minoanmiss: Minoan statuette detail (of a buxom Minoan lady) (Statuette Boobsy)
minoanmiss ([personal profile] minoanmiss) wrote in [community profile] agonyaunt2022-06-01 12:52 pm

How To Do It: Swearing off PIV for awhile due to politics

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My husband and I currently live in a relatively rural part of the Deep South in a state with a trigger law that will basically ban abortion entirely if Roe v. Wade is overturned. I have a medical issue that means I can’t take hormonal birth control, and we’re having a really hard time finding doctors who will do sterilization surgery for me or a vasectomy for him (we’re both childfree and in our mid-20s). We are certain we do not want any children. We live several hours from the nearest Planned Parenthood and only have one car that we need to share. Our goal is to move away (hopefully to New England where we have some friends) when we can, but we don’t make a lot of money, and saving for a big move will take time.

Our plan is to basically just stop having any penetrative sex/do anything that could result in pregnancy. I’m just not comfortable with the risk, and condoms are only 85% effective in real life without a backup. Could you give us some advice on ways to have satisfying sexual experiences without PIV sex? We’re relatively young, were both raised in purity culture, and feel a little out of our depth here with the exploration.

—Stuck in the South

Currently, Roe v. Wade has not yet been overturned. The situation does look pretty grim though, so let’s go ahead and talk about your options.

You said that you live several hours from the nearest Planned Parenthood. I’m still wondering whether they would be willing to give you or your husband a sterilization procedure. It’s worth calling to ask—if you haven’t yet—and considering how to make it happen. If they’re willing, and you’re able to figure out how to get there without jeopardizing your jobs or financial situation, that would help take a huge load of worry off of y’all’s shoulders.

Before you take penis-in-vagina activity off the table entirely, you might consider condoms (which are, yes, according to Planned Parenthood only effective 85% of the time) plus the pullout method—where your partner pulls out of your vagina long before he ejaculates. This does rely on your partner knowing when he’s close to orgasm with enough time to remove his—condom sheathed!—penis from the vicinity of your uterus.

One thing that might help is to define satisfying sex for the two of you. Dr. Ian Kerner’s So Tell Me About the Last Time You Had Sex is a great tool for thinking through the sex you have and fostering the qualities you value. The book has a whole chapter on outercourse, which is the term for all the rest of sex outside of PIV, that might give you some ideas. You also might give Barbara Carrellas’s Urban Tantra a read for her perspective on full-body sex, and a considerable amount of suggestions for how to touch each other.

Oral sex can be a great way to give each other orgasms, as can digital sex—also known as sex with fingers and hands. Take your time, and engage your sense of play. What feels like it might be fun to do? Will tickling his shaft with the backs of your fingernails tickle or turn him on? How about him incorporating his nose into cunnilingus? Would it be too silly? Does finding out sound exciting? Take note of what you each like, and continue to try new things. One important warning while you experiment; do not blow air into your vaginal canal.

You might explore areas you don’t immediately think of, too. Grinding against a thigh, or having an erection thrust against the back of your knee can be an experience. Get weird and laugh about it together.

Intimacy is another important factor in satisfaction, and while you’ll likely get some from non-penetrative sex, take care to spend time engaging in other forms of physical intimacy like cuddling, massaging, gently scratching, or anything else that works for the two of you. Good luck.
lauradi7dw: me wearing a straw hat and gray mask (anniversary)

[personal profile] lauradi7dw 2022-06-01 08:40 pm (UTC)(link)
I was shocked recently when a gynecologist told me that diaphragms are no longer being prescribed, to the point that she had apparently never seen one and didn't know what I was talking about when I described the applicator used for extra spermicide. She said "there are better options" but taking one away seemed foolish to me.
green_grrl: (Default)

[personal profile] green_grrl 2022-06-02 03:36 am (UTC)(link)
Weirdly, I was talking about diaphragms the other day, but it took me a minute to come up with the word because it had been so long. Agree, all options should be available, especially because so many people have sensitivity to hormones.
likeaduck: Cristina from Grey's Anatomy runs towards the hospital as dawn breaks, carrying her motorcycle helmet. (Default)

[personal profile] likeaduck 2022-06-03 04:41 am (UTC)(link)
Lots of places have stopped prescribing/fitting them but there's a non-fitted one you don't need a prescription for: https://www.caya.us.com/. It has a less irritating gel than the older versions too!
lauradi7dw: me wearing a straw hat and gray mask (anniversary)

[personal profile] lauradi7dw 2022-06-03 02:04 pm (UTC)(link)
I'm glad, but wonder how well-known they are.
Also, it looks like the contraceptive sponge was a casualty of Covid hitting factories in India
http://www.todaysponge.com/
likeaduck: Cristina from Grey's Anatomy runs towards the hospital as dawn breaks, carrying her motorcycle helmet. (Default)

[personal profile] likeaduck 2022-06-05 03:00 pm (UTC)(link)
Maybe not super well-known, but gaining traction among "natural health" circles I think.

Re: "taking one away"--my understanding is that what keeps happening is pharmaceutical companies that make birth control pills keep buying up the companies that make diaphragms/cervical caps/etc. and then discontinuing the products through some combination of larger companies not prioritizing the smaller profit streams as much and not wanting competition for their hormonal birth control revenue streams.
ethelmay: (Default)

[personal profile] ethelmay 2022-06-07 06:05 am (UTC)(link)
They're in very common use worldwide, and increasing in popularity in the US as far as I know (both IUDs in general and specifically copper IUDs). I had copper IUDs and was very happy with them. It used to be difficult to get anyone to prescribe one if you hadn't had a baby (the insertion can be much easier if the cervix is still a bit open), but these days it's much more common for nonparous people to have them.

The columnist didn't mention anal sex (which I wouldn't consider "outercourse"). (Actually I think when I first heard the term "outercourse," some decades ago, it implied not only non-penetrative sex, but sexual contact that could be done clothed. But the definition may well vary.)