Author Archives: Firdaus

Deodorant and Breast Cancer: Does a Link Exist?


Posted on January 16, 2013 by

body odorMany of us have heard about the supposed link between aluminum deodorants and antiperspirants and breast cancer. While studies have continued to show mixed results in their findings, one should consider what has been documented. The National Cancer Institute published an article outlining its stance on the matter:

 

Aluminum-based compounds are used as the active ingredient in antiperspirants. These compounds form a temporary plug within the sweat duct that stops the flow of sweat to the skin’s surface. Some research suggests that aluminum-based compounds, which are applied frequently and left on the skin near the breast, may be absorbed by the skin and cause estrogen-like (hormonal) effects (3). Because estrogen has the ability to promote the growth of breast cancer cells, some scientists have suggested that the aluminum-based compounds in antiperspirants may contribute to the development of breast cancer (3).

Some research has focused on parabens, which are preservatives used in some deodorants and antiperspirants that have been shown to mimic the activity of estrogen in the body’s cells (4). Although parabens are used in many cosmetic, food, and pharmaceutical products, according to the FDA, most major brands of deodorants and antiperspirants in the United States do not currently contain parabens. Consumers can look at the ingredient label to determine if a deodorant or antiperspirant contains parabens. Parabens are usually easy to identify by name, such as methylparaben, propylparaben, butylparaben, or benzylparaben. The National Library of Medicine’s Household Products Database also has information about the ingredients used in most major brands of deodorants and antiperspirants.

The belief that parabens build up in breast tissue was supported by a 2004 study, which found parabens in 18 of 20 samples of tissue from human breast tumors (5). However, this study did not prove that parabens cause breast tumors (4). The authors of this study did not analyze healthy breast tissue or tissues from other areas of the body and did not demonstrate that parabens are found only in cancerous breast tissue (5). Furthermore, this research did not identify the source of the parabens and cannot establish that the buildup of parabens is due to the use of deodorants or antiperspirants.

More research is needed to specifically examine whether the use of deodorants or antiperspirants can cause the buildup of parabens and aluminum-based compounds in breast tissue. Additional research is also necessary to determine whether these chemicals can either alter the DNA in some cells or cause other breast cell changes that may lead to the development of breast cancer…*

*see original article for citations

While it is clear that further research needs to be conducted on the matter, many people would prefer to avoid deodorants with said chemicals. So, in a society that discriminates against people based on their looks and hygiene, how do we avoid smelling bad without the traditional deodorizers? Well, natural remedies exist:

Tom’s of Maine

Aubrey Organics

Miessence Certified Organic’s

And for the ultra-organic, simply try using a lime under your pits!

And of course, one can choose to abstain from masking their natural scent all together. I propose a hefty dose of kudos to those who go au natural, for despite the stigma of body odor, it is completely healthy and a natural expression of the human body.

We’re all concerned with eradicating breast cancer, and our continued dedication to scientific medical research and prevention education will surely take us there.

2013: Debunking the Beauty Myth


Posted on January 10, 2013 by

As the new year begins, many people head to the gym with goals of shedding pounds and being the beautiful, thin person they’ve always imagined. Many think, this year, this year I will lose the weight and I will be beautiful!. Many find themselves over-exercising, starving/restricting their food intake, or taking diet pills like Phentermine (known to cause heart problems and addiction) while staring into photoshopped images in fashion magazines. While the pressures and demands on us to be uber thin and thus “beautiful” do have real, harmful effects on us in our realities; many of us try to increase our self-esteem by getting caught in perpetual loops of self-defeat and failure, which actually can make us feel worse about ourselves. Have you ever lost ten pounds and then re-gained it shortly after? How did you feel about yourself when you lost it? How did you feel about yourself when you gained it back? For many of us, we can feel worse about ourselves after the yoyo weight loss than before we lost any weight at all.

I am a strong advocate of health and wellness. This does not translate to thinness or manufactured beauty. In this new year, I challenge you to look within and contemplate your motivations for weight loss. Are you comparing yourself to people thinner or “more beautiful” than yourself? When did you start feeling inferior about the way you look? When do you feel best about the way you look? When do you feel worst?

For many, dieting and low self-esteem begin in early childhood. Dove produced a campaign for “real beauty” (though I might argue they too perpetuate the beauty myth to an extent by advertising gendered beauty products, but that is for a later post) that explored self-esteem, weight, and the beauty myth. Below I am attaching a video they created that interviews several young women about their self-esteem and the pressures to be attractive. I find the video to be heartbreaking. I can relate with their insecurities, and the cruelty endured by peers for not being “attractive enough.”

In 2013, I encourage you to turn off your televisions. Install ad-blocking software on your internet browser. Emotionally detach yourself from pop culture. Stop looking at beauty and gossip magazines. Stop consuming advertisements that tell your subconscious that you are not enough.

In 2013, let your goal be to fall in love with yourself. As is, right here, right now.

Be bold. Be healthy. Be yourself. You are beautiful. You are enough.

 

Have a Safe and Sexy New Year’s Eve!


Posted on December 31, 2012 by

2013We hope you have an amazing last-day-of-2012. Today, we’re going to re-run Firdaus’ New Year’s Eve post from last year, because it’s so important. Remember – don’t drink and drive and practice safe sex.

It’s that time of year again: endless cookie trays, wrapping paper rolls, and holiday cheer (or stress!). So, whether you’re spiking the eggnog under mistletoe or popping champagne to your own fireworks, here are some tips for staying safe and sexy.

Boozing 101: Alcohol reduces inhibitions, and can lead people to do things they wouldn’t while sober (this is probably why we drink it). Along with safer sex practices, we want you to arrive home safely. Every thirty minutes someone is killed by drunk driving. Holidays are no exception.

Date Rape 101: Not to yellow your snow but every 2 minutes, someone in the United States is sexually assaulted. About 2/3 of assaults are committed by someone the victim knows, and 38% of rapists are a friend or acquaintance. Oh, and 80% of victims are under 30 years old.

Ways to protect yourself? Stay vigilant! Know your boundaries, and be clear about them. If an assault takes place, CALL THE POLICE!

Spiked Drinks 101: Drugs like Rohypnol (“roofies”) or Gamma-Hydroxybutyerate (“GHB”) are clear, tasteless, odorless chemicals that are sometimes slipped into drinks to help an attacker subdue their victim before an assault. Within 5-10 minutes of ingesting wither of these drugs, a person’s inhibitions will become impaired, often leading them to “black out,” or have short-term amnesia. This gives an attacker the opportunity to assault their victim with less chance that the victim will remember the encounter or be able to report it. These drugs leave the blood system within 72 hours, and are often hard to detect in toxicology reports. So, how do you keep yourself safe?

  • Watch your drinks ALL NIGHT LONG.
  • Never accept a drink from a stranger.
  • Never leave your drink with friends or strangers.
  • Avoid the community spiked punch bowl – you never know what’s inside.
  • Have a “buddy system” if you go out. Let friends or partners know where you are, who you’re with, and how you’re getting home.

Safe Sex 101: Getting hot and heavy tonight? Pack ahead! Remember to bring your contraceptive method with you if you’re away from home this season. Packing ahead can prevent some awkward interactions, like getting hot and heavy…then realizing you don’t have protection.

So pack ahead and remember that if an accident happens, you can buy emergency contraception in all 50 states without a prescription (if you’re over 16) – you just have to ask a pharmacist or come to a Planned Parenthood.

Live well, love well, and drink responsibly this holiday season.

The Other Walk of Shame: From the Pregnancy Test Aisle to the Check-Out Counter


Posted on December 12, 2012 by

Recently a patient told me that she had waited a couple of extra weeks to confirm she was pregnant because she was too embarrassed to purchase a pregnancy test from a store where the clerk might size her up. I felt compassion for her, since I’ve had my share of run-ins with mean mugging at the register.

If you’ve had an unintended pregnancy scare, you likely can relate to the hyper-vigilant nature of securing the test, the adrenaline of peeing on the stick, and your booming heartbeat in your head as the timer ticks down so casually… one line or two… one line or two…

So last week I was with a friend who was in said position. She was late on her period, had been feeling very moody, and feared the big plus sign. It was early on a Sunday morning, and Planned Parenthood was closed, so we decided to head to our local pharmacy. After weaving through the brightly lit aisles, we finally came to the wall of pregnancy tests. Deciding which one to choose was daunting task enough, (check out E.G. Hanna’s post on how to choose a pregnancy test for help with that!) but since she had me with her, I tried to muster up enough medical sense to choose an appropriate set of sticks. I was shocked at the sticker price of many of these… $30? Again, Planned Parenthood for the win, at $10 testing!!

So after selecting the test, she asked me if I would take it to the counter and purchase it since she was overwhelmed by nerves and didn’t think she could make it through the encounter. Of course, sisterhood is forever!

She walked to the car and I walked up to the register. A man who appeared to be in his early 20’s stood there as I approached, and as I placed the cardboard box of anxiety on the counter, he literally said “ooooooooh, damn!” and chuckled. A wave of rage coursed through my veins; I was shocked! The complete lack of empathy and awareness that this dude was exhibiting made me sick. I felt ashamed for my purchase, like I needed to justify my situation to this stranger; it was not the weight of my entire future sitting on my shoulders, just my dearest friend’s who was cowering in the parking lot, terrified. I wasn’t the one who’d had unprotected sex, I was really responsible, I promise, blah blah blah, justify justify justify, shame, humiliation, embarrassment…. Evoked. Really, Dude? Really?!

Impulsively, I snapped my attention right to educating this guy about the lack of tact he was exhibiting, and how inappropriate it was given the situation. I told him what he had done was incredibly rude and insensitive. He responded with a certain shock and shame of his own; he began apologizing and saying he was “just kidding.” I told him it really wasn’t a joking matter. I told him that half of all pregnancies are unplanned, and that many people who are purchasing these types of tests are incredibly stressed and anxious, and by drawing public scrutiny to a very private matter, he was unnecessarily humiliating me. He dropped his cool vibe and got real with me. He told me he was sorry, and that his girlfriend had an unintended pregnancy and that they now have a kid together. He got “real” about how tense and stressful the whole situation was. He apologized for his remarks.

TEACHABLE MOMENT TAUGHT!

I thanked him, took the bag, and headed back to the parking lot. I spared my friend the details of the check out, as she had narrowly dodged the humiliation bullet and was stressed enough. We went back to her apartment, she peed, I talked her down, and then we found the results to be “negative.” Her period eventually came a few days later, and we praised that menstrual flow.

So, friends, the real deal is that people who work in stores that sell pregnancy tests are not formally trained in the art of tact and sensitivity regarding these issues. If you have a similar experience, I hope you will have the gusto to make it a teachable moment, but I understand if the redness of your cheeks won’t allow it. Might I then suggest another option? Planned Parenthood!

Yes, Planned Parenthood offers low cost pregnancy tests, and will administer them with sensitivity, professionalism, and confidentiality. We will provide you with informational resources if you are pregnant, and can discuss better family planning strategies with you if you’re not.

Gift Ideas for the Strong, Smart, and Courageous Girl (and Boy!)


Posted on December 4, 2012 by

I was recently at the birthday party of an eleven-year-old girl, and was horrified at the toys she was receiving from adults.

There is a brand of dolls that is a close relative to the Bratz® Collection called Monster High®. The dolls are so sexualized and stereotyped, I was gagging. Long and lean with large breasts and round bottoms, lips plumped and eyes wide and slanted. At this point, the eleven-year-old has about 10 of these dolls, and collects other pieces of the brand’s merchandise like clothing, accessories, books and posters. She is immersed.

Monster High Dolls

These are the Bratz Monster High Dolls.

My problem isn’t that she enjoys playing with dolls, or that it’s too gender-specific for my liking, but I can’t help but be aware of how sexualization is ingrained in our children from a very young age, and it is done through mediums just like these dolls. Young people internalize these images and believe they somehow should look the same way. Specifically, let me link to my post from a few months back that explored the link between sexualization of girls and the American Psychiatric Association’s warnings about the dangers such phenomenon presents for the young consumers. 

So the great news is, I found a website called A Mighty Girl that sells books, toys, movies, music and clothing specifically for “smart, confident, and courageous girls.” Clicking on their home page, I instantly saw a banner for a section called The Ultimate Guide to the Independent Princess (um, yeah, that just happened!).

The Paper Bag Princess

Recommended by A Mighty Girl: The Paper Bag Princess.

The minds of young people are extremely vulnerable to influence, and what happens in childhood often blooms in adulthood. If insecurity about the way one looks begins young enough, it will often carry on the haunt the consumer for the rest of their adult life (our mainstream society is very superficial). Though the website caters specifically to “girls,” the books, games, and toys in this site are appropriate for all children, regardless of gender.

So, in closing, as you consider your holiday gift giving to young women or young men in your life, consider the impact your gift could have on the receiver. Will you be a smart, confident, and courageous consumer?

Seasonal Affective Disorder: The Winter Time Blues


Posted on November 22, 2012 by

Dealing with Seasonal Affective DisorderDepression is one of the most common mental health issues that occur within the United States, with about 1 in 10 people currently experiencing symptoms. Depression, sometime known as chronic sadness or the blues, is a state of mood in which the person experiences a decrease in happiness or normal mood functioning, specifically becoming sad or sluggish. Here are some screening criteria providers use when assessing for depression (symptoms must be present for at least two consecutive weeks):

  • Persistent sad, anxious, or “empty” feelings
  • Feelings of hopelessness or pessimism
  • Feelings of guilt, worthlessness, or helplessness
  • Irritability, restlessness
  • Loss of interest in activities or hobbies once pleasurable, including sex
  • Fatigue and decreased energy
  • Difficulty concentrating, remembering details, and making decisions
  • Insomnia, early-morning wakefulness, or excessive sleeping
  • Overeating, or appetite loss
  • Thoughts of suicide, suicide attempts
  • Aches or pains, headaches, cramps, or digestive problems that do not ease even with treatment.

If you’re having such symptoms, know that you’re not alone! Successful treatment of depression can include talk therapy, behavioral modifications, or prescription medications. If you’re unable to shake your mood alone, please contact your health care professional. If you don’t have access to health insurance or can’t afford a private clinician on your own, be aware of the community behavioral centers in your area, many accept clients free of charge or work on a sliding scale basis. Further, some additional statistics on depression highlight that it is more common in some populations than others, including:

  • persons 45-64 years of age
  • women
  • blacks, Hispanics, non-Hispanic persons of other races or multiple races
  • persons with less than a high school education
  • those previously married
  • individuals unable to work or unemployed
  • persons without health insurance coverage (Ironic, no?)

Seasonal Affective Disorder (SAD) is a type of depression that happens when seasons change. Most often found in fall/winter, studies have shown that up to 20% of people experience this phenomenon, though some people do show symptoms in spring or summer. Researchers posit that the disorder is linked to changes in the amount of sunlight people experience, and light therapy (sitting under light sources that imitate the sun’s rays) has been effective in treatment.
Depression, whether seasonally induced or otherwise, can be a debilitating state for those who experience it. Many support groups and self-help material exist to assist you through your time of sadness, here are a few resources to try:

Though Planned Parenthood does not treat mental health issues, your overall health is important to us, and we can provide you with resources in our health center communities upon request. We care – no matter what.

When the Least Powerful Become the Most Powerful: An Afternoon with Gloria Steinem


Posted on October 24, 2012 by

Over the weekend I had the opportunity of a lifetime: to stand arm in arm with Gloria Steinem, one of the founding Feminist Warriors of our time, and founder of Ms. Magazine.

Gloria was speaking at a “get out the vote” engagement in my city, and she revved up the small crowd of about 150 supporters. She reminded us that Election Day is the one day when the least powerful become the most powerful. She reminded us that the United States plays a large and important role in the lives of people all over the world, and that this election will affect not only the citizens within our borders, but also the lives of humans internationally. When we step into the voter booth we are making a choice that ripples far across the globe.

I had not thought about my ballot in such impactful terms, but when I think about the international support we offer in the form of reproductive health monies and HIV/AIDS awareness campaigns worldwide, I realize the personal is the political, and what one does effects others.

No matter who you vote for this election season, I encourage you to utilize your constitutional right to have your voice heard. Your vote does matter, and the only way we can continue in a direction of democracy is to actively participate in it. Early voting has started in some states, and begins 10 days before Election Day in Florida. Whether you get there early, send off an absentee, or stand in line on Tuesday, November 6th, please remember that if you don’t speak for yourself, someone else will speak for you.

‘Broad City’: When Laughter is the Best Medicine


Posted on October 18, 2012 by

How about a break from the serious demands of the world for a few moments? Have you seen the web mini-series called Broad City? I saw an article on Bitch Magazine’s site about it the other night and I spent the next hour laughing hysterically. The show, written and starring Abbi Jacobson and Ilana Glazer, has been getting national attention since it launched in 2009, and is said to have been picked up by Comedy Central to be produced by Amy Poehler!

It’s refreshing to watch the transformation of mainstream mainstream comedy as feminist stars rise (Tina Fey, Amy Poehler, Mindy Kaling, Margaret Cho, Wanda Sykes, etc.), and this duo fits snug in the mix. Here’s a sample episode, one of about 24 that you can watch on YouTube. Caution: while you’ll likely see glimpses of yourself and your friends in the cast, the language and content of these shorts might not be safe for viewing at work.

BINGO! Free Birth Control = Fewer Abortions


Posted on October 10, 2012 by

A new study was released last week by researchers at the Washington University School of Medicine in St. Louis, MO that showed a strong correlation between contraceptive access and a lowered abortion rate. According to the report, just over 9,000 women ages 14-45 enrolled in The CHOICE Project and were provided three years of free contraception. Three years after enrollment, the study found the rate of abortions within the population reduced dramatically, from one-third below the national average to three-fourths below the national average. In hard numbers, that is one abortion prevented for every 100 women who participated.

The study concluded that one key factor that likely led to such a dramatic reduction in abortions was the use of Long Acting Reversible Contraceptives (known in reproductive health circles as LARCs). LARC methods such as IUDs (also know as IUCs) and the arm implant are statistically shown to be the most effective contraceptive methods in preventing pregnancy (99% effective) for three to 12 years, depending on the method chosen. Though the effectiveness of these methods is evident, cost can be prohibitive to many women, as they can cost between $500-$1,000 up front. Sticker-shock aside, these methods cost far less in the long-run when you consider the potential costs of a monthly method ($15-$80/month), office visits, monthly commute time to pick up supply, Emergency Contraception, and the costs of an unplanned pregnancy.

The study highlights the need for greater access to such costly yet effective contraceptives, as they are most effective in preventing unplanned pregnancies. Unplanned pregnancies account for approximately half of all U.S. pregnancies, so a reduction of this magnitude has considerable implications for our economy, our population, the health of girls and women, education, the costs of social programs, and the overall need for abortion services.

The Affordable Care Act will eventually require citizens to have health insurance or pay a federal tax. The mandate also requires that insurers provide contraception without co-pay. The study highlighted above strongly suggests that if women have access to LARC methods, they will have far fewer unintended pregnancies, thus far fewer abortions.

This concept, that greater access to more effective birth control options would reduce unintended pregnancies and abortion comes as no surprise to many of us within the reproductive health community, as we see the cost barriers with our patients all the time. Here at Planned Parenthood of Southwest and Central Florida, we provide our abortion patients with one free pack of birth control pills or emergency contraception after their procedure to help them get back into a contraceptive routine, should they choose to. We also provide discounts for other methods such as the Patch, the Ring, or the Shot, for those who don’t want the Pill. We also provide our post-abortion patients with a full year prescription of the contraceptive method they choose, so they will not have to return to a health care provider before beginning contraception.

Time and time again I hear from patients that they became pregnant unintentionally because they did not have the money to afford their contraceptive method. Some are baffled that even one month off their method can lead to pregnancy. Studies now show that unintended pregnancy is reduced when cost is no longer a factor in the contraceptive equation.

No matter what side of the aisle you stand on, we all want to prevent unintended pregnancy and the need for abortion services. See the video below to learn more from participants in the study, and the barriers they previously faced.

 

EXHALE: If You Don’t Feel Relief After An Abortion


Posted on September 25, 2012 by

When I speak with people presenting for abortion care, the majority of patients report that they’re nervous. They’re nervous for a variety of reasons, but for most of them it seems that the greatest fear is of having a stranger in a very private area of their body during a very private time in their life. They tend to be nervous about the discomfort they may experience and are anxious to feel “normal” again. Most patients report relief after their procedure is complete. They can begin to adjust back to their normal life.

For some people, though, abortion can bring on a gamut of negative emotions, from shame and embarrassment to feelings of guilt or isolation. While these emotions do not appear to occur as often as stereotypes may portray, there are absolutely pressures (society, religion, culture, family) that make some people second-guess their decision to postpone parenthood.

When this is the case, I recommend people turn to Exhale. Exhale is a toll-free talk-line for people experiencing emotional issues related to abortion. Callers are people who have personally had abortions, partners, friends, family members, or people considering abortion as an option who need a confidential non-judgmental ear to confide in.

I find Exhale to be a beautiful resource to those in need of emotional support after an abortion, and I’ve linked a video from Exhale’s website that explains what you can expect when you call one of its counselors.

Remember, one in three people in the U.S. will have at least one abortion by age 45. You are not alone; your feelings are respected and understood.

And always remember that we’re Planned Parenthood, and we’re here for you.