0:01🔗VoiceoverLoveline is meant for an adult audience. Loveline may contain sexually-oriented content. Listener discretion advised. Now, here's Loveline. 1-800-LOVE-191 with Dr. Drew and Adam Carolla.
1:02🔗Dr. Bruce Bekkar10, 12 years ago, we were of a mind when couples wanted to get pregnant to tell them to have sex right around the time of ovulation, and then maybe a day or two later. More recent data that's come out now suggests that a lot of times, or most pregnancies, probably 70, 80 percent of them occur if sex occurs just prior to the time of ovulation. If they have sex after ovulation, it's probably not as common. But I think in order to really address what Adam's talking about, I have to say that I think most men, at least from the work that we've done, don't even know when ovulation occurs.
1:34🔗Dr. Bruce BekkarYeah, exactly what we're talking about. And that's why the book starts out with the very first chapter talking about pelvic anatomy and then having a short section on the menstrual cycle. So that we can just make them kind of familiar with these terms. I mean, a woman wants to be able to say estrogen to her boyfriend or some other terminology that relates to her physiology without having him blast out of the room and head for the garage and try to fix something out there.
1:55🔗AdamWell, it's not that we're stupid, it's just we're not interested. I mean, speaking of the garage, we're really as interested in the vaginas as women are in cars. Women drive cars. Drew, your wife relies on her car just as much as you do. Right. She's been driving for just as long as you have. And most women who live in metropolitan areas do. Yet they know nothing about their car and they're not interested. And that's basically how guys approach it. Although it would behoove women to learn a little something about their car and it would behoove guys to learn a little something about the vagina.
2:29🔗DrewIt would behoove men to learn something about the car.
2:30🔗AdamThat's true. You could learn something too. Like where the goddamn steering wheel is. You don't know anything. You're like a chick. We're going for a nut check later.
2:39🔗DrewI think I checked under the hood once with you.
2:42🔗AdamRight. Yeah. It took you 20 minutes to find the lanch to get the hood open anyway. So you're a gynecologist, right, Bruce? You look at vaginas all day long. That is your gig, right?
2:55🔗Dr. Bruce BekkarThat's a fair amount of it, yeah.
2:56🔗AdamAnd how many do you figure you look at a day? I mean on an average day?
3:01🔗Dr. Bruce BekkarWell if we're talking about a day in the office, probably 25 or 30.
3:05🔗Adam25 or 30. So what is that? About 12 lineal feet of crotch. How's that work out? And there's got to be some women you're glad to see come in the office and then others that's a little more difficult, right? I mean be honest, you're a man. You know what I'm saying? Do you charge all of them the same amount? That's what I'm saying.
3:27🔗Dr. Bruce BekkarI work for Kaiser down in San Diego and one of the beauties of that kind of work is I don't think about billing and payment. But to answer your question, they're all interesting and enjoyable on different levels certainly. Some look different than others.
3:41🔗AdamBut it's got to be nice when you have some good luck.
3:50🔗AdamAll right, well, let's get back to Kaiser for a second. The permanente part. Never been a big fan of that plan, putting the permanente on the hospital sign. It just sounds like you're never leaving. Do you know what I'm saying? I don't know who this permanente is. I don't know when Kaiser tacked it on there. Kaiser's been around for 50 years. The permanente has been around for like nine years. I just don't know whose plan it was to put permanente on the side of the hospital. But I would bring it up at the next meeting.
4:19🔗Dr. Bruce BekkarThat's a good point. I've really never thought about that.
4:31🔗AdamPut permanente on the side of a goddamn hospital.
4:34🔗Dr. Bruce BekkarI think it's Latin for good health. Isn't that really what permanente means?
4:37🔗AdamI know. I think permanent. To me, it's like you check in, you never check out. It's the Roach Motel, if you ask me. I've never gone back to Kaiser since they put the permanente on the side.
4:50🔗AdamHe's a gynecologist. I got this cyst on the palm of my hand here. I'm getting a little light surgery on Friday. It should be okay, right, Doc?
5:00🔗Dr. Bruce BekkarThere's at least a 50-50 chance you'll come back.
5:06🔗CallerI am. I live in Chicago and my sister lives in New Mexico and she's 14.
5:12🔗DrewHey, let me interrupt one second before you teleport. Bruce is going to be on drdrew.com. He's going to have a section where he's going to be participating and writing articles and if anybody has any further questions for Bruce, you can register at drdrew.com and go ahead and leave us questions for either me or Bruce and we are happy to have your questions. We're trying to answer everybody's questions coming through that, through that drdrew.com.
5:34🔗AdamBruce, have you done much retrieval work? You know, stuff getting caught up there? You know, I'm talking about condoms, garden implements, things, things that got caught up there, tampons. Do you do much of that or is that a specialty job?
5:49🔗Dr. Bruce BekkarDrew, I think he's been waiting with some of these questions for a while.
6:12🔗Dr. Bruce BekkarA little forceps, a ring forceps or something like that.
6:15🔗AdamThose things you use at the carnival that drop down on the stuffed animal that you try to pull out of that little, you work the little robotic arms.
6:26🔗CallerSister's 14. She lives in New Mexico. She's my half sister on my father's side. And her mother and my father both live in New Mexico with her. And recently she had a threesome with her girlfriend and another guy. And her mother and my dad gave her permission to do this.
7:42🔗AdamLook, he's the idiot who married her. What do you mean, what's up? Yeah, your dad's a piece of work. It's a good thing you're not living with him.
7:53🔗AdamAll right, stay away from these people as much as possible.
7:57🔗CallerWell, I do love them all, but they, she didn't go all the way. They did everything but have sex. But, and I'm just kind of wondering, she was out here for about two weeks afterwards on a vacation. And we were talking about, and I was just kind of wondering if I can, what I can tell her that might dissuade her from, you know, future behavior like this.
8:20🔗DrewAsk her if it made her feel good about herself.
8:23🔗CallerYeah, I did. And she said, she said she feels great about it. Doesn't regret it at all. It was a wonderful experience for her.
8:39🔗DrewShe's doomed to a life of prostitution. You're going to need to get her to hear the experiences of her peers. She's not going to listen to you, especially with a mom like that. You're going to have to sort of point out to her whether people have bad experiences and don't feel so good when they engage in behaviors that are acting out pay.
8:57🔗AdamNow listen, he's not going to be able to do anything. When should a woman start going to the gynecologist?
9:03🔗Dr. Bruce BekkarWell, she needs a pap smear and a pelvic exam annually as soon as she becomes sexually active, or 18. That's what we're saying. Or 18, yeah.
9:11🔗AdamSo before that, you're all right, unless you become sexually active.
9:16🔗Dr. Bruce BekkarI think if a young girl has not passed either of those milestones, but she's having a problem, if she's having a lot of pain in the pelvic area, some strange, you know, complain to her then she ought to go at that time.
9:28🔗DrewOh, Adam has lots of questions about hymens.
9:43🔗AdamWell, we were talking about the hymen last night and Drew brought something up that I had heard before that hymens can be sort of partially pierced and still intact and actually have holes in them. And that's how he said, that's where the blood comes through when you have the, what's that there, the period, right? But is that true? I don't believe Drew.
10:07🔗Dr. Bruce BekkarYeah. A lot of hymens are just naturally not a perfect seal over the vagina.
10:33🔗Adam26 millimeters is in an inch. So it's a strong inch and a weak inch basically. And that's not bad.
10:41🔗DrewHow do, when would you decide to do, to assist surgical rupture?
10:47🔗Dr. Bruce BekkarWell, if she's, you were, I guess, alluding to talking about a problem that could happen with hymens where the blood couldn't come out with menstrual periods, there's a condition that can result from that. So certainly if she's getting into trouble with it.
11:00🔗DrewOr if we have occasionally have people describing, initiating their sexual activity and not being able to, because they couldn't, it's very painful and they're concerned that something's still there.
11:12🔗AdamSo all women, okay, let me figure, let me get this hymen thing straight. And how far in is the hymen? I mean, can you get in there at all before running into the hymen?
11:22🔗DrewYou're going to need a new chapter in your book here. Can you see, can you see?
11:24🔗Dr. Bruce BekkarA whole special section on hymen.
11:26🔗AdamSo, I mean, soon as you go into the vagina, there's the hymen.
11:30🔗Dr. Bruce BekkarPretty much right at the door, right at the entrance.
11:33🔗AdamAnd the hymen is sort of like the vagina's bouncer. If you really think about it, it's like a big fat black guy just stands in front of the door and doesn't let anybody in.
11:45🔗AdamAre all women born with the hymen, or does it start to form at some point?
11:51🔗Dr. Bruce BekkarPretty much there from birth.
11:52🔗AdamIt's there at the beginning. And then most women start their menstrual cycle before the hymen has broken, correct?
12:02🔗Dr. Bruce BekkarWell, again, it's not common that the hymen is a perfect seal. Right. So menstrual blood can come out, and she doesn't really have a problem because it's there until she decides to become sexual, and then it can get in the way.
12:14🔗AdamRight. So there's ways for it to drain off the blood through there. And that's what, 90% of them?
12:21🔗Dr. Bruce BekkarYeah, probably more than 95. Yeah, it's almost all women.
12:24🔗AdamYeah, because otherwise, poor gal would explode. And what, Anne wants to know if a tampon would break it.
12:32🔗Dr. Bruce BekkarProbably not. It's probably not strong enough, but there's probably enough room to use one. In most cases.
13:10🔗DrewDid you say you wanted to keep yours like in a...?
13:13🔗AdamI'm going to put mine between the pages of a Bible. Right. With my daughter. And does it come out? Does it just sort of come undone or does it come out like one piece?
13:22🔗Dr. Bruce BekkarNo. I think it pretty much tears.
13:34🔗DrewSometimes it can be thick and fibrous, though, right?
13:36🔗AdamNow, will the normal girl, let's just say you're a virgin. You think your hymen, a hymen on a normal 18-year-old would still be in place if she was a virgin or would it just go away through some other means?
13:49🔗Dr. Bruce BekkarIt would probably be a partial obstruction, probably less than and was there when she was 12.
14:00🔗Dr. Bruce BekkarProbably not a huge change between 18 and 25.
14:02🔗AdamSo, I always thought that if you made it to 25 and you were still a virgin, your hymen should have been gone anyway just through, I don't know, horseback riding or something involving a jungle gym or some mishap, a four-wheel drive automobile. You know what I'm saying? But you're saying at 25, if you're a virgin, the hymen will still be in there or at least enough of it.
14:27🔗Dr. Bruce BekkarPretty much it would still be noticeable the first time she had sex.
14:30🔗AdamDo you ever do any hymen repair or reinstallation of hymens or any of that kind of work?
14:36🔗Dr. Bruce BekkarI've never been asked to do that.
14:37🔗AdamThere's good money in that. I don't know. There's a lot of the Arab nations, but you could really make some serious money doing that. Have you heard of that?
14:45🔗Dr. Bruce BekkarNo, actually, I haven't heard of that.
14:46🔗AdamOh, yeah. You got to listen to Talk Radio.
14:56🔗AdamWell, listen, if you're in a culture where that's a very important thing and you're trying to marry your daughter off to some chic or something, then that's the best $2,500 you're ever going to spend, right?
15:09🔗DrewAfter they perform the circumcision and take the clitoris off and then they sew back the hymen.
15:29🔗CallerRecently, I've been having a lot of pubes fall out in the morning. Yeah. Is that regular or what?
15:38🔗AdamI don't know. Is that regular, doc? Docs?
15:40🔗Dr. Bruce BekkarI'm going to pass this to Drew.
15:41🔗DrewYou know, there's two medical conditions I'm aware of that will cause this that are of relevance and one is adrenal insufficiency and the other is thyroid disease. Though usually, you wouldn't see that in a young person. You're 19. You see it mostly in older folks. Like over 50. But if you really are visibly losing hair, I think it's worth having those things tested.
16:05🔗CallerIt's just like three or four hairs falling in the toilet each morning.
16:20🔗AdamHey, Rick, don't waste our time, you idiot. And then like a couple of pubes in the toilet in the morning. Jesus Christ, we have heroin addicts waiting to call in this show.
16:30🔗CallerAll right. One more question. Like both of my nuts are like uneven, like one's like a basketball and like a soccer ball.
16:36🔗DrewSo it suddenly, Adam's preoccupation with the hymen, it seems rather nominal, doesn't it? You have to hear what our callers are obsessed about.
16:42🔗AdamThat's a great example, by the way, the basketball and the soccer ball. Both about the same size ball. That's a worst goddamn example I've ever heard in my life.
17:30🔗AdamYeah. I'm going to cure you right now. You need a magazine to read while you're on the head. You sit there and stare at your junk and go insane. Counting pubic hairs floating in the water, staring at a scrotum, you know, you got to pick up by like a newsweek or something, brother.
17:53🔗AdamBooks. Really? I don't I don't do that because I'll be parked. You know what I'm saying? I want to get in and out. I don't camp out there.
18:01🔗DrewYou described once in great detail that the cleanup maneuvers you must go through. I think if you could park for a while if you got that that seat that we found in New York.
18:09🔗AdamTrying to you know when we stayed at the Riga Royal Hotel in New York they have a toilet seat that shoots water in your ass. It's it's I recommend a trip to New York just to sit on the seat. I really do. Drew how fast did I tell you about that?
18:47🔗DrewThat your usual clean up maneuvers are like taking peanut butter out of shag carpet.
18:51🔗AdamThat's right. It's a messy proposition. With this new spraying toilet seat, it's a totally different ball game. Alright, Dr. Bruce Bekkar is here. He has written, what's the name of the book there?
19:04🔗Dr. Bruce BekkarYour Guy's Guide to Gynecology.
19:07🔗DrewHe will be a regular, I hope, regularly at drdrew.com. He certainly will be up the second week after launch. He'll be, it's the middle of October. He'll be able to read his stuff.
19:16🔗AdamHe's a gynecologist. He looks at an average of 25 vaginas a day when he goes into the office. And when he's at home, it's 55 vaginas a day. He left that part out of the story. And we will take a little break. Oh, well, you know, the Man Show is on tonight, kiddies. It's just getting to be about that time there in Comedy Central. I thought I'd give a shout out to my other, more lucrative show. We'll take a little break. And when we come back, who are we going to talk to, Drew? We're going to talk to Mike. Mike's 14th girlfriend said that she broke her hymen with a tampon. Mike wants to know if it's possible. We'll ask Dr. Bruce after this.
19:53🔗CallerThe National Football League and MBNA annually recognize teachers who have had a lasting and profound impact on their students. So profound that years later, NFL players remember the teachers who have influenced their life, making them a success both on and off the field. The NFL and MBNA congratulate those who educate the leaders of tomorrow. The NFL and MBNA, recognizing excellence among America's teachers. This message furnished by the National Football League.
20:58🔗AdamOkay, I know all of them. I'm ready to take over. I'll tell you what, Bruce, tomorrow, when you're, you know, when you've pulled up into the vaginal stall there and you're going to work, why don't we just have me just slide in and do a little of that, you know, guest gynecologist kind of thing, where the woman, like, I could see the reaction being like, the woman being like, huh? Oh, you know what I mean? And then you just kind of talk me through things.
21:31🔗AdamOh, aren't you from The Man Show? It's not on Comedy Central 1030 on Wednesday nights. Yeah, it's the night. Dr. Bruce Bekar is the author of Your Guy's Guide to Gynecology. And it's really a must read for all our bonehead listeners. It's something that I really think, like we talked about earlier, guys aren't interested and don't want to know, but it could change a guy's life. I mean, you could not get a venereal disease. You could not knock somebody up. I mean, you think about unlocking those mysteries down there in those underpants. You'd know when someone was going to get pregnant. There's a ton of stuff there.
22:17🔗Dr. Bruce BekkarWell, we used to think that guys really might not be all that interested, that really we'd have to sell this book to women and have them insist that their partners read it. But I've been teaching a class along with Dr. Juan for the past year, almost. And we get a really nice turnout every time. We teach it every month at Kaiser. And these guys seem to stay, you know, well after the class is over. They have a million questions. It's literally like they've been waiting to have a class like this forever. I think typically most guys realize that their dads didn't understand women at all, really. As far as these topics were concerned. And they just sort of signed off on it. I think most guys figure, yeah, someday maybe I could know how to fix a car, but I'm certainly never going to know what makes women tick. But we're really finding through teaching this class, every month we have such a nice turnout and the guys are so enthusiastic that there are a lot of guys that really are curious and see the usefulness, like you were mentioning.
23:09🔗AdamWell, and guys are looking for an edge, you know what I mean? And that's what it is, I'm sure, for a lot of them. They just figure, if they can figure out this Rubik's Cube that's in their panties, they may get a little more trans. You know what I'm saying?
23:21🔗Dr. Bruce BekkarWell, the fact of the matter is, if they're real supportive of their partners in any way, and particularly in this way, the woman is going to appreciate him more, and it pays off for both of them. They're both happier.
23:33🔗AdamAll right. When did you realize, when in your education did you realize you wanted to get into the gynecology?
23:39🔗Dr. Bruce BekkarYou're not going to like this answer because it's not all that exciting.
23:43🔗Dr. Bruce BekkarIt was in my third year of medical school, because I did a great rotation over at Women's Hospital up at LA. County and I just realized there's a whole lot of variety. It's a very dynamic kind of a specialty.
23:54🔗AdamHold on. That LA. County boon tank is not what you call quality. I've been down to LA. County.
24:42🔗AdamI gotta tell you, work in the Vagina Ward over at County USC, that is just, that is not a good hand that's been dealt to you at all. I can't believe that's what got you into it.
24:54🔗Dr. Bruce BekkarWell, it's a very fun specialty. It's a lot of variety and unlike a lot of parts of medicine, we deal with usually with people that are pretty healthy and they get better. We can do things for them. You know, it's different that way.
25:07🔗AdamAll right. You know, it's just the County USC part. I go work like on the set of some movie or something, you know, where, you know, it'd be great. Mike, you go on that, Say By The Bell or something like that, you know, you'd be like a set gynecologist.
25:52🔗CallerWell, my girlfriend said she was a virgin at the beginning of our relationship. Like, it just came up somehow. And we were planning on having sex. And I was like, so will there be a hymen to break? And she said that it wasn't because she had broken it with a tampon. And I heard Dr. Bruce say that you can't do it. And I was wondering if she was lying to me or what? Like, can it be, can it happen, like, at all?
26:23🔗Dr. Bruce BekkarWell, I want to be clear. It's hard to make a general statement, you know, in any kind of a medical circumstance, have it apply to everybody. I think it is certainly possible that she tore her hymen a little bit with a tampon or with something else. And she may just be trying to tell you that it's not going to be maybe like what you're expecting it to be, you know, really uncomfortable for her and bleeding a lot and things like that. So, I don't think you know definitely from what she said, but it's certainly possible that that's true.
26:54🔗CallerYeah, she told me that that like when she was first started using the tampon, it was like hard to get in in the beginning. And then she like said it like hurt a little bit for like for like an hour or something.
27:05🔗AdamHey, Mike. Yeah, you're 14. You sure you don't want to play some Nintendo or something? I just want to sit around and talk about the vagina with your with your girlfriend all day. What the hell is going on in this country? How much serious vaginal talk can you take at 14 without just going insane? Do you know what I mean? I didn't want to know about that. That meant my mom had what at 14? I still don't believe she has one. All right, Mike. She's what do you think she's doing? Dating Merchant Marine or something? She's 14.
27:39🔗AdamListen, if you don't trust her, get out of the relationship. But don't use the Hymen as the litmus test, okay? All right, she's fine. She's a virgin.
27:59🔗AdamDrew's friend. I either say you don't like this, Bruce. Okay, whatever. What I'm saying is, is the gynecologist, is the hymen more durable at, let's say, 13 than it would be at 26?
28:12🔗Dr. Bruce BekkarIt's probably a little bit more intact at 13.
28:15🔗AdamAnd would it be more bleeding and more discomfort if it was broken at 13 as opposed to 26?
28:21🔗Dr. Bruce BekkarI doubt that study's ever been done, but I bet you it's true.
28:23🔗AdamI need to get involved with that one. We need someone to nail 26-year-old virgins. All righty. Where's that list? Kristen?
28:41🔗CallerAdam, you're really funny. Okay. I'm 16 and I have not started my period yet, and I developed really late. I didn't develop really anything until I was like 14, beginning, turning 15. I was wondering if it was because of that, or if I have a problem or what.
29:00🔗Dr. Bruce BekkarWell, are you healthy otherwise?
29:02🔗CallerYeah. I mean, I eat right, play sports, get enough sleep and stuff like that.
29:06🔗Dr. Bruce BekkarIs your development moving along otherwise physically? Have your breasts developed and pubic hair and things like that?
29:11🔗CallerYeah. But I mean, nothing significant in the past six months or anything.
29:16🔗Dr. Bruce BekkarBut do you look the same as other girls your age at this point?
29:20🔗CallerWell, I'm a lot shorter and stuff like that, but I mean, I know I've heard that the normal age is like 8 to 16, but I think I'm like the only 16 year old. I know that hasn't started yet.
29:33🔗Dr. Bruce BekkarNo, I think she's pretty close. I would say it would be a good idea for you to go in and see somebody and maybe have a little bit of blood work done and a brief exam. And you'll probably find out everything is fine, but you'll sleep better knowing that.
29:46🔗CallerBecause I talked to my mom and she didn't start her until she was 15. So I don't...
29:50🔗DrewIt tends to go in families. Right. And it's also late onset puberty is associated with longevity. So it's good news.
29:59🔗DrewWhy don't you describe some of the possibilities of no primary amenorrhea?
30:05🔗Dr. Bruce BekkarIt can be what we were talking about earlier. If a woman had an imperfect hymen, a young girl had that. And again, that's rare. And imperfect is a big word basically, just meaning it completely seals the vagina so no blood comes out. But probably more commonly when a girl hasn't started her periods by this time, she's got all the right hormones going around, but she's not cycling. And she simply just hasn't built up enough lining yet for it to come out. So that's what I was thinking is probably more likely than anything. Typically when you've just started...
30:34🔗DrewI'm asking you a funny question. She's short. Would Turner's or polycystic ovarian syndrome be considerations?
30:40🔗Dr. Bruce BekkarWell, Turner's is more to what you're describing, not PCO. But PCO was one of those conditions, polycystic ovary, where all the hormones are there, but a woman just doesn't cycle. And so she doesn't bleed.
30:54🔗AdamNo one starts cycling at eight years old though, do they?
30:58🔗Dr. Bruce BekkarThat's the youngest, I would think.
31:08🔗AdamI mean, it's not dropped two years in a hundred years?
31:13🔗Dr. Bruce BekkarNo, no, no. If anything, it's very slight.
31:15🔗AdamJust a couple of weeks, maybe an hour and a half, something like that. How much, as a gynecologist, how much breast grabbing do you do? Do you know what I'm saying?
31:30🔗Dr. Bruce BekkarYeah, that's a little different.
31:32🔗AdamNow, if you have a breast exam and a gynecological exam, wouldn't you just as a gentleman start with the breast and then go down? It seems a little out of order to go for the vagina and then go up for the breast. You know what I'm saying?
31:47🔗Dr. Bruce BekkarI can't speak for how anybody else does it, but that's the order I use. I start up top and work my way down.
31:54🔗AdamDo you have a technique for taking the bra off? Is it a smooth move? I mean, sort of a snap of the finger? I mean, you must be very good at it by now with the bra.
32:07🔗AdamI'd be impressive though, you know, if you did that sort of fancy-like maneuver, you put the hand up the poodle sweater and you just do that snap and the bra goes flying off. What, is there someone who takes the bra off, Drew, or how does that work?
32:28🔗AdamWe'll take a little break. Dr. Bruce Bekar is here. He is authored a fantabulous book. It's called Your Guy's Guide to Gynecology. We're talking all about it. Hey, let's go watch the man show, everybody. We'll be back after this. Yeah, hello. It is Love Line. I'm Adam Corolla. That is Dr. Drew. Phone number 1-800-LOVE-191. Our guest tonight is Dr. Bruce Bekkar. He's the one and only writer of Your Guy's Guide to Gynecology, who actually had a little help from Udo Wan, who's an MD and a gynecologist himself, I'm sure. This is a partner of yours.
33:36🔗Dr. Bruce BekkarHe's one of my partners. He's the guy who came up with the idea for the book, and we argued about it for about a month and said, you know, there's no way we could write a book that would be any fun for a guy to read, that wouldn't be really politically incorrect. But we've made it interactive. There are quizzes at the beginning of every chapter. We try to throw a little bit of humor in there where we can tastefully do it. And I think overall, it doesn't read like a textbook.
33:59🔗AdamNo, it's fun and informative. You have basic female stuff, female anatomy, and there's yeast infections and bacteria and gonorrhea, and it really, it's like a road map around the vagina. It really, you know, help you navigate that difficult, oftentimes treacherous terrain, right, Drew?
35:11🔗CallerWell, I don't think so. I don't even think she would be able to know this because he didn't, he didn't grow up with her. She, she got pregnant when she was 15 and she left him with my grandma. And he has been living with my grandma.
35:25🔗DrewHas your dad ever abused any other children?
35:32🔗CallerYeah, really good. I get along more along with my dad than with my mom. I'm more open with my dad. I could talk about him with him about anything about my period, about any problem I have. I'm not really that close with my mom, except lately she's been really nervous and she told us to be very careful because she really thinks that my aunt might come and try to harm us really bad.
35:58🔗DrewWhy don't you get a restraining order, call the authorities, do the appropriate things?
36:02🔗CallerBut my mom is afraid that she's trying to do that to us already. She's been trying to get a restraining order.
36:09🔗CallerBecause my mom, okay, my mom is really nervous. She has like high blood pressure and she's been on so many like drugs, prescription drugs, and nothing helps her. And she really, like sometimes she tries to, she suffocates in her sleep because of all the tension.
36:27🔗AdamOkay, but hold on. What's that have to do with your aunt getting a restraining order?
36:31🔗CallerOkay, well, see, you know how she accusing my dad of molesting my cousin?
36:37🔗CallerShe, she, she says she wants to get revenge of everybody, all of us in the family.
36:42🔗AdamRight. Okay. I'm hip to that. But an hour and a half ago, we were talking about restraining orders. We suggested that you get one and you said you can't, she's getting one.
37:04🔗CallerAnd she also said that she's going to try to get back at us and try to...
37:08🔗AdamHold on. Let me get this straight. She's going to... Your aunt is going to try to harm you kids? I'm going to make a wild guess here. Is it because she's accusing her father of molesting her kids?
37:20🔗CallerShe's also trying... Not just us, not just our family.
37:23🔗AdamOkay. Emma. Hey, Emma. Listen, I'm sorry for your situation, but I'm going to give you 15 seconds here. Listen to me. We understand what the situation is. Your aunt is probably not a healthy woman. Your mom doesn't sound like she's a real healthy woman either. If she's threatening you, then you call the cops and you get a restraining order.
37:45🔗DrewYou document everything, you call the authorities, and you just deal with it. That's all.
37:48🔗AdamYou treat it as if it was anybody who was threatening you.
38:08🔗AdamYeah. I'm going to call an airstrike in on this one. Sometimes, Dr. Bruce, I'll send in a hitman or something squad just to put some people down. And then other times, I'll actually just call an airstrike because the problem has gotten out of hand. It's at the aunt's house. It's at the mom's house. I'll have to take out the whole block. All right. So Emma, here's my advice. Study real hard, go far away to college, and leave all the rats to sort of...
39:00🔗AdamI'm really going to try to bounce back on this call. I'm already mad now. What's going on?
39:07🔗CallerOkay, my girlfriend, I know you guys heard this question a lot of times, but my girlfriend, you know, she couldn't orgasm during the course or, or I'll say, and she circumcised, and I was wondering if it's because she circumcised, you know, that she couldn't orgasm.
39:23🔗DrewWas there something that happened to her when she was a young woman, young girl?
39:34🔗Dr. Bruce BekkarThankfully, we don't see this real often. Has she been in to see a gynecologist and have an exam and confirm what's been done?
39:45🔗CallerYeah, but, you know, he didn't tell her anything. I mean, you know, like, she's, she's from one of those countries where they circumcise you when you're little.
40:17🔗DrewThere's actually several different procedures. Sometimes they actually take clitoris, sometimes they sew up the vaginas, all kinds of weird stuff.
40:23🔗AdamOkay, but you remove the clitoral hood, and then the clitoris becomes desensitized. Is that what happens?
40:30🔗CallerYeah, she doesn't have the clitoris, it's not there, you know.
40:39🔗AdamI'd get a lawsuit going if I were her, I really would.
40:42🔗DrewYou know, the New England Journal ran a review on this, and they claim that the orgasmic function was fairly, was often intact when women had this procedure. They could still have normal functioning. However, it's hard for me to imagine how the psychological circumstances wouldn't have left some severe impairment with that function.
41:01🔗Dr. Bruce BekkarRight. I mean, I think there are both things going on, and that's why I was suggesting she go and see someone, someone who's comfortable dealing with this topic. And again, we don't see it very often, but she ought to go in, find someone who'll talk to her about this in detail and make a very careful examination to determine how much of her problem is physical and how much of it is psychological, how much is just, you know, the trauma mentally from having been through that.
41:26🔗AdamDo they have any kind of reconstructive surgery for that area?
41:31🔗DrewDepends what they've done to them. I mean, some of them, They're gonna have something to work with. Sometimes they have to open the vagina back up because they actually saw it shot.
41:37🔗AdamWell, but not in this case. I'm sure that some of the clitoris was cut away. Is there a way to repair that?
41:45🔗Dr. Bruce BekkarI don't think you can put it back if it's been taken away. But that doesn't mean a woman can't get a lot of pleasure from sex. I think it needs to be addressed on both levels if she's gonna have a chance to really enjoy herself sexually. But it sounds like she's got someone who cares about her, and that's a good first start.
42:00🔗AdamIn a way, Michael asks the world's best excuse for not giving someone an orgasm. You know what I mean? All other guys just sort of hang their head in shame, but it's like, hey listen, no clitoris, fellas. What do you want? You know what I mean? I mean, I'm sure there are days we wish our partners didn't have a clitoris. You know what I mean? Just so we could feel a little better about ourselves. Am I right, guys?
42:20🔗DrewAre you telling me something about yourself?
42:22🔗AdamSeriously, you know what I'm talking about. Michael?
42:33🔗AdamI'm sure there are people who know more about this. There's gynecologists who know more about this than others. Aren't there?
42:39🔗Dr. Bruce BekkarThere must be and you start with whoever she normally goes to see and she's got to be willing. And this is a tough thing for a lot of women even when everything is normal. It's tough for any person. She's got to be willing to say, hey, this is the reason I've come in to talk to you is that otherwise I'm doing all right, if that's true, but I'm not able to have an orgasm and I was circumcised. And if she can at least say that directly, then he will do an appropriate examination to find out how much damage was done to her physically. And then, again, I also think she's got to have some kind of therapy, someone to talk to her about what she went through because she may have also gotten the message from very early on that she's not supposed to enjoy sex.
43:17🔗DrewThe misogynistic abuse of males, that'll have an interesting effect.
43:20🔗AdamI'm guessing that was woven in somewhere around when the, you know, rusty field instrument was used to circumcise her at age five. Well, wait a minute, wait a minute, Drew, I'm not scared of the truth, that's the difference between me and you, I'm not squeamish. Dr. Bruce, the clitoris, are they all about the same or do they vary a little bit?
43:39🔗Dr. Bruce BekkarThey probably vary a little bit. I mean, the analogous structure in men is a penis and rumor would have it that they vary.
43:46🔗AdamNo, no, no, that's what I was going to say is, does it vary as much as the penis? I know it's on a smaller scale. Oh, that's marginal with me. But I mean, does it still vary that much?
43:59🔗Dr. Bruce BekkarAgain, that's probably a study that needs to be done.
44:08🔗AdamSo far I got two studies to participate in. Could you recognize your patients without looking at them in the eye? You know what I'm saying? You know what I mean? Like someone who's been coming to you for a few years.
44:19🔗DrewYou know, Bruce is concerned that some of his patients may actually be listening. You understand how uncomfortable that is to ask that question?
44:25🔗AdamI'm trying to make a point, which is how varied are those areas.
44:45🔗AdamI recognize my friend's penises. You tell me Bruce has got a light for Christ's sake. Come on. He knows what's going on down there. I was just, you know, trying to make a little entertainment here. That's all. Drew, you all right? We keep pushing or you want to go to a commercial?
45:00🔗AdamGo to a commercial? All right. When we come back, we'll speak to Jennifer's 26, who's never had an orgasm, thinks she may be masturbating wrong. We'll give her some tips after this.
45:19🔗AdamYou really gotta get out there and start checking out the peanuts. This is Loveline, we got to take a quick ten second time out, and we'll be back with more of the show in just ten seconds.
46:13🔗AdamIt is Loveline. I'm Adam Corolla. That is Dr. Drew over there. Phone number 1-800-L-A-V-E-1-9-1. Dr. Bruce Bekkar is our guest tonight. He's a gynecologist, and he, along with Dr. Uduwan. Yeah?
46:45🔗AdamKeep your eyes open for this little ditty. It's called, Your Guy's Guide to Gynecology, and it's fun, it's easy, it lays it all out, and it covers everything. And even though you may not want to be a gynecologist, there's plenty of stuff in here that you could learn from, especially the guys. And it's got some jokes and some quizzes and some tests. As a matter of fact, I think we're ripped off here, Dr. Drew, quite honestly. Well, it really looks like our book. It really does. I wouldn't be surprised if a lot of this stuff is just lifted straight out of our text, just right out of our copy. I wouldn't be surprised at all. Anyway, let's save this copy for the legal team and let's move on for the show.
47:37🔗CallerWell, let's see. I'm 26. I've never had an orgasm. I've had sex with three men and I miraculously had three children with these men. I'm like a walking billboard. But the point is, is that.
47:54🔗AdamYou've had sex with three men in your life, three and you have a child with each of them?
48:01🔗CallerI'm not doing that wrong. They're doing the wrong or I'm doing it wrong. But I've never managed to achieve an orgasm. I'm wondering if that's normal. If it's not normal. I've tried masturbation and I don't know if I'm not doing it properly. I've explored my body and.
48:24🔗DrewHer character situation is already suspect though, right?
48:27🔗DrewIt wasn't like she had one sexual encounter with these three guys. This is like repeated unprotected with previous experience. Well, I don't know.
48:35🔗AdamI mean, she's only been with three guys at twenty six. Were you married to any of them when you were married to one of them?
49:53🔗AdamUh-huh. And are these guys in their lives at all? No, they're not. Has the state contacted you, by the way? Because I swear to Christ when I'm in charge.
50:04🔗CallerWhat I really want you to know is, is it normal for me to have an ori?
50:07🔗AdamSeriously, I want to know if the state is... No, I want to talk about this for a second. Has anyone from the state dropped by?
51:16🔗Dr. Bruce BekkarWell, one question is, have you ever talked to the doctors that you've seen about this? Has this ever been discussed?
51:23🔗CallerNo, this is the first time that I've brought it up.
51:26🔗Dr. Bruce BekkarYeah, and it is difficult and you should know that you're certainly not alone. There are an awful lot of women who are your age who haven't had orgasms. And what these two are talking about certainly comes to my mind also that there's probably something in your upbringing that made you think pretty negatively about sex or certainly about enjoying it too much. But I think the first thing to do is to have an exam and mention directly to the gynecologist that you're not able to have an orgasm and just make sure that there's nothing obvious that's not normal. And I can almost guarantee you everything will be fine. But at least then you'll know that for sure and you'll know it's not a physical thing. There are sex therapists and there are also good books that you can get.
52:27🔗AdamWow, that's kind of exciting. While you're down there, you don't have that conversation while you're down there.
52:32🔗Dr. Bruce BekkarThis is one of those questions I hear when I've got my hand on the door and we've talked about two or three things already and we're just about to grab things up and they say, Oh, by the way, I've never had an orgasm in 26 years. And it's incredibly important, it's obviously sitting back down.
52:48🔗AdamWhat do you talk about when you're down there, when they're up in the stirrups there? Do you have any kind of conversation?
52:55🔗Dr. Bruce BekkarI don't have a set routine, but I do talk while I'm examining them just because I know how horribly uncomfortable they are. I figure if I can make them a little bit more relaxed, I'll talk about anything. The weather or movies or...
53:07🔗DrewIf a man had to go through this, there would be a different procedure.
53:10🔗AdamYeah, there would. Well, they'd put a TV set up on the wall behind the guy's head. I mean, that's really what you need. Forget about the talk. I mean, not that you're... I'm sure it's a compelling conversation, but put the TV on.
53:23🔗AdamYeah, as you put a bowling pin in my ass, if I really got caught up in a game, I wouldn't even feel it. I'd just be watching that game. Would that be in poor taste to put a TV set up?
53:38🔗AdamA little bit. Put the TV up there. Let her watch the TV. Right? Is that all right?
53:44🔗Dr. Bruce BekkarIt's never been done that I know of, but maybe you'll start something.
53:48🔗AdamYeah, you know, the closest anyone has ever got to that is one time I went to a dentist, and once in a while the dentist, because their techniques are so primitive, but once in a while one of them gets an ID and he puts a poster on the ceiling. Unfortunately, it's a poster of like a kitten that's pawing at a turtle or something, and after about an hour and a half of staring at that, you just want to tear out the goddamn ceiling because you're going insane, but I told him, hey, put a ceiling up, put a TV up there and not stare at it. That'd be enjoyable.
54:18🔗DrewYeah, but you'd be wanting to put videos in and stuff. Very embarrassing.
54:22🔗AdamAnd that'd lead to trouble, yeah. You're right, Drew's right. Steve.
54:34🔗CallerWell, I'm 28. I've been married to my wife for four years. We've been together for 11. And over the last month or so, we've, you know, been getting into some issues over wanting to try something new, at least for me. And I had mentioned to her, I'd like to try cyber sex. And she said it's a recipe for disaster. But if Dr. Drew says that it's OK, then she'll try it out.
54:57🔗DrewNo, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no. Next call. You mean you want to engage in some weird thing with somebody else?
55:37🔗AdamYeah. You see, I don't know, call me old fashioned, but just give me a hustler and let me hit the shower. You know what I mean? I mean, what the hell is going on in this society? Hey, you're writing. It's script, right? It's copy. You're not seeing anything, are you? That's right. You're just reading this copy.
55:59🔗CallerMy view is the same as watching a porno. Same type of outlet.
56:03🔗AdamNo, don't you ever say that about pornography. Do you hear me, Steve? I swear to God, I'll hang up on you.
56:14🔗AdamWell, please. He's equated reading off a computer to my precious beloved pornography. That's an insult. Well, listen. Okay, well, okay. So, let's say Steve is turned on and his... Maybe his wife... Your wife's gonna be pissed off. Your wife's gonna... She's gonna kick your ass.
56:31🔗DrewThat's right. I think the impulse here is what's the most unhealthy. This need to dilute your intimacy by bringing somebody else in.
56:41🔗CallerWhat's not a need? It's just a... I just want to...
56:44🔗DrewYeah, but it's... The desire to move in that direction is not the healthiest impulse, okay?
56:50🔗AdamWell, can I... Let me chime in here. Steve, here's what you need to do. You need to sneak away and go to a hooker. But see, you're trying to do it above the board.
57:02🔗AdamWell, what I mean is, once in a while, a guy tries to sort of cheat above the board. You know what I mean? Like, hey, honey, why don't we go to a swinger's party or why don't we get into the cyber thing or why don't we do something together? Therefore, it's not really cheating.
57:16🔗DrewWe're stupid enough to do that. They numb themselves up and lead themselves into it because the guy has to have that.
57:21🔗AdamOkay. But the subtext there is, I'd like to bang somebody else for a few minutes. And I guess if you want to come along, you can come along.
57:30🔗DrewWell, but in this case, it's sort of act, it's a very much on a fantasy level that he's acting out those sorts of impulses.
57:56🔗CallerShe's afraid I'm going to start smoking a cigar and wearing a smoking jacket.
57:59🔗AdamWell, the first no, I didn't think the wife was listening, but the eight no's that came after it. That's when I know the old ladies. No, no, no, no, no, no, no, no, no, no, no, no, no.
58:08🔗DrewAll right. But it is that sort of an impulse that causes it. And on one hand, the reality of it that you are together and you're sharing this thing and it's sort of in front of one another, and it's a way of sort of enhancing some interaction you have. There's something to that being OK. I'm just worried about the impulse and the fact that you're sort of heading off in that direction.
58:30🔗AdamYeah, it doesn't sound, we've certainly heard worse. This is very tame, especially compared to Loveline standards.
58:40🔗AdamHere's your inherent problem here, Steve. You want to do it, it's fairly tame, and if she wanted to do it, we'd be giving it a big green light. Although we'd have some reservations about it, but that'd be fine. The problem is she doesn't want to do it. And when you get women to do stuff that they don't want to do, you're screwed because it comes back to haunt you. They really make you pay, sexually, spiritually, emotionally. They'll take it out of you. You take an ounce out of them, they'll take five pounds out of you. You understand?
59:10🔗DrewAnd again, it is a move towards, a slight move away from intimacy. The impulse is away from intimacy.
59:17🔗AdamYeah, but on the other hand, the guy sounds committed. He loves his wife.
59:20🔗DrewWell, then better he should not go off in that direction. It's asking for trouble. All things being equal.
59:27🔗AdamAll right. He just got to cheat. Anthony?
59:31🔗CallerI don't know if you remember, but I called in last night, but I was watching the show and this guy asked what a G-spot was and I was wondering what a G-spot was too.
59:45🔗AdamOops, sorry, my belt. Yeah, where's that G-spot?
59:49🔗Dr. Bruce BekkarIt's controversial about whether or not such a thing actually exists, but if it does, it's somewhere in the, what would be the top wall of the vagina, maybe half an inch to an inch inside.
1:00:03🔗DrewIt's basically the back side of the clitoris.
1:00:06🔗DrewJust another way of getting at that same neural material.
1:00:09🔗Dr. Bruce BekkarIt's in that region. It's also around the area of the urethra, the little tube that empties the bladder. How come you're interested in it? That's an interesting question for you to have at the age of 14.
1:00:20🔗CallerI don't know. You just get curious. You've got to know these things again.
1:00:24🔗Dr. Bruce BekkarIs there a test coming up or something you need to know this on?
1:00:42🔗AdamThe vagina. You sound like one of my listeners now. Around the vagina. And some of it true, some of it not. But the whole G spot thing, there's much more made of that than...
1:01:07🔗AdamDr. Bruce Bekkar, who is the co-author of Your Guide's Guide to Gynecology out on Valentine's Day coming up. What about this female ejaculation? That ever happened to you when you were doing some work? Did a woman have an orgasm when you were down there?
1:01:26🔗Dr. Bruce BekkarTo answer your first question, which I think is probably the one you really want to know.
1:01:32🔗Dr. Bruce BekkarThere is a form of excretion of fluid that happens as part of orgasm. Yeah. It's not a real noticeable thing. Most women don't have an appreciable amount. It probably varies also depending upon the time of cycle and doesn't have a whole lot of significance either way, I think, to most women's pleasure.
1:01:53🔗AdamBut some women produce quite a substantial amount of discharge, right?
1:01:58🔗Dr. Bruce BekkarYeah. Some more than others.
1:01:59🔗AdamYeah. We've talked a few of those. And then some have the female orgasmic incontinence, which that's a whole other story. Now, when you go down there to do your work on these ladies, what do you bring with you? I mean, do you wear goggles?
1:02:17🔗Dr. Bruce BekkarWhen I'm doing a pelvic exam.
1:02:29🔗Dr. Bruce BekkarIt's a long, smooth, curved instrument that basically just holds the walls of the vagina open so that we can see inside and look for various normal features and abnormal features that we want to check out. And otherwise, in order to examine the higher structures, the uterus and the tubes and ovaries, we use a gloved hand in the vagina, a couple of fingers there, and press down on the abdominal wall and hold things between our two hands and we can kind of feel what's there.
1:02:58🔗AdamWhat, seriously, do you wear a mask or goggles or earplugs or anything?
1:03:06🔗AdamYou know, the dental hygienist is wearing, you know, face goggles, is wearing like goggles, like a welder's mask, and a shoe's got a, you know, a respirator on, and there you go, you get your head buried between someone's legs, you get nothing, free and clear, just wearing a tank top and the gold chain. What strikes me as fun? You don't wear medallions, do you? Is that considered, do they talk to you about that med school? Like, don't wear the big Italian horn. It's unsettling to the women.
1:03:36🔗Dr. Bruce BekkarI don't think it's specifically mentioned, though. Really?
1:03:38🔗AdamI would bring that up. Listen, no Gotti jewelry, no pinky rings, no big, no big Italian horns. It kind of said, I wouldn't want to see that, if I was a woman. Would you, Drew?
1:03:51🔗DrewI wouldn't want to see that, if I was a man.
1:03:53🔗AdamAll right, so, and do you use lubrication when you go up in there? What kind do you use?
1:03:58🔗Dr. Bruce BekkarKY lubricant, most commonly.
1:04:01🔗AdamAnd that's kid tested, mother approved, or that's the stuff you use, right? Just a good, and you put it all over your hand? I mean, you've always got to go all the way up your glove, right?
1:04:37🔗AdamBut they have had an orgasm. I know, you have to. There's some women who just have that. We talk to women all night. They have an orgasm when they're shifting their car into reverse on their way to work. Do they apologize then? You don't have to mention any names. But it's got to be a little uncomfortable, right? Do they say sorry or do you say, it's no big deal or I get it all the time or what do you do at that point?
1:05:00🔗Dr. Bruce BekkarThe serious answer to your question is that women don't enjoy having a pelvic exam at all, and it's an unfortunate necessity to take good care of them that they need it once a year.
1:05:10🔗AdamBut once in a while, somebody's going to peel off an orgasm, right?
1:05:31🔗CallerWell, see, I've had my period for three years or something like that. And it's like only every other month. And the month I don't have it, I have a really bad discharge. And it's yellowish and whitish and all sorts of colors.
1:05:46🔗CallerKind of. I mean, sometimes, you know, like sometimes it's generally at the beginning of the month. But then the last couple of times, I've had it at the beginning of the month, and then I've also had it at the end of the month.
1:05:58🔗Dr. Bruce BekkarSounds to me like you're not ovulating more than every couple of months, and maybe even not that often. Have you ever been in and had an exam and had a little bit of blood work done to look into this?
1:06:20🔗AdamWhat the hell is up with PE teachers being like part psychologist, part drill instructor, part gynecologist, you know? Philosopher, lover, philanthropist. They're just a bunch of old jackasses. You know, I had like conversations about testicles and what happens when you lift the weights and you wear the boxer shorts, you know? Why don't they just knock that crap off? They're making 28 grand a year. They were drummed out of the military.
1:06:51🔗Dr. Bruce BekkarSo go in and see a gynecologist and tell them the story. And I'm sure they'll order a small battery of blood tests just to check out a couple of things. For instance, if it was your thyroid, it's something that needs to be corrected. It'll solve a lot of other problems for you, too. But you'll probably just end up finding out that you don't ovulate. You've got all the right hormones and they'll either give you some pills to take once a month, some progesterone to replace what you're not making or more likely they'll put you on the pill.
1:07:20🔗AdamLet me talk just a little more, little shop with Dr. Bruce over here for a second. We get this problem all the time. Guys call in, they say there's a little odor coming from downstairs and they want to know what to do about it. They want to know if they should tell their girlfriend. What would your advice be? Because a lot of guys have difficulty broaching this subject with their girlfriends.
1:07:44🔗Dr. Bruce BekkarWell, I guess I'd start and say, is there anything else aside from odor? Is she complaining of any discomfort? Is this something that's new or does he notice it frequently? Certainly, I mean, one common cause for odor is women often have a little bit of odor around the time of their menstrual period or just after. But there certainly are infections. There's one in particular that's quite common called bacterial adenosis that causes a little bit more discharge than usual and some odor along with it. And that's probably what you're hearing about a fair amount of the time. And that's something that needs to be treated. It's not that dangerous really. It doesn't become a systemic infection, but it certainly can infect both partners and it's very uncomfortable.
1:08:23🔗AdamWhat about douching? You a big fan of that?
1:08:26🔗Dr. Bruce BekkarNot a big fan. The vagina is another miraculous part of the body that pretty much cleans itself. I think we strongly recommend women not douchemort once a month. More than that, you can cause problems.
1:08:49🔗Dr. Bruce BekkarI think if a woman is doing it carefully, it won't, but all kinds of things can happen if you're not careful.
1:08:55🔗AdamIs a vagina... Stop me if I'm wrong here. But don't stop me. Is a vagina sort of like... You know, certain people have like... Their breath smells a certain way. I mean, some guys' breath smells a certain way. You know, some's bad, some's good. It varies a little bit from person to person. Doesn't really matter what they eat or how often they brush. It's not that they have an abscess tooth or anything. It's just... That kind of breath smells a certain way. Is the vagina that way? Some just sort of have their own funk, own smell?
1:09:28🔗Dr. Bruce BekkarEverybody has different body odors.
1:09:30🔗Dr. Bruce BekkarAnd I guess that's what you're asking. And if a guy is noticing his girlfriend's body odor and it's different to him and it seems not as pleasant as some others, that might just be normal.
1:09:57🔗AdamI'm very fascinated by this. I know a lot of our listeners are. And I have the guts to ask the tough questions. Like the part about you wearing jewelry during the examinations. Right?
1:10:12🔗AdamThey don't give you any conversations about silk shirts, wearing baseball caps and then turning them backwards when you go down there. None of that. There's no etiquette. See, Drew, that's why they need me at these medical schools.
1:10:26🔗DrewYou have two disgusted doctors in here now. We're both just got the puss on.
1:10:39🔗AdamOh, we won't. Well, Drew, would you do your goddamn job for a change over here? Sitting back. You should all see Drew, by the way. He is in the position that Uncle Joe is in when he's on the porch of the Petticoat Junction. He doesn't even pretend to be involved in the show. He leans back, his feet up, his hands behind his head. I mean, it's really like you're doing some sort of dramatization of relaxation. You know what I mean? If we were doing a movie, the director would tell you to rein it in a little bit. It's too much relaxing, he would say. It's too obvious, right? Okay. When we come back, we'll speak to Catherine, who's 16, wants to tell parents that she needs to go on the pill, but she's scared to. Help. We'll help her after this.
1:11:24🔗CallerFor more than three decades, her music has rocked our world, endured the test of time, and given us something to believe in. Now, topping the charts with the biggest selling single and album of her career, The Summer belongs to Cher. Cher, live in concert at the MGM Grand in Las Vegas, Sunday, August 29th at 9 p.m. Only on HBO. Love Line with Dr. Drew and Adam Carolla. We'll be right back.
1:12:45🔗AdamI don't mind sounding full of myself. Here's the deal. Everyone says in this business, it's who you know, it's luck. You know, here today, gone tomorrow, all this kind of stuff, enjoy it while you can. Has nothing to do with that. If you're good, you get to work as much as you want. And if you suck, they kick your ass right out. You do one batch and that's it. If we sucked, we would have done one batch of those crappy love lines on MTV and they would have closed the door and kicked us out. We do 65, that would have been three years ago and no one would have ever heard of us again. But we're good. We did a good job. Now, we're going on our 300th and 400th or whatever. That's it. It's not luck. And it's not luck with anything, everybody. I don't care what endeavor you're involved with, what field, what work. Do a good job. Show up. Don't piss anybody off. Actually, you can piss people off as long as you do a good job. Do a good job, show up, shut your face and get your paycheck. And believe me, the work will keep coming. It does not vary, Drew. You guys are doctors. I used to be a carpenter. It wasn't any different in any profession that I've been involved with. In TV and Hollywood, everyone makes it out to be this sort of business. It's filled with luck and filled with chance. And it's none of that. Do your job. And magically, you just keep working. And there's more and more to do. Right? Yeah. That's right. We'll see what happens to you, Drew, when I'm on my way, though. That's the end of your luck.
1:14:36🔗CallerThis is my problem. I have a problem and a question. Okay. My problem is I've been with my boyfriend for almost a year.
1:14:44🔗CallerAnd recently we just started having sex. But the problem is we haven't used anything. And he came to me, he's all, Catherine, we have a problem, you know, we don't, I don't want to get you pregnant. I don't want to, you know, end up being a dad at 15. So he's all, well, we need to talk to our parents. Well, the problem is we're both scared.
1:15:05🔗DrewWhy do you need to talk to your parents?
1:15:06🔗CallerWell, I want to get on like birth control.
1:15:23🔗DrewOn your own. And I would recommend, my opinion is you get that, no matter what you decide, you keep a prevent or a plan B in your club compartment, your medicine cabinet. So should there be some failure of a contraception, you have a backup plan.
1:15:37🔗AdamWhat contraception, though? You're not even using anything, are you?
1:15:53🔗CallerI also feel guilty, like, you know, behind my parents' back and all that.
1:15:56🔗DrewWell, if you want to tell your parents, it's a healthy thing to do.
1:15:59🔗AdamHold on a second. Hey, screwball, you're already getting it on with your boyfriend. What do you mean? Now the guilt of using protection. Oh, the shame.
1:16:33🔗DrewYour parents are probably delighted that you're being responsible. Now, if you have that kind of relationship with your parents, if you don't feel they can handle it or that you want to share this with them, it would be great if you could. Hopefully, that kind of dialogue is something you have with your parents, and I would wish you to have that. But if it's not realistic, just make sure you get the contraception. That's the real priority here.
1:16:52🔗CallerMy question was, what's better, the pill or the shot?
1:16:57🔗Dr. Bruce BekkarThat's a good question. And actually, both of those methods fit right into the category of two of the better contraceptives because they're both highly effective. I like the shot, particularly for someone who's busy going to school and doesn't maybe have a great history of remembering, you know, having a great memory every day to take a pill. I think that's the biggest problem with the birth control pill is you got to remember it every single day. The shot, you only have to think about four times a year. And it is important to get it on time, but obviously that takes a whole lot less effort.
1:17:28🔗DrewHow much of a window do you have with the depot?
1:17:31🔗Dr. Bruce BekkarIf you're, it's about three months or three weeks.
1:17:46🔗AdamHow much does it weigh? Yeah, how much does it cost? These doctors, they're smart.
1:17:52🔗Dr. Bruce BekkarThis is the beauty of working for Kaiser Permanente. I don't have to, I don't know what people pay for things. It's all out of my hands. It is not comparatively a more expensive choice than the pill.
1:18:03🔗AdamWell, the pill is, is it 20 bucks, 30 bucks a month? Something like that. I mean, if it's a choice between that and cable, though, I'm sorry, I'm going to cable. But it's probably not 90 bucks or 100 bucks. It's probably cheaper than that.
1:18:18🔗Dr. Bruce BekkarIt depends on where she gets it and what the pharmacies, the deal that they've got worked out.
1:18:22🔗DrewI have patients who go down to Mexico and get it.
1:18:34🔗DrewNo, Coumadin is a very expensive medicine they get typically in Mexico. Antidepressants they get in Mexico. Depo-Provera is one that patients, we, you know, we're broadcasting from Los Angeles and this is two and a half hours from Mexican border. My patients go down there and get and buy stuff.
1:18:47🔗AdamBut they go to Puerto Vallarta. No, they go into Tijuana. And what do they do? You buy the shot? What do you buy?
1:18:59🔗AdamThat's ridiculous. You do not have patients, do you? What patients? You see a bunch of old Jews. What are you talking about?
1:19:06🔗DrewNo, I see some younger folk, too, here.
1:19:08🔗AdamYounger Jews? All right. So you get this depo shot. It's better than taking the pill.
1:19:15🔗Dr. Bruce BekkarNo, I actually think they're both about the same, but one's a lot easier to remember than the other one. The side effects are a little bit different between the two methods. And I think if you go and you see a gynecologist, and again, Drew makes a great point, you don't really need to tell anyone you're going to do that. I think it would be the most responsible thing to go in there and get a pap smear. You're due for that now and talk about what the options are. But I think any of the hormonal methods, the pill and depo provera and norplant are all good choices for you right now. You just have to figure out which one fits your life best.
1:19:45🔗DrewYou can go to Planned Parenthood if you want something that's completely away from your usual health care delivery or other sorts of delivery systems like Planned Parenthood. You need to be aware that if you go to your doctor, and by the way, whoever your doctor normally is, is there to help you with this kind of thing and he or she is not going to contact your parents. It's illegal for them to contact your parents. But you do need to be aware that if you use your insurance, that oftentimes what's called an EOB will appear in the mailbox of your parents since they're the insured people. And notification of what was paid to the doctor ends up going to the insured individual. So that could get a little unpleasant for you.
1:20:18🔗AdamHow long is that Knorr plant good for?
1:20:20🔗Dr. Bruce BekkarKnorr plant's good for five years. Although there's a new one that's going to come out before too long. That's going to be fewer capsules and probably only last about two years. So that'll work for, I think, women with a different priority.
1:20:32🔗AdamKnorr plant, they make a little incision and put it under the skin?
1:20:35🔗Dr. Bruce BekkarTiny little incision takes ten minutes.
1:20:38🔗AdamThat's a long time when you're getting cut on though. You know what I mean? It feels like an hour and a half.
1:20:42🔗Dr. Bruce BekkarYou're completely, a woman is completely numb when she's having this placed. And they universally tell me after having it put in that it wasn't as bad as they thought it was going to be.
1:20:50🔗AdamAnd where do they put it? In the upper arm?
1:20:51🔗Dr. Bruce BekkarThis, just inside the upper arm.
1:20:56🔗Dr. Bruce BekkarFive years, don't have to think about it.
1:20:58🔗AdamWow. How much is that? You don't know.
1:21:01🔗Dr. Bruce BekkarI think, again, they're all comparable. All these hormonal methods are roughly the same price, depending upon what your insurance benefits are.
1:21:08🔗AdamThe side effects is, we always hear about this DepoProvera shot with some bleeding or something like that. Are the side effects from Norplant better or worse than the Depo?
1:21:17🔗Dr. Bruce BekkarThey're fairly similar. DepoProvera is given every three months. It runs a little higher blood level of the hormone that provides the contraception, the progesterone. They're fairly similar. They both have irregular bleeding that goes along with them, although half of the women who use DepoProvera don't have any periods at all after the first year. And it's important for them to know that this is not a bad thing. It actually doesn't hurt the women at all. It's just part of the hormonal effect.
1:21:45🔗AdamI'll tell you, when I'm in charge, Dr. Bruce, every woman is getting that Norplant.
1:21:54🔗AdamThat's right. They're going to have to pull a permit. And I will examine it very closely. Of course, there'll be a lot of palm greasing going on. That's all right. I can take pride. You know what I'm saying. Do any of your patients go into Mexico for the Norplant as well?
1:22:09🔗DrewNo, never seen that. And by the way, I'm not advocating that. I'm just saying this is what people do. They go down and they're worried about the price of medicines they go down and do that.
1:22:17🔗AdamThey're on a run. They're on a general drug run from here.
1:22:21🔗Dr. Bruce BekkarOh, I just took care of a patient that went to City of Hope who got an antibiotic over the counter in Mexico at one of these pharmacies. And apparently there was something wrong. They don't regulate the medications in Mexico the same way we do.
1:22:35🔗Dr. Bruce BekkarWell, it was a horrible thing for her. She ended up dying from an aplastic anemia. So those medications that you can get over the counter in Mexico, they're not over the counter for a reason. I mean, some of them should be. Frankly, the birth control pill in the next five years will probably become an over the counter medicine.
1:22:52🔗Dr. Bruce BekkarYeah, because frankly the risks of pregnancy are so much greater than the risks from the pill.
1:22:59🔗DrewOh, I'm such an advocate of that. Where can I get on board to move that along?
1:23:02🔗AdamOh, Drew, there's going to be a bunch of big fat white religious guys that are sodomizing their stepdaughters who are going to be dead set against that kind of activity.
1:23:10🔗DrewMaybe true, but this is so much the right thing. I'm going to lead the charge on this one. This is just... Where do I sign up?
1:23:17🔗AdamI don't know, but I'm going to the bathroom.
1:23:29🔗DrewCheck it out, ask some questions there if you have a chance to call in tonight.
1:23:31🔗AdamOkay, let's cut our losses by peeing together, Drew. We need to get back to that. We'll be back. Hey, hey, hey, it is Loveline. Dr. Bruce Bekkar is here. He is the co-author of a book called Your Guy's Guide to Gynecology, and there's plenty of alliteration to be had on this title. It is a fun and easy read. It's a light-hearted romp, a puckish satire, right Drew?
1:24:16🔗DrewA puckish satire of contemporary mores.
1:24:18🔗AdamIt really teaches you everything you need to know, and you know what, it doesn't go on too long about any one thing. It's just here's what herpes is, good, don't get it, we're moving on. And I like that. And it really explains a lot of things that guys want to know. And I really think it's a good idea, and I think it's an idea whose time has come. What kind of guy is learning about the between the two?
1:24:43🔗DrewHe asked me for a quote about this book, that was my quote.
1:25:06🔗CallerYeah, my girlfriend, one day we were talking, and she just said that when she looks, because she has like a mirror on a wall of all different people, and she was telling me that when she looks at a woman's body, it's like, oh my god, you know, but then when she looks at a guy's body, it's like not the same. And I was just like, I like asked her about it, and then she said that...
1:25:35🔗CallerBut I asked her about it, and she said that she had, she's been having thoughts about it for a long time, even before she was going out with me, but she has like really religious friends, and she's not religious herself, but she's afraid that they won't be friends with her anymore.
1:25:59🔗DrewIs that her plan? Is that she really is acknowledging that?
1:26:03🔗CallerI don't know. We went to the library and she wanted to look up books on it, but they didn't have any because we live in a crappy town with no good books.
1:26:09🔗DrewWell Ben, you should realize that most humans-
1:26:12🔗AdamWhat books you need on, why do you have to look up lesbianism?
1:26:16🔗DrewShe's struggling, whatever. Most humans identify sexuality with the female form, and women do that too, especially young women. Not only do they start to sort of identify sexuality with females, they also tend to sometimes confuse intimate warm feelings with sexual feelings. So it's a time when she's clarifying who she is. And she may be lesbian, that's possible. Or even bisexual. But the point is, don't rush to judgment at this stage of the developmental cycle, okay? Just let her cool out, let her figure out who she is. Don't do a lot of experimentation, because that tends to add to people's confusion at your age. And we'll see where she goes.
1:26:59🔗Dr. Bruce BekkarNo, I just, I agree with you, Drew. I think it's very common for her to not be completely settled about how she feels about her sexuality. This is a brand new topic for her. It's a real emotionally charged topic. It's something really important. And I think it's great that she's able to talk to you about her ambiguity, her uncertainty. So that's a real good start. And I think that's a sign of a healthy relationship that you guys can talk about it. And don't rush the outcome. It will, I'm sure, become obvious over the course of time.
1:27:32🔗AdamDr. Bruce, as a gynecologist, do you offer a discount for lesbians?
1:27:41🔗AdamI mean, they're not getting the intercourse, you know. So things aren't being jostled around quite as much. There's not as much reason to go to the gynecologist, you know. And I would think they'd need a little more incentive to bring these lesbians in. I mean, you say when you become sexually active, that's when you should go to the gynecologist. Does that include lesbians?
1:28:06🔗Dr. Bruce BekkarWell, the only reason that women come to see the gynecologist is not just because they might have gotten a sexually transmitted disease or become pregnant. They also need an exam to look for any kind of problems they might be having. Some women can still get infections from other women.
1:28:21🔗AdamBut as a rule, like, okay, don't take this the wrong way.
1:28:28🔗AdamCould you look at a vagina that had been involved in a heterosexual relationship for like a good 30 years and then look at a lesbian vagina for 30 years and see the difference? You know what I mean? When looks like it's been, you know, worn out a little bit or been, you know, I'll predict he's going to say no. Use a little more. You think you would tell the difference? No, no, no difference there.
1:28:53🔗DrewOne may have had a baby and then you could tell the difference.
1:28:56🔗Dr. Bruce BekkarAnd there are lesbian couples that have babies too.
1:28:59🔗AdamOh, yeah, that's right. Yeah, that's right. And it's wrong all at the same time. All right. But you don't see lesbians wouldn't come in as much, would she? You think so?
1:29:09🔗Dr. Bruce BekkarNo, they need to come in too.
1:29:19🔗AdamYeah. It's got to be kind of yucky for you to be poking around out there. Don't think that's weird?
1:29:25🔗DrewYou really are homophobic, aren't you? I've been defending you as just sort of, in the actually, homophilic.
1:29:31🔗AdamLet me be honest. Let's be honest. Let's put all cards on the table here. Three quarters of lesbians are lesbians because some uncle went poking around down there at some point around their fifth birthday anyway, right? So now you got some other guy poking around down there and it's a little weird for them.
1:30:09🔗CallerWell, they don't seem to go away and they just give me suppositories over and over.
1:30:14🔗Dr. Bruce BekkarYeah, that's a very common problem and it's a very uncomfortable one. The first thing I like to do when I see someone with this kind of a complaint is I want to make sure, first of all, it's really yeast because-
1:30:25🔗CallerSometimes it's bacterial, but a lot of times when they say it's the yeast infection.
1:30:29🔗Dr. Bruce BekkarYeah, I would make sure you're going to see a gynecologist. I'm not tooting the horn of the specialty I'm in, but frankly, seeing someone else who's outside the specialty, occasionally they'll miss the diagnosis and then it just complicates things. So first of all, we want to determine if it's truly yeast. Then there are some real particular problems that occur that make women more prone to yeast, frankly, if a woman is diabetic, if she's, if you're, okay.
1:31:03🔗CallerIs there like a pill? I mean, because I have to fight with them to even get an appointment now because they just want to tell me to take...
1:31:09🔗DrewAlso, have you tried any of the new, what are called, phosphodiastereous inhibitors like accolade or cingulaire?
1:31:15🔗CallerNo, there was another one I asked for and that was just like a one... Oh, you mean for my asthma?
1:31:19🔗DrewYeah, because that might reduce your need for the corticosteroid inhalers.
1:31:26🔗Dr. Bruce BekkarSo that would be a good place to start. The other thing that's typically recommended is to make sure you're not eating a whole lot of sweets.
1:31:35🔗Dr. Bruce BekkarWell somehow it seems to promote the growth of yeast. Another common problem with chronic yeast infections is that they never quite get treated adequately and so you have to make sure you use the treatment for the full length of time and then if I can determine that it's a chronic problem and it's not responding to the usual seven-day therapy then sometimes 14 days is required.
1:31:54🔗DrewMy experience in the suppository sometimes don't dissolve all the way and get it way up inside. Sometimes the cream is better for some women.
1:32:01🔗Dr. Bruce BekkarI haven't found that to be the case but it makes sense. There are a lot of minor treatment failures that women can get. There are also some resistant forms of yeast.
1:32:08🔗AdamRight now we're going on another yeast lap. Do you understand what you do when you do that? We now have to reset the yeast clock again. We've got someone on hold here for 86 minutes. Michael.
1:32:37🔗AdamI knew I shouldn't have let you guys talk.
1:32:41🔗DrewHe sounds like he's wheezing a little bit. His question was whenever he takes aspirin, he gets weird hallucinations and asthmatics get weird reactions to aspirin.
1:32:59🔗AdamAll right. We'll do that after this. And it is the love and the line. Drew's here, he's punching his mic for the last time possibly tonight, right Drew? All right, I want to thank Dr. Bruce Bekkar for coming in. Your guy's guide to gynecology, he wrote along with Uduwan, which really, most people just must call him Uduwan, right?
1:33:55🔗DrewUduwan. Yeah, bruisedductor.com will be taking questions if you want to register there and send us questions for him. I will make sure he gets them and tries to respond to them.
1:34:03🔗AdamAll right. Thank you very much, Bruce.
1:34:05🔗Dr. Bruce BekkarThanks for having me. It was a lot of fun. Thanks for being so gentle with me.
1:34:07🔗AdamIt was it was fun and informative, just like you are to your patients. Now, you're welcome. You know, we should have Dr. Bruce back every like six years or something.
1:34:19🔗Dr. Bruce BekkarEvery Haley's comment, that would be good.
1:34:21🔗AdamRight. OK. Now, seriously, I can't even feel it when I'm gone. Fantastic. Yeah. He may be better than you, Drew. Certainly knows more about the crunch. So until next time, this is Adam Corolla for Dr. Drew saying mahalo.
1:34:36🔗CallerThis is Ben Loveline. The views expressed on Loveline are not necessarily those of the staff, the management or the sponsors of this radio station. And are probably not the views of Westwood One Entertainment. Loveline is produced by Anne Wilkins Zingal. Now, please listen to this station longer.