Menstrual sex, inducing a period: Escorts specializing in menstrual sex can safely induce their periods every 3 weeks, that way they can have as many as 17 bleeds a year. The way this is done is to take a 5 day regimen of the progestin Norethindrone (nor eth in' drone) acetate (NEA) - either Aygestin or its generic Primolut-n - taking two 5 mg tablets per day. After stopping the drop in progestin level will induce the woman’s period. Patient information for Aygestin can be found HERE. The picture at the top of this post shows blister packs of the generic Primolut-n, which we dispense at the clinic. A single 10 tablet blister pack is sufficient for a 5 day regimen of 2 5mg pills a day. Another off-label use for 5mg Norethindrone acetate pills is to delay a woman’s period if she is on her honeymoon, a diving or hiking trip or on a photo shoot.
Norethindrone acetate side effects: The down side of inducing periods for menstrual sex is that the hormonal swings can be hard on the woman’s body and the loss of blood will cause anemia unless she takes iron supplements and eats an iron rich diet. Another problem is that Norethindrone acetate can contribute to fluid retention so diuretic pills are often required for the woman to retain her figure.
Escorts specializing in menstrual sex have copper IUDs inserted for two reasons; first because inducing will not necessarily prevent ovulation so unlike sex during a woman’s normal period it is frequently possible to conceive from induced menstrual sex. The second is that a copper IUD will often cause heavier menstrual flow thus giving her clients a more complete experience covering them with her blood. Both ParaGard and GyneFix IUDs are satisfactory; however our Gyns and escort clients prefer GyneFix because it is far less likely to be expelled during strong uterine contractions.
Norethindrone (a less potent form of Norethindrone acetate) is also used in much lower doses as a progestin-only-pill (POP) birth control pill for new mothers who are lactating since progestin will not affect milk production. Some POPs containing 0.35mg norethindrone (NE) are: Ortho Micronor, Nor-QD, Camila, Errin, Jolivette and Nora-BE.
Recent clinic patients:
An overview: Returning readers will recall that several of my primary interests are in cervical barriers and physically risky sex, excluding STIs of course, which I’m very careful to avoid. Also, the clinic at which I volunteer is known for it’s expertise in reproductive health and especially the now (in my opinion) underused contraceptive method of cervical barriers. Which explains why we have so many patients who need counseling, fitting and training in the correct use of cervical barriers. So while it might seem from my posts that every woman in Vegas is now wearing a diaphragm that’s not the case at all. It’s just that a very large percent of the ones who are or want to come through our fitting rooms.
In the last several years diaphragms and caps have begun to regain importance as effective protection as social mores change so that it’s no longer just escorts specializing in underwater sex who are the most enthusiastic users of diaphragms and cervical caps. Now even young vanilla women (especially college girls) who become more sexually adventuresome are finding they need effective upper reproductive tract protection, not for contraception, but to protect their fertility as they participate in extreme sexual adventures. It is in this area that I have begun to concentrate my skills as a barrier fitter and teacher.
Latex-grab: There have been several instances of pregnancies due to latex-grab for couples using both male condoms and latex flat spring diaphragms. From the patients our clinic is seeing this seems to be happening with younger UNLV girls being taken w/o sufficient lubrication. I’m teaching the necessity of foreplay and using plenty of a good lubricating gel to St Lucy’s girls for both safety and comfort, but many of the UNLV girls are going it on their own w/o even the most elementary training other than how to insert and remove their diaphragms.
There have been three pregnancies that I know of. One from the diaphragm being pulled off the student’s cervix and the condom pulled off her partner. Another was from the diaphragm being pulled off the cervix and the condom tearing from friction. And the third was from friction wearing holes in both the dome and condom. This last is troubling because it means that the woman wasn’t inspecting her diaphragm for thin spots, cracks or tears in the latex membrane before insertion. The thing these three cases have in common (in addition to latex-grab) is that the women were on hormonal birth control but weren’t using it correctly. They had been fitted for diaphragms as a prerequisite for dive-sex training (not in my course) and were with new partners which accounts for them insisting on their partners wearing condoms. Perhaps they thought that when using three effective forms of protection nothing could go wrong and as a consequence used none of the methods correctly. Effective birth control is all in the details, using it correctly and consistently
Depo Provera and pregnancy: In spite of the possibility of serious side effects the popularity of Depo-subQ Provera 104, medroxyprogesterone acetate (DMPA), has increased since March of this year when women in the U.S. began reading the Fifty Shades trilogy, where the heroine, Anastasia Steele, was put on the contraceptive injection. While Depo is very effective it’s not foolproof and users must get an injection every 12 weeks. The user is considered safe for otherwise unprotected sex 7 days after the initial injection. The perfect use failure rate is .3% while the typical use failure rate is 3% because the user was either late getting her next scheduled injection or ignored the prohibition on unprotected sex for 7 days after receiving her first shot. The clinic is seeing pregnancies in teens on Depo primarily from those who have had what they say were “just this once” unprotected encounters with partners during the 7 day interval immediately after their injection while the progestin is suppressing ovulation. But we have also had 2 in girls who were late getting their next shot. Typically they want the pregnancies terminated by vacuum aspiration which is quick and very safe, and we can do that the same day if they can get the needed releases signed
