I feel exhausted all the time but blood tests came back clear, what’s wrong? Comments Off on I feel exhausted all the time but blood tests came back clear, what’s wrong? 472

DO you have a niggling health worry? An ache or pain that won’t go away?

Or are you struggling to make sense of all the health advice on social media?

Olivia WestFrom feeling exhausted to clinics for moles, Dr Zoe answers your health queries[/caption]

Dr Zoe is here to help. 

“If you’re worried about anything health-related – be it physical or mental health – or want some advice on how to live a healthier lifestyle, email me at [email protected],” she says.

“I aim to answer as many questions as I can each week.”



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DEAR DR ZOE: I’M feeling exhausted all the time.

My bloods came back fine, do you have any ideas what it might be?

I do have Covid anxiety – could that be it?

ZOE SAYS: We GPs use an acronym for this. It’s TATT, which means “tired all the time”. 

There are hundreds of possible causes, which could be physical, mental or social. 

Often, a specific cause is never found and things just get better after a short time, but if this symptom of unexplained fatigue lasts longer than a few weeks then it is best to visit your GP for a discussion. 

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While in your case the blood tests are normal, they are often done to check for things such as anaemia, under or overactive thyroid, kidney function and diabetes. 

Some of the biggest causes are linked to stress, sleep and our emotional health. And of course fatigue is a very common symptom of post-Covid syndrome, known as long Covid. 

It might be worth having another chat with your GP about the anxiety, or even self-referring for NHS talking therapy at nhs.uk/talk. 

There can also be some “red flags” that would mean your GP should monitor you very closely and think about ­further tests. These include things such as unintentional weight loss, persistent coughing, any blood loss, unexplained lumps or lymph nodes that remain enlarged for longer than two weeks.

DEAR DR ZOE: IS there a specific clinic for mole and blemish checks?

I am not sure what I’m worried about warrants a GP appointment.

ZOE SAYS: If you are not concerned and just want to monitor non- suspicious moles and blemishes, then there isn’t a clinic available to check this on the NHS. 

It would mean going private. 

However, if there is a mole or other skin lesion that you have concerns about, then you should arrange to see your GP as a first port of call.

It’s important to get a new or existing mole checked out if it changes shape, looks uneven, changes colour, gets darker, has more than two colours or if it starts itching, crusting, flaking or bleeding.

If you prefer to monitor for a while, or while waiting for your GP appointment, you should take photographs of the lesion in question to track any changes. 

It is a good idea to do this in bright natural light with a ruler next to the lesion, so that you can easily identify any ­alterations in shape, colour and size.

DEAR DR ZOE: I’VE been diagnosed with a prolapse and my cervix is slipping down.

I’m doing pelvic floor exercises and can manage everyday life at the moment, but I’m only 59.

Is it OK to still make love with my husband?

I’ve got a bit of lower back pain? Will this be because of the prolapse?

ZOE SAYS: Yes, yes, yes, 100 times yes – you can have sex with your husband. 

That’s as long as it is not causing you any discomfort. If there is discomfort then there are treatments that can help so you can enjoy your sex life.

A prolapse occurs when a woman’s vaginal wall weakens and this can cause the uterus (as in your case), rectum, or bladder to bulge into the vagina. 

Please do keep up the pelvic floor exercises as this is your best protection from having any related issues in the future. 

Based on the data, pelvic organ prolapse is not a cause of back pain. 

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Many of us can improve back pain long-term by strengthening our core muscles. 

Pilates would be wonderful for you as it strengthens both core muscles and aids the function of the pelvic floor, so it would be perfect. 

Email your health questions to Dr Zoe at [email protected]

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Managing Relationships While Working in the Adult Industry Comments Off on Managing Relationships While Working in the Adult Industry 258

Navigating romantic relationships can be complex, and this complexity often intensifies when one or both partners are involved in the adult industry. In this guide, we’ll explore practical strategies for maintaining healthy relationships, fostering open communication, and addressing challenges that may arise when one’s profession involves adult entertainment.

1. Open Communication:

Communication is the foundation of any healthy relationship, especially when working in the adult industry. Establishing open and honest communication channels helps build trust and understanding between partners.

Example: Provide communication tips, such as setting aside dedicated time for discussions, creating a judgment-free zone, and actively listening to each other’s concerns.

2. Establishing Boundaries:

Clearly defining and respecting boundaries is crucial for both partners. Discussing comfort levels, expectations, and limits ensures that both individuals feel secure in the relationship.

Example: Offer guidance on how to have constructive conversations about boundaries, emphasizing the importance of mutual consent and compromise.

3. Building a Support System:

Developing a robust support system is essential. This includes friends, family, or colleagues who understand and respect the nature of the profession and can offer support during challenging times.

Example: Share stories of couples who have successfully built strong support systems and provide tips on how to nurture these networks.

4. Trust and Transparency:

Trust is a cornerstone of any relationship but becomes even more critical when working in the adult industry. Being transparent about one’s work and addressing concerns promptly helps foster trust between partners.

Example: Illustrate the positive outcomes of trust-building actions, such as being open about work schedules, discussing potential challenges, and offering reassurance.

5. Educating Partners:

Sometimes, misunderstandings arise due to lack of knowledge. Educating partners about the adult industry, its dynamics, and dispelling common myths can promote a better understanding of the profession.

Example: Create a guide for individuals to share with their partners, explaining the realities of the adult industry, emphasizing the consensual nature of the work, and addressing misconceptions.

6. Coping with External Judgments:

Working in the adult industry often comes with societal stigma. Discuss strategies for coping with external judgments and maintaining a strong sense of self-worth within the relationship.

Example: Share empowering stories of individuals who have successfully navigated societal stigma, emphasizing self-love and resilience.

7. Seeking Professional Guidance:

Relationships can benefit from professional guidance. Encouraging couples to seek counseling or therapy when faced with challenges can provide a neutral space for communication and support.

Example: Highlight success stories of couples who have sought therapy to strengthen their relationship and provide resources for finding qualified professionals.

8. Planning for the Future:

Discussing future plans is vital for any couple. Addressing long-term goals, such as career transitions or family planning, helps both partners feel secure and invested in the relationship.

Example: Offer advice on creating a shared vision for the future, navigating career changes, and making joint decisions that align with both partners’ aspirations.


Successfully managing relationships while working in the adult industry requires a combination of open communication, trust-building, and a proactive approach to addressing challenges. By fostering understanding, establishing clear boundaries, and seeking support when needed, couples can build strong, resilient relationships that thrive despite the unique demands of the profession. Remember, every relationship is unique, and adapting these strategies to suit individual needs is key to a fulfilling and supportive partnership.

Understanding and Navigating the World of Online Adult Content Comments Off on Understanding and Navigating the World of Online Adult Content 250

The internet has transformed the way we access and consume information, including adult content. Navigating this vast and often complex digital landscape requires understanding, responsibility, and respect. In this guide, we’ll explore key aspects of online adult content, helping you make informed choices while ensuring a safe and enjoyable experience.

1. Diverse Platforms and Formats:

Online adult content is not confined to a single platform or format. From websites and streaming services to interactive content, understanding the variety available is essential.

Example: Differentiate between mainstream adult websites, premium subscription services, and emerging interactive platforms, providing a glimpse into the diverse options.

2. Privacy and Security:

Respecting privacy is crucial when engaging with adult content online. This includes understanding the importance of secure connections, anonymous browsing, and being mindful of personal data.

Example: Provide tips on using virtual private networks (VPNs), secure payment methods, and the importance of reading privacy policies on adult websites.

3. Responsible Consumption:

Consuming adult content responsibly involves being aware of ethical considerations. This includes consent, avoiding illegal content, and understanding the potential impact on relationships.

Example: Share stories or case studies illustrating the importance of responsible consumption and the potential consequences of engaging with non-consensual or illegal content.

4. Age Verification and Restrictions:

Most countries have regulations regarding the access to adult content, often requiring age verification. Understanding and complying with these regulations is vital for legal and ethical reasons.

Example: Provide a step-by-step guide on age verification processes on different platforms and emphasize the importance of adherence to legal requirements.

5. Impact on Mental Health:

Consuming adult content can have varying effects on mental health. It’s crucial to be aware of the potential impact and seek support if needed.

Example: Discuss the potential consequences of excessive consumption, addiction, or unrealistic expectations, and provide resources for mental health support.

6. Consent and Ethical Production:

Understanding the concept of consent extends to the production of adult content. Ethical consumption involves supporting platforms and creators that prioritize the well-being and consent of performers.

Example: Showcase initiatives or platforms that prioritize ethical production, emphasize performer rights, and provide fair compensation.

7. Balancing Fantasies with Reality:

Distinguishing between fantasy and reality is important when consuming adult content. Developing a healthy perspective on sexuality involves recognizing the difference between scripted entertainment and real-life relationships.

Example: Share anecdotes or expert opinions on how to maintain a balanced view of sexuality and relationships while consuming adult content.

8. Community and Education:

Online communities and educational resources play a role in promoting healthy discussions about adult content. Engaging with like-minded individuals and staying informed contributes to a positive online experience.

Example: Highlight reputable online forums or educational platforms where individuals can learn more about various aspects of adult content, share experiences, and ask questions.


Navigating the world of online adult content requires a balanced approach, combining awareness, responsibility, and respect. By understanding the diverse landscape, prioritizing privacy and security, and promoting ethical consumption, individuals can ensure a positive and consensual online experience. Remember, responsible engagement contributes to a healthier digital environment for both consumers and content creators alike.

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