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The spoon hovers in midair in the most twisted iteration of here comes the airplane imaginable.

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Isnt that bad for her pH levels?

Could any woman hardily and happily endure years (… months?

As a sexual-medicine expert and gynecologist, I needed to know what was in them!

[E.L. James] uses the same words again and again, and theyre not very long words.

Thats always a little uncomfortable.

Its really about fantasy.

Fantasy and reality are two different things.

I didnt really find it that alarming.

I was mostly alarmed by the bad writing.

Lets talk about some specificFifty Shadesgynecological issues that have been troublingme.

Once he makes the referral, shes my patient, and hes not.

That should not happen.

Anas contraceptive journey starts off with a prescription for the mini-pill, which she regularly forgets to take.

Then her gyno recommends aDepo-Provera shot.

Is that what youd recommend for a 22-year-old recent virgin?In general, no.

Theres a little implant that goes into the arm,Nexplanon.

I cant remember the last time I gave someone a Depo shot.

Its been literally years.

Because these other methods are so much better.

Ive always thought of Depo as sort of an old-timey option.

But he may not have known that.

Would you ever do that for a patient?

Is that even legal?[Laughs.]

It depends how much you paid me.

No, I dont make house calls and I dont make street calls.

Youd have to ask permission.

Youd have to say, Hi there.

I happen to be on Fifth Avenue and have your Depo in my hand.

May I give you an injection here?

And if she says yes, go ahead.

But you cant just plunge the needle in.

But maybe it would be erotic for her?One never knows.

I was immediately concerned for Anas pH levels.

But in general, we dont put food in the vagina.

Theoretically, could that throw off her normal flora and cause an infection?

Its sugar and milk, things that do not go in the vagina.

But will that happen with a one-time thing?

So, for example, a banana thats not peeled could be potentially safe.

A cucumber could be potentially safe, as long as its not going to break off or scratch you.

But there have not been good scientific studies done on putting food inside of you.

Would putting ice cream inside of you be worse for you if you were lactose intolerant?No.

Because lactose intolerance has to do with gastrointestinal breakdown of lactose.

Is Ana lactose intolerant?

Whos to say?Just thought maybe that was an issue for her.

Cutlery is not good in the vagina.

Particularly knives and forks would be frowned upon.

A spoon is a little different.

As a sweeping generalization, Id say cutlery would be frowned upon in the gynecologic world.

Wouldnt that be logistically complicated?

Would you recommend that?Its not that Id recommend that, but wouldnt recommendnotdoing it.

You see that in porn a lot, actually two orifices at once, if you will.

So strictly speaking, thats not dangerous.

As long as she doesnt find it uncomfortable, have at it.

You should ask yourself: Whats the benefit, whats the harm?

Some people say its sexually stimulating.

Theoretically, thats possible, though it hasnt been studied.

But the bigger issue is: Whats the harm?

Are you going to hurt yourself using Ben Wa balls?

The reality is, no.

Its not going to cause toxic shock, or cause an infection.

Its really a matter of comfort.

Her vagina isnt going to fall out, or anything like that.

If somebody wants to walk around with Ben Wa balls?

First, take out the spoon.

Just dont put them in together.

That could be quite dangerous.

This interviewed has been edited and condensed.

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