Fundamentals of Dive-Sex class, latex-grab

His condom burst! I’m fertile! I am SO fucked!

Casino dive-moms: Several women working in our casinos came to me asking that I teach a ‘Fundamentals of Dive-Sex’ course during spring break because they have daughters who will be taking courses at the University of Hawaii in Honolulu this summer and want to ensure they know how to protect themselves during an underwater sexual encounter. West coast girls have been taking summer courses at UH almost forever, but until recently there didn’t appear to be a need for gas-guards as underwater intercourse was fairly rare and if there were serious injuries none seemed to make the headlines. The students I taught will be at the University of Hawaii Manoa campus on the north side of H1 inland from Waikiki, but can easily get to the outer islands on weekend trips.

The Fundamentals of Dive-Sex course I taught included: Being fitted for FemCaps or Reflections flat spring latex diaphragms for use as gas-guards or as one student called her FemCap ‘Flood Insurance’, since its needed to prevent water being forced into the uterus if the vagina floods which, as returning readers know, is very common during underwater penetrative sex. I taught how to correctly insert their gas-guards, what lubricants to use and how to apply them and the use of Ben Wa balls for pelvic muscle toning. All the girls were on Yaz or Beyaz so I didn’t stress the normal need to use a spermicide with their cervical barriers, but they will be using DiveGel+ as their lube which has the O9 spermicide Semécide in it so that was covered. I also taught how to use the FC2 female condom – correct insertion technique and to make sure he reenters inside the sheath if he slips out - if for some reason they couldn’t use their cervical barriers for an underwater encounter.

Latex-Grab: Lastly I taught the girls about latex-grab. That’s where, if both partners are wearing barriers, a lot of their natural lubricant is trapped within each barrier and that is especially true for diaphragms since they cover almost the entire anterior wall of the vagina. An additional complication is if the woman is also on hormonal contraceptives. The progestin in hormonal birth control can dry up the normal vaginal lubricant for some women so that even when aroused they are relatively dry. In addition to the pain involved in having sex while not sufficiently lubricated, a potentially more serious problem is that the friction of the condom tip on the dome of the diaphragm can cause the condom to burst or pull the diaphragm off the cervix leaving her unprotected, or both. Latex-grab is particularly common when a couple is using both a latex condom and latex diaphragm though it can also occur with silicone diaphragms and polyurethane condoms.

The supplies: I provided each student with the necessary supplies for the course as well as what each should need for summer school. They were: a primary cervical barrier either the Reflexions latex flat spring diaphragm (because it is especially difficult to under-thrust) or a FemCap; two 25 count boxes of prefilled 10ml DiveGel+ disposable applicators; two doses of Plan B One-Step in case she forgets to take her pills. Plan B is better in their case since they will need to continue taking their regular birth control pills; a package of 10 FC2 female condoms, which are about $.90 each through our clinic. And since the students are dependents of casino employees they are covered under the casino’s reproductive health care insurance so they could be enrolled in the clinical trial to use DiveGel+.; and finally for the class each student was provided a set of (two individual) one inch diameter .6 oz Pyrex glass vaginal training balls.

Several needed to be SCUBA certified first and the five that ended up in the class I taught were very highly motivated and worked hard to get the technique down correctly so that if necessary they could teach their partners what they needed to get the most from the experience. It’s so nice when I’m working with highly motivated young women. The First summer session at UH Manoa is May 21 – June 29, and the second session July 2 – Aug 10, 2012 and my Vegas girls will stay for both sessions.

Label change for birth control pills containing Drospirenone: Birth Control Pills Containing Drospirenone: Label Change-Products may be associated with a higher risk for blood clots

“FDA has completed its review of recent observational (epidemiologic) studies regarding the risk of blood clots in women taking drospirenone-containing birth control pills. Based on this review, FDA has concluded that drospirenone-containing birth control pills may be associated with a higher risk for blood clots than other progestin-containing pills.” The full Safety Alert can be found HERE

The FDA Approved Oral Contraceptives containing Drospirenone are:

Drospirenone and ethinyl estradiol: Drospirenone 3 mg and ethinyl estradiol 0.03 mg
Ocella: Drospirenone 3 mg and ethinyl estradiol 0.03 mg
Safyral: Drospirenone 3 mg, ethinyl estradiol 0.03 mg, and levomefolate calcium 0.451 mg
Syeda: Drospirenone 3 mg and ethinyl estradiol 0.03 mg
Yasmin: Drospirenone 3 mg and ethinyl estradiol 0.03 mg
Zarah: Drospirenone 3 mg and ethinyl estradiol 0.03 mg
Beyaz: Drospirenone 3 mg, ethinyl estradiol 0.02 mg and levomefolate calcium 0.451 mg
Drospirenone and ethinyl estradiol: Drospirenone 3 mg and ethinyl estradiol 0.02 mg
Gianvi: Drospirenone 3 mg and ethinyl estradiol 0.02 mg
Loryna: Drospirenone 3 mg and ethinyl estradiol 0.02 mg
Yaz: Drospirenone 3 mg and ethinyl estradiol 0.02 mg

Increased clot risk for some hormonal birth control

Yaz birth control pills

FDA Details Clot Risk for Birth Control Products
By John Gever, Senior Editor, MedPage Today
Published: October 27, 2011

“Worrisome increases in thrombotic risk associated with hormonal contraceptives are not limited to those containing drospirenone, according to an FDA report issued Thursday.
Compared with hormonal contraceptives with relatively low estrogen doses, norelgestromin/ethinyl estradiol transdermal patch and etonogestrel/estradiol vaginal ring products were both associated with increased risk for venous thromboembolism (VTE), as were birth control pills containing drospirenone, according to the retrospective database analysis.

FDA researchers ran the analysis on records maintained by Kaiser Permanente for members in California and state Medicaid programs in Tennessee and Washington, covering a total of more than 835,000 women who received contraceptive prescriptions from 2001 to 2007.

After adjusting for demographic and other factors, the analysis indicated the following relative risks, with low-estrogen hormonal contraceptives as the reference:

• Drospirenone products: 1.74 (95% CI 1.42 to 2.14)

• Norelgestromin/ethinyl estradiol transdermal patch: 1.55 (95% CI 1.17 to 2.07)

• Etonogestrel/estradiol vaginal ring: 1.56 (95% CI 1.02 to 2.37)

Younger women (those up to age 34) appeared to be at higher risk for VTE for all three product types, the study showed.

And the clotting risk was not limited to VTE -- arterial thromboembolism was significantly increased among women 35 and older taking drospirenone products for the first time.

Thrombosis has long been a concern for hormonal contraceptives of all types and doses. But a number of studies have suggested that the risk differs among the multitude of product types now available.

Drospirenone came into the FDA's crosshairs earlier this year when two studies found that the VTE risk was doubled or tripled relative to levonorgestrel-containing pills.
Previous studies had also identified possible increases in risk associated with the patch and vaginal ring products, although the FDA had not formally announced a safety review, as it had done for the drospirenone products.

All of the previous studies were relatively small and fell short of the quality needed to form the basis for regulatory action, the FDA indicated.

Late last month, after reviewing the preliminary data from the Kaiser/Medicaid analysis, the agency said it still had not reached a conclusion about the degree of risk. That remains the case, according to the FDA this week.

It plans to present all the data to its Reproductive Health Drugs and Drug Safety and Risk Management advisory committees at a joint meeting on Dec. 8.”

Personal comment: Birth-control pills that contain drospirenone include Bayer's Yaz, Yasmin, Beyaz, Safyral; Sandoz's Syeda and Loryna; as well as Barr Laboratories' Ocella, Watson Pharmaceuticals' Zarah and Teva Pharmaceuticals' Loryna. Etonogestrel is also used in the single rod implant Implanon.

It will be interesting to see what the FDA decides because they have known about the problems with Ortho Evra (the patch) – because of the much higher average estrogen dose - for years and have done nothing more than require warning labels for the product.

An ideal breath play FFM

Desco Inferno free flow FFM ideal for breath play

An ideal breath play FFM: The surface supplied Desco FFM worn by an escort in the photo above is ideal for underwater breath play in my 68 foot deep pool. That’s because this models recommended max depth is 30 feet after which – even with the free flow valve fully open - the air pressure isn’t sufficient to provide enough air for strenuous activity and the deeper a diver goes the more difficult it becomes to breathe. That makes it ideal for breath play during strenuous dive-sex at 45 or 50 feet where the wearer is struggling to breathe and her face is being pushed deeper into her mask by the pressure. Having my face pushed closer to the lens of the mask also decreases the masks buoyancy, which makes me sink faster. I’ve found wearing a Desco FF FFM during orgasms at 50 feet to be an amazingly intense experience while trying to suck enough gas to prevent asphyxiation. It is relatively safe (if I don’t pass out) as all I need do is ascend to increase the air in my lungs. In my experience it’s almost always the woman who wears a Desco FF FFM for breath play because most men can’t function effectively enough when deprived of air to get his partner off. Though, it might work for a man who is masturbating because it works for me when I’m fucking myself with a dildo.

To prevent accidentally pulling the mask off if my air hose gets yanked during a sexual encounter I loop it under my left arm and once around my body so the hose will just tighten around my chest, above my breasts, rather than flood or pull my mask off. I haven’t yet figured out how to assure my ascent if I should pass out during solo breath play, which leaves me at considerable risk of suffocating, or worse permanent brain damage from lack of oxygen, but that does add a frissson of terror to use of the Desco for breath play during solo dive-sex. I do wear flippers to speed the ascent, but I’ve had times I was so starved for oxygen I could hardly move. The easiest thing to do would be to arrange a weight drop from an inflated buoyancy control vest if I should pass out, but I hate wearing a BCD when I’m masturbating so I haven’t given a safe ascent strategy the attention it deserves.

Induced lactation for escorts: I was asked to help coach a few experienced escorts who want to offer breastfeeding as a chargeable service. I declined the request because of my other commitments and the fact that I plan to be traveling for several months during the summer. Inducing lactation is not a step an escort, or any woman, should take w/o giving it serious thought because it is time consuming to prepare the breasts of a nulliparous woman for lactation. It is also labor intensive to pump to first stimulate and then empty lactating breasts and provide good nipple care with lanolin cream to prevent cracked nipples and clogged milk ducts. In addition, it almost always requires hormone therapy and a hospital quality twin breast pump is a must for times when there will not be an infant or adult lover to breast feed, because over-filled breasts are unbelievably painful. More than half the girls who think they want to induce lactation drop out of the program. They don’t follow the lactation protocol long enough or thoroughly enough to get meaningful amounts of milk which leads to discouragement and then they quit after having spent months and considerable money having nothing to show for their trouble.

My own experience, never having been pregnant, was that I accidentally induced lactation and from all accounts of problems inducing in nulliparous breasts my milk arrived fairly easily as far as the time it took and the amount of milk I produce. I began lactating in about three months of fairly constant nipple manipulation from getting into and out of latex encasement suits when I was a rubber fetish model one summer about 6 years ago and at the same time I had a lover who was into dancers with small breasts and he was constantly at my breasts sucking my nipples when we were at my apartment or even in public places in Montréal. I’m told my prolactin level was high and I had been experimenting with the birth control pill Yasmin and unbeknownst to me at the time the Progestin in it prepared my breasts for the production of milk and Oxytocin from all the breast play stimulated its release. Even now it’s time consuming to breastfeed or pump and perform breast maintenance, but breastfeeding or pumping is so arousing that it contributes significantly to my enjoyment of penetrative sexual encounters, especially with men.

Orienting Ballet SI teachers: I have been orienting male ballet teachers for St Lucy’s Summer Intensive to be held this June and July. Their background and accomplishments in the art are well known to me, but I’m testing their sexual stamina because St Lucy’s SI is known for the intimacy with which student and teachers interact and the fact than none of the instructors wear condoms. The men all are between the ages of 25 and 33, have had the complete course of Gardasil HPV vaccine injections and have had a recent, full and clean STI panel, just as have all students admitted to our SI. There were far more applicants than we needed even though our male instructor to student ratio is 1:10. So it was a matter of selecting the ones with personality, the charisma to charm a student out of her tights with a single glance and the sexual stamina and control to hold her in orgasm until she faints. The SLSI is known for providing a ‘Las Vegas ballet experience’, meaning its dedication to Vaganova method and its liberal view of student faculty relations, so an instructor unable to perform during an intimate training session with a student would be an embarrassment to the school. Therefore, we try to select only expert male dancers who are known for their sexual stamina.

Our SLBI students have been referred to us by their teachers as adventuresome women who enjoy physical and emotional challenges so we prefer that their teachers have high sperm counts since that is another reason for the students to be in awe of them, but a high sperm count is not mandatory as the students are supposed to make every effort to avoid pregnancy. It’s in the agreement signed for admittance to the SI. We recommend that where possible SI students have a copper IUD inserted several months prior (shortly after being accepted) to arriving for the SI. That way there is little danger of a student conceiving from intercourse with faculty or male student partners.

Gasmasks and breath play: Recently I’ve been cautioning my Wards, Cyndi, Gigi and Aimée to be careful at UNLV fetish parties they are being invited to because there is someone who is into breath play going around incapacitating women in gas masks by tampering with their mask to constrict or entirely block their air. The victims say that a young couple are working together (passing themselves off as grad-students) to distract then immobilize women by asking them to pose for photos and in the set-up for the pics block the air through the filter canister either by stretching a balloon over the opening, effectively making it a rebreather bag, or unscrewing the canister and putting a piece of rubber or plastic in the canister fitting and reattaching the canister hiding the blockage. If the gasmask chick has a good seal on her mask and can’t move enough to push her mask against something to break the seal she will suffocate or suffer brain damage in just a few minutes. The two instances of rebreather bags on the incapacitated women have had an anesthetic liquid, chloroform perhaps, in them so that a breath or two with the balloon over the filter and the wearer is unconscious and left to suffocate from rebreathing her own carbon dioxide. It’s only by luck that there have been no fatalities caused by this couple as yet. The suspected couple was wearing high quality gasmasks so no one seems to know who they are.

FDA alert concerning COCs and Drospirenone

Birth control pills containing the progestin Drospirenone

Tuesday, May 31, 2011 3:34 PM
From: "FDA MedWatch" fda@service.govdelivery.com

Food and Drug Administration MedWatch
FDA Safety Information and Adverse Events Reporting Program

Birth Control Pills Containing Drospirenone: Possible Increased Risk of Blood Clots

AUDIENCE: OBGYN, Family Practice, Patient

ISSUE: FDA is aware of two newly published studies that evaluated the risk of venous thromboembolism (VTE) in women who use birth control pills that contain drospirenone. The two recently published studies looked at whether there is a higher risk of blood clots in women taking birth control pills containing the progestin drospirenone when compared to similar women taking birth control pills containing a different progestin called levonorgestrel. These two new studies reported that there is a greater risk of VTE associated with birth control pills that contain drospirenone. This risk is reported to be up to 2 to 3 times greater than the risk of VTE associated with using levonorgestrel-containing pills. Other studies have not reported an increase in risk. The FDA is currently evaluating the conflicting results from these studies and will look at all currently available information to fully assess the risks and benefits of drospirenone-containing birth control pills. FDA will continue to communicate any new safety information to the public as it becomes available. Read the drug safety communication for more information on these studies.


BACKGROUND: Drospirenone is a type of female sex hormone called a progestin. Most birth control pills contain two types of hormones--estrogen and progestin. Birth control pills work by preventing the release of eggs from the ovaries (ovulation) and changing the cervical mucus and the lining of the uterus to prevent pregnancy. Brand names of drospirenone-containing products include Yaz (generics Gianvi and Loryna), Yasmin (generics Ocella, Syeda, and Zarah), Beyaz, and Safyral.


RECOMMENDATION: If your birth control pill contains drospirenone, do not stop taking it without first talking to your healthcare professional. Contact your healthcare professional immediately if you develop any symptoms of blood clots, including persistent leg pain, severe chest pain, or sudden shortness of breath. If you smoke and are over 35 years of age, you should not take combination oral contraceptives because they increase the risk that you could experience serious cardiovascular events, including blood clots.

Healthcare professionals and patients are encouraged to report adverse events or side effects related to the use of these products to the FDA's MedWatch Safety Information and Adverse Event Reporting Program:

• Complete and submit the report Online: www.fda.gov/MedWatch/report.htm
• Download form or call 1-800-332-1088 to request a reporting form, then complete and return to the address on the pre-addressed form, or submit by fax to 1-800-FDA-0178

Read the MedWatch safety alert, including a link to the Drug Safety Communication and Questions and Answers, at: http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHumanMedicalProducts/ucm257337.htm

Personal comment: It’s been known for some time that there may be an increase in serious side effects of combined oral contraceptives (COCs) containing Drospirenone. The risk, if proven, is still slight for young women who are not overweight and don’t smoke. St Lucy’s girls taking pills containing Drospirenone have all been counseled by the school’s reproductive health staff and most plan to stay on their current pill. No St Lucy’s students have had serious side effects while on pills containing Drospirenone.