When I turned 45 this past summer, I wrote an article about what I would've told my 25-year-old self. While I did touch on a few relationship points, I think, in hindsight, that the reason why I left this one out, is because it really does deserve a write-up of its own. The reason why I say that is because, when I look back on some of the greatest sex that also turned out to be some of the most profound faux pas that I've ever experienced in my entire life, it was because of the title of this piece right here.
If there is one thing that I admire about people who wait until marriage before doin'-the-do, it's the fact that they made a formal long-term commitment before givin' it up; on their wedding night, they don't have to wonder if the feelings are real or if the person they just had sex with will be there the next morning…or even 20 years later (God willing). When it comes to all of the intensity and closeness that transpires, there's no need to try and figure out what part is physical and what part is emotional—what part they need to question and what part they can fully trust in. It doesn't matter. The love is there, the connection is solidified—great sex and a great life partner (again, God willing) are able to go hand-in-hand.
But what if you see sex differently from those who choose to wait until their "I dos"? Is there some sort of automatic way to keep from confusing good sex with a great relationship? I'm not sure if there is a ton of scientific data on that, but girrrrl—what I can share with you is a few things that life certainly taught me on this particular topic.
Ponder What Draws You to Him Outside of His Performance
My first sex partner was my first love. We were both young and didn't have a clue what we were doing. Plus, due to his immaturity, it took him a while to "sign on" to certain activities (kindly refer to "What?! Only 35 Percent Of Men Go Down? Say It Ain't So" to get what I'm talking about). I think that's why my second sex partner was able to get—and get away with—so much. Y'all, when I say that man was f-i-n-e. All tall, chocolate and freaky too. Although in some ways, we were homies, if you were to ask me what his greatest personality or character traits were, I'd have to sit on that. He was witty, I'll give him that; still, it's not like I was mentally or emotionally altered for the best by his influence or anything.
That doesn't mean that I didn't think that I was at the time. Shoot, any man you lust who is more than willing to do stuff to you that your first love wouldn't (until years later) is someone who tends to give you all of the feels; feels that make you think there is something real. But trust me, if you can't really think of too many redeeming qualities other than how he puts it down, that is your first red flag that there might not be much there other than orgasmic aftershocks masking themselves as genuine emotional attachment.
Remember Intimacy and Attraction Aren’t Synonymous
If you take out a moment to at least skim the article "The Signs Of A Truly Intimate Relationship", you'll notice that sex isn't mentioned once. Affection is, but you can be affectionate with someone without any type of sexual activity transpiring. The reason why this is worth noting is because some people make the grave mistake of thinking that just because someone gives their stomach butterflies that it's automatically the beginning stages of intimacy. Nope. Just about every time that I see Kofi Siriboe in a pastel hue or Thomas Q. Jones in just about anything, my heart skips a beat. But I don't know them from Adam and they don't know me either.
Being attracted to someone simply means that they have some sort of quality that entices or allures. Intimacy? For real intimacy to happen, not only does it take time to cultivate, it has to go way beyond the physical. If the guy you're Jonesing for isn't someone you can share some of your deepest secrets with, if he doesn't nurture and cherish you and/or if you aren't able to say that you two have a strong friendship and spiritual bond—and get this, he is able to say that he sees you the same way—sure, the attraction may be strong…but that also might be all that is drawing the two of you together too.
Don’t Go into Sex with Lots of Assumptions
KevOnStage has a relatively new segment called "Dear Kev" that is comedy. He sits in one of his church suits, puts on a pair of glasses (even though he doesn't need them), reads questions and gives some of the worst TMI advice around. Oh, but as they say, a clock is right twice a day. In one of his latest offerings, Kev said, "When you see things through rose-colored glasses, red flags simply look like flags." Whew. Somebody sign up for that man's Patreon on that!
I can't tell you how many women have told me how upset they are because a guy they were having sex with "led them on" by making them think that they wanted a future with them. When I ask them what the man did to cause them to think that way, very rarely do they bring up him saying "I love you", him showing her off to his family and friends or him even really taking her out or talking about the future. Usually what I get is a blank stare followed by, "I mean, we've been having sex for months now." Then it's my turn to give them a blank stare.
When I once asked a male friend how so many men can have sex with women who they care absolutely nothing about, he simply said, "Do you think it's emotional for me to go and jack off in the shower? Jack off in a shower, jack off in a girl. One simply feels better but honestly, isn't always worth the headache."
That might've been hard to read, but that doesn't make it any less true. For better or for worse, a lot of men can clearly tell the difference between someone who they thoroughly enjoy having sex with vs. someone who they want to have a relationship with. Sometimes those two things are one in the same; sometimes they aren't. But what you don't need to do is be out here thinking that just because he "loves" the sex that it's a foreshadowing of him eventually falling in love with you. This brings me to my next point.
Know the Difference Between “Good to You” and “Good for You”
There's a guy who I once had a crush on who said something to me that took me a minute to really understand.
When he told me that he dug me in a lot of ways, but he didn't want to "take it there", his reason was, "I want to be good for you not to you". Translation—"If we have sex, it would probably be off the chain, but if I can't promise you more than that, it could end up hurting you in the long run. To me, that's just not worth it."
Oh, how those two little words—"to" and "for"—can totally alter a relationship. When a man is only looking for great sex, he may only care about being good to you. But if he's serious about guarding your heart, protecting a friendship and/or building something substantial, he's going to do things that are good for you. If that means queuing Janet Jackson's "Let's Wait Awhile" (have y'all seen her video boo Taimak lately? He's still fine) or even avoiding sex altogether—please remember your worth and value to know that sometimes there is true protection in that kind of rejection. If sex can't be good to you and for you, it's OK—recommended even—to take a hard pass. Or receive one.
Keep in Mind That Oxytocin Is One HELL of a Drug
As often as I have the opportunity to do it, I share a video of a woman who provides some of the straight-up insight on the physical consequences of sex that aren't discussed very often. For instance, did you know that if you have (unprotected) sex with two different guys within a few days, you will probably catch a cold because your body is made to only handle one set of sperm; therefore, it will abandon your immune system to get the other sperm out? Amazing.
The moral is this—Just because a lot of us may take a casual approach to sex, that doesn't mean that our body does. There are natural hormones like oxytocin that causes us to bond with our partner, no matter where our head may be at concerning him. That's why folks can have a one-night stand and end up damn near stalking the person the following week. They think it's an emotional connection when it could just be the oxytocin that's surging through their system. After all, they don't call it the "love hormone" for nothin'.
That said, one of my favorite quotes on hell is by an old English philosopher named Thomas Hobbes. He once said that, "Hell is truth seen too late." I can't tell you how many times an oxytocin high has caused me to not want to look at the real truth about a relationship (or situationship) that I was in. That denial caused me to send myself through some pretty hellish moments and experiences.
It takes more than sexual compatibility to make something last. If you choose to not believe that, one way or another, hell is exactly what you are headed for. If not today, someday. If not with the current guy, another one.
Avoid Deep Conversations in the Bedroom
I'm gonna be straight-up on this one. Unless you are a 16-year-old girl, I'm hoping you already know that it's a bit delusional andmanipulative to wait until during sex to have first-time heartfelt and profound conversations. Just think about it—what exactly do you expect a guy to say to you when he's inside of you and you whisper, "Do you love me?" in his ear? If he doesn't and he decides to be honest with you about that, how do you expect the rest of that particular experience to go? (Hence the article "How Much Can You Trust 'I Love You' During Sex?")
I'm not saying that the bedroom is an off-limits space for verbal affirmations or emotional conversations. What I am saying is if there is something that you genuinely want to know, you should probably do it before or after sex—and not right before or right after either.
Remember in the movie A Thin Line Before Love and Hate when Darnell (played by Martin Lawrence) talked about getting some head that was so good that he said, "I love you" right in the midst of ejaculating? What he meant was I love it not her (clearly because he "passed her off" to one of his homies for a discount on a shirt). Knowing the difference is a total game-changer. It's a potential lifesaver too.
Pay Attention to How He Treats You When You Aren’t Hooking Up
Back when I wrote the article "5 Things That Are OK To Require On A First Date", some people found "require" to be too harsh of a word. When you think that time is something that you can never get back, I don't. Yes, men are grown. Yes, none of us can make them be chivalrous or honest when it comes to the answers to our questions that they give. But, at the same time, for every action, there is most certainly a reaction. If a guy doesn't meet our requirements, we are fully within our rights to not see him again.
Same thing goes for what we require before any nookie goes down. If you really want to know if you run the risk of mistaking a great sex partner for a great life partner, reflect on how he treats you whenever you're not naked or when he's not trying to get you naked. Does he take you out on dates (ones that are outside of both of you guy's homes)? Is he affectionate with you even without the need for sex? Does he call you during business rather than booty call hours?
If a guy is trying to cultivate an actual relationship, he's going to act like there is more to what the two of you have than the physical. He will initiate and be intentional about spending non-bedroom-related quality time as well. If you can't honestly say that this is what's transpiring…right. Whether you want to admit to yourself what's up or not, I've got a feeling that you know. Now what?
Check Your Own True Motives and Intentions
Sex is temporary. The experience, the feelings—all of it. That's why I am a firm believer that sex doesn't "make love"; sex celebrates love. In order for it to do that, love needs time to plant itself and grow. Moving on to my last point, if you're someone who desires nothing more than a good time, you're grown. Do you. But if you are truly feelin' someone and you're thinking that sex is going to be the "make love move" to get him to want the same things that you do—that's quite the gamble. Please rethink that strategy. It's not fair to either one of you if you're going to use sex to try and create a mental, emotional and spiritual bond. Sex shouldn't be a tool to get a man to want to be with you. It should be an experience to enjoy once you already know that he does.
I've been there when I say that a lot of us confuse a great sex partner for a great life partner because we weren't clear about our own true motives and intentions from the jump. If you want a relationship, work on building that before bringing sex into it. Because once he puts it on you, it's going to be harder to tell what's "the sex" and what's "the relationship". And sometimes, trying to figure out the difference is like trying to pull two pieces of paper that are joined by glue apart. There will be remnants and bewilderment that could take weeks, if not months, to work through. And believe you me, no matter how good the sex might be, the fall out (even if it's only internal) simply isn't worth it.
Can you have great sex and a great life partner. 100 percent. Should you use sex to try and make a great relationship happen? Absolutely not. If something lasting is what you want, let both of your emotions connect you before oxytocin does. You'll be able to trust your judgment a lot better that way. So will he.
Want more stories like this? Sign up for our newsletter here and check out the related reads below:
Why We Love Men Who Are Absolutely No Good For Us
What GROWN Women Consider Great Sex To Be
Is It Really Possible To Be In Love With Two People At The Same Time?
Sexual Compatibility Is As Important As Spiritual Compatibility
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It's kinda wild that, in 2025, my byline will have appeared on this platform for (what?!) seven years. And yeah, when I'm not waxing poetic on here about sex, relationships and then...more sex and relationships, I am working as a certified marriage life coach, helping to birth babies (as a doula) or penning for other places (oftentimes under pen names).
As some of you know, something that I've been "threatening" to do for a few years now is write another book. Welp, October 2024 was the month that I "gave birth" to my third one: 'Inside of Me 2.0: My Story. With a 20-Year Lens'. It's fitting considering I hit a milestone during the same year.
Beyond that, Pumas and lip gloss are still my faves along with sweatshirts and tees that have a pro-Black message on them. I've also started really getting into big ass unique handbags and I'm always gonna have a signature scent that ain't nobody's business but my own.
As far as where to find me, I continue to be MIA on the social media front and I honestly don't know if that will ever change. Still, if you need to hit me up about something *that has nothing to do with pitching on the site (I'm gonna start ignoring those emails because...boundaries)*, hit me up at missnosipho@gmail.com. I'll do what I can. ;)
'It's Not All In Your Head': How Four Black Women Finally Got The Answers They Needed About Fibroids
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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From Shrinking To Shining: Shelah Marie's Journey To Becoming Unapologetically ‘Unruly’
A significant part of becoming a woman is developing a deep understanding of who we truly are.
However, societal expectations to be kind, meek, and palatable often stifle our boldness before it fully emerges. For author, content creator, and women’s wellness influencer Shelah Marie, growing up as the only Black person in her household and often feeling pressured to shrink herself ultimately motivated her to embrace her most authentic, confident, and "unruly" self—the version she proudly embodies today.
Her upcoming book, Unruly: A Guide to Reclaiming Your True Self, serves as a guide for women on the journey of embracing their complexities and contradictions through radial forgiveness. A process that Shelah came to understand at an early age. “I had a crash course in identity politics growing up,” she tells xoNecole. After her parents divorced, her mother, who’s white and Cuban, remarried a white man, and they had a daughter together. This resulted in Shelah being raised in a predominately white household, prompting questions about her own identity.
“What I was starting to understand, in its infancy, were identity politics and how we perform race, gender, and ultimately perform who we are,” she says. “The good news is that I could pull from my acting background; the best actors don't perform for an audience, they perform authentically in front of an audience.” With this insight, Shelah combined her self-development journey with her creative path, showing other women the power of reclaiming their lost parts to unlock their main character energy.
Credit: Greg Castel
The concept of "main character energy" has become a popular colloquium, as it invites us to reflect on how we show up in our own lives. It’s the idea of taking charge of your own narrative, stepping into the spotlight, and living with authenticity and confidence as if you’re the protagonist of your story. For Shelah, coming into this energy came from the realization that she had been playing the role of a side character in her own life.
“A lot of women are socialized to be neat, to fit into a box, to be pleasant, to be polite, and ultimately, to think about others before we think about ourselves and how we affect everyone else,” she shares. “But sometimes that's at the expense of us being true to ourselves.”
This can manifest as internalized pressure to be "good"—to stay quiet, and avoid being too loud, too disruptive, or too opinionated. But this tendency to shrink ourselves for the comfort of others can mean that we don’t live fully or authentically, making the shift into main character energy tantamount to our growth.
But how do you tap into your main character energy? While Shelah shares that the process doesn’t happen overnight, committing to the journey of getting to know yourself on a deeper level and “becoming friends with yourself,” is the first step.
“Everybody you've ever been lives within you,” she explains. “Every time you have a major transition, you birth a new version of yourself that is able to exist in that transition, but those other versions don't disappear. They still stay in you.”
Shelah Marie 'Unruly'
"Everybody you've ever been lives within you. Every time you have a major transition, you birth a new version of yourself that is able to exist in that transition, but those other versions don't disappear."
When we begin to honor the complex parts of ourselves, observe them without judgment, and not view them as something “negative,” we can start to integrate those aspects into our lives more authentically.
“When I know these things, then I can direct them like a director,” she continues. “I can call the show and tell them to come on stage or exit. I can move them like an ensemble within myself.”
She adds, “It's not that I disown parts of myself, judge them, or think that they're bad and make them go away. No, it's just that we can work together for my highest good, as opposed to them begging for attention and causing me to act out in ways that are not productive.”
In recognizing that she was reenacting old narratives in her relationships, she realized she had been seeking validation and acceptance from places that were outside of herself. This moment of clarity empowered her to take control of her own self-worth, committing to doing whatever it took to heal the deepest relationship any of us can have with anyone: the one we have with ourselves.
Credit: Greg Castel
“What I learned is that I was looking for something that I can only give to myself,” she says. “I took it as a stance of power and this is an opportunity for me to never be in this situation quite like this again, and whatever I have to do to get there, I will do.”
While society often sends messages aimed at Black women to shrink their presence, Shelah hopes that readers of Unruly open themselves up to more possibilities and give themselves permission to grow beyond societal limitations. After all, “You get to choose.”
Unruly: A Guide to Reclaiming Your True Self is out on Oct. 22.
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Featured image by Greg Castel