Tales from nursing school, travel, labor and delivery, and the bathroom

Saturday, July 7, 2007

Getting to Know You...Getting to Know ALL About You



One day, between fifteen and twenty years ago, I got it into my head that the only birth control method for me was the cervical cap. I can't recall why I was so taken with it. It may have been that you weren't absolutely required to use spermacide with it -- unlike the diaphragm. It may have been that it has a sort of crunchy, counter-culture reputation. I've always been susceptible to that crunchy granola shit. It may have been experimental -- I would have loved that twenty years ago (now, not so much.) Anyway, I found a crunchy women's health clinic that dispensed them and I made an appointment for a fitting.

I sat in the waiting room until a clinic employee came out and called my name -- along with eleven other names! Wow, I thought, they must have a lot of room back there. I stepped in line and we all walked down the hall and followed the clinic employee...into the same room! WTF? I nervously arranged myself on one of the brightly colored sofas in the room. Because, here's the thing about me: I like to imagine that I am a very open, counter-culture, crunchy kind of girl -- but I'm not really like that at all. I'm very private, somewhat pessimistic, and really pretty conventional.

Hi
, my name is Joan, she told us. I'm going to give you some basic information about the cervical cap and answer any questions you might have and then we'll proceed onto the fittings.

Whew!
For a minute, there, I thought we were going to have some kind of group fitting. We talked about the cap for awhile. She described how it fit snugly over the cervix. That there were only 4 sizes available, so it was possible that some of us would not be able to be fitted -- and that didn't mean we had freaky, misshapen cervices. She told us about cleaning it, storing it, about how boyfriends and husbands couldn't feel it during sex...And then she passed out little mirrors on stands, speculums and little packets of KY and told us to take our pants off.

Shit! Fuck! Ass! It was a fucking group fitting. How did I not know this before hand? For a second or two I just sat there with my mouth open and my speculum in my hand and weighed my desire for this ultra-hip form of birth control against my distaste for showing a room full of strange women (and I do mean strange) my giny. If anybody else walks out, I'll go with them, I thought. But, amazingly, nobody else even looked surprised. Everyone just stood up and started taking off panties. Apparently, all the other women had prepared wisely by wearing loose-fitting, flowy cotton skirts. So, even though the giny was showing, the hiny was not. I, unfortunately, had worn shorts with a pretty skimpy t-shirt. So there was a LOT of me on display.

Well, we all got our speculums in with varying degrees of difficulty, lots of cheerleading (and a demonstration on herself) from Joan, and several bad duck jokes. For the first time, we gaze upon our own cervices. Then Joan comes around and takes a peek for herself and gives each of us a little container with four cervical caps in it -- one in each size. And she gives us recommendations on which size to try first. The speculums come out and are whisked out of the room by Joan's helper. You can try lying on your back, Joan tells us, or squatting, or putting one foot up in a chair, but you've got to get that cap all the way up against the cervix.

I start off on my back with my giny and hiny pointing toward the wall because despite the fact that I've just shown off my cervix to the whole room, I still feel the need to protect my privacy. Unfortunately, this position is a no go for me. I decide to squat -- but then I have to decide if I want to show off my hiny to the room (complete with a pimple on the left butt cheek) or do I want to face the room with two fingers in my vagina. As I'm pondering this great question, I take a quick glance around the room and realize that it just doesn't matter. I'm in a room full of half-naked, imperfect bodies. And the faces we were all making! It was just too funny. Everybody was starting to loosen up. After a minute or two, I felt confident that I had my cap in place. Joan came and checked -- I honestly can't remember how she checked. It must have been with a vag exam, but she confirmed that I had good placement and a good fit.

Then we all had to take the caps out. This turned out to be much more difficult than putting them in. But by this time we were all laughing and giving each other advice: Try putting one foot up on a chair and going into a semi-lunge...bear down like you have to do a poo...no no no, squatting is the way to go...Then somebody farted, and we all just lost it.

What type of birth control do you use?

My apologies for including hysterectomy the way I did. I wanted to include it because if you've had one, it eliminates the question of birth control. However, birth control is never the primary reason for this serious surgery.

Please feel free to expand on your answers in the comment section. Thanks!




26 asking for pain meds:

Jessie said...

Its not that we like using condoms, its just that the pill makes me crazy for some reason. It didnt use to, but now it does. Go figure.

I havent looked into anything else.

Paula the Surf Mom said...

Well it's like this... I'm a lesbian and the last time I wasn't I ended up pregnant with twins... so that really taught me my lesson on that one fer sure.

Working Girl said...

hey paula! I learned my birth control lesson by having twins too!

ps: I am very very happy to have those twins now!

Sarah said...

You left out the contraceptive patch, which I tried and hated. I noticed last summer at an amusement park that apparently it's not taboo to let your patch hang out (patch on shoulder, skimpy tank tops, patch on small of back, low rise shorts) thus advertising your chosen method.
I use the ring, and I like it. The first four months it made me a hormonal monster on week three, but that seems to be leveling out.

Izzy said...

I don't do well on the pill, despite many tries and a semi-successful run with Yasmin so we just use the super thin condoms.

Amanda said...

The pill gives me terrible migraines. The one time I used a diaphragm I got a UTI.

After having two bedrest pregnancies and preemies, I had a tubal ligation a few hours after the birth of the second one. That day my doctor and OR were busy, and they were making noises about maybe having me come back to do it. I made it very clear that I was there, had an epidural in, and was getting it done. I later thanked my OB for staying late to do mine.

Best decision I ever made.

Colleen said...

We currently working on having a second baby.... but after having my daughter I used the birth control injections. LOVED it. It will definately be the birth control I'll use in the future. Only had to think about it once every 13 weeks. Only had one period every 6 months. Very few side effects for me.

Suzanne said...

Thanks for sharing this story. Priceless, I tell you! Priceless! I'm on the Pill (Necon 7/7/7) but wish I wasn't because I found that it kills my libido like there's no tomorrow. I'm sure this is why it is so effective; no one on it feels like having sex. The thing is, I also have PCOS and don't get my period, which is not healthy, so the Pill sort of kills two birds with one stone. A while ago, I was off the Pill for two months for some testing, and was using Elexa condoms. I really like them (despite the gender marketing, which makes me crazy, they really are just better condoms with less latex and better lube) and am thinking of switching to another period inducing med and Elexa for "just in case I'm not really broken."

That was probably TMI. Sorry.

Working Girl said...

uh...Suzanne...do you really think I'm gonna come after you for TMI after the story I just told??

Punky Mama said...

After the pill failed at 36 (St Johns Wort and the Pill don't mix opps) and the mini pill and nursing failed at 38 I have 2 lovely red haired boys and my husband has a vasectomy.

tz said...

oh my gosh that story was fantastic and aren't you happy there weren't camera phones then...

hubby was holding out for another c-section just so i'd have the tubal ligation but vback worked and he went in a year later (only after i started talking longingly of a third :-)

daysgoby said...

IUD, baby. Lordy I love my wire.

Jack and Lexi's Mom said...

I long to have a need for birth control. I pay 10 thousand a pop for my kids. If I needed something, I think I would be a nuvaring girl.

Christina said...

I was on the pill before having kids. Did one brief go with Depo as well, but that stuff is awful - gained a ton of weight, took forever to get my period back.

Currently we're using the "I just gave birth six weeks ago and had a third degree tear, don't bring that thing near me" type of birth control. Once I get past that, we'll probably use condoms until my husband gets snipped in about a year.

Working Girl said...

Christina: LOL! I am sorry about your 3rd degree. I've seen 'em and I know they must hurt.

TZ: OMG! I am soooo glad that there is no photographic evidence of that day. So, so glad.

Colleen: I think I might look into that. I feel like I've earned the right to only have 2 periods a year.

Jack and Lexi's mom: dude! when are you gonna be on the unit? I am so missing you.

Punky: I have accidental children also...and happy to have them, too.

A week in the life of a Redhead said...

My birth control is not dating.

LadyBanana said...

I have the IUS, the Mirena. It's brilliant as it lasts for years and makes periods so light and easy.

I add the link here as it wasn't in your poll list...

http://www.mirena.com/html/index.html

Jack and Lexi's Mom said...

Miss you, too! I'll be rounds on Wednesday but then I'm on vacation (to be read as mental health break)for almost 2 weeks!!!!!

Anonymous said...

Actually, if you're a (probably older, I don't know if this is as common as it perhaps used to be) Catholic woman who didn't want any more kids, you might have had a hysterectomy officially for "medical reasons", but unofficially as a sure-fire form of birth control -- God and the Church can't have a beef with you if it was "medical," and some doctors were willing accomplices...

Anonymous said...

Um, hi *waves* Here from CUSS.

Sympto-thermal fertility awareness method w/ condoms/sponges for me (not so much the sponge anymore, due to the lower-than-condoms efficacy rate and high price). I guess that makes me pretty crunchy. I was dissatisfied with condoms so did research into bc alternatives, which led initially to discovering the sponge and then to FAM. I also decided that I *never* wanted to try any hormonal methods. I've always had irregular cycles, so actually knowing for the first time in my life where I am in my cycle, when I am/am not fertile, is awesome.

-Michelle

ffbgirl said...

I adore the nuvoring!! It rocks so long as you are ok with putting it in and taking it out. Working girl, can you speak to any medical findings about depo? I was on it for 3 years or so and when I went off it for the ring my body FREAKED out... My sister was on it for four years and it took her 7 years to get pregnant afterwards... I am of the mind depo is BAD stuff, but I wondered if you had heard anything medically credible?? Thanks!

Anonymous said...

None...
I am pregnant with my 6th (actually 9th as I've had 3 mc's). I have used the pill and condoms in the past but we have decided to stop using birth control until nature does it for us. I do breastfeed a long time and it suppresses ovulation for over a year. I will breastfeed this baby and see how long I get.

Esther said...

Had my third child. Had a tubal ligation with his birth since I was having kidney failure. Went home, hemmoraged, went back to the hospital for a hysterectomy. Gee, thanks. Glad I had that Tubal Ligation.

Before that, I mostly used the pill. We used condoms if I forgot to take the pill. My husband hates condoms, so he was pissed if I forgot to take the pill.

Lucky us since I had the hysterectomy? ha ha ha

Esther said...

I just read the comments. What's a third degree tear? I've heard of tearing in different degrees....

My inner & outer vagina tore thru to my rectum. I had fistulas. When I delivered that third child, as I wrote above, my doctor tried to sew me up, but I really needed reconstruction. When I went in for the hysterectomy, they did a inner vaginal & inner rectal reconstruction seeing as the OBGYN specialist/surgeon said I looked like ground hamburger, and they reconstructed the outer vagina & reconstructed my episiotomy. SWELL!!!! I couldn't sit on my ass for a couple weeks!

So, is that to the 10th degree? They said I had more stitches than a C-section.

Amanda said...

Third degree is when it goes into the sphincter muscle, but not all the way through (I believe).

I had a 3rd degree with #1 son, and that was my understanding of it at least.

I'm one of the few who voted "abstinence". Due to my husband's incredibly low sex drive (I'm PEAKING, dammit!), it's a rare event. And when it does happen, we use condoms.

Uhm... TMI? Oops :)

~the Amanda who is at amandajustice.blogspot.com

Baker said...

The cap, were you perchance reading Margaret Mead? She persuaded me at 16 (and virginal) to tell my whole family at dinner "You know coitus interruptus isn't a good form of birth control!" I think my mom choked and brought condoms to dinner the next night for us to discuss....

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