Qlaira: estradiol valerate and dienogest
The Qlaira twins: Sixteen y/o Austrian twins entered St Lucy’s for the Spring semester in January. They are on the new Beyer combined hormonal contraceptive pill Qlaira which is a combination of the estrogen estradiol valerate and the progestin dienogest. Since Qlaira isn’t available in the U.S. yet they brought a six month supply of the pills with them. Qlaira is a 4 level 28 day regimen pill which is simple to take. However, if a woman misses a pill or two she may not be able to get back on schedule w/o having a nine-day lapse in her hormonal protection. That is typical for a multi-phasic pill but as you can see from the instructions below if a pill (or pills) is missed it depends on where the woman is in her pill pack as to what she should do to protect herself while she gets back on schedule. From the patient instructions that come with the pills:
“What do I do if I miss a pill?
The Qlaira packet contains 26 colored active tablets and 2 white inactive tablets. These must be taken in the order specified on the pack.
You should try and take your pill at the same time every day to help you remember to take it.
If you forget to take one of the white inactive pills this doesn't matter. You will still be protected, just discard the missed inactive pill and continue to take your pills, one every day, as normal.
If you forget to take an active pill, you should take it as soon as you remember (even if that means taking two pills in one day) and then continue to take your pills, one every day, as normal. Don’t take more than two active pills in one day. If you miss more than one pill you should ask your doctor for advice.
If you are less than 12 hours late taking an active pill you will still be protected against pregnancy and don’t need to use any extra precautions.
If you are more than 12 hours late taking an active pill, you may not be protected against pregnancy. What to do next depends on where in the packet you missed the pill.
If you have forgotten to start a new packet of pills, or have forgotten to take a pill on day 1 to 9 of the packet, you should use extra contraception such as condoms for the next nine days, while continuing with normal pill taking. If you had unprotected sex within the previous seven days there is a possibility you could be pregnant and you should seek medical advice.
If you miss a pill on days 10 to 17 of the packet, then it is necessary to use extra contraception, such as condoms, for the next nine days, while continuing with normal pill taking.
If you miss a pill from days 18 to 24 of the packet, don’t take the missed pill, discard the current packet and start a new packet started immediately. You will need to use extra contraception such as condoms for the next nine days.
If you miss a pill on day 25 to 26 of the packet, then the missed pill should be taken immediately and then the next pill at the usual time. In this case, no extra contraception is necessary.
If you miss a pill on days 27 or 28 this doesn't matter as these pills are inactive. You will still be protected, just discard the missed inactive pill and continue to take your pills, one every day, as normal.
If you are confused about any of this, you can get individual advice for your circumstances from your doctor, pharmacist, local family planning clinic, or by calling the fpa helpline on 0845 122 8690.”
Missed pills complications: In my opinion this sort of corrective pill regimen is way too complicated to expect 16 y/o girls to follow it with any degree of accuracy. It’s not that they aren’t smart enough to follow the steps; it’s that they think they don’t need to and that they will be fine. Even though I cover the need to follow their pill regimen exactly it in my contemporary sexual health classes it’s hard to get some of them to believe they are at risk when they don’t take their pills correctly. So, I had mixed feelings when I heard that both twins were newly preggers. They found out when they went to SCUBA fundamentals class and the first test they took was for pregnancy and they tested positive for hCG.
The bad news is that they will miss a week of SCUBA lessons while they take care of their situations with Mifeprex. The good news is that they are at the age of consent so we don’t need to rely on their parental wavers in case someone questions their terminations. But the best thing from my perspective is that their situation gives me a teaching moment. The twins make a high profile object lesson in how not to take birth control pills, because they had both missed 2 pills and didn’t use a back-up method. They had been fitted for starter gas guards (Semina diaphragms) but chose not to use them or condoms for the nine days that their pill instructions called for while their hormonal protection was being reestablished.
Rebreather bag tampering: A frequent cause of serious accidents in the rubber fetish community is from misuse or tampering with rebreather bags. We are seeing an increase in asphyxia injuries and deaths and the most common equipment arrangement in these accidents is a 3 liter black latex rebreather bag with an adaptor screwed into the canister port of a surplus gasmask with a flip valve on the other end. I have seen everything from gluing the valve closed to pushing a wood or plastic rod into the valve opening to block it. Or the wearer is under the influence of recreational drugs or alcohol and passes out before he can open the rebreather valve.
If you are wearing a vintage gasmask with an exposed canister connector – the sort of rig that’s called a ‘starter set’ here because it is inexpensive and favored by men new to breath play - another simple way to create a rebreather is with a latex male condom. Condoms work well if the user oxygenates first before stretching the open end across the 40 mm NATO canister connection. The problem with that arrangement is there is no valve so the partner using a condom on his mask (rebreather bags are almost exclusively used by men here) needs to have at least one hand free and be mentally alert enough so he can remove the condom or his partner needs to be watching so that s/he can remove it before the wearer suffocates.
Cervical rams: We had a sadistic rubber Dom who was using a rubber lined polymer penis sheath as a ram to cripple women, even ones with extremely deep vaginas. It sounds like something Adolph might do but it wasn’t him. It is almost as though the Dom was wearing a strap-on as it had the same effect on a woman often rupturing her uterus as she squirmed and screamed beneath him trying to get away. He seemed to use it on the older Subs in his stable so he could say they had health issues and cut them loose to work the streets. That came to an end last weekend while he was watching the Colts and Saints game and drinking double shots of Chivas Regal. When he passed out several of his girls fitted his gasmask over his face tightened the head harness straps to get a good seal and screwed a rebreather on to his mask, then closed the valve and let him suffocate. They were packed and ready to leave splitting the cash he kept in a safe in his bedroom as getaway money. His housekeeper found him Monday morning. I don’t know of a single person who will mourn his death.
Gepetto’s BDSM ballet-boots: To meet the needs of the BDSM community here Gepetto has modified his basic ballet-boot design. There is no padding in the toe-box so the wearer’s toes need to be taped and toe-pads used, or not, depending on her Doms requirements. Added to this design were shaft top locks and D-rings welded into the titanium heel cups so that they can’t be pried or cut off with bolt cutters. The D-rings can easily take the wearer’s weight hanging from her boots or can be locked to a spreader bar. Each pair comes with a complementary titanium vaginal hook and six-foot chain leash so that with her crotch zipper open a rubber Dom can lead his Sub in her heavy rubber encasement suit through the crowds at Naughty Pleasures w/o her getting away from him. When a girl is being lead around on a leash terminating in a vaginal hook you can believe she is seriously intent on keeping slack in the leash.
The Qlaira twins: Sixteen y/o Austrian twins entered St Lucy’s for the Spring semester in January. They are on the new Beyer combined hormonal contraceptive pill Qlaira which is a combination of the estrogen estradiol valerate and the progestin dienogest. Since Qlaira isn’t available in the U.S. yet they brought a six month supply of the pills with them. Qlaira is a 4 level 28 day regimen pill which is simple to take. However, if a woman misses a pill or two she may not be able to get back on schedule w/o having a nine-day lapse in her hormonal protection. That is typical for a multi-phasic pill but as you can see from the instructions below if a pill (or pills) is missed it depends on where the woman is in her pill pack as to what she should do to protect herself while she gets back on schedule. From the patient instructions that come with the pills:
“What do I do if I miss a pill?
The Qlaira packet contains 26 colored active tablets and 2 white inactive tablets. These must be taken in the order specified on the pack.
You should try and take your pill at the same time every day to help you remember to take it.
If you forget to take one of the white inactive pills this doesn't matter. You will still be protected, just discard the missed inactive pill and continue to take your pills, one every day, as normal.
If you forget to take an active pill, you should take it as soon as you remember (even if that means taking two pills in one day) and then continue to take your pills, one every day, as normal. Don’t take more than two active pills in one day. If you miss more than one pill you should ask your doctor for advice.
If you are less than 12 hours late taking an active pill you will still be protected against pregnancy and don’t need to use any extra precautions.
If you are more than 12 hours late taking an active pill, you may not be protected against pregnancy. What to do next depends on where in the packet you missed the pill.
If you have forgotten to start a new packet of pills, or have forgotten to take a pill on day 1 to 9 of the packet, you should use extra contraception such as condoms for the next nine days, while continuing with normal pill taking. If you had unprotected sex within the previous seven days there is a possibility you could be pregnant and you should seek medical advice.
If you miss a pill on days 10 to 17 of the packet, then it is necessary to use extra contraception, such as condoms, for the next nine days, while continuing with normal pill taking.
If you miss a pill from days 18 to 24 of the packet, don’t take the missed pill, discard the current packet and start a new packet started immediately. You will need to use extra contraception such as condoms for the next nine days.
If you miss a pill on day 25 to 26 of the packet, then the missed pill should be taken immediately and then the next pill at the usual time. In this case, no extra contraception is necessary.
If you miss a pill on days 27 or 28 this doesn't matter as these pills are inactive. You will still be protected, just discard the missed inactive pill and continue to take your pills, one every day, as normal.
If you are confused about any of this, you can get individual advice for your circumstances from your doctor, pharmacist, local family planning clinic, or by calling the fpa helpline on 0845 122 8690.”
Missed pills complications: In my opinion this sort of corrective pill regimen is way too complicated to expect 16 y/o girls to follow it with any degree of accuracy. It’s not that they aren’t smart enough to follow the steps; it’s that they think they don’t need to and that they will be fine. Even though I cover the need to follow their pill regimen exactly it in my contemporary sexual health classes it’s hard to get some of them to believe they are at risk when they don’t take their pills correctly. So, I had mixed feelings when I heard that both twins were newly preggers. They found out when they went to SCUBA fundamentals class and the first test they took was for pregnancy and they tested positive for hCG.
The bad news is that they will miss a week of SCUBA lessons while they take care of their situations with Mifeprex. The good news is that they are at the age of consent so we don’t need to rely on their parental wavers in case someone questions their terminations. But the best thing from my perspective is that their situation gives me a teaching moment. The twins make a high profile object lesson in how not to take birth control pills, because they had both missed 2 pills and didn’t use a back-up method. They had been fitted for starter gas guards (Semina diaphragms) but chose not to use them or condoms for the nine days that their pill instructions called for while their hormonal protection was being reestablished.
Rebreather bag tampering: A frequent cause of serious accidents in the rubber fetish community is from misuse or tampering with rebreather bags. We are seeing an increase in asphyxia injuries and deaths and the most common equipment arrangement in these accidents is a 3 liter black latex rebreather bag with an adaptor screwed into the canister port of a surplus gasmask with a flip valve on the other end. I have seen everything from gluing the valve closed to pushing a wood or plastic rod into the valve opening to block it. Or the wearer is under the influence of recreational drugs or alcohol and passes out before he can open the rebreather valve.
If you are wearing a vintage gasmask with an exposed canister connector – the sort of rig that’s called a ‘starter set’ here because it is inexpensive and favored by men new to breath play - another simple way to create a rebreather is with a latex male condom. Condoms work well if the user oxygenates first before stretching the open end across the 40 mm NATO canister connection. The problem with that arrangement is there is no valve so the partner using a condom on his mask (rebreather bags are almost exclusively used by men here) needs to have at least one hand free and be mentally alert enough so he can remove the condom or his partner needs to be watching so that s/he can remove it before the wearer suffocates.
Cervical rams: We had a sadistic rubber Dom who was using a rubber lined polymer penis sheath as a ram to cripple women, even ones with extremely deep vaginas. It sounds like something Adolph might do but it wasn’t him. It is almost as though the Dom was wearing a strap-on as it had the same effect on a woman often rupturing her uterus as she squirmed and screamed beneath him trying to get away. He seemed to use it on the older Subs in his stable so he could say they had health issues and cut them loose to work the streets. That came to an end last weekend while he was watching the Colts and Saints game and drinking double shots of Chivas Regal. When he passed out several of his girls fitted his gasmask over his face tightened the head harness straps to get a good seal and screwed a rebreather on to his mask, then closed the valve and let him suffocate. They were packed and ready to leave splitting the cash he kept in a safe in his bedroom as getaway money. His housekeeper found him Monday morning. I don’t know of a single person who will mourn his death.
Gepetto’s BDSM ballet-boots: To meet the needs of the BDSM community here Gepetto has modified his basic ballet-boot design. There is no padding in the toe-box so the wearer’s toes need to be taped and toe-pads used, or not, depending on her Doms requirements. Added to this design were shaft top locks and D-rings welded into the titanium heel cups so that they can’t be pried or cut off with bolt cutters. The D-rings can easily take the wearer’s weight hanging from her boots or can be locked to a spreader bar. Each pair comes with a complementary titanium vaginal hook and six-foot chain leash so that with her crotch zipper open a rubber Dom can lead his Sub in her heavy rubber encasement suit through the crowds at Naughty Pleasures w/o her getting away from him. When a girl is being lead around on a leash terminating in a vaginal hook you can believe she is seriously intent on keeping slack in the leash.
No comments:
Post a Comment