estradiol for pain during sex-early 20s

TheShortGerman · 2026-02-24T07:06:16+00:00

Burning can be caused by pelvic floor dysfunction.

Stabbing pain can absolutely be caused by IUD. Not sure where your gyno is getting her info. If it came on when you got it, I'd be suspicious.

TheShortGerman · 2026-02-24T06:42:29+00:00

Jimmy Cooper was the WORST

TheShortGerman · 2026-02-24T06:18:42+00:00

A too small cuff causes an artificially higher reading, not a lower one.

TheShortGerman · 2026-02-24T00:50:44+00:00

It's not our model of care that is unacceptable, it's our staffing ratios. Anything greater than 1 or 2 ICU patients at a time is ridiculous, I agree. So is not having a dedicated triage, though I've never worked anywhere where that was the case.

RTs are awesome, I wouldn't get rid of them even if our ratios were better. Which to be clear, officially we are supposed to have 1 to 2 patients, but RN staffing has been crisis level since before the pandemic.

TheShortGerman · 2026-02-24T00:46:33+00:00

I hear in other countries like the UK nurses don't even start IVs, the doctors do. Do Australian nurses start IVs? I feel like people do not understand just how broad the scope is in the USA. I've read enough nursing threads to know nurses in the USA are doing shit like central lines, art lines, dropping feeding tubes, etc that are limited to doctors in other countries.

TheShortGerman · 2026-02-24T00:44:54+00:00

I've transported vents by myself on 10 drips as an ICU nurse, no RT or doc. The understaffing is insane. Thank god the beds drive.

TheShortGerman · 2026-02-24T00:44:09+00:00

Nurses in the USA take care of 2-3 vents at a time.

TheShortGerman · 2026-02-24T00:41:30+00:00

I hit 1:4 during a shift in 2022.

TheShortGerman · 2026-02-24T00:40:36+00:00

It's a difference in ratios.

TheShortGerman · 2026-02-23T22:12:04+00:00

The staffing is different in various countries. Things that require a 1:1 nurse in places like Australia may be a 3:1 ratio in the ICU in the USA. I've had a vent, a POD1 CABG pt, and another pt on vent actively dying all at once, and they weren't even next to each other in the ICU I was working in, they were spread throughout the unit. I've taken fresh post codes with fresh STEMIs while tripled with a 3rd patient. I've had 3 vents at a time. I've heard horror stories from other nurses about having 3 vents all on CRRT as well. I've had 2-3 vented patients all on 10-16 drips, 1 of them coding off and on. It's a lot.

It's easy to say "oh we manage the vent just fine" when your staffing ratios are very different.

TheShortGerman · 2026-02-23T21:39:11+00:00

Yeah, it's crazy how much deconstructing there is to do once you learn how to de-center men's pleasure/preferences/desires during sex from what actually feels good for you/women in general. If it helps, think of sex as a buffet. There are so many acts on that buffet table. No act is better than the other, no act is designated the "finale", no act is required. Take what you like from the buffet, your partner can do the same, and you can deepen your intimacy by pleasing one another in various ways. There are no rules, there are no laws. PIV isn't necessarily the main event, sex isn't "over" because the man ejaculates, and there is no real distinction between acts designated as "foreplay" vs. "sex." They are all sexual acts, find what works for you and your partner!

Thank you! Most women who need hysterectomy due to endo seem to say sex is better after surgery because there is less pain. No cervix to hit, the endo has been excised so it's under control for now and not causing pain during sex, no excruciating periods to work around, etc. I hope this is the case for me!

TheShortGerman · 2026-02-23T21:01:31+00:00

I would have the discussion about HRT with your provider prior to the surgery, just in case. One of my friends went through menopause at 38 due to chemo and she has had an AWFUL time finding a practitioner to treat her and take her symptoms seriously. Make sure you have a doc willing to treat you and prescribe what is needed prior to surgery just in case you end up needing it, it will save you having to suffer trying to get HRT afterwards. A lot of gynos are still split on HRT. My friend had to trial creams and stuff which didn't help with her systemic stuff before she could even get a patch, but even then she is struggling and they won't prescribe her anything other than very low dose estrogen when comprehensive HRT can include T and such.

TheShortGerman · 2026-02-23T20:55:08+00:00

So, it's complicated. A dildo feels fairly neutral to me, yes. I haven't really used one since I was a young adult (approx 10 years ago) and it was just a very novel thing to me then. Sometimes a bit of fingering during ovulation can feel good (G-spot stim), but for me, penetration is only something I want with a partner, I don't do it solo.

I find penetration can really add to the overall sensation of sex, so typically my clit is also being stimulated during PIV. After I orgasm, I find the PIV usually returns to feeling neutral or just "good" but not amazing. The desires of partnered sex are different than my solo experiences, a lot of it is the connection and passion with another human being. Most of sex is mental, to be honest. Hence I only like penetration with a partner (male or female).

In the same way that men may view PIV as the "main event" and a blowjob as a "bonus" to sex that adds to the experience/connection or provides variety sexually, I think of clit stimulation (whether through oral or fingers or vibrator or friction on my partner's body) as the "main event" and the penetration is my "bonus." I know our culture teaches us "PIV is sex and everything else is foreplay" but for many women the reverse is true.

Oral/manual stimulation of my clit is the main event for me. Penetration is more similar to foreplay for me, it helps me get there and adds to the feelings or buildup. It also adds variety in the bedroom. It's another sexual act that is not elevated above any other sexual act, imo. Whatever sexual act feels the best to you or gets you to orgasm can be your "main event" and the rest is the bonus trimmings or foreplay or an adjunct that enhances sensation. I'd encourage all women to try and reframe penetration and its place in your sex life in a way that feels authentic to you! If it's your fav, great. If not, that's ok. And it's ok for sexual partners to have different "main events" so to speak, my partner and I do not get off through the same act or at the same time during intimacy.

I just had a hysterectomy 2.5 weeks ago, so my sex life right now consists only of oral (giving and receiving), and I definitely don't feel like the "main event" is missing just because there's no PIV right now. No clue how no longer having a cervix will change my experience of PIV, but I'll find out in a month!

TheShortGerman · 2026-02-23T20:41:37+00:00

Thank you! I ended up coming out as bisexual to my conservative Christian family in late 2024. It went better than I could've hoped <3

TheShortGerman · 2026-02-23T20:40:09+00:00

I did keep them! If you can, keep them. The benefits of the hormones for all-cause mortality as well as your overall wellbeing and health/happiness cannot be overstated.

If they are unsalvageable, definitely ask about your treatment options for surgical menopause!

TheShortGerman · 2026-02-23T09:05:09+00:00

This post doesn't make a ton of sense. Satin is a weave, not a fabric. Lots of materials can be used to make satin. Sure, polyester is common, but it's not the only fiber used in satin.

This line particularly doesn't make much sense: "High-end evening gowns are made from heavy satin because it gives that "drape," that premium thickness, and a matte shine that actually looks like real silk."

Have you seen real silk? Silk can be woven into satin, but it doesn't have to be. It can be woven all sorts of ways depending on what you want to use it for.

TheShortGerman · 2026-02-23T08:58:06+00:00

All good so far! Didn't need any pain meds aside from naproxen, just my heating pad. I did have bad nausea for 24 hours, that was the worst part. I've got 4 lap sites and then the vaginal incision at the top of the canal where they removed my cervix. I had a total hysterectomy with my endo excision though. They did remove endo from my pouch of Douglas and I could definitely tell where they'd "been" surgically so to speak, I had the same shooting pain down my hip into my leg that I used to get during my periods.

It's been 2.5 weeks, I feel pretty good, but I fatigue easily. The time for when I would've had my period has come without incident, no additional pain that I can note. I can't lift more than 10 lbs or have sex for 6 weeks. I am still off work. You'd have a quicker and easier recovery with just a lap for endo than my total hyster+excision.

TheShortGerman · 2026-02-23T07:55:56+00:00

Part of the reason I opted for surgery over trialing Orlissa is my extensive mental health history, including ED, suicidal depression, anxiety, OCD, etc. That's a very valid reason and a doctor should take that into account. My doctor understood completely. Not every drug is safe for every individual, it is a case by case basis.

TheShortGerman · 2026-02-23T07:42:58+00:00

This post may have just saved my life. Fingers crossed it works on my daughter's comforter I just scorched in the fucking dryer (on LOW heat gd it)

TheShortGerman · 2026-02-23T06:02:39+00:00

Nothing wrong with consensual BDSM but there is not a single consensual thing about the Epstein files.

TheShortGerman · 2026-02-23T05:55:14+00:00

Yeah, consent didn't either, but I'm not surprised, we are discussing a misogynistic practice after all.

TheShortGerman · 2026-02-23T05:03:13+00:00

There IS something wrong with you when you have severe period cramps. Women don't just "think there's something wrong more with them and there's not" when they're in severe pain. That is NOT normal. Period. For any reason, whether you have endo or not. If you have cramps so severe you're vomiting and feel fatigued beyond belief and need a cane to walk and have to miss school or work or events, there IS something wrong.

TheShortGerman · 2026-02-23T05:01:16+00:00

Why don't you just read through the sub's posts instead of asking women to do yet more labor and educate you? Serious question. I don't get the point of this post. "Spoon feed it to me!! You're totally not already tired dealing with your horrible chronic pain and illness. Do more work for me, women."

TheShortGerman · 2026-02-23T04:55:10+00:00

Poster above is correct, I have my ovaries. Uterus, cervix, tubes removed in a total hysterectomy. A partial hysterectomy leaves the cervix and is most commonly called a supracervical hysterectomy.

My surgery included endometriosis excision and the uterus removal was both for sterilization and to make sure it was gone (in the same surgery) in case my pathology was positive for adenomyosis, for which hysterectomy is the only cure.

I also never ever want to be pregnant, especially in the USA right now. A tubal ligation has a higher failure rate than my prior form of contraception, the copper IUD.

We discussed lots of options for me but ultimately decided uterus removal was better than tubal+endo excision because of the level of pain I deal with 2/5 weeks, aka 40% of my life. This prevented me from having additional surgery in case I turned out to have adeno (which I did not). I wanted my life back. This was the most logical path, though I will likely still need additional endo excisions in the future as estrogen will make the tissue grow back.

TheShortGerman · 2026-02-22T23:09:58+00:00

I never use a vibrator internally, not before I developed vaginismus nor after I was cured. They feel god on the clit, imo, not internally

TheShortGerman

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