New to medfet

I am new to medfet. Does everything need to be completely sterilized before exams?

To put it simply, yes. If you're the only one using something, then I guess it doesn't have to be at the highest standard as if you were playing with others, but still...yes. Play isn't as much fun when you actually have to go to the doctor because you have an infection or something; although that must be an interesting story to tell: "Well doc, I didn't think I needed to wash my speculum between uses..."

What does prepare really mean when it comes to sterilization of instruments? Obviously most of us do not have an autoclave. Are we talking cleaning and boiling the instruments prior to use? Using brand-new sterilized instruments for every procedure?

What is the appropriate level of caution and care? I am sure that it varies depending on the procedure, but what about general gyno exams?

Getsto-

Not many of us have access to an autoclave, so we have to be "do-it-yourselfers". First, make sure that whatever you're sterilizing can withstand the heat involved. Before first use and after every other use, wash the instrument or object in warm soapy water and rinse well. Then you should dip it in a mildly to moderately strong bleach solution and dry well. Anything with screw or hinges that might bind can be lubricated at this time with WD-40. Wrap the item(s)in a clean, soft towel. I like the flour sacking kitchen towels that are available at most stores with a kitchen supplies department. Put 1/4 cup of water in the bottom of your pressure cooker (I have a separate one for medfet stuff). Put the rack in the cooker, and place the wrapped items on the rack. You may want to purchase a stainless steel tray to put on top of the rack for the instruments. This will also come in handy to make your play sessions more realistic. Close up the pressure cooker, bring it up to pressure and let it rip for 20 minutes.

After this cycle let the pressure cooker cool and open it carefully. The wrapped instruments may still be hot so you might want to use a pair of tongs to fish them out. Use string, rubber band, or cloth tape to secure the wrapping. Put them in a dry place, and do not unwrap until you are ready to use them again for play.

Here endeth the lesson on home autoclave 101. Hope this helps, it's a great question to ask. I'm sure I've missed something, so those with more medical experience than I are welcome to chime in.

Play safe!

gaze

I rince the enema bag with a solution of bleach and warm water. Generally, about a quart of water and half cup bleach. Invert the bag with hose attached and let it drain. Rince the bag and hose several times. Anal toys can also be put in a pan with the same solution. Enema nozzles can be boiled in water for 10 minutes.

Buttman Bill

I use a pressure cooker - a pretty large one - for all my stainless steel instruments and it works well. It does not reach the temperatures that an autoclave does, but I have never had a patient have any problems subsequent to an exam and I have never had any problem with instruments that I've used on myself.

For those who don't have autoclaves or pressure cookers, here is another way to sterilize instruments: start by spreading anti-bacterial soap on the instrument; pour boiling hot water over the instrument a minimum of three times; then pour Clorox on the instrument; then pour 100% alcohol on the instrument; do all the previous mentioned steps one last time. Then bag the instrument in a sealable plastic bag. One instrument per bag.

Mainly yes seterlize it. Easiest way is some alcohol and a quick hot wash

Ply1020 said:

Mainly yes seterlize it. Easiest way is some alcohol and a quick hot wash

TOTALLY, TOTALLY WRONG.

That's just cleaning it.

Speculums and similar instruments for internal use are not expensive, neither is enema equipment. So let the lady keep them for play at home if she wants or just bin them...

I use mostly disposable nowadays including metal speculums, which are good quality and cheap from reputable medical suppliers...

Dr Philip - The UK Play Doctor.

Why not just use disposables and eliminate the risk? You can buy cheap ones online. Tissues in the genital area are easily torn. Tiny bits of blood and fluids could transmit all kinds of things you don't want.....

Is this a conversation most people have with their perspective play docs? I am very new to all this and want to make sure it is safe. Thanks.

Prior discussion with any potential play partner to establish safety and suitability would be essential in my opinion.

Of course everything needs to be sterilized. Always better to be safe then sorry.

I like to keep it simple: new patient, new instruments. It's also a good idea to keep toys and instruments in the original wrapping until use so both partner know they're playing safe.

Unless you're using hypodermic needles or surgical instruments to actually operate with I'm not sure why you need absolute sterility. For pelvic instruments it would certainly be preferable to sterilize the specula. As for urinary catheters they must be sterile. As you know however, I am dead set against their use in non hospital settings. I don't think the potential pleasure is worth the risk. Having seen a lot of disasters I'm more than a little gunshy.

When using disposable instruments them comes sterile and sealed, so, them could be used as there are; but if you are using reusable material (only recommended if you are using them for yourself), you must sterilize thoroughly all elements before proceed all task.

Regards.