They claim the way to a person’s cardiovascular system is through their tummy. I am not saying here to dispute this long-time saying, exactly what should a guy do to appeal a female he could be following? Exactly what easy haphazard functions of kindness will the guy appreciate in return from his time?

The solution is to ensure that it it is quick. Heading overboard is only going to scare the thing of passion away, particularly if truly in early stages into the relationship.

Im right here to supply my personal five ideas that will make a fantastic impression regarding phases of a connection and don’t break your budget.

1. Amaze your time with a CD of his/her favored songs. If you should ben’t sure of their preferred performers, it’s a safe question to inquire about some one in the beginning inside relationship as you become knowing each other. By giving a music CD, it is going to show that you are paying attention to the conversations.  Wrap it with a pleasant bow. If you should be creative and computer-savvy, create a musical CD in iTunes with numerous tracks from different writers and singers.  There is an additional advantage to offering this gift. Everytime your time listens to it, they shall be reminded of you. For those who have attended a concert or music tv series with your time, send them a CD as a thank you note. Price: $10-$20. Advantage: Everlasting.

2. Push their one increased or a bouquet of tulips. Truth be told, one increased helps to make the exact same impression from the recipient since comprehensive dozen at 1/12th associated with cost. If you want a full bouquet, decide to try purple tulips. Usually the price is lower than $10. She’ll give you thanks and will remember this sort motion. Feeling some romantic and nostalgic? Bring her three plants about 3rd day or four throughout the last time. Memorialize the times using this sort gesture. Price: $1.50-$12.00. Benefit: It demonstrates to you are passionate.

3. allure the woman with chocolate.
It really is real, candy is an aphrodisiac. Chocolate brown is stuffed with anti-oxidants and can actually decrease your blood pressure level. Besides, nibbling on chocolate together can be very sexy. Go to your regional chocolatier and hand-select two truffles in a tiny box. Rate: $5-$10.00. Advantage: performed we say chocolate had been an aphrodisiac?

4. Become the historian within commitment. Its enjoyable to consider very first go out, very first hug and also the first time you practiced anything with each other. While you leave the cafe, pick-up their own business card, suits, or postcards and begin collecting all of them for the memory space field. In case you are comfy in this, just take photos of these two people on your new iphone 4 or Blackberry and save your self them on your computer. Keep a journal of your own dates. Scan your images, company logos, alongside memorabilia and produce videos montage. When you strike the milestone of your very first month wedding or first year wedding, surprise your time and deliver them a contact with your custom-created video.  Video are made for cost-free on websites eg Rate: Your time. Benefit: It shows that you cherished each big date.

5. Be Chivalrous and gracious constantly. Females however like obtaining door launched for them, the chair pulled out, the valet parking taken care of, plus appreciate it when a gentleman rises whenever you return to the table. Perform these small gestures matter? Positively. Females should always acknowledge whenever men reveals his chivalrous side and always state “thanks.” Kindness won’t ever walk out design. Price: your time and effort. Advantage: a pleasurable date helps make a happy spouse.

Keep in mind, honoring and cherishing your own relationship from the beginning will generate thoughts and a history for the brand new union.

Julie Spira will be the writer of the bestselling internet dating guide, The Perils of Cyber-Dating: Confessions of an upbeat Romantic Looking for appreciation Online. She shares the woman tales to enable singles in the dating world. Spira provides made an appearance on many news stores for her expertise in online dating including FOX Information, E! amusement, CosmoGirl broadcast,, BBC broadcast, men’s room Health, and is the host of “Ask the Cyber-Dating specialist” radio show.  Spira creates IRRESISTIBLE online dating sites users for singles finding really love on the web. Check out her at for dating guidance and where singles and couples share their own online dating stories.

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As soon as we’re within very early twenties, we women will make a lot of poor choices – particularly when you are looking at dudes. Many folks consistently generate these exact same union blunders well past an age of knowing much better, because we have cultivated accustomed to some bad routines.

Soon after are some warning flags to take into consideration when you are in your after that date or are considering going forward in an union. It is not constantly easy to tell when one is mentally or else unavailable, however, if you could potentially, it saves several months or many years really worth of misery. Exactly how we choose all of our enchanting relationships can show you in which we might end up being headed inside incorrect course.

He’s hitched/ in a connection. It seems evident, but do not most of us long for the person we can not have, the point that is unattainable? Despite the expanding attraction for a married guy or his laments about how exactly terrible his relationship is, their not carrying out either people a favor by witnessing him. It only contributes to heartache, for everyone involved.

He helps to keep you at a distance. He is pleasant, romantic, and sexy when you’re in an area collectively, but acquiring collectively can be tough a prospect as hiking Mt. Everest with his crazy work and vacation schedule. Don’t fall for his over-worked life – a man makes time for a woman if he is truly interested, no matter how active he is. If he does not go back the calls rapidly and can make time obtainable only when it is convenient for him, that is a red flag and you are better off reducing circumstances down to follow a person who appears toward your phone calls – and values you.

He’s casual about every little thing. As opposed to leading you to supper or having you down, the guy prefers phoning you at ten at night ahead more than and “hang on.” He doesn’t want to own a conversation regarding the relationship, or you are worried to create it since you understand that however bristle. If he isn’t guy adequate to have a conversation after you have already been seeing each other for a while, then this can be a red flag and you ought to think about if you are willing to be satisfied with a relationship on his conditions.

He is still hung up on their ex. This can be another hard one. Maybe he showers you with affection or needs you in a fashion that makes you feel loved. But he spends considerable time dissecting past interactions or talking wistfully regarding way things had been with someone else. When you’re consoling above becoming pursued, then you can wish to take a step back and provide him enough time he must treat and progress – in addition to the independence and love you need.

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The brief Version: With shows like “The Big Bang concept” and games like wow growing in popularity virtually every time, it’s no longer an insult to phone somebody a geek. In reality, the majority of people these days would go as a compliment. Which is especially true of people at, a dating site that motivates singles to embrace their particular interior nerd, nerd, or dork and helps all of them find their particular best match — because every Han Solo demands his Leia (and the other way around).


I was 12 yrs . old as I very first browse “Harry Potter in addition to Sorcerer’s rock,” and I also had gotten so into it that We finished the book in every single day.

My personal love for the story about The child Who existed has actually only cultivated much deeper because many years went by. I recall waiting in accordance with my sis at Barnes and Noble when it comes to release of “Goblet of Fire” and visiting the midnight exhibiting of “Order with the Phoenix.” We have a lightning bolt tattoo and a Harry Potter playlist on Spotify. I go to Harry Potter Weekend at common Studios per January (happily putting on my Slytherin shades!) and see the marathons whenever they’re on TV.

Like countless others, we spent my youth with Harry, Ron, and Hermione, and their trip has actually influenced my entire life in so many methods. Should it be Harry Potter or any other guide, film, or game, getting excited about a pursuit typically shapes whom individuals are, which they can be friends with, and also whom they date — with no any understands that more than

Launched in 2004, gk2gk may be the original dating site for solitary geeks, dorks, and nerds (whether they may be into Star Wars, Anime, or Cosplay) to get similar men and women for friendship, a night out together, a commitment, or even matrimony.

To obtain a glimpse in to the fun, special arena of gk2gk in addition to equally geeky men and women behind the website, we achieved off to Senior Internet management Erica Roth, just who contributed all the information with us.

“Mingle” & Some other Interactive properties inspire Singles to open up Up

The gk2gk signup is actually a familiar one: it takes merely 2 moments generate a profile with standard resources like your age, sex, appearance, and perfect day. However, gk2gk requires it a step further by asking users to categorize by themselves as a “music fan,” “sporty,” “artistic,” or many geeky yet caring terms and conditions.

There is even a part within profile for responding to a lot more questions like “in the event that you could do meal with anyone, who it is and why?” “what is your chosen game?” or creating a concern of your, that are used in the matching procedure. You are in addition motivated to add keywords and phrases in your profile for better coordinating (e.g., “Larping,” “Dungeons & Dragons,” or “Sailor Moon.” The aim is to customize all of them approximately you are able to.

Exactly what gk2gk also excels at is their entertaining functions such as for instance Mingle, a merry-go-round of matches that asks “might you carry on a night out together with him/her?” state no and you are found another profile. State certainly and you are provided facts in regards to the person and certainly will deliver all of them a remedy to at least one of your own concerns to make it to understand one another a lot more.

Through this unique program, gk2gk is able to study from its users’ on-site habits and develop fun, offline-like relationships that in the long run trigger better contacts.

“The entertaining characteristics on the internet site truly get you to start,” Erica said.

The Inspiration Behind gk2gk — Geeks Helping various other Geeks

Spencer Koppel got the theory for a geek-specific dating site in 2004 after experiencing a breakup. Newly unmarried and a self-proclaimed technical, Spencer ended up being frustrated with the lack choices for individuals like him have been into computers, crossword puzzles, comical guides, and comparable passions — and just who don’t placed focus on appearance and social standing.

“appearances aren’t important in terms of just who I would personally be thinking about,” Spencer told “its even more, do we have typical passions? Can we read the exact same types of books?”

The guy shown their frustrations to his daughter, Laina, which recommended the guy get issues into their own arms, so he did and launched gk2gk right after.

In 2015, Spencer passed the gk2gk baton to Avalanche LLC, a business enterprise that builds and areas effective web sites like their (the basic release getting in 1997 on valentine’s). Avalanche presently has over 20 main-stream and niche sites in online dating market, with a combined 5 million+ authorized people (2 million on gk2gk alone) much more than 100 nations and 100,000 brand-new singles joining every month.

“We like being in the love company,” their motto says.

Behind the remarkable numbers is actually a team which is just like geeky given that people they help. Once they’re not undertaking things like participating in Comi-Con with each other, they may be finding pleasure in their particular specific geeky interests — for example CEO Meir Stralhberg watches “celebrity Trek,” CFO Peder Sahlin practices photography and understands the value of an effective Hawaiian top, and Director of Marketing Carlos Ealdama collects vintage sneakers.

“i’m, specifically, a movie buff,” Erica added.

Final Thoughts

gk2gk provides transformed the internet internet dating scene for geeks, so that as an other geek, i truly admire that. a geek is probably an individual who is actually excited about one thing — whether it’s men playing WoW, a woman obsessing over Harry Potter, or a team of people reveling within their shared interest. We all simply want to meet special someone exactly who becomes all of us, and gk2gk is streamlining that procedure.

“‘Geek’ is a pretty wide phrase, so that it can indicate different sorts of men and women, whether they’re tech experienced or contemplating science-fiction or online gaming or comics. And even though gk2gk is a distinct segment dating internet site, absolutely a diverse range of possibilities within that market,” Erica stated.

In this exact same vein, Erica included your aim for gk2gk would be to carry on attaining more substantial, a lot more diverse market, particularly in terms of bringing in further ladies.

“we actually need more females to the program so it’s an even playing field and people have actually a far better user experience,” she mentioned.

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Its obvious that if you are right here, you care about good matchmaking sites, while wish to learn more about them before paying or even subscribing. On LOVOO, you can use a suitable atmosphere where you can find millions of consumers from all over the world, learn them, make brand new buddies, and perhaps find a soul partner.

They usually have recently added the movie chat section their regular attributes to enable you to meet the people you love in-person. Would you like to find out about LOVOO’s features and to realize if the web site is legit or just another online dating con? Follow us within analysis!

When had been LOVOO started?

Once upon a period last year, a lot of builders gathered in an area, considering how exactly to improve online dating sites and come up with it less dangerous and a lot more successful. The ability to manage most users was fundamental, as now LOVOO retains a few an incredible number of all of them.

Who Owns LOVOO?

In 2017, LOVOO ended up being purchased because of the satisfy cluster, Inc. Have you ever heard about satisfy us? Exactly the same business. These are generally at this time managing many matchmaking internet sites to supply a consumer experience possible.

The features are in fact a result of a target evaluation performed after collection of lots of users’ feedbacks. This feedback provides afterwards already been checked, especially when they’ve been opening and evaluating new features.

Because of this recent exchange from the Meet cluster, Inc, now LOVOO has got the alive video alternative, which has come to be preferred and used.

Registration & Profile

If you go to the web site’s primary page, enrolling should be easy. Merely seek out the “sign-up with fb” option and complete the proper execution with your Facebook accessibility data. If you aren’t happy to discuss your fb recommendations, next utilize a typical mail enrollment. Make sure that your email is actually effective and dealing, as LOVOO works a strict safety control over profiles. We shall discuss all of them furthermore for the protection section, later on.

When you are logged in, you’ll end up expected to perform the profile. Photo your self the impression of being on a good dating site: would you like to be communicating with a grey form?

Maybe with a gray color, but let us perhaps not get off-topic right at the beginning of this analysis. It is important to publish a profile picture to go on. It is cost-free. After you’ve filled your profile, you can easily read the internet site.


Imagine countless people, typically from North America and European countries, swiping photos all day long and using movie cams. Will you be currently thrilled through this situation?

So, after having signed-up, what you have to do wants additional consumers and creating fits. You can use a few methods for finding people around you, which we shall check out furthermore in the “look” paragraph.

It is possible to talk to everybody else, utilising the Icebreaker element and/or common chat information. Keep in mind you merely have a limited range messages if you work with a no cost membership, and you’re not subscribing to a paid one.

A match practically happens when you “like” another owner’s profile, and she or he likes you right back. You can get in touch with users who have not liked you initially. However, it’s a kind of insurance to wait patiently to allow them to be suitable for you.

Endure and go on search!

Simple tips to find men and women on LOVOO

It really works as always on internet dating web sites: you add some search filters on, while start the look. Unique customer’s users can look on your screen, and you will certainly be in a position to read through them manually.

There is the swipe purpose: LOVOO offers you various pages this has picked for you personally, in accordance with your local area, age groups, of inclination. These users tend to be demonstrated for your requirements individually, and you can say whether you prefer them or not, using the common “swipe” purpose.

LOVOO free of charge members can also send one icebreaker message every single day. What is an icebreaker information? It appears a middle means between “chat” and “look” characteristics. You send this information out to a random user. In addition, there are other emails and icebreaker emails if you’re a paying user.

After that, the very last one: Play. It is a sort of matchmaking video game, in line with the roulette’s attributes. This is the way the swipe purpose is called. So, so is this perhaps not an innovative new function? No, it’s not, but we thought it could are useful for you to understand what “play” implies within LOVOO. You are likely to begin to see the symbol in your software, so now guess what happens’s for.

How-to Delete LOVOO Account

You can’t delete your LOVOO’s account utilizing a particular feature or switch. You need to compose to your Customer Support straight, indicating reasons why you’d like to close your account.

If you want for all the info you provided them erased, it is important to specify that. If you are these types of a confidentiality worshipper, we imagine you have browse very carefully through stipulations and Privacy Settings beforehand.

As you may understand, they truly are actually selling the your details to third parties. Read this article in the Privacy Policy area, in the bottom in the major web page (scroll the web page down until the really conclusion of it).

An alternative to fund closure will be record away and delete the software. You won’t obtain announcements anymore.

People Structure

There are more males than ladies here on LOVOO, but that proportion reflects a populace ratio, possibly. Everything we guess is that the situation right here reflects “real existence.” Therefore, there are other guys than women, and there tend to be more direct than homosexual people.

The users’ quality is actually high, while the verification process is extremely rigorous. We are going to talk about this more on, in “security” part.

Because consumers are mostly real, their photographs tend to be real, too. Helpful faces and images with creatures, on christmas, folks in categories of buddies, and so on. You will definitely perceive, right here on LOVOO, a sense of decency kind overall you.

Intimate Preferences

As mentioned, most individuals right here on LOVOO is directly. You will find some homosexual and bisexual people, also, but if you want to discover the ratio, there are much more direct folks.

It really is rather challenging tell precisely why. Maybe homosexual everyone is going directly to dedicated web sites, as they would not choose to take time of spotting the right individuals among all market.

It could be interesting to publish more info on this, but this overview is not the right place to achieve that sorts of analysis. Let’s say your scenario in LOVOO reflects real life: more right men and women than homosexual types, and a lot more men interesting in a relationship than females.

Race and Ethnicity

Can you imagine an incredible number of customers on the web, from all over globally? Start thinking about they are from two of the more ethnic-various continents around, European countries and North America.

Discover all the ethnicities imaginable, right here on LOVOO. You won’t need to get and seek mono-ethnic systems, here one can find everything.

Religious Orientation

There isn’t any main religious direction on LOVOO. If you’re areligious individual, wanting like-minded men and women, we strongly recommend one embark on a religion-oriented site or application. These apps normally contain the religion’s name of their brand name.

Very, it’s not hard to spot them among all the others. Generally, additionally it is easy to find an evaluation about all of them, if you’re not prepared to sign-up lacking the knowledge of a tad bit more regarding web site.

Pricing Policies

There are a couple of main prices plans: you will be a free of charge or a spending member, right here on LOVOO. Maybe not prepared to empty your own pockets on an unknown internet site, but? Possible nevertheless register and look over. The primary characteristics tend to be usable free of charge to enable you to create a cost after a real experience.

Should you decide make an effort to use these characteristics, nevertheless don’t purchase an account, it is possible to buy LOVOO’s credits and rehearse them to purchase solely those needed at the moment.

Let us check out the 2 central pricing guidelines furthermore.

Totally free Membership

You can perform every little thing with a free account. Searching for any other customers, like or hate all of them, use the play purpose, and send one icebreaker message every day. Generally, you can study how program really works or the application if you use a mobile telephone. This really is an outstanding feature, because not totally all the matchmaking websites and programs will bring you at this point of autonomy with no previous taken care of it.

They should earn a living out of the application, so we can keep in mind that. Still, we you will need to communicate the users’ experience: if you wish to only pay to book other customers, you cannot really tell what’s the market like!

As well as the market is one of the most vital features in a dating website. Very, as a general rule, you’ll select merely sites where you can give them a go all in a free of charge variation. They won’t reduce their particular might if you will fundamentally choose spend, that is definitely. Therefore, hands up for LOVOO.

Made Membership

There are three programs of membership: 1 month for 9,99$, three months for 24,99$ and year for 69,96$. You could purchase credit the average price of 0,01$ per credit score rating. There are different credit score rating packages, therefore pick the one you love probably the most and which contains how many credit you will want.

You can easily deliver endless icebreaker communications with a totally free membership. You can even see who has seen the profile ad just who liked you. You are able to scan making use of the undetectable private setting and never be viewed from the other user.

Subsequently, you simply won’t see annoying ads everyday, and you’ll surely enhance your exposure when various other consumers are searching for you.

Ideas on how to Cancel Your LOVOO Paid Subscription?

you may simply need to go directly to the membership features and unsubscribe utilising the “downgrade” switch. You can benefit from all the features you have got taken care of until the next billing period, to help you downgrade ahead of time if you do not like automatic restoration to happen.

Is actually LOVOO Safe?

It’s maybe not entirely easy to prove LOVOO that you’re a real individual and a consistent individual. Let’s say that LOVOO it seems that features an extreme blacklist of IP address contact information. Thinking about love this technical information?

If you work with a personal web browser or a VPN, LOVOO won’t give you an Anti-Captcha. Cycle. You won’t have the ability to sign-up subsequently, as you need to prove that you aren’t a robot 1st.

Imagine if you will be signing-up on the mobile phone? Next, LOVOO will be sending you an SMS to confirm the contact number actually is present. Very, you cannot fool LOVOO if you should be a robot. Perchance you can trick united states, reviewers, making us think you have got look at this analysis up until now and realized it. Not LOVOO.

You will have to do the SMS verification every time you sign-in for those who have perhaps not validated the profile via e-mail. Website could keep achieving this, which means you should validate your telephone or your email.

Quality of Profiles

As stated before, the quality of pages is generally large. Every profile right here has-been confirmed. Plus, you can observe anyone who has perhaps not already been verified, because they do not hold the “v” symbol in it.

People here look good, and even the fraud efforts therefore the bots on the internet are some. You will find, however, some artificial users, since there constantly are. Go ahead and report all of them by using the “report user” button. You certainly will analysis job to increase the typical security degree and account high quality here on LOVOO, as you will avoid various other users from falling to the scammer’s trap.

This really is general guidance, and that’s appropriate every time you see a dating internet site that cares about people’ opinions.

Web page design and Usability

LOVOO is intuitive, which is definitely. Now that you know the major attributes, and that you know what “play” or “icebreaker” mean, there is no doubt you might be surfing LOVOO without energy.

It will likely be even more user-friendly if you avail of superior account, since this method, you won’t be shown any advertisement, and also you will not be stopped, as an example, in giving icebreaker messages.

Often, as a free of charge user, you might forget about that you have currently utilized your own icebreaker one, and you also start to see the One online, along with never talked with her/him. This decreases usability, definitely.

The style is modern, and then we have not skilled any bug here.

How might LOVOO Work?

It operates like any additional dating site containing real time movie cam, talk, match, and search characteristics. We currently seen the cam and match procedure really works, and also by looking at the main web page, you are going to straight away realize in which’s every thing.

It truly does work along these lines: you generate our profile, you upload the image, you verify your profile. You find users and set “like.” At some time, they will get in touch with you straight back (a match has been created!), and you will start communicating.

Then, if you prefer both, it is possible to share contact and meet in real world. It is for you to decide also to your judgment to create circumstances embark on really.


Good news for your needs, you dater! You will find both an Apple and an Android cellular app for LOVOO. It will not be difficult to find them in your local shop, as there are no similar labels within the matchmaking software’s world.

Check for it and install it. Keep in mind that here verification is taken seriously. Thus, you’re going to be expected to verify the identification by SMS. Don’t get worried; they clarify every little thing to you—it’s perhaps not brain surgery.

Options of LOVOO

As a great, operating, and common dating website, there are masses of opponents to LOVOO. Tinder, to begin with, subsequently Badoo, Meet, OkCupid, Flingster, Ashley Madison, and many more.


Now which you have seen through LOVOO, you’ll be able to decide carefully if this sounds like the proper fit for you. Are you ready to chat and fit and join a brand-new neighborhood?

Then LOVOO is one of the most decent spots online to achieve this. If you aren’t convinced but, you can observe it your self by trying the cost-free adaptation away. Have actually a happy match!

Contact Information

Company: The Satisfy Group, Inc

Address: 100 Union Square Drive Unique Hope, PA 18938

Telephone: (215) 862-1162


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Everything You Need to Know About Lynch Syndrome

Catching Cancer in Patients with Lynch Syndrome

Does your patient have cancer in their family history? If they have Lynch Syndrome, a simple screening can catch cancer before it’s too late.

It’s easy to merely glance over the obligatory medical history form that new patients fill out, scanning for information pertinent only to their presenting problem. But, as we at IntimMedicine Specialists look over a new patient’s medical history, we are always on the “look out” for a family history of cancer. How about a family history of colon, uterine, or ovarian cancer? These and a number of other cancers could indicate that you and your family has Lynch Syndrome.

Lynch Syndrome is named after Dr. Henry Lynch, who is considered the father of hereditary cancer. He named this syndrome the “Cancer Family Syndrome” in 1966, which was later called “Lynch Syndrome” in 1984 by other authors, after which point Lynch himself began calling it Hereditary Nonpolyposis Colorectal Cancer, or HNPCC. It is now known as HNPCC or Lynch Syndrome, and it is characterized by members of the same family line born with a predisposition to develop ovarian, colo-rectal, endometrial, or other cancers.

For those of us in the fields of sexual health, we are in a unique position to be able to spot this syndrome and help our patients get the screenings they need to catch these potential cancers early. 1 in 400 people are at risk for Lynch Syndrome. It is projected that up to 1 million people in the United States have Lynch Syndrome, but due to a lack of public education about it, only about 5% of people who have Lynch Syndrome have been diagnosed with it.1 Patients with Lynch Syndrome are at a much higher risk of developing these cancers, and it is recommended that their screenings start at an earlier age and are repeated more frequently than patients without Lynch Syndrome. For example, a patient with a family history of colon cancer starting before age 50 might have Lynch Syndrome, and it is recommended that they begin colonoscopies at age 20-25, rather than wait until it may be too late.


  • If a patient has a family history of colon cancer – particularly if a family member developed colon cancer before age 50
  • If a patient has a family history of extracolonic cancers including endometrial, ovarian, small bowel, biliary, renal pelvis, ureter, or glioblastoma (a particular brain cancer)
  • If a female patient has abnormal uterine bleeding and a diagnosis of complex endometrial hyperplasia or endometrial cancer and she is younger than age 50

If any of these criteria are met, it is time to order a hereditary cancer panel. This panel will test for multiple cancer syndromes at once and is now the standard of care.

We are in a unique position to be able to catch cancer before it strikes. Ask your patients more about their family history of cancer. A simple screening process can make all the difference.

The specialists at IntimMedicine are experts in post-cancer sexual health. If you or a loved one is being treated for cancer or has been treated for cancer, talk to us at 202.293.1000, or email us at

Learn more about Lynch Syndrome in this article.


Let's talk about IT - MonaLisa Touch

Let’s Talk About IT

Introducing MonaLisa Touch, a groundbreaking vaginal treatment for menopausal women.

“IT” is vaginal discomforts, including dryness, burning, itching, and painful sex, all which fall under the umbrella term, “vaginal atrophy.” Vaginal atrophy can occur after vaginal childbirth and/or during menopause. Around 40% of menopausal women suffer from vaginal atrophy, but these women rarely talk to their gynecologists about it. If you’re one of them, it is time to stop suffering in silence and get back to enjoying your sex life!

We at IntimMedicine Specialists are very happy to offer you a vaginal laser procedure called MonaLisa Touch from our office here in Washington, DC. MonaLisa Touch is a painless and minimally invasive therapy that requires 1-3 treatments over the course of a few months. We know you have questions – we have answers!

Who is MonaLisa Touch for?

MonaLisa Touch is for any woman who wants to prevent or treat vaginal symptoms related to a decrease in estrogen, which can occur during menopause, after childbirth during breast feeding, or after many different cancer treatments, especially following breast cancer. If you are looking for a treatment that does not require hormones or surgery, MonaLisa Touch might be your answer!

How does MonaLisa Touch work?

MonaLisa Touch is a laser treatment that reactivates the production of collagen and rebalances the conditions of the superficial vaginal tissues. It does this by gently acting on the vaginal walls. This is a safe and painless process that only takes a few minutes.

Does it hurt?

MonaLisa Touch is completely painless! Patients have reported feeling a slight vibration, and some say that it feels no different than getting a pap smear. For extremely sensitive patients, a form of “Novocaine” can be topically applied without injections to eliminate any discomfort of the procedure.

How long is the recovery, and how long does it take to start working?

We recommend refraining from vaginal intercourse for 3-4 days after each treatment, but you’ll start to notice a positive difference almost right away! More treatments may be recommended depending on the severity of symptoms, but typically 3 sessions are needed for best results.

How long does the treatment last?

Treatments can last for at least a year, depending on the severity of symptoms and your age and lifestyle. We can revisit the need for additional treatment sessions with you after a year or if symptoms recur.

We can help you restore your vivacity! If MonaLisa Touch vaginal therapy sounds right for you, give us a call at 202.293.1000 or email us to make an appointment for a consultation at IntimMedicine in Washington, DC.

As the number of postmenopausal women continues to grow — reaching an estimated 1 billion worldwide — patients might believe that doctors have a good sense of the full range of menopausal symptoms and how they affect daily life. But despite numerous studies, detailed information on the full spectrum of menopausal complaints are actually lacking in large randomized trials.

But following a recent study that measured the quality of life in postmenopausal women aged 50-70, researchers hope to more fully identify menopause-related symptoms and help clinicians connect symptomatology with overall health.

The Connection Between Age and Menopausal Symptom Severity

During menopause, women may find themselves experiencing a range of associated symptoms, like hot flashes, night sweats, joint stiffness, vaginal dryness, pain with sexual activity, mood swings and insomnia. Researchers in this study wanted to evaluate the relationship between the severity of these menopausal symptoms and women’s reported quality of life.

The Menopause-Specific Quality of Life-Intervention (MENQOL) questionnaire was given to 932 women enrolled in the Minnesota Green Tea Trial, a larger study that was examining whether green tea extract influences the odds of developing breast cancer. Responses to the questionnaire — which assessed vasomotor, physical, sexual and psychosocial symptoms in the years following menopause — were scored on a range of 1 to 8, with higher scores indicating more severe symptoms.

Initial results suggested that menopausal symptoms — including negative mood, more frequent night sweats and hot flashes, decreased memory, and decreased energy — were reported as most severe in women aged 50-55 and steadily declined in severity as age increased.

While it’s clear that menopause can significantly affect the quality of life, there was some maybe good news reported by these women: There were no reported differences among age groups in the Sexual domain of the MENQOL. Women of all age groups suffered a similar decrease.

What These Findings Mean for Postmenopausal Women

While managing menopause-related symptoms might seem like a challenge, there is a silver lining: As women age past their early 50s, the severity of symptoms seems to lessen significantly. But that doesn’t mean menopausal symptoms should be taken lightly, as they can have significant effects on a woman’s daily life.

And because women are remaining active and productive long after menopause, clinicians like us can offer services tailored to this unique population.

The results of this study continue to inform us as we initiate important conversations with postmenopausal patients about their sexual health and the physical and psychosocial changes associated with aging. Many women are reluctant to talk about vaginal dryness, for example, so health providers must be prepared to discuss sensitive issues like these with their patients and cover symptoms and conditions that might not traditionally be associated with menopause. But we’re here to help you.

By implementing these findings into practical solutions, we can offer their clients helpful, actionable advice for postmenopausal women as they manage their expectations and search for menopause treatment options.

If you have questions about menopause or your sexual health, please call our compassionate staff at (202) 293-1000 to make an appointment.

Women have the only organ in the human body exclusively dedicated to pleasure: the clitoris! This humorous brief documentary educates people and reveals something very telling: the clitoris has been ignored and hidden—by society, medical professionals, and educators. For many women, their early sexual partners provided them with their only sex education; with little knowledge and much fumbling, clitoral pleasure was discovered almost by accident.

Think about it. Have you ever been taught how to look at your clitoris? Has a doctor ever asked you about your clitoris or examined it? Medical professionals are not routinely taught the anatomy of the clitoris (Even some of the most famous textbooks don’t mention it!), and it is not considered part of the routine female pelvic exam. This poses a big problem. If doctors don’t know what a normal clitoris looks like, how will they know what to do when questions or problems come up? What kind of doctor do you see if you have a problem with your clitoris? (Pssst: There is no such thing as a clitorologist!)

Clitoral Problems
Pain in the clitoris (called “clitorodynia”) is considered a localized form of vulvodynia (vulvar pain) and is thought to occur in 5% of women who complain of painful intercourse. Pain can be due to adhesions or scarring of the clitoris where the clitoral hood (aka the prepuce) gets stuck to the glans clitoris. This can lead to trapping and buildup of oils and dead skin cells which cause underlying irritation and infection. Women describe the pain as burning, stinging, or sharp—some have likened it to the sensation of having a grain of sand in your eye. It can affect the whole pelvis and just feel like “pain down there.” Clitorodynia can make a sexual experience difficult, if not impossible. As well as potentially leading to female sexual dysfunction, it can also make everyday life excruciating because the “pain down there” can be present all the time, even without sexual activity.

Help is here
Doctors trained in sexual medicine can diagnose and treat clitoral problems! With a specialized physical exam and several diagnostic tests, the underlying cause for your pain can be found. Luckily a number of successful medical and surgical treatment options are available.

For example, at a recent national conference, our newest practice member urologist Rachel Rubin, MD, presented research on a new minimally invasive in-office procedure to remove clitoral adhesions. In this study, 15 women with clitorodynia reported complete resolution of their adhesions after the treatment, with the majority reporting improvement in or elimination of their pain symptoms.

Speak up
Sexual health is an important part of your general health. You deserve a pleasurable, pain-free sexual experience. If you have discomfort or pain, we are here to help. Please call us at (202) 293-1000 if you are experiencing any symptoms so we can work together to improve your sexual health.

healthy middle aged woman stretching outdoors

In different ways, cultures around the world celebrate when young girls become women around the time of their first menstrual period, but few celebrate the milestone of menopause. Why is that? Perhaps because we focus on the negative aspects of menopause, the effects that leave some women experiencing hot flashes at inopportune moments, and so we view this process in a negative light. But it can be perceived and experienced positively, according to medical experts.

Understanding Study Outcomes
As clinical professor of obstetrics and gynecology at the George Washington University in Washington, DC, and a Past President of the North American Menopause Society (NAMS) I’ve studied these issues closely. I revisited the menopausal hormone therapy research in the Women’s Health Initiative (WHI) first reported in 2002, which was loosely translated to mean that all forms of estrogen, and all types of progesterone were risky for all women, always. But when looking more closely at the patient population in that study, it showed that some of the women were already at high risk health issues and underlying disease.

“Be aware that the findings for the two WHI hormone studies should not be compared directly because of differences in the women’s characteristics at the time of their enrollment. For example, those in the estrogen-alone study had a higher risk of cardiovascular disease than those in the estrogen-plus-progestin study. Women in the estrogen-alone study were more likely to have such heart disease risk factors as high blood pressure, high blood cholesterol, diabetes, and obesity,” according to the National Institutes of Health (NIH).

Mitigating Symptoms
In wanting to help my patients find helpful ways to treat their symptoms, I analyzed a database of 13 million patients to investigate whether two forms of estrogen (oral versus transdermal) differed in how patients experienced negative side effects, particularly focusing on heart attack, stroke and deep vein thrombosis (blood clots in the veins). I concluded that patients who used transdermal estrogens had significantly fewer: blood clots in their veins, pulmonary emboli, and heart attacks than those who took an oral estrogen pill. Stroke risks were also slightly lower for transdermal estrogens.

“The women who were using transdermal estrogens had a lower risk of blood clots in the legs deep vein thrombosis (DVT), had a lower risk of pulmonary embolism—those blood clots in the legs traveling up to the lungs—and a decreased risk of heart attacks” I said in a video on My Menopause Mag, run by Editor Mache Seibel, MD., former 20-year veteran of Harvard Medical School faculty. I caution though, that patients who are at risk for blood clots may need to talk with their doctor to weigh the benefits versus the risks of all estrogen therapies.

Questions to Ask Your Doctor

  • When does menopause begin?
  • How long does it last?
  • Should I take hormones?
  • What kind of hormones should I take and for how long?

Available Resources
Great online resources such as this website help educate women to know more about how menopause effects the whole person and how to navigate this new time in life.

“Women don’t learn about menopause until they are going through it. I think if we as young women know about it and understand it, then we’ll be much more equipped.” from the trailer for the movie, “Hot Flash Havoc” available on local PBS stations. I have a cameo appearance.

In addition, this website: answer a lot of these questions women have, understanding that there is no one-size-fits-all model for making the transition.

Understanding Perimenopausal Symptoms
Women commonly experience the following perimenopause symptoms:

  • Hot flashes
  • Lower sex drive
  • Irregular periods
  • Difficulty sleeping
  • Mood swings
  • And many others

Many of these symptoms often continue into menopause. Women in menopause may also experience:

  • Vaginal dryness
  • Urinary problems, including incontinence and/or urgency
  • Night sweats
  • Weight gain and slowing metabolism
  • Thinning hair
  • Loss of breast fullness
  • And others




Hot Flashes

For women going through the menopausal transition, there’s no better discovery than a safe, natural, nonhormonal treatment for hot flashes that really works.

So a study just presented at the annual scientific meeting of the American College of Obstetricians and Gynecologists caught our eye. It focused on an over-the-counter botanical extract derived from pollen. Could such a simple remedy really improve symptoms and quality of life?

To learn more, we spoke with the study’s author, James A. Simon, MD, an ob-gyn in private practice in Washington, DC, and professor at The George Washington University School of Medicine and former president of the North American Menopause Society.

Relizen, the brand name in the US of the botanical extract, was developed after an accidental discovery—a Swedish beekeeper noticed that when bees feasted on the pollen of a particular flower, they seemed more energetic. So he wondered if giving that pollen to men and women would make them more energetic, too.

“It didn’t work,” said Dr. Simon. “But menopausal women who took it said that their hot flashes were better.” So the extract was developed using just the cytoplasm (material inside the cell) of the pollen—according to the manufacturer, that removes the pollen allergens. It’s actually been available in Europe under different names for about 15 years, and it is backed up by peer-reviewed research. In a 2005 double-blind placebo-controlled study of 64 menopausal women, 65% of those who took it had fewer hot flashes—compared with 38% of those who took a placebo. It’s been used by more than a million women in Europe.

In the new study, 324 women going through the menopausal transition took Relizen daily for three months. To get into the study, the women had to be having hot flashes—and be bothered by them.

Results: 86% had fewer hot flashes, and for 91%, their hot flashes were less severe. What the new study adds is an emphasis on self-assessed quality of life—fatigue, irritability, sleep quality. These all got better, says Dr. Simon, who has no financial stake in the company that makes Relizen. “Their sense of well-being improved,” he said. The mechanism—how this extract works—isn’t well understood. Side effects, such as stomach upset, were rare and tended to go away after a week or two.


Because research has confirmed that it doesn’t affect hormones, Relizen may have a particular role to play for women who have survived breast cancer who have been told that hormonal treatments aren’t safe for them. Currently, the only nonhormonal FDA-approved prescription for relief of menopausal symptoms such as hot flashes is the antidepressant paroxetine (Brisdelle, which has the same active ingredient as the antidepressant Paxil). But this antidepressant not only has side effects such as headaches, nausea, weight changes, reduced sex drive and interference with the ability to have an orgasm—it may also interfere with the action of Tamoxifen, the drug that is often prescribed after breast cancer treatment to prevent recurrence. Relizen, according to a recent study in Menopause, doesn’t affect the action of Tamoxifen.


If you want relief from hot flashes and night sweats, Relizen is one of many options, said Dr. Simon. Hormone therapy, such as estrogen, is certainly the most effective for symptomatic relief, but many women want to avoid taking systemic hormones based on safety concerns. (We’ll revisit this controversial issue in an upcoming article.)

Plant-based supplements that have estrogenic effects can help, and Dr. Simon occasionally recommends Remifemin, an over-the-counter product that contains the estrogenic herb black cohosh. “I double the dose on the package insert to achieve the best results,” he said. Purified soy phytoestrogens also work for some patients, he notes. If you decide to pursue either option, he recommends that you work with a health-care professional, as there are safety questions for some women in taking estrogenic compounds, especially women with or at high risk of developing breast cancer.

Among nondrug approaches, he’s seen success with hypnosis. Even acupuncture, which hasn’t been shown in studies to be effective for hot flashes, appears to work for some people, said Dr. Simon.

What he likes about Relizen is that it’s so safe—for any woman, including those with a history of hormone-sensitive breast cancer—that it’s fine to try on your own. “A patient can acquire it by herself and see if it’s beneficial—before seeing her practitioner,” said Dr. Simon. “If it doesn’t work after two or three months, she can see her health-care professional for other options.” (Note: Relizen is currently available through the manufacturer’s website.)

Sources: Study titled “Nonhormonal Treatment of Perimenopausal and Menopausal Climacteric Symptoms” by James A. Simon, MD, CCD, NCMP, clinical professor of obstetrics and gynecology, The George Washington University School of Medicine, and René Druckman, MD, presented at the American College of Obstetricians and Gynecologists Annual Scientific and Clinical Meeting 2016. Dr. Simon is a Washington, DC–based physician who provides patient-focused care for women across the reproductive life cycle, from adolescence to childbirth, and through the menopausal transition.


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