Doctors Note Logo

Ubie mascot holding a Q&A card

Your Health Questions
Answered by Professionals

Get expert advice from current physicians on your health concerns, treatment options, and effective management strategies.

Need answers about current symptoms?

Common Questions

Q

The Dopamine Warning: How Compulsive Digital Habits Desensitize Sexual Response

Compulsive exposure to fast, high-intensity digital content can overstimulate dopamine systems, leading to desensitization that shows up as reduced arousal with partners, delayed orgasm, and emotional disconnection; “gooning” describes prolonged, trance-like edging with rapid switching between sexual content that can reinforce these patterns. There are several factors to consider, including that these changes are usually reversible with targeted habit changes, that mental health and trauma can influence them, and that there are practical steps and clear red flags for when to seek care. See the full explanation and guidance below to inform your next steps.

Q

The Fasting Secret: How to Trigger Autophagy Without Starving Yourself

You can trigger autophagy without starving yourself by using gentle time restricted eating (even a 12 to 14 hour overnight break), reducing constant snacking, focusing on whole foods with balanced protein, exercising regularly, sleeping 7 to 9 hours, managing stress, and limiting ultra processed foods. There are several factors to consider, especially if you have diabetes, are pregnant or breastfeeding, take medicines with food, have an eating disorder history, or notice warning signs like dizziness or irregular periods; see the complete guidance below to understand key details and decide safe next steps with your clinician.

Q

The Fertility Warning: What Happens if You Leave Chlamydia Untreated for Years

Untreated chlamydia can quietly progress for years, often without symptoms, leading to pelvic inflammatory disease with scarring, infertility, and ectopic pregnancy in people with vaginas, and epididymitis, pain, and reduced sperm quality in people with penises, plus chronic pain, reactive arthritis, and pregnancy and newborn complications. It is usually curable with antibiotics, but scarring damage cannot be reversed, so early testing, prompt treatment, and partner care are essential. There are several factors to consider; see below for key symptoms, who should get tested, pregnancy and fertility risks, and when to seek urgent medical care.

Q

The Fissure Risk: Why Rushing Into Anal Sex Can Lead to Long-Term Injury

Rushing anal sex raises the risk of painful anal fissures and long term injury because the anus does not self lubricate, the sphincter needs time to relax, and friction or forcing through pain can tear the delicate lining. See below for the key steps to reduce risk and guide your next healthcare decisions, including how to prepare, how much lubricant to use, pacing and consent, aftercare, warning signs that need medical attention, and when trauma screening may help.

Q

The Foreplay Fallacy: Why Your Body Isn't "Ready" as Fast as Your Brain

Mental arousal and physical readiness often do not match; lubrication is a whole-body process that typically needs 10 to 20 minutes or more for blood flow and safety signals, and it can be slowed by stress, lower estrogen, and common medications. Helpful steps include using lubricant, slower pacing without pressure for penetration, and checking health factors or past experiences if dryness persists; there are several factors to consider, and key details on causes, fixes, and when to seek care are outlined below.

Q

The Frailty Warning: Why a Weak Grip Is a Major Red Flag for Future Health

Weak grip strength is a major red flag for future health, strongly linked with frailty and higher risks of heart disease, stroke, type 2 diabetes, falls, disability, and early death. There are several factors to consider, including age related muscle loss, inactivity, arthritis, nerve problems, and chronic illnesses; the good news is it can often be improved with whole body strength training, hand exercises, adequate protein, regular activity, and treating underlying conditions, and you should see a doctor for rapid decline, one sided weakness, pain, numbness, or tingling. See below for complete details that can guide your next steps.

Q

The Infection Warning: When Your Doctor Will Advise Against Sex During Pregnancy

Sex is usually safe in pregnancy, but your clinician may advise against it if infection is present or suspected, including untreated STIs, bacterial vaginosis, UTIs, severe or recurrent yeast infections, certain Group B strep concerns, or higher risk situations like ruptured or leaking membranes, unexplained bleeding, or a shortened cervix. Call your doctor for symptoms such as fever, foul discharge, burning with urination, pelvic pain, painful sex, or bleeding after sex, and confirm when it is safe to resume after treatment and any needed partner testing or condom use. There are several factors to consider; see below to understand timing, precautions, and other details that could change your next steps.

Q

The Keto Warning: Why Staying in Ketosis Too Long Might Hurt Your Hormonal Health

Staying in ketosis too long can strain hormonal health by elevating cortisol, lowering active thyroid hormone T3, and disrupting sex hormones, while reducing metabolic flexibility that may trigger fatigue, hair thinning, mood shifts, menstrual changes, and difficulty tolerating carbs. There are several factors to consider. See below to understand who is most at risk, the specific warning signs, safer options like cyclical or targeted carbs to protect hormones, and when to speak with a doctor.

Q

The Label Trap: Why Forcing a Specific Identity Can Lead to Internal Stress

Forcing a specific sexual identity before you are ready can create internal stress by mismatching a label with your evolving attractions, since sexual orientation can be fluid and labels are tools, not obligations; this often shows up as cognitive dissonance, anxiety, sleep problems, physical tension, or withdrawal. There are several factors to consider, including the difference between identity and experience, the potential impact of past trauma, warning signs you are in the label trap, and when to seek professional help; see below for the complete guidance and next steps that could shape your healthcare journey.

Q

The Medication Trap: Is Your Antidepressant or Birth Control Stifling Your Drive?

Antidepressants, especially SSRIs, and hormonal birth control can reduce sex drive by shifting serotonin and sex hormone levels, which may lower desire, make arousal or orgasm harder, and cause dryness; other factors like stress, sleep loss, relationship strain, trauma, thyroid issues, and depression can also play a role. There are several factors and safe next steps to consider, from adjusting doses or switching medications to non hormonal contraception and lifestyle supports, but do not stop any medication suddenly; see below for key signs your meds are involved, red flags that need prompt care, and how to plan changes with your clinician.

Q

The Muscle Loss Risk: Why Chasing Autophagy Can Lead to Dangerous Sarcopenia

Aggressively chasing autophagy through prolonged fasting or chronic under-eating can drive a catabolic state that accelerates sarcopenia, leading to weakness, worse metabolic health, and higher fall and illness risk, especially in adults over 40, those with low muscle, or chronic conditions. There are several factors to consider and safer ways to balance autophagy with muscle preservation, including adequate protein, resistance training, moderate fasting, sufficient calories, and knowing when to see a doctor; see the complete guidance below, as the details may affect your next steps.

Q

The Numbing Cream Danger: Why Desensitizing Sprays Might Ruin the Experience

There are several factors to consider. Numbing creams and sprays may delay climax, but they often reduce pleasure, can numb a partner, mask underlying causes like anxiety or medical issues, and increase risks like skin injury, allergic reactions, and overuse dependence. Safer, more effective options include behavioral techniques, addressing mental and emotional factors, and a medical evaluation, with topical anesthetics used only under guidance. See below for key risks, safety steps, and alternatives that could influence your next steps in care.

Q

The Orgasm Myth: Why You Aren't "Broken" if You Can't Find the G-Spot

Not finding a G-spot does not mean you are broken; pleasure varies widely and the so-called spot is likely part of a larger internal clitoral network, with clitoral stimulation being the most reliable path to orgasm for many. There are several factors to consider. See below for common nonproblematic reasons, ways to explore at your own pace, and clear signs for when to talk to a clinician that can shape your healthcare next steps.

Q

The Over-Training Warning: How High-Intensity Workouts Might Be Aging Your Heart

High-intensity workouts done too often may age your heart by overloading it, raising the risk of atrial fibrillation, coronary artery calcium, inflammation, and other stress effects, especially with inadequate recovery. There are several factors to consider, including using Zone 2 training as your base, limiting hard days, and knowing when to seek care. See the complete guidance below for heart rate targets, the 70 to 80 percent Zone 2 and 20 to 30 percent high-intensity split, recovery strategies, and red flag symptoms that should prompt a doctor visit.

Q

The Pain Fallacy: Why Your First Time Shouldn't Actually Be Traumatic or Hurt

First-time sex is not supposed to be traumatic or truly painful; with adequate arousal, lubrication, and consent, it should feel like pressure or stretch rather than sharp pain, burning, or significant bleeding. If it hurts, there are several factors to consider, including insufficient arousal, pelvic floor tension, infections, hormonal changes, conditions such as vaginismus or endometriosis, and the effects of trauma. Knowing when to pause and speak with a clinician is important; see below for specific red flags, practical steps to make sex comfortable, and guidance on next medical steps.

Q

The Physiology of Sensation: What to Expect During Your First Sexual Experience

Your first sexual experience typically involves normal body changes like increased blood flow and sensitivity, natural lubrication or erection, a feeling of pressure or stretching with penetration, and mixed emotions that influence comfort and pleasure. There are several factors to consider, including consent, arousal and lubrication, and red flags like persistent pain, bleeding, or distress; see the complete answer below for practical tips and when to pause or speak with a clinician, as these details can guide your next steps.

Q

The Pressure Pitfall: Why "Sex Positive" Doesn't Mean Saying Yes to Everything

Sex positivity centers on consent, autonomy, and safety, affirming your right to say yes, no, or not now without shame. Pressure to agree in order to seem open minded is not sex positive, and ignoring your boundaries can affect mental and physical health. There are several factors to consider, with practical communication tips, red flags for coercion, and when to seek care or use a sexual trauma symptom check outlined below.

Q

The Sauna Secret: How 20 Minutes of Heat Shock Proteins Can Protect Your Heart

Twenty minutes of sauna exposure can activate heat shock proteins through hormesis, improving blood vessel function, modestly lowering blood pressure, and supporting heart resilience, with observational research linking regular use to fewer cardiovascular events. There are several factors to consider, including medical conditions, hydration needs, optimal session length and frequency, and menopause-related symptoms, so review the complete guidance below to determine safe next steps with your clinician.

Q

The Science of Deep Sleep (Stage 3): Brain Cleansing and Physical Repair

Deep sleep, or Stage 3, is the most restorative phase when slow delta waves dominate, the brain’s glymphatic system clears waste like beta-amyloid, and growth hormone drives tissue repair while immunity and metabolism reset. There are several key details that can affect your next steps; see below. Most adults spend about 13 to 23 percent of the night in this stage, mainly early in the night, and it can be reduced by alcohol, late caffeine, irregular schedules, stress, pain, certain medications, or sleep apnea; signs, ways to improve it, and when to see a doctor are outlined below.

Q

The Side Effect Truth: What Everyone Gets Wrong About Birth Control Risks

Most people overestimate birth control risks: for healthy users, most methods are very safe, side effects are usually mild and temporary, and serious problems like blood clots are uncommon, screened for, and often lower risk than during pregnancy, though risks vary by method and personal history. There are several factors to consider; see the complete information below for method-by-method tradeoffs, who is at higher risk, cancer and mood nuance, urgent warning signs, and how these details can shape your next steps with a clinician.

Q

The Supplement Lie: Why You Can’t "Grow Back" Telomeres with a Magic Pill

No supplement has been proven to safely grow back telomeres in humans; marketing claims about telomerase activation and reversing cellular aging are not supported by high quality evidence and could even raise cancer risk. There are several factors to consider, from the limits of telomere testing to the greater value of long term habits like exercise, sleep, stress management, balanced nutrition, and not smoking. See below for the evidence, common pitfalls, and practical next steps to guide your healthcare decisions.

Q

The Supplement Scam: Which Types of Collagen Actually Reach Your Skin and Joints?

Hydrolyzed collagen peptides are the only form shown to reach your bloodstream in small fragments that can signal skin and joint cells, offering modest improvements over 8 to 12 weeks; undenatured type II collagen can ease osteoarthritis symptoms via immune pathways but does not rebuild skin, and native whole collagen is mostly a waste. Source differences like marine vs bovine are minor compared with choosing a quality, hydrolyzed product and using the right dose. There are several factors to consider. See below to understand more, including the importance of vitamin C and adequate protein, third-party testing and dosing, why topicals do not replace collagen, how menopause and hormones drive collagen loss, realistic expectations, and when to speak with a clinician.

Q

The Supplement Scam: Why Most Oral NAD+ Products Never Reach Your Cells

Most oral NAD+ supplements fail to meaningfully raise cellular NAD+ because the molecule is unstable in the gut, fragments are altered by the liver, and even precursors like NMN and NR are often converted to nicotinamide that the body tightly regulates, making blood bumps poor proxies for real cellular gains. There are several factors to consider, and marketing claims often outpace evidence while lifestyle strategies like exercise, sleep, and metabolic health support are more reliable; see the complete details below for safety considerations, who is most likely to be disappointed, and smarter next steps in your healthcare journey.

Q

The Testing Gap: Why a Standard Urine Test Won't Find Chlamydia in Your Throat

A standard urine chlamydia test only checks the urinary or genital tract and will not detect chlamydia in the throat; infections from oral sex are site specific, often silent, and need a throat swab test to be found. There are several factors to consider, like when to ask for a throat swab, how routine screening can miss these infections, and what to do next if you have symptoms or exposure; see below for the complete answer and important details that can guide your next steps.

Q

The Testing Trap: Why "Looking Clean" Is the Biggest Mistake in Safe Sex

Relying on someone "looking clean" or a recent negative test is the testing trap, because many STIs are asymptomatic, tests have window periods, and no single test covers everything. Real safety means layered risk reduction using consistent condoms or dental dams, honest partner conversations, regular risk based testing, and attention to both physical and emotional safety. There are several factors to consider, including which infections are actually checked, how long after exposure to test, and warning signs that need care now; see the complete answer below for details that could change your next steps.

Q

The Throat Cancer Warning: The Rising Link Between HPV and Unprotected Oral Sex

HPV from unprotected oral sex is a rising cause of throat cancer, particularly oropharyngeal cancer in younger adults and men who do not smoke; there are several factors to consider. Prevention and early action matter, including HPV vaccination, using condoms or dental dams, regular dental and medical checkups, and limiting tobacco and alcohol; see below for key details that could shape your next steps. Watch for symptoms that last more than two weeks, such as a persistent sore throat, trouble swallowing, hoarseness, ear pain, or a neck lump, and seek evaluation promptly.

Q

The Thyroid Warning: Why Your Low Sex Drive Might Be a Metabolic Issue

Low sex drive can be a metabolic issue: both hypothyroidism and hyperthyroidism can blunt libido by throwing off thyroid and sex hormones, raising stress signals, and affecting energy, mood, sleep, and blood flow. There are several factors to consider. See below for key symptoms to watch, when to speak with a doctor about thyroid and hormone testing, and how overlapping issues like PCOS, diabetes, depression, or past trauma may influence what to do next.

Q

The Workout Myth: Why You Shouldn't Replace the Gym with the Bedroom

Sex burns real but modest calories, roughly 2 to 4 per minute or 30 to 80 per session, so it complements but does not replace structured exercise needed for heart health, strength, weight management, and longevity. There are several factors to consider, including recommended activity targets like 150 minutes of moderate cardio and strength training, the unique mental and relational benefits of sex, and health red flags that warrant medical advice, so see the complete details below to guide your next steps.

Q

Understanding "Gooning": Definitions, Trends, and Psychological Context

Gooning is a slang term for prolonged, immersive sexual arousal often involving extended porn use and edging; it is not a diagnosis but overlaps with compulsive-use patterns and dopamine-driven habit loops, and Gen Z may encounter it more due to constant digital access and online communities. There are several factors to consider, including when it becomes distressing or interferes with sleep, mood, relationships, or daily functioning; see below for psychological context, risk signs, self-check questions, and when to seek private screening or professional support that could guide your next steps.

Q

Understanding Self-Pleasure: Anatomy, Health Benefits, and Common Techniques

This guide explains self-pleasure as a normal, healthy part of sexuality, outlining key anatomy for vulvas and penises, evidence-based benefits like stress relief and better sleep, and safe, comfortable techniques with hygiene tips. There are several factors to consider, including how to recognize pain or overuse, address emotional concerns, debunk myths, and know when to speak to a clinician about symptoms like bleeding, numbness, or changes in function. See below for complete guidance that may affect your next steps in your healthcare journey.

Tell your friends about us.

We would love to help them too.

smily Shiba-inu looking

For First Time Users

What is Ubie’s Doctor’s Note?

We provide a database of explanations from real doctors on a range of medical topics. Get started by exploring our library of questions and topics you want to learn more about.

Not sure about the cause of your current symptoms?

AI Symptom Check

Try our AI-based symptom checker

With an easy 3-min questionnaire, you can get a free AI-powered report on possible causes


Tips to try:

  • Provide specific, detailed info about all symptoms you have.
  • Give accurate information about yourself including current conditions.
  • Answer all follow-up questions

Purpose and positioning of servicesUbie Doctor's Note is a service for informational purposes. The provision of information by physicians, medical professionals, etc. is not a medical treatment. If medical treatment is required, please consult your doctor or medical institution. We strive to provide reliable and accurate information, but we do not guarantee the completeness of the content. If you find any errors in the information, please contact us.