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(Click for frequent words.) 75 unprotected intercourse 70 unprotected sex 62 intercourse 61 sexual intercourse 61 receptive anal sex 59 anal intercourse 58 unprotected anal intercourse 58 inhibits ovulation 58 emergency contraceptive pill 57 unprotected vaginal 57 unprotected anal sex 57 unprotected anal 57 unprotected receptive anal 57 penetrative sex 56 contracting STDs 55 vaginal anal 55 serodiscordant 55 consensual sexual intercourse 54 discordant couples 54 vaginal intercourse 54 sexually active 54 receptive anal intercourse 54 Levonorgestrel 54 emergency contraceptive pills 53 vaginal penetration 53 heterosexual intercourse 53 mutually monogamous 53 Sexual intercourse 53 Anal sex 52 Sexually active 52 sexually transmitted infection 52 sexual intercourses 52 INTRON therapy 52 Circumcised men 52 post exposure prophylaxis 52 single dose nevirapine 52 hormone hCG 52 serosorting 52 ellaOne 51 mutually monogamous relationship 51 chlamydial infection 51 serodiscordant couples 51 prevents ovulation 51 EllaOne 51 perinatal transmission 51 syphilis gonorrhea chlamydia 51 HRA Pharma reduces 51 abnormal pap smear 51 oral contraceptive pills 51 misoprostol vaginally 50 misoprostol 50 penile vaginal intercourse 50 Postinor 2 50 sexual transmitted diseases 50 trichomonas 50 genital herpes infections 50 serostatus 50 homosexual intercourse 50 fake orgasms 50 nonconsensual sex 49 anal sex 49 microbicide gels 49 suppressive therapy 49 ovulatory cycles 49 ulipristal 49 nonforcible 49 genital HPV infection 49 oral anal 49 maintain penile erection 49 terminating pregnancy 49 valacyclovir 49 oral contraceptive pill 49 STDS 49 delaying ovulation 49 condom breakage 49 folic acid supplement 49 penetrative sexual 49 Unprotected sex 49 insertive partner 48 woman ovulates 48 REYATAZ 48 IUD inserted 48 seroconverted 48 FTC TDF 48 unwanted pregnancy 48 erections lasting 48 estrogen hormone therapy 48 abnormal Pap smear 48 Genital herpes 48 NORVIR 48 contaminated needles 48 TDF FTC 48 extramarital sex 48 sexual transmitted infections 48 sexual encounters 48 anal vaginal 48 Depo Provera injections 48 hormonal contraception 48 infections STIs 48 unimmunised 48 HIV serostatus 48 Emergency contraception 48 chemoprophylaxis 48 cotrimoxazole prophylaxis 48 bacterial vaginosis BV 48 Chlamydia infection 47 gynecological examinations 47 HIV infection 47 Levonelle 47 girlfriend Ilya Dall 47 sexually transmitted infections 47 Pelvic Inflammatory Disease 47 rectally 47 co trimoxazole 47 vaginal lubrication 47 CMV infection 47 induce ovulation 47 penetrative intercourse 47 isotretinoin 47 male circumcision reduces 47 postpartum hemorrhaging 47 pelvic examinations 47 LYSTEDA 47 dummy lookalike 47 abortifacient drugs 47 emergency contraceptive 47 Circumcision reduces 47 HIV seroconversion 47 antiretroviral prophylaxis 47 postexposure prophylaxis 47 pill RU 47 circumcised males 47 virginity pledgers 47 Therapy HAART 47 genital ulcers 47 HIV 47 emergency contraception 47 wart virus 47 oral contraception 47 sexually transmitted diseases 47 sideeffects 46 consenting adult 46 preventing unwanted pregnancies 46 condomise 46 Valcyte 46 deviant sexual intercourse 46 sulfadoxine pyrimethamine 46 Premature ejaculation 46 STIs sexually transmitted 46 genitourinary medicine 46 injectable contraceptive 46 genital herpes 46 genital ulcer 46 PAP smear 46 urine leakage 46 monogamous relationship 46 contraception pill 46 NUCYNTA R 46 suppresses ovulation 46 HIV uninfected 46 Pap smear screening 46 child transmission MTCT 46 neonatal circumcision 46 Vaginal gel 46 Gardasil vaccinations 46 pregnancy 46 irregular menstrual cycles 46 PrEP 46 Genital HPV 46 nonoxynol 9 46 Depo Provera 46 mutual masturbation 46 iodine supplements 46 se xual 46 STDs 46 sexually transmitted infections STIs 46 abdominal ultrasounds 46 antiretroviral therapy ART 46 sexually transmitted HPV 46 unemancipated minor 46 menstrual bleeding 46 injectable contraceptives 46 sero sorting 46 ejaculate 46 sexually transmitted disease 46 consentual 46 stimulate ovulation 46 sexual threesomes contradicting 46 deviate sexual intercourse 46 revaccination 46 ovarian hyperstimulation syndrome OHSS 46 genital lesions 46 Dr. Premlata Chawla 46 penile vaginal 46 mother Fortunate Adem 46 chlamydia infections 46 postpone childbearing 46 urethritis 45 HIV sero 45 anti retroviral medications 45 retrograde ejaculation 45 Antiretroviral therapy 45 preaching abstinence 45 USI hereafter becomes 45 APTIVUS r 45 genitally 45 sexually transmissible 45 spontaneous erections 45 STIs 45 PREZISTA r 45 herpes infection 45 Ushercell 45 GUM clinic 45 cervicitis 45 HCV antibodies 45 EMEND 45 consensual intercourse 45 undetectable viral load 45 unwanted pregnancies 45 secondary amenorrhea 45 medicine misoprostol 45 pre exposure prophylaxis 45 intramuscular injections 45 sex 45 contraceptive pill 45 preventing unplanned pregnancies 45 Heavy menstrual bleeding 45 monogamous relationships 45 untreated gonorrhea 45 intractable hiccups 45 pertussis vaccination 45 genital ulcer disease 45 pill ella 45 clitoral stimulation 45 candidemia 45 bacterial vaginosis 45 genital human papillomavirus 45 antiretroviral regimen 45 undetectable viral loads 45 menstruate 45 irregular ovulation 45 iron supplementation 45 nonconsensual sexual 45 quadrivalent vaccine 45 empiric therapy 45 condom 45 menses 45 anovulatory infertility 45 progesterone injections 45 daytime naps 45 ovulates 45 uncomplicated pregnancies 45 sexually stimulated 45 HepC 45 perinatally 45 suppress ovulation 45 STI sexually transmitted 45 concomitant antibiotics 45 consensual sex 45 dose Nevirapine 45 Vaginal dryness 45 Sexually Transmitted Infections STI 45 HPV Human Papillomavirus 45 infant circumcision 45 abnormal mammogram 45 antiretroviral ARV therapy 45 dapsone 45 chlamydia infection 45 peri menopause 45 reusing needles 45 Dr Muraguri 45 ovulation inducing 45 nevirapine Viramune 45 HBV infection 45 OraQuick test 45 intravenous drug 44 cotrimoxazole 44 abnormal Pap test 44 IELT 44 post partum haemorrhage 44 clomiphene citrate 44 contraception 44 rectal gonorrhea 44 epidural anesthesia 44 Misoprostol 44 pelvic inflammatory disease 44 clomiphene 44 habitual snoring 44 HSV2 44 pregnant 44 ovulation 44 IPTp 44 HBsAg positive 44 acquire genital HPV 44 barebacking 44 abnormal Pap tests 44 pneumococcal infection 44 NNRTI 44 progestogen 44 nephrotoxic agent 44 Ulipristal 44 Genital mutilation 44 pregancy 44 Kuczek testified 44 abort fetuses 44 contraceptive 44 tenofovir gel 44 HIV seronegative 44 antiviral therapy 44 unintended pregnancy 44 Cytotec 44 collapse Betsy Sathers 44 reinfection 44 malformed fetus 44 ovulation induction 44 GnRH antagonist 44 VivaGel TM 44 Priligy 44 mu opioid agonists 44 placental malaria 44 virologic failure 44 uncircumcised males 44 virus rhinovirus 44 erectile dysfunction impotence 44 ovulate 44 Kailas Gheewala 44 Influenza vaccination 44 TRIZIVIR 44 medicine misoprostol Mifeprex 44 antidepressant therapy 44 Molly Thornberg 44 Uprima 44 Consensual sex 44 tubal pregnancy 44 GnRH agonist 44 intrauterine insemination 44 HIV infected 44 antiretroviral medication 44 retroviral therapy 44 antiretroviral ARV medication 44 condom usage 44 PAP smears 44 gonorrhea chlamydia syphilis 44 tetanus immunization 44 Previously ACOG 44 clitoral orgasm 44 chancroid 44 virginity pledge 44 opiate substitution treatment 44 vaginal bleeding 44 contracting sexually transmitted 44 faking orgasms 44 vaginally 44 exclusively breastfeed 44 BARACLUDE 44 zidovudine 44 oral rotavirus vaccine 44 varicella vaccine 44 tetanus vaccination 44 premenstrual syndrome PMS 44 RhD negative 44 potent antiretroviral therapy 44 multiple gestations 44 zidovudine AZT 44 HAART regimen 44 abruption 44 venereum 44 meningococcal vaccination 44 GUM clinics 44 ella ® 44 oral herpes 43 Pre eclampsia affects 43 antiretroviral therapy 43 applied vaginally 43 MCV4 43 MSMs 43 diphtheria booster 43 Ectopic pregnancies 43 oral copulation sodomy 43 preventing genital warts 43 Post partum depression 43 ethinyl estradiol 43 DTaP vaccine 43 iPLEDGE 43 irregular menstrual cycle 43 Unplanned pregnancies 43 Nonoxynol 9 43 hormone levonorgestrel 43 MULTIPLE ORGASMS AT MIDLIFE 43 estradiol valerate 43 preganancy 43 heterosexually 43 NUCYNTA TM 43 terminate pregnancies 43 unmarried cohabiting 43 cART 43 trivalent inactivated influenza 43 Menactra vaccine 43 Opportunistic infections 43 sexual 43 spontaneous preterm delivery 43 HPV infections 43 antiretroviral medications 43 Multiple orgasms occur 43 INCIVEK 43 blood semen vaginal 43 depressive relapse 43 hepatitis B vaccinations 43 undergoing hysterectomy 43 Preterm delivery 43 coital 43 CMV disease 43 GARDASIL ® 43 Rubella vaccine 43 Chastity Bono announces 43 folate supplementation 43 obstetric complications 43 users IDUs 43 AZT zidovudine 43 abnormal mammograms 43 latent tuberculosis infection 43 abnormal Pap smears 43 abnormal vaginal bleeding 43 Anti Retroviral drugs 43 Post Exposure Prophylaxis 43 insertive 43 genital piercing 43 abortifacient 43 undergone FGM 43 HPV infection 43 azoospermia 43 Paxil paroxetine 43 pneumocystis carinii pneumonia 43 prevent unwanted pregnancies 43 levonorgestrel 43 spermicides 43 APTIVUS ritonavir 43 prescribed psychotropic medication 43 analgesic medications 43 impotence pill 43 Human papillomavirus HPV 43 ectopic pregnancies 43 menstrual periods indefinitely 43 Heterosexual transmission 43 abstinence faithfulness 43 CCR5 tropic HIV 43 prescription opioid painkillers 43 blocked fallopian tubes 43 excretory references 43 delaying childbirth 43 HBV infections 43 dyspareunia 43 membrane rupture 43 lymphogranuloma venereum 43 verifiable parental consent 43 Called Lybrel 43 prenatal multivitamin 43 uterine contractions 43 ALT flares 43 chlamydia trachomatis 43 unwanted teenage pregnancies 43 intrauterine infection 43 oocyte retrieval 43 commit involuntary deviate 43 psychoactive medication 43 Oral contraceptives 43 abnormal pap smears 43 Male infertility 43 causes genital warts 43 recurrent wheezing 43 caesarean delivery 43 spontaneous preterm birth 43 paracetamol ibuprofen 43 induce contractions 43 HIB vaccine 43 DMPA 43 erectile difficulties 43 oncogenic HPV 43 Vitro fertilization 43 HAART 43 prolonged erections 43 Abacavir 43 Kaletra lopinavir ritonavir 43 heterosexually acquired HIV 43 involuntary deviant 43 immunosuppressed patients 42 vaginal infections 42 screening mammogram 42 opioid dependent 42 diseases STDs 42 cohabiting relationships 42 ethambutol 42 Vagifem 42 norethindrone 42 spermicide nonoxynol 9 42 PLWA 42 nevirapine 42 Hepatitis B vaccination 42 monogamous marriages 42 botched circumcisions 42 adulterous affair 42 protease inhibitor PI 42 inhibiting ovulation 42 bacterial sexually transmitted 42 spermicide 42 CERVARIX 42 HAART regimens 42 depot medroxyprogesterone acetate 42 contraceptive implants 42 hormonal contraceptive 42 antiretroviral treatment 42 vaginal hysterectomy 42 pregnancies 42 PREZISTA 42 penile anal 42 luteal 42 premarital sexual 42 Measles Mumps Rubella MMR 42 drospirenone containing 42 reinfected 42 Cialis tadalafil 42 pneumocystis pneumonia 42 opioid painkiller 42 placenta praevia 42 Bayer AG Levitra 42 Pneumocystis pneumonia 42 Premenstrual Dysphoric Disorder 42 preventing ovulation 42 FORTEO 42 seroconversion 42 cytotec 42 antenatal depression 42 sero status 42 cyproterone acetate 42 forcible intercourse 42 adolescent females 42 unplanned pregnancy 42 contraceptive pills 42 severe fetal abnormality 42 orchitis 42 human papillomavirus HPV vaccine 42 unsimulated 42 gestational hypertension 42 anal warts 42 bloodborne diseases 42 Zaburoni 42 chlamydial infections 42 consensual sexual 42 vaginal tearing 42 perinatally infected 42 anorgasmia 42 NRTI backbone 42 milligram aspirin 42 miscarrying 42 LC#m# vaccine 42 violence SGBV 42 vulvar cancer 42 pap smear 42 MTCT 42 remain abstinent 42 Hormonal therapy 42 Johnson Aziga 42 inhibit ovulation 42 vaginismus 42 Rifampin 42 pregancies 42 Human Papillomavirus HPV 42 ARV therapy 42 intramuscular injection 42 nonmarital sex 42 antiretroviral ARV treatment 42 SPRIX ® 42 TB germ 42 Bicillin CR 42 tenofovir 42 orgasmed 42 HAV infection 42 meningococcal conjugate vaccine 42 nelfinavir 42 anal HPV 42 Pneumonia vaccine 42 lopinavir ritonavir plus 42 maternal mortalities 42 vaginal orgasm 42 wedlock pregnancies 42 hormones estrogen 42 ParaGard 42 AZT 3TC 42 hepatitis syphilis 42 egg retrieval 42 reproductive tract infections 42 unnecessary hysterectomies 42 singleton pregnancy 42 valproate 42 Pneumococcal vaccine 42 hepatitis C HCV 42 Trichomonas vaginalis 42 Chlamydia gonorrhea 42 hormone pills 42 pulsatile delivery 42 lopinavir ritonavir 42 fetal malformation 42 Viagra Sildenafil 42 Sexual dysfunction 42 insomnia sufferers 42 Erectile Dysfunction ED 42 Vitamin D supplements 42 hepatitis C genotype 42 MRSA colonization 42 endometritis 42 intravenous rehydration 42 pneumococcal vaccination 42 FORTESTA Gel 42 ejaculations 42 deliver vaginally 42 mifepristone RU 42 transmitted heterosexually 42 Gardasil HPV vaccine 42 venous blood clots 42 menstrual periods 42 ovulating 42 ITNs 42 foreplay 42 untreated chlamydia 42 menstrual cycles 42 Viramune 42 cervical vaginal 42 preaches abstinence 42 ultra rapid metabolizers 42 GARDASIL 42 infertility ectopic pregnancy 42 condomless sex 42 transmitted infections 42 use disorders AUDs 42 Viread tenofovir disoproxil fumarate 42 prevent reinfection 42 unnecessary cesareans 42 stds 42 vaginal secretions 42 Kuoth 42 undergoing IVF 42 Amodiaquine 42 weeks gestation 42 oral PrEP 42 BCG vaccinated 42 SSRI antidepressant 42 antibiotic azithromycin 42 IM progesterone 42 Reye syndrome 42 hiv 41 PPTCT 41 Hep C. 41 Tylenol acetaminophen 41 baseline mammogram 41 uncircumcised men 41 uncomplicated falciparum malaria 41 ALISTA 41 alpha hydroxyprogesterone caproate 41 abacavir 41 peginterferon 41 contraceptive Pill 41 Hiv 41 painful erections 41 nonconsensual sodomy 41 breastfeeding 41 faecal incontinence 41 incurable sexually transmitted 41 teratogenic 41 antiretroviral regimens 41 Levitra vardenafil 41 Sexually Transmitted Infections STIs 41 Clomiphene 41 intrauterine contraception 41 Gestational diabetes affects 41 Pentacel vaccine 41 vulvovaginal 41 embryo implants 41 painful menstrual periods 41 puerperal fever 41 co trimoxazole prophylaxis 41 pill 41 Schaffir 41 ovarian hyperstimulation 41 Sexually transmitted infections 41 intravaginal ejaculatory latency 41 sedating antihistamine 41 human papilloma 41 incorrect dosages 41 spinal anesthetic 41 induce miscarriages 41 Dapoxetine 41 Parenzee 41 SIMPONI ® 41 Reye syndrome rare 41 Chlamydia trachomatis infection 41 recurrent VTE 41 Rhesus disease 41 ARVS 41 suppressing ovulation 41 superinfection 41 febrile seizure 41 federally funded abstinence 41 menstrual abnormalities 41 HBV vaccination 41 cervical secretions 41 selenium supplements 41 department spokesperson Sibani 41 intensive psychotherapy 41 Intelence 41 ante natal clinics 41 teenage conceptions 41 Valtrex valacyclovir 41 Professor Najman 41 adulterous relationship 41 ovarian stimulation 41 unprescribed 41 ruptured ectopic 41 drink champagne brunch 41 Oral Polio Vaccine OPV 41 BYSTOLIC 41 Nothing vulgar obscene 41 clomifene citrate 41 abstinent 41 Pregnancies 41 latex condoms 41 antibiotic prophylaxis 41 lipid lowering medications 41 folate supplements 41 intravenous morphine 41 criminalize consensual 41 pertussis immunizations 41 unexplained stillbirth 41 attending antenatal clinics 41 Aziga 41 conjugated equine estrogen 41 Pneumocystis carinii pneumonia 41 obstetric emergencies 41 Ectopic pregnancy 41 penile penetration 41 FSWs 41 premarital sex 41 abnormal Pap 41 zidovudine lamivudine 41 REYATAZ ® 41 phimosis 41 CD4 + cell 41 Circumcised 41 Exclusive breastfeeding 41 TOPAMAX ® 41 seropositive 41 unemancipated minors 41 GnRH agonists 41 menstrual suppression 41 NRTI 41 sexually transmitted 41 preterm deliveries 41 protease inhibitors PIs 41 antiretrovirals ARVs 41 lewd lascivious molestation 41 taking Gleevec tablets 41 mothers breastfeed 41 pelvic exams 41 Human Papilloma Virus 41 valganciclovir 41 luteal phase 41 Spokeswoman Alexandra Kuty 41 anticonvulsant medication 41 aborting fetus 41 tanned indoors 41 chickenpox vaccinations 41 AMOR IPAT 41 paroxetine 41 Zidovudine 41 prevent fertilized egg 41 irregular menses 41 uterine wall 41 Eltenius 41 consuming alcoholic beverages 41 sildenafil Viagra 41 Mohammed Dica 41 Nevirapine 41 preborn baby 41 criminalizing consensual 41 induced miscarriages 41 Viread Emtriva 41 genital HPV 41 candida infection 41 genital tract 41 hepatitis B vaccination 41 finasteride Proscar 41 cervical abnormalities 41 vaginal estrogen 41 elective Caesarean 41 follicular phase 41 Glezerman 41 Prezista darunavir 41 homosexually active 41 antenatal care 41 terbutaline 41 Circumcising 41 virile reproductive 41 vulvar cancers 41 Sonograms 41 microbicidal gel 41 Edurant 41 azithromycin 41 ovary stimulating 41 pertussis Tdap vaccine 41 Axiron 41 vitamin D supplement 41 Prezista 41 needle punctures 41 Dear Isadora 41 vaginal moisturizer 41 contraceptive injections 41 Follicle Stimulating Hormone FSH 41 IDUs 41 NUCYNTA ® 41 isoniazid 41 cervical smears 41 molluscum 41 asymptomatic bacteriuria 41 von Eschenbach nomination 41 HPV sexually transmitted 41 isotretinoin Accutane 41 Protease inhibitor 41 TRIAD HELP GROUP 41 drank decaffeinated coffee 41 undergone hysterectomy 41 cervical HPV 41 anybody Aidala 41 consensual 41 vaginal irritation 41 cervical smear 41 viral suppression 41 non pledgers 41 statins cholesterol lowering 41 drug misusers 41 antiretroviral naive 41 antenatal clinic 41 Aide Pitino 41 cybersex 41 antiretroviral therapies 41 intercourses 41 human immuno deficiency 41 impregnated mosquito nets 41 acquired immunodeficiency syndrome 40 virological failure 40 vaginal cavity 40 copper IUD 40 intravenous bisphosphonates 40 menopausal symptom 40 onset sepsis 40 neonatal herpes 40 sero positive 40 clomifene 40 unadjuvanted version 40 unexplained infertility 40 Gestiva 40 breastfeed 40 chlamydia 40 pelvic girdle pain 40 tubal pregnancies 40 abrupt discontinuation 40 virological response 40 Male circumcision 40 Order Generic Clomid 40 anti retroviral medication 40 recurrent genital herpes 40 Ulipristal acetate 40 Unwanted pregnancies 40 combination antiretroviral therapy 40 malaria endemic regions 40 saquinavir 40 Anti retrovirals 40 multivitamin supplements 40 synthetic progesterone 40 hormone progestin 40 symptomatic BPH 40 amoxicillin clavulanate 40 Amniocentesis 40 LOVENOX R 40 chatline 40 Diaper rash 40 acetaminophen overdose 40 nonconsensual termination 40 progestin pills 40 varicella infection 40 spontaneous preterm births 40 anal sodomy 40 menstrual migraines 40 vaginal lubricants 40 estrogen progestin 40 nonpregnant 40 herpes 40 Prevention CDC recommends 40 abstinence monogamy 40 undesired pregnancies 40 Td booster 40 menstrual cycle 40 conceiving naturally 40 menstruates 40 SPM Rated PG 40 consentual sex 40 amenorrhoea 40 epidural analgesia 40 contraceptives 40 pelvic exam 40 CMV retinitis 40 gonorrhea chlamydia 40 caesarean deliveries 40 spontaneous nose bleeds 40 Virginity pledges 40 condoms 40 cytomegalovirus infection 40 C trachomatis 40 fetal malformations 40 breech babies 40 sterilisations 40 multidose vials 40 IUD insertion 40 syphilis gonorrhea 40 VIRAMUNE R 40 urinary symptoms 40 transmittable diseases 40 GBS colonization 40 polydrug 40 norgestimate 40 genital sores 40 Kivexa 40 varicella chicken pox 40 Polycystic Ovary Syndrome 40 prescribing medications 40 virologically 40 gonorrhea infections 40 rotavirus diarrhea 40 lopinavir ritonavir Kaletra 40 severe rotavirus gastroenteritis 40 hepatitis B immunization 40 unadjuvanted vaccines 40 fluoxetine Prozac 40 carbohydrate intolerance 40 MeNZB 40 menstruated 40 Phiede 40 nonpregnant women 40 NuvaRing 40 measles vaccinations 40 Love Addicts Anonymous 40 BCG vaccination 40 PMS menopause 40 elective caesarean 40 stavudine 40 invasive cervical cancer 40 loop diuretics 40 #mg tablet [002] 40 acid suppressive medications 40 ovarian hyper 40 nonmedically 40 Preventable diseases 40 pertussis vaccines 40 iron chelation therapy 40 pregant 40 antenatal clinics 40 tetanus diphtheria acellular pertussis 40 malaria endemic countries 40 herpes gonorrhea 40 Insecticide Treated Nets ITNs 40 CCR5 tropic 40 pre eclamptic 40 Chlamydia Gonorrhea 40 anticoagulation therapy 40 Mantoux test 40 bloodborne 40 johns Zugibe 40 containing drospirenone 40 abort fetus 40 herpes zoster shingles 40 recurrent miscarriage 40 injecting heroin 40 statuatory rape 40 H2 blocker 40 radical hysterectomy 40 ARVs antiretroviral drugs 40 extubated 40 abacavir sulfate 40 ovulated 40 childbirths 40 proguanil 40 Marital rape 40 Cohort Study MACS 40 enaged 40 unlawful carnal knowledge 40 episiotomies 40 inSPOT 40 penile sensitivity 40 breast tenderness 40 cryptorchidism 40 hormone androgen