Showing posts with label breast cancer. Show all posts
Showing posts with label breast cancer. Show all posts

Sunday, April 8, 2012

Ballet-sex training, Lesbians and diaphragms

Escort in Suffolk shoes during ballet-sex training

Solo ballet-sex training: As I mentioned in a comment on my post for March 31, 2012 [Ballet-sex exams, dome suction] in that post I didn’t go into all the hours of solo training each girl spends perfecting her compartmentalization skills to be able to control her legs and vaginal muscles while balancing en pointe during penile vaginal intercourse. In Solo training she works en pointe fully penetrated from behind, having backed on to a suction mounted dildo attached to the mirror in an encounter Sallé. That way she can perfect the angle and depth of penetration she needs to successfully reach orgasm, so that when she is with a man she can guide him to give her exactly what she needs before her tight spasming bands of vaginal muscles milk him of the last drop of the thick cream filled with his seed. Practicing alone a student can quickly determine the most comfortable and safest angle for being penetration. Being penetrated at an angle significantly off the long axis of the vagina can lead to having a diaphragm/gas-guard under-thrust or quickly developing painful vaginal tears.

The small encounter Sallé preferred for solo training has three mirrored walls one with a barre and a digital media player for music. Each escort/or student brings her own reproductive tract protection, diaphragms or cervical caps, penetrative devices, dildos or a Penetrator Plug (for cervical orgasms from rubbing her pelvis against a barre bracket) and lubricating gel (typically DiveGel+) as well as a good decongestant, a ball-gag and gasmask or respirator to compromise her ability to breathe worn to simulate the exertion experienced during extended encounter sessions. We also recommend that students who don’t have an IUD inserted/implanted also carry in their dance bag a few condoms and a tube of Semécide spermicide. The condoms are in case she calls for an instructor and he needs to demonstrate a particular thrusting technique and the Semécide is back-up in case the condom breaks or slips off. Use of stimulating gels (such as K-Y Intense) during training is forbidden as their use tends to make the woman less interested in learning how to get the most intense experience from her training equipment.

UNLV Lesbian Subs and diaphragms: At the clinic we are seeing more lesbian students coming in to be fitted for diaphragms. This seems to be happening because there are several lesbian Dommes who have begun trolling UNLV for partners and who enjoy giving their Submissives very rough sex with a strap-on. The Dommes, not wanting to permanently damage submissive partners, are sending them to us to be fitted with protection for the G-spot and cervix. We are fitting them with diaphragms to prevent epithelium tears during strap-on encounters. Since with lesbian strap-on vaginal sex there is usually no danger of pregnancy (unless the strap-on has a spring loaded syringe for ‘ejaculate’) no spermicide is necessary, but a good thick silicone gel (DiveGel+) is used. For vaginal strap-on sex the diaphragm I’m fitting the Subs with is a silicone Milex arcing spring. That’s because the Milex arcing spring rim is more difficult to under-thrust than an All-Flex or Omniflex. Also important is that the Milex dome is thicker than All-Flex, Reflexions and Semina so the friction of the strap-on tip against the dome won’t wear a thin spot in the dome too quickly. And, the thicker dome provides some measure of thrust buffering if the Domme wants to batter her Sub’s cervix.

Warming/stimulating gels and diaphragms: At the clinic we are finding that stimulating gels, like K-Y Intense, applied to the inner surface of diaphragm domes in place of spermicide are becoming a popular experience enhancer at vanilla sex parties. Vaginal use of Intense is not recommended by the maker and even when used on the clitoris as directed about 25% of the women who try it find it has no effect or they are allergic to the ingredients. However, that vaginal application is an off-label use hasn’t slowed its increasing popularity among twenty somethings to heighten the woman’s experience.

Intense can be purchased on the internet in bulk to drop the cost of an application (about 10 vaginal applications to a container instead of the 20 recommended for application to the clitoris) to about $2.50 per application. That’s because you need about twice as much as is recommended for application to the clitoris to make sure the G-spot is stimulated. Solo sex using a G-spot vibrator or riding a Sybian machine is spectacularly enhanced because the user has control of the depth, direction and pressure of the vaginal probe, but using a diaphragm with a mechanically rotating plug (like a Sybian) inserted can shorten the life of even a Milex Arcing spring the most structurally robust diaphragm available.

The Real estate market and Porn Palaces: Taryn’s video company has leased several secluded estates in the Spring Mountains. They are lovely homes with large enclosed pools that had been foreclosed on and she has had them refurbished for use as sets for porn films. This arrangement is working a lot better than trying to sneak into a foreclosed property and possibly have the real estate agent appear during a shoot or worse the police. This way there are no bribes to pay, no possibility of arrest, access is 24/7 and there is plenty of room to stage camera and editing equipment. The cost of the lease and right of first refusal to purchase if the bank finds a buyer is about the same and there is far more stability on the set for the actors and crew and much less drama off-camera.

Depo-Provera and breast cancer: “There appears to be a link between an injectable form of progestin-only birth control, best known as Depo-Provera, and an increased risk of breast cancer in young women, new research suggests.” For the complete article click HERE

Personal comment: If it weren’t bad enough that using the injectable progestin Depo-medroxyprogesterone acetate causes weight gain in a significant percentage of users as well as loss of bone density now there seems to be a doubled risk of breast cancer with use of the injectable contraceptive for a year. There may be good reasons that some few women need to use Depo-medroxyprogesterone acetate, but it is a hormonal method to avoid if possible.

At St Lucy’s we forbid students to use Depo-Provera unless they must, because no other women controlled contraceptive method will work for them. Currently no St Lucy’s student is on Depo.

Wednesday, June 23, 2010

Hormonal birth control over the counter?


A dial pack of birth control pills

The New York Times
Op-Ed Contributor
June 21, 2010
By KELLY BLANCHARD
Cambridge, Mass.

Let the Pill Go Free

LAST month, the 50th anniversary of the Food and Drug Administration’s approval of the birth control pill was marked by a lot of discussion about the ways in which the pill has failed to deliver on its promises. It did not solve women’s problems juggling work and family life — nor did it end gender discrimination or eliminate unintended pregnancies. Clearly, approving the use of the pill was only the beginning of the effort to meet women’s contraception needs.

The pill remains part of the solution, but its usefulness has been limited because it’s available only by prescription. As every woman who has run out of pills on a Sunday or forgotten to take them along on vacation knows, refills are not always easy to come by.

What’s more, the difficulties involved in obtaining a pill prescription, especially for women without access to a doctor, can cause gaps in contraceptive use. And the birth control methods that are available without prescription — condoms, spermicide and the sponge — have higher failure rates than the pill.

But there is something we could do to help the pill live up to its potential: let women purchase it over the counter. A half-century of evidence shows us that it’s safe to dispense the pill without a prescription.

The pill meets F.D.A. criteria for over-the-counter medications. Women don’t need a doctor to tell them whether they need the pill — they know when they are sexually active and want to avoid pregnancy. Pill instructions are easy to follow: Take one each day. There’s no chance of becoming addicted. Taking too many will make you nauseated, but won’t endanger your life, in contrast to some over-the-counter drugs, like analgesics. (There are even side benefits to taking the pill, like reduced risks of ovarian and uterine cancer.)

It’s true that the pill could be dangerous for women with certain conditions. Women who are 35 or older and smoke, and those with high blood pressure, are at greater risk of a heart attack or stroke if they take oral contraceptives that combine estrogen and progestin. But these are not complicated conditions to identify; women already have to tell their doctor about their health problems when they get a prescription, and research shows that women can screen themselves for contraindications almost as well as providers do. Progestin-only pills, or minipills, might be an ideal option for an initial over-the-counter switch since they have fewer (and rarer) contraindications and potential complications. Along with the change, the pharmaceutical company, nonprofits and the government should collaborate on an educational campaign, including pamphlets packaged with the pills and public service announcements that would give women information about how to use the pill, deal with side effects, recognize serious complications and of course remind them to get regular checkups for preventative care like Pap smears.

The United States has one of the highest teenage pregnancy rates in the developed world, and better access to the pill is part of the solution to this problem. During the debate leading up to F.D.A. approval of the emergency contraception pill called Plan B for over-the-counter sale, some people expressed concern about expanding access to contraception for young women without doctors’ oversight, and they might say the same about the birth control pill. But there are no special health risks for younger women on the pill, and sexually active women, whatever their age, should have freer access to the full range of options to prevent pregnancy.

We also need to address the problem of pricing. Plan B became more expensive when it went over the counter. If that happened to the pill, it could be unaffordable for many women on Medicaid whose prescriptions are now covered. In some states Medicaid already covers over-the-counter contraception like condoms; Medicaid coverage in all states should be extended to all over-the-counter methods, including the pill.

Women don’t need a doctor to tell them if they need cold medicine or condoms, and they shouldn’t need a doctor’s permission to take the pill. Over-the-counter sales would expand access to safe, effective contraception, and help women take control over their sexual and reproductive lives.

Why a Prescription for Birth Control Pills?


Opinion by RH Reality Check in Health / Women's Health
June 23, 2010

The president of Ibis Reproductive Health, Kelly Blanchard, argues in the New York Times for over-the-counter access to the pill. I’ve long thought that the pill should be nonprescription. What’s the argument for requiring a consultation with a doctor? The doctor will tell you not to smoke while on the pill, and perhaps remind you to continue to use condoms to prevent STI transmission. These are things many women know already, and they can, and should, be clearly indicated on the pill’s packaging. If a smoker has decided she’s going to risk it and smoke while on the pill, a doctor’s warning may not deter her, anyway.

The pill’s prescription status seems like a holdover from the days when contraception was forbidden: when women who wanted it were reprimanded and those who provided it were jailed. (Not that the days of contraception stigma are over—far from it.) As Blanchard points out, there are far more hazardous drugs on drugstore shelves: Tylenol, which can be deadly, and potentially addictive drugs like Benadryl or sleep aids. So why does a woman have to go through her doctor to get hormonal contraception? So that her doctor can remind her how STIs are contracted? With many women in this country unable to afford regular checkups, we don’t rely on the doctor-patient relationship to educate people about sexual health; this happens (hopefully) in school, in our families, if we’re lucky, and through public health campaigns.

The one downside to sending the pill over the counter is cost:

We also need to address the problem of pricing. Plan B became more expensive when it went over the counter. If that happened to the pill, it could be unaffordable for many women on Medicaid whose prescriptions are now covered. In some states Medicaid already covers over-the-counter contraception like condoms; Medicaid coverage in all states should be extended to all over-the-counter methods, including the pill.

If you’re fortunate enough to have insurance, but not fortunate enough to have infinite funds to spend on monthly medications, getting the pill over the counter could be a burden. I wonder, though, if the great number of pill brands would help keep the cost low. There are only two brands of EC currently available in the United States—Plan B and Next Choice—and over forty brands of the pill. In any event, it would be great if such an essential piece of women’s health care a) was not treated like a dangerous drug and b) was as affordable as ibuprofen. After fifty years, it might be time.

Personal comment: Actually, there are a lot more reasons than just insurance coverage for hormonal contraceptives to be by prescription. As much as I would like to see easier access to the pill there are valid medical reasons, things like liver disease, clotting disorders and breast cancer that doctors’ screen for that should preclude a woman from taking artificial hormones. First the writer says if the pill available OTC it would benefit women who have no access to medical attention and then goes on to gloss over serious medical conditions by saying that women can self-screen ourselves. If they haven’t been diagnosed with high BP, a clotting disorder or liver disease how will they know? And, the minipill she suggests is a lot less effective than the combined (estrogen/progestin) pill because the requirements for taking it are stricter and less likely to be followed.

Think about the number of women who are suing their hormonal contraceptives maker because they ended up with blood clots, liver damage or a stroke even after (supposedly) being screened by their doctors. Taking birth control hormones is a lot different than taking Tylenol!

What do you think readers, should hormonal contraceptives (pill, patch and ring) be available w/o a prescription?

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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