Sexual healing
Gay as Ottawa / Join me at the International Day to End Violence Against Sex Workers
Nicholas Little / Ottawa / Wednesday, December 10, 2008
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Dyspareunia. Vulvovaginitis. Pubococcygeus. Sacrotuberous. Each of them a Scrabble knock out in its own right.

My full time job is handing out lube in Ottawa's bathhouses, but in my off hours I teach women and men how to give blowjobs at Venus Envy, an education-focussed sex store in downtown Ottawa. I started doing it last year when Shelley, the owner, moved to Halifax for a year with her partner Steve, who'd been giving the workshop up to that point. They didn't interview me for the job and, as far as I know, they didn't talk to any of my former lovers. It's one of the only places that'll hire you as long as you truly suck.

About a month back, I got invited to a free workshop for Venus Envy staff. The email was pretty brief — it just said we'd learn about the pelvic floor. Somehow, in my head, I interpreted that to mean they'd teach us how to squeeze our bums in special ways to make our prostates go bonkers. In retrospect, that was a really dumb assumption given that I'm the only guy on staff and chicks don't have prostates.

Did you know that 17 percent of all women have chronic vaginal pain that can make it hard to use a tampon or have sex? Well the vaginal physiotherapist who came to tell us about it did. I felt the chakra-shattering prostate orgasm of my fantasies escaping me once again and settled in to learn about pre- and post-menopausal vaginal challenges that can make sex a painful experience, getting in the way of developing confident sexual self-esteem and also preventing you from wearing your pants as tight as you'd like.

In past columns, I've admitted my ignorance about petrochemical engineering and I can now add vaginal physio to the list of occupations that are way off my radar. The instructor, who had been practicing physiotherapy for 25 years, re-trained mid-career to help ladies with incontinence issues. She said she enjoyed that but eventually it, too, got to be the same old, same old. So she retrained to be a vaginal physiotherapist. She told us that in vaginal physio training courses, students learn hands-on by practicing on each other.

A woman burdened with dyspareunia or vulvovaginitis can meet with a physiotherapist to reduce pain, increase functional ability and reclaim the life of great sex and hosiery she's entitled to. Over six months to a year, in weekly or bi-weekly sessions, the therapist will guide the patient through a series of exercises, which the patient also practices at home. For the first couple weeks, the therapist may penetrate the patient anally in order to mobilize her coccyx bone, to which many of the pelvic floor muscles attach. Once mobilized, the following sessions will involve incremental vaginal penetration: first one finger, then two, slowly working out the pelvic pain. The therapist will model diaphragmatic breathing for relaxation. She might use vaginal dilators — hard plastic dildos, basically — to progressively stretch the patient's vaginal walls with comfort.

During the workshop, it struck me: here is a lady who deeply understands wellness as the intersection of the many dimensions of self. Aside from the toll it takes on her body, living with chronic physical pain can thwart a woman's capacity for intimacy, confidence, sexual satisfaction and the freedom to define how she will engage with the world around her.

The physiotherapist uses her own hands and body as curative tools, sometimes inserting them inside the client, in order to heal, soothe and increase the capacity for pleasure. It is a physical intervention to facilitate sexual, social, emotional and perhaps even spiritual wellness. A truly holistic remedy. And a testament to the integral role of physical and sexual needs if a life is to be healthy and balanced.

I hear people trash talk hookers all the time. When the veneer on a friend's front tooth came off, exposing a haggard, filed down spike in her smile, she lamented how much it would cost to replace it and joked that she'd need to stand on a corner in Hintonburg to earn enough money to go see her dentist — "After all, with one tooth missing, I've already got the right look."

Last year a local gay guy approached me and asked if I was involved in planning the Ottawa actions for Dec 17, the International Day to End Violence Against Sex Workers. Yeah I am, I told him, think you'll come check it out? I dunno, he said. I mean, I'm definitely against violence in all its forms, but sex work?

This was one week after jurors found Robert Pickton guilty of brutally murdering six sex workers on his pig farm in British Columbia.

When I was a kid growing up in Alberta, the mother of a particularly devout family at the local Full Gospel Tabernacle Church used to talk about "ladies of the night" as if they were stiletto-wearing phantoms that wafted out of sewer drains. Once, she even took us to see them in a twisted kind of horror spectator sport. Guys from the high school used to drive by and throw pennies.

Have sex workers become extraterrestrial beings in our mind's eye? How do we come to construct them as so utterly inhuman and unlike us normal folk that at a panel discussion on prostitution earlier this year, Jeff Leiper, President of the Hintonburg Community Association, inexplicably argued that Hintonburg hookers aren't part of his community — they just happen to live and work in the very same neighbourhood.

Some people think all sex workers must be victims — because who, given real options, would choose to do that kind of work? They argue that we are too poor, young, dominated or addicted to know what we are doing. And so they must help us by speaking for us and acting on our behalf. They discount sex worker voices that say it is not the sex that is killing them and it's surely not the money — it's the police violence, the constant incarceration and their neighbours' vigilantism to deny them their Charter rights and dismantle due process before the law.

On a good day, in the right headspace, when both the client and I manage to temporarily suspend our egos, sex work can be an act identical in intent and execution as that of the vaginal physiotherapist. It isn't always that. And it doesn't always have to be. It can be purely erotic, purely a laugh, purely kinky experimentation or purely labour. But it can also be the provision of pleasure as an antidote to the cumulative pain amassed by any human who dares to survive and thrive in a world that constantly seeks to obstruct self-determination, be it individual or collective.

For an hour, sometimes two, I use my own hands and body as curative tools, sometimes inserting them inside the client, in order to heal, soothe and increase the capacity for pleasure. It is a physical intervention to facilitate sexual, social, emotional and perhaps even spiritual wellness. A truly holistic remedy. And a testament to the integral role of physical and sexual needs if a life is to be healthy and balanced.



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Reader Comments


 
teach me more about that
Is there a difference between "vaginal physiotherapy" and "sex work"? I dropped out of studying for a Doctorate in Physical Therapy in Florida in 2003. The college, run by New Zealand born PT Stanley Paris, Past President, Orthopaedic Section, American Physical Therapy Association and Past President, International Federation of Orthopaedic Manipulative Therapy, has a dress code. Males are not allowed to wear earrings on campus. I have personally met with Tim Barnett, author of NZ's law decriminalising prostitution. NZ continues to use "massage" as a front for promoting prostitution, despite the fact that this creates havoc and confusion for practitioners and consumers of nonerotic massage. While meeting with Tim Barnett, I also met Robyn Few of the Sex Workers Outreach Project. I don't know your local rules, but I tend to think there are reams of laws and guidelines restricting the behavior of physiotherapists in ways that "sex workers" would rather not abide by. I wish I could offer a perfect solution to your concerns and interests. I've been trying for years to understand this situation from a variety of perspectives. Thank you for posting your article. It definitely gives me more to think about...
Brian Goodwin / Longcor, San Rafael USA
12/10/08 3:58 PM EST
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Interesting comment
Thanks, Nicholas, for a thought-provoking column. It raises an interesting discussion around "community", and whether or not people belong to it or not. I and others get tongue-tied when asked the question "are street-level prostitutes in your neighborhood part of your community", which is the point, obviously. As Nicholas points out, perceptions of street-level prostitutes vary significantly. Even the hobbyists know the women individually, though, and as people - though it's tinged by misogyny. These perceptions must be replaced by real knowledge before we can begin to address the issues the women face. I don't think there's any disagreement on that front. Yes, the street-level prostitutes are part of our community, at least on the transient basis that the women we meet in Jane school are actually living and working here, and using a geography-driven definition. Unfortunately, their actions - driven by addiction - detract from the community. Street-level prostitutes - and we are very careful (even if columnists aren't) to note that we have no opinion on prostitution as a whole - are one of the main customer groups for crack houses that are the cause of real community fear. The johns who feed their drug habits will tail women on the street who aren't engaged in prostitution, and we regularly hear about the fear that causes. There is a long list of community harms stemming from the engagement by street-level prostitutes in survival sex. Other forms - in- and outcall escort services, rub and tugs, etc. - are all demonstrably in Hintonburg, and we have never sought to curtail them. But where members of a community disrespect the larger whole with actions that create fear, we insist that it is unacceptable. I look forward to the day when we can address the specific issues associated with street-level prostitution without the ideological conflation of all forms of prostitution as one. It would be a productive discussion.
Jeff Leiper, Ottawa ON
12/10/08 9:53 PM EST
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correcting another wrong assumption
Nicholas: some chicks DO have prostates (and some guys DON'T). I'm sure it wasn't your intention to erase the existence of trans bodies like my own or those of other trans women (be they pre, post or non-op), but in effect you did. I just wanted to correct you on that one point in your article. keep up the otherwise great work.
Shannon B., Ottawa Ontario
12/11/08 8:37 AM EST
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Thanks
More great stuff. Your passion and thinking and writing constantly bowl me over. Don't stop! :0)
Shawn, Toronto ON
12/21/08 2:49 PM EST
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