Posts Tagged ‘Vagina’

Post Orgasm Crunch – Is it a New Cereal?

Tuesday, October 4th, 2011 by Bat Sheva Marcus LMSW MPH PhD

Today we had an hysterical appointment with a patient where we created the new sensation, “post orgasm crunch”… okay. I’ll be honest. It wasn’t a new sensation but a problem that needed to be solved.

The patient was talking about the fact that when she is having intercourse with her husband she will sometimes have an orgasm and that any thrusting he does immediately afterwards is very painful to her. As a result he will need to pull out which, as you can well imagine, doesn’t always  work so well for him. I suggested at our last appointment that instead of having him pull out he just stay still for 20-30 seconds. It’s working well for the patient.

However, when she came in today and I asked her how the whole “post orgasm crunch” thing was going, she first looked at me blankly and then burst into peals of laughter. “Sounds like a cereal,” she said and the marketing possibilities had us all in stitches for the next few minutes.

All joking aside, each woman’s vagina seems to react differently to orgasm. Some women say their vagina relaxes and loosens up and intercourse is more comfortable after orgasm. For other women (and this patient was one example),  the orgasm tenses the vagina and makes penetration more challenging. So which woman are you?

one man's…

Monday, May 12th, 2008 by Bat Sheva Marcus LMSW MPH PhD

It never ceases to amaze me… one day recently I had two back to back vaginismus patients. “What’s vaginismus?” you ask. It’s a condition (not that rare at all mind you) where a woman can’t get a penis into her vagina. It can be severe. She can’t get a finger or a tampon in. Or it can be mild. She can get the penis in. It just hurts like heck. Anyhow, back to my story. The treatment that we use for vaginismus (put a bit oversimplified) is to introduce progressively larger “dilators”  (hard plastic cylindrical inserters which look very medicinal) into the vagina to relax it and to stretch it. Once we get to the largest dilator, we then move on to penis shaped vibrators or dildos. When asked if their partner had helped put the dilators in: patient #1 responded that her partner had been horrified at the penis shaped vibrator and was only willing to use the “dilators” since they didn’t look like sex toys. Patient #2 responded that her partner didn’t like the medicinal looking “dilators” and was waiting for those fun dildos. Okay. Once again we learn that …. hm… one man’s dildo is another man’s dilator?

The bad idea bears…vaginal reconstructive surgery

Wednesday, April 2nd, 2008 by Bat Sheva Marcus LMSW MPH PhD

If you have seen the Broadway show Avenue Q (or its equivalent somewhere else) , you’ll get the reference. (It’s a terrific show by the way and I highly recommend it, but it’s very explicit! As a matter of fact my 18 year old son — with whom I’ve had a number of extremely explicit conversations — said, during the play…. let’s just not talk about this afterwards, ‘Okay MOM???’) Anyhow, the play has these two characters “the bad idea bears.” They are cute, cuddly and charming and pop up whenever another character has an idea that they know in their heart of heart is NOT a good idea.

So let’s talk about vaginal reconstructive surgery. It’s getting more popular. It makes me think of the bad ideas bears. It’s a terrible idea.

What is vaginal reconstructive surgery? Pretty much what it sounds like. It is surgery that reconstructs the area in and around the vagina and vulva. Although there are (and they tend to be pretty limited) cases where surgery is really needed in those areas, most often, women elect to have surgery there as “cosmetic” surgery.

WHY????

Well, let’s see…. because women are afraid that their vulva’s and the lips around the vaginal opening look funny. I daresay, most women haven’t seen many vulvas to begin with and if they have they are probably mostly those belonging to porn stars which may be a skewed sample.

Here’s the reality. Vulvas and labial lips (inner and outer) come in all different shapes and sizes. If you want to get a good overview, buy the book Femalia (by Joanie Blank) which is up-close (tastefully done) snapshots of a whole group of real women’s vulvas. If you don’t think you can handle snapshots, get  Sex For One by Betty Dodson or The Guide to Getting It On by Joannides and they have drawings.

 Yours is just fine! Really. I don’t even need to see it to tell you that. I promise.

I have an ob/gyn friend who said that only once in her entire career of looking at labias and vulvas did she do a double take. She saw a vulva that looked so odd to her she needed to keep looking at it to orient herself. Turns out the women had had vaginal reconstructive surgery…. and they had cut the labias off. Now that was weird!

The problem with having surgery is that most often you can’t undo the surgery. You may hate the results and can end up with scarring and pain in a place where you don’t want scarring and pain!!

So do yourself a favor. Take those cute cuddly bad idea bears and steer them far away from the reconstruction of your fabulous vagina. Hey. Maybe take them to a show!