Whenever my fiance and I have sex, which is infrequently, it hurts me. We don't use any protection because if he puts on a condom, it hurts even more. I'm not working so I can't afford to go to a doctor and get birth control. He always pulls out and so far I haven't gotten pregnant. Is there any danger of that happening?

You have been lucky so far that you have not gotten pregnant, because the fact is that there is a pre-ejaculatory fluid at the tip of the penis that contains thousands of sperm. Since you are not working, I am sure that you could find the time to get yourself to a Planned Parenthood clinic, and if your boyfriend is working, he could give you the money.

As far as the pain that you are experiencing, there are a few possible causes. One is that you do not have enough foreplay so that when you have intercourse you are not sufficiently lubricated. Another is that you do not naturally produce enough wetness so that you may need to supplement with an over-the-counter product like KY Jelly. Or the position that you and your boyfriend use is not comfortable, in which case you should try some others. Or you may have a vaginal infection that is causing the pain. When you go to Planned Parenthood, they can give you a checkup to determine if you do have an infection.

Marriage is a big step toward adulthood. It is important that you take your responsibilities seriously, including your health. Please call a Planned Parenthood clinic to make an appointment today.