
Ozempic Has Some 'Vaginal Side Effects' That You Definitely Should Know About

I’m gonna be honest with y’all — if there is one thing that irks me to no end when it comes to our culture, it’s the fact that we don’t talk about obesity enough. Even though, reportedly, four out of every 10 people in this country are considered to be obese and obesity is connected to everything from heart disease and diabetes to liver disease and certain types of cancer (for starters), it’s still a topic that folks continue to want to tip-toe around. And yeah, that’s not good.
For that reason, in my opinion, if there is an upside to this Ozempic craze that has taken over these days (I personally know at least six people who are taking it), I guess that would be it. Meaning, it’s at least nice to see folks having open and honest conversations about why it’s important to be concerned about how weight gain can impact one’s overall health and well-being (even if some’s main agenda is to simply alter their appearance more than prioritize their health).
However, I’ve also watched enough documentaries and done enough research to continue to champion “the old-fashioned way” of losing weight which includes eating healthy, exercising consistently, drinking water, getting at least six hours of rest every night and y’all — Y’ALL — being patient with the weight loss process over running to any semi-quick fix; especially since I’m quite aware of what the potential side effects of taking medications like Ozempic, Wegovy or GLP-1s (which are basically meds that can lower your blood sugar and promote weight loss) are — some, in particular, may catch you totally off guard (the hint is in the title).
If you know even a little bit about Ozempic, then you know that I can’t cover everything about it in one or even seven articles. Today, though, I do want to make sure that if you’re considering using it solely for weight loss purposes, you’re at least aware of what it is and what it can potentially do to your body including y’all — Y’ALL —your vagina.
What Is Ozempic?
The easiest way to explain what Ozempic is, is it’s an injectable prescribed drug that has been approved to provide beneficial support to people who have been diagnosed with type 2 diabetes. What it’s not (at least not yet) approved for is using it for weight loss purposes only (Wegovy is, though). So, why are so many individuals currently taking it for exactly that reason?
Well, the way that Ozempic works is it mimics a natural hormone in your system that signals to your brain that you’ve had enough to eat. Not only that but it slows down the digestion process in your system too. In fact, some say that the medication, in some ways, works similarly to how bariatric surgery does.
Something else to take note of when it comes to Ozempic is the active ingredient in it, known as semaglutide, which can definitely result in weight loss — in fact, diabetic medications, in general, can help people to shed pounds.
And so, since many individuals are able to reportedly lose as much as15-20 percent of their body weight while taking Ozempic (some even start to see results after taking the first dose of it although significant results can take anywhere from 8-12 weeks), it’s no wonder that 1 in 8 Americans have either taken or are taking Ozempic (or some other type of GLP-1) medication and young people (especially female ones) are taking it now more than ever.
Because, after all, something that can help you to shed pounds, rather quickly, that sounds like the ultimate option, right?
Well, read this all the way through before you jump all the way in.
Why Are Some Potential Side Effects of Taking Ozempic?
So, before I get into the main purpose of this article, let me share with you some of the side effects that can come with taking Ozempic, starting with its price point. If your insurance is willing to cover it, you can find yourself paying no more than around $25 a month. Not bad at all. Okay, but what if it doesn’t? You can easily be looking at dishing out as much as a whopping $1,000 monthly — and since, again, it’s currently only approved for treating diabetes, this means that if you only want to take it for weight loss reasons, your insurance company is probably going to deny you.
Even beyond your bank account, though, it’s a drug that can bring some real challenges into your world. Some of the physical potential side effects of taking Ozempic include:
- Nausea
- Abdominal cramping
- Constipation
- Diarrhea
- Vomiting
- Headaches
- Stomach Flu Symptoms
- Gas
- Fatigue
- Blood Vessel Damage (which can lead to vision problems)
- “Ozempic Face” (sagging of the skin and premature aging)
- Stomach Paralysis
In rare cases, Ozempic can also cause thyroid cancer, kidney issues, gallbladder disease, hypoglycemia, and pancreatitis, not to mention the fact that once you stop taking Ozempic, there is a great chance that not only you will gain the weight that you lost back…you can gain additional weight too (it’s called “Ozempic rebound”).
However, what really tripped me out, more than anything else (as far as the side effects of the drug goes), is taking Ozempic has the potential to switch up some things as far as your vagina is concerned too — and since you know that I like to talk about that particular body part a lot around these parts before I close out, please…let’s discuss.
What Can Ozempic “Do” to Your Vagina?
Even if you pretty much assumed that Ozempic had at least a few side effects (I mean, most medications do, although that list is pretty long, y’all), I’d venture to say that it never even crossed your mind that it could cause your vagina to go all NeNe Leakes on you by saying, “Now, why am I in it?” LOL. And yet:
1. Since Ozempic can cause extreme weight loss, that could throw your hormones out of balance which could alter the health and vitality of your vaginal tissues.
2. If Ozempic does result in you constantly vomiting or having regular bouts of diarrhea, that could lead to dehydration which could cause you to experience vaginal dryness, a sore vulva, vaginal irritation, a burning sensation when you urinate, pain or discomfort during sex and/or even vaginitis.
3. Something else that Ozempic has the potential to do is alteryour gut which could result in more “bad bacteria” getting into your system which could result in yeast infections.
4. Since there is a chance that the potential drastic/rapid weight loss that comes with Ozempic can weaken your bones and muscles, vaginal laxity (looser muscles or tissues in your vaginal area including your labia) should also be a concern.
5. Ozempic can also lower your dopamine levels. This is important to keep in mind because dopamine is a “pleasure” neurotransmitter — and since a peak time when it’s heightened is during an orgasm, well…I’m pretty sure that you get where I am going with that, chile.
6. And boy, if this one ain’t a plot twist, some health professionals believe that Ozempic can also decrease the potency of your birth control (by delaying how fast the meds are able to get through your system).
Okay, so what if, after taking all of this in, you still want to give Ozempic a try? Well, for starters, really take whatever your doctor says is best seriously and literally. Next — and again — because the price tag is so high, avoid the temptation of going the generic route; that could give you so much more than what you bargained for (and absolutely not in a good way). Definitely keep in mind that you still have to bring some discipline into your life’s routine by eating healthy and exercising.
And when it comes to your vagina, specifically? Stay hydrated, take a probiotic, keep some vaginal lubrication nearby, do not ignore a drastic change in discharge or how your vagina or vulva feels, and speak with your physician about if you should take extra precautions as it relates to birth control.
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Is Ozempic a fad? In the wise words of one of my favorite throwback groups DeBarge, time will reveal. Please just make sure that before you decide to partake that you get as much information as possible — especially since — and it really can’t be said enough — it hasn’t been approved for weight loss (yet).
Especially since it can do some things to your vagina that I’m sure you would like to avoid.
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It's kinda wild that, in 2025, my byline will have appeared on this platform for (what?!) seven years. And yeah, when I'm not waxing poetic on here about sex, relationships and then...more sex and relationships, I am working as a certified marriage life coach, helping to birth babies (as a doula) or penning for other places (oftentimes under pen names).
As some of you know, something that I've been "threatening" to do for a few years now is write another book. Welp, October 2024 was the month that I "gave birth" to my third one: 'Inside of Me 2.0: My Story. With a 20-Year Lens'. It's fitting considering I hit a milestone during the same year.
Beyond that, Pumas and lip gloss are still my faves along with sweatshirts and tees that have a pro-Black message on them. I've also started really getting into big ass unique handbags and I'm always gonna have a signature scent that ain't nobody's business but my own.
As far as where to find me, I continue to be MIA on the social media front and I honestly don't know if that will ever change. Still, if you need to hit me up about something *that has nothing to do with pitching on the site (I'm gonna start ignoring those emails because...boundaries)*, hit me up at missnosipho@gmail.com. I'll do what I can. ;)
'He Said, She Said': Love Stories Put To The Test At A Weekend For Love
At the A Weekend For Love retreat, we sat down with four couples to explore their love stories in a playful but revealing way with #HeSaidSheSaid. From first encounters to life-changing moments, we tested their memories to see if their versions of events aligned—because, as they say, every story has three sides: his, hers, and the truth.
Do these couples remember their love stories the same way? Press play to find out.
Episode 1: Indira & Desmond – Love Across the Miles
They say distance makes the heart grow fonder, but for Indira & Desmond, love made it stronger. Every mile apart deepened their bond, reinforcing the unshakable foundation of their relationship. From their first "I love you" to the moment they knew they had found home in each other, their journey is a beautiful testament to the endurance of true love.
Episode 2: Jay & Tia – A Love Story Straight Out of a Rom-Com
If Hollywood is looking for its next Black love story, they need to take notes from Jay & Tia. Their journey—from an awkward first date to navigating careers, parenthood, and personal growth—proves that love is not just about romance but also resilience. Their story is full of laughter, challenges, and, most importantly, a love that stands the test of time.
Episode 3: Larencia & Mykel – Through the Highs and Lows
A date night with police helicopters overhead? Now that’s a story! Larencia & Mykel have faced unexpected surprises, major life changes, and 14 years of choosing each other every single day. But after all this time, do they actually remember things the same way? Their episode is sure to bring some eye-opening revelations and a lot of laughs.
Episode 4: Soy & Osei – A Love Aligned in Purpose
From a chance meeting at the front door to 15 years of unwavering love, faith, and growth, Soy & Osei prove that when two souls are aligned in love and purpose, nothing can shake their foundation. Their journey is a powerful reminder that true love is built on mutual support, shared values, and a deep connection that only strengthens with time.
Each of these couples has a unique and inspiring story to tell, but do their memories match up? Watch #HeSaidSheSaid to find out!
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We All Mess Up Sometimes. But Can You Trust A Friend's Apology?
Although what I mostly deal with when it comes to the clients that I have is romantic relationships, there are definitely times when other topics come up. For instance, recently, someone was talking to me about some drama that they were going through with a friend of theirs. Emotionally, they felt like they were in a bit of a bind because while, on one hand, they had been friends with this individual for over 15 years at this point, on the other, there were certain things that they had done, more than once, that were starting to take its toll.
When I asked my client if they had clearly articulated their feelings, concerns, and boundaries to that individual, they admitted that they hadn’t.
From their perspective, their friend should simply know what they should and shouldn’t do. Yeah, one day, I’m going to write an article about how a lot of relationships could be spared so much drama if we all stopped automatically expecting others to think, act, and even love like we do. Anyway, my client did pause for a moment; then she shared that there was one thing, in particular, that she had told her friend that she didn’t appreciate and her friend just kept on doing it — so much to the point where it was starting to feel not only intentional but disrespectful too. In response to that, here’s how the rest of the dialogue between us went down:
Me: “Did she apologize?”
Her: “I mean, after I about lost it and told her that I was sick of her sh-t, she did. I don’t know if I can trust it, though.”
Me: “Has the action happened again since?”
Her: “The last time was only a few weeks ago. It’s too soon to tell. I know I’m starting to put distance between us, though. I’m not sure if I want to be friends with her anymore at this point.”
*le sigh* What to do, what to freakin’ do, when you’ve got a friend in your life who does something that bothers, offends, hurts, or harms you (because those are all different things, y’all), they apologize and you’re not exactly sure what to do with their apology. That is something that I’m pretty sure that all of us have gone through, probably more than once. If you definitely have, and there have been times when it’s left you feeling stumped, let’s unpack it all a bit — just so you’ll know how to move, with complete peace of mind, for the sake of your friendship and, most importantly, your peace of mind.
People with Regrets Apologize (and Every Self-Aware Human Should Have Regrets)
Sometime last year, I was talking to a friend of mine about his spouse. As he was raving about all of the things that he adores about her, something that he said caused my eyes to get semi-big: “I mean, she doesn’t believe in apologizing which can get on my nerves but that’s about it.” Whew, chile. Also, another article for another time: It’s very hard for a marriage to function, in a healthy way, if both people aren’t willing to apologize and forgive because there are going to be countless times when doing one or the other is going to be extremely necessary. Why?
Because we all make mistakes and sometimes poor decisions (and no, those two things aren’t the same either) must be corrected with an apology. Not only that but we all also experience times when someone needs to apologize to us and, because of the first thing that I said, we should forgive them and LET. IT. GO.
Yeah, those “I don’t apologize” people? Talk about folks who I don’t trust because that typically either means that they have way too much pride going on or they suck and taking personal accountability for their actions — and neither of those things makes it easy when it comes to trying to have a solid relationship with someone else. Honestly, the only kind of folks who “cause me to pause” more are the ones who claim that they don’t have any regrets in life. Truly…what in the world are you talking about?
If you’ve been rocking with me on this platform for a while now, you already know that I totally and completely loathe the saying, “I don’t regret anything” (check out “Why Regret Might Not Always Be A Bad Thing”). SMDH. Some statements, I just think that they have been popular for so long that people repeat them without really thinking about what they actually mean.
When it comes to regret, if you look up its definition, you should see the word “remorse” somewhere in there and remorse means “deep and painful regret for wrongdoing; compunction” — and if you NEVER feel this way, that low-key sounds like either you think that you never do anything wrong (which is a completely delusional mindset) or you don’t care to “right your wrongs” whenever you do them (which makes you a pretty unsafe individual to be around).
And why am I laying down all of this foundation? Because, before getting into how to discern someone’s apology, it’s important to first surround yourself with individuals who even get that they should apologize from time to time in the first place — not because you think so but because they think so. I’m telling you, it can spare you a ton of time and potential heartbreak to follow this tip.
I say that because I ended a relationship about six years ago, mostly because the person reached out to me to help them out with something, and when I wrote out a full email about something they did that was highly offensive and would result in my not obliging them — not only did they not apologize, they didn’t even acknowledge what I said. What kind of makes it “comically worse” (utter audacity-wise) is the few times that I’ve seen them since, they’ve acted like nothing even happened. Then I had to think back to other times when I’ve brought hurt feelings or offenses to their attention and how they would deflect, play the victim, or change the subject (bookmark that).
Hmph. We talk about narcissism a lot both on and offline — uh-huh, be careful about those narcissistic friends out here. They always want to be the center of attention. They constantly put their own needs first. They have a hard time forgiving and yet think that you should dismiss whatever they do that’s wrong (or damaging). I could go on and on about those jokers. For now, I’ll just bring this point to a close by saying that if you want to trust someone’s apology, you need to trust that they care enough to apologize in the first place. And lawd, won’t that preach?
Next point.
Karma Is Attached to Apologies
One day, I’m also going to write an article about how much forgiveness tends to be weaponized — and how absolutely insane that is. Meaning, so many people think that they deserve an apology for all of the things that they do while others don’t — and that’s not really how forgiveness works. If you’re looking at it from a Scriptural standpoint, the Good Book tells us that if you want to be right with God, you’ve got to forgive other people (Matthew 6:14-15). Science says that if you want to be healthy, it’s wise to forgive as well. Adding to both of these things, since karma (which is basically just reaping what you sow) doesn’t discriminate, if you want to be forgiven in the future, you should forgive others in the present.
And that’s what I mean when I say that karma is attached to apologies. When it comes to some completely bold and If-I-were-a-different-type-of-person-things-would’ve-gone-very-differently things that have happened to me throughout the years — what has kept things peaceful and put me on a faster track to healing is choosing to forgive others; especially when they make a point to apologize (check out “How I Learned To Forgive People In My Life Who Weren't Sorry”).
Honestly, a part of the reason why I can do closure so well is because I can accept an apology. What I mean by that is I think a lot of times, we stay in “hamster wheel relationships” (same problems, no new solutions) or we’re so super devastated (because we’re not just sad, we also beat ourselves up with guilt and yes, regret) if something should happen to someone who we used to be in relationship with and it’s partly because we don’t accept apologies.
Me? I never want to be so high and mighty in my mindset that I think I can gamble my relationship with God or my health simply because I want someone to think that what they do and ask forgiveness doesn’t deserve mercy while I’m somewhere thinking that I should be pardoned for all of my mess. I don’t know about y’all but I need God’s forgiveness, plus, it feels good — cleansing even — whenever people who I’ve hurt or harmed have forgiven me and so I give forgiveness in order to receive it — because every single human needs to receive it.
Next point.
A Sincere Apology Doesn't Deflect, Justify or Play the Victim. It Takes Full Ownership.
Now that we’ve talked about why you should only befriend people who forgive and apologize and how you shouldn’t be in relationships if you don’t know how to forgive (and apologize) — let’s talk about what a sincere apology should even look like.
Years ago, I had a friend who violated a very clear boundary of mine. She kept trying to push something on me that I didn’t want to do until one day, she did it anyway. And boy, was I pissed. When she saw how angry I was, she called me crying and, although she did say that she was sorry, she also went into all kinds of reasons why she thought that she was the bigger victim. The more that I listened, it was like she wanted me to apologize to her for violating me (whew, chile). Yeah, don’t trust those kinds of apologies because they are chocked full of manipulation.
And this is where we start to tiptoe into the difference between accepting an apology and trusting one.
Since she literally said, “I’m so sorry,” I accepted her apology because, although I think that my discernment is pretty keen and she was trying to manipulate matters, at the end of the day, who am I to brush off her efforts to acknowledge what she did? Did I trust her apology, though? Absolutely not because to trust something, you’ve gotta be confident in it, and anyone who decides to make what they did to you totally about them? They don’t really get what an apology is all about.
Hmph. I grew up with people who would apologize and also deflect (shift blame, gaslight, go into semi-denial mode), justify poor behavior (make excuses, follow their apology with some long ass story) and/or play the victim (act like they are more hurt than you are) in the midst of their apologies and those types of individuals typically only apologize in order to “move on” from what they’ve done — not to really make sure that you are okay about what had transpired.
And those people? Whether they are too selfish, not self-aware enough or they’re simply ignorant about what a sincere apology looks like, if those three factors come into play, their apology can be accepted yet not really trusted in the sense of you believing that they will do their best to not repeat the action again. How could you TRUST it if they don’t fully OWN it? Make sense?
Next point.
Accepting Apologies and Actually Trusting Them Are Quite Different
If you know that someday, you will need to apologize to someone, you will get again why I say that none of us should really refuse someone else’s apology. Another way of looking at this is if someone apologizes and you don’t accept it, it’s basically saying, “I don’t acknowledge that you acknowledge what you did that you are trying to take responsibility for” — and honestly, what kind of sense does that make?
Because while you are thinking that not accepting their apology is harming them, it’s really only hurting you because you are choosing to hold onto what their apology has actually released them from. Plus, y’all know that I am pretty word-literal and, at the end of the day, accepting an apology simply means that 1) you are responding to what they are saying and 2) you are receiving the effort. Over and out.
Now TRUSTING an apology? Again, that is something entirely different. I’ll give you another example. Everyone who knows me (check out “5 Signs You Really Know A Person”) knows that if I come out to a big function, that’s love — DEEP LOVE. Back when I was an entertainment journalist, I had my fill of stuff like that; these days, low-key is how I get down. Anyway, one time, a friend invited me out to a crowded and pretty important function. After a bit of convincing, I made the personal request of not wanting to go along with someone else in their world who I am not fond of (who they are now not even friends with because they discovered on their own just how shady the person can be).
My friend assured me that it wouldn’t be an issue — only for me to get to the place where we were meeting up and my friend then telling me on the way to the venue that the person would be joining us. When I tell you that we literally had the conversation about that not happening just a few hours before? Chile. My response? I left before we headed there and went back home. I am BIG on my boundaries being respected and I’m not going to be set up to be put in a position to somehow be the bad guy if I’m not kee-keeing with someone who I didn’t want to be around, intimately, in the first place. Plus, my friend needed to fully enjoy her night without worrying about what the energy was going to be like.
My friend owned that it was “bad business” to even move like that — that it was thoughtless and a bit manipulative on her part because a part of her thought that if I was pushed to the wall on the matter, I would just get over it. She apologized. I accepted it. However, I didn’t just accept it, I trusted it because, a few weeks later, she invited me to another event, out of state, all expenses paid.
Listen, if you know me, you know that it wasn’t the free trip that “moved me” because my favorite place is always gonna be at home. LOL. It’s that my friend didn’t just acknowledge what she did, she also took it upon herself to make amends — and that’s what a real apology should always include.
And what is amends? It’s “reparation or compensation for a loss, damage, or injury of any kind; recompense.” That said, when we really get the weight and magnitude of something that we’ve done to another person, it’s never enough to just toss a flippant “My bad” in their direction — it’s important to put forth the effort to set things right.
I got that my friend understood how much effort it took for me to do the initial outing with her in the first place because she took a few steps up from that and turned another event into a girls' trip — just us. That was a couple of years ago now. We’ve not had an issue in that lane since.
Your friend who hurt you and apologized? One way to know if you can trust the apology to the point where you know that it’s okay to move on fully from the matter is if they are willing, on their own, to make amends. If, in their own way, they ask you, “How can I make this right?” If you get that from them, I really recommend that you give them a chance because not only does it seem like their apology is heartfelt, but they also want to help you to heal from what they did — and at the end of the day, because none of us can change the past, just “own” our part in it, there’s not much more that a human can do.
Plus, people who go so far as to make amends, they typically also put forth the effort to try and change their behavior (or not repeat the action). And again, what more can you really ask for from any fallible individual (and we are all that)…right?
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No one is perfect. We’re all going to mess up. If you really get that, when a friend apologizes to you, let both of yourselves off of the hook and accept it. And during the apology, if they take full ownership which includes making amends, trust your friend enough to have faith that they will try to not hurt you, in that way, again.
Accept is about recognizing.
Trusting is about putting your confidence in something.
When it comes to apologies, specifically, I hope it’s easier to now know the difference.
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