Veronika begins BDSM training

Veronika channels Anastasia Steele

The photo: The poster for the film Fifty Shades of Grey from E.L. James 2012 runaway best seller of that name. It will be released in the U.S. and UK on February 13^th just in time for Valentines Day.

Veronika’s baseline: While Nika isn’t quite a virgin she is very inexperienced in the ways of men with women. So Alexei, her father, asked me to take her in hand, since he no longer has women in his family to help guide her through a series of broadening sexual experience in relative safely. She has been vaccinated against the common childhood diseases: Polio, Whooping cough, Mumps, Measles, lockjaw, Chickenpox and has had her full series of three shots to protect against the most common strains of HPV. She has had a pregnancy test, negative. She has had a full panel STI test and all tests were negative. And her pelvic grip has been measured with a Peritron for pelvic floor assessment.

No leave of absence: I have decided to stay in London for a while as the noise level at Blackthorn-on-summit from the construction of the new dance studio and the dive tank foundation test borings is far too loud to allow me to do much productive work. I thought it wouldn’t be that bad, but I was wrong. 

Also, I have rethought Alexei’s idea of having Nika request a leave of absence from the company so she can train with me. It’s not as though there is any time certain by which she must be proficient in the skills I teach. Furthermore, it’s very short notice and bad timing to ask for time off during winter performing season and while her request would probably be granted (given who her father is) that sort of thing is remembered by management and the other dancers and competition is fierce under the best of circumstances so it would not be a smart career move. As a member of the Corps she will be dancing quite a lot, more than 30 performances and associated rehearsals for two full length ballets for the next several months. The current schedule for Onegin and Swan Lake are:

Onegin: By John Cranko Music: Kurt-Heinz Stolze after Pyotr Il’yich Tchaikovsky John Cranko’s adaptation of Pushkin’s verse-novel, set to music by Tchaikovsky, trembles with emotional charge. Performances will be on:

24 January at 2pm and 7pm; 27 | 28 | 30 January at 7.30pm; 31 January at 12.30pm 2 | 4 February at 7.30pm; 7 February at 12.30pm; 11 February at 2.30pm and 7.30pm; 16 | 18 February at 7.30pm; 27 February at 2.30pm and 7.30pm  13

Swan Lake: By Marius Petipa and Lev Ivanov, additional choreography by Frederick Ashton and David Bintley Music: Pyotr Il’yich Tchaikovsky Anthony Dowell's production of the greatest romantic ballet draws upon the opulence of 1890s Russia. Performances will be on:

10 | 13 February at 7.30pm; 14 February at 7pm; 19 February at 2pm and 7.30pm; 21 February at 1.30pm and 7pm 13 | 16 | 17† | 18 | 19 | 25 | 26 March at 7.30pm; 14 March at 12.30pm; 21 March at 1.30pm and 7pm 2 | 7 | 9 April at 7.30pm  19

Living in London is far more convenient for now as I can provide ballet therapy during the day in the studio at Blackthorn House for those patients of Marvin’s who need it. Then I can work with Nika schooling her in the art of seduction when her schedule permits. Given her heavy performance schedule its imperative she wear Gaynors to protect her toes during ballet-sex training.

Veronika and hormonal contraceptives: She was on the Progestin-only-pill Cerazette, a 28 tablet packet with each pill containing 75mcg desogestrel. So there were no hormone-free days. I suggested she change to a copper IUD, to get away from having to remember to take a pill at the same time each day. But she was very pleased with how well Cerazette had worked for her and has painful periods and irregular cycles and wants to continue on hormones so she agreed to try a Mirena Levonorgestrel releasing device. The initial Marina release rate of levonorgestrel is 20 mcg/day; this rate is reduced by about 50% after 5 years which is the useful life of the device. Chris, our male Gyn. Inserted one with the strings removed so she can safely wear cervical barriers for flood insurance during dive-sex w/o the danger of possibly pulling the IUD out from the strings sticking to the barrier. As long as she doesn’t take meds or supplements that reduce the hormones efficacy she should be ok. She can slip by the clinic monthly for an ultrasound to make sure the IUD is still positioned correctly like Escorts do who have had framed stringless IUDs placed.

Stocking Nika’s Slit-kit: While we were at the clinic I had Nika fitted for a latex Reflexions diaphragm, she got three in her size, for flood insurance during dive-sex and a sports plug, for grope protection while clubbing. She already uses a Diva menstrual cup for flow control. We added some Nitrile FC2 female condoms and a 12-pack of super-sheer Japanese male condoms and six 10ml prefilled disposable applicators of DiveGel+ the lubricant spermicide-biocide used primarily for dive-sex. The six were put in her kit and she got a carton of twenty-four 10ml prefilled applicators to backfill her kit.

In the clinic’s toy store: We bought her several sets of Ben Wa balls. First a pair of 1.0 inch 316 surgical steel balls weighting 2.3 oz. each for a total of 4.6 oz. or quarter-pounder McBalls. And a 1.0 inch set of borosilicate (Pyrex) glass balls weighing 0.63 oz. each. We finished her initial purchases with several suction cup mounted silicone and Borosilicate glass dildos. The suction cup base ones for sticking to the mirrors in the studio and backing on to them while en pointe to train solo for ballet-sex.

Pointe-shoes: Veronika wears Freed Classics for training and performing with her company, but if she is going to train for ballet-sex she really should wear hard shanked Gaynor Minden shoes. Returning readers will recall ballet-sex is defined for purposes of this blog as penile-vaginal intercourse to orgasm preferably by both partners while the woman is en pointe a la seconde bending over holding on to a barre or other suitable support while being penetrated from the rear. The pre-arched hard shanks allow a wearer to put a significant portion of her weight on her heels to rest w/o crushing the shanks, during the extended interval she is continuously en pointe during ballet-sex.

While allowing the tightest pelvic grip possible ballet-sex can injure the woman’s feet by bruising her toes from thrust-drop, especially if the man is taller than the woman when she is on her toes. Some few women don’t find GM pointes comfortable and with polymer blocks and shanks they are hot, but the thick platform pads as well as the usual toe tape and toe-pads provide the best protection against bruised toes which are very painful and look terrible as well if you’re a sandals girl. Fortunately Veronika found a size in GM that fit properly and were comfortable, relatively speaking, and she bought six pairs, making sure to try both shoes of each pair on so to ensure there were no manufacturing defects.

Nika in ballet-boots: For any rising fetishista ballet-boots for clubbing are a must-have. So we went by Blackthorn Fetishwear to have her fitted. Cleo, Gepetto’s 26 y/o daughter is working at Blackthorn Ballet shoes and Fetishwear to fit his custom titanium unitized toe-box and shank leather ballet-boots as well as Gaynor Minden pointe shoes. Cleo had been working in Gepetto’s Vegas shop for five years and is an expert fitter. The cost is $2500 USD (about 1655 GBP) for a basic pair and she bought three more expensive pairs - all lightly armored as I don’t want her injured from a heel in her calf or instep by a jealous competitor - in black leather with lace splitter rapier heels, spider filament laces and three sets of Inman heel guards for use while wearing them at her home and mine and if we shop in them to protect the floors and carpeting from punctures. It’s best to have a pair of heel-guards for each pair as in a scramble where you have to release your guards to fight it is easy to lose one or both in the melee.

I bought an addition two pairs as well since with so much rain here it is more likely that they will get wet. Even though heavily oiled if you are caught in a downpour or have to wade to a taxi they can get soaked and take a while to dry properly.  

Old business: First it’s 25 miles (or so) from St. George’s Channel,  the south entrance to the Irish Sea on the west coast of Wales to the Cumbrian Mountains not the 50 that I wrote an earlier post.

And a frequent reader [thank you Eric] corrected me as I had misidentified one of the teams in the 2015 AFC playoff. It was the Indianapolis Colts that the New England Patriots cheated (in my opinion) in Deflate-Gate to get a spot in Super Bowl XLIX.

Contraception prep for college

Oh my God! I think I’m expelling my Skyla!

The photo: Ladies, you know the feeling when something in there moves that shouldn’t; a diaphragm, FemCap, menstrual cup or an IUD. The Skyla is a smaller version of the Mirena hormone releasing IUD and was designed for nulliparous women. Skyla releases the progestin levonorgestrel at a rate of 14 mcg/day after 24 days and declines to 5 mcg/day after 3 years at which time it must be replaced.  Menstrual cups can usually be used safely with IUDs as the cup should be worn low in the vagina where it should not come in contact with the IUD strings. Of course in the case of my wards their GyneFix copper bead IUDs were implanted w/o strings so they can wear diaphragms or FemCap with no fear of interacting with the strings and causing an expulsion.

Student’s contraception prep for college: While most teens starting college are on hormonal contraceptives a few use the copper ParaGard IUD and a few still use cervical barriers, a silicone Milex diaphragm or a FemCap. For readers who may not be aware of it the silicone Ortho All-Flex diaphragm that had been available for years by Rx through most pharmacies in the U.S. was discontinued in December of 2013. That leaves only the silicone CooperSurgical Milex- in two rim styles arcing and coil spring – and FemCap as options for women in the U.S who want or need a cervical barrier or the latex Reflexions flat spring which can be ordered from the UK..

This past week we have seen the usual summer increase in teen cervical barrier fittings as they prepare to go away to college for the first time or are having their annual well-woman pelvic exam and diaphragm fit check before returning to sexual activity with college men and some professors.  I fit three 17 y/o patients with 60mm wide seal Milex Omniflex (coil spring) diaphragms. They were the first diaphragms for all three because of health problems after having used only condoms.

One girl has Factor V Leiden a mutation of one of the clotting factors in the blood called factor V. This mutation can increase the chance of developing abnormal blood clots made worse by taking anything with estrogen in it. Factor V Leiden while it can appear in men is primarily found in women. The second, diaphragm patient was a petite gymnast with a full athletic scholarship to a major Midwestern university. She has terrible side effects from the progestin Levonorgestrel in the Skyla IUD that was designed for use by small women and she is too small to have ParaGard inserted. And the third girl does not want to use hormonal birth control of any sort and has a nickel/copper allergy so can’t use a ParaGard IUD.

Their moms came with them and were comfortable that while their daughters ages were below the age of consent for some relationships they were open about sex with boyfriend and the mothers only concern was that their daughters would be well protected by a method under their control. The girls assured me they would wear their diaphragms whenever they were around men as sex can often be spontaneous and the need for effective protection is very important to all of them. The girls had no problem inserting and removing the Milex Omniflex as they all use Diva menstrual cups so were familiar with their pelvic anatomy and folding a device for insertion. They see wearing their diaphragms as a rite of passage and an act of independence accepting the responsibility for managing their own fertility and being able to enjoy the delights of sex with a man while reducing the likelihood of unintended consequences to an acceptable level.

I fit another 17 y/o with a 22mm FemCap as her post-pubic vault was far too shallow to enable her to effectively use even a Reflexions flat spring diaphragm. She and her mom did not want her using anything with hormones in it and they both think IUDs are too invasive so a cervical cap was the only option left for a method over which she will have control. The good news is that for her age she is tall and has a relatively long vagina when not aroused – so a partner is unlikely to hit the removal strap during deep thrusting - and she also has long fingers which allow her to reach her cervix when squatting and pushing down, an ability needed to place a FemCap effectively and equally important to be able to reach it to break the seal for removal.

Elbow hinge arcing spring Vs. latex flat spring: Another patient, a returning UNLV grad student, came in to discuss changing the style of diaphragm she is using. She was last fitted with 70mm latex Reflexions with which she was very pleased. However, she has developed a latex allergy and she wanted something that would provide the same protection and pleasure for her and her very well endowed partner during deep thrusting encounters. What I recommended was a Milex wide seal arching spring which has two elbow hinges that fold for insertion. Once inserted and open when thrust into by a penis the rim flexes only slightly remaining circular and stiff (as long as the device does not rotate significantly in either direction), but not as inflexible as the Reflexions allowing the silicone dome to be stretched across the cervix and glans as it is pushed into her anterior fornix by a thrusting penis.  

There are tradeoffs using a silicone arcing spring instead of a latex flat spring. However, for anterior fornix thrusting I think the two can be equally pleasurable. With the silicone arcing spring the dome is stiffer than the flat spring so the rim flexing is offset by the less stretchy dome which puts the same or perhaps a bit more pressure on the tip of the cervix to push the uterus up and to squeeze the glans simultaneously during maximum anterior fornix thrust depth.  Too, the central dome logo on the Reflexions used as a stimulator for men long enough to reach it is replaced by the extrusion bump in the center of the Milex dome that is easily felt by a thrusting penis when the silicone dome is stretched into the anterior fornix.  The only detracting factors in comparing the Milex to Reflexions is that that Milex costs more and the heat transfer properties are much better with latex. Factors against the latex Reflexions are that couples with latex allergies can’t use it. Latex is more easily destroyed by oily lubes or meds so its useful life is much shorter and latex is more likely to contribute to infections than is silicone. The only major difference in favor of the flat spring rim is that it can be worn effectively by some women with shallow post-pubic vaults. 

The only unknowns with the Milex Arcing spring diaphragm used for deep thrust anterior fornix play is how much the diaphragm will rotate which can affect the pressure deep thrusting will develop and how well the elbow hinges will withstand the reverse pressure when the dome is stretched into the wearer’s anterior fornix by a well endowed partner. The good news is that if the elbow hinges begin to fail a replacement is easily obtained.

Breeding dancers: I was going to title this section Breeding Ballerinas for the alliteration, but while I have helped some of my ballet dancer friends conceive most of the women who come to me for help getting pregnant are statuesque full figured show girls 5’10” or taller so are well over 6” in heels or en pointe; lovely but not with ballet bodies, technique or speed necessary for classical ballet.

My method has been fairly successful and is low cost, fun to use and counter intuitive as a conception aid. I have the friends I’m counseling use a silicone Milex wide seal Omniflex (coil spring rim) breeding diaphragm – one that is two sizes smaller that the size the woman should use for contraception – and have the couple lubricate the dome and vagina with pre-seed, a pH balanced sperm friendly gel, rather than acidic spermicide. This allows a partner to easily under-thrust the rim of the diaphragm especially when the woman is being penetrated from behind while bent over holding on to a barre, chair or table or on her hands and knees.

In that position with the trunk of her body parallel to the floor the uterus is pulled down and back by gravity increasing the depth of the vagina. As the vagina lengthens the rim of the diaphragm in the posterior fornix will be pulled deeper with the cervix which in turn pulls the anterior rim further away from the pubic bone where it can be more easily under-thrust by the smooth upper side of her lover’s glans. Once under the dome the frenulum of an uncut man can freely caress his lover’s G-spot bringing her to orgasm with its strong vaginal contractions that squeeze the thick cream rich with millions of sperm from his vas glands where it spews against her ripe unprotected cervix. Once her breeding partner withdraws the diaphragm reseals against the vaginal walls trapping the ejaculate in the prepared dome along with her fertile cervical mucus.

A few minutes later, the inseminated woman basking in the afterglow lies quietly on her back as her vagina returns to its unaroused state submerging the tip of her ripe cervix in the pool of fertile cervical mucus, pre-seed and semen contained in the dome. So far with the small group of friends who have tried to conceive this way almost 50% have been successful within three cycles, but the group is far too small to be able to make any sort of meaningful claim. 

Adolph’s Superbowl Party

A waitstaff member modeling a Penetrator plug

Super Bowl XLVII: I was very pleased that the Raven’s won 34 to 31 despite having to recover from the momentum sapping 34 minute power outage. Jack and I saw most of the game since we pretty much maxed out our nitrogen limits at the bottom of the deep facility and had to surface ahead of the start of the game. Our encounter below 200 feet was awesome and Jack performed marvelously! He was able to get off three times in me with all the inertia of the water and I ripple-gripped him getting him off a 4th time before we had to surface.

Adolph’s party: The servers were all from the waitstaff of Naughty Pleasures, one of my casinos clubs, the one with the most popular pickup meat market. They are all accomplished dancers, though most are too curvy for ballet, and wore bikinis, pointe shoes and Penetrator plugs so they wouldn’t get too distracted by guests trying to finger fuck them.

Accidents: There were only a few accidents, most involving woman guests; none particularly serious if you don’t consider a miscarriage and the possibility of several accidental pregnancy serious. Lost condoms, an IUD expulsion (from cervix battering) while the wearer was fertile, a woman who just remembered she had forgotten to start a new pack of pills last Monday and one who had a small perineal tear while taking a man whose girth was too great for her. That list of problems sounds just like what we get from walk-in patients at the woman’s clinic where I work. But of course all of Adolph’s parties are as much about sex as they are about the occasion supposedly being celebrated and with 120 couples plus waitstaff and escorts he had at least 80 very sexually active women there. There was only one male who had a medical problem and he had a heart attack while in the saddle.

Vanillas and adult entertainment professionals: The female guest’s problems are about par for one of Adolph’s large parties where wives and girlfriends are guests. They aren’t nearly as knowledgeable and careful about contraception as those of us in the adult entertainment industry are.

None of Pirate’s escorts, the Naughty’s waitstaff – who were allowed to participate in trysts while on their breaks - and those of us in other branches of the adult entertainment world had any problems. The working girls and boys were all in demand and their partner’s behaved themselves, more-or-less. The rest of us had our ‘dance cards’ filled by admirers and enjoyed the assignations immensely. John was very good about me sampling other men and he recovered enough from our dive-sex to have two of the waitstaff because he was fascinated by their Penetrator plugs and loves the sucking sound of the vacuum seal breaking when he pulls them out. He got hooked on me being plugged shortly after we first met and he loves pulling out mine and slipping it in my mouth as a gag of sorts while he is thrusting into my cervix.

The heart attack: One man had a heart attack during an encounter with Cyndi. She is 18 so is now completely legal. After classes an UNLV she is a Red Door level Towel-Girl at Splash and her stamina, vaginal grip and what she is able to do with her muscles to a man’s cock when it’s buried inside her is phenomenal! Of course I’ve been training her and I’m very proud of how quickly she excels at the erotic tricks I’m teaching her. The man, a local casino owner, is over weight and he vomited then collapsed on top of her Just as she ripple gripped him to orgasm, He’ll recover. The EMT crew Adolph had on site for just that sort of eventuality had him stabilized and in the hospital ER quickly. His wife doesn’t blame Cyndi. She knew he’ll fuck anything in a skirt so she is resigned to him being that way. Besides, he is very rich and she has a lover on the side. Life can be complicated.

The spontaneous abortion: The woman who miscarried was a 28 y/o ex-show-girl and new trophy wife of a casino owner. She was about 8 weeks preggers and the spontaneous abortion in an encounter pool, not the deep training facility; after she orgasmed was almost certainly caused by the 2 ATA pressure and battering her cervix took during a 30 foot dive-sex encounter with her 48 y/o husband. She hadn’t told him because she was supposed to be on the pill and shouldn’t have been diving while preggers. Her husband is upset about her loss, but in private she seems relieved. She has a gorgeous body with long legs, a wide pelvis, high firm breasts and a hard flat belly. She enjoys flaunting her body and I think she wasn’t ready to have a child. He was able to get her to the surface quickly and given the possibilities she was lucky that her cramps weren’t strong enough to cause her to vomit into her FFM and she didn’t bleed much after expelling the reproductive tissue in the pool.

The ParaGard expulsion: The ParaGard expulsion by the arm-candy of an A-list singer was probably due to cervix battery which she enjoys. It was her second IUD, the first one had been expelled during her period a few months ago. There is a 30% chance that subsequent IUDs will be expelled so it’s not like it was totally unexpected. She was fertile so she was taken to the clinic and had her 3rd copper IUD inserted which acts immediately as morning-after birth control as well as long acting reversible contraception.

The lost condom: The patients with the lost condom and for gotten BCPs were treated on site by a female EMT who fished out the condom and gave the woman, the wife of the owner of a slot machine repair shop, a box of FC2 condoms. She immediately took the packets out of the box and put them in her purse. She told me later that her partner at the time, the A-list singer who took her while his wife was having her 3rd IUD inserted. He was going strong when she mentioned how virile she thought he was and how his wife must enjoy having sex with him and he wilted. He managed to get it up again, but his precum had coated the inside and he shed the sheath during her strong contractions as she orgasmed. She said she knew exactly when it came off, but by then she didn’t want him to stop and figured she take Plan B one-step afterward.

Missed pills: The woman who had forgotten her pills for a week was discharging fertile cervical mucus and had been intimate with two other guests, at the party in addition to her husband, a local dentist, over the previous week. She was given Plan B one-step, but since was supposed to ovulate that day there is a good chance she will conceive regardless of the 1.5mg of levonorgestrel she took.

The perineal tear: The guest who had the small perineal tear is new in town. She is 32 and has never given birth. Her husband just took a job as an executive with a bank and this was the first time they had been to one of Adolph’s parties. She is petite with an amazing figure and came with a reputation that she enjoys having large men. I had given her her last pelvic exam and while she is a bit below average as far as her pelvic anatomy is concerned her vagina is not tiny and she has a deep post-pubic vault. She is using the single rod implant Nexplanon so she should be safe from pregnancy. Her vaginal muscle tone is strong and she has a very tight grip. She made some enquires and found that one of Pirates male escorts working the party is massively hung so she added him to her ‘dance card’. The good news is that he took her about halfway through the party so she had time for several other encounters before her injury. The bad news is that he was far bigger than she imagined and she didn’t have several days to use topical estrogen cream on her vulva to allow it to be a bit stretchier than normal.

Using DiveGel she got him inside her and he battered her cervix which she enjoyed but she wanted him to thrust into her G-spot which he did. But they had to put a hard pillow under her buns to give him the proper angle to thrust into her G-spot while in missionary. The problem was that the angle at which he passed through her introitus. His girth put increased pressure on the spot where her labia meet at her perineum and the hair around his massive thickness added to the friction to cause a small perineal tear. She was in such ecstasy at first that she wasn’t aware she had torn, but as soon as her contractions stopped and he withdrew their salty post-coital discharge drained into the tear and she felt it start to burn. There was very little blood. I put some antibacterial cream on the area and the EMTs took her to the clinic for a couple of honeymoon stitches. She was back in an hour, but was subdued for the rest of the day.

Porn and the Prentif cap

A pair of 22mm (ID) latex Prentif cavity rim cervical caps

A rubberist’s delight: One of my fave stallions is a well endowed rubberist who delights in being able to thrust into my cervix, even when he penetrates me from behind. What really lights his fuse though is if I wear a Prentif cap sucking on my cervix so he can thrust into the soft latex dome. I wear a 25mm Prentif so the top of the dome dimples, collapses a bit, under vacuum, so that if he hits the dimple he knows he is right on target and thrusting into the soft stretchy latex and him ‘double tapping’ the dome and then the tip of my cervix under it gets him off very quickly.

The Prentif and the porn industry: Our clinic is one of the very few that still fits Prentif caps. That’s because Lamberts (Dalston) Ltd stopped making them at least four years ago and our clinic having a large Prentif user base bought up all the Prentif stock they could, much of it at a deep discount. Recently porn producers have discovered cervical barriers as a “new” fetish to be exploited. Since very few men younger that 60 have heard of diaphragms or cervical caps a Prentif used as protection by a porn actress in a video has become a ‘HOT’ retro scene guaranteed to increase demand for any vid in which one is used. Any producer who has his actress take fifteen minutes to languidly insert her Prentif as foreplay while her boyfriend/client is watching or has it pulled out by her attacker during her rape or has her lover eat her cervical mucus out of the dome is guaranteed a best seller.

Then too here is the ‘Geezer factor’ in niche-market porn especially in Europe where the Prentif was far more popular in the 50s than diaphragms and I’m told by the marketers that men of a certain age and style remember it fondly even though they now need performance enhancing meds to participate. Another advantage of a cap or diaphragm being used in porn is that unlike birth control hormones it is a physical object that can be inserted during a tender moment for protection or roughly pulled from the heroine or victim’s vagina during a rape and shoved into her mouth to emphasize the danger she is in. And for those into asphyxia a Prentif can be shoved down the woman’s throat as a very dangerous form of breath play because she can easily suffocate while her attacker is concentrating on planting his seed in her belly. With the increased interest in cervical barriers for use in porn – a lot of the resurgence has been because of the ‘Mad Men’ effect of retro TV shows that got the country longing for what seems a simpler time – our clinic is seeing a substantial increase in requests to fit Prentif caps.

Porn and poor cervical barrier technique: Porn actresses don’t rely on the effectiveness of a diaphragm or cap for contraceptive protection. Many of them have been sterilized or have had IUDs inserted so that an unplanned pregnancy from on-cam intercourse is very unlikely. That makes it far less important that most porn actresses be correctly fitted with a barrier that will remain securely in place through multiple acts of intercourse and for at least six hours afterward. All they need is one that won’t give them a UTI and won’t fall out while they are on-cam. Nor do they need to adhere to correct barrier insertion technique during a video production and that can leave the men and women watching the video with the wrong impression as to how to properly protect a woman using a cervical barrier.

The problem comes from the way the porn actresses are playing with their barriers and appear to become aroused long before insertion. As returning readers know a woman needs to insert her cervical barrier BEFORE she becomes aroused! That’s because during arousal the vagina lengthens (tents) as the uterus and thus the cervix is drawn up and out of the way of a thrusting penis. A vagina that is fully tented can make it very difficult or impossible to place a cervical barrier correctly over the cervix and therefore makes an unplanned pregnancy far more likely.

I’ve tried talking to several of the major producers of cervical barrier porn and they just laugh and say they are interested in getting their audience as hot as fast as possible and a porn-princess moaning and rubbing her barrier over her engorged labia wet with natural lube while she moans and writhes in ecstasy as she plays with herself is a critical part of the production and there won’t be any changes to correctly depict proper insertion technique. I suspected that was the answer I was going to get, but it was worth a try. It does make it more difficult to get vanilla women wanting to portray Magna Cum Loudly or other porn princesses to use their barriers correctly if they will need them for contraception and not just as a sex toy.

I’m trying to steer the porn actresses and their costumers toward diaphragms or FemCap and away from Prentif because the porn industry is not interested in contraception and as I mentioned above Prentif is now a device in short supply and the remaining caps should be used for women who intend to use them correctly for contraception and as gas-guards for upper reproductive tract protection during dive-sex.

Christmas break barrier fittings: At St Lucy’s it’s the end of Fall semester and we are finishing the fit checks – and replacements where necessary - of the cervical barriers the students wear before they go home or travel on Christmas break. While many of the upper form students were sexually active before arriving at St Lucy’s none had enough experience to have caused their vagina’s to stretch appreciably. While they have grown in the months they have been immersed in a strict ballet and pelvic training regimen the pelvic floor muscles have toned considerably making the vagina deeper and tighter. Fit checks are important before the increased use of cervical protection while away from the school’s sexual health support system. It’s also time for an ultrasound to verify the proper placement of students IUDs and for full STI panels to make certain the students are all healthy before sending them back to their families

The students in my Advanced Sexual Techniques class use their barriers as gas-guards for dive-sex while others on hormones use them for flow control for vanilla sex during their pill-periods or if they have a stringless IUD inserted. Stringless GyneFix IUD implants have become much more popular this year because they allow GyneFix users to safely wear a diaphragm or FemCap as a gas-guard during dive-sex. For anyone wondering the smallest Prentif, with an inner diameter of 22 mm, is too large for most teens to wear but they can wear a 22 mm FemCap because the FemCap seals against the walls of the vagina and not the cervix. So Prentif caps are left for the use of experienced adult women.

UNLV’s Fall semester also ends on December 17th and many of the sorority girls I know have had our clinic check the fit of their diaphragms and will be leaving mid week rather than on that Saturday so there has been a surge in barrier fit checks and some requests for STI panels for them as well. The students come to us to avoid having these items show up on their UNLV Student Health statements that are sent to their parents.

Checking Slit-kits: Before traveling for the holidays is also the time to check and restock everyone’s skit kits to ensure condoms, spermicide, antibiotics and emergency contraception pills are all fully stocked and in-date. There are two effective EC specific pills:

Plan B One-Step (a single pill containing 1.5 mg of the progestin levonorgestrel) which is effective for up to 72 hours, three days, after unprotected sex or a contraceptive failure. Plan Bs effectiveness decreases the longer after the event it’s taken so it should be taken as soon after the event of concern as possible. Women on oral contraceptives may continue taking them on their normal schedule after taking Plan B. In the U.S Plan B is available to women 17 years of age or older behind the counter w/o a prescription.

The second and newer pill is available in the U.S. as ella and in Europe as ellaOne (a single pill containing 30 mg of ulipristal acetate, a progesterone receptor modulator) which is effective for up to five days after the event of concern. Women on hormonal contraceptives should not rely on the effectiveness of their pills, but use a reliable barrier method of contraception after using ella, for any subsequent acts of intercourse that occur in that same menstrual cycle.

For EC our clinic now recommends ella, because of its longer effectiveness interval and at St Lucy’s its cost is covered by the student’s Student Health policy.

Lara Croft and extended cycle BCPs

Advert for Lybrel the continuous regimen oral contraceptive

“Why Do Oral Contraceptives that Cause Monthly Bleeding Still Predominate?

Healthcare providers' attitudes about menstruation and medically induced amenorrhea are key factors.

Extended or continued use of oral contraceptive pills (OCs) remains low despite obvious advantages of menstrual cycle regulation and symptom management. To determine the factors that influence physicians' OC prescribing habits, researchers analyzed survey responses from 211 obstetrician-gynecologists (OB/GYNs) and family medicine physicians (FPs) in Oregon. Physicians were asked whether they prescribed extended-use (hormone-containing pills for >28 days with scheduled withdrawal bleeding) and continuous use (hormone-containing pills indefinitely without a scheduled withdrawal bleed) OCs, and, if yes, how often. A 5-point Likert scale was used to assess attitudes toward menstrual suppression.

In all, 90 respondents (44%) identified their principal specialty as OB/GYN, and 115 (56%) as FP. Most respondents who reported ever prescribing OCs also said that they prescribed extended- or continuous-use OCs sometimes (50%) or often (23%). OB/GYNs were more likely than FPs to suggest these options (92% vs. 60%), as were urban (79%) versus rural (58%) physicians.

OB/GYNs and urban physicians showed greater acceptance of medically induced amenorrhea as well as more-favorable attitudes about health and economic benefits of suppressing ovulation and safety of extended-use OCs. Most respondents (68%) did not realize that menstrual-related symptoms are most common during the placebo week, and 17% of respondents (most of whom were FPs) were unaware that endometrial thickening does not occur with extended-use OCs. After adjusting for physicians' age, practice location, knowledge, specialty, and sex, the only factor that was significantly associated with prescribing extended- or continuous-use OCs was attitude toward medically induced amenorrhea.

Comment: The gaps in knowledge among the respondents are surprising and underscore the need for ongoing education about menstrual suppression. The authors acknowledge that their small sample size (particularly of rural providers) curtails the generalizability of these results. Moreover, nurse practitioners, physician assistants, and certified nurse midwives were not included. Despite these study limitations, the benefits of extended- and continuous-use oral contraceptives remain clear — and the attitudes of healthcare providers are critical in promoting acceptance of these dosing regimens as mainstream options. — Anne A. Moore, WHNP/ANP-BC, FAANP”

Extended cycle pills in real life: The first combined (estrogen/progestin) oral contraceptive pill designed to be taken continuously with no hormone free days is Lybrel. Lybrel has .90 mcg of the progestin levonorgestrel and 20 mcg of the estrogen ethinyl estradiol and is taken continuously 365 days/yr, in 28 day packs (13 per year). For women who can adjust to the continuous dose of hormones – it can take three or four months for a significant percentage of users to stop experiencing irregular bleeding – being period free can be liberating if the woman has been experiencing heavy or painful periods or significant PMS. Another positive for Lybrel is that it uses a very low dose of an older progestin, levonorgestrel, which has a lower incidence of causing blood clots. Most other extended cycle pills have 84 active and 7 placebo pills limiting a woman taking them to four pill-periods a year. Some of those are Seasonale, Jolessa, Quasense, Seasonique and LoSeasonique and they all use the progestin levonorgestrel.

The down side of extended cycle pill is that in addition to taking a long time to adjust to being continuously on hormones levonorgestrel does not have the long half-life of the progestin drospirenone used in Yaz and Yasmin and as a result the hormone levels can more easily drop below the effectiveness level if a woman is late with or vomits her pill. Too, there is no monthly assurance that the user is not pregnant by the arrival of ‘Aunt Flo’. Unless a user is cautious enough to test every few weeks she has no way of knowing if she is pregnant until she begins to develop symptoms such as noticeable breast changes, lethargy and repeated nausea.

A consequence of the Hex or Sex party: Returning readers will remember from my post entitled ‘The Doorman’ on October 31, 2011 and the following post on Nov 2 about the wood chipper that a UNLV friend’s sorority was running a bordello charity over Halloween at one of Adolph’s vacant estates in the hills. The 13 girls who were hostesses in latex body condoms are fine and suffered no ill effects other than sore muscles from their unusual level of exertion. Even the girl who had her cervix battered so brutally is recovering well and probably will only have to wear a supportive pessary for a few months.

However, one of the other sorority sisters, a 26 y/o grad student, who was working as support staff and was costumed as Lara Croft in a silver latex dive-skin had apparently gotten off her pill regimen enough that she was fertile and had breakthrough ovulation during the four days the bordello was operating. We knew she was sampling unprotected male customers, but she was on Lybrel and since there was a waiting list and she was discreetly servicing men who were waiting at the bar for seconds or thirds no one called her on siphoning off potential profits that we didn’t have time to handle. The fourteen of us, Cyndi and I pitched in when it became apparent that the sorority girls were under staffed as far as available commercial pussy was concerned, were getting the guys off as fast as we could while ensuring we were giving them their moneys worth.

Lara Croft and the fertilized egg: So Lara Croft called me on Saturday. I could tell she was nervous and she told me about the struggle she had been having getting regulated on Lybrel with irregular bleeding that would come and go and she couldn’t get a good pill taking regimen so she could develop a habit of taking her pill at the same time each day. I’m wondering why she was calling me about that when she finally got to the point. She began getting nausea attacks three days ago, tested and found she was positive for hCG and she wanted my help getting an abortion. I said she could go to UNLV Student Health and she freaked out. She is terrified of her father finding out she is not only sexually active, but that she wasn’t careful enough and has no idea who the father is. Her father is a prosperous evangelical fundamentalist in a state in the Deep South and she is scared to death of him. She has a bit of money of her own that she gets from her mother so she can pay clinic rates for the termination.

It was pretty early to be having pregnancy symptoms after only fifteen days (she began sampling the clients the day the place opened for business on the 28th) but certainly possible so I had her meet me at the clinic and one of the NPs did a serum pregnancy test and she was indeed very newly preggers. Go figure! So she signed the patient agreement and was given the first three pills (Mifepristone) and Saturday counted as day one in the Mifeprex regimen to terminate her pregnancy. She was so relieved to be getting the problem quickly taken care of. I told Adolph about her pregnancy and he wondered if it was his since he had taken her each of the four days she was helping at the estate. She was to return to the clinic on day three, today, so I met her at the clinic and the NP said she should take two misoprostol tablets which she did. The misoprostol can cause cramping, bleeding and nausea so I took her back to the sorority house where there will be other students to take care of her if she starts to bleed heavily. Mifeprex is about 95% effective in terminating pregnancies so she should be fine. In two weeks she will need to go back to the clinic to make certain that everything is normal and her reproductive tract has recovered.

Aimée gets a GyneFix

The Mirena (levonorgestrel releasing) IUD

A Mirena failure: In the last week we have had five professional women, come in for verification of the results of home pregnancy tests. That by itself isn’t at all unusual, but three of them had Mirena IUDs inserted and all five are young resident Gynecologists who were at the same fetish club private party during a Gynecological convention at a rival casino/hotel several weeks ago. Returning readers know it’s not unusual for women to become pregnant while taking oral contraceptives because they aren’t taking them correctly. However, the contraceptive failure rate for the Mirena is less than one in a hundred women over a one year interval so having three Mirena related pregnancies occur simultaneously with two other oral contraceptive failures and all to Gynecologists who know the need to avoid things that could reduce the protective level of progestin in their bodies is not a coincidence especially since all five attended the same gasmask-grope at an up-scale rubber club out in the valley. All three of the pregnant Mirena users had secondary amenorrhea (were not having periods because of the continuous progestin release) so they only discovered something was wrong when they began to be nauseated in the mornings. Their IUDs were properly in place and were continually releasing the required amount of progestin, about 20 mcg/day of levonorgestrel when first inserted.

When I realized the extent of the HC failures it immediately occurred to me that the women were involved in something similar to what I did to the three UNLV grad-students who were giving Taryn’s Cosplay club friend such a hard time about using a diaphragm for contraception. I wrote about that in my April 14, 2011 entry: ‘Gasmasks and pregnancy while on the pill’. I used an aerosol progestin blocker disguised as a lens cleaner that the targets sprayed into their own gasmasks to make their hormonal contraceptives ineffective. In this most recent instance I suggested the blood drawn for the serum pregnancy test also be tested for the level of the progestin from their contraceptives and in the case of the Mirena users the level of bound levonorgestrel was almost nonexistent indicating that another steroid had bound to the women’s progesterone receptors blocking any contraceptive effect from the progestin being released by the Mirena.

Since for now it’s impossible to say exactly how the progestin blocking steroid was administered, who was responsible, what the motive was and if this sort of attack on women using hormonal contraception will continue I thought it would be best if I had Aimée get her GyneFix (copper) IUD implanted sooner rather than later. And, if somehow Aimée had been exposed to the progesterone blocker the copper ions in her uterus would act as a morning-after contraceptive and prevent any of her partners’s sperm from fertilizing her egg if she had been made fertile and ovulated. So first thing this morning Aimée and I went to see Chuck, the male Gyn at the clinic, the most experienced of our GyneFix implanters and in less than an hour she was the delighted owner of a new GyneFix implanted securely in the fundus of her uterus. She had to have her cervix dilated a bit to get the implantation tool in place which she found uncomfortable, but took 800 mg of ibuprofen and she felt fine. She was given ten days of an antibiotic – because Chuck knew that she was going to have penetrative sex right away – and told to use Semécide and her Reflexions for at least a week while the implantation site is healing. The new implanting procedure for GyneFix has decreased the expulsion rate for Chuck’s patients to less than one in a thousand so he and I both think Aimée will be very safe.

Sometimes after an IUD is implanted the patient’s uterus will cramp and for others it’s a bit like having their periods and they will have only an occasional mild cramp. That is the way it has been so far for Aimée and this afternoon she has been enjoying the intimate delights that Doug can give her during dive-sex with no change in her energy, sex drive or sense of humor.

Precautions: given the rash of Mirena pregnancies indicating some sort of localized systemic failure of hormonal contraceptives we thought it best to add contraceptive hormone level tests as well offer to increase the frequency of tests for hCG for our casino entertainers as well as at Splash, The Lorelei and at Adolph’s 200 ft deep BDSM training facility (the well) at his place in the hills north of the city. None of the Towel-Girls at Splash or the female Escort Subs who work at The Lorelei have IUDs other than GyneFix, but several are on oral contraceptives and tested positive for the progesterone receptor blocker so were immediately given the new five day emergency contraceptive ella and told to switch to a copper IUD or a barrier method of birth control. The girls testing positive for the progestin blocking steroid had been with boyfriends at fetish clubs other than the one where the Mirena using Gyns became pregnant so it seems the contraceptive blocking steroid is being released in more than one location.

Jack on instilling & developing kink: “Here's the deal. You can learn techniques but like taste for food, you can't be taught to like wine or cheese or sweet bread... You can have someone tell you that kinky things attract some men and some women "get off" on them... and maybe the student turns out to be one of them. But usually fetishes are planted in some early experience… childhood to adolescent and reinforced over time usually with fantasy and masturbation until the person decides for whatever reason to come out of their closet and embrace their kink. And then it's about finding a partner who matches YOUR kink not just any kink. Not everyone will find kink appealing, but most will find an attractive female appealing regardless of what she wears and "sexy" clothes all seem to be about calling attention to the body and the curves and so forth. Fetish attire seems to be rather in your face in that respect as opposed to being subtle. And are the best catches out there all into kink? Does a kinky chick stand a better chance of landing the best prize? Hard to know. Since kink and fetish are expensive... all the gear and so forth, it seems to be the playground of the rich, though not all the rich are into kink for sure. I do see an appeal to elitism with fetish… as opposed to the more down and dirty porn approach. It's really complex, nuanced and esoteric and it seems to me rather beyond the ability of a young girl to full embrace the program. Most things like ballet, or art, or wine and or sports get better with time, maturity and so forth. I think fetish sex is right there with them and so I am hardly believing that 15 year olds can "pull it off" as an accomplished fetishist. Who knows?”

Fetishes are taught as part of Advanced Sexual Techniques to give St Lucy’s students an extra arrow or two in their quivers if needed. Understated glamour works extremely well among the upper classes, but if a girl has her sights set on a party animal then matching his kink to one of hers almost guarantees her success.

The FDA and ulipristal acetate

ellaOne pack ulipristal acetate

USA TODAY
By Rita Rubin
Updated 6/7/2010

FDA panel to mull 'morning-after pill' effective 5 days after sex

A Food and Drug Administration advisory committee will meet June 17 to consider whether the agency should approve a new emergency contraceptive that studies show is more effective than Plan B, the only "morning-after pill" on the U.S. market.

HRA Pharma of Paris launched ulipristal acetate in October 2009 and sells it in 21 European countries under the brand name ellaOne. As in Europe, ulipristal would be available only by prescription in the USA. Plan B, the brand name for levonorgestrel, is available without a prescription to women 17 and older, but those under 17 require a prescription.

Plan B is approved for use up to 72 hours after unprotected sex; even within that window, though, it becomes less effective over time. But two company-funded trials involving more than 3,000 women, published in February, found that ulipristal was consistently effective up to 120 hours, or five days, after unprotected sex.

In one randomized study, researchers compared ulipristal to levonorgestrel in women who had sought emergency contraception at family-planning clinics in the USA, Britain and Ireland within five days of having unprotected sex.

About 1,700 of the women received emergency contraception within 72 hours of having unprotected sex. Half got ulipristal and the other half received levonorgestrel. In the ulipristal group, 15 ended up getting pregnant, compared with 22 who took levonorgestrel.

Among 203 women who received emergency contraception 72 hours to 120 hours after unprotected sex, there were three pregnancies, all in women who had been given levonorgestrel.

The other study published in February focused on 1,241 women who had come to Planned Parenthood clinics for emergency contraception 48 to 120 hours after unprotected sex. All of them received ulipristal. About 2%, or 26, still ended up getting pregnant, but those who took the pill five days after unprotected sex were no more likely to get pregnant than those who took it two days afterward.

"If it were my daughter, I'd want her to have ulipristal rather than Plan B in her medicine cabinet," says Paul Fine, co-author of the studies, professor of obstetrics, gynecology and urology at Houston's Baylor College of Medicine and medical director of Planned Parenthood of Houston, southeast Texas and Louisiana.

More safety data are needed before ulipristal could be sold without a prescription, Fine and his co-authors wrote Feb. 13 in The Lancet.

Ulipristal and levonorgestrel work by inhibiting ovulation, Fine says. He disputed comments filed with the FDA on June 1 by Americans United for Life, an anti-abortion group that likened ulipristal to RU-486, the so-called abortion pill, which is its chemical cousin.

But Fine counters that ulipristal did not cause abortions in women who got pregnant after taking it.

Personal comment: In my entry for January 29, 2010 I mentioned that Elke brought along a supply of ellaOne to use after encounters with Adolph, even though she has a GyneFix IUD implanted, because she had heard how fertile he is. Anyway, the FDA will be holding hearings this week to help decide if they should approve ulipristal acetate for use in the U.S. as an emergency contraceptive. There is sure to be a spirited discussion, but I hope it is quickly approved.

Readers questions & the butcher shop

The Mirena levonorgestrel releasing IUD

Recent questions from readers:

Mirena IUD: “Taking out a Mirena drops estrogen or progestin?” A Mirena continuously releases a tiny bit of the progestin levonorgestrel. So removing it will decrease the average level of progestin in a woman’s body. I hope the reader asking this question was a man. A woman should have known the answer. Well, perhaps she was a very young woman who had abstinence-only sex-ed classes.

An IUD that has perforated the uterus

The problem with an IUD that has a frame, the T-shaped plastic structure to which the vertical copper coil or progestin releasing polymer is attached, such as a ParaGard (that uses copper) or Mirena is that it can dislodge or perforate the uterus and migrate into the wearer’s abdominal cavity - as in the image above - where it is ineffective as birth control.

Pregnant Escorts: “Escort fucks her client bareback to get pregnant” I’m not entirely sure what the reader is asking here. Most of our escorts have GyneFix IUDs implanted so to a client she would appear to be unprotected as do the girls on hormonal contraceptives. We do that to provide the most natural experience possible. Though of course we will use any standard contraceptive method a client would like. If the reader is a man he could be concerned about the complications from a paternity suit or perhaps he is secretly fantasizing about impregnating a favorite escort. In reality, up-market working girls want to stay as far away as possible from becoming preggers by a client. Pregnancy means expense and time off w/o pay to take care of the problem.

However, we do have a premium ‘baby-dancing’ service where the escort is fertile and totally unprotected with the object that the man pushes his shaft deep into her vagina slippery with fertile cervical fluid and buried as deep as he can get pumps semen into his escort’s ripe cervix soft, open and waiting to accept his sperm. The client has to commit to financing the abortion or the cost of carrying the baby to term and the adoption process if he actually manages to impregnate her. That service is extremely expensive and as far as I know no man has been successful in getting his baby-dancing escort preggers.

Prince Albert Piercing: “Can my Prince Albert piercing block my sperm preventing me getting my wife pregnant.” That’s the sort of question a stallion should ask his urologist. However, our clinic’s experience with men who wear PAPs during unprotected sex is that they are virile and potent if the piercing has been done correctly so that the man is able to urinate a strong stream. There may be some leakage around the piercing site below the frenulum, but if the man has strong ejaculations that place his semen deep in his partner’s vagina he should be capable of easily impregnating an unprotected partner. There is a question about damage to sperm if the PAP is of copper. No one knows for certain but it’s thought that if copper is used copper ions might react like they do from a copper IUD in the uterus and harm the wearer’s sperm.

Dive-Gel intimate lubricant: “Does Dive-Gel help with anxiety?” Dive-gel is an intimate lubricant that is difficult to wash away with water so is ideal for use as a lubricant during penetrative sex underwater. It will not reduce anxiety unless the person is anxious about being properly lubed for sexual intercourse underwater.

Qlaira missed pills: I keep getting questions about missed pills while on the birth control pill Qlaira. These questions are usually from women in Europe because Qlaira isn’t available in the U.S. yet. The instructions for taking missed pills while on Qlaira are complicated so the best thing for a woman to do is to consult the patient information leaflet that comes with each pill-pack. An on-line copy is available here. The only thing that is straightforward is if you miss one of the two white (inactive) pills just throw it away. Also, if you need to use back-up the interval is nine continuous days.

Sex at 30 meters: A good friend and frequent reader asked: “What kind of difference have you felt between doing what you do at the bottom of the Pit and going at 100 feet/30 meters?”

It's not that much different except for the amount and type of gas needed and the length of decompression. The interesting thing is the comments of my friends who are all freaked by the fact that they are at the mid point of the well and there is another 100 feet of water below them if something goes wrong. Of course that’s why we all carry lift bags as back-up. If there is an equipment failure or the diver is sick the idea is to get to the surface and if something goes wrong with the weight dump and the buoyancy device a lift bag can get you to the surface, but there isn't much control and it's tricky - and often impossible - to stop for deco ascending on a lift bag.

The butcher shop; Lean teen: Beth went with me on her first cleanup w/o Taryn. The victim was an 18 y/o aspiring dancer and from what was left seemed to have had a lean hard body. They found her in the studio of a ballet school run by a rubber Domme where she trained in the evenings. She was new in town and interested in rubber encasement and was slaughtered in her latex catsuit. To me it looked as though she was butchered by someone newly into Gynophagia. Nearly all the time Gynophagia is only an extreme fantasy fetish. But on rare occasions there have been reports of women actually being roasted and eaten. Anya says Deiter was deep into Gynophagia and ate parts of several Bosnian ballet dancers in his fortress castle in Germany. Deiter was a nasty piece of work and I’m thinking that Adolph may have some of the same tendencies.

The reason I say her butcher may have been newly into Gynophagia is that the cuts where he severed her thighs from the hips sockets were jagged as were the cuts that severed the lower parts of her legs just above the knees. The killer appears to have used a scalpel to slit her rubber suit and for cutting through flesh and muscle and a cleaver to hack through the bone. Blood was splattered everywhere. Or perhaps he was just new at dissecting a living woman and excited because he didn’t open an artery and let her bleed out before he started cutting out the parts he wanted. We found her strapless FemCap in her mouth blocking her airway. The bruise on her neck indicated her killer cut off the blood to her brain by pressing on her carotid and then when she fainted stuffed her FemCap down her throat. Anya said that Dieter told her a deboned woman’s thigh roasted with crushed rosemary tastes just like pork loin from a suckling pig. From looking at her ribs and breasts there won’t be much fat on her thighs so I’m not sure she will cook up well if the thighs are to be basted in their own juices. I thought for sure he would have gutted her to take her liver and kidneys to boil for stock but the organs in her abdomen were untouched, she was just missing her thighs. I really hope this guy is passing through and doesn’t make a habit of hunting in Vegas.

I was pleased that Beth did so well. Of course the victim was fresh so there was just the scent of blood so no deterioration and the accompanying stench had started. She pitched right in and helped load the upper body and lower legs, the feet sill in Bloch pointe shoes, into the bodybag. The shoes were Beth’s size and style and since she has started pointe again I said she could have them as a souvenir since they were stock and didn’t have the victim’s name on them. They were Beth’s first ‘trophy’ which she intends to wear to class.