I have searched your archives but have not found an answer to my question, and I was wondering if maybe you could help me out. I was wondering about the effects of taking birth control pills for an extended period of time and how long one can safely take them. Any information/advice you could give me would be greatly appreciated.

Whenever I have my annual exams, my gyno tells me that my vagina is pink and healthy. Well I was curious lately and looked with a mirror and noticed that my vagina (inner labia and opening) is purple colored. Does this mean I am unhealthy? I haven't worn any dark clothing that would dye my skin. What could be the cause of this discoloration?

I have recently become aware of the vaginal contraceptive film (VCF) and am wondering about its effectiveness. We are currently using condoms, but my husband is not thrilled with them. Is the VCF as effective as the condom to use by itself?

1) I know this may seem like a strange question, but what exactly IS pre-orgasmic? Does it mean that a person hasn't yet had an orgasm, or that her body isn't ready yet? I remember reading in one of your answers that many women under the age of twenty are pre-orgasmic. Why is this? Also, what is/are the purpose(s) (besides pleasure) of orgasm in women?

2) Hi, I'm not from the USA, so you may call me "the foreigner boy." I'm a 20-year-old male... I have had a lovely, nice, 19-year-old girlfriend for the past two years and I love her very much! We've started making love after six months of being together. We’ve had oral sex since the very beginning of the relationship. My girlfriend was a virgin before we met and me too. The problem is this: She never reaches orgasm! We really did try it all... it's very disturbing because she doesn't understand why I think it’s a BIG DEAL! And I really want her to have orgasms, but she just can't reach it... We really did try it ALL!

She tried to masturbate alone a few times and still had the same feeling... It’s not that she doesn't have fun, but she never really reaches the Peak! It seems as if she is stopping herself from having orgasm. Any secret I haven't read or heard about could be helpful! Thank you for your time!

1) I've always used condoms combined with a sponge for birth control. That worked well because if anything happened with the condom, there was always a backup — it made me feel safer. Then I get to New York, I go into three drug stores, and none of them have sponges. Now what? I don't want to rely on just condoms, I don't want to take pills because the whole hormone thing is rather frightening, and a doctor said that diaphragms make you more prone to get urinary tract infections, which I get frequently. So what am I supposed to do? What's up with this total absence of sponges?

2) In exploring other forms of contraception, what is the reliability rate of the "sponge"?