Those of you who are true diehard fans of the movieLove Jonescan probably recall every single scene, right? Well, that means you remember the one when Darius told Nina something along the lines of wisdom comes, not in having all of the answers but, instead, asking the right questions. Y’all, I’m not sure if it’s the journalist or counselor in me, yet I couldn’t agree more.
In fact, I think that a huge part of the reason why a lot of us find ourselves in relationships (professional, romantic, or platonic) that either end up being a total waste of our time or devastating as all get out is that we either went into them on pure assumption or we failed to ask the kind of questions that would give us the answers that we were truly looking for.
7 Questions to Ask Your Partner Before Having Sex With Them
That’s why, a few years back, I penned the piece “The 'Pre-Commitment Interview' Every Dating Couple Should Have” — it’s also why, today, I’m going to share some inquiries that you should make when it comes to considering prospective sex partners as well. Because no matter what your perspective is on sex overall, I think we all can agree that anything that contains hormones that bond you to another person, could give you a disease, and/or could get you pregnant is serious enough that you should ask at least a few things on the front end. Ready?
1. What Do You Think Is the Purpose of Sex in a Relationship?
GiphyOkay, so this one is a bit layered. The reason why I say that is because not everyone is going to give you the same answer — and that’s because not everyone abides by the same principles or perspectives. For instance, because I do tend to apply a lot of Scripture to my life, I personally believe that the main purpose of sex is to cultivate oneness (I Corinthians 6:16-20 — Message) — and since there are things out here like oxytocin highs and fluid bonding that says that sex connects people in ways that are oftentimes totally underrated in the current state of our culture, seems to me that even science agrees on many levels that I would be correct (y’all be careful out here, ya hear?).
So yeah, it’s extremely important that, before you give your parts (and sometimes your heart) to someone else, you have some sort of understanding about what they think sex is designed for and to do between two individuals. One reason is to see if you both are on the same page (or at least in the same book). Another reason is that, well, if they’ve never given it much thought before, you could be in for quite a ride — and I’m not talking about the cowgirl position.
Indeed, a motto that I live by is when people don’t know the purpose of something, they are bound to misuse or abuse it — and if all a guy thinks sex is about is pleasure or simply having something to do, you could look up and be treated just like that: not much more than a pleasure outlet when he’s out here bored and wanting some stimulation. No more, no less.
If that’s all you’re after as well, y’all are grown…go forth. However, if you want something a bit deeper than that, hearing his views on sex’s purpose can bring forth a lot of clarity about whether it’s time to move forward with him…or…not.
2. Would You Consider Yourself to Be a Sexually Responsible Individual?
GiphyDid you know it’s been reported that we currently have more single mothers in the United States than at any time in our history? If you add to that the fact that only one-third of men and a quarter of women use condoms (SMDH), yes, it’s important to know how sexually responsible he is — or isn’t because it really is time out for folks acting like pregnancies “just happen.” They absolutely do not; especially with all of the birth control methods that exist out here.
It's another article for another time about how single-parent dynamics can have long-term effects on kids, even as adults (Google it sometime, though). For now, I’ll just say that if you know that you know that you know that you are not ready to bring a child (or another child) into this world, you need to take every precaution to make that happen — and outside of abstinence (the only surefire way to avoid an unplanned pregnancy), you need to be sexually active with sexually responsible individuals.
So yeah, ask him if he wraps it up every time. And none of that going-raw-until-it’s-time-to-ejaculate-and-then-putting-on-a-condom-real quick nonsense either. Pre-ejaculate can still get folks pregnant out in these streets, not to mention the fact that it can transmit STDs too. And since condoms are 98 percent effective when they are used correctly, safe sex includes rubber usage.
Speaking of sexually transmitted diseases/infections, you are also well within your rights to ask him about how often he gets tested and the last time that he did so. According to the Centers for Disease Control and Prevention (CDC), you should get tested once a year if you and your partner are exclusive and every 3-6 months if you and/or he have multiple partners. So, if you ask him about when he’s gotten tested, and he changes the subject or tries to gaslight you and play like he’s offended, you know that’s a red flag, right?
Since reportedly, there are 110 million people in this country who have an STD and a whopping 20 million who will become infected this year alone, anyone who takes their health seriously and wants to be careful about the people they sleep with, they will not only get tested consistently — they will appreciate a partner who brings the topic up; especially a prospective new one.
By the way, there are multiple different at-home tests that you can take these days (read more here). They’re not the cheapest on the planet, yet they are an option. Just an FYI.
3. Where Would Sex Take Us?
GiphyBack when I was sexually active, I made it no secret that my pattern was that I had a tendency to sleep with my friends (which means several of my male friendships were absolutely not platonic; check out “Here's Why Very Few Relationships Can Actually Be 'Platonic'”). So, while I’ve never had a one-night stand, and I knew the middle names, birthdates, and other random intel on all of my partners, one of my personal biggest missteps was not factoring in just how much sex really can alter a dynamic.
With four guys, I got pregnant (check out “Why I Named The Children I Aborted”). With one of my closest friends, it made things so complicated that our friendship ultimately did not survive it. With another, we found ourselves jealous and distrusting because we never discussed if we were only going to sleep with each other or not (check out “14 Lessons I've Learned From 14 Sex Partners”). Yeah, with all of these men, we just started having sex without considering what could possibly transpire once we did.
Can anyone predict the future? Even the ones who think they can, they should roll with some humility because sometimes we fail to factor in uncertain situations and circumstances. That’s why this question can help you and him to think about things that passion would encourage you to underestimate. Things like, “If we do this, do you think our relationship will remain the same?” or “If I got pregnant, what would you want to do about it?”
Sure, these types of questions aren’t the most romantic in the world, yet let me tell it, that’s what’s wrong with a lot of people now — they want sex to be a rom-com when those things are scripted. Learning someone’s mindset about sex and its potential consequences can give you clarity and bring you peace of mind in ways you could never imagine. TRUST ME.
4. Why Should I Trust You with Me?
GiphyA couple of days ago, a friend of mine and I were discussing if there is such a thing as a tactful oral sex song. Two immediately came to mind. One is by a friend of mine named Shannon Sanders. Back in the day, he had an underground cult classic LP entitled Outta Nowhere, and the song is called “Interstate.” The other is Usher’s totally underrated single “Good Kisser.”
While I was listening to Usher’s joint, that had me thinking about some of Usher’s other sex-themed songs. One in particular is “That’s What It’s Made For” off of his Confessions album. Sexy? Yes. Reckless AF? Also yes:
Game rules, no cap no cut
But even Superman couldn't turn your love down
I slipped up, slipped in
Hey man what the hell you doin?
Raw dog is a never
I know I know better
Heard her whisper
Don't worry I'm safe
Didn't matter cuz it's already too late
I was lost in the sauce, dead wrong
And I ain't stoppin' now
Parleein' in the bush again
Didn't think about what I was puttin' in it
Go on and hit it
That's what it's made for
She said, You got somethin’ on right?
That's what it's made for
Boo why you trippin'
You know I got it
Hmph. No wonder his actual "Confessions, Pt. II"single was talking about getting side chicks pregnant (chile). If you’re Elmo shrugging about not using condoms, there’s no telling how life will play out for you (SMDH).
Okay, but let me stay focused. The reason why I’m bringing that song up is even though a lot of us can relate to having moments when we weren’t nearly as careful as we should’ve been, that doesn’t mean we shouldn’t learn from our past poor choices.
It also doesn’t mean that we shouldn’t raise the bar moving forward — so, yes, a prospective partner should feel like he is able to trust you and that you are able to trust him. Trust when it comes to health-related matters. Trust when it comes to honesty (even if hearing the truth is uncomfortable). Trust when it comes to needs, wants, and expectations. Trust as it relates to how all of the things are to play out, both in and outside of the bedroom.
And what should that trust look like?
- Ask him if he always uses protection (too many guys assume that a woman is on birth control; not only that, but birth control doesn’t protect people from STDs. CONDOMS DO).
- Ask him if he’s good about discretion; what happens between the two of you should stay there.
- Ask him if he plans on sleeping with other people too; more folks, more risk, so you need to be kept in the loop.
- Ask him if he would tell you if his needs aren’t being met rather than faking like they are (check out “Men Fake Orgasms (And 14 Other Semi-Random Things About Them In Bed)”).
- Ask him if he will give you a heads-up before sleeping with other people so that you can decide if you want to stop sleeping with him (or if you want to sleep with others as well).
Sex is too serious to be sleeping with people you don’t trust — and trust should be established on the front end…before any clothes start to come off.
5. Is Not Having Sex a Deal-Breaker?
GiphyNow this one is super important because if you’re looking for more than a sex buddy, you need to make sure that the two of you feel the same way. Otherwise, you could find yourself having sex with him and assuming that it means things are about to go to another level while all he’s thinking about is how good of a time he had.
For the record, if that is how it plays out on his end, that doesn’t make him a bad person. We really need to stop thinking someone did us wrong, all because we assumed that they had the same train of thought that we had on a particular matter. Yeah, the only way you will know is to ask — and the main way he comes out being an ass is if he lies. Otherwise, you’ve got to take some accountability for not getting all of the clarity that you needed…before getting into bed with him, not after.
All of this being said, if you’re someone who either wants to take things very slowly or you’re not interested in having sex without a formal and/or official commitment in place, that’s something else that you should bring up to him. And while, again, he’s not the devil incarnate if he’s not down with sex being off of the table (at least for a while), if going without that type of intimacy is some sort of deal-breaker for him, at least you’ll know what many of his intentions are before he had the honor and pleasure of having sex with you. That way, you won’t feel taken advantage of or blindsided.
Another bonus that comes with this question is you might be able to stay friends — or at least cool. The benefit in that is you’d be amazed how many men come back around to women who moved at a slower pace once they are ready to make a serious commitment. I’ve been counseling enough folks at this point to have lost count of how often I’ve witnessed this with my very own eyes.
No question, asking if no sex is a deal-breaker can help you to see if a relationship with him (at least right now) should even be on the table.
6. How Should We Hold Each Other Sexually Accountable?
GiphyThere’s no telling how much safer and peace-filled our culture would be if grown folks simply learned how to hold themselves and others accountable — LAWD. And what exactly does that mean? To be accountable is to be responsible for your words and actions — and to expect those in your world to do the same.
Sexually, let’s look at this from a couple of different angles. If all of these other questions get the green light and both of you decide to take things to the next level, what happens if things get hot ‘n heavy and neither of you has a condom? How would you hold each other accountable? Or what if the condom breaks? How would you hold each other accountable? If you’re both being responsible, somebody would go and get some condoms in the first scenario, and a Plan B, along with an STD test, would be in order for the second one.
I used to be a teen mom director for the local chapter of a national non-profit several years ago, and boy, there was nothing like seeing teenagers having sex while having no clue how to do it responsibly. In many ways, it was beyond tragic because they were so selfish, immature, and sometimes just…silly.
Knowing the character of the person you are dealing with when it comes to sex can bring forth a lot of peace of mind. So yeah, it’s a good idea to also discuss mutual accountability. Pose a few hypotheticals to him; it can never hurt.
7. Are We About to Be Exclusive?
GiphyOut of all of the things that I’ve already said that you should never assume, this probably tops them all. Although there used to be a time when it was common that marriage and sex went hand in hand, we all know that isn’t the case anymore. So no, you can’t assume that he’s only going to have sex with you, just like he can’t think that’s the tip that you’re going to be on — unless you mutually decide that exclusivity is where sex is going to take you.
And even then, because no relationship is a monolith, does that mean that you’ll still date other people and just not have sex with them? Does that mean that sexual exclusivity also includes emotional commitment? See what I mean?
I know a guy who used to be notorious for saying, “I may be her boyfriend, but she is not my girlfriend.” Yeah, he was an ass, yet that doesn’t change the reality of what was going on — women were only involving themselves with him while he was out here being a “boyfriend” to several different women who didn’t know about each other. And they were so caught up (I knew a couple of ‘em) that they didn’t think to ask him…so, he used that to his advantage. They were only with him, yet it wasn’t a mutual reality.
Bottom line, sex doesn’t make something exclusive — a conversation with some established boundaries does.
I get it. Some of you might think that this line of questioning is “too deep.” To that, all I will say is, is it that the questions are too deep, or is it that you don’t take yourself seriously enough when it comes to sex, and who should have that type of access to you? *insert Jeopardy music*
Sex is one of those things that, once you do it, you can’t take it back. So, it’s better to have the answers that you’re looking for before doing what can’t be undone — for the sake of your mind, body, and spirit — and time. You feel me? Gee, I certainly hope so.
Besides, if you’re considering a responsible man, he should actually have a few questions of his own. Because again, wisdom lies in asking the right questions. Sex is certainly not excluded from that…either.
Your body is a privilege.
ASK. AWAY.
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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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Dreka Gates’ Wellness Practices Include High-Vibe Writing, Meditation, & Dancing Around Naked
Dreka Gates’ journey to wellness has been ongoing. From having a health scare when she was in her twenties to creating a wellness brand, the mom of two has learned a thing or two about health and wellness and is sharing it with the world.
As a busy mom and entrepreneur, Dreka sometimes finds herself depleted from giving so much to everything and everyone else. When that happens, she turns to these three self-care practices that fill her right back up. Here’s what she had to say about each one.
High-Vibe Writing
High-vibe writing is a daily practice that Dreka learned from her doctor. “I will take 12 minutes, and I will write out just whatever is pissing me off,” she tells us exclusively.
“It could be a hundred things. I'm going to write about it in that 12 minutes, and I may even do another 12 minutes and then another 12 minutes. However much time, I need to really just get it out, and then I burn it to actually. Just neutralize all the negativity rather than transferring it to whomever or whatever.”
Meditation
Once she finishes high-vibe writing, she goes into meditation as a way to fill herself back up with love. The Dreka Wellness founder says she meditates between 30 minutes to an hour.
“I have these different meditations that I do that can be like a combination of breathwork or light body touch,” she says. “Just different meditations and things that literally will fill me up and have me in the clouds like no other.”
Dancing
Last but not least, Dreka says she sometimes likes to dance it out. Not only is dancing a great way to move your body, but it can also boost your mood. “Sometimes I just dance in the mirror, naked, and that's also very fulfilling and makes me feel good too,” she says.
Watch the full interview below.
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