible nerve damage with anxiety, inflammation, infections, depression, numbness after a C section seems to fit my ailment. I have spent the last 6 years trying to convince doctors that I am in pain and something is wrong. I live in a small town in Central Ontario and wonder if you could possibly recommend out of London Ontario a physician/specialist who might be familiar with your work. I am desperately looking for accurate diagnosis and possible treatment for this. Natasha

  156. Dr. Gunter, I have been following your blog for about a year now and you have become my go-to on issues concerning the healthcare system, i.e. the HPV vaccine controversy, the nuvaring controversy, and many more…I am so torn when it comes to this recent news story: http://www.usatoday.com/story/news/nation/2014/03/10/compassionate-drug-josh-hardy/6258321/; as a previous business reporter, I can understand where the company is coming from, but I just can’t help but REALLy want it to change it’s mind and give the little boy the drug that may help him to recover. Would love to know your thoughts!

  157. I am so sorry you had to endure the complete lack of compassion from the morgue at your hospital. Thank goodness for the advocacy of your admin assitant. No one should have to go through that. I am a pediatric OR nurse but if I had been the CEO I would have personally apologized for adding to your pain.

  158. I put this here because um… no other contact, recently I saw a flurry of links to this (link below) on my fb (smells like bovine end product). I look’d through your archives and see nothing on flu, flu shots and pregnancy, so I’d suggest this as a topic.

    http:(slash slash)www.vaccinationinformationnetwork(butt)com/press-release-cdc-covers-up-influenza-vaccine-related-fetal-deaths/

    If moderated, no need to approve this post.

  159. Dr, Jen Gunter, Hi I’m using valium in vaginally. i was wondering if it effects your brain. I’m really scared its reaching my brain and I’m having problems. Could you please e-mail me back the answer. Thank you. Annette

  160. Pelvic vein congestion syndrome!!

    Raising awareness

    IR options for same. Check out Tony Lopez from Guildford UK. Huge series. Seems to work well

    Like ur work. Keep it up


    1. Actually, the jury is still way out on pelvic congestion syndrome. The incidence of congested veins is about 50% among multiparous women and in pregnancy the pelvic veins are very congested, yet no pain. The studies are nor randomized and in fact amount to case series with all their inherent issues.

  161. As you write your blog, you are self publishing and that is your right in the United States. With all right comes responsibility, and it is your responsibility to fact check, and allow others to freely discuss information. Otherwise you have become a censor of truth. The same way you feel fit to share your thoughts, you must allow others to share theirs.

    1. What is your point? Really? That I should allow people who post vile comments to have free access on my site? A blog is like a home, I get to decide the house rules of conduct. Vitriol and unfounded claims don’t belong here.

  162. Hi Jennifer…Rich Mayerchak here.I liked you IUD article in OBG Management.take care-

  163. Hi Jen
    Stumbled across your byline – blog post on BMJ. Great work.
    If you don’t remember me …
    Graduated uManitoba 89.
    Anesthesia uOttawa 94
    MSc Epi uOttawa 98.
    Still in Ottawa, married, 14yo daughter.
    Late adopter of soc. media.
    Looking forward to more of your posts.
    Keep up the good work.

  164. Dr. Jen, I have a question for you. I spend a lot of time ‘debating’ anti-choicers, and they always tell me that pregnancy is absolutely NOT a health condition unless there are complications. And, until there are complications, a ‘normal healthy pregnancy’ is just that…normal.

    I have argued that the changes to the woman’s physiology as a result of pregnancy MAKE IT a medical/health condition, but as I am still largely ignorant regarding pregnancy, I would love to hear your thoughts on the matter.

    Typical quotes from pro-lifers:

    “Martin, life itself is a “health issue.” Pregnancy can be harmful if something goes wrong, but healthy pregnancies can and do occur with the result being… babies.

    Things like cancer and MIs are inherently, inescapably destructive. There are no “healthy” versions thereof.

    You and Alix implicitly acknowledge this in following comments when you more specifically and correctly wrote “complications” versus pregnancy itself.

    For example, an ectopic pregnancy is pathological because the fertilized egg is not implanting in the correct place. But in order for me to even write that sentence there must BE a correct place and a healthy way for the process to occur. Is there a similarly healthy way for malignant neoplasm – you know, ‘cancer’ – to grow, spread and transform body tissues and organs?

    The difference is also well illustrated by the goals of medical research concerning them: In the best case, oncologists and cardiac researchers seek to put themselves out of business by removing those maladies from human experience. Is this true for pregnancy as well? Is the point of OB/GYN to entirely eliminate or obviate childbirth?

    “Health issue,” indeed. Nice try.”

    and this:

    “And when a woman’s life has not been confirmed to be at risk she has no right to usurp to right of the child to live.”

    ” The mere likelihood of a possible life threatening situation exists everywhere and in every situation.
    The whole purpose of monitoring of pregnancies by medical personnel is to minimize health risks that a person (and the child) MAY incur. Pregnancy does not REQUIRE medical treatment.”


    I would be interested in what you have to say, or what resources you could direct me to, so that I can combat this ignorance.

    Thanks in advance Dr. Jen!

  165. I have a unique question. I read your article on nerve damage after a c-section and was wondering if have a large problems with adhesions could make the nerve damage pain worse. If so would you have any ideas that could help.

  166. You have too many letters after your name. Most anagram makers will only allow up to 12, which gives you “affords”, “Orgasm” or “Frogs”. But if I use them all, the longest I can get is “Mapboards”. Perhaps you should concentrate on some more qualifications that have vowels in them 🙂

  167. Hello Dr. Jen,

    Are you aware of any pain experts in the Southern CA region (Kaiser Network) specializing in Vestibulitis? Ideally in the Inland Empire (San Bernardino/Riverside Counties)? Thanks and keep up the good work!

  168. Hi Dr. Jen! I read your piece on milk sharing and really enjoyed it, and the comments too. I wanted to share my website with you, thought you would find our work interesting in light of your article. Check it out: http://www.mothersmilk.coop I would love to hear from you, take care, and keep up your terrific site.

  169. In the abortion debate in Ireland there are frequent comments that Ireland is the safest place to give birth – and there is then a claim about low infant mortality figures. However my understanding is that Ireland calculates these figures differently than in much of the rest of the world. There’s been some discussion that Ireland may change to the accepted standards and that the numbers will not be as good – but I’ve never seen the discrepancy explained.

    I know your main focus is on the US and Canada, however your writing is very clear and you break things down very well. I don’t know if these stats would be an area you’d be familiar with, but if you are then an article on them would be fascinating.


  170. Dr Gunter, We would like to use an extract from your most recent blog about Savita’s inquest. The site is called Broadsheet.ie. Would this be possible? John

  171. Dear Dr Jen, I know you blogged that there are several states that have laws protecting doctors from wrongful life lawsuits if the doctor withholds information about fetal anomalies from a pregnant woman in order to prevent her from getting an abortion.. Do you have a reference for this info? I’m trying to learn more. Thank you, Susan Robinson

  172. Dr. Jen
    I happened upon your homepage after a google search. I write because my wife is suffering from chronic migrane and abdominal pain. She has had this pain for over three years. It began with her pregnancy with our second child. She has seen over 30 docotors with no relief. She tried using oxycodone, but that provided some complications. Both child births were emeregency c-sections and the second was the result of a uturine rupture. She is in so much pain that her motivation to find a new doctor is just not there. We are in San Diego and you sound like someone who could help. Do you have any contacts in our area that could help.

  173. Dr. Gunter, I am a health journalist who follows you on twitter. I love your blog. I am writing a story on birth control and immune response and I’d love your input. I can’t seem to find an email address for you… would you be interested in being interviewed for my story?? Please e-mail me at ameliafaith AT gmail. (I’m doing this story freelance so I can’t tweet @ you…) Thanks in advance for your time!! best, amelia harnish

  174. Anyone advocating all 4 one type of treatment for all patients every where has obvious motivation other than the patient’s well being. Anyone in pain mgmt claiming that all opioid therapies are wrong isn’t in the business for their patient. They R in it for their own motives. Its no wonder why.

  175. Thank you for your recent posting about chronic pain. As a pain clinician in St. Paul it frustrates me everyday to see the issues you have aid out so eloquently. Thanks for helping me feel like I’m not the only one who understands that “more opioids” is seldom the answer. Narcotic abuse and narcotic induced hyperalgesias are both far too common and voices like yours are needed to help put the brakes on this epidemic of overprescribing,
    Ben Waxman PA-C United Hospital Pain Service, benwax@aol.com. Ps let me know if I can help!

  176. For Layla, who was sodomised by your BF while he was caring for you. It sounds like it is a good start to try writing it down. Maybe when you get through a first draft you are happy with, then you can think about finding a writer and/ or an agent to get your story published. I am going to a group interview on Monday to see whether I can do volunteer work with rape victims. You have memory problems and PTSD, so things are very hard to prove, but you are already taking control and on the road to healing. Every little step can help to take you to a new and better place. Trying to find joy in small things is a good way to start. Social isolation is a problem too, so finding safe ways to get out of the house – like a class once a week – as regular as you can make it. – might help.

    Even just going out for a regular walk with someone that you like and trust can give you a lift.

    Finding a new structure for your new life can help you too. It did for me. Try to believe that things can get better.
    You can contact me via Twitter. Hang in there. Shan

  177. i agree with Dr Les Wright above that the pain and psychological suffering of women is often embedded in networks of dysfunction, oppression, inequality, sexism, and abuse.

    His partner has trained in abuse counselling and therapy from a feminist perspective, and they are bringing those tools and sensitivities to their work.
    He says: that it took a lot of growth and just simple getting older on his part. It takes a long time–too long–for many men to learn that we can wage an effective war against sexism and patriarchy and they don’t risk losing anything that theyreally shouldn’t be clinging to anyway.

    Unfortunately, he says, many men– and an alarming number of women, too–never learn, and they perpetuate oppression because they are afraid. It IS hard to Embrace Change- to make the decision to go forward in a new way, because the old ways just don’t work any more.
    It takes a lot of courage to confront the way we have always done things and to ask is there a better way.
    And there is never enough time. And we are constantly distracted.
    But that does not mean we should give up.
    March 21 or 22 is #NoNewsday and I’m remembering Marie Colvin, who died in Syria last March reporting the beginning of the civil war there.

    RIP Marie Colvin, who reminds me of why we still need to change lots of things.

  178. Hi Jennifer –
    I am a psychologist and writer in Seattle, and co-chair of Washington Women for Choice. I write for online news and opinion sites about religious right issues and women’s issues including contraception. (Articles are archived at AwayPoint.wordpress.com). In addition, I am also working with a project in Seattle aimed at making LARC methods more accessible to teenage girls. In my experience, insertion pain is a significant issue and barrier to uptake among nulliparous teens and young women. Given your focus on pain management I would love to hear your recommendations an thoughts you have on how best to manage insertion pain as we move younger women onto these top tier contraceptive methods. I’ve seen the data on misoprostol, NSAIDS, and paracervical blocks, all of which are disappointing. My email is valerietarico at hotmail.

  179. This is truly random because I saw a link to your awesome article on gun control on twitter. I went to your “About me” page and found that you are from Winnipeg just like me! I am also a Doctor (PhD in Molecular biology) and work in Australia at the moment. I also got my training at the U of M. Anywho, just wanted to say wonderful blog and good on you for doing it – small world this is 🙂

  180. Hi Dr, I see your focus and was wondering if you might have any suggestions for me. I was hurt, mutilated, my bf used the opportunity as my caretaker to sodomize me. I was hospitalized. I had ptsd and my mind was so fogged. I trusted him because he saved me, and didn’t realize what he was doing. When I was able to piece it together from the flashbacks, he had me arrested for harassment. I tried to get help but no one would believe me and the DA held me in jail 2 weeks for a sanity test. They won’t prosecute and say ptsd is too hard to prove, but he destroyed my entire. I’m deformed now- because I let him care for me. It’s so hard just to leave my apt. I want to die every night and morning. I think everyone already knows I’m dead. I’m trying to finish a book so the truth will be revealed, but it’s so hard to think about. If I could get justice, maybe I’d find joy again, maybe I could stop being so paranoid and afraid, maybe I could have normal relationships again. If you know anyone who might help me get my memory back or speak on my behalf, in my book, in court, maybe just someone who wants to help in any possible way, I welcome any information that can get me closer to healing and justice. Thank you

  181. You granted Vitamin W permission to repost a few weeks/months ago. I loved your post about contraception for pleasure sex and want to ask to repost. Can you pls send me your direct email, I have another question for you.

  182. Hello. Is there anyone you would recommend in the Seattle area that does what you do — specializes in OB/pain management? I read your blog post regarding unresolved c-section pain and it’s truly on point. My OBGYN is at a loss, we’re two surgeries in (counting c-section) looking for a solution and we’re no closer to fixing it. The pain specialists I am meant to go to shortly are not OBs and want to leave me on pain meds (which I loathe but have a hard time functioning physically without) and introduce an antidepressant. I’m confused as to the latter – I don’t think I’m necessarily depressed; I think I’m in pain. I feel like there must be a solution beyond simply living with it? It’s dehabilitating. A recommendation would be truly appreciated.

    1. To the moderator – could you please delete my last name? I wasn’t aware it would post when I registered.

    2. Hi Julie, I came to this site to check out more re Dr Jen and saw your comment…have you seen a physical therapist who specializes in obstetric and pelvic floor care? Our practice does (Boston-area) and we have worked with many women post c-section for persistent pain and decreased function. Maybe that rec was included in the blog post you mention (which I have not yet read), so my apologies if this is redundant! Good luck!

      1. I saw one they gave me pelvic pain exercise to stretch vaginia.. also you can buy a tool http://www.icrelief.com that helps to stretch it.. Physical therapy told me about it and how to use it plus the exercises .. it works..!!
        and another positive I now have stopped dripping those little drops of urine when I think I have finished using the bathroom So good luck with this.. oh a note .. here… I went to many gynos men and women.. they ignored my problem finally I went to a pelvic pain specialist
        2 hr drive away from home. HE knew exactly what the problem was. and for that I am thankful

  183. Out of curiousity, why did you go to the US? I assume, you went because the salaries for doctors are higher. I don’t have a medical doctor here in Ottawa. A lof of Canadians go to the US for the lower taxes but also complain about the result? I read one of your blog posts and almost cried. What an awful thing to happen.

  184. Thank you for your piece on vaginal yeast
    Infections. My beloved OB GYN said the same thing regarding yeast. However and this is a big however……I cut sugar completely put of my diet including bread, etc. it tooke months
    and my vaginal yeast itch finally diss appeared along with the itch in my ear. Today I ate a tiny piece of cherry pie. The itch in my ear came back slightly with the very first bite of that
    Tiny piece of pie. Sure enough, like clockwork the vaginal itch appeared about 20 minutes or so after eating the pie. It was completely gone after omitting sugar from my diet (with the exception of a small amt of fruit). The itch only re-appears after I ingest sugar. it’s true that people try to sell supplements that don’t work but drugs also kill the good bacteria and compound the yeast problem. yeast is due to a gross imbalance of hormones and too much bad estrogen occurring on women’s bodies today. Menopause has become the sugar disease. When I got off sugar I got all my energy back so you should listen to your patients, they are correct. Thanks for listening! Betsy Dunn

  185. I am the Director of the Abortion Care Network, an organization of independent abortion providers and allies. One aspect or another of abortion has been my work since I became an abortion counselor in 1975. Reading your article about an abortion gone wrong made me weep for the many thousands of women every year whose lives are lost because of the arrogance and righteousness of men who think they have the right to control us. Thank you for sharing this and for caring. Now that we are fighting about access to birth control–the most common-sense health measure in the history of human kind– I fear for the future. Charlotte Taft, ACN

  186. Hi, Jen,

    I am a psychiatrist in Toronto who just happened to be a medical student on rotation with you in either 1992 or late-1991. I wasn’t terribly impressive on the surgical rotations (real fish out of water, I was), so you likely don’t remember me. But you were damned impressive even then, and I sure remember you. You have had a most impressive career after UWO, and I am delighted to have found you and to see you doing this great work.

    I am proud to tell you that after some meandering I have in recent years found my niche in outpatient in community-based consultation and psychotherapy. Like you, I have developed a healthy scepticism around anything that is presented to me as medical authority, and in my highly interactive and educational style of practice I am always endeavouring to best convey the state of the art of the evidence to my patients in an accessible way. As you can appreciate, if there is one medical specialty that is in desperate need of being demythologized, it’s mine!

    I resonate with the comments of the sociologist who wrote above. As a psychotherapist dealing mostly with non-psychotic mental health issues (depression, anxiety, addictions, relationship issues, to name a few), the majority of my patients are women and scarcely a clinic day goes by when I am not impressed–and dismayed–at how the suffering of such patients is embedded in networks of dysfunction, oppression, inequality, sexism, and abuse. My partner has trained in abuse counselling and therapy from a feminist perspective, and it is refreshing to bring these tools and sensitivities to my work. Mind you, this took a lot of growth and just simple getting older on my part. It takes a long time–too long–for many men to learn that we can wage an effective war against sexism and patriarchy and we don’t risk losing anything that we really shouldn’t be clinging to anyway. Unfortunately, many men–and an alarming number of women, too–never learn, and they perpetuate oppression because they are afraid.

    I commend your work here on behalf of women. I was particularly moved and appalled by your most recent post regarding the botched abortion–moved at how you and so many good people came together to save a life that NEVER should’ve been endangered in the first place, and appalled that in your adopted country there is someone who has pretensions for the land’s highest office AND who desires an America in which what came to your ER that day will happen even more.

    It’s fascinating what a couple of decades can bring. You have grown hugely and I–well–am glad to have grown up! I am glad to have found you and will be following you closely. Say hi back if you get the time.


    Les Wright, UWO MD’93

  187. I have also just read your article on the abortion gone wrong – all I can say is thank you as well.

  188. I just read the your article on the abortion gone horribly wrong, and there does not seem to be a place to comment on this. So, here, now: Thank You.

  189. I am excited to have found you as I am a sociologist who teaches sexuality courses which are centered around the structure and patterns of our sexual behaviors, identities, communities, politics, etc. However, I know sometimes the students want to know more about the biological and physiological side and I think it is important to also include those issues.

  190. Hi, quick question. I’ve been following your blog for a short while and this question is totally unrelated to the content. I wanted to ask you where you got this comment widget from or what is it called. I’m starting my own blog and the standard template for the same theme doesn’t have this comment box. [what I like about it is the fact that people can log in with their wordpress account/ twitter or facebook].

    In case you have a minute to spare, do let me know about this. I’ll delete the comment soon so that it doesn’t clog up your site.

    Thank you!

    Warm regards
    Rohan Abraham

  191. Thank you for blogging! As an FNP in Family Practice and Pain Management, and being a mom – I have just taken the leap into blogging. It is my attempt at “answering the questions you always forget to ask” while at the doctors. Looking forward to reading your blog!

    1. I also agree – I have learned SO MUCH from reading medical blogs where physicians aren’t afraid to say what they really feel-so much more informative than the news regarding healthcare. Thank you for taking the time to share!

    2. Just read your NYT article on mansplained vaginas. Your reserved frustration at my sex’s commentaries on vaginal information is hilarious. It’s hard to admit, but we men have never met a subject we didn’t know all there was to know about it. So, since most of us find vaginas interesting, we’ve made a study of the subject on a though and on -going basis. Your expert knowledge on the subject will now be placed in my databank and I will pass this along to some women I admire. I can hear the hollows of recognition already. Thanks, Mike

    3. Hi Dr. Gunter-
      A friend of mine is 42 years old. She is pregnant. She was told by her obstetrician that her pregnancy is termed a “geriatric pregnancy.” I find that terminology insulting and disparaging. I understand that pregnancy is increasingly risky as women approach menapause due to the viability of their eggs, however, to identify risk with “geriatrics” demeans the possibility of a healthy pregnancy in middle age. Would it be possible for you to elaborate on this in one of your blogs? Your blogs are fabulous. Thanks

    4. I am a 71 year old woman who suffers from vaginal and vulvar dryness. Do you write about stuff for older women. The word ‘atrophy’ has been gently fed to me, but it’s a horrible description! Premarin makes me ‘pulpy’ all right. Replens I suspect makes me need to buy more Replens; you know? A nurse told me to apply olive oil before bed. I have a new ‘man friend’ who’d like to have intercourse. I am tight as a drum. What should I do; what should I take? I also insert Estradiol tablets about 3 x per week. I don’t want to have ANY problems down there. I WILL buy your book. Please reply.

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