Where it says "midline episiotomy" is where it tears and it tears on the inside. It's like an extremely reduced version of the problem many women have when they have birth sometimes: that tearing on the inside of that flesh. I use lubricant, but it is still a problem. I remove it by squeezing the base and pulling it out. The cup coming out doesn't hurt that bad, it's more just having to reach and grab it. I remove it with relaxed muscles, but then it's harder to reach so I have to reach more which hurts. If I push it out with my muscles while grabbing and pulling it out it helps but it still hurts. Is this problem something I'm just going to have to deal with, or is there a solution?