Podcast Episode Summary: "Decisions, Decisions" – Episode: "You've Got Decisions: Post IUD D"
Podcast Information:
- Title: Decisions, Decisions
- Hosts: Mandii B and WeezyWTF
- Description: "Decisions, Decisions" is a candid podcast hosted by Mandii B and WeezyWTF, where they delve deep into non-traditional relationships, challenging societal norms around dating, sex, and love with humor, vulnerability, and authenticity. Every Monday, they share personal journeys, engage in thought-provoking discussions, and feature interviews with diverse guests to explore modern relationship complexities.
Episode Details:
- Title: You've Got Decisions: Post IUD D
- Release Date: July 16, 2025
Introduction
In this episode of "Decisions, Decisions," Mandii B and WeezyWTF address a listener's personal struggle following the removal of an Intrauterine Device (IUD) and its impact on her sexual relationship. The conversation navigates the physical and emotional challenges that arise post-IUD removal, offering medical insights, personal anecdotes, and practical advice to listeners facing similar issues.
Listener’s Story: Navigating Post-IUD Removal Challenges
The episode centers around a heartfelt email from a listener in her late 20s who has been in a six-year relationship. She expresses gratitude towards Mandii and Weezy for their previous advice, detailing how she has reconnected with her friends and focused on personal growth and caring for her mother. However, she shares a pressing concern regarding her sexual relationship:
Listener's Email: "Since I got my IUD out, things have felt intense. It feels like he's hitting my cervix... sometimes it's even uncomfortable, to the point where I have to ask him not to go so deep."
She elaborates on her and her partner's efforts to maintain a thriving sex life, highlighting his attentiveness and the measures they've taken to ensure mutual satisfaction. Despite their efforts, the removal of the IUD has introduced unexpected discomfort during intercourse, leaving her seeking guidance on how to navigate this new challenge.
Hosts’ Analysis and Advice
Understanding IUDs and Their Impact on Sexual Health
Mandii begins by providing a medical overview of IUDs, emphasizing that while they are a popular non-hormonal contraceptive choice, they can sometimes cause physical sensations during sex due to the IUD strings:
Mandii [06:56]: "Most partners don't feel anything, but 27% of men feel the strings. Around half believe it interferes with sex."
She references an NPR article highlighting the extreme pain sometimes associated with IUD insertion, noting that the American College of OBGYN now recommends the use of lidocaine and local anesthetics to mitigate discomfort during the procedure.
Exploring the Listener’s Situation
WeezyWTF delves deeper into the listener's predicament, clarifying that she has indeed removed the IUD and is experiencing new pain during intercourse:
WeezyWTF [09:22]: "She now has taken out the IUD and sex is painful for her and she doesn't know why she can't take the dick."
They discuss potential causes, including physical trauma from IUD removal, possible vaginismus (involuntary pelvic floor muscle contractions), or other anatomical issues such as fibroids that may be contributing to her pain.
Personal Anecdotes and Additional Insights
Mandii shares a personal story about experiencing pain with a new partner, leading her to seek medical attention for potential underlying issues, such as fibroids. She emphasizes the importance of advocating for one's health and seeking professional medical evaluations when experiencing unexplained pain:
Mandii [09:10]: "If you're experiencing this pain, it is something that I would actually bring up to my doctor. I would advocate to get an ultrasound and just see what's happening."
WeezyWTF adds that hormonal changes post-IUD removal could alter the cervix's position and vaginal lubrication, affecting sexual comfort. She also introduces the concept that a woman's ovulation cycle can influence vaginal elasticity and lubrication, which might play a role in the listener's current discomfort:
WeezyWTF [13:35]: "Your cervix actually does change throughout your cycle... with increased levels of estrogen and progesterone, making the vagina more lubricated and elastic."
Practical Recommendations
Both hosts offer actionable advice:
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Seek Medical Consultation: Mandii and WeezyWTF strongly advise consulting a gynecologist to rule out any physical abnormalities or conditions that might be causing the pain.
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Pelvic Floor Therapy: Mandii mentions that pelvic floor therapy helped her manage pain related to sex, suggesting it could benefit listeners experiencing similar issues.
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Communication with Partners: They stress the importance of open communication with sexual partners to ensure mutual understanding and comfort.
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Tracking Menstrual Cycles: Mandii recommends using period-tracking apps to monitor changes in vaginal lubrication and cervix position, which can provide valuable information for medical consultations.
Mandii [20:40]: "Describe your pain so that you can figure out what it is. For example, sharpness, poking, tightness, burning..."
Additional Discussions
The hosts engage in light-hearted banter about their personal experiences with discomfort during sex, using humor to normalize and destigmatize the conversation around sexual pain. They also touch upon broader topics related to sexual health, such as the psychological impact of pain and the importance of not dismissing persistent discomfort.
WeezyWTF [22:19]: "Dehydration, healing... he might be rearranging my pussy. I ain't even gonna hold you."
These anecdotes serve to highlight that sexual discomfort is a common issue that many individuals face, reinforcing the episode's message of seeking help and maintaining open dialogues about sexual health.
Conclusion
The episode wraps up with Mandii and WeezyWTF reiterating their commitment to supporting listeners through personal and sensitive issues related to relationships and sexual health. They encourage anyone experiencing similar challenges to reach out via email for advice and share their own stories to foster a community of understanding and support.
Mandii [25:23]: "Listen. Anyways, guys, thank y'all and once again, if you want advice from us or you want us to share our big dick stories, just like y'all big dick stories, go ahead and send it into us decisionspodmail.com and we will see y'all next week."
This episode of "Decisions, Decisions" provides a compassionate and informative exploration of the physical and emotional challenges that can arise following IUD removal, offering listeners valuable insights and resources to navigate their own relationship and sexual health decisions.