A Milex diaphragm fitting set
with five sizes 65mm – 85mm in 5mm increments
The Photo: Shows a
CooperSurgical Milex contraceptive diaphragm fitting set and a demonstration
unit to show patients how to insert it correctly. The silicon Milex wide seal
diaphragm comes in two rim styles an arcing spring and the Omniflex which has a
coil spring rim and comes in 8 diameter sizes,
60mm through 95mm in 5mm increments.
The Milex Arcing spring rim is similar to the (now
discontinued) Ortho All-Flex in rim spring strength. However, unlike the
All-Flex the Milex Arcing spring folds on two elbow hinges so must be
compressed at two specific spots on the rim. The Omniflex can be folded by
compressing it anywhere on the rim.
A wonderful training opportunity:
Jack and Chris, our male Gyn, had been working for several months on a really
great opportunity for the girls to meet some young male Gynecologists who are
rising stars in their profession. The opportunity occurred because there was a
Gyn conference in Inverness this past week which they were all attending.
Diaphragm and cervical cap fitting is no longer being taught in med schools so since
my wards and I would be in the area for the vernal equinox Chris offered to conduct
a short course in cervical barrier fitting for five of the interested young
doctors and got permission to hold it at Crag Abbey.
He had cleared it with me first and I had gotten the
required permissions for the girls to miss classes for several days to
participate in a ‘medical seminar’. And of course anything that involves the
vaginas of reproductive age women interests His Grace so the cervical barrier
short course is underway and includes the silicone FemCap as well as the silicone
Ortho All-Flex, the Milex wide seal arcing spring, the Milex wide seal Omniflex
(coil spring) and the latex Reflexions flat spring devices and a new device
that recently appeared on the market, the single size Caya contoured diaphragm
that was designed to be used by women taking a traditional diaphragm in a range
of the four most commonly prescribed sizes, 65mm through 80mm.
How the seminar works: First
there is a lecture on the particular device to be fitted (it’s positive and
negative features and how it folds for insertion and removal techniques. Then
there is a fitting demonstration with me as the patient and Chris as the
fitter. Then the individual student Gyns take one of the girls or me as a
fitting patient while Chris supervises the individual fitting processes; the
pelvic exam (minus the PAP smear) to check for suitable pelvic anatomy needed
for a correct fit and effective use of a cervical barrier; a pronounced
post-pubic vault and a cervix that is not too anteverted or retroverted.
My women readers I’m sure are starting to squirm at the
though of having six pelvic exams in a few days even if they don’t include PAP
smears, but the girls and I are up for it and having lovely hunky knowledgeable
men gently fondling our reproductive organs can be a huge turn-on which in
itself is a problem when a Gyn is trying to fit the woman with a diaphragm of
the correct size. That’s because if a patient becomes aroused while being
fitted her vagina will tent (lengthen) so there is a good chance she will be
prescribed a diaphragm that is too large with the attendant poor seal causing
reduced effectiveness and discomfort that could cause a UTI.
To avoid that the Gyn should be professional and quick in
his or her measurements and fitting and exchanging the correct size with a
larger and smaller size so the patient can feel the difference with her
fingers. That’s so if she gains or loses weight she can check with her fingers
to verify her fit. A change in weight of +/-10 lbs and she should have her fit
checked by a knowledgeable fitter. Usually a gain in weight requires a smaller
size and a decrease in weight requires a larger size, but not always.
STI screening: Getting recent
full STI panels on the five student Gyns and Emma wasn’t as difficult as I
first feared. They were each able to supply a current and clean full STI panel
as they had been told it was a requirement for participating in the course.
Esthetics: A few days before we
left my wards and I went to Body Buffers for a full body waxing, everything but
eyebrows and scalp hair. The dresser who travels with me also works at Body
Buffers as an Esthetician for a few elite clients and we all go to her. She
gives our pubes the smoothest and the least painful waxing of any Brazilian
Esthetician I’ve ever used. My girls call her pubes waxing our ‘ballet bushes’,
meaning there isn’t a trace of pubic hair anywhere on any of us when she is
through. Women working in erotic dance and as escorts have long known that waxed
pubes are the easiest to keep clean and provide the best line under very small
gossamer costumes as well as a smooth surface for a man’s bush to rub against
when we are entered from the front.
Emma: One of the student Gyns
brought along his twenty-seven y/o wife, Emma, who is using the Symptothermal
method of contraception (that measures basal body temp, cervical position and
cervical fluid) backed by a fertility computer and condoms during her fertile
days. I thought she might be a hindrance to the seminar. However, I found she and
her husband are very broadminded about sex among friends. Too, she has been
interested in trying cervical barriers in lieu of condoms and being fitted with
CBs she was thrilled as much as the other girls to have the opportunity to
enjoy intimate relations with each of the student Gyns. We all felt that sampling
six new men known to be STI free and knowledgeable about female anatomy; the
five student Gyns and Chris was a chance not to be missed.
The girls, including Emma, spent half a day with each Gyn then
moved to a different one, Chris making the sixth Gyn, and each gave his
‘patient’ road tests of their barriers so all six of us girls were able to have
sex with each of the six men. Jack had
been called away to London on estate business so with Emma, my four wards and
me that gave us a one-to-one ratio of women to men, ideal for a seminar of this
nature that requires women circulating between partners so the Gyns can learn about
how different women react and different barriers feel. Important knowledge when
they will be counseling patients about their choice of a cervical barrier. Then
we all move to the study fitting and trial of a different device. The cervical
barriers being studied and fitted are: 1. Ortho All-Flex arcing spring –
included because while manufacturer discontinued there are still so many in
use. 2. The Milex Arcing spring and, 3. The silicone Omniflex, coil spring rim.
4. The latex Reflexions flat spring, 5.The Caya single size contoured rim and
6. The FemCap. The seminar is going
extremely well and is being enjoyed by all concerned as we get to sleep with a
different man each night.
The last two days will be spent giving the student Gyns
experience with Ballet-sex, dive-sex and under-thrusting coil spring and Caya diaphragms.
Usually the last day(s) of a seminar are noted for the attendees disappearing,
but that won’t be the case with this one because there is nowhere for them to
go and no attending heterosexual male is going to miss two days of ballet-sex
in the studio and dive-sex (in the Abbey’s heated pool) with lovely, young,
experienced and very tight muscled girls. Jack had twelve sets of SCUBA gear
with OTS Guardian FFMs, tanks and a portable air compressor for refilling tanks
as well as a Divemaster laid on for our day of dive-sex training. I’m CD17 and
all of us are luteal except Emma who is fertile and overdue to ovulate. She
thinks it is due to the stress of being with so many new men, which is probably
the case.
Coaching Emma: Since Emma would
be having sex with her husband plus five new men repeatedly over in interval of
four days and she wasn’t as sexually experienced as the rest of us girls I took
her aside and taught her a bit about penetrative sex with multiple partners.
Things like making sure she inserted the prefilled disposable (surface size 5ml
or the 10ml for dive-sex prefilled applicators) of Dive Gel+ before her first
encounter with each new man and to urinate before and immediately after sex to
minimize the likelihood of UTIs an YIs from the different bacteria from so many
men over such a short time and to check the placement of her diaphragm or cap
immediately before and again immediately after each act of IC.
Fortunately Emma took ballet in school and has continued
adult pointe classes after her work as an office manager for an engineering Co.
in London. She also routinely practices Kegels with one inch Pyrex Ben Wa balls
and I found she is tightly muscled when I checked her pelvic anatomy to make
sure she was physically suitable for the seminar. It’s amazing how many Gyn and ER doctors’
marry sexually adventuresome women who take pointe and Emma is relatively good
for someone taking only three ninety minute classes a week. Jack had previously
alerted her husband about how the seminar was set up so she knew to bring
practice clothes and pointe shoes (she wears Grishko 2007s) and we all take
class in the tower studio that had been built for Cyndi where I have practiced
for years.
I was fortunate and managed to catch her a few days before
we arrived and discussed the desirability of having her pubes waxed, if for no
other reason that there would be a lot of activity down there and even a
tightly trimmed bush tends to get in the way with that much activity. She was
already ahead of me and had booked a full body waxing. I suggested that since she would be new to ballet-sex
she might want to stop by a local dance shop, she went to Dancia International (the
one in Drury Lane), to be fitted for hard shanked Gaynor Minden shoes for her
introduction to ballet-sex. Otherwise she would have had to wear her Grishko
2007s which I think would have been very unpleasant for her. Even in hard
shanked GMs I’m not sure how well her feet and calves will hold up during
ballet-sex.
Looking a day or two ahead: The
weather forecast for Inverness is for clear or partly cloudy through this
Friday with the evening temps at or just above freezing and in the high 40s
during the day. So we should have good weather for the start of our return
home.