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Love and Sex Prescription

By Anju Mulchandani and Dipika Dandade

QUESTION
I recently started dating this guy who is extremely into me. We have been dating for a month now. I think he is fabulous, but I just got out of a long term, long distance relationship. I happen to know that he is very into sex. I do not know how to tell him that I am not ready for a sexual relationship quite yet. How do I break this bad news to someone who is so nice and so crazy about me?

ANSWER by Anju Mulchandani
For many of us, growing up South Asian meant that we were expected to be on our best behavior at all times. Being polite was of utmost importance (though what was said about aunty when she wasn't around was a different story!). We were, in essence, learning to be 'people pleasers'—to be well-liked by pleasing people we deemed important in our lives.

This desire to please affects many areas of our lives, including relationships, as you have described. To a certain degree, it is just necessary diplomacy without which we would get nowhere. Furthermore, being in a romantic relationship with someone makes us more inclined to want to please them. However, the line between being agreeable and being self-assertive can become blurred, leading us to feel obligated to do things we don’t necessarily want to do.


Photo by Camilo Morales

In this situation, you probably feel as though you will be disappointing your friend if you tell him you are not ready for a sexual relationship. However, it is important not to try to please him at the expense of what you feel comfortable with. When speaking with him, be sure not to do it when you are in bed. Pick a time when you will be able to have a calm conversation. It is necessary for you to be true to yourself and to make decisions that you know are right for you. If you keep this in mind when you tell him you are not ready to be sexually intimate, you will feel more comfortable standing your ground. If he cannot accept what you have to say, then you might need to reevaluate whether dating him is right for you.


QUESTION
I am in my mid-thirties and have always used condoms rather than the birth control pill because I didn't want to have any problems getting pregnant when the time came. I was having dinner with a friend and she told me I was wrong about the birth control pill hindering your ability to have children after you've stopped using it. Can you settle our debate?

ANSWER by Dipika Dandade
Both of you are correct...and incorrect. Basically, your ability to become pregnant after discontinuing birth control depends on which birth control method you are using.

Barrier forms of birth control such as condoms, spermicides, and the diaphragm will not affect future fertility. So, in your case, you are doing the right thing by using condoms. When you do decide to become pregnant, your history of condom use will not hinder your chances of becoming pregnant. However, keep in mind, the longer you put off pregnancy, the more difficult it may become to get pregnant. As we move into our thirties, the quality of our ova decreases and thus, fertility rates decrease.

Hormonal forms of birth control do have the potential of delaying fertility. Depo-Provera, an injectable form of progesterone given every three months, is known to delay ovulation, and thus the ability to become pregnant, for up to a year. So, it would be reasonable to avoid this medication if you hope to become pregnant soon after stopping the medication. However, remember that Depo-Provera is a great birth control choice for many women, including those who tend to forget to take the pill every day or to change their ring or patch at the appropriate time.

The birth control pill, the patch (Ortho-Evra), and the ring (Nuvaring) should not cause any delays in ovulation. After discontinuation of these medications, ovulation should resume the very next month. One caveat is that, on occasion, a woman might experience what is called post-pill amenorrhea. This is when a woman does not ovulate or menstruate after stopping the birth control pill. If bleeding does not resume in three to six months, a doctor should be consulted for an examination and possible lab tests.

Good luck to you when you do decide to go down the path of motherhood. If you do not become pregnant after six months of actively trying, be sure to see your physician to make sure that you do not have any other health issues affecting your fertility.


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Anju Mulchandani is a graduate of the Columbia School of Social Work. Her clinical experience has focused on providing counseling for individuals with a variety of emotional problems.

Dipika Dandade, 31, is an obstetrician/gynecologist practicing in the Los Angeles area.

ABCDlady does not provide medical advice, diagnosis or treatment. See additional information.


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