Thursday, December 31, 2009

IUDs, NuvaRing & asphyxia


A ParaGard Copper T 380A IUD

A reader asked: “Can IUD strings cause air embolisms?” The answer is that the strings themselves can’t cause an embolism. However, they can make it more difficult for the wearer to protect herself from the possibility that an embolism could occur. That’s because the strings can interfere with the seal of any gas guard she may wear to protect her upper reproductive tract from having fluids and gasses forced into her cervix during BDSM play or dive-sex.

Commercially available IUDs with frames such as the ParaGard, that uses copper as the spermicidal element or the Mirena, that uses the continuous release of a tiny amount of progestin to suppress ovulation, both have strings which the wearer uses to periodically check the position of the device to make sure it is where it is supposed to be. These IUDs are not suitable for a woman who is into pussy-play and dive-sex, especially the dive-sex variant, ‘vaginal breathing’ where a modified mouthpiece of a single-hose regulator (a VDV or vaginal demand valve) is inserted in the vagina and the wearer operates the demand valve with her vaginal muscles. [For more about vaginal breathing orgasms see my entry for October 4, 2009.] In my opinion any woman who would participate in a vaginal breathing encounter while she has an IUD with strings inserted is playing Russian roulette.

An asphyxia Accident: another accident Taryn and I recently tided up after was an ‘accidental’ death by suffocation or a gassing. With that sort of thing it is usually impossible to prove that it was anything other than an accident. In many cases it could be that the equipment was used incorrectly while soloing or his (or her) partner used a bit too much pressure or left the wearer w/o air for a bit too long which resulted in irreversible brain damage or death. Most of the accidents happen to women - almost certainly while participating in some male fantasy - but this one was a young man in his early 20s and he was in great physical shape. He was beautiful and nude and lying on his bed wearing only a latex hood that had sound deadening cups over the ears and a Mestel 400 gasmask that had a 3 liter black latex rebreather bag screwed into the canister port. When I pulled his mask off it was clear that his death wasn’t totally accidental. That’s because there was still the slightest sweet scent of chloroform in the oral nasal unit and the valve on the rebreather bag was closed. All sorts of gasses and stimulants are commonly inserted into gasmasks through the drinking port so that’s probably how the chloroform was administered. There was no bottle, syringe or other container for the chloroform anywhere in the victim’s apartment. That suggests the anesthetic was administered by someone who left the victim unconscious to suffocate from the buildup of CO2 in the mask because the valve on the rebreather was closed. He must have been using a performance enhancer and developed Priapism because he still had his hand on his penis which was massively erect – with dried semen splattered on his flat belly and chest - and he had been dead for hours when we arrived to tidy up. At first I thought he was wearing a cock-ring but he wasn’t, his erection was naturally huge!

I’m guessing it might have been a girlfriend who offed him after she found him cheating on her. Or perhaps she just wanted him to nap a while and if she was new to the breath play scene perhaps she forgot to open the valve on his rebreather. With his hearing blocked, if he had his eyes closed while masturbating she could have slipped up and inserted the chloroform into his masks drinking port while he was gasping for air during orgasm. Done while he was orgasmic his slipping into unconsciousness would have been almost instantaneous. I really wanted to straddle him and ride his rod because I’ve never fucked a dead man, but not knowing his sexual history even if I used an FC-2 to take him I decided it wasn’t worth the chance of an incurable infection. Dressed in Co-Op housekeeper’s uniforms we rolled him into a latex body-bag and took him out in a laundry cart.

NuvaRing and a rare case of Nymphomania: One of Cyndi’s friends attending a local public high school has recently switched to NuvaRing as her hormonal contraceptive. She was on Mircette which uses Desogestrel, a fourth generation progestin, in a dosing regimen of: 0.15mg DS, 20mcg EE for 21 days, 10mcg only 5 days. She decided to switch to NuvaRing because she wanted a simpler dosing regimen. NuvaRing uses etonogestrel, the first metabolite of Desogestrel so it’s basically the same progestin she was on when taking Mircette but since the hormones are absorbed continuously and transdermally the NuvaRing dosing regimen is: 0.12mg of etonogestrel, and 15mcg of EE per day for 21 or 28 days. The ring is inserted for three weeks and then removed for one for the user’s ring-period. If she needs to move her period the ring can be left in continuously for up to 28 days with no decrease in effectiveness. So as a hormonal method NuvaRing has a lot of advantages over pills.

Cyndi’s friend has been on the Ring for three cycles now and her libido had increased dramatically. Increased libido can sometimes happen but usually if there are libido issues it is often a major decrease in sex drive so she is pretty happy as is her boyfriend who has been getting a lot more action in the last several months. The girl is a ballet student like Cyndi – they met at a local competition – and is in great shape and Cindy says her friend’s vaginal grip is quite strong, which is what she is hearing from her boyfriends, but since she has taken pointe for years that is a common side effect just as callused toes are. The problem Cyndi’s friend has with NuvaRing is that her partner is so large that he can hook the ring and pull it out. The ring can be removed for three hours at a time w/o decreasing it’s effectiveness so what she started doing is removing the ring before sex and reinserting afterward. That worked as long as she remembered to reinsert after sex, but remembering has become a problem and this week she missed her ring period and tested positive for hCG, the pregnancy hormone. So Cyndi is bringing her in for a menstrual extraction tomorrow and no one will be the wiser. Cyndi suggested that she see if she can get an Implanon implant which also uses the progestin etonogestrel and is good for three years so she won’t have to worry about remembering anything.

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Powys , Wales, United Kingdom
I'm a classically trained dancer and SAB grad. A Dance Captain and go-to girl overseeing high-roller entertainment for a major casino/resort