I'm a venereal disease like a menstrual bleed
Through the pencil I leak on the sheet of the tablet in my mind

from Lil Wayne – A Milli Lyrics on Rap Genius

It may sound like Lil Wayne believes female menstruation is a venereal disease, but that’s probably not what’s going on. He loosely connects the two (they’re both vagina-y and kind of gross to men) to transition into a description of his writing process. Similarly, Wayne’s career keeps coming back for more, just like a monthly period.

Like a menstrual bleed, he leaks blood through a pencil — not onto a sheet of paper, but onto a sheet of a tablet that exists only in his mind. He’s taking a familiar rap trope — “I don’t write my lyrics” — and making it much more vivid

In other versions of Breathe, he corrects this line by saying “I’m a venereal disease, like a menstrual I bleed.”

Additionally, “menstrual” also sounds like “minstrel,” a musical performer from medieval Europe. Weezy is a timeless entertainer.

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