Sexual Health & Family Planning

LGBTQ Legislation in Arizona

Fri, 17 May 2013 18:11:04 -0700

I’m certain everyone read yesterday’s post on the International Day Against Homophobia and Transphobia (that’s today) and thought, “I’m so glad I live in Arizona, where the state legislature and judiciary would never further oppress an already marginalized group of people!”

Right?

Right?

Of course, the reality is that even recent Arizona lawmakers have established a trend of creating legislation that further harms women, people of color, and poor people. Sadly, we can add gay people and trans* people to that list as well.

Adoption Law — While the state’s current adoption statute allows unmarried people, regardless of sexual orientation or gender identity, to petition to adopt, only a “husband and wife” may jointly adopt children. It does not provide for joint adoption by people in other domestic partnerships. In fact, if other factors are equal, current law gives explicit placement preference to “a married man and woman.” Moreover, additional legislation has been introduced at least twice — once in 2006 and once in 2010 — to attempt to require adoption agencies to give “primary consideration” to married couples seeking to adopt.

Speaking of Marriage — Queer folk can’t do that here. If they do get married in a place where the local legislation allows it, the state of Arizona won’t recognize the marriage.

Birth Certificates — The statute does allow for an amended birth certificate if the person applying for such has had “a sex change operation” (sex reassignment surgery) and a note from their doctor saying as much. Certainly this is preferable to not having the option. However, it ignores some of the realities of sex reassignment surgery — that it can actually be a number of surgeries, that it comes with risks (e.g., general anesthetic) that can make it unworkable for some people, that it’s expensive and generally not covered by insurance, that providers are few and far between. Continue reading →

International Day Against Homophobia & Transphobia

Thu, 16 May 2013 15:59:09 -0700

International Day Against Homophobia & Transphobia:

IDAHO.

That’s tomorrow — May 17.

The International Day Against Homophobia and Transphobia.

Homophobia and transphobia — or rather, anti-gay and anti-trans thoughts, words, and actions — are deeply rooted in many cultures, including inside the United States. In reality, they need far more than one day of discussion and recognition. One day is not enough.

When I started thinking about this post, I thought of all the ways such sentiments show up in everyday life. It’s so much that I couldn’t possibly write everything. Then I thought some more — this was when Arizona SB1432, the “show your papers to pee” bill, was topping my newsfeeds — and it occurred to me how very much of this discrimination has been coded into law, is being encoded into law even now.

Even then, I had to narrow my search parameters — to the United States, to the relatively recent past. Otherwise, it’s just too much.

And even then, a lot of the bias remains in what’s not covered — people and situations for which the law does not provide. For groups of people who are still discriminated against, harassed, threatened, assaulted, killed by individual citizens or private organizations — this lack of necessary legislation still causes active harm.

This first set examines a number of laws — some national, some state — and Supreme Court rulings from the recent past.

1960 — Is as good a place to start as any. This is because in 1960, every state in the United States maintained laws against sodomy. Illinois was the first state to repeal its statute in 1961; Arizona followed suit 40 years later.

1967 — In Boutilier v. Immigration and Naturalization Service, the United States Supreme Court held that gay folk were included under those “afflicted with psychopathic personality.” They could thus be refused admission — or deported — simply for being gay. This remained in effect until immigration law was reformed in 1990. Continue reading →

The History of the Birth Control Pill, Part 5: Clinical Trials

Tue, 14 May 2013 18:01:00 -0700

The History of the Birth Control Pill, Part 5: Clinical Trials:

Welcome to the fifth installment of our series chronicling the history of the birth control pill. In the previous installment, Margaret Sanger and Katharine McCormick envisioned and bankrolled the development of the birth control pill. Now it had to be tested in large-scale trials.

John Rock, Gregory Pincus, and Min-Chueh Chang had collaborated in the Pill’s development; now it was time to conduct clinical trials. The first study observed 60 women, some of whom were infertility patients while others were nurses. These small trials involved daily temperature readings, vaginal smears, and urine samples, as well as monthly endometrial biopsies. Although the initial results seemed promising, the sample size was small and few of the subjects complied with the protocol.

More test subjects were needed. At this point, historians’ accounts differ. Elaine Tyler May claims that, unable to locate an acceptable pool of volunteers, the researchers tested the Pill on subjects who could not give their consent, such as psychiatric patients. According to Bernard Asbell, however, Rock was scrupulous when it came to informed consent, despite it not being a legal requirement — or even much of a concept at all at this time in history.

Willing participants notwithstanding, conducting such trials in the United States posed a challenge, due to laws against contraception. So the first large-scale clinical trials were conducted in Puerto Rico in 1956. Puerto Rico was densely populated and there was a high demand for alternatives to permanent sterilization, which was widespread on the island due to funding from a wealthy eugenicist named Clarence Gamble, who advocated sterilization for the world’s poor. The clinical trials in Puerto Rico were conducted by Drs. Edris Rice-Wray and Adaline Sattherthwaite; the brand of birth control pill tested was named Enovid. Volunteers were so easy to come by that some clinics had waiting lists. Continue reading →

Motherhood: A Prenatal Guide

Sun, 12 May 2013 07:01:04 -0700

Motherhood: A Prenatal Guide:

Becoming a mother is a wondrous event. It is also a lifelong commitment to another special human being, your child. To provide your new baby with the best start in life, taking care of yourself in your childbearing years is essential. When you think that half of all pregnancies in the United States each year are unintended, it’s very important to follow a healthy lifestyle every day to ensure a good pregnancy and a good start for your baby.

The United States does not fare as well as many other industrialized countries when it comes to the health of its newborns. Preterm births and low birth-weight babies are often the result of unhealthy pregnancies and a lack of prenatal care. New information and research has given us lots of good information about what is important to do before and during your pregnancy to increase your chances of having a healthy baby. Having a plan about when you want to start a family and what you intend to do to get yourself in the best health possible is a good start. This is called preconception health care, and it can make a big difference in the well-being of you and your baby.

At Planned Parenthood Arizona, you can see us for preconception health checkups. In addition to pregnancy planning services and fertility awareness education, we provide other services that can help you be in the best health possible before you conceive. We offer physical exams as part of our general health care services. You also might be interested in STD screening, to ensure that you receive treatment before you become pregnant. Additionally, we offer smoking cessation, to help you quit smoking for a tobacco-free pregnancy.

Here are some guidelines for ensuring your preconception health:

Plan when you want to have a family and space your pregnancies. Be sure you are ready for the responsibility and expense of a child. If it’s not your first child, wait 18 to 24 months before having an additional child to allow your body to recover and prepare for another pregnancy. Continue reading →

Teen medical ban could threaten gay youth, say advocates

Fri, 10 May 2013 13:59:24 -0700

Teen medical ban could threaten gay youth, say advocates:

invisiblelad:

foryoursexualinformation:

RALEIGH, N.C. — A bill restricting teenagers’ access to medical and mental health care will be voted on in the North Carolina House of Representatives on Wednesday.

OH MY. THEY ARE NOT LYING. Here is the bill! It is literally requiring all medical services, especially in the sexual health AND mental health sides, to be first approved by parents!

This bill is loaded with lots of unfortunate implications for sexually active teenagers of all stripes. One of many problematic aspects for LGBTQ youth especially is here:

“My biggest fear is for youth who have estranged relationships with their parents,” said James Miller, executive director of the LGBT Center of Raleigh. “I’m concerned with the youth who come to us and who say, ‘I cannot talk to my parents, I cannot talk to a trusted adult, I don’t have a trusted adult in my life.’ This bill really does put a hinderance on youth who need to access mental health or sexual health services.”

Rodney Tucker, executive director of theCharlotte-based Time Out Youth, said his organization’s services will definitely be affected. One of his staff currently has a provisional license for professional counseling and will be required to follow the proposed legislation’s restrictions once the organization is able to offer therapeutic services this fall. At that time, he said, youth under the age of 18 will need parental consent for Time Out Youth’s counseling.

“We have big concerns on delaying of treatment, increase risk of spreading disease, how this could impact depression/suicide,” Tucker said in a statement via email. “Our youth have very few safe places, this law would change the patient client relationship with their medical provider.”

I swear, these people don’t care if kids live or die if they are “sinners.” Makes me sick to my stomach.

Let’s Talk Contraception: Do Birth Control Pills Cause Blood Clots?

Mon, 06 May 2013 07:01:02 -0700

Let’s Talk Contraception: Do Birth Control Pills Cause Blood Clots?:

Alarming ads urge you to call a lawyer if you’ve been “injured” taking certain birth control products, such as Yaz, Yasmin, or NuvaRing. These injuries include venous thromboembolisms (VTEs), heart attacks, and strokes. It’s frightening to wonder if you are endangering your health by taking a pill to prevent pregnancy or treat dysmenorrhea (painful cramps).

Should you stop taking your pills? What is a VTE and why should you worry? VTE is a blood clot that usually starts in your leg, but may break loose and travel to your heart or brain and cause a heart attack or stroke. It can be life-threatening, so it is a serious side effect to be concerned about. All birth control pills may increase your risk for a VTE, but it has always been considered so small that most women can safely take the pill. About 3 to 9 women in 10,000 who use birth control pills for more than one year may have a VTE compared to 1 in 5 women out of 10,000 who are not pregnant and not on the pill.

When oral birth control pills were first developed, they contained much higher doses of estrogens and progestins — types of hormones — especially estrogen. It was also noticed that there was a higher risk for developing a blood clot while using birth control pills than in nonpregnant women who didn’t take the pill. It was thought that the high dose of estrogen was responsible for this risk. So, with continuing research and development, eventually the dose of estrogen was decreased to the lower level used today to minimize the chance of a clot. The type of estrogen in pills today is almost exclusively ethinyl estradiol. Continue reading →

STD Awareness: "Can STDs Lead to Infertility?"

Wed, 24 Apr 2013 08:01:11 -0700

STD Awareness: "Can STDs Lead to Infertility?":

Being diagnosed with a sexually transmitted disease (STD) can be upsetting. Some take it as evidence that they’ve been cheated on; others wonder if they can ever have sex again. Some people who have long dreamed of having children might worry about what impact, if any, their STD could have on future fertility. The bad news is that certain STDs can make it difficult or impossible to have children. But the good news is that STDs are avoidable — and regular STD screening can ensure that infections are caught and treated before they have time to do damage.

Fertility can be impacted in several ways. The ability to become pregnant and bear children can be affected by a condition called pelvic inflammatory disease, which is usually caused by untreated gonorrhea or chlamydia infections. If you have a cervix, an infection with a high-risk strain of HPV can require invasive treatment, which in some cases might affect the ability to carry a pregnancy. If you have a penis, an untreated STD might lead to epididymitis, which in extreme cases can cause infertility.

Pelvic Inflammatory Disease (PID)

Many sexually transmitted infections are localized; for example, the bacteria that cause gonorrhea usually just hang out on the cervix. But untreated infections can spread on their own, and bacteria can also hitch a ride on sperm or the upward flow of a douche, which can take them into the cervix, through the uterus, down the fallopian tubes, and to the ovaries. At any of these locations, microbes can stake claim on your reproductive real estate, establishing colonies deep in your reproductive system. As these colonies grow, the bacterial infections become more widespread, and can cause scarring and other tissue damage. To keep these interlopers from getting through the front door, sexually active people can use barrier methods, such as latex condoms — especially with spermicides. There’s no need to host an open house for sexually transmitted bacteria in your uterus. Continue reading →

AIDS Denialism: Conspiracy Theories Can Kill

Mon, 22 Apr 2013 08:01:09 -0700

AIDS Denialism: Conspiracy Theories Can Kill:

We’ve all heard various conspiracy theories; we may or may not find them credible, and we might chalk up opposing viewpoints to simple differences in opinion. Sometimes, however, conspiratorial narratives are woven around matters of life and death — and in such cases, the spread of such ideas can influence dangerous changes in behavior and even government policy.

AIDS denialism is based on the idea that human immunodeficiency virus (HIV) does not cause AIDS. Although the existence of HIV and its causal connection to AIDS has been thoroughly demonstrated by scientists, denialists either reject the existence of HIV altogether, or cast it as a harmless virus that doesn’t cause illness. Denialism often relies upon rhetorical strategies that are superficially convincing but intellectually hollow, including the cherry-picking of evidence, appeals to unreliable “experts,” and untestable claims. Denialists also might cite early AIDS research from the mid-1980s while ignoring more up-to-date findings and improved medical procedures. Such rhetoric creates a sense of legitimate debate in an area where there is none, and the only new evidence welcomed into the discourse is that which confirms preconceived notions.

If AIDS isn’t caused by HIV, what do denialists claim is behind the unique symptoms that characterize it? Some say that conditions such as malnutrition, or diseases that have been around for a long time, are simply being labeled as AIDS. Other denialists cast antiretroviral drugs as the cause, rather than the preventive treatment, of AIDS. Some claim that AIDS is caused by behavior, such as drug use or promiscuity — with some even saying that an accumulation of semen in the anus can cause AIDS. None of the claims is true — while AIDS can leave someone vulnerable to a wide variety of diseases, and while sharing IV equipment and engaging in unprotected sex can increase risk, there is only one cause: HIV. Continue reading →

Can Herpes Be Cured Naturally?

Mon, 15 Apr 2013 12:18:00 -0700

Can Herpes Be Cured Naturally?:

Many of us are infected with herpes simplex virus, which can be transmitted sexually to cause genital herpes. Although herpes is incurable, there are antivirals that can help reduce symptoms. But, because not everyone wants to take pharmaceuticals, a lot of us might seek alternatives in an attempt to treat or even cure our herpes infections.

For centuries, we have treated herpes in many ways — though not necessarily successfully! In the early 1800s, a British treatment involved placing lint between the tip of the penis and the foreskin. It was claimed that this would cause herpes lesions to heal within 14 days — not coincidentally, this is about how long it takes for them to heal on their own, untreated. Later that century, a London surgeon promoted an arsenic-based solution as a cure for recurrent herpes outbreaks. He presented the cases of a couple of patients. One had been suffering from outbreaks for six years, and after a course of this treatment he allegedly never experienced them again. Another patient had been experiencing recurring outbreaks for four years, and after taking this treatment for a year, his outbreaks “became less and finally cleared altogether.”

We now know that, even without treatment, herpes outbreaks generally become less severe over time, and often stop flaring up completely. When outbreaks do occur, they clear on their own, without treatment. This phenomenon is called “regression to the mean,” and many promoters of bogus remedies rely on it for the appearance that their products work. Because we often think that two things that happen at the same time are related, and that one causes the other, we might attribute the clearing of our herpes lesions to whatever “treatment” we were taking, regardless of whether or not it actually benefited us.

The only way we can know if treatments actually work is to compare them with standard medications or placebos (such as identical-looking sugar pills) in well-designed clinical trials. In such studies, patients are assigned to either medication or placebo at random, which is called “randomization” and is like flipping a coin. And, to protect against introducing bias into the study’s outcomes, trials should be “double-blinded,” meaning that neither researchers nor patients know whether the placebo or the medication under study is being administered. The “miracle cures” you hear about usually haven’t been subjected to such scientific rigor — if they have, the results usually aren’t promising. Continue reading →

STD Awareness: An Update on Antibiotic-Resistant Gonorrhea

Fri, 12 Apr 2013 13:43:24 -0700

STD Awareness: An Update on Antibiotic-Resistant Gonorrhea

The History of the Birth Control Pill: Margaret Sanger’s “Magic Pill”

Fri, 12 Apr 2013 06:01:12 -0700

The History of the Birth Control Pill: Margaret Sanger’s “Magic Pill”:

Welcome to the fourth installment of our series chronicling the history of the birth control pill. In the previous installment, progesterone, the birth control pill’s active ingredient, could only be administered intravenously. Scientists working in Mexico figured out how to alter its chemical structure so that progesterone would be active when taken orally.

Katharine McCormick was born into a moneyed family and was, in 1904, the second female graduated by the Massachusetts Institute of Technology. After receiving her degree in biology, she married a wealthy man, but shortly into the marriage she gained control of her husband’s estate due to his illness. She put a lot of this money to good use: In the 1920s, she aided Margaret Sanger’s efforts to smuggle diaphragms into the country.

Her involvement with Sanger didn’t end there; indeed, both Sanger and McCormick had a lot in common, despite Sanger’s working-class childhood and McCormick’s privileged upbringing. According to historian Elaine Tyler May, McCormick and Sanger both had “a tremendous faith in the possibility of science,” and Sanger “believed that science held the key to contraception and to women’s emancipation.” Back in the ’20s, Sanger wrote:

Science must make woman the owner, the mistress of herself. Science, the only possible savior of mankind, must put it in the power of woman to decide for herself whether she will or will not become a mother.

In 1950, McCormick again joined forces with Sanger. In the mid-’40s, after a countrywide tour of family-planning clinics, Sanger had come to the conclusion that the diaphragm was not an adequate form of birth control, revitalizing her hope for a “magic pill.” Neither pharmaceutical companies nor the government wanted to invest in contraceptive research, considering it a “disreputable” area of study, so Sanger hatched a scheme to bankroll the independent development of an oral contraceptive. At Sanger’s behest, McCormick provided the lion’s share of funding for the project — more than $2 million (compared to the value of a dollar in the year 2000, that would be about the equivalent of $12 million). Sanger and McCormick tapped Gregory Pincus to conduct the research. McCormick, thanks to her education in biology, oversaw the research in addition to funding it. Continue reading →

Does Waxing Get Rid of Crabs?

Tue, 09 Apr 2013 06:01:15 -0700

Does Waxing Get Rid of Crabs?:

Ever since I started writing this blog’s monthly STD Awareness column, I’ve kept my eye out for news related to sexually transmitted diseases. And, while some might find my enthusiasm for STD-related items to be slightly odd, I have been intrigued by what has been splashed across headlines so far this year.

First, in January, the claim surfaced that pubic lice (colloquially known as crabs) are being driven to extinction as their natural habitat is felled by razors and waxes. Then, just last month, a little-known STD called molluscum contagiosum got its 15 minutes when it was associated with the increased popularity of hairless pubic regions.

These headlines might raise some questions: Does waxing or shaving my pubic area decrease my risk of crabs, but increase my risk of molluscum contagiosum? Should I shave or not? The answers to these questions aren’t quite as simple as the headlines make them out to be. Let’s take them one by one.

Does Waxing Prevent Pubic Lice Infestations?

The claim: As reported in the media, pubic lice are disappearing, and the Brazilian wax is the culprit. Articles cite statistics that pubic-hair removal is more popular among young people, and then jump to the conclusion that this trendy hairlessness is spurring a decrease in pubic-lice prevalence.

What the science says: The problem with this claim is that it isn’t backed by solid scientific data — it’s supported by anecdotes from doctors who have noticed a decline in pubic lice among their patients. As the saying goes, though, the plural of anecdote is not data: Without well-designed population studies spanning many years, we can’t actually know if there are fewer pubic lice today than there were before our groins were subjected en masse to depilation techniques. Furthermore, as that other saying goes, correlation does not equal causation: Even if there were a correlation between the Brazilian’s popularity and a decline in public lice, we would need more specialized data to determine if pubic-hair removal actually caused the lowly louse’s depopulation. Continue reading →

When It Happens to a Friend

Mon, 08 Apr 2013 06:00:53 -0700

When It Happens to a Friend:

You probably know someone who’s been a victim of sexual assault.

It’s an unsettling thought, yes, but the statistics bear it out. Somewhere between 17 and 28 percent of women* have been victims of rape, attempted rape, or sexual assault. According to those same sources, the numbers range from 3 to 17 percent for men.* They increase further for members of particular populations or communities, including Native American and Alaskan women; gay, lesbian, and queer folk; people with disabilities; and trans* people.

Nearly every victim, every survivor, has a first person they tell — someone they confide in to help make sense of what happened, to help begin the healing process. Unfortunately, I know too well that sometimes the first person told only compounds the hurt. So I’m writing this based on what I wish people had done for me.

How should you respond if a sexual assault survivor reaches out to you?

Believe the survivor. We live in a culture that regularly disbelieves, minimizes, and judges victims of sexual assault. Additionally, there’s a strong chance that the victim knew the attacker before the assault — and a reasonable chance that both are members of a mutual social circle or community. In this light, it can be incredibly stressful for a survivor to speak up about an assault. Simply telling that person, “I believe you,” can offer immense support and relief.

Don’t second guess the decisions a survivor made before the assault or the reactions your friend experienced during or afterward. Continue reading →

Can Oral Herpes Be Spread to Genitals?

Mon, 01 Apr 2013 14:56:17 -0700

Can Oral Herpes Be Spread to Genitals?:

Herpes simplex virus is mystifying, fascinating, and sneaky. Mystifying because we have yet to unravel all of its secrets; fascinating because when we do uncover one of its mysteries, we are amazed by the capabilities of such a tiny, microscopic object; and sneaky because it enters our bodies by stealth and conceals itself in our cells, taking us by surprise when it comes out of hiding and causes outbreaks of blisters and other lesions.

It can also be confusing. Herpes simplex virus actually comes in two flavors: HSV-1 and HSV-2. HSV-1 is associated more with oral herpes, which can cause “cold sores,” a type of blister that appears on the lips or face. HSV-2 is associated more with genital herpes, which can cause blisters and other lesions in the genital area. It used to be standard to describe HSV-1 as an “above-the-waist” infection and HSV-2 as a “below-the-belt” infection — but now many researchers are pointing out that it’s more appropriate to say that HSV-1 is both an orally and genitally transmitted infection while HSV-2 is a predominantly genitally transmitted infection. If HSV-1 enters the body in the genital area, it can cause a genital herpes infection — and likewise, if HSV-2 enters the body in the facial area, it can cause an oral herpes infection.

What exactly is a cold sore, anyway? A cold sore, also known as a fever blister, is a cluster of blisters that can pop up around the lips or even in the mouth. Sometimes, cold sores are so painful that eating or drinking is difficult, and in extreme cases sufferers must be treated for dehydration. An especially severe infection could also cause high fever or swollen lymph nodes, and in young adults a first oral HSV-1 infection might be misdiagnosed as tonsillitis, possibly leading to unnecessary tonsillectomies. Most symptomatic first-time cold-sore outbreaks occur during childhood, and take about two or three weeks to clear up. Luckily, the first infection is almost always the most severe, and when the infection is reactivated it usually happens without symptoms.

Because both cold sores and genital herpes are caused by herpes simplex viruses, and because oral herpes is so common, many people are concerned that they might be more vulnerable to acquiring a genital herpes infection than they previously thought. They might have a lot of questions, and if they’ve sought answers to those questions, they might have heard a lot of conflicting answers. Let’s see what the scientific literature has to say.

Can I get genital herpes if someone with cold sores performs oral sex on me?

Because HSV-1, the virus responsible for most oral herpes infections, can also cause genital herpes, many people wonder if someone with cold sores can transmit the virus to someone else by performing oral sex, resulting in a genital herpes infection. Other people wonder if HSV-1 can be transmitted via oral contact with the anus, resulting in a herpes infection in the rectal area. The answer to these questions is: Yes! Continue reading →

Mary Peace Douglas: “A Tender Heart and a Real Fighter”

Sun, 31 Mar 2013 11:44:17 -0700

Mary Peace Douglas: “A Tender Heart and a Real Fighter”:

The struggle for reproductive rights in Arizona has a history that stretches back to Margaret Sanger’s involvement with Clinica Para Las Madres, Planned Parenthood’s 1930s precursor in Tucson. Sanger and the other founders of Tucson’s first family planning clinic were brave activists with fierce convictions, and over the decades, the movement saw an influx of fighters whose work was defined by their passion and dedication.

Mary Peace Douglas, who became an active participant in Southern Arizona’s civil life when she moved to the Sonoita Valley more than 65 years ago, was one of those fighters. In the years that she worked for Planned Parenthood’s Tucson affiliate, Mary Peace Douglas made a name for herself as an advocate for reproductive freedom who had a remarkable resolve and spirit that breathed life into the movement.

Originally from the East Coast, Mary Peace was born to a mother who had also been active with Planned Parenthood during the organization’s early years — meaning that she was involved with Planned Parenthood “from age zero,” as her colleague and cousin Dorothy Sturges puts it. After receiving a high school and junior college education in Rhode Island and Massachusetts, Mary Peace moved out west to Southern Arizona, where she made her mark on the struggle for family planning in the region.

Earlier this year, on February 1, Mary Peace passed away at the age of 87. During her life she was a pioneering fighter for reproductive rights and helped build Planned Parenthood Arizona into what it is today. Beginning in the late 1960s, she served a long tenure on Planned Parenthood Center of Tucson’s board of directors, and later was hired to work in development, where she quickly proved she could be an effective fundraiser. Additionally, she spent time serving on the national board of Planned Parenthood Federation of America. Continue reading →

Endometriosis Treatment

Mon, 25 Mar 2013 13:50:52 -0700

Endometriosis Treatment:

It’s still March, so it’s still Endometriosis Awareness Month! Today we’ll be looking at endometriosis treatment questions and answers. If you missed the first two posts in this series, you can click to read more about an overview of endometriosis as well as info about diagnosing endometriosis.

Why are there so many treatment options? Which one is best?

There are so many options because there is no “magic bullet” option — that is, no single treatment that works best for everyone. The two main categories of treatment include medication and surgery, but each option has its own benefits and drawbacks. When deciding on the best option for a given individual, some helpful questions to consider might be:

Do I have any current health concerns that would render some treatments unsafe? What types of health risks are acceptable to me?
Am I currently trying to conceive, or will I be in the next six to 12 months? Will I ever want to be pregnant in the future?
Aside from significant health risks, what types of factors — side effects, treatment frequency or duration, cost — would make a treatment difficult for me? How long do I need this treatment to last before I can reevaluate?

For specific questions, your best bet is to check with your health care provider. Continue reading →

Unmarried? Use Birth Control? It's the 41st anniversary of your right to do that.

Fri, 22 Mar 2013 15:20:20 -0700

Unmarried? Use Birth Control? It's the 41st anniversary of your right to do that.:

Recent controversy over the Affordable Care Act’s contraception mandate has served as a reminder of how shaky our rights to contraception can be. Although 99 percent of women have used contraception at some point in their lives, access to contraception is still subject to challenges. Section 2713 of the Affordable Care Act mandated that employers’ health plans include coverage for contraceptives without co-pays or deductibles. Critics attacked the law as unfair to religious institutions that oppose the use of contraceptives. Responding to pressure, the Obama White House offered a compromise that shifted the responsibility for coverage from any religious institution opposed to the mandate to the employees’ health insurance.

Our rights to contraception are not only shaky at times, but also not long established. When people think of celebrities like Marlon Wayans, Cameron Diaz, or Maya Rudolph, old age is probably not what comes to mind. However, what they have in common is that they were each born in 1972, the year the U.S. Supreme Court decided the case Eisenstadt v. Baird (405 U.S. 438), a landmark decision that guaranteed unmarried couples the same access to birth control as married couples. March 22 marks the anniversary of this court victory for reproductive rights activist Bill Baird, and for the reproductive freedoms he defended in the U.S. Supreme Court. Continue reading →

STD Awareness: Oral Herpes

Wed, 20 Mar 2013 13:48:02 -0700

STD Awareness: Oral Herpes:

One of the most common sexually transmitted diseases is herpes, which most people associate with “outbreaks” in the genitals. In actuality, most cases have no symptoms, and the majority of people with genital herpes don’t know they have it. Herpes simplex virus, which causes genital herpes, can also infect facial nerves around the mouth, and its “outbreaks” include blisters called cold sores.

A cold sore outbreak involves an “eruption” of blisters around the mouth, which slowly heal as the virus returns to dormancy. Most cold sores are caused by herpes simplex virus type 1, or HSV-1. Around 60 percent of Americans are infected with HSV-1, and most of these infections are oral, asymptomatic, and acquired in childhood through nonsexual contact. Despite how common this infection is, only 20 to 40 percent of us actually get cold sores — and an even smaller percentage experience cold sores more than once a year. The rest of us don’t get cold sores at all, even if we are infected with HSV-1. That’s one quirk about HSV — an infection is permanent and incurable, but most people never have symptoms!

Making matters more confusing, there’s a related virus called HSV-2, which most people associate with genital herpes. However, HSV-1 can also cause genital herpes, and anyone with an HSV-1 infection in the facial area has the potential to transmit the virus to a partner’s genitals while performing oral sex — whether or not cold sores are present. However, when HSV-1 strikes the genitals, the infection is usually milder, with fewer (if any) recurring outbreaks. Additionally, a previous HSV-1 infection in the facial area might make you more resistant to acquiring an HSV-1 infection in the genital area — but it doesn’t confer total immunity. Continue reading →

Diagnosing Endometriosis

Tue, 19 Mar 2013 06:00:58 -0700

Diagnosing Endometriosis:

If you missed it, you can read the previous post explaining the basics of endometriosis here. In this post, we’ll look a little more at how endometriosis is diagnosed as well as some current barriers to diagnosis.

Wait. So you’re telling me that killer cramps of doom aren’t normal? If I did suspect I had endo, how would I go about getting diagnosed?

Endometriosis diagnosis is a tricky thing in that there’s no in-office procedure that can definitively determine whether someone has the condition or not. However, because the “gold standard” test is laparoscopy with biopsy — a surgical procedure — many health care providers prefer to do some in-office tests before recommending laparoscopy. The most common such procedures are pelvic exams and ultrasounds, which may allow a provider to see or feel if the endometrial lesions have formed cysts (known as “endometriomas”), but won’t pick up on smaller lesions.

Another complicating factor is that endometriosis isn’t the only cause of either dysmenorrhea or chronic pelvic pain. Other causes can include uterine fibroids, pelvic floor dysfunction, pelvic inflammatory disease, irritable bowel syndrome, and interstitial cystitis.

Even with laparoscopy, diagnosis isn’t necessarily straightforward. Not only is it a surgical procedure, which carries with it extra expense and risk, but even then, presence of the disease is often missed or underestimated. Seeking out a doctor who specializes in endometriosis can minimize this, but of course, due to geographic, cost, or other access issues, this isn’t always possible. Continue reading →

The History of the Birth Control Pill, Part 3: From Injection to Ingestion

Mon, 18 Mar 2013 06:00:57 -0700

The History of the Birth Control Pill, Part 3: From Injection to Ingestion:

Welcome to the third installment of our series chronicling the history of the birth control pill. In the previous installment, we learned about the iconoclastic chemist Russell Marker, who figured out how to synthesize large quantities of progesterone — the birth control pill’s active ingredient — from a yam called barbasco that grew wild in Mexico.

In 1949, Russell Marker dropped out of science — “I considered all chemists to be crooks,” he bitterly opined — and a scientist named Carl Djerassi was hired to head the lab at Syntex, the hormone-synthesizing laboratory in Mexico that Marker had co-founded in 1944. Within a few years, Syntex was a major player on the synthetic-hormone scene in Europe and the Americas.

Although progesterone could be manufactured in large quantities at this time, it could only be given intravenously. Progesterone was being used therapeutically to prevent miscarriage and treat excessively heavy menstrual periods. The lack of alternatives to injections represented a problem for these people — a daily pill would be easier and more convenient than frequent injections. In 1950, Syntex set their sights on the development of a synthetic form of progesterone that was more effective in smaller doses and could be administered orally rather than by intravenous injections. Such a development would be necessary before Margaret Sanger’s dream of a “magic pill” could come true. Continue reading →