Tag: sex

Let’s talk about them orgasms.

Here is a recap of one of my favorite articles about orgasm. This is a very important topic that is often overlooked and not talked about as if it is some kind of taboo. However, I would venture to say that we talk about men’s erectile function and dysfunction all the time. So, let’s chat about the ladies for a minute.

Did you know, that depending on the source you read, there are anywhere from 4 to 15 types of orgasm? I didn’t realize that myself. Apparently the brits think there are like 15 where most of the American literature describes 5 or so. The article I am about to discuss talks about the different types of orgasm and was endorsed by human sexuality expert Dr. Laurie Mintz. So, here we go.

Here’s a few fun introductory facts. Did you know that women that allow themselves to experience a variety of sexual behaviors are much more likely to achieve orgasm than those who don’t. What do I mean by behaviors? Ok let’s say it out loud together: new and different positions, oral sex, sexy talk, and fantasies. There are also studies that say that women are more likely to achieve orgasm if their last sexual encounter involved a combination of deep kissing, manual genital manipulation, and oral sex in addition to vaginal penetrative intercourse. So, get out there and get creative to increase your chances of orgasm!

You really need to think of an orgasm as an intense and pleasingly unique event. Some women describe it as an earthquake whereas other experience a sort of undulation or ripple. This is a very personal experience and is unique to every woman.

There are all kinds of arguments among scientists with regard to categorizing female orgasms. They also argue about ridiculous things like the right way or better way to orgasm. I think they are missing the point. However you get there is the right way for the individual woman. Hurrah that she made it there in the first place. There is no instruction manual needed here.

So, instead of talking about the types of orgasm, let’s discuss the top categories of places that a woman finds enjoyable for stimulation. I think number one has to be the clitoris. It literally has more small nerve endings in a small space over any other part of the body. It is the only human organ specifically designed for pleasure. Most women actually require at least some clitoral stimulation at some point during sex to reach orgasm. Let us not forget the clitoris. Keep in mind that there is still variety woman to woman on where, near, or at the clitoris that allows her the most desirous response. Keep in mind that I am not trying to imply that the clitoris is some magic button. There still needs to be some finesse and creativity involved. Sometimes if the partner doesn’t quite have the touch, a good old-fashioned vibrator can come in very handy. There are actually whole books written on the history of the vibrator. Did you know that the vibrator actually came into being because women were using up the city water supplies to stimulate themselves with faucets etc so that someone had to invent a vibrator to stop women from using up the water supply! It actually had a practical, money saving initial purpose. Nowadays they are hopefully just for fun.

I think that the number two position belongs to that famous G-Spot. I have literally had patients come in to ask me if I could help them find it because they or their partners were unable to. Let’s clarify the G-spot. The G-spot itself is located in the lower third of the way into the vagina( closest to the entrance). There is way more involved than just a spot. It actually includes a multiple of organs, including the internal, non-exposed clitoris. Pressure on this spot, which is not actually just a spot, is undeniably delicious for a lot of women. A little pressure directly upward one third of the way into the vagina can be amazing. Either fingers or a vibrator will do. Over time, the vagina loses its formerly downward angle and becomes more straight on, so it becomes a little more difficult for the penis to hit that spot. Yet another potential bummer of aging. But, the good news is that I have simple office procedures to restore that angle and fix that issue!

Let’s talk about the third option, which is the blended climax option. This occurs when a woman has the intensity of the initial clitoral stimulation followed by vaginal stimulation. That is literally a best of both world situation.

Finally, let’s talk about the fourth option…multiple orgasms. This is definitely the potential holy grail of options. We seem to forget about these options, mostly because if there is a male partner involved, there is always a downtime refractory period before he is able to ejaculate again. So, no offense to the men, but then he is laying there, all satiated when the woman is still very much ready to go! Women have no downtime! We are hardwired completely differently and are able to have multiple orgasms with a single sexual encounter! Yay! A bonus for the women!

The bottom line is, we shouldn’t forget about the orgasm. We should pay attention, get creative, soak it up, take our time, be adventurous and enjoy!

Dr. Katz

No, it’s not ok that your vagina hurts and no, you don’t have to just accept it as a part of the natural course of aging….the vagina manifesto!

Oh lord, people. I hear this from patients all the time. They have been in pain and discomfort, sometimes for years, to the point that they can no longer enjoy any part of an intimate relationship or ever feel comfortable in the hinterlands. I am now understanding that this is being told to women by both male and female physicians. What the? I can sort of see it coming from male physicians because they have no personal perspective to relate to but female physicians saying this too? Shame on you ladies! You know better. I am willing to bet that you are just not willling to spend the time dealing with it. I am not sure why though.

Well, I am here to tell you that you don’t have to just accept that….from any physician. Is it true that our vaginas become drier with age? Well, yes they do, but there in fact is all kinds of stuff we can do about it! It is not just something you have to deal with and suffer. I am hollering bullshit over hear when I hear that.

I know we are always going around telling ourselves that sex isn’t everything and it is not the key to a relationship. I am not saying it is either, but we are kidding ourselves if we think that depriving ourselves of that level of intimacy with a person that we really care about, or lust after as the case may be..lol has no consequences.

So, let’ s first talk about why the vagina changes so much as we age. It is time now to bring out the hormone blame. As the hormone levels drop or lose their equilibrium, the vaginal tissue becomes thinner, more friable, more delicate, looser, and unable to self-lubricate. The PH also gets off and leads to increase risk of infections. In fact, the angle of the vagina also changes to the point that hitting that magic g spot becomes almost impossible at times. On top of that, as our testosterone levels drop as well, our libido goes down the toilet. How’s that for abject chicanery? We are dry, we hurt, we don’t want to do it in the first place or we don’t want to do it because we know it will hurt.

I have good news coming! All of this can be addressed and the pain can resolve and the pleasurable sexual functioning can be restored! There are all kinds of creative and safe options that can be individually tailored to the specific woman.

First let’s address the dryness. I said that the vagina gets thinned out and irritated right? So, we need ways to plump it up and relubricate it. I have several. One is to do it with hormones, either orally or directly into the vagina. Usually estrogen is the key here and testosterone too.This is a potentially awesome option with relatively quick positive effects. There are several things to consider before entertaining this option though. You have to know your patient’s entire history. Women are not a candidate for these hormonal options if they have a history of certain cancers or blood clots. Women who have these conditions are not a candidate for hormonal therapy. Also, you have to keep in mind that if they still have their uterus, you cannot give them estrogen only because it could overstimulate the uterus and potentially lead to endometrial hyperplasia or cancer. But, no problem there, just balance it with some progesterone too and you are all good.

The good news is that there are plenty of alternatives for the patients that cannot take hormones. You wouldn’t think of this first but regular fresh out of the kitchen extra virgin olive oil is an excellent lubricant. So is coconut oil. My personal favorite is olive oil because you need less of it and it tends to be less greasy and get everywhere. All of those amazing feminine lubrication products out there tend to be the devil in my opinion. If you read the fine print there, there are all kinds of those things in those products that actually irritate the vagina more than they lubricate it. All that scented stuff that makes us think we have to smell like flowers, cake or pie? I say run in the other direction. The vagina has it’s own smell and no one is going to swoon away by letting it have its own natural odor. But, I have to admit that the packaging is very attractive. They also tend to be expensive too. I say forget it and just go with the olive oil or the coconut oil. Or, at least pick a water-based lubricant like astroglide. It seems to be the safest.

I have another good option for those that cannot do hormone therapy, the forma V intimate rejuvenation treatment. It is a radiofrequency treatment that involves inserting a wand into the vagina multiple times for a ten minute or so, in-office treatment, that replumps the vaginal tissue, relubricates the vaginal tissue, tightens the muscles, resets the vaginal angle and tightens the skin as well. It has no significant risks. You can even get it done if you have had a history of cancer or a previous sling or anything like that. We are using this awesome procedure lately to even return 80 plus year old patients back to the bedroom. There really has been no significant discomfort with this procedure so far in the last several years of doing it besides some pressure at the time of treatment only. The catch is that insurance does not cover it so there is an upfront charge, but every patient I have treated with this procedure has thought it was very effective.

There are other reasons to develop vaginal and vulvar pain as well. The most concerning ones are something called vulvodynia with or without vaginismus. Vulvodynia is a condition when there develops certain pain trigger points around the clitoral hood, around the urethral opening or at the bottom entrances (the vestibule) of the vagina. This trigger points become so inflamed that any attempt at penetration causes an extreme pain response. This can sometimes lead to an intense spasm of the muscles called vaginismus. Sometimes you get lucky and can determine a specific lesion or area of irritated skin that is causing the pain and you can treat that and the pain goes away. More often that not, there are just these trigger points with no set lesion. If this is the case, temporarily treat these areas with topical hormone cream for a month or so and then convert to a long-term topical combination anti-spasm, analgesia, anti-pain medication that the patient may have to use daily for the rest of her life. But these options do really work well and can even help return these patients to an intimate relationship. The other thing i do with these patients is that we take a deep dive into their cleansing regimens and use of certain detergents, soaps, and toilet paper and make any changes to their routine that could be contributing to any inflammation or irritation. I call it my be kind to your vulva tip sheet. You would be surprised at how many things you could be doing to harm yourself without realizing it.

Let’s talk lastly about libido and its relationship to intimate relationships. If you have no desire to have sex because you are afraid it is going to hurt, then you treat as above and once you eliminate the fear of pain, libido will usually return. If your lack of libido is due to a testosterone deficiency, you can either treat with oral micronized testosterone or local vaginal testosterone with great results. If you are not a candidate for hormone therapy, there are a variety of excellent herbal alternatives like schizandra or argin max or even yohimbe that can be very helpful.

The bottom line is that all is not lost. Ask for help. Seek a physician who is actually willing to take the time to get to the bottom of your particular issues. It will be worth it. The bedroom is calling!

Dr. Katz

The time that guy sent me a “d k” pic.( One of the many things I just can’t make up.)

Hello everyone. Long time no write. As you know, I have been an obgyn for over twenty years, so I have seen a lot of crap…from the LADIES. I have been the palace of pelvic exams, beauty treatments, intimate secrets and more for many many years. Nothing really surprised me….until the other day.

I was on my social media( because nowadays you can’t seem to be successful in business without using it), and I clicked on one of my many direct messages for one of my companies. I frequently get messages from both male and female clients. That’s right guys, men get beauty treatments in secret too!. For now, let’s call the guy ” Joe.” Well “Joe” sent me a message, after trying to call multiple times. I give him the benefit of the doubt and try to open the message. Lo and behold there was a pic of “Joe” from the waist down in all his naked glory, cradling himself with his hand, as if to accentuate the size difference between the body parts. Whoah “Joe!” What the hell made you think I wanted to see that? I have one at home that I can stare at whenever I want by the way. He included a message to say that he sent it because I am such a sexy doctor….ummm…ok.

Here’s my question “Joe.” What were you hoping to get out of this? Was this flirting, in lieu of flowers or candy? First and last strike for me I’d say. Were you trying to force me to look at your genitals? That’s coercion man.

I decided to do a little research. How did/or since when did sending “D k” pics become so popular? Interestingly, no one knows. GQ did an article about this in August of 2019. It was very interesting. Apparently most men genuinely hope that whoever received the pic will whip themselves into a sexualized frenzy and immediately send back their own nudes. They also noted that most of the time when WOMEN sent nudes, they included their face. Not so with the penises. Just penis only. This tells me that these guys don’t think they have to preconsider at all when sending these little “presents.”

Unfortunately, this primal impulse has somehow lead to validation of the “d k” pic as a valid form of courtship! What?!!! The Journal Of Sex Research says that the thinking is very transaction oriented. ” IF I send this pic, they will send one back.” When we look back in history, the ‘D k” pic goes all the way back to Roman graffitti. I am not kidding you. Initially it had to be drawn or scribbled by hand but now with technology, it can all be potentially anonymous, which leads to a ton of risky sexual behaviors. The same study made the distinction between solicited( did you ask for it?) and unsolicited( no thank you). The only scenario in which unsolicited pics were welcome was for gay men on dating sites. For the rest of folks, it only stimulated shame, anger, and disgust.

So, we’ve studied it. Most people don’t like it.( Yeah right here!) I say cut it out will yah? Know your audience! It’s one thing to send a nude to a person you are in a relationship with ( if they are into that kind of thing). It’s quite another to send anonymous body part pics to someone you don’t even know. The moral of this story is put it back in your pants! I have no desire to look at it! #penisstrangerdanger

Dr. Katz

Man! It’s hard to feel sexy when you have cancer.

Picture the scene: Your partner gives you the let’s get frisky look. They start petting you in the way you are normally into. The sexy dance has started. The lights are dimmed aaaaaaand……nothing. You are laying there all bald and post chemo( well it has been a few days but you get the idea), fresh off your latest chemo hot flash, tired, bloated and not the least bit sexy….in your mind. You just aren’t up for it. It’s not you. It definitely isn’t your partner. It’s the freakin absence of sexiness that sometimes comes with cancer and chemo. I tell ya, the changes in appearance alone are a real confidence killer at times. My husband is the most amazing partner and best friend on the planet and regular me can’t get enough of him. But, cancer me is another story.

Cancer and cancer treatment can have a very significant impact on a woman’s sexuality in many ways. Disfiguring surgery may be required that can significantly affect your self esteem and confidence. Treatments can sometimes put you into premature menopause with hot flashes, vaginal dryness, pain with intercourse and decreased libido. Certain pelvic cancers require such extensive surgery, radiation, etc that a woman is left without proper function of her sexual organs permanently.

I get it, this sounds all doom and gloomy. The good news is that not all women are left with permanent sexual dysfunction after cancer. Sometimes the effects are temporary and things go back to normal when treatment is over. I am seriously hoping that I fall into this category.

Fortunately the data shows that if a woman was able to have satisfactory sexual experiences before cancer, she will be able to again. The American Cancer Society has a whole section of helpful tips and information for women who are having sexual issues resulting from cancer treatment. Some of these are in fact very helpful. The bottom line of all of them is that sometimes you have to get creative and you have to reinvest in your own self-love and confidence. Sometimes the same techniques for sexual satisfaction that you used before will not be successful anymore. You might not even have the same parts anymore. You may have to use more lubricant when you didn’t have to before. You may have to explore different things that excite you. You may require a vibrator for extra stimulation. You may need to try different positions. You may need to employ more fantasies into your sexual relationships. You may need dilator therapy to re-stretch the vaginal canal. These are just a couple of examples.

There is an interesting set of exercises recommended by the American Cancer Society for patients feeling anxious about sex and the way that their appearance has changed and adjusting to those changes. They suggest looking in the mirror, dressed at first, and noting the changes in your appearance: your surgical scars, ostomies, missing parts, etc. Then notice what you try to avoid looking at. Then while dressed, try to find three things that you like about your appearance. Once you are comfortable looking at yourself as a stranger might see you, then change the exercise and repeat it with you being dressed “sexy” for your partner. Finally, repeat the exercise nude with the same steps until you are able to look at yourself and adjust to the changes and feel comfortable. Don’t stop until you can give yourself 3 compliments like you did in phase one of the exercises.

The last thing to address regarding the impact of cancer on sexuality is the anxiety that goes along with it. It takes time to realize even when treatment is over that you are actually better and that life can go on, including sex. Clear communication is the absolutely paramount here. Talk openly with your partner about your fears and issues. Don’t leave them in the dark and just reject them. They can’t possibly understand what is going on in your head unless you tell them. Get therapy if you need to. Talk openly with your doctors. You be the one to bring it up. I can tell you right now that most physicians are not comfortable enough to make sure to address sexual issues at any time, much less with their cancer patients. This will be something that you really need to take charge of and advocate for if you want things to change and improve. As much as we try to deny it at time, our sexuality and sexual health are key components to our relationships and overall health. Sex is just as important for cancer patients as it is for every day folks. So, do what you can to preserve it. It’s for your health!

Dr. Katz

Soo..when should you take your kid to the gynecologist?

Well i am glad you asked! Being a gynecologist myself, I am ALL OVER this one with wise tips and safe knowledge. First let me say that yes, I have seen all the newsflash and articles about teens suffering through unnecessary exams too early. Yes yes. I have read them all. I am also well-versed in all the national recommendations. Having said that, let me break this down according to my perspective and explain how I go about the practice of adolescent gynecology.

I want to first start off by saying that, to my knowledge, no teen has suffered at my office that I know of….or at least they have not spoken up. Usually they leave the office relieved that it wasn’t as awful as their friends, google, or the random promiscuous acquaintance said it would be.

Ok let’s clarify some current national recommendations on pap smears. The USPSTF( United States Preventative Services Task Force) recommends screening for cervical cancer in women ages 21 to 65 years with a pap smear every 3 years or, for women age 30 to 65 who want to lengthen the screening interval, screening with a pap smear and hpv testing every 5 years. Women over the age of 65 with adequate prior screening do not require further screening. Women who have had a hysterectomy with the removal of the cervix and who do not have a history of high grade dysplasia also do not require further screening. Now that we have all that settled there are a few caveats and things to clarify. First, these recommendations are based on statistics, costs( how expensive it is to identify and take care of someone with cervical cancer versus how much it costs to screen everybody) and epidemiology( how long it would take abnormal cervical cells to progress into something serious. Second, these recommendations often come from a panel of folks who may or may not have seen actual patients in a clinical setting in a very long time. Third, these recommendation ONLY refer to the pap smear guidelines. This can be very confusing for women because when they hear no pap smear required, they tend to think that means no exam is required. I cannot speak for other offices, but in my office, the pap smear is a mere 30 second portion of the entire head to toe exam that I perform on my patients and is by no means the end all be all. This is, in my opinion, potentially very dangerous because there are many gynecologic conditions that do not present with symptoms until late stage and increased severity. If the average woman gets no check up and just waits for symptoms, she could already be facing a life-threatening condition that could have otherwise been picked up on and treated. Ovarian cancer symptoms can be as vague as some bloating and decreased appetite. Vulvar cancer can present with just a minor itch. Without significant contortionist abilities, a head lamp, and some Superman x ray vision, I find it difficult to believe that the majority of women could accurately self- diagnose at an early stage. I recommend at least getting an exam every year…all pap smear recommendations aside. The other thing that I find difficult to swallow about these recommendations is that they seem to be attempting to weigh what a human life is worth. It feels like we are saying,” It’s just too expensive to watch out for all of you long term and actually use our technology to catch everything early, so we are just going to hedge our bets and go for the cheapest option because it will likely end up in our favor. For that handful or more of patients that get missed, oh well. I would challenge any actively practicing physician to look a patient whose preventable diagnoses was delayed and hide behind these recommendations with no regret.

Now, back to the teenagers. Let me preface again before we go on that what I am about to say is based on fact and my personal opinion combined. I will try to be very clear on which part is which. Here is what I tell parents when they ask when they should bring their teenage daughters to me. I first recommend that a patient start visiting me when she first starts having a period. This is a good time to have an honest, CLOTHING ON, discussion with the adolescent about her body, what to expect, evaluate whether she is having any menstrual difficulties, etc. If applicable, we can also have an open discussion about sexual pressures and peer pressure. I also use this as an opportunity to offer myself as an unlimited resource for any future questions she might have. This visit does not necessarily involve getting an exam. These kinds of visits can be carried out on an annual basis, accounting for good decision-making, until the patient reaches 21 and screening can begin. However, we all know that age of first intercourse in the United States is getting lower and lower. I have 12 and 13 year olds in my practice that are already experimenting with sex. A lot of the time, the parents either do not know or are not prepared or comfortable to deal with this situation and therefore the patient goes unchecked, high risk behaviors evolve out of lack of resources and information, and lots of potential problems arise. I truly feel that if these patients were to have the opportunity to establish with me, I could help tackle some of these issues and at least attempt to help keep the patient safe. If I have an adolescent patient that is engaging in high risk behaviors( multiple partners, unprotected sex, etc), I may want to do an exam for several reasons. First, even tho I realize that some sexually transmitted infections can be screened with urine and blood, there are some that cannot. For example, I cannot determine if a patient has genital warts that need to be treated without an actual examination. Second, it is my personal opinion that there is a certain amount of responsibility that should accompany the decision to be sexually active and part of that should include the patient being actively involved with being healthy like getting an exam rather than peeing in a cup and waiting for results. I think that when we foster a disconnect between our teenagers and their decisions, it only compounds the potential for disaster. Third, this subgroup of teenagers is at higher risk of HPV and eventually cervical cancer. I realize that, according to statistics and epidemiology, it is likely to take years and years for this HPV or cervical dysplasia to develop into something serious like cancer and that it has a chance of resolving on its own. I also realize that part of the logic in these recommendations is that the teenage population would be more at risk for having unnecessary procedures for conditions that may resolve spontaneously in time. I assure you that I am very cognizant of not doing just that in my practice. Even understanding all that, do we really want to just throw the dice and wait and not even involve the adolescent in her own gynecologic well- being until she is 21? I just have a hard time with it. Welp, those are my thoughts on the subject. Have a fantastic day!

Dr. Katz

“My mom’s a gynecologist, so she knows.”

This title is a direct quote from my now 15 year old to another child when she was correcting her on the proper terminology for body parts, at the ripe old age of 4 or 5. To be fair, she may have butchered the term gynecologist a bit and made it her own, due to pronunciation difficulties. Nonetheless, the message was the same. As I think about it, I am quite sure that growing up with a gynecologist as a mother has presented an intricate balance of advantages and disadvantages…for both sides. It has definitely made life interesting, to say the least. I remember thinking, before I had children, that it was going to be sooooo amazing to be a gynecologist mom. I couldn’t wait to have daughters so that I could be the best information resource ever about all things “sensitive.” I was convinced that we would share so openly about sex and biology and all things gyn that my kids would never want for knowledge and certainly would come to me with ANY questions or concerns they might have. Well, this hasn’t exactly turned out the way I had hoped.

Let’s start from the beginning. From the time my kids were little, there simply wasn’t room for any body part baby talk in our house. There were no weewees or hoohoos. There were penises and vaginas, right from the start. I was determined to give them the proper terminology, thinking I was starting off right in removing the taboo. After all, I wasn’t teaching them swear words or anything, just basic biology terms. What’s the harm right?

Well, I need to tell you a little story about how this semi-backfired almost immediately. We were sitting in a restaurant one day. It was my husband, myself, our oldest and my two year old. The meal was meh, but the conversation was nothing if not interesting. Right in the middle of her mashed potatoes, my 2 year old suddenly bolts up out of her chair and announces very plainly to us and the whole restaurant in general(cue squeaky high-pitched two year old voice)..” Mommy, my vagina hurts real bad and I can’t sit here any more.” You could have heard a pin drop. The silence was deafening, except for the sounds of every single head in the restaurant snap-turning in my daughter’s direction with a look of horror on their faces. It was as if she just quoted a line from a soft porn movie, complete with cusswords. My oldest was trying to stifle a laugh into her pot pie. My husband was sitting there open-mouthed. My 2 year old was grinning, very proud of herself for getting all the words right. I knew it was up to me to handle this. I stood up immediately and said,” It’s ok folks. It’s ok. I am a gynecologist and I can take care of this.” I turned to my two year old and asked her if she wanted to switch seats. She did willingly. I then asked her if she felt any better. She looked at me and said,( cue toddler voice again) ” Oooooh yes. My vagina feels muuuuccchhh better now. Thank you Mommy.” She then sat down, smiling and proceeded to start in on her mashed potatoes again. Meanwhile, the rest of the room did not seem nearly as relieved that the problem had been solved. Ever the fixer, I felt like I had to address the again. I said,” It’s alright now. She feels better. Problem solved. Everyone please go back to enjoying your meal.” Needless to say we never ate there again.

My now 15 year old took a completely different spin on it. She learned and embraced all those terms with relish early on. In fact, she would correct every child that she came across who dared to use improper terminology for their body parts….all the time! As a matter of fact, she was so keen on all of her little friends knowing the right words to say, that even if the subject of body parts did not come up in polite conversation, she would bring it up so she could have the opportunity to “educate” them. This did result in more than a few phone calls from the school. It was as if we had turned the tide on the terms wee wee and hoo hoo and now they had become the bad words.

My youngest was also always fascinated with what her Mommy did, especially the part about delivering babies. She thought that was really something special.(and hopefully still does) However, I did not really grasp just how special she thought it was until one day when I got a different kind of phone call from school. Mind you, at the time, both of the girls were attending a private Lutheran school, so they were getting their daily dose of religious education right along with their ABCs. I got a phone call at work saying that I needed to come to the school as soon as I could, but that it wasn’t an emergency. I hung up confused, of course and tried to head there as soon as I could. I arrived at the school and headed right to the preschool day care room. As soon as I walked in I noticed a long line of little girls leading up to the play tent in the corner. I asked the daycare teacher what was going on. She smiled at me and said, “Oh you’ll get a kick out of it.” She motioned me over to the tent and there was Katy, dressed like the virgin Mary, delivering each little girl’s baby one by one. She saw me and immediately smiled and informed me that she was delivering their babies just like me. Everyone still had their clothes on and each baby was a doll, but the main objective was still clear. She was very proud. I thought it was pretty clever that she combined her admiration for me and the Virgin Mary all in one. However, all of the other parents did not exactly share my sentiments and thus, the baby tent had to go.

All in all, I still think I did the right thing in teaching the proper terms to my kids. I think we have to stop thinking of body parts as taboo for little children. It is only natural to be curious about them. Psychologists say this starts naturally as young as the toddler age. I think that if we contribute to removing the taboo from the words themselves, it might be a first step in being more comfortable talking to our kids later in life about their sexuality and arming them with useful information and resources instead of shouting about abstinence only or leaving them to fend or themselves.

Yes, i went there. I started talking about teenagers and sex. This leads to yet another tricky aspect of having a mom as a gynecologist. My girls went very quickly from being fascinated with what I do and happy to receive whatever tidbits of wisdom I wanted to impart to being mildly horrified and unwilling to engage in the sharing extravaganza that I had in mind. I learned very quickly that, despite all my efforts to the contrary, they had no problem coming to me with concerns or questions on behalf of their friends, but that it was just too embarrassing to talk too much in depth on a more personal level. Nevertheless, I still continued, and will still continue to encourage open conversation whenever possible. Whatever my girls decide to do, I have armed them with resources and information to help them make safe decisions. Teenagers in general are known for poor decisions and getting guidance from google, their friends, snap chat, and tik tok, but I am hoping that my guidance will help pave the way to better ones. I will always be hoping.

Well, that’s all for now. Gotta get to work. Have a fantastic day!

Dr. Katz