Thursday, September 23, 2010

8.31 Avoid Pregnancy/Get a Good Lovelife

Physician's Notebooks 8 - See Homepage -

31. Avoiding Pregnancy - Update 01 Feb. 2019
From the reading, you, a young Ms, should know how to detect ovulation.
   First realize it is not too difficult to control Mr. Man’s sexuality, even if you are on the verge of being raped. The songwriter phrase A man may be hot but he’s not when he’s shot (Irving Berlin, from the 1950 Broadway musical Annie Get Your Gun) contains wisdom about how to control male lust. The key to avoiding pregnancy is avoiding coitus, and you should realize that a lustfully excited man is not specifically directed to coitus; he seeks orgasm. In usual petting, most women act like a partly passive vessel, inflaming the guy with kisses and touching, but not being directive. And that’s why many women in that situation end up getting screwed, to use a word for coitus, and made pregnant or diseased from a penis she lost control of.
   Assuming you wish to avoid pregnancy; first, each day, you should judge one of three possibilities: 1) I cannot get pregnant, 2) I can get pregnant, or 3) I am unsure. The last possibility should be lumped with 2).  So it is either 1) I cannot get pregnant today or 2) Maybe I can.
If it is part of the month you know you cannot get pregnant, then the question in a sexual meeting is “Do I wish to have coitus with this particular man or not?” and it should be separated from the pregnancy-risk. You may wish to protect yourself from disease while enjoying coitus on a day you know you cannot get pregnant. In that case, come prepared with a condom and know how to put it on the guy’s erect penis. Never depend on a man’s supplying his own condom or, if he does, on his ability or willingness to use it. In rape where a man is threatening you with overwhelming force, he may accept your offer to cooperate in return for allowing you to place a condom. If he is wild enough not to, your having negotiated has not cost you anything and it gives extra time to think of something else.
   If it is a case where you are dating but do not wish coitus because you want to preserve your virginity, or you do not know the man well enough, but yet you get into a situation where you are being forced into coitus, then you should try to bring him to orgasm preferably by a hand-job. On dates, most women should know how to arrange the situation so that they control things without petting, but if you are going to allow petting do not assume you will be able to stop it without violent action.
   If it is a day of a month where pregnancy is possible then every sexual situation should be thought out ahead of time to avoid coitus. If with a boyfriend, you may have him agree not to try anything on such day, or, prevent the possibility by not going out with him or any man.
   Once you have made a man come to orgasm to avoid coitus, you will have 10 minutes before his lust will start to rise again. So it is time to make your getaway. “Promise him anything but (end up giving) … Arpege” (a cheap perfume), an old ad slogan once said.
   If you are a wife or sex partner who finds it hard to refuse coitus, then a diaphragm should be in your vagina. The condom was mentioned above and works well if used well and also prevents disease. But at times a partner may not cooperate in using a condom. Ideally, such a partner should be abandoned but that may not be practical and again there may be rape or a semi-rape situation one cannot control. Then, a diaphragm in place comes in handy (or better, vaginally).
   To obtain a diaphragm you may need an M.D.’s scrip. You may, alternatively, learn to use a diaphragm on your own with written instruction or help from a knowledgeable friend or teacher. Diaphragms are of two types based on what happens when you fold the opposite sides of the rim between thumb and forefinger. The flat type will not fold into an arc but the arcing type folds into an arc. I advise the arcing type because it is easier to insert correctly. In the standard method, you are fitted for a particular size diaphragm and then instructed to insert it with contraceptive jelly just before coitus and then remove it not less than 6 hours after. My experience, fitting and instructing in the contraceptive diaphragm has been that, often, a woman dislikes the method because it breaks the spontaneity of sex if one has to take time out to insert it. (One cannot always anticipate coitus before it occurs) And the diaphragm fitting is imprecise; so, some women get fitted with an overly large diaphragm that is uncomfortable and also is felt by the man when he is inside. For years I have advised a restricted range of size, a small diaphragm size 65 or 70 to prevent overly large uncomfortable diaphragm fitting. Also, important, if you will soak your new diaphragm for 1 week in raw honey and then use it for repeated long-term insertions (all day and night; it only needs a 1-week soak and then is good for the rest of your life), you will find it will not become smelly as an un-honeyed diaphragm would. (I call it Honeycup) Also by group seminar or self-practice, get to know by your own deep finger exam that your diaphragm is in the vagina correctly covering the cervix. Then you can keep your diaphragm in every day, simply taking it out only just after coitus, rinsing it and immediately reinserting. So you walk around with the Honeycup in your vagina. And always finger check, just before coitus that the cup of the diaphragm is in place covering your cervix. Used this way, the method works well combined with rhythm and, especially with a condom (Do not tell your partner you have a diaphragm inside you). It is very good for an intelligent, sexually active woman who is good at a self-vaginal examination. I do not find contraceptive jelly important but, if you worry too much not using it, then use it (and especially with a strange man because it partially works against STD) whenever coitus is imminent.
   To read more about the Honeycup Diaphragm Method and in print to witness a group seminar teaching it with illustrations, click on 1. (28-30) Kimi Learns a Useful Method and Gets a ...
Birth Control Pill (and other hormonal methods); also the IUD and surgical sterilization  The hormonal contraceptive includes The Pill, which comes in many formulations, and also the long-acting injection or implanted hormone-releasing material. All of them work by stopping ovulation and/or by changing the uterine lining so that it will not accept a fertilized egg. Hormonal contraception has the bad side effects of increasing blood clot risk in artery or vein, which can cause stroke and coronary heart attack, and it worsens hypertension, and causes and enhances liver and breast cancer. The Pill and the Shot are effective in preventing pregnancy but their risks are too high, in my opinion, for uncritical use. 
About the IUD, or intra-uterine device It is placed in the uterus by a health practitioner and left inside for years. There is high incidence of abnormal bleeding; additionally, infection spreads more rapidly to the tubes and ovaries. Also IUD has failure rate (c.1%) and when a woman gets pregnant with IUD, then the ectopic pregnancy rate is high.
        Surgical sterilization in its usual form is permanent tying off of the uterine tubes. It is done via laparoscope or usual surgery with small incision. It fails occasionally. In my opinion, it is overkill – an atom bomb to kill a flea. Why permanently end your fertility when you have as good a knowledge of contraception as you are getting here?
 End of Section. To read next now, click 8.32 Pregnancy Loss by Mis/Ectopic/Hydatid Mole

No comments: