Although providers may wish that a patient with obstructive complications would agree to defibulation, they cannot make this decision for the patient. Patients never before exposed to procedures such as pelvic examinations could understandably find these alien as well. Indeed, examining and treating female organs was widely considered offensive and unsavory. We must curb a tendency to view behavior as rational or irrational from a rarified clinical perspective. We have traveled to many places together, and Michael and I have done some really extreme performances together, like Michael playing drums while I did live butt printing, for example. Anxiety and phobic behavior may occur, as some women psychologically re-experience the pain and trauma of the procedure and its complications. Another set of complications may manifest when women become sexually active.
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