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Before joining PPFA, Dr. Cullins served as vice president and medical director of EngenderHealth, which provides technical support for reproductive health service delivery in more than 25 countries. Earlier, Dr. Cullins served as an attending physician in the Ob/Gyn Department of The Johns Hopkins Bayview Medical Center, as an assistant professor of medicine at Johns Hopkins School of Medicine, and as acting director of the Bureau of Adolescent Reproductive and Women's Health for the city of Baltimore. A graduate of Spelman College in Atlanta, GA, Dr. Cullins received her MD and MPH from the Johns Hopkins University School of Medicine and an MBA from the Wharton School, University of Pennsylvania. She is author or co-author of numerous journal articles on new developments in contraceptive research and reproductive health. She has given presentations about her research at scientific and professional meetings and provides peer review for several medical journals. Dr. Cullins also serves on a number of subcommittees and advisory boards, including the Obstetrics Subcommittee of the New York State Department of Health, and is chair of the International Subcommittee, American Medical Women's Association Reproductive Health Initiative.
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Q&A with Dr. Cullins
When is a good time to start talking to my
child about sex?
Understanding sexuality is a lifelong process.
Parents give children messages about sex and sexuality from the time
they are born. Experts at Planned Parenthood suggest that by age
five, children should be taught "the basics" — the names of body
parts; that love should make people feel good, safe, and wanted; and
that their bodies belong to themselves. Elementary school children
should have a basic awareness of gender roles, health care, human
reproduction, and sexual identity, and they should be comfortable
with their own sexual thoughts and fantasies.
Children age 9-13 should be aware that sex is a natural, pleasurable part of life. They should be familiar with birth control methods and sexually transmitted infections, the changes that will be happening to their bodies and emotions during puberty, and the dangers of sexual abuse. Older teens should have a broader understanding of human sexuality and how it relates to sexual behaviors, social pressures, relationships, parenting, and the potentially harmful consequences of sexual relationships. Can Zoloft affect my sex drive? I never
feel intimate anymore, and it's really hurting my relationship — my
partner gets so upset because he doesn't think I find him attractive
anymore. I just don't feel like having sex, ever.
Zoloft is one brand name of certain kinds of
prescription medication that are technically called selective
serotonin reuptake inhibitors (SSRIs). Other common brand names for
SSRIs include Celexa, Lexapro, Paxil, and Prozac. SSRIs are used to
treat depression, anxiety, panic disorder, and other conditions,
including premenstrual dysphoric disorder. Like all medications,
SSRIs may have side effects for some people. The possible side
effects of SSRIs include decreased sex drive and/or more difficult
orgasm — for women and men. Each SSRI may have different effects on
different people.
Talk with your health care provider if you find that the SSRI — or any other medication — you are taking is affecting your sex life. Your provider may be able to substitute a different SSRI or a different kind of medication. Or your provider may suggest testing for other potential causes of decreased sex drive and function, which include certain hormone deficiencies and thyroid conditions. Don't let embarrassment prevent you from enjoying your sexuality as much as you can. Always be open about your sexual concerns with your health care provider, who will try to help you solve sexual problems that may be related to your medications. Similarly, share with your partner any concerns you may have about changes in your sex drive — no matter what the reasons may be. It may be difficult to assure partners that one's feelings are not about them, but it is worth trying — communication is everything. Understandably, partners may find it difficult to accept that their significant other's appetite for sex has changed, especially if it needs to be for an extended or indefinite period of time. In such cases, professional counseling with a sex therapist may be helpful.
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Reprinted with Permission from Planned Parenthood Association Copyright 2010
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