Showing posts with label Speculum. Show all posts
Showing posts with label Speculum. Show all posts

Saturday, March 13, 2010

Avoid Lea’s Shield for dive-sex


Lea’s Shield Top view


Lea’s Shield showing the 10 mm vent opening in the bowl

Lea’s shield: Lea’s shield was supposed to be a one-size fits-all cervical barrier with a one-way valve that would allow vaginal discharge to flow out while preventing semen from entering the bowl to reach the wearer’s cervix. I haven’t written about it because while the idea was marvelous the design was flawed so it was taken off the market several years ago and very few women I know and no entertainers use an LS. However, because it was made of surgical grade silicone women and their partners who had the anatomy to use it as intended (for traditional sexual intercourse at one atmosphere of pressure) and liked it still use the Shield so there are still a few in use and it can still be purchased on-line.

Problems with the Shield: One of the problems with Lea’s Shield is that there is no such thing as a one-size-fits-all cervical barrier. At best Lea’s shield is a one-size fits-most device so women with small anatomies found because of the Shields large volume it was difficult or impossible to insert. Or, for those who could insert it and wear it comfortably the valve often hurt a well endowed partner. I take an 80 mm diaphragm so I’m on the upper end of a ‘normal’ size unaroused vagina, but I tent far more than the average woman because when fully aroused and penetrated from the rear I can take an 11 inch man with almost no discomfort. However, with the Shield inserted I can only take 8 inches and the valve, even though it’s very soft, hurt my well endowed partners. So, my Lea’s Shield in its lovely teal bag has ended up as a paperweight and conversation piece on my desk at work.

The Shield and dive-sex: Why I’m writing about Lea’s Shield now is because a 26 y/o woman was brought into the ER side of the clinic just as I was leaving after my usual CD1 menstrual extraction yesterday morning. She had gone into the 20 foot deep pool of a pool bungalow wearing a Lea’s shield as a gas guard. She is a friend of the guest who had reserved the bungalow for a week and she had always before used an arcing spring diaphragm as a gas guard but had forgotten it so wore her normal surface sex protection, the Lea’s Shield into the pool. She had used Semécide, the Dive-Gel with an N9 spermicide, in the bowl of her Shield and wore a bikini and her own single hose reg and a buoyancy vest with integrated weight pockets. The security cams show that after checking her equipment on the surface she released air from her vest and began a rapid descent and at about 5 feet she started to squirm and apparently panicked. She tried to inflate her vest and drop her weights but managed to do neither and she continued to sink to the bottom doubled over and writhing in pain with her fingers inserted in her vagina. The guest, her boyfriend, was ready to start his descent and emptied his BCD and sank to her side in less than a minute then hit the fill valves on both their buoyancy compensators and made an a emergency ascent and pulled her to the shallow end and out of the pool.

Fortunately she was using her own dive gear so the casino isn’t liable for damages and having pool access she had signed a waver one section of which spelled out the gas guards a woman should use (which does not include Lea’s Shield) if she intended to have pool-sex. So I think we are in the clear as far as legalities go. With other style cervical caps; FemCap, Prentif or Oves the silicone or latex of the dome is so soft and small that the dome can collapse around or on to the cervix and there will be no (in the case of Oves) or very little squeeze in the case of Prentif or FemCap. That is often not the case with a Lea’s Shield.

The bowl void: The problem is that the dome, which the manufacturer calls the bowl, is large, 30 mm wide, to accommodate women who have given birth. That means it is too large for most women who have never been pregnant so there is a large surface pressure void in the bowl. And the bowl is very stiff which means that if the wearer descends to much depth at all and she has a large void in the bowl the surrounding water pressure will squeeze her cervix and the neck of her uterus into the bowl to fill the void and then squeeze her cervix out through the 10 mm opening between the bowl and the one-way valve that is kept shut by being compressed between the rear vaginal wall and the outer surface of the bowl. We are talking about the diameter of a small cervix being 20 to 22 mm so having that squeezed through a 10 mm hole gives you some idea that the process is unbelievably painful even though the cervix itself has few nerves in it. Having ones cervix crushed by pressure squeeze while diving the first indication is severe cramps and then a sickening searing pain. The interior of the cervix is full of blood vessels and once they are ruptured the woman bleeds freely and the hemorrhaging is difficult to stop.

The ER Gyn sedated her gave her a unit of blood and opened her vagina with a speculum, then had to cut through the thick silicone dome of the bowl with a laser knife to break the vacuum so the shield could be removed. Then a tube was inserted through her cervix to allow drainage and the cervix was injected with a med to cause the wounds to clot and her vagina was packed with gauze and she was sent to the private hospital the casino uses which specializes in reproductive tract trauma. Rebuilding a cervix is tricky and I’m guessing if she is able to carry a pregnancy to term she will never be able to give birth vaginally or she will almost certainly tear.

Thursday, July 23, 2009

Volunteering at the clinic


A Miltex Vaginal speculum

Fitting sports shields: My time fitting sports shields at the clinic this morning was very busy. A woman’s water polo team was in town, for pleasure, and came in for fittings because one of their moms had been fitted here last year. Each had to have a pelvic exam first to make certain her cervix was healthy. That’s because while wearing a cap will not hurt a healthy cervix for women who have cervical dysplasia a cap will make the condition worse. Chuck let me insert the speculums (warmed and lubed before insertion) and I think that’s the part of the pelvic exam women like the least, having our introitus stretched and held open. Five took 22mm FemCaps and 2 took 26mm and they all wanted strapless caps so afterward I taught a short class about the easiest way to remove them and I made sure each girl could properly insert, to make certain she had her cervix covered, and remove her shield. It was pretty much a communal thing with them all standing around watching as they all got fitted. I’d never had that happen before where a room full of women watched one another being fitted. Usually it’s just the occasional mom with a daughter coming in for her first FemCap for dive-sex. But they were very quiet and none of them was shy so it worked out well and it was certainly a bonding experience for the team.

Contraceptive challenges: After I finished fitting sports shields I assisted Chuck as he saw a series of patients. All had birth control problems of one sort or another; pill side effects, an IUD expulsion, incorrect barrier sizes one that was too large and two that were too small and three abortions, two by Mifeprex and one EVA, electric vacuum aspiration.

Hormones: Of the women with pill side effects two were experiencing heavy irregular bleeding while using progestin-only-pills called the mini-pill or POPs. Chuck had them stop hormones and switch to GyneFix IUD implants. The other has started using Ortho Evra (the patch) a month ago and her breasts were so badly swollen that she could hardly stand to wear a tee much less a bra. Chuck took her off the patch – because of the high estrogen dose administered transdermally by the patch breast tenderness is a common complaint – and because she still wanted an extremely low maintenance method, inserted Implanon, a single rod implant the size of a matchstick, in her upper arm.

ParaGard expulsion: The girl with the IUD expulsion was a rubber-chick who had such a brutal sexual encounter at a fetish club that it caused uterine cramping severe enough to bend the frame of her ParaGard, copper IUD. The IUD was protruding from her cervix so Chuck tugged gently and it pulled out painlessly. An ultrasound showed the arms of the frame hadn’t perforated the uterine wall but she was bleeding so he didn’t want to insert a GyneFix until her uterus had healed. So he fitted her with a Milex diaphragm which she had wanted as protection during pool-sex.

Diaphragms: The girl with the diaphragm that was too large (it kept popping out of her pubic notch and she couldn’t pee very well when it was inserted) had gained 15 lbs and the weight had caused her to need a smaller diaphragm, which she was fitted with. Of the two girls who had the diaphragms that were too small one had been miss-fitted by another clinic in Nevada, not here in Vegas, and the other was 16 and had been fitted a year earlier with a 60mm coil spring. She should have returned for a refit in 6 months because she is still growing and because a year ago she was newly sexually active and a woman’s pelvic anatomy stretches with use. That stretching has nothing to do with how tight she feels to a partner which is a function of the strength of her pelvic muscles. She was fitted with a larger Cooper Surgical (the old Milex) Omniflex which is the only coil spring rim diaphragm still made in the U.S.

Terminations:
Of the three abortions, the two medical ones were started with the women taking the first pills in the Mifeprex regimen and they were given the rest of the pills to take two days later. We keep in touch with these patients to make sure they are doing well and schedule them to come back two weeks later as follow-up. The other woman had waited too late to take Mifeprex so she came in scheduled for an electric vacuum aspiration which is a bit more invasive than a menstrual extraction because it requires cervical dilation because a larger diameter cannula is used. The EVA went well and in an hour the woman was on her way with Ibuprofen for any discomfort and doxycycline to prevent possible infection. I’m CD 21 today, so I’m looking forward to my menstrual extraction this time next week.

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Powys , Wales, United Kingdom
I'm a classically trained dancer and SAB grad. A Dance Captain and go-to girl overseeing high-roller entertainment for a major casino/resort