The FC2, NuvaRing and CSH at St Lucy’s

The FC2 nitrile female condom

The Photo: An FC2 female condom made of nitrile Correct use of the FC2 is the starting point for St Lucy’s students in the contraceptives portion of my Contemporary Sexual Health course and an option in the dive-sex portion of my Advanced Sexual Techniques course.  The FC2 is a nitrile sheath or pouch 17 cm (6.7 in) in length. At each end there is a flexible ring. At the closed end of the sheath, the flexible ring is inserted into the vagina to hold the female condom in place. The other end of the sheath stays outside the vulva at the entrance to the vagina.

St Lucy’s Contemporary Sexual Health (CHS) course: All St Lucy’s students who have reached menarche are required to take CSH. Lab training begins with the FC2 female condom. First, how to insert correctly, then with condoms inserted the entire class practicing penetration with dildos in an encounter salle and then in an encounter pool and after that individually with lab partners from UNLV.

Morning Wood and hypersexuality: Returning readers will recall that Morning Wood is my psychiatrist helping me to more effectively manage my responsibilities as a Goddess of Aphrodite by channeling my hypersexuality into higher payback projects.  I don’t really care for the term Nymphomania, but I really, really like having sex with men! For more about hypersexuality Click HERE 

Readers may also remember that he is sweetly delusional about me in that if around me for more than thirty minutes he comes to believe I’m his dead wife Jenna who was a ballerina with the San Francisco Ballet killed in an auto accident with their infant son several years ago. In that delusional state he functions normally except for introducing me to friends as ‘Jenna’ and is one of the most skilled and considerate lovers I’ve ever had.  He has asked me, as Jenna, to renew their wedding vows which for me would mean I’d be marrying him and so far I’ve been successful in avoiding answering that request.

We both know that as my therapist we shouldn’t be having a sexual relationship. However, in this case the sex is so good that it’s helping both of us cope with life’s complications. Really, would I lie about something that important? Between our sexual encounters as my therapist he is trying to get me to concentrate on three areas: 1) my teaching the art of irresistible love-making at St Lucy’s, 2) my helping fit cervical barriers at a local women’s clinic and 3) celebrating the celestial events ushering in the seasons for Aphrodite all of which I see as my callings in support of the Goddess, and all in addition to my responsibilities as Artistic Director and choreographer for my ballet troupe. With some playtime left for me - in addition to mind-blowing sex with my therapist - of course.

Conservation and Jenna’s Bloch Alpha pointes: I’ve been trying to wean Marvin off Jenna’s traditionally made pointe-shoes. The ones she bought and sweated in are becoming a scarce and non renewable resource. Not because Bloch Alpha shoes aren’t available, but because new ones that I break in won’t have her scent in them.  So I have been very slowly bringing him around to accepting me in Gaynor Minden pointes with suede platforms as I  break in new pairs, getting him use to the scent of my sweat, blood and toe-cheese as it interacts with the inside lining of well used GM shoes. Hard shanked suede tipped GM pointes are so much more comfortable to wear, last so much longer and provide so much better support during ballet-sex.

Diva Cup and coitial discharge: An off list use for a menstrual cup (my circle and I prefer the Dive Cup, but any brand that fits should do) is as a collection device for coitial secretion control and reuse. In addition to it’s primary purpose of flow control a menstrual cup is particular useful while producing fertile cervical mucus (FCM) and after bareback intercourse if inserted shortly after withdrawal before the semen liquefies as the contents of the cup are kept away from air – to minimize odor - and at body temperature until they can be consumed by fetishists at some later more convenient time.

DCS at Splash: Divemasters at Splash watch the Towel Girls dive computers to ensure the girls don’t exceed table limits which would require deco stops to minimize the likelihood of getting decompression sickness, DCS. Occasionally a Towel Girl will tamper with her computer to show fewer hours or shallower encounter depths, or both, in order to get more work. That sort of tampering caught up with a 23 y/o blonde Red Door TG over the weekend when she had a seizure while at the bottom of a 25 ft deep encounter pool. Her client was finishing inside her and she was in the middle of what appeared (on the video) to be a marvelous orgasm when she grunted, shuddered and stopped breathing. Her client withdrew and made an emergency ascent for both of them, but it was too late for her. The video of her death will make a great snuff video for the European and Asian markets as blond Caucasians dying during dive-sex are in great demand especially in Asia.

Kassi wows the boot bar: Now that Kassi has officially come out on the local kink scene and is working for Adolph he took her to the Boot Bar at my casino to show off her skill in ballet-boots. She wore a custom made black latex catsuit from Labia Labs and a pair of her new lightly armored ballet-boots from Gepetto’s bootery and she loves them; the smell of fresh leather, leather oil, the creak of the leather as they flex as she walks, the perfect fit gripping her insteps in relative comfort and how long and lovely they make her legs look. She was a gorgeous latex clad Boot-Princess gliding across the floor on Adolph’s arm and quite a hit with the men who had come to worship at the feet of ballet-boots shod women. Morning Wood and I accompanied them just to give Kassi confidence and I was delighted to see how beautifully Adolph – a major player on the kink scene - showed her off since to him she is not only an “exquisite fuck” (his words) but a valuable business asset to use wisely.

During our time there three Boot-Knights asked permission to physically adore her boots and when Adolph granted it knelt before her and ejaculated into her spider filament laces. She left the club very pleased with herself at having that effect on men whose fresh semen added its scent to the bouquet from her boots as it splattered and ran into the tongues and laces. She told me later that when they got back to Adolph’s home he was very attentive to her needs in bed.

NuvaRing for swim team: St. Lucy’s swim team switched to the vaginal ring as the team’s preferred form of contraception. I have the ballet students on the frameless copper bead GyneFix IUD. However, several of the swim team members suffer from painful menstrual periods (dysmenorrhea) so Depo-subQ Provera 104 (the shot), Nexplanon and IUDs weren’t a good choice because of the possibility of weight gain, the implant can be seen while swimming and IUDs were too invasive.

NuvaRing can be a good choice for women with a pronounced post-pubic vault so the ring rests against the back of the pubic bone. It is a non-biodegradable, flexible, transparent, colorless to almost colorless, combination contraceptive vaginal ring, with an outer diameter of 54 mm and contains 11.7 mg etonogestrel and 2.7 mg ethinyl estradiol. When placed in the vagina, each ring releases on average 0.120 mg/day of etonogestrel and 0.015 mg/day of ethinyl estradiol over a three-week period of use after which it is removed for one week. Then a new ring is inserted. And, the ring can be worn under a diaphragm if the woman needs flood protection for dive-sex. 

When worn w/o a diaphragm it can be hooked and pulled out by a partner’s penis so a wearer should insert a finger immediately before and after each act to ensure the ring is in place. It can be temporarily removed for intervals of less than three hours w/o decreasing the effectiveness of a wearer’s protection. And, if it is inadvertently removed or expelled it can be rinsed in cool water and reinserted.

Effectiveness rates using 2 methods of birth control

Effective contraceptive methods


I’m posting this because: Some of the students at St Lucy’s have begun to read this Blog and since summer vacation will be here soon I want to give them a familiar site they can bookmark if they have questions about the effectiveness of combining two different methods of contraception. Ideally a girl would insist on using condoms to protect against STIs during hookups or as added protection if she isn’t using her primary method perfectly, but we all know that the world of contraception is not ideal and neither men nor women like to use condoms so all we as their teachers and mentors can do is provide them with the information to make an informed decision.

The Buddy System: Effectiveness Rates for Backing Up Your Birth Control With a Second Method

Scarleteen
By Heather Corinna

You already know that no method of contraception is 100% effective (save permanent sterilization) to prevent pregnancy when you're engaging in sexual activity - read: genital intercourse -- which presents a risk of pregnancy. You probably also know, however, that there are reliable methods which are very effective when used properly, and that if you use contraception correctly and consistently, pregnancy becomes a whole lot less likely. But did you know that by doubling up and using two methods, with almost any combination you use, you can get mighty close to that 100% with many combos?

Hormonal methods of contraception are currently the most effective, reversible methods of birth control with perfect use. But with most of them, we can goof up -- maybe we skipped a couple pills or got a new prescription late, maybe we're not so timely about getting our injections or don't have consistent healthcare to get a new one on time, maybe we didn't realize our patch fell off. Oops. But if we're consistently backing up with a secondary method, even if our primary one fails, we're covered. As well, not everyone can use or wants to use a hormonal method: some of us prefer non-hormonal methods or those are our only safe or affordable options. While they aren't as effective in perfect use, if we add a backup method to the mix, we can be just as protected or even more protected from pregnancy as we could be with a more effective single method.

You'll see that some combinations can increase your level of protection substantially, while with other pairs -- especially where user error is a non-issue, like with an IUD or an implant -- the difference is so slight that backing up is just overkill. Regardless, there is no single combination of any two methods here which would leave you with less than 92% effectiveness, and most combinations will bump you up to over 95% protection. The highest combined methods' typical use effectiveness -- condoms paired with an implant - is 99.99% effective, while the lowest -- withdrawal buddied up with spermicide - is 92.17% effective. But no matter how you slice it, adding a second method always bumps up your protection against unwanted pregnancy.

The Caveats: This is a mathematical application. That doesn't mean it's not accurate -- it is, and I've got the migraine and a pile of paper covered with my chicken scratches to prove it -- but it does mean that these rates are arrived at through math, based on the combined effectiveness rates of single methods, not through specific study or clinical trials of the combined methods. The sources of our efficiency rates for single methods can be found on the Birth Control Bingo pages linked for each method.

In some cases, combining any two or more methods may possibly slightly reduce the effectiveness of one in actual use. For example, because oral contraceptive pills thicken cervical mucus, condoms, when not used with additional lubricant, can be more inclined to break due to increased friction. Using withdrawal with condoms may make it more likely to forget to hold the base of the condom and create a condom slip which may not have been as likely to happen without adding withdrawal to the mix. Without specific study on these things, we can't predict how much it may reduce the effectiveness of one method in those cases nor account for that possibility in the math. However, we have only listed combinations of methods which are safe and sound to use together and make for good mates. For instance, it would not be safe to combine Depo-Provera with another hormonal method. The vaginal effects of combining a ring and spermicides could cause a good deal of vaginal irritation . Using more than one condom is something we know makes condoms less effective, not more. Natural family planning can't be combined with oral contraceptives since a person using oral contraceptives no longer has a natural fertility cycle to chart in the first place.

We've also not done the math for using more than two methods. If you are properly and consistently using two reliable methods of contraception, the risk of pregnancy is incredibly small, and adding a third method is not likely to increase your protection by very much. The difference between a combined method that is 99.8% effective with typical use of both and three methods which are 99.78% effective together, for instance, is so small a statistical difference that adding a third method is likely to just be a needless expense and pain in your butt.

Certainly, if you prefer more than two methods, so long as they don't interfere with one another, you can choose to do that, but we'd also encourage you to evaluate your feelings. If two methods with something like a less than 2% chance of pregnancy in typical use -- and that still allows for room when it comes to user error -- still doesn't leave you feeling safe enough, you might want to consider that you're not comfortable enough with the small amount of risk which will always be a part of sexual activities that can result in pregnancy. It would probably be a good idea in that case to revisit your readiness, and either stick with activities which don't carry those risks, or hold off on heterosex (genital intercourse with an opposite-sex partner) until you're feeling more prepared for some small level of risk. When you're so freaked about the possibility of pregnancy that no amount of birth control feels like enough, it's unlikely that even with four methods, that level of anxiety is not going to leave room for actually enjoying the sex you're having (which is the whole point). Your enjoyment is going to be seriously hindered if you're taking a pill, putting in a diaphragm, having your partner put on a condom, using withdrawal and then taking EC. It's ideal and laudable to be smart and to be safe, but if your contraceptive practices start to feel like you're building a bomb shelter in preparation for a nuclear war every time you have sex, you or your partners are probably better off when it comes to your pleasure and mental health to recognize that you're not up to any risk of pregnancy, even a very statistically unlikely one, and to choose to engage in activities where your risks are far lower or nonexistent.

Listings for each single method are alphabetical. The combinations are listed from most to least effective with typical use, since typical use tends to be the most accurate measure for real people in real -- and frequently imperfect -- life. For more information on any of the single methods listed, just click on the links in their titles.


Cervical Barriers (Diaphragm)
94% effective alone with perfect use - 86% effective alone with typical use
Cervical Barriers + The Contraceptive Implant = 99.99% effective with perfect use - 99.98% effective with typical use
Cervical Barriers + Intrauterine Devices = 99.99% effective with perfect use - 99.89% effective with typical use
Cervical Barriers + Depo-Provera = 99.98% effective perfect use - 99.58% typical use
Cervical Barriers + Combination OCP ("The Pill") = 99.98% effective with perfect use - 98.88% effective with typical use
Cervical Barriers + The Contraceptive Patch = 99.98% effective with perfect use - 98.88% effective with typical use
Cervical Barriers + Minipills = 99.98% effective with perfect use - 98.6% effective with typical use
Cervical Barriers + Male Condoms = 99.88% effective perfect use - 97.9% effective with typical use
Cervical Barriers + Fertility Awareness = 99.88% effective with perfect use - 97.2% effective with typical use
Cervical Barriers + Female Condoms = 99.7% effective with perfect use - 97% effective with typical use
Cervical Barriers + Emergency Contraception = 99.34% effective with perfect use - 96.5% effective with typical use
Cervical Barriers + Withdrawal = 99.76% effective with perfect use - 96.22% effective with typical use

Spermicides with cervical barriers are not listed because spermicide is supposed to be used with them, so effectiveness rates for barrier methods already include the addition of a spermicide. Since the sponge already contains a spermicide, spermicide was also excluded from combination with the sponge.

Combination Oral Contraceptives ("The Pill")
99.7% effective alone with perfect use - 92% effective alone with typical use
Combination OCP + Cervical Barriers = 99.98% effective with perfect use - 98.88% effective with typical use
Combination OCP + Male Condoms = 99.99% effective with perfect use - 98.8% effective with typical use
Combination OCP + The Sponge = 99.97%effective with perfect use - 98.72% effective with typical use
Combination OCP + Female Condoms = 99.98% effective with perfect use - 98.32% effective with typical use
Combination OCP + Emergency Contraception* = 99.97% effective with perfect use - 98% effective with typical use
Combination OCP + Withdrawal = 99.98% effective with perfect use - 97.84% effective
Combination OCP + Spermicide = 99.94% effective with perfect use - 97.68% effective with typical use

Female Condoms
95% effective with perfect use - 79% effective with typical use
Female Condoms + The Contraceptive Implant = 99.99% effective with perfect use - 99.97% effective with typical use
Female Condoms + Intrauterine Devices = 99.99% effective with perfect use - 99.37% effective with typical use
Female Condoms + Depo-Provera = 99.99% effective with perfect use - 99.37% effective with typical use
Female Condoms + Combination OCP = 99.98% effective with perfect use - 98.32% effective with typical use
Female Condoms + The Contraceptive Patch = 99.98% effective with perfect use - 98.32% effective with typical use
Female Condoms + the Vaginal Ring = 99.98% effective with perfect use - 98.32% effective with typical use
Female Condoms + Minipills = 99.98% effective with perfect use - 97.9% effective with typical use
Female Condoms + Cervical Barriers = 99.7% effective with perfect use - 97% effective with typical use
Female Condoms + the Sponge = 99.55% effective with perfect use - 96.64% effective with typical use
Female Condoms + Fertility Awareness = 99.9% effective with perfect use - 95.8% effective with typical use
Female Condoms + Emergency Contraception = 99.45% effective with perfect use - 94.75% effective with typical use
Female Condoms + Withdrawal = 99.8% effective with perfect use - 94.33% effective with typical use
Female Condoms + Spermicide = 99.1% effective with perfect use - 93.91% effective with typical use

Don't forget! The addition of condoms to any method always carries the joint benefit of both allowing men a part in birth control and greatly reducing the risks of sexually transmitted infections.

Male Condoms
98% effective alone with perfect use - 85% effective alone with typical use
Male Condoms + The Contraceptive Implant = 99.99% effective with perfect use - 99.99% effective with typical use
Male Condoms + Intrauterine Devices = 99.99% effective with perfect use - 99.88% effective with typical use
Male Condoms + Depo-Provera = 99.99% effective with perfect use - 99.55% effective with typical use
Male Condoms + Combination OCP = 99.99% effective with perfect use - 98.8% effective with typical use
Male Condoms + The Contraceptive Patch = 99.99% effective with perfect use - 98.8% effective with typical use
Male Condoms + the Vaginal Ring = 99.99% effective with perfect use - 98.8% effective with typical use
Male Condoms + Minipills = 99.99% effective with perfect use - 98.5% effective with typical use
Male Condoms + Cervical Barriers = 99.88% effective perfect use - 97.9% effective with typical use
Male Condoms + the Sponge = 97.7% effective with perfect use - 97.6% effective with typical use
Male Condoms + Fertility Awareness = 99.96% effective with perfect use - 97% effective with typical use
Male Condoms + Emergency Contraception = 99.78% effective with perfect use - 96.25% effective with typical use
Male Condoms + Withdrawal = 99.92% effective with perfect use - 95.95% effective with typical use
Male Condoms + Spermicide = 99.64% effective with perfect use - 95.65% effective with typical use

The Contraceptive Implant (Implanon)
99.9% effective with perfect use - 99.9% effective with typical use
The Contraceptive Implant + Male Condoms = 99.99% effective with perfect use - 99.99% effective with typical use
The Contraceptive Implant + Cervical Barriers = 99.99% effective with perfect use - 99.98% effective with typical use
The Contraceptive Implant + Emergency Contraception*= 99.99% effective with perfect use - 99.98% effective with typical use
The Contraceptive Implant + the Sponge = 99.99% effective with perfect use - 99.98% effective with typical use
The Contraceptive Implant + Female Condoms = 99.99% effective with perfect use - 99.97% effective with typical use
The Contraceptive Implant + Withdrawal = 99.99% effective with perfect use - 99.97% effective with typical use
The Contraceptive Implant + Spermicide = 99.98% effective with perfect use - 99.97% effective with typical use

The Contraceptive Patch ("The Patch")
99.7% effective with perfect use - 92% effective with typical use
The Contraceptive Patch + Cervical Barriers = 99.98% effective with perfect use - 98.88% effective with typical use
The Contraceptive Patch + Male Condoms = 99.99% effective with perfect use - 98.8% effective with typical use
The Contraceptive Patch + Female Condoms = 99.98% effective with perfect use - 98.32% effective with typical use
The Contraceptive Patch + Emergency Contraception*= 99.97% effective with perfect use - 98% effective with typical use
The Contraceptive Patch + the Sponge = 99.97%effective with perfect use - 98.72% effective with typical use
The Contraceptive Patch + Withdrawal = 99.98% effective with perfect use - 97.84% effective
The Contraceptive Patch + Spermicide = 99.94% effective with perfect use - 97.68% effective with typical use

Depo-Provera ("The Shot")
99.7% effective with perfect use - 97% effective with typical use
Depo-Provera + Cervical Barriers = 99.98% effective perfect use - 99.58% typical use
Depo-Provera + Male Condoms = 99.99% effective with perfect use - 99.55% effective with typical use
Depo-Provera + the Sponge = 99.97%effective with perfect use - 99.52% effective with typical use
Depo-Provera + Female Condoms = 99.99% effective with perfect use - 99.37% effective with typical use
Depo-Provera + Emergency Contraception*= 99.97% effective with perfect use - 99.25% effective with typical use
Depo-Provera + Withdrawal = 99.98% effective with perfect use - 99.19% effective with typical use
Depo-Provera + Spermicide = 99.94% effective with perfect use - 99.13% effective with typical use

Fertility Awareness (FAM)
98% effective with perfect use - 80% effective with typical use
Fertility Awareness + Cervical Barriers = 99.88% effective with perfect use - 97.2% effective with typical use
Fertility Awareness + Male Condoms = 99.96% effective with perfect use - 97% effective with typical use
Fertility Awareness + the Sponge = 99.82% effective with perfect use - 96.8% effective with typical use
Fertility Awareness + Female Condoms = 99.9% effective with perfect use - 95.8% effective with typical use
Fertility Awareness + Emergency Contraception = 99.78% effective with perfect use - 95% effective with typical use
Fertility Awareness + Withdrawal = 99.92% effective with perfect use - 94.6% effective with typical use
Fertility Awareness + Spermicide = 99.64% effective with perfect use - 94.2% effective with typical use

Intrauterine Devices (IUD)
99.9% effective with perfect use - 99.2% effective with typical use
Intrauterine Devices + Cervical Barriers = 99.99% effective with perfect use - 99.89% effective with typical use
Intrauterine Devices + Male Condoms = 99.99% effective with perfect use - 99.88% effective with typical use
Intrauterine Devices + The Sponge = 99.99% effective with perfect use - 99.87% effective with typical use
Intrauterine Devices + Female Condoms = 99.99% effective with perfect use - 99.83% effective with typical use
Intrauterine Devices + Emergency Contraception* = 99.99% effective with perfect use - 99.8% effective with typical use
Intrauterine Devices + Withdrawal = 99.99% effective with perfect use - 99.78% effective with typical use
Intrauterine Devices + Spermicide = 99.98% effective with perfect use - 99.77% effective with typical use

Minipills
99.7% effective with perfect use - 90% effective with typical use
Minipills + Cervical Barriers = 99.98% effective with perfect use - 98.6% effective with typical use
Minipills + Male Condoms = 99.99% effective with perfect use - 98.5% effective with typical use
Minipills + The Sponge = 99.97% effective with perfect use - 98.4% effective with typical use
Minipills + Female Condoms = 99.98% effective with perfect use - 97.9% effective with typical use
Minipills + Emergency Contraception* = 99.97% effective with perfect use - 97.5% effective with typical use
Minipills + Withdrawal = 99.99% effective with perfect use - 97.3% effective with typical use
Minipills + Spermicide = 99.95% effective with perfect use - 97.1% effective with typical use

Spermicide
82% effective with perfect use - 71% effective with typical use
Spermicide + The Contraceptive Implant = 99.98% effective with perfect use - 99.97% effective with typical use
Spermicide + Intrauterine Devices = 99.98% effective with perfect use - 99.77% effective with typical use
Spermicide + Depo-Provera = 99.94% effective with perfect use - 99.13% effective with typical use
Spermicide + Combination OCP = 99.94% effective with perfect use - 97.68% effective with typical use
Spermicide + The Contraceptive Patch = 99.94% effective with perfect use - 97.68% effective with typical use
Spermicide + Minipills = 99.95% effective with perfect use - 97.1% effective with typical use
Spermicide + Male Condoms = 99.64% effective with perfect use - 95.65% effective with typical use
Spermicide + Fertility Awareness = 99.64% effective with perfect use - 94.2% effective with typical use
Spermicide + Female Condoms = 99.1% effective with perfect use - 93.91% effective with typical use
Spermicide + Emergency Contraception = 98% effective with perfect use - 92.75% effective with typical use
Spermicide + Withdrawal = 99.28% effective with perfect use - 92.17% effective with typical use

The Sponge
91% effective with perfect use - 84% effective with typical use
The Sponge + The Contraceptive Implant = 99.99% effective with perfect use - 99.98% effective with typical use
The Sponge + Intrauterine Devices = 99.99% effective with perfect use - 99.87% effective with typical use
The Sponge + Depo-Provera = 99.97%effective with perfect use - 99.52% effective with typical use
The Sponge + Combination OCP = 99.97%effective with perfect use - 98.72% effective with typical use
The Sponge + The Contraceptive Patch = 99.97%effective with perfect use - 98.72% effective with typical use
The Sponge + Minipills = 99.97% effective with perfect use - 98.4% effective with typical use
The Sponge + Male Condoms = 97.7% effective with perfect use - 97.6% effective with typical use
The Sponge + Fertility Awareness = 99.82% effective with perfect use - 96.8% effective with typical use
The Sponge + Female Condoms = 99.55% effective with perfect use - 96.64% effective with typical use
The Sponge + Emergency Contraception = 99.01% effective with perfect use - 96% effective with typical use
The Sponge + Withdrawal = 99.64% effective with perfect use - 95.68% effective with typical use

The Vaginal Ring
99.7% effective with perfect use - 92% effective with typical use
The Vaginal Ring + Male Condoms = 99.99% effective with perfect use - 98.8% effective with typical use
The Vaginal Ring + Female Condoms = 99.98% effective with perfect use - 98.32% effective with typical use
The Vaginal Ring + Emergency Contraception* = 99.97% effective with perfect use - 98% effective with typical use
The Vaginal Ring + Withdrawal = 99.98% effective with perfect use - 97.84% effective with typical use

Withdrawal
96% effective with perfect use - 73% effective with typical use
Withdrawal + The Contraceptive Implant = 99.99% effective with perfect use - 99.97% effective with typical use
Withdrawal + Intrauterine Devices = 99.99% effective with perfect use - 99.78% effective with typical use
Withdrawal + Depo-Provera = 99.98% effective with perfect use - 99.19% effective with typical use
Withdrawal + Cervical Barriers = 99.76% effective with perfect use - 96.22% effective with typical use
Withdrawal + Male Condoms = 99.92% effective with perfect use - 95.95% effective with typical use
Withdrawal + Combination OCP = 99.98% effective with perfect use - 97.84% effective
Withdrawal + The Contraceptive Patch = 99.98% effective with perfect use - 97.84% effective
Withdrawal + the Vaginal Ring = 99.8% effective with perfect use - 97.84% effective with typical use
Withdrawal + Minipills = 99.99% effective with perfect use - 97.3% effective with typical use
Withdrawal + the Sponge = 99.64% effective with perfect use - 95.68% effective with typical use
Withdrawal + Fertility Awareness = 99.92% effective with perfect use - 94.6% effective with typical use
Withdrawal + Emergency Contraception = 99.56% effective with perfect use - 93.25% effective with typical use
Withdrawal + Spermicide = 99.28% effective with perfect use - 92.17% effective with typical use

* EC is not advised for frequent use while using other hormonal contraceptives, or unless the primary hormonal method was known or strongly suspected to fail. Since the effectiveness rate for emergency contraception is variable, we have used Plan B, and used the most effective rate (89%) as perfect use and the least as typical (75%). We do not list EC as a sole method of contraception because due to the amount of hormones in oral EC, the expense and the perfect use effectiveness rate being lower than all other methods perfect use rates, it is not intended nor designed for use regularly, nor is sole use as a habit something we advise.

Special thanks to Scarleteen volunteer Courtenay for the math formula and her assistance! The link to the original article is: http://www.scarleteen.com/article/reproduction/the_buddy_system_effectiveness_rates_for_backing_up_your_birth_control_with_a_s

Anal sex and the FC2

The FC2 condom made of nitrile

The FC2 and anal sex: In my contemporary sexual health classes at St Lucy’s, I’m teaching the use of the new female condom (the FC2) made of nitrile as protection during anal sex. It hasn’t been fully tested for use as protection during anal sex and some testing organizations are reluctant to conduct clinical tests for safety during anal sex because of the moral implications for conservatives, but the Gay community is already using the FC2 very successfully and so there should be no reason the straight community can’t use it for heterosexual anal penetration for hygienic reasons as well as STI protection. I’m sure you have noticed as I have that number of celebrities who are dying of rectal cancers. Gardasil will protect against a lot but not all of that risk going forward, so the FC2 is a valuable tool in a woman’s protective arsenal if she or her partner are into anal sex.

Personally I don’t care for anal sex, but if I won’t do it myself I shouldn’t be teaching it which is why during my class I’ll personally demonstrate the use of an FC2 for anal sex by having one of the casino escorts join me for the class. He inserts the FC2 in me then penetrates me inside it. We show them how to remove the condom from its packet and insert a well-lubed dildo into it then check to see that the sheath is in good condition. Then either of the couple glove up (usually it’s the man, but it doesn’t have to be) then lube their fingers and insert one, then two then three fingers in the woman’s anus to stretch it a bit to make it easier to take the dildo with the FC2 on it. Once the woman’s sphincters are stretched the well-lubed sheath with the dildo inside will be slowly pushed in. Easing the smaller inner ring past the woman’s sphincters first is I think the least comfortable part. Then it becomes easier to get it further inside until the large ring of the open end is up against her perineum. Once the FC2 is in then the lubed dildo is carefully removed and the condom is ready to take her partners penis. I have my escort penetrate me doggie style because a man can get the deepest into me in that position and let him give me a G-spot orgasm before he takes his own pleasure leaving 7 to 10 ml of semen with hundreds of millions of sperm in the sheath. After he withdraws I gently pull the FC2 out of my ass and put it in a Ziploc bag for disposal. I never leave a used condom with freshly ejaculated semen in it where someone can pick it up. There is too much temptation for a prankster or someone with a more evil motive to do something with it that can cause the donor or an innocent woman a lot of trouble. I think an actual demonstration of an FC2 being used by an instructor and her partner is far more likely to be remembered than just having my students read about it.

I don’t understand the interest of straight men in having anal sex with a woman. A guy’s partner’s vagina could be much tighter than her ass if she was interested in toning it and routinely taking it up the ass is bad for a girl’s anal sphincters. Taking too large a man up her ass and she could find herself needing a diaper. I can understand a Gay couple enjoying it where the anus takes the place of a vagina. And (I’m told) having the prostate massaged with a penis can be awesome! Perhaps the initial anal penetration for a straight couple is because they were both curious about what a Captain Kirk moment – “To boldly go where no man has gone before” - would feel like, but a man frequently going up a woman’s ass is purely to dominate her. In my mind, he’s just doing it because he can. A man who wants his partner’s vagina tighter should tell her. There are exercises, Kegels and that sort of thing… that can tighten up the vagina amazingly, but it will take a few months of constant work like toning any other part of the body. Unless she enjoys having him up her ass, he should leave it alone. If she likes it then its ok, what ever turns her on.

The FC2 is not for dive-sex: Some women have tried wearing an FC2 as a gas guard during dive-sex. Used with dive-gel inside the sheath it will stay in place during a submerged penetrative encounter. However, our clinic strongly recommends against using a female condom as a gas guard because the inner ring doesn’t seal over the cervix as a fitted diaphragm or cervical cap will so it could still allow pool water and air bubbles to bypass the condom and be forced into her cervix by the hydraulics of her partner’s thrusting if the outside of the sheath started to move with his thrusts. As far as I know there haven’t been any instances of a woman using an FC as a gas guard during dive-sex getting PID or an embolism, but it is a very new usage so those of us who teach safe sexual techniques are trying to get ahead of the problem to prevent women from seriously injuring themselves by using a device that won’t protect them from the common dangers associated with dive-sex.

The FC2, an unconventional use

The new female condom FC2

Mr. Abduction: Returning readers will remember that in my entry for September 9, 2009 I wrote about Taryn’s stalker who had leapfrogged to the top of my to-do list. He turned out to be a bit more than I first thought and an extremely nasty piece of work which is why it has taken me until now to check him off the list. Apparently he was the man who had been drowning the working girls and students in the swimming pools of empty foreclosed homes in the area. I was in his place some weeks ago while he was at work and he has kept souvenirs! I was told most serial killers do that and I found a box of souvenirs of his victim’s in the spare bedroom he used to store his SCUBA gear and fetishwear. He seemed to be into gas masks and had one of the old Israeli civilian ones with which he was using a filter canister. He kept his victims birth control methods that he took from their purses or bodies, each in a separate dated Ziploc bag: pills, NuvaRing, The patch, two ParaGard and a Mirena IUD, a FemCap a Prentif cap and a Milex Omniflex like I wear except it was a 65mm. The guy must have been killing reproductive age women for years! So we aren’t talking Mr. nice here, though he did have a lovely bod, in a beefy sort of way.

The plan: Taryn said he seemed to know when she was menstrual and she saw him often during her period which was one of the things about him that freaked her out. I’m told some men can smell our menstrual flow but I’ve never known a man who could and we all try to keep ourselves clean with the flow in a diaphragm or cup inside so there is no external source of scent. But if I lured him to me with my blood scent he would be in control of the time and place of our meeting, not a good idea. I decided I had to go to him when I wasn’t menstrual, that way I controlled most of the variables. He was a regular at Naughty’s. I knew I could get him to come to me there it was just a matter of letting him see me and not averting my eyes when he looked my way. And, sure enough the first time we locked eyes he was all over me like white on rice. I played hard to get so we chatted several nights over a period of several weeks and he was particularly attentive when I was menstrual so perhaps he could really tell when a woman is bleeding, but I wasn’t about to let him drill me then.

A condom and coke: As we got to know one another and after he’s had a few beers he told me he suffered from premature ejaculation but used the topical anesthetic lidocaine to numb his penis enough that he could give me what he called an ‘awesome vaginal orgasm’. He also said he hated using male condoms because his root is so thick none of them fit and the ones he could get into were so tight he lost his erection. I told him I loved a man with a thick drill (which I do) but that I had Herpes, HSV, (which I don’t) so we needed to use a condom to keep him safe. But I knew he could screw me safely if we used a female condom which I’d used successfully before and it would fit even the thickest root. I also said he would love using cocaine sprinkled inside the FC2 to numb him instead of the lidocaine. The coke would numb his penis, make him a bit euphoric and feel invincible. He loved the idea of using the FC2 as protection and I think the idea of using coke to delay his ejaculation almost offset his fear of HSV. He saw the condom and coke for protection from Herpes while taking a hit through his penis as a win-win situation. And that was exactly what I thought too.

Execution: One night when he thought he had gotten to know me well and was comfortable that he was in control I let him take me back to his place for our first sexual encounter. He had been working on me for weeks and was wanting me so badly that he was almost drooling and one night at Naughty’s actually shot his wad in his jeans while he was coming on to me. So the night we went back to his place his brain was in an erotic fog and he was totally in thrall to my body. We took his car. There wasn’t anything in the way of preliminaries except him watching me prepare the FC2 we used. . My biggest problem was keeping him calm enough while he undressed me that he didn’t rip my clothes. I helped him undress and then I asked if he wanted to watch me add coke to the condom. He was all for that and watched as I opened an FC2 packet turned the condom inside out and took a packet of super finely ground snow from my bag and thoroughly dusted the lubed inside of the condom with cocaine. He wanted a taste of the coke but I told him no because that would ruin the experience of him absorbing it through his root and he backed off. I carefully turned the FC right side out again and by then he was rock hard and dripping pre-cum. I told him it was best if he slipped into the condom then inserted himself and the condom inside me so we didn’t waste any of the coke and he agreed. Once he was inside the condom I helped him get the FC2 end ring and his head inside me and then in a single powerful thrust he buried himself in me going all the way to my cervix. He was wonderfully thick, probably 2 ¼ inches in diameter but the condom was still plenty loose and he began to set up a thrusting rhythm and said he could feel his root getting numb. It had been less than a minute since he penetrated me.

His breathing became faster then shallow and erratic, his heart was beating faster and as he came in me his eyes rolled into the back of his head and his body began to spasm with his first series of seizures. I had a washcloth by the bed to use for cleanup that I managed to get between his jaws, mainly to prevent him biting me during a seizure. Since he was on top of me and weighed more than twice what I do. I just wrapped my legs around him to hold him deep inside me to let as much of the cocaine as possible be absorbed into his bloodstream to make sure he got as much I needed him to. After about five minutes from the time the seizures started he was dead. No pulse, no respiration no more Mr. Abduction.

Afterward: I had used about a 1/8 oz of absolutely pure (totally uncut) cocaine in the FC2 we used. I had picked it up at one of the parties I cleaned up after where the guests had overdosed on pure snow. I was very careful when rolling him off me not to get any of the powder on my labia or clitoris. That’s one of the nice things about the FC2 the large outer ring protects the woman’s vulva from spills. Wearing a pair of nitrile gloves I pulled the condom off his corpse and put it in a Ziploc bag for disposal. Then going to the closet in the second bedroom I got the box or souvenirs collected from his victims and put it on the bed beside him to give the authorities a hint as to who the guy was. After I left I went around the block to a junker car where Taryn helped me pre-position it several days earlier. I drove south for a while and thought about calling 911 on a prepaid untraceable cell using an electronic voice modulator to disguise my voice to report the sounds of a fight in his apartment. I have a supply of prepaid cell phones that are handy for that sort of thing but I decided not to. I just let nature take its course and when he ripens someone will find him.

The rest of the story: I was all set for it to happen just the way I wrote about it and I’d been working on the project for weeks. It’s all true down to the part where I actually went back to his place and took him out with a coke dusted FC2. But the day we were supposed to go back to his place he was talking on his cell driving in the mountains west of town and sideswiped a rock wall then over corrected and went off a cliff several hundred feet down into a dry creek bed. He and his passenger were both dead. Amazingly, there was no fire. My contacts in the highway patrol said his pants were unzipped and his penis was out of his cup so the woman with him may have been giving him oral at the time. Even if I wasn’t responsible I think the Families will be pleased when the police search his apartment and find out who he was – the Families have contacts in the police dept. - though there will almost certainly be nothing in the media since few if any of the killings were ever reported. There may eventually be something if some of the souvenirs can be linked to women who were reported missing.

Viennese heels for ballet boots

Modern Christian Louboutin fetish shoes with Viennese heels

Viennese fetish boots: Gepetto has made Taryn and me pairs of special titanium Viennese heels to go on our Pleasure boots. One of the great features of Gepettos boots is that they have interchangeable heels so you don’t have to buy new boots to completely change the look or use of the boots. The Viennese heel – which first appeared on Viennese fetish boots around 1900 - projects about four inches below the platforms of the toe boxes. This design was to make the original Viennese boots impossible to walk in for use as female bondage and submission footwear. However, returning readers know how I love a challenge so Gepetto’s heel designer worked with me to create a heel that flexes enough that I can balance on the heel when the tip is flexed by my weight to the extent that it is beneath the platform of the boot. It took a bit of practice for me to get the hang of balancing on the tips of the spikes, but I got good at it within hours because of my ability to balance my weight on almost anything. I thought there might have to be more padding in the instep and front of the ankle because of how the weight is taken initially on the heels and redistributed through the instep and toe-box, but the original resilient internal padding design works extremely well for the new weight distribution so no changes were necessary.

Of course the heels are unbelievably destructive of soft wood or composite tile floors and carpets so the only way to wear Viennese heels is with ¼ inch diameter tip caps that fit over the tips to spread the wearer’s weight so the heels are no more destructive than a pair of 4 inch stiletto pumps. And you don’t want to try walking on marble, ceramic tile or glass floors and stages w/o heel caps for sure as you could easily break a leg or worse. Of course walking in Viennese heels is totally against the rules, because, as I mentioned, their primary function – other than looking sexy and feeling diabolically uncomfortable - is to limit bondage submissives to crawling.

Root boots, love gloves and STIs: I’ve been taken to task by some female readers about my writing about sex w/o use of condoms. I often write about sex with unprotected males because that’s what goes on in my circle, at St Lucy’s (when the girls are on campus) and with the escorts provided by my casino. We make very sure that the partners we provide – both male and female – are free of STIs and we screen clients too so pregnancy is the only hazard a woman need concern herself with and that is easily protected against or taken care of if there is an accident. On the occasions when we have sex with a man of unknown sexual history we generally use females condoms as they protect the woman a bit better because of the outer ring that covers the vulva. I’m not writing a primer for high school DIY chicks and see no need to add warnings about safe-sex and DO NOT TRY THIS AT HOME warnings. God knows, I talk enough about how important it is for a couple to both have a full panel of STI tests before avoiding condoms, the various ways to avoid pregnancy if there is an accident and a woman’s options if the stick turns blue when she pees on it. This is my life behind the Vegas glitter not Disneyland and I’m not pulling any punches. So get over it ladies! Ok?

UDP and me: A reader asked if I was afraid to try UDP myself. Actually, I’d love to try ultra-deep penetration, but if I did I would almost certainly have to change my primary method of contraception which returning readers will remember is an Oves cervical cap. I’m wearing a Prentif cap at the moment, but both Oves and Prentif depend on a very tight fit on the cervix and UDP will almost certainly change that for me and not for the better. I may be able to get the same excellent fit in a larger size, or if my cervix tore even after its repair I might not be able to ever wear a cap again. And I’m so very dependent on my Oves, not only for contraception but as a gas guard for dive sex (especially below 10 M) and vaginal breathing that for me the risk of a cervical change during UDP which would require a change in the barrier I use is not worth it.

The FC2 and dive-sex: We are beginning to get our order of the new Female condom, the FC2, and we are stocking them in the pool bungalows for use by guests as gas guards while having dive-sex. It’s a lot easier to get a woman unfamiliar with a diaphragm or cervical cap to use a FC2 for over pressure protection and it is the only device that will provide STI protection during dive-sex. And, the new FC is made with Nitrile a synthetic rubber which transmits heat much better than the polyurethane of the original version of the FC so there is more intimacy. Another convenience (for the casino) of using an FC is that an escort can immediately tell that the woman client he is with is protected for dive-sex because he can see the outer ring covering her vulva. We have had some problems with noncompliance from women clients in the past and an escort feeling for her diaphragm to make sure she’s protected for dive-sex has gotten some negative feedback. So the visual of her FC being inserted helps a lot with customer relations.