Are you having back pain with any of the following?
We understand that you are experiencing one or more of the health issues that might be impacting your back pain.
We recommend that you discuss these health issues with your doctor before proceeding with this program.
Once you are cleared by your doctor to do this program, we hope it helps you find relief from your back pain.
A woman's health needs continue to evolve from her teen years through her golden years. Being active, eating well, and getting your recommended health screenings are the foundation for good health at any age.
Having sexual relationships is natural and healthy. To keep sex healthy, it's important to practice "safer sex." The goal of safer sex is to keep blood, semen, or vaginal fluid from getting into your body during sexual activity. Knowing how you can protect yourself from contracting sexually transmitted diseases (STDs) can help you make choices that are best for you and your partner.
Sex can be complicated. It can affect not just your physical health but your emotional and mental health as well. Knowing and setting your boundaries beforehand can often help you stay healthy and safe in any relationship, including sexual relationships.
Being pressured or forced to have sex is common, but it's not OK. It can happen even in long-term relationships. It's also not OK for someone to refuse to wear a condom to protect against pregnancy or STDs, or to otherwise interfere with your birth control. If this is happening to you, you can get help by talking to us or:
It's important to understand that when you are sexually active, you can be at risk of getting a sexually transmitted disease (STD). This is true for all forms of sexual activity whether it is oral, vaginal, or anal. It's possible to get an STD even if you are in a long-term relationship. Anytime you have unsafe sex, you are at risk.
STDs are caused by different bacteria or viruses that are passed between partners during sexual activity. Some STDs are easily treated with no long-term effects, while others can be carried for life or cause serious or life-threatening diseases.
Except for not having sex (abstinence), there is no sure way to avoid contracting an STD. You can reduce your risk by practicing safer sex:
Some STDs, such as herpes, gonorrhea, and genital warts, are easily transmitted by oral sex. HIV is less likely to be passed through oral sex, but it is possible. Using condoms and oral dams can greatly reduce your risk.
Many diseases, including STDs, are easily transmitted by anal sex. Fecal material carries germs that can cause many different kinds of infectious diseases. Any time you have unsafe anal sex, you are at risk. Protect yourself and your partner(s) by using condoms or oral dams. Always wash sex toys and put a condom over them before use.
Did you know that up to half of all pregnancies are surprises? A surprise pregnancy can seriously affect your health. Choosing and continuing to use an effective form of birth control is one of the most important ways that women can stay healthy. If you are sexually active and are not using a highly effective form of birth control, now is the time to consider your options and choose a method that is best for your current lifestyle. You may need to try more than one before finding a method that works best for you. Birth control methods often change over a woman's lifetime.
There are many safer sex choices that you can make. You can choose to use barrier methods like condoms or oral dams. If used correctly and consistently, condoms are effective at protecting you from sexually transmitted diseases (STDs) and preventing pregnancy.
Some women choose to have intimacy without sex. There are many ways you can enjoy being intimate such as kissing, touching, massage, or watching each other masturbate. Be creative while being intimate!
Be cautious, especially with a new partner. Physical intimacy does not always equal trust and honesty. Getting tested for STDs before choosing to have sex is another way to protect yourself and your partner. Even if you do not have any symptoms, you can get confidential HIV and STD tests at Kaiser Permanente. This means that your test results will not be shared with anyone without your signed authorization (unless required by law).
If you think that you may have been exposed to an STD, even if you don't have any symptoms, talk to your doctor or nurse practitioner right away.
Clear communication about sex with your partner(s) provides many benefits. It can build trust and intimacy, and you can feel better and safer about the choices you make. Many women find it difficult to talk about sex with their partner(s). Here are some tips:
Sex can be an awkward topic. It's normal to have conflicting feelings. Talk to friends who practice safer sex and find out what works for them. You can also talk to your doctor if there is a problem that causes you distress, like pain during sex, or if think you may have a sexual disorder.
The male condom, or rubber, is a sheath, usually made out of latex. Condoms are the best way to protect yourself from sexually transmitted diseases if you choose to engage in sexual activity.
The risk of pregnancy if you only use condoms is about 15 percent. This means that if 100 women use condoms for one year, about 15 women will become pregnant. The risk of pregnancy for you may be higher or lower than stated, depending on how closely you follow the directions. If you use vaginal spermicide with the condom, your chances of preventing pregnancy improve. The man has to put the condom on his penis before there is any sexual contact. If he doesn't, the risk of pregnancy is much higher than 15 percent. It's a good idea to have a backup method of birth control and not rely entirely on condoms.
The first step to safer sex it to talk about it. Be clear what you will and won't do. It can be fun to use condoms. Some people like to use them as part of foreplay. Remember, it is not OK for someone to refuse to wear a condom to protect against pregnancy or STDs.
|If your partner says...||You can say...|
|I don't like condoms.||We can make using condoms more fun. I want to be safe.|
|You don't trust me.||It's not about trust, it's about being safe.|
|I don't have one.||We can wait until we can use one.|
If you use latex condoms, never use lotions, baby oil, Vaseline, or cold cream – the oil in these products can weaken the condom. With condoms, always use a water-based lubricant like Astroglide, KY, or Probe.
Do not use condoms with spermicidal lubricant on them already. Condoms with the spermicide nonoxynol-9 have been found to increase the transmission of STDs. You can use a vaginal spermicide to lower the risk of pregnancy. Women with HIV or women at high risk for catching HIV should not use spermicides.
STDs are infections that are spread from person to person during sexual contact. Some common STDs are chlamydia, gonorrhea, herpes, and hepatitis B. Some STDs are passed by skin-to-skin contact, while others are passed through the exchange of body fluids (semen, vaginal fluids, and blood). Some symptoms of STDs may include:
Many STDs do not show any symptoms at all. Even if you have no symptoms, you may still be infected and can pass the disease on to another person. The only way to be sure is to see your doctor and get tested. If you are diagnosed with an STD, it is important to follow all directions and complete your treatment.
If you think you may have an STD, or if your partner or partners recently told you that they have an STD, it is important for you to get tested. Many STDs can be treated successfully. It is best not to wait until symptoms develop.
If you are a sexually active woman under the age of 24, it is important that you get tested for STDs every year, whether you have symptoms or not. For all women, if you have more than one partner, or a new partner, it may also be a good time for you to get tested.
You can get confidential testing (including HIV testing) at Kaiser Permanente. Confidential means that your test results will not be shared with anyone without your signed authorization (unless required by law). Also, many local health clinics provide free testing. You can call 1-800-FOR-AIDS for the nearest HIV testing site in your community. If you think that you may have been exposed to an STD, even if you don't have any symptoms, contact us right away.
There are some STDs that can be prevented by immunizations. It is important to remember that immunizations do not protect against all kinds of STDs; they will only protect you against the specific STD targeted by that vaccine. Currently, there are vaccinations against hepatitis A and B and human papillomavirus (HPV). Many women can benefit from these vaccines. Choosing to get these vaccinations can be a way for you to stay as healthy as possible.
You can connect with me in a variety of ways, depending on the situation and what is most convenient for you at the time. I am available online, by telephone, or in person.
Having all of our Kaiser Permanente departments located together or nearby, including pharmacy, laboratory, radiology, and health education, makes getting your care easier for you.
Another major benefit is our comprehensive electronic medical record system, which allows all of the doctors and clinicians involved in your care to stay current on your health status and to collaborate with each other as appropriate.
When every member of the health care team is aware of all aspects of your condition, care is safer and more effective.
We will work together to monitor and assess how your medications are working and make adjustments as needed. Prescriptions can be filled at any Kaiser Permanente pharmacy. Just let me know which pharmacy works best for you, and I will send the prescription electronically in advance of your arrival at the pharmacy.
If refills are needed in the future, you can:
For lab tests, I will use our electronic medical record system to send the requisition to the Kaiser Permanente laboratory of your choice. For imaging procedures, we will schedule an appointment with the radiology department. When the results are ready, I will contact you with your results by letter, secure e-mail message, or phone. In addition, you can view most of your laboratory results online, along with any comments that I have attached to explain them.
My specialty colleagues are readily available to assist me if I need additional advice about your condition. In some cases, I may contact them during your visit, so we can discuss your care together. If we decide you need a specialty appointment after that discussion, we can often schedule it the same day or soon thereafter.
As part of our commitment to prevention, additional members of our health care team may contact you to come in for a visit or test. We will contact you if you are overdue for cancer screenings or conditions which may require monitoring.
As your personal physician, I have a goal to provide high-quality care and to offer you choices that make your health care convenient. I recommend that you become familiar with the many resources we offer so that you can choose the services that work best for you.
My Doctor Online is available 24/7 so that you can access and manage your care where and when it is most convenient. From my home page you can:
If you have an emergency medical condition, call 911 or go to the nearest hospital. An emergency medical condition is any of the following: (1) a medical condition that manifests itself by acute symptoms of sufficient severity (including severe pain) such that you could reasonably expect the absence of immediate medical attention to result in serious jeopardy to your health or body functions or organs; (2) active labor when there isn't enough time for safe transfer to a Plan hospital (or designated hospital) before delivery, or if transfer poses a threat to your (or your unborn child's) health and safety, or (3) a mental disorder that manifests itself by acute symptoms of sufficient severity such that either you are an immediate danger to yourself or others, or you are not immediately able to provide for, or use, food, shelter, or clothing, due to the mental disorder.
This information is not intended to diagnose health problems or to take the place of specific medical advice or care you receive from your physician or other health care professional. If you have persistent health problems, or if you have additional questions, please consult with your doctor. If you have questions or need more information about your medication, please speak to your pharmacist. Kaiser Permanente does not endorse the medications or products mentioned. Any trade names listed are for easy identification only.