Breeding fantasies

The Greek Witch/Goddess Circe in her lair

Circe’s Lair: Readers may recall that in Greek mythology Circe was a powerful witch, Homer called her a Goddess, who transformed her enemies or those who offended her into tame animals. Circe’s Lair, our private costume encounter club, gives women an opportunity to act out that fantasy with men by giving them so much sex it drains them of their energy. A talented woman with stamina can turn a man who thinks himself a tiger in bed into an exhausted pussy.

In a comment on another post I was asked: “Do any women you know get off on either real preg. risk sex or protected pretend preg risk sex?” My answer was, not many. However, I think there are instances (and surroundings matter here) where while starting with the best intention to be cautious a woman can be lured into an encounter of far greater risk than she is prepared for. Such a place for high risk assignations is our new encounter lounge, Circe’s Lair. That’s because some adventuresome women overestimate their stamina and the effectiveness of their contraceptive protection. When that happens with a potent and determined man as a partner a woman who was having fun when she thought she was the predator can easily become prey and her fantasy can turn very scary if she isn’t careful. Of course some of us are into casual sex for just that sort of adrenaline high. Termination is the answer if a guest is left with something growing in her uterus so there is no real problem if the woman is prepared for that possibility.

STIs and vaccines: Circe’s Lair caters to the 25 – 35 demographic of young, adventuresome, assertive women from the arts and healing professions and the men they attract, but couples are also welcome. Guests are required to have a current clean STI Panel on file and we prefer our women guests to have had all three shots of the Gardasil HPV vaccine. To encourage them having Gardasil injections we give them 20% off alcoholic beverages. Their vaccine status is coded into the chip on their wristbands. Men get 10% off alcohol for having all their Gardasil shots, but few do.

Costumes: Women are encouraged wear any costume they like. Latex catsuits, lash-leathers, neoprene wetsuits (usually just a beavertail jacket) or nylon/spandex Zentai all appear in the Lair with some frequency as well as women dressed as Superheroines like Wonder Woman and of course the traditional ballerina look with tights, tutu and tiara. A few will even wear their pointes if they took ballet in school. Most professional dancers don’t want to go out socially in pointe shoes unless they intend to have ballet sex and then they will carry them in their tote until it’s time to go en pointe.  And the lady Godiva look with just a vaginal plug and long hair to conceal her charms is quite common.  All the costumes have one thing in common, easy access to the wearer’s vulva for PVI, penile/vaginal intercourse.

Unintended breeding: I’ve spent enough time in the Lair that I can easily spot returning men who are players, even if they are masked. I love watching their technique to get selected by different women each time. I like playing with a man with that sort of appetite (needing to pollinate as many lovely blossoms as he can) and when I’m in Circe’s alone I will sometimes pick one and put myself in his way, knowing full well if he starts a conversation he would like nothing better than to leave his seed in my tubes and have me conceive.

Some players frequenting Circe's have been successful in that way with pick-ups because at least two women I’ve seen with known breeders at Circe’s have had abortions at our clinic and we have had complaints from other women who claim they conceived from an encounter while in the Lair. Consensual sex can be risky even with the best contraception and if the man is riding bareback pregnancy can be a relatively common side effect even for women on the pill. That should be considered before, not after an encounter. We do offer free emergency contraceptives, Plan B One-Step, to all women guests as they prepare to leave Circe’s so we have done all we can.

For readers wondering why women still get preggers when on the pill it’s mainly because they are not using it correctly like; missing pills, throwing up within 2 hours after taking the pill or taking meds or supplements that decrease the effectiveness of the hormones. And taking meds that reduce the effectiveness of hormonal methods extends to the Marina IUD, Nexplanon and the shot as well. Too, other methods also fail. There was the couple where the man had had a vasectomy. Unfortunately he had been sniped only the week before and he was still shooting live loads when he mounted her bareback at Circe’s. She declined Plan B and got preggers. And Circe’s has its share of condom failures, but as I mentioned all the ladies are handed Plan B before they leave.  

Player mind-fucked with a Breeding diaphragm: This past week after getting back from the Scottish highlands I was premenstrual. At that time and when menstrual (I’m CD 3 today) I’m at my secondary libidinal peak and badly in need of intimate male attention and Jack was still in the UK. I wasn’t looking for Mr. Right I just needed Mr. Right Now! So I prepared carefully then went hunting at Circe’s Lair. First I removed my latex Reflections death rubber. Then I selected a breeding diaphragm (a silicone All-Flex 2 sizes smaller than my correct 80mm size) applied pre-seed which has somewhat  the consistency as FCM in the dome and inserted it.   I told my prey, the man who selected me, that I had short cycles and was not only menstrual but fertile as well. A player’s rep gets around so I knew he was into menstrual sex, but since I was fertile he seemed to tolerate the diaphragm. However, I knew better since he had already under-thrust the rims of two other Circe’s guests All-Flex diaphragms and one had conceived from the sperm he left in the dome.

I was barelegged wearing a red cotton/Lycra thong under a skin-tight gold lamé tee worn as a tunic over a front closure sports bra with old soiled red Gaynors on my feet so I could be taken from behind while on my toes, in my fave ballet-sex position. I guided him to a small encounter salle with a mirror and barre. I went over to the barre did a few leg stretches then rose en pointe and leaning back against the barre pulled him into my arms.  He pushed his tongue deep into my mouth while reaching between my legs to pull the fabric of my thong to one side, inserted two fingers in me felt the rim of my All-Flex and nodded saying that I was well protected, which told me he knew the diaphragm I was wearing wouldn’t save me from what he planned.

By then he was rock hard. I unzipped his slacks and eased his woodie into my hand. He was un-cut and lovely with pre-cum causing his glans to glisten even in the subdued light.  I turned to face the barre en pointe a la seconde and bent over the barre holding on with one hand while I helped him enter me with the other. I gasped in delight as with a single stroke he fully penetrated me! He was quite thick and just long enough to fit snugly into my anterior fornix, his first few thrusts were along the long axis of my birth canal, but then he altered his angle and I helped by arching my back so he was thrusting into my anterior wall.

Under-thrust: On the third thrust at that angle I felt the rim flex as his glans pushed under the rim and I knew he had penetrated my protection as I’d planned so we were skin-on-skin with his glans and frenulum against my G-spot. After he was under the rim I lowered my back and let him work on my G-spot and squeezed each time he sank his glans in my anterior fornix mixing his pre-cum with my menstrual discharge and the pre-seed. He kept moaning and whispering what a tight fuck I was, which was the whole point of me ripple gripping him after I had let him under-thrust my breeder. It took only 5 minutes to get him off even though he is known as having marvelous control. I wondered how long he had been w/o release as his spend filled the dome and gushed out around his shaft running down my thighs and splattering my GMs with pink tinted ejaculate.

I was pleased he made no attempt to withdraw and stayed hard inside me as he recycled for another try at immortality. He was as good the second time as the first, but his third attempt failed miserably and I did all the work ripple gripping him as he clung to me like a drowning man to a reed. The third time he came I think he nearly fainted and he struggled to stay on his feet while holding on to me. When he pulled out he was completely exhausted. I quickly slipped my thong back in place so the absorbent gusset could collect but barely contain the amount of bloody coital discharge. I could hear and feel it squish as I walked to the loo to use a bidet, change thongs and insert my death rubber again.  

Afterward:  I don’t usually socialize with a casual sex partner after an encounter, but I was worried that I had been too much for him and he might collapse so I had a drink with him afterward and I was shocked when he showed me pics of his wife (a gorgeous 26 y/o dancer I know who works at another casino) who is 3 months along with their second child and their 6 month old son. Irish twins! So much for lactational amenorrhea as an effective contraceptive method!

It’s not as though He and I were discreet either. Everyone at Circe’s who might have been interested saw us! He is a gambling equipment salesman and is over here often which may explain his time in the clubs, but not his time in different women’s vaginas.  What kind of man shows the woman he just told she was “the best fuck I’ve ever had” pics of his family? I think he has a mortality complex; that is he thinks he is going to die soon and wants to leave as many children with as many different women as possible. He is convinced that he has impregnated me and wanted to know if I would keep it if he caused me to conceive. I just smiled and patted his hand. When I seduced him I didn’t know I’d be fucking a friend’s husband, but it’s happened before. It’s just one of those things that happen out here.

No Christmas tour, FDA activity and BVI vacation

The Ortho Evra birth control patch

There will be no hospital tours this year: I’m sorry to say that changes in hospital administration have made it impossible for me to take a few of my dancers to give intimate performances at military hospitals for wounded service personnel this year. We were fortunate to have been able to tour hospitals for the last few years to add a little spicy holiday cheer to the recuperating veteran’s lives. I was hoping our tour would become a holiday tradition, but I guess not.

Christmas on Virgin Gorda: Anya, Cyndi and I along with our boyfriends are going to my place on Virgin Gorda for the holidays. But first there will be a quick trip to see Taryn in Cambridge and go to Stonehenge for the Winter Solstice on Thursday December 22nd. Cyndi has never been to a Winter Solstice celebration at Stonehenge and she is looking forward to that as well as seeing the Duchess, her grandmother, again and we are all looking forward to swimming with the dolphins if a pod is in the cove this year. My ballet company is well into our Christmas performances and since St Lucy’s is on holiday for several weeks it’s given me the flexibility to take some time off. Having penetrative sex at Stonehenge during the Winter Solstice isn’t for sissies, especially if the weather is bad, but it is a huge thrill to be that much in tune with the Druid Gods if things go well.

Recent FDA activity: Recommendations have been made concerning Ortho Evra and BCPs containing Drospirenone. Neither of which is a surprise. While the risk of serious side effects is greater when using these hormonal methods it isn’t at a level that would cause them to be banned. The decision to deny off-the-shelf availability of Plan B to teens under the age of 17 is not surprising either. While making Plan B available to younger girls has merit I think HHS is picking its battles giving first priority to getting Catholic institutions to provide employees with birth control in their health insurance policies. HHS/FDA can always come back later and approve sale of Plan B to girls younger than 17.

FDA Panel Says Ortho Evra (the patch) Benefits Outweigh Risks: 12/10/2011 RTTNews – “Reports in the media Friday said Johnson & Johnson (JNJ)'s Ortho Evra birth control patch was determined by an FDA Advisory panel to provide benefits that outweighed the risk of blood clotting. The advice is not binding on the FDA. The Reproductive and drug safety advisory panel voted 19-5 in favor of the benefits of the patch. Panelists voted 20-3 with one abstention that the drug label is inadequate.” The complete article can be found at:
http://www.rttnews.com/Content/BiotechStory.aspx?Id=1778819&Category=FDAPanel

FDA advisors recommend increasing warning label info on Yaz, Yasmin: (Reuters) Thu Dec 8, 2011 - U.S. health advisers recommended a revision of labels for the widely used new generation of birth control pills, based on data showing they may put women at a higher risk of dangerous blood clots. .” The full article can be seen at: http://www.reuters.com/article/2011/12/09/us-fda-birthcontrol-idUSTRE7B72KX20111209

HHS blocks sale of Plan B to teens 16 and younger w/o an Rx: Bloomberg - Dec 7, 2011 “Teva Pharmaceutical Industries Ltd. (TEVA) failed to win U.S. clearance for the first over-the-counter emergency contraceptive after an Obama Cabinet member overruled the head of the Food and Drug Administration on the issue.

Secretary of Health and Human Services Kathleen Sebelius ordered Margaret Hamburg, the FDA chief, to reject the application by Petach Tikva, Israel-based Teva, citing potential sales to girls under age 17. Hamburg, in a statement, said she was ready to approve over-the-counter sales based on “well- supported” and “science-based evidence.” The FDA said it’s the first time the HHS has reversed one of its decisions.

The product, called Plan B One-Step, reduces pregnancy risk if taken within three days of sex. As a result of Sebelius’s order, it will continue to be kept behind pharmacy counters and sold without prescription only to women 17 and older. Younger girls may obtain the drug with a doctor’s order.” The full article can be seen at:
http://www.bloomberg.com/news/2011-12-07/fda-rejects-over-the-counter-plan-b-birth-control-pill-for-girls-under-17.html

U.S. focus on birth control may raise new concerns: WASHINGTON Sun Dec 11, 2011 (Reuters) – “A ruling last week on the morning-after pill, as well as government recommendations on new forms of birth control, could have long-lasting effects on women's perceptions of its safety, health experts say. Last Wednesday, the health secretary for the first time overruled government scientists, refusing to make the morning--after pill available to users of all ages without a prescription.

In the days that followed, advisers to the Food and Drug Administration recommended revised labels on the best-selling class of birth control pills, as well as for a contraceptive patch, to better convey their higher risk of blood clots. Some women's advocacy groups worried the negative attention on the blood clot risk of a new generation of pills that contain drospirenone -- including Bayer AG's popular Yaz and Yasmin -- would create concerns about birth control in general.” The full article can be read at: http://www.reuters.com/article/2011/12/11/us-fda-birth-idUSTRE7BA0P820111211

Personal comment: I’m not sure that this sort of publicity will substantially affect the sale of combined drospirenone oral contraceptives. In Europe it’s been known that there was a higher incidence of blood clots for years and sales continue strong. Knowing that drospirenone pills cause 10 adverse events in 10,000 women Vs 6 adverse events in 10,000 for pills made with other progestins doesn’t seem to be that serious, unless you are one of the additional four.

On the other hand, the sale of Ortho Evra has declined considerably since it was determined several years ago that there was an average of 60% more estrogen in an Ortho Evra patient than if they were taking an oral contraceptive with 35mcg of estrogen per pill. From what Ex-patch users tell me it is the high average level of estrogen which cause swollen painful breasts and heavier periods that have caused women to come off or avoid Ortho Evra since there are so many combined pills now available that have 20mcg of estrogen or less per pill.

Too much information? Birth control choices abound

By LAURAN NEERGAARD
Monday - 12/12/2011
AP Medical Writer

“WASHINGTON (AP) - Worried about birth control in light of headlines about side effects from Yaz and the patch? Women have a lot of options that are safe and effective, including some that are even more reliable.

You can choose a contraceptive that's used daily, weekly, monthly, once every three months, once every three years, even once a decade.

Yet almost half of U.S. pregnancies are unintended _ and experts say confusion and uncertainty despite all the options is a big reason.

"We have a whole generation now of young adults, the vast majority of whom are sexually active, who are in a fog about modern contraception," says Sarah Brown of the National Campaign to Prevent Teen and Unplanned Pregnancy. "They don't know enough to make a reasonable choice."

Indeed, in a recent survey, the campaign found 42 percent of unmarried 18- to 29-year-olds said they knew little about birth control pills and two-thirds knew little about even more effective long-lasting contraceptives. A third said they believe there's a good contraceptive for their personal needs but they don't know which one.

To help, her center just opened a novel website www.bedsider.org to offer frank answers for all those questions you might be embarrassed to ask.”

The complete article can be found at: http://www.wtop.com/?nid=267&sid=2667081&pid=0&page=2

Contraception and the media

1.5 mg of levonorgestrel for purse and dancebag

Eximiner.com
August 30, 2010
Sarah Estrella
Sex Education Examiner

American Academy of Pediatrics: 'The media have become one of the leading sex educators in the U.S.'

In a policy statement released yesterday, the American Academy of Pediatrics weighs in on Sexuality, Contraception, and the Media, calls for a national task force on children, adolescents, and the media, and advocates for comprehensive sex education, noting that "It is unwise to promote 'abstinence-only' sex education when it has been shown to be ineffective and when the media have become such an important source of information about 'non-abstinence.'"

Although much of the policy statement focuses on negative impacts of TV and media on the sexual behavior of children and teenagers – "more than 75% of prime-time programs contain sexual content, yet only 14% of sexual incidents mention any risks or responsibilities of sexual activity" – and increased sexual content and sexual suggestiveness in music, movies, television shows, teen magazines, the Internet, social networking web sites, and advertisements – lead author Victor C. Strasburger, MD also sees opportunity for positive impact, noting "The media can be powerful vehicles for sexual health education."

Among the American Academy of Pediatrics' recommendations:

* "Pediatricians can help parents and teenagers to recognize the importance of the media by asking at least 2 media-related questions at each well visit: (1) How much time do you spend daily with entertainment media? And (2) Is there a TV set or Internet access in your bedroom? Research has shown that bedroom TVs are associated with greater substance use and sexual activity by teenagers. A recent study revealed that office-based counseling is effective and could result in nearly 1 million more children and adolescents adhering to the American Academy of Pediatrics recommendation to limit media time to less than 2 hours/day.

* "Pediatricians should urge schools to insist on comprehensive sex education programs (to counter the influence of sexually suggestive and explicit media) that incorporate basic principles of media literacy into their sex education pro- grams. Studies have shown that effective media literacy programs can be protective against unhealthy media effects. Federal money should be spent on comprehensive sex education programs but not on abstinence-only programs, which have been found to be ineffective."

* "Pediatricians should urge the broadcast industry to air advertisements for birth control products. The federal government also needs to encourage the advertising of birth control, especially emergency contraceptives."

* "Pediatricians should urge the broadcast industry to limit advertisements for erectile dysfunction drugs until after 10 PM."

* "Pediatricians should urge the broadcast media to include healthy messages about sex and sexuality in their programming, especially in media that children and early teenagers use most frequently."

Personal comment: We agree that ED drug ads are far too prevalent on television and there are almost no adverts for emergency contraceptives like Plan B one-step that a girl could find herself needing if she is caught unprepared. St Lucy’s students 16 and over carry Plan B one-step in their purses and dancebags as backup in case an opportunity is just too good to miss and with healthy, energetic outgoing teens that sort of thing will invariably happen, which is why we recommend all students 16 or older have a GyneFix implanted.

St Lucy’s prides itself on providing age appropriate comprehensive sex education for students, the next generation of our nation’s female leaders. In this regard St Lucy’s is especially strong in the field of technique courses, contraception and STI avoidance providing through student health a full range of contraceptive devices and medications so there is an effective method available for every girl who needs one. And, there is counseling on a complete set of other options should the need arise.

FDA approves ulipristal acetate for EC

ellaOne Emergency contraceptive

FDA OKs new, five-day emergency contraceptive
By MATTHEW PERRONE, AP Business Writer
August 13, 2010

WASHINGTON – Federal health officials on Friday approved a new type of morning-after contraceptive that works longer than the current leading drug on the market.

The pill ella from HRA Pharma reduces the chance of pregnancy up to five days after sex. Plan B, the most widely used emergency contraceptive pill, begins losing its ability to prevent pregnancy within three days of sex.

The Food and Drug Administration approved the drug Friday as a prescription-only birth control option. The ruling clears the way for U.S. sales of the drug, which is already approved in Europe.

Morristown, N.J.-based Watson Pharmaceuticals will market the drug in the U.S. under an agreement with HRA. Watson said it will launch the pill in the fourth quarter.

Studies of ella by its manufacturer showed the drug prevented pregnancies longer and more consistently than Plan B.

In a head-to-head trial between the two drugs, women who took ella had a 1.8 percent chance of becoming pregnant, while women who took Plan B had a 2.6 percent chance. Experts tracked nearly 1,700 women who randomly received one of the two pills within three to five days of having unprotected sex.

Plan B is made by Teva Pharmaceuticals and is also marketed in several generic versions. Unlike ella, Plan B and other generic versions are available without a prescription for women 17 years and older.

HRA Pharma did not request over-the-counter status for its drug.

Ella uses the hormone progesterone to delay ovulation, a key step in the fertilization process.

Despite this, the drug has drawn criticism from anti-abortion groups who say it is closer to an abortion pill than an emergency contraception pill.

Groups including the Family Research Council argue the drug is chemically similar to the abortion drug mifepristone, which can be taken to end a pregnancy up to 50 days into the gestation period. That drug has been associated with severe infections and bleeding after abortion. However, FDA reviewers reported no life-threatening medical side effects with ella.

The most common side effects with the drug included headache, nausea and abdominal pain, according to an FDA release.

Abortion rights groups hailed the approval as an important step for the FDA, which was criticized in 2006 for its handling of Plan B's approval.

Last year a federal judge ruled that the FDA deliberately delayed making a decision on whether to permit over-the-counter sales of Plan B to teenage girls, at the behest of the Bush administration.

"Approval of ella is another indication that the FDA is committed to restoring scientific integrity in its decisions," said Kirsten Moore, president of the advocacy group Reproductive Health Technologies Project.

Privately held HRA Pharma is based in Paris and specializes in women's health products.

Personal comment: because of the way ulipristal acetate works I think it is unlikely to ever be available behind the counter for women 17 y/o and older as Plan B is today. Used for EC an effective dose is 30 mg, but in a far higher dose it could terminate a pregnancy.

The copper-T as emergency contraception

The ParaGard IUD

Published on RHRealityCheck.org (http://www.rhrealitycheck.org)
By Amie Newman
Created Aug 9 2010

IUDs: Now for Emergencies?

“According to the results of a study undertaken in China by the National Research Institute for Family Planning, the Copper IUD (sold under the name ParaGard in the United States) can be an excellent emergency contraceptive if inserted within five days of unprotected sex.

Researchers followed 2000 women who came to eighteen different clinics around the country for emergency contraception, within the five day window, and then were implanted with the Copper IUD. Women returned for follow-up visits, according to the study published in BJOG [1](an international journal of obstetrics and gynecology), at 1, 3 and 12 months post-insertion. Prior to or at the first follow-up visit, not one woman (all but 70 women returned) had become pregnant.

Women involved in the study did report some side effects: increased menstrual bleeding and menstrual disturbances (however vague that might be). Twenty-nine women "experienced a difficult IUD insertion process, requiring local anaesthesia or prophylactic antibiotics," notes the study.

It's an interesting find.

The old kid on the block, Plan B, the brand name for the emergency contraceptive (EC) pills sold in the United States, is effective at preventing pregnancy in 1 out of 100 pregnancies. Women have been encouraged to keep them "on hand" or in their medicine cabinet so, if there comes a time when they do need them, they do not need to struggle with finding a pharmacy open and available as soon as possible or finding a pharmacy that won't judge or refuse to sell the pills to you [2]. A recent study concluded that though women who keep EC on hand are not as likely to use the pills as previously thought, it is still an important option for women to have.

But how likely is it that a woman who is in immediate need of emergency contraception would actually choose to undergo insertion of an IUD into her uterus, have access to a health provider in a timely manner or be able to afford the "option," in order to make use of this successful form of emergency contraception?

From a Reuters [3] article on the study:

"...despite the benefits of Copper T, it's not easy to get for many women seeking emergency contraception in the United States. One deterrent is that while women 17 and over can buy Plan B over-the-counter at a pharmacy, Copper T must be inserted by a doctor - an extra step for women who only have a window of time when emergency contraception can work.

"The issue," Godfrey said, "is immediate access. In the U.S. it's easier just to go to a pharmacy."

And while Plan B runs for about $50 off the shelf, Godfrey said that depending on her insurance a woman could pay more than $500 to have Copper T inserted. "Cost could certainly be prohibitive," she said."

There are two different IUDs sold in the United States, currently. The hormonal IUD, sold under the brand name Mirena continually releases hormones into your body for up to five years; and the Copper IUD. Both work to prevent fertilization of an egg or to create an inhospitable environment for a fertilized egg to attach to the uterine wall.

The IUD is a more permanent form of birth control so if you use have one inserted, it's a one-time only occurrence (or at least a one-time every 5-10 years occurrence). While these sorts of studies are important from an efficacy perspective, they don't take into account the reality of women's lives. What are the real benefits of a study such as this one if most women cannot ultimately make use of the results?

Dr. James Trussell, a long-time proponent for emergency contraception, and head of the Office of Population Research at Princeton University was quoted as saying,

"It's too bad it's [Copper IUD] not used more often...If there were many, many more IUD insertions rather than emergency contraception pills (used), it certainly would have an impact on lowering pregnancy rates and abortion."

And while I cannot argue with his logic, it's the realistic implementation in women's lives with which I take issue. It seems to me that if we look at women's lives first and see how we can best address unplanned pregnancy rates given, well, the givens then we can "impact" said rates much more effectively.

I'm sorry if I'm short sighted here but the IUD, while effective at preventing pregnancy, is not the right method of birth control for every woman. Here's a basic run-down, from Planned Parenthood [4], on when you shouldn't use the IUD:

You should not use an IUD if you:
-have had a pelvic infection following either childbirth or an abortion in the past three months
-have or may have a sexually transmitted infection [5] or other pelvic infection
-think you might be pregnant
-have cervical cancer that hasn't been treated
-have cancer of the uterus
-have unexplained bleeding in your vagina
-have pelvic tuberculosis [6]
-have a uterine perforation during IUD insertion

There's a lot of room between thinking "you may have" an STI and finding out for sure. Would a doctor insert an "emergency" IUD in that case? What about not knowing if you have cervical cancer or not? Would a woman be honest about her symptoms if she were so intent on preventing pregnancy and getting an IUD put in place? This is a long list of "ifs" to me. I'm not discounting the IUD as a form of EC but I'm not sure this study would be enough to persuade me that inserting an IUD so swiftly is a bright idea, unless the woman has already done her research and was planning on having one inserted anyway."

Personal Comment: I suppose the copper IUD as an effective method of EC is getting attention right now because of the research findings published in the British journal of obstetrics and gynaecology. However it has been known as effective EC for a long time. I remember at least fifteen years ago when I began researching EC when I was on the pill, Planned Parenthood was even then providing the ParaGard as EC.

I agree with the point this article is making, that while a copper IUD is extremely effective as EC it is not for everyone and it is even more difficult to get in a timely manner than Plan B was before it became OTC.

ellaOne closer to U.S availability

ellaOne (ulipristal acetate) another step closer

The New York Times
June 17, 2010
By GARDINER HARRIS

Panel Recommends Approval of After-Sex Pill to Prevent Pregnancy

GAITHERSBURG, Md. — A federal advisory panel voted unanimously Thursday that federal drug regulators should approve a medicine that could help prevent pregnancy if taken as late as five days after unprotected sex.

The pill, called ella, sprang from government labs and appears to be more effective than Plan B, a morning-after pill now available over the counter to women 18 and older that gradually loses efficacy after intercourse and can be taken at latest three days after sex. ella, by contrast, works just as well on the fifth day as the first after sex.

Ella blocks the effects of progesterone, a female hormone that spurs ovulation. It is a chemical relative to RU-486, the abortion pill, and some mystery remains over exactly how it works. That mystery spurred a fierce debate outside the committee over whether it should be considered an abortion drug, a debate that prompted the posting of several uniformed police officers around the meeting room.

The F.D.A. usually follows the advice of its advisory panels but not always.

The dispute is whether the drug works by delaying ovulation (as the pill’s manufacturer claims) or by preventing a fertilized egg from implanting itself in the uterus (as anti-abortion advocates say).

Dr. Jeffrey Bray, a pharmacologist at the Food and Drug Administration, said that ella may do both. And Dr. Scott Emerson, a committee member and professor of biostatistics at the University of Washington, said any drug that can prevent pregnancy if taken five days after unprotected sex must do more than simply delay ovulation.

Animal studies showed that ella had little effect on established pregnancies, suggesting it acts differently than RU-486. Dr. David Archer, a professor of obstetrics and gynecology at Eastern Virginia Medical School who spoke on behalf of ella’s maker, said ella was not an abortion pill. “I just don’t think there is any element here that would allow me to say that this has an abortifacient activity,” Dr. Archer said.

ella is manufactured by HRA Pharma, a tiny French drug maker. If approved, the medicine would be available by prescription only. Born in the United States, ella was approved for sale in Europe last fall. During the meeting, anti-abortion and abortion rights advocates traded salvos. Wendy Wright, president of Concerned Women for America, a conservative group, called ella an unsafe abortion pill that men might slip to unsuspecting women.

“With ella, women will be enticed to buy a poorly tested abortion pill in the guise of a morning-after pill,” she said. Ms. Wright was followed to the microphone by Amy Allina, program director of the National Women’s Health Network, who said abortion questions were distractions intended to prevent “medically safe contraceptive options from becoming available.”

The committee spent the day in a cold discussion of the sobering realities that follow moments of passion, a discussion punctuated by the clacking of knitting needles from Dr. Paula Hilliard, a committee member and professor of gynecologic specialties at the Stanford University School of Medicine. It was a conversation mostly among women. Dr. Erin Gainer, HRA Pharma’s chief executive, is a young woman, and nine of the committee’s 11 members are women. Women’s health advocates say that the need for better contraceptive options is clear.

James Trussell, director of the Office of Population Research at Princeton University, who spoke on behalf of the company, said that more than one million women who do not want to get pregnant are estimated to have unprotected sex every night in the United States, and more than 25,000 become pregnant every year after being sexually assaulted. Half of all pregnancies in the United States are unintended even though contraceptives are almost universally accepted by women.

Even though ella is somewhat more effective and can be taken later than Plan B, the new drug would, if approved, probably do little to solve this epidemic of unplanned pregnancies. Plan B has been available without a prescription since 2006 for women 18 and older, but abortion and unintended-pregnancy rates have remained largely unchanged.

Women who have unprotected sex have about one chance in 20 of becoming pregnant. Those who take Plan B within three days cut that risk to about one chance in 40, and if ella is approved, that risk would be cut further to about one chance in 50. ella is less effective in obese women, studies show.

Dr. Valerie Montgomery Rice, a committee member and dean of Meharry Medical College in Nashville, pressed the company and F.D.A. to make the drug available over the counter, as is Plan B. “Why would we not move to O.T.C. status?” she asked. Dr. Gainer said the medicine was too new to consider such a step.

ella was originally developed by the National Institute of Child Health and Human Development. The institute, now named after Eunice Kennedy Shriver, is part of the National Institutes of Health. It decided in 2002 during the avowedly anti-abortion Bush administration to finance a crucial study to assess the drug’s efficacy as an emergency contraceptive.

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.

Generic Plan B approved

Watson Pharama’s Generic Plan B approved

Generic Plan-B approved: Generic Plan B (levonorgestrel) tablets, 0.75 mg has been approved by the FDA for sale by prescription only to women 17 and under for emergency contraception. The Company intends to market the product under the trade name Next Choice.

EC availability: Our ballet Admin office and St Lucy’s student health stocks and dispenses Plan B free to dancers and students on request so a generic will reduce overhead. Two 0.75 mg tablets of levonorgestrel are just as effective when purchased as a generic as they are when branded so we will be switching to Next Choice for women regardless of their age when it becomes available. I think all entertainment venues here supply EC at no cost to performers since it is a lot less expensive to prevent an unintended pregnancy than the cost of other options once the woman is pregnant.

Encasement training

Gas-girl in a Succubus Orgy suit

Seconds: Alan did really well getting Taryn out of her rubber suit during his first counseling test. He managed to get past her smelly diaphragm to minister to her physical needs while being gentle. Actually, it worked so well that we had him go through it a second time, the next morning. This time peeling Taryn out of one of Gepetto’s $3,500 ‘Succubus’ line of disposable shrink wrap latex encasement suits. The wearer uses a hair dryer to shrink the special latex formulation to her body so it fit’s like a coat of paint! As you might imagine that makes her very warm inside the suit! But she cools off under a cold shower after being completely encased. Taryn wore a succubus that had a minor manufacturing flaw – the welded seams around the crotch zipper were discolored - and with so much emphasis on the crotch of a suit like that it wasn’t a saleable item, so we got it for 90% off. Gepetto was glad to give us the discount because the suit could still be used for training. There hasn’t been much market for something that extravagantly expensive, because it can only be worn one time, since the economy tanked. Men would buy one for a rubber-chick and watch her and a team of women helping her put it on then spend hours peeling it off her. But since the first of the year the kings of Wall Street have been encasing their rubber-chicks in reusable latex suits.

Encasement training: Fortunately Alan isn’t very claustrophobic because later in the day I sealed him into an encasement suit fitted with a rebreather then had him strapped into a dungeon harness and fastened to a wall. Actually, it was the wall at the deep end of a children’s pool, about 8 feet of water. Just deep enough that he was held totally submerged while upright. He was wearing a home-made rebreather to clean his air of CO2 by chemicals in the bag below his mask. As the CO2 increased more air was added – by a hose from the surface - to the suit and the old air released. The suit wasn’t designed for immersion but as long as he didn’t struggle the neck, mask, ankle and wrist seals held so the suit didn’t leak very much. We only left him there for an hour, but he said later it seemed like years. For the last few minutes he really thought he was going to die because the water kept leaking around the seals and the air pressure wasn’t high enough to keep it out so by the time Taryn went down to unfasten his harness from the wall and we got him to the surface he was almost panicking. We did that to get him euphoric from having (seemingly) narrowly escaped drowning. He was in no real danger because, we were paying close attention to where the water was in his suit, but he didn’t know that. So getting him euphoric was to see how he would handle a contraception failure when coming off an adrenaline high. Taryn was sent down to release him so he would bond with her as the woman who saved him and afterward she offered sex with him in a condom. Immobilized encasement while submerged is SO not Alan’s thing! But he's ok with it being done to women... Go figure!

A Birth control failure: She quickly fitted a cock ring over his shaft while he was still small enough for her to get it on him then when he became fully erect rolled a textured condom on to him. She positioned herself on her back on a table with a folded blanked under her and spread her legs. When he stepped between them she put her legs on his shoulders, spread her labia and helped him insert himself. He held on to her hips to hold her in place and she had a pillow under her head so she could watch his shaft as he moved in and out of her burying himself until their pelvises hit then withdrawing until he almost slipped out. She is no fan of condoms, but said later that the ribs of the textured latex added to the thrilling tingle she enjoyed from his powerful thrusts as he stimulated the ring of nerves around her oculus. She loved feeling the intensity build until she was gasping as he took her to a G-spot orgasm and when the muscles in her vaginal barrel spasmed she gripped his shaft so tightly that the condom burst just as he reached orgasm, exactly as she intended, and he filled her with hundreds of millions of highly motile sperm. Only after he withdrew did he realize his condom had torn and he had emptied himself into an unprotected 17 y/o. He had not been told (and still hasn’t been for training reasons) that she was quite safe, protected by a GyneFix IUD implant and was in no danger of conceiving even though she was fertile and would ovulate in 2 days.

Oops: This was the point we were trying to reach in Alan’s training to see how he would handle a serious contraceptive failure with a woman who was in grief therapy with him while he was still high on adrenaline. Still playing the unprotected 17 y/o Taryn pointed to the ruined condom forming a latex ruff at the base of his erection and began screaming that with a burst condom she was fucked for sure and started crying and he panicked! He didn’t offer her Plan B or tell her about the availability of other options; a chemical termination (Mifeprex) or that she could have a menstrual extraction after ovulation to remove any possibility of implantation. He said afterward, that his mind just went blank. It didn’t help that the cock ring was so tight that he couldn’t get it off so Taryn used a pair of small snips to cut it off him. He was terrified that she was using cutters that close to his manhood after he filled her with sperm but she had calmed down and was careful so he was quite safe.

Sweating it: All he has to do is have gentle sex with them and if something goes wrong explain the options, and he panics! Sheesh! What a disappointment! I’m not sure what we are going to do now. It has scared him badly because Taryn (still in the role of the counseled woman) refused to take Plan B when he (much later) remembered to suggest it. So now he thinks that the teen he bonded with and who saved his life by getting him out of the pool just as he was about to drown may be going to conceive his baby. We will probably let this play out for another week or so while Alan concentrates (if he can) on other fetishes. It will be a good test of his ability to handle stress. Then Taryn will take a Pregnancy test and test negative or her period will arrive – it’s due about July 3rd - and he’s off the hook. Hopefully, Alan sweating out two weeks thinking he might become a biological father will improve his memory.