

It's been nearly half a year since the series finale of Insecure aired, and I'm still not over it. So much so, I've unapologetically binge-watched the series a couple of times since "Everything Gonna Be, Okay?!" had us shedding real tears as it was hard to say goodbye, okay?! The Issa Rae-created show offered a complex look into the normal lives of Black millennial women navigating adulthood. It was relatable, authentic, and easy for a lot of us to see ourselves at some point throughout the duration of the five-season run. Since its premiere in 2016, we've laughed, we've cried, and we've also taken a look in the mirror and challenged our own mirror selves to grow and leave comfort zones behind at times.
In addition to the subject matter, Insecure also struck a chord with its thoughtfully curated soundtrack and stunning visuals. And I can't be the only one who was a fan of the steamy sex scenes that often played out (of which my favorite were the ones that sort of popped up out of nowhere). Keep reading for an extensive list of all of the sex scenes in Insecure (excluding the finale season because they were few and far between and nobody has time for that).
Spoilers are most definitely ahead.
Insecure Sex Scenes: Every Episode, Seasons 1-4
Season 1, Episode 5: Issa’s first time with Daniel
Despite his chocolate skin and brilliant smile, I was never Team Daniel (Y’lan Noel). However, I could see the writing on the wall as the tension unfolded between episode 1 and episode 5 of Insecure’s first season leading to Issa (Issa Rae) cheating on her long-time love Lawrence (Jay Ellis) for the seemingly ambitious, charismatic Daniel who seemed like the one who got away. As soon as Daniel and Issa ended up running down a video of her on the internet and somehow ended up alone in the studio by the end of the episode, I knew what time it was. Plus sir told her things she thought she always wanted to hear from him, about being ready, so I knew the panties would drop shortly thereafter. And that they did.
Points for Issa trying to resist, but that kiss was only the beginning of a few things between Daniel King and Issa Dee. What unfolded was an indulgent gratuitous love scene that started on the couch, ended up on the floor, and also acted as the first sex scene we got on the show. For that reason, it rightfully earns this spot on our list.
Honorable Mention: The brief flashbacks we got of the scene in the episode that came after. Whew.
Season 1, Episode 6: Molly and Jared get reacquainted
I still think the way Molly (Yvonne Orji) did Jared (Langston Kerman) was messed up. I understand that she felt like she was settling but there were quite a few noteworthy qualities about him that could have made her a great partner for her. Including the fact that he was creative with how he went about getting it in. He seemed content with allowing her to play the dominant role in their waking life, but in their sex life, he always found ways to make it known he was in control. And based on how she was cooking for Jared in the very next scene, I truly believe that was something Molly liked about their dynamic.
His affinity for dirty talk was very prominent in the two brief sex scenes between Molly and Jared in this episode, both of which coincidentally took place in kitchens. From “You still got errands, you still got errands?” to “You tried Blue Apron?” Jared was hitting all the right spots. Until he wasn’t.
Season 1, Episode 8: Lawrence’s ‘Revenge’
Okay, 'revenge' is a strong word but this is perhaps what ignited the fire of hate and created the divide on Twitter that would become us and them (better known as the Lawrence Hive versus everyone else). What I loved about Tasha (Dominique Perry) and Lawrence’s first sex scene together was the build-up as Lawrence went through a dance between whether he should stay and make things work with Issa or leave the relationship completely. His feeling of betrayal hit different because for weeks we viewed a very not-so-subtle-wit-it Tasha stay in the pocket and also boldly shoot her shot while he played the role of a dutiful boyfriend without a flicker of disloyalty. Meanwhile, we saw his partner do the opposite with a similar source of temptation. So even though as the main character, we hoped Issa and Lawrence would see a reprisal by the finale, we understood that the relationship was over, over. And I for one, appreciated the way he went about it. Tasha was head down, ass up, and we were here for it.
And after all that talk about Lawrence’s depressive episode and him allegedly not putting it down right (thanks Thug Yoda for that tidbit), we were able to confirm that he had the material and knew exactly what to do with it.
Season 2, Episode 1: Issa and Lawrence’s ex-sex
The sophomore season of Insecure started off with a bang, literally. In a moment of high emotions and confusion, Lawerence and Issa engaged in 30 seconds of passion remembering what was between them sexually. The blue couch that saw no action in the first season suddenly got a taste of what could be again as Lawrence and Issa gave into their indulgences and made a messy breakup somewhat messier. I found the ex-sex slip-up to be very realistic, especially in situations where closure hasn’t happened yet and there’s still a desire to be together. Though not one of the steamier love scenes featured in the series, it still holds a lot of weight because it was so damn relatable.
Honorable Mention: Earlier in the episode, a brief spooning sex exchange played between Lawrence and Tasha. So good he had her saying “daddy with a ‘z.’”
Season 2, Episode 3: Issa has sex with Neighbor Bae
Speaking of relatability, the very next sex scene between Issa and Neighbor Bae (Leon Thomas III) was also on point for that reason. Neighbor Bae, also known on the show as Eddie, made a couple of appearances before becoming a sometimes-y hookup for Issa and he was just what the doctor ordered in terms of helping her enter her “hoe phase” and get Lawrence’s recent dick-me-down out of sight and out of mind. During a somewhat lengthy scene, Issa and Eddie were able to work through the sometimes awkward reality of sex (especially first-time sex with someone new) by finding a position that worked for them and communicating along the way.
Sometimes the first new fuck after a breakup is the hardest. And what we saw was no-strings-attached sex between two consenting adults and it was great to see Issa get back in the game. As she exits his apartment, she receives a message from a dating app and reads it with a smile, showing the audience that she is single and officially ready to mingle. Dating roster and all.
Season 2, Episode 4: Lawrence has a threesome
Yeah, no comment on the actual threesome, but I will say I really appreciate the moments throughout the series where I could see the contrast between the “masculinity” Lawrence was trying to portray to the world versus the man he wanted to be (also of note, he is also navigating his own version of getting over his breakup). With his homeboy Chad (Neil Brown Jr.), there were instances in the series where Lawrence would just do something to get his approval but not necessarily because it was something he would feel good about in the end. Case in point, this threesome. But it also took me back to a scene earlier in the season where they are looking for a place together and Chad expresses being excited that Lawrence is shedding his “good guy” ways. So that was an interesting continuation of that theme.
Season 2, Episode 5: Molly has sex with Dro
In terms of what she wanted, Molly always had a hard time practicing what she preached in matters of the heart. That was no different in how she moved in her situationship with Dro (Sarunas J. Jackson). I knew from the minute they first interacted on-screen that she’d end up letting him in sexually and emotionally, especially because she was not feeling ole dude that was good on paper (Sterling K. Brown). When the illusion she had of her parents’ picture-perfect marriage shattered, it was only a matter of time before she’d stray from her checklist and find herself underneath a man with whom she had no future as an act of self-sabotage.
As soon as he walked her to the door, we knew what time it was. He tried to walk away but Molly grabbed him by the hand and gave him a look that asked him to stay. And underneath Dro is exactly where she found herself at the end of the episode, leading to a series of trysts between the two that would continue throughout the remainder of the season.
Season 2, Episode 6: Issa, Daniel, and the infamous facial
I know the moment of the climax is the most talked-about aspect of this particular scene, but Daniel emitting that breathy moan when he first starts getting head? Yes. And him sinking into the couch before closing his eyes? Absolutely. And the attention to detail of holding her head closer to take more of “him” in when he is about to climax? Abso-fucking-lutely. To be frank, Issa’s dramatization following said unsolicited facial kind of killed what Daniel’s orgasm was doing for me, but still, I loved that we were able to get a sex scene where oral was more of the focus.
Honorable Mention: The intimate connection Molly and Dro have between them gets the visual treatment with a quick transition into them spooning.
Season 3, Episode 1: Boundaries are a thing
Nothing super intense or indulgent played out in this episode as far as sex scenes go, instead, it seemed to be planting seeds and establishing dynamics based on where people were in their lives. Boundaries also seemed to be an important theme, as both Molly and Issa navigated situations with men who had feelings for them (and they too had feelings for) but men they also didn’t necessarily want to get themselves too caught up on because of the mess history alluded to be on the other side.
Honorable Mention(s): There is an opening scene where Daniel is attempting to make Issa jealous or at least painfully aware of what she’s missing out on by having loud sex with someone else. The slow pan across Daniel’s body was cinematography for the books. Also, loved that brief intermission of oral between Dro and Molly where she was sitting on the counter and he was nestled in between her legs, the emphasis was placed on her pleasure. I personally loved this scene because it felt like a parallel for where they were in their situationship. Molly was in a place where she was intent upon laying out her boundaries and as the episode played out (as well as the demise of their dealings), the two were fighting for control. And by the end, they both retreated and a white flag was raised.
Season 3, Episode 3: The Issa and Daniel sex scene that never came to be
After a disappointing setback involving another producer, Daniel lashed out at Issa and called her out on some shit even though Issa’s line of questioning was perfectly on point. It resulted in a shutting down between both parties. Later that night though while laying together silently in bed, Daniel attempted to initiate sex with Issa. At first, she seemed to give in to his kisses and even seemed open to him eating her out, but instead of going backward with him again like we thought she would, Issa pumped the brakes and didn’t give in to the temptation because she knew the reality was, she couldn’t entertain Daniel in that way. The body is weak but the heart and mind were stronger.
Personally, I was relieved af. He’s fine but Daniel was one of the most emotionally immature men Issa had dealt with and I felt like their paths stopped and stalled so often for a reason.
Honorable Mention: The “good morning oral sex” fantasy Issa had with Daniel involved extra spicy Hot Cheetos and some diligent head game.
Season 3, Episode 5: Issa and Nathan on the Ferris wheel
I felt the chemistry between Issa and Nathan (Kendrick Sampson) as soon as he dropped her taco earlier on in the season so when they reunited again during Coachella, I was like immediately yes. I never knew I would need a sex scene such as this, but everything from the cool-toned lighting to the Ferris wheel setting made this a contender for one of the best sex scenes on Insecure (for me). The lead-up conversation where Nathan made Issa feel seen and supported (another reason why I like him around for her character) added to how their first time played out. Issa pulled him in for a kiss, got onto his lap, and the rest was history.
I loved Nathan’s attention to her nipple (a detail we don’t often see, especially from the main actors) and when he told her to show him how much she wanted him, I understood why sis had no choice but to put her panties to the side and pull him into an impromptu ride.
Season 4, Episode 1: Issa and her TSA cut buddy
After Nathan dropped the ball by turning into Ghost Bae, we are introduced to one of Issa’s next hookups at the beginning of the series’ fourth season. TSA Bae (Reggie Conquest) was putting in work and I lived for the thick fellas getting some love on the show and showing some nudity on top of that. Here for it! I also loved the nod to the sometimes underrated nature of how people look at missionary. As Issa classically said following their tryst, “Church is always in the answer.”
Honorable Mention: We got a glimpse into Lawrence and Condola’s (Christina Elmore) bedroom in this episode too, and I’ll just add it to the very short list of ways I felt did Lawrence and Condola wrong. The energy was just not…there.
Season 4, Episode 2: Issa and TSA Bae lose the condom
TSA Bae gets another quickie in as Issa’s go-to cut buddy at the start of this season. I personally loved seeing such diversity in love interests in this show, from size to race, which is why some of the fourth season’s love scenes stand out to me. This orgasm-inducing scene between Issa and TSA Bae in particular even added some butt play to the mix. Initially, Issa is shown positioned over the side of the bed while TSA Bae is thrusting out Issa’s “stress.” After she orgasms, they switch to a modified missionary position so he can get his. Sir respectfully requests that Issa press his “button” during to intensify his climax. Here. For. It.
Honorable Mention: Take the cake Andrew (Alexander Hodge), take the cake. IYKYK.
Season 4, Episode 7: Andrew and Molly’s vacation sex
Merie W. Wallace/HBO
On their first couple’s baecation, Andrew and Molly prioritize experimenting. Our first taste of that was when Andrew snuck his hand beneath her blanket while in the air. An easy life hack for joining the Mile High Club without joining the Mile High Club. The conversation about what they like and want to explore continues when they enter their hotel room and bring out the toys they decided to try on the trip. Molly says she knows she likes the fingering sesh from on the plane and wants to try the balcony. They take it outside where Andrew thrusts into her while holding her neck and the beauty of Puerto Vallarta surrounds them.
Honorable Mention: Molly taps into her dominant side later when she slides that thang up to Andrew’s face while he’s blindfolded. She does this before instructing Andrew to eat her ass. He humbly obliges.
Season 4, Episode 8: Issa and Lawrence reunite for real, for real this time
I felt this reunion in my soul. Even though it was a reunion I didn’t know I was going to get, the combination of the real conversations they had and the body-to-body connection they were able to reignite by the end of the episode was everything. Lawrence and Issa were introduced as a couple at the beginning of the series and lost their way due to Issa cheating on him with Daniel. It was great to see that down the road, both of them were able to make peace with their contributions to the demise of the relationship and take accountability for their actions. It was also beautiful to note that Condola was a catalyst in Lawrence seeing something through that he might have always had a question mark about since it was shown to viewers that he was ready to marry Issa back in the first season. From the second they kissed, it seemed that they were finally coming home to each other where they had become better people and were in a better place. Coming together after falling apart.
Honorable Mention(s): Technically, the Lawrence and Issa sex montage happens at the start of the next episode but due to it being the only sex scene in episode 9, I’ll just place it here. The fact that all of the sex between the couple happened on or against his couch was a nice nod to previous episodes where a couch has seemed central to their shared intimacy.
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Featured image by Glen Wilson/HBO
Adrian Marcel On Purpose, Sacrifice, And The 'Signs Of Life'
In this week's episode of xoMAN, host Kiara Walker talked with R&B artist Adrian Marcel, who opened up, full of heart and authenticity, about his personal evolution. He discussed his days transitioning from a young Bay Area singer on the come-up to becoming a grounded husband and father of four.
With honesty and introspection, Marcel reflected on how life, love, and loss have shaped the man he is today.
On ‘Life’s Subtle Signals’
Much of the conversation centered around purpose, sacrifice, and listening to life’s subtle signals. “I think that you really have to pay attention to the signs of life,” Marcel said. “Because as much as we need to make money, we are not necessarily on this Earth for that sole purpose, you know what I mean?” While he acknowledged his ambitions, adding, “that is not me saying at all I’m not trying to ball out,” he emphasized that fulfillment goes deeper.
“We are here to be happy. We are here [to] fulfill a purpose that we are put on here for.”
On Passion vs. Survival
Adrian spoke candidly about the tension between passion and survival, describing how hardship can sometimes point us away from misaligned paths. “If you find it’s constantly hurting you… that’s telling you something. That’s telling you that you’re going outside of your purpose.”
Marcel’s path hasn’t been without detours. A promising athlete in his youth, he recalled, “Early on in my career, I was still doing sports… I was good… I had a scholarship.” An injury changed everything. “My femur broke. Hence why I always say, you know, I’m gonna keep you hip like a femur.” After the injury, he pivoted to explore other careers, including teaching and corporate jobs.
“It just did not get me—even with any success that happened in anything—those times, back then, I was so unhappy. And you know, to a different degree. Like not just like, ‘I really want to be a singer so that’s why I’m unhappy.’ Nah, it was like, it was not fulfilling me in any form or fashion.”
On Connection Between Pursuing Music & Fatherhood
He recalled performing old-school songs at age 12 to impress girls, then his father challenged him: “You can lie to these girls all you want, but you're really just lying to yourself. You ain't growing.” That push led him to the piano—and eventually, to his truth. “Music is my love,” Marcel affirmed. “I wouldn’t be a happy husband if I was here trying to do anything else just to appease her [his wife].”
Want more real talk from xoMAN? Catch the full audio episodes every Tuesday on Spotify and Apple Podcasts, and don’t miss the full video drops every Wednesday on YouTube. Hit follow, subscribe, and stay tapped in.
Featured image by xoNecole/YouTube
From Misdiagnosis To Multiple Surgeries: The Hidden Reality Of Fibroids Among Black Women
If someone had told me I’d be working toward my third fibroid surgery in less than six years, I would have had a hard time believing them. First, because obviously, no one wants to ever hear the word "surgery" (unless it’s cosmetic surgery you’re opting for). But the more significant reason is I’d never heard any of the women in my life talk about fibroids, so the idea of having all of the complex issues because of them, on top of surgeries, was truly a foreign concept.
After my doctor told me I’d need a second surgery in March of 2023—a hysteroscopic myomectomy—after bleeding every day for over six months, I was over it. Not just over the symptoms. But I was done feeling siloed on an island dealing with the pain, feeling tired all the time, and the heaviness of what felt like endless trips to the doctor for ultrasounds, blood transfusions, blood count checks, MRIs, etc.
I would try to explain what I was feeling, and my pain was written off because I guess period pain is just supposed to be normal. I’m here to tell you it is not. And because we’ve been conditioned to just deal, that’s the way things should stay. Yeah, no.
What is a hysteroscopic myomectomy? Hysteroscopic myomectomy is the most minimally invasive procedure to treat fibroids. A surgeon removes fibroids by inserting a hysteroscope into the uterine cavity through the vagina and cervix.
So, I wrote and directed an animated short film to bring educational and entertainment value to helping the world learn about fibroids. With $25,000 of my own money, I went forth and made the film titled Super High: A Period Piece. Now, it’s making its rounds on the festival circuit, even gaining entry into two Oscar-qualifying festivals: the Chicago International Film Festival and the New Orleans Film Festival. We even won Best Narrative Short at the Morehouse Human Rights Film Festival in Atlanta.
As I was venturing onto the festival circuit, my editor asked me to write a piece highlighting the experiences of Black women with fibroids. Initially, I planned to highlight up to 15 stories. However, as I started working on this story, I thought hearing the experiences more in-depth would be equally impactful. So, we chatted with four women about their fibroid journeys.
The one thing we all had in common, which made me sad but also made me feel seen, was that none of us knew much about them beforehand. However, our willingness to openly share our stories will hopefully change that for many women now and beyond.
Keep reading for four women’s stories about their journey with fibroids.
Rosco Spears, artist and creative director
Before your journey with fibroids, did you know much about them?
Before my journey with fibroids, I didn't know much about them. I'd never heard of fibroids until women around me started getting diagnosed. I was dealing with heavy, painful periods long before I was privy to any of these diagnoses.
Shortly before I was officially diagnosed with having fibroids (2012), I learned that my sister and other women in my family also had fibroids. As I've grown older, I've learned that my three sisters, many cousins, aunts, etc, have also had fibroids. It's simply an issue that was never discussed.
How did you find out you had fibroids?
I found out that I had fibroids while living in NYC. I was fed up with the pain and discomfort from my period, so I shopped around until I got an answer that I thought made sense. I met a wonderful woman doctor who finally diagnosed me, and she offered me several options for easing the discomfort. During this time, I would often bleed between periods.
In 2013, one of my "in-between" moments was more than the spotting that I was used to, so I took myself to the emergency [room]. I learned that my hemoglobin [levels] were at seven, and the doctors wouldn't let me leave the hospital without getting a blood transfusion. They also highly recommended that I get surgery to remove the fibroids. Once I officially got the diagnosis, it was scary, but it also felt amazing to know that I could begin planning a path forward.
What are hemoglobin levels? To ensure adequate tissue oxygenation—a very important complex dance between the lungs, blood, and cardiovascular system—a sufficient hemoglobin level has to be maintained. The normal Hb level for women is 12 to 16 g/dl. Low hemoglobin levels mean your body isn’t getting enough oxygen, which is why you feel very tired and weak.
If you're comfortable, we'd love to hear about your treatment. Did things go as planned? Were you nervous about what your doctor suggested?
I've had two abdominal myomectomies, one in 2013 (16 fibroids were removed) and another in 2020 (51 fibroids were removed). I was nervous about the idea of being cut open during the myomectomy, but I didn't think that the outcome could be any worse than the pain that I was already dealing with. Both surgeries went just as planned (aside from the 2nd surgery being rescheduled due to COVID-19), and my recovery from both was amazing.
In 2013, I was a bit unhinged. I went location scouting for a photo shoot for The Lip Bar three days after I got home from the hospital. My family was very upset, but I honestly felt fine. I had some abdominal pain, but within two weeks, I was back in the studio on my feet all day. After my second surgery, the plan was to try and have a child shortly after recovery. I took my time with healing and did things according to the book.
What is a myomectomy? A myomectomy is surgery to remove uterine fibroids. There are several types of myomectomies, but the procedure you and your doctor decide is right for you will depend on factors like location, number, and size of your fibroids.
How did you feel post-treatment? How has getting treatment changed your quality of life?
I felt/feel amazing post-treatment! For about 2-3 years after both surgeries, my periods were much lighter, and the pain was light [and] much more bearable than it was with the fibroids. My quality of life is much different post-surgery.
There have been years [when] I simply did not have any energy while I was on my period. The most I could do was get up to go to the bathroom and get right back in bed. Or I'd have to carry a change of clothes with me when traveling to work because I couldn't afford to take off during my period, but I knew that at some point, I would bleed through everything. So, in that regard, life is beautiful. I'm no longer passing out, nor do I feel the need to bring an extra set of pants along on the ride.
While my quality of life has improved tremendously, I often joke and say that I have PTSD from having bad periods. What I mean is that I still check my pants often when I'm on my period. And I still get anxiety if I'm in public and I'm on day two or three of my period because who knows if it is just a little blood that I feel coming down or it's a huge clot that's going to ruin my pants. And I still know better than to try and wash my hair on my heavy days because there isn't enough energy to do both.
For someone just starting their fibroid journey, what are two pieces of advice you'd give them?
You got this, sis! It's a difficult journey, but please seek advice from other women on the journey. If one doctor is not giving you sufficient information, find a new doctor. Make sure you're exploring all of the options for fibroid removal/shrinking treatments [because] it is not one size fits all. And take your iron supplements, boo.
How important do you think it is for us to share our fibroid stories with each other and talk about this openly?
Oh God, if I could pay women to share their fibroid stories, I would. It's imperative that we talk with one another about our experiences in health. I shared my fibroid story years ago because I was so lost when I was on my journey. One of my sisters had the surgery before I did, but other than her, I didn't have anyone to talk to about fibroids.
I felt very alone, isolated, and somewhat embarrassed because it felt like this wasn't happening to anyone else around me. It makes a world of difference when you can talk with someone about an issue they are also facing. We will learn a lot more by discussing shared experiences—much of which you cannot learn from talking to your doctor or Google.
La-Anna Douglas, women’s advocate and motivational speaker
Before your journey with fibroids, did you know much about them?
Being someone who started my period at the age of 10, I was in the dark when it pertained to fibroids and other reproductive health issues. I had never heard of fibroids, and I didn’t know that the pain I was experiencing, along with fertility delays, was because of the fibroids sitting in between my two uteruses. The pelvic pain, excruciating periods, fatigue, and protruding belly to someone else would have been a dead giveaway. But I had no idea what was going on with my body. I also did not know of anyone in my family dealing with fibroids.
How did you find out you had fibroids?
I was diagnosed with fibroids by a reproductive endocrinologist [and] was finally properly diagnosed after suffering for 16 years. I finally found a doctor willing to listen to my concerns and, most of all, believed that I wasn’t making it up. She scheduled me for a thorough examination, and I was soon scheduled for laparoscopic surgery. I was diagnosed with three fibroids, endometriosis, and a uterus didelphys (two uteruses and two cervixes).
Uterus didelphys is a rare congenital condition where you're born with two uteruses. It's commonly called a double uterus.
Again, I was misdiagnosed for years, and my pain was minimized. I was labeled as the girl with bad periods. I would have cramps for 3-4 days on my left side of my belly and then cramps for 3-4 days on my right. In actuality, I was having two periods from two different uteruses with three fibroids pressing on my wombs with endometriosis wrapped around my fallopian tubes and my uterus. When I heard all of the different diagnoses, I was angry, overwhelmed, scared, and confused. But the worst thing is that I was unprepared mentally and emotionally for the diagnosis and the journey ahead.
"I was misdiagnosed for years, and my pain was minimized. I was labeled as the girl with bad periods. In actuality, I was having two periods from two different uteruses with three fibroids pressing on my wombs with endometriosis wrapped around my fallopian tubes and my uterus."
If you're comfortable, we'd love to hear about your treatment. Did things go as planned? Were you nervous about what your doctor suggested?
I was told not to worry about removing the fibroids surgically after being diagnosed in my 20s back in 2008. But in 2020, during the pandemic, my pain started to escalate again. So, I was scheduled for an ultrasound, an MRI, and then a double-balloon procedure. I was told that my fibroids had grown and they were contributing to the secondary infertility I was experiencing. My doctor gave me two options. Would I rather have a hysterectomy?
I had already gone through 30 years of horrible periods, eight years of infertility [and] finally having a miracle baby in 2013 by God’s grace, and I had already gone through multiple procedures. Or I could do the robotic laparoscopic myomectomy, where they would remove the fibroids and open my two cervixes by also doing a hysteroscopy. At first, [I] wanted to do a hysterectomy, but [after] talking to my family and praying about it, I decided on having the robotic laparoscopic myomectomy. I was a little nervous but knew I was in good hands.
What is a laparoscopic myomectomy? A laparoscopic myomectomy is a minimally invasive procedure to remove uterine fibroids. A surgeon makes four tiny incisions in your abdomen and then uses a laparoscope, which is a special instrument that contains a light and video camera, to operate through the incisions.
How did you feel post-treatment? How has getting treatment changed your quality of life?
Post-treatment, I felt relieved and grateful. The healing journey was okay. I had a lot of support from my family, especially my husband. After the healing, [I am] loving on my body because the many scars on my belly are my beauty marks. I started to get more confident in who I was. The doctor who did the robotic laparoscopic myomectomy believed that I would get pregnant again.
Well, six months after the surgery, I became pregnant with our second miracle baby girl after eight years of secondary infertility at the age of 40. And to think, [had] I decided on the hysterectomy, she would not be here. Our surprise baby has brought so much happiness to our family.
For someone just starting their fibroid journey, what are two pieces of advice you'd give them?
For anyone just beginning their fibroid journey, my advice would be to advocate for yourself no matter what the diagnosis may be. Your voice matters, and you control your narrative. If the doctor is not listening to you or your concerns, you have every right to seek a second, third, fourth, or as many opinions as you wish until you are heard and properly cared for. KNOW YOUR WORTH!
[And,] to always love on yourself through the journey with fibroids and anything else you may be going through. YOU ARE ENOUGH. The physical scars and the invisible scars are your beauty marks. And share with others how you are feeling and what you are going through. Please do not suffer in silence!
How important do you think it is for us to share our fibroid stories with each other and talk about this openly?
It is so important that we share our journey with fibroids because there is power in supportive stories. We all must realize that we are not alone. There are so many of us who have similar situations going on or may be feeling the same feelings you may be feeling.
Sharing your story also helps to heal those hurts that happen on the road to diagnosis. Healing taps into the strength that has been lying dormant inside of us, and when that strength is ignited, there is nothing that can stop you from advocating for yourself and others who begin to share their stories with you.
Dawn Heels, award-winning fibroid advocate and campaigner
Before your journey with fibroids, did you know much about them?
I knew absolutely nothing about fibroids apart from the fact that my mum had one (she found out when she was pregnant with me), but even with this information, she didn't know anything about them.
How did you find out you had fibroids?
I had always suffered [from] extremely heavy, painful periods. I thought [this] was normal, [so] I didn't link it to the fact that something could be wrong with me. I first discovered I had fibroids after experiencing constant pain in the left-hand side of my abdomen in 2016. During an ultrasound scan, I was told I had 2 x 4 cm fibroids by the sonographer.
Two types of ultrasound scan can be used to help diagnose fibroids: an abdominal ultrasound scan – where the ultrasound probe is moved over the outside of your tummy (abdomen) a transvaginal ultrasound scan – where a small ultrasound probe is inserted into your vagina.
I hadn’t a clue what they were, and when I went back to see my doctor, he told me that I had nothing to worry about because fibroids were common, normal, and I should deal with any pain with a hot water bottle and ibuprofen. And because he told me I had nothing to worry about, at that moment, I didn’t worry.
If you're comfortable, we'd love to hear about your treatment. Did things go as planned? Were you nervous about what your doctor suggested?
Over the next six years, my pain and suffering got worse. I displayed horrendous fibroid symptoms: bum cheek pain, leg pain, painful, heavy, clotty periods, lower back pain, extreme pain, abdominal/pelvic pain, early pregnancy symptoms, tiredness, ‘preggo belly,’ painful sex, long periods and was infertile. I finally saw a consultant who changed my life, as he was the first person to listen to me and put a plan in place.
"He transvaginally scanned me and told me I actually had at least six fibroids, the biggest being the size of a grapefruit, and with that, I would have to have an open myomectomy."
He transvaginally scanned me and told me I actually had at least six fibroids, the biggest being the size of a grapefruit, and with that, I would have to have an open myomectomy. I cried so many tears because I thought if I was to ever have an operation that resembled the C-section, I would be giving birth to a baby, not tumors! The operation was a success, and he removed 16 fibroids and left 2 in to give me a chance at conceiving. I lost a lot of blood and had an emergency blood transfusion one week later.
After eight weeks of healing, I started to feel much better.
How did you feel post-treatment? How has getting treatment changed your quality of life?
The open myomectomy gave me my life back—a good quality of life. I wasn’t in pain anymore. My periods were shorter and significantly lighter, and best of all, I fell pregnant six months after surgery!
What is an open myomectomy? An abdominal, or open, myomectomy removes fibroids through an incision in the abdomen, typically on the bikini line. The recovery time generally lasts up to six weeks.
For someone just starting their fibroid journey, what are two pieces of advice you'd give them?
Educate yourself on the condition so you can guide the conversation and ask relevant questions when going into your consultations. Advocate for yourself, too! Too many of us will just agree to all sorts of nonsense just because the medical professional says so! You are the expert over your own body, so speak up!
How important do you think it is for us to share our fibroid stories with each other and talk about this openly?
I became an ‘accidental’ advocate because I shared my story. My inbox was inundated with messages from other ladies who had suffered or were currently suffering. That’s how powerful a share is.
Camille Austin, model and content creator
Before your journey with fibroids, did you know much about them? For example, did you know what symptoms to look out for?
I did not know much, if not anything at all. So, I did not know what symptoms to look out for.
Did you know if anyone in your family had ever dealt with them?
Yes, my mother, but she was already going through menopause, so our symptoms did not seem comparable.
How did you find out you had fibroids?
[I went] to my primary care physician, who is also a WOC. She performed a pelvic exam, and when I told her about all of my symptoms, she thought it was fibroids. It took a while and [was] frankly [an] annoying process to finally get to an MRI where they found three fibroids, one the size of 15cm.
And how did you feel once you got the official diagnosis?
I felt relieved and scared—scared about what this meant about my fertility. [But,] relieved that I had answers and I was going to get better.
If you're comfortable, we'd love to hear about your treatment. Did things go as planned? Were you nervous about what your doctor suggested?
I had to have surgery due to the size [of my fibroid.] I had an open and laparoscopic procedure done and was on the table for eight hours. I did not initially trust my surgeon as she wanted to jump straight into a hysterectomy. Common practice says that the only way to stop them from ever coming back is through a hysterectomy, which I find to be a bit extreme. To me, it sounds like it's just under-researched, and not enough efforts are being made because this largely impacts WOC, but I digress.
"My surgeon thought because I'm so young, healthy, and strong, she did not put me on a hospital list, which gives another doctor the ability to treat me overnight should something happen. Well, something happened."
My surgeon thought because I'm so young, healthy, and strong, she did not put me on a hospital list, which gives another doctor the ability to treat me overnight should something happen. Well, something happened. I found out I'm allergic to Dilaudid (a common pain med). I broke out and had a third-degree chemical burn around my stomach from the adhesive, and my skin completely broke out. There was not a doctor available to give me even so much as a Benadryl to ease the discomfort. Nurses can't prescribe meds.
It wasn't until I threatened to leave the hospital—I got up and packed my bags—that I received a pink Benadryl pill after waiting for about 6 hours. About a week after I got home, I broke into a fever and was septic. I was rushed back to the hospital and had to spend an additional four days. In short, the healing process did not go according to plan.
After your difficult hospital experience and healing journey, how did you feel post-treatment? How has getting treatment changed your quality of life?
After treatment, I felt so much better after everything was said and done. I would still get the surgery if I had to do it again. When I eventually healed, my periods were shorter. I could fit my clothes again, and I just had more energy to do things since I was not as anemic.
For someone just starting their fibroid journey, what are two pieces of advice you'd give them?
[First,] push for that MRI sooner than later. If you catch them when they are small, you can look into non-invasive ways to get rid of them.
Make sure your doctor has a hospital list, and ask who will be in charge of taking care of you when your doctor is not around.
What does an MRI mean for fibroids? An MRI uses a magnetic field and radio waves to create computerized, 3D images of the uterus. These images can help your doctor decide which treatment is best for you and rule out other issues like adenomyosis and endometriosis.
How important do you think it is for us to share our fibroid stories with each other and talk about this openly?
I think it's important because we can all learn from each other, and this is not just becoming a "woman over 30" problem. According to my doctors, I was far too young, and due to my age, this was something that went unnoticed. Frankly, it should not have been a far stretch because I have fibroids in my breast tissue as well, but somehow, no correlation has been made.
So we have to press the issue, so hopefully, we can look into why this is happening to so many women and not allow a hysterectomy to be the first response.
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Featured image by Shutterstock
Originally published on October, 2, 2024