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The Birds and the Bees


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Alright...question about a sensitive subject for y'all

Had a patient today in OB/Gyn that was in for an infertility consult...well when we finally got to the root of the problem it turns out THEY AREN'T HAVING ACTUAL SEX (been married for 2 years!) Both partners are apparently extremely sheltered/dumb (i don't know a better word), and long story short there is no penetration involved. So...my preceptor tried to explain some things but i was wondering if anybody has any useful (and tasteful) web resources for a situation like this. Lets hear what you've got!

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Guest guthriesm

If it is due to conservative Christian beliefs: Intended for Pleasure: Sex Technique and Sexual Fulfillment in Christian Marriage (http://www.amazon.com/Intended-Pleasure-Technique-Fulfillment-Christian/dp/0800719379/ref=pd_rhf_p_t_4)

 

Otherwise - maybe this should be treated the same way as they do for Pandas? vhttp://news.bbc.co.uk/2/hi/asia-pacific/2069371.stm or http://www.giant-panda.com/pandapicture.html

 

Good luck!

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Natural Selection...

They probably shouldn't reproduce if they can't figure it out...

 

Contrarian

 

I'm with Contrarian.. if they are that stupid, please don't encourage them to breed. I'm paying for enough of other peoples' children.

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Guest guthriesm
You people forget, it's not up to us to decide who should an who shouldn't breed. This couple came in for help/advice and as professionals we are required to give them the best advice/best assistance we can.

 

Yup... very true.

 

We cannot depend on schools to teach mechanics of intercourse and while I would hope parents would clear up misconceptions, clearly that is not the case. While I enjoy poking a bit of fun (hence my panda porn link) that is why I also posted a genuine reference.

 

Still... it would be nice if natural selection could be invoked... :-)

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Yup... very true.

 

We cannot depend on schools to teach mechanics of intercourse and while I would hope parents would clear up misconceptions, clearly that is not the case. While I enjoy poking a bit of fun (hence my panda porn link) that is why I also posted a genuine reference.

 

Still... it would be nice if natural selection could be invoked... :-)

 

Natural selection is at work........it is us who are interjecting ourselves into the situation. Just my take on it.

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You people forget, it's not up to us to decide who should an who shouldn't breed. This couple came in for help/advice and as professionals we are required to give them the best advice/best assistance we can.

 

You are, of course, right. BUT, we can be professional with our patients while being able to see the funny side of medicine. Yes, patients deserve our best. Sometimes though I can't help but chuckle at the end of a long day. For example: During my IMOP rotation today a pt presented with a Bartholin's Gland cyst. The convo went something like this-

 

After applying the lidocaine, I start the I&D:

Me: "How are you doing?" (the requisite question when slicing open a cyst on someone's labia...)

Patient: ".....I have gas...."

Me: Doing my best to not run screaming from the room. "Ok then, almost done....."

 

Thankfully no gas escaped while I was face to face with her "pocketbook" (the term used here in the South)

 

I did not laugh in front of her, nor did I scold her. I simply finished the procedure with my preceptor doc quietly snickering next to me. I had plenty of time to laugh about it after she left. You gotta find the humor in your work!

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You are, of course, right. BUT, we can be professional with our patients while being able to see the funny side of medicine. Yes, patients deserve our best. Sometimes though I can't help but chuckle at the end of a long day. For example: During my IMOP rotation today a pt presented with a Bartholin's Gland cyst. The convo went something like this-

 

After applying the lidocaine, I start the I&D:

Me: "How are you doing?" (the requisite question when slicing open a cyst on someone's labia...)

Patient: ".....I have gas...."

Me: Doing my best to not run screaming from the room. "Ok then, almost done....."

 

Thankfully no gas escaped while I was face to face with her "pocketbook" (the term used here in the South)

 

I did not laugh in front of her, nor did I scold her. I simply finished the procedure with my preceptor doc quietly snickering next to me. I had plenty of time to laugh about it after she left. You gotta find the humor in your work!

 

 

Pocketbook vs "Junk"...ladies we are so far ahead....

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Natural Selection...

They probably shouldn't reproduce if they can't figure it out...

 

Contrarian

 

Honestly, at first I laughed. That said, it is frightening to me that people make it to adulthood without this basic human knowledge. Holy repression, Batman! And we wonder why we have such a high teen pregnancy rate...

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