Category Archives: Women’s Health

SOS! Condoms, Please.


Posted on May 14, 2013 by

durexDurex recently launced an emergency condom delivery service. The iPhone app is called SOS Condoms, and it will deliver condoms to your door in an within one hour!

What kind of uniform would a condom delivery person wear? Head-to-toe rubber? A Durex-emblazened polo shirt announcing your urgent need to wrap it up? Actually, the delivery people are disguised as tourists, police officers, or pizza delivery people as to make the delivery more discreet.

How does it work? According the the app, you simply request a delivery, then you confirm your location. After that, you select the condoms you want, then wait for your delivery. You pay the delivery person once they arrive. Visit their website to see for yourself how it works. You can even vote for the next city to benefit from this delivery service (so far, Batman, Turkey is winning).

What do you think about this condom delivery service?

 

Nexplanon: The Injectable Birth Control


Posted on May 9, 2013 by

506e47d42b64d.preview-620

Photo (c) Merck Pharmaceuticals.

Last week, I was helping in one of our clinics when I overheard someone say the next patient was getting Nexplanon inserted. Curious one that I am, I asked the Nurse Practitioner if I could watch, with the patient’s permission, naturally. With her approval granted, I entered the room and tried to be as inconspicuous as possible.

She was in her late teens and accompanied by her mother. Although she was on Depo, so received shots every three months, she was very nervous and afraid she’d pass out. After she lay down on the exam table, the NP gave her an injection to numb the area under her left arm. A plastic device containing the small rod was inserted in the numbed area and the rod was inserted. A few adhesive strips and a pressure bandage were placed over the site. The entire procedure took about 5 minutes. Despite her initial anxiousness, she was chatting and laughing with her mother when she left the room.

Nexplanon works for 3 years. Three years without having to remember to take a daily pill, change a weekly patch, replace a ring once a month or get a shot every 3 months. The failure rate with these methods is greatly increased when human error comes into play.

Nexplanon is 99.9% effective in preventing pregnancy, the same as a tubal ligation or vasectomy (female and male sterilization). Along with the other hormonal methods it works by preventing an egg from being released from an ovary, thickening the cervical mucus and thinning the lining of the uterus.

As with any medicine or medical procedure, there are possible, but rare complications. Before you decide on what method works for you, do your research, know your medical history. And always remember that this method does NOTHING to prevent a sexually transmitted infection. To learn more visit www.nexplanon.org or visit Planned Parenthood’s website.

Part II: How to Make Your Pelvic Exam Less Scary


Posted on May 8, 2013 by

doctor-appointment-PV2006-298x232(Today, part two of our series, How to Make Your Pelvic Exam Less Scary. Did you get your annual for this year, yet?)

Yesterday, “How to Make Your Pelvic Exam Less Scary – Part I,” talked about tips for scheduling your first pelvic appointment. Now I’ll give you some information about what to expect the day of your appointment.

When You Arrive - As with all medical appointments, paperwork comes first. Expect questions about the medications you are taking, allergies, your menstrual cycle and your last menstrual period (LMP), sexual activity, family medical history questions, and any current medical problems. Medical assistants will check your weight and blood pressure. If you have had any sexual trauma or if it is your first exam, please let them know when you schedule the appointment and write something on the form indicating that you need them to be extra gentle, slow, and explain everything they are doing or about to do during the exam. If you like, the medical assistant will hold your hand or you can bring a support person (but they can’t come into the exam room with you).

The Exam - If you are having a complete well-woman exam (pelvic/pap/breast check), you will be asked to remove everything but your socks. You will be instructed to put on a paper gown (opening in front for breast exam) and drape a paper sheet over the lower half of your body. You will then lie down on the exam table. The medical provider (MP) will knock on the door and ask if they can enter the room. You will be asked to move down to the end of the table and put your feet in stirrups. Your MP will then look at the vulva (clitoris, urethra, labia, vaginal opening) and the rectum to make sure they don’t see anything that looks abnormal. They will then insert a speculum made of plastic or metal into the vagina. After it is inserted they will open it wide enough to see your cervix. If you have never seen your vulva or cervix up close and personal, you can ask for the MP to show you with a mirror. If your MP notices any abnormal vaginal discharge or unusual smell they will take a sample of the discharge. If you are having a pap smear the MP will wipe your cervix with a thin Q-tip-like brush to test for cervical cancer.

During the pelvic exam portion of the exam the MP will insert one or two gloved fingers into the vagina and place their hand on your lower abdomen to feel your reproductive organs and make sure they are the right size, not painful, etc. Please let the MP know if you experience any pain during this part of the exam. Some MPs will also perform a rectal exam by placing a gloved finger into the anus to check for anything abnormal. After the exam they will ask if you have any questions and then you will be done!

It sounds like a lot, but the exam is over before you know it. If you have any additional questions, please contact your MP or local Planned Parenthood.

Part I: How to Make Your Pelvic Exam Less Scary


Posted on May 7, 2013 by

(We’re re-running this series today and tomorrow to focus on our “annual” – and truly, how important it is to have it annually, even if it’s scary.)

pelvic examFirst, I want to state that I understand that there are a million things you would rather do than have a pelvic exam, but it is something you shouldn’t put off because it could detect a medical problem or infection, and could even save your life.

In the United States, approximately 12,000 women get cervical cancer every year. If detected early through a pap test, there is a very high survival rate. The new recommendation is for individuals to have the exam at the age of 21, unless there is a medically necessary reason to have it sooner. However, many women will have visited a gynecologist or medical provider before this time to address other concerns related to birth control options, STI information and/or testing, menstrual issues, etc.

Most women will have the exam one time per year, but some will have it more frequently or less frequently depending on age, medical history, and medical or sexual health needs.

Helpful Tips

  • Make sure that you don’t schedule the appointment when you have your period. Your menstrual blood can affect the lab results and you will probably have to reschedule.
  • Do not have vaginal sex or insert anything into the vagina for at least one to two days prior to the exam. This includes feminine products such as douches, feminine sprays, and powders.
  • Remember to write down any questions you have for the medical provider that you would like answered during your visit.
  • Let the receptionist or person scheduling your appointment know if you are uncomfortable with having the exam because it is your first time, you have never had vaginal sex, or you have experienced sexual trauma. This will let the staff know that they need be slower and gentler, explain what they are doing in more detail, and they may also want to use a smaller speculum. You can also request to have a family member or friend in the room with you, or have a staff member hold your hand.
  • If you are unsure whether you should have a pelvic exam or haven’t had one in a while, you can locate a Planned Parenthood near you.

Stay tuned for my next post, where I will discuss what to expect during the exam.

The End of the Yearly Pelvic Exam?


Posted on May 6, 2013 by

Doctors question need for yearly pelvic examsFor the past three generations, bimanual pelvic exams have traditionally been considered a vital part of well-woman visits. But new research is suggesting that they may not always be necessary on a yearly basis.

Pelvic exams are important for screening for cervical cancer, STIs, and a variety of other health issues, and can make life-saving discoveries. But for healthy women, without a family history of cancer and using protection against STIs, is it a yearly necessity? Ask Your Doctor.

A recent study has been released by the Columbia University Medical Center that suggests annual pelvic exams of women without any symptoms could be an overuse of cancer screenings. (http://www.ncbi.nlm.nih.gov/pubmed/21194307) As a young woman, without a family history of cancer, with a low risk of STIs, do I still need a pelvic exam? For me, the answer is yes – at least until my doctor tells me otherwise. But that may soon be changing, as new guidelines are released about the necessity of annual exams.

Planned Parenthood suggests more frequent pelvic exams if you have any of the following:

  • a history of abnormal Pap test results
  • a history of sexual health problems
  • a family history of certain kinds of cancer
  • a sexually transmitted infection or a sex partner with an infection
  • recurrent vaginitis

In some cases, a pelvic exam is needed in order to prescribe hormonal birth control — the pill, the patch, the ring, or the shot. A pelvic exam is always needed for inserting an IUD or fitting a diaphragm.

For some women, a bimanual pelvic exam can be a stressful and anxious experience. In the five years I have been prescribed birth control (and consequently, five bimanual pelvic exams) I have always dreaded my annual visit, even with my wonderful gynecologist. (We have tips on how to make it less scary, though!) Maybe in the future – with further research of course – I will be able to get my prescription without an annual pelvic exam! Until then, I will just keep on making the appointments and keeping this body healthy.

No One Told Me It Would Be This Hard: Part II


Posted on May 1, 2013 by

The follow up to No One Told Me It Would Be This Hard: Part I . . .

The day of the induction and delivery of my baby was not at all what I thought it would be like. I had Pitocin administered through an IV at 6:00am the next day and by 11:00am my water broke and all hell broke loose in my body. I went from feeling like I could handle labor and the level of pain I was experiencing to having my husband and Doula take turns jamming their fists into my back. I was one of the unfortunate women who have posterior babies (the baby’s skull is in the back of the pelvis). It was the most incredible back pain I have ever experienced and I needed the counter pressure of their fists to get through each contraction. Once I reached 8 centimeters I asked for something to slow the contractions down and give me a break! They gave me a small amount of pain medication but it didn’t do much to help me. I eventually got to 10 centimeters and started pushing. Everyone kept telling me to grab my legs and thought to myself, they want ME to grab my legs?

CSectionRepeats_main_0314I am normally very modest and well-mannered but at this point I didn’t care what was showing or coming out of me, and I was swearing like a sailor. I always hear women say that they are nervous they might poop. When you reach the point of no return, you don’t care what is going on, you just want that baby out of you. I was placed in all kinds of squatting positions and nothing worked. Two hours later, my bladder was swelling and there was no head in sight. I was in a lot of pain and the decision was made to have a C-section before it turned into an emergency C-section. It was the worst case scenario for me, but I knew I didn’t have a choice. I had a spinal block/epidural and by 6:41pm, I had a baby. It wasn’t what I envisioned but I had a healthy baby and eventually came to terms with the outcome. Many women experience a range of emotions and go through a grieving process when they have an undesirable birth experience. Information and resources for women who have had cesareans can be found at the International Cesarean Awareness Network.

I work with abortion. I will not apologize.


Posted on April 30, 2013 by

abortion-law-sizeLast week I attended an incredible workshop with my colleagues, where we talked about the emotional side of abortion work. About ten of us, all working in different roles within our affiliate, shared with each other how we cope with the stigmatized nature of our work, and how we deal with protesters both in our communities and in our personal lives (friends, family, etc.). I learned so much about the strength, courage, and absolute commitment to helping women that my colleagues and I share. It was really emotional and absolutely inspiring to recognize the commitment we have to this work. I am so proud to be a part of in the struggle of women; in the herstory of women.

Having said that, it was ironic that a few days later I became involved in a confrontation about my work with a distant relative through, of all places, Facebook. While I honor and love this family member, and have incredibly fond memories of our time together in my childhood, we just don’t agree politically or socially now that I’m an adult. Specifically, when it comes to social issues and the issue of a woman’s right to decide. So, I posted something about an interview with anti-choice protesters, and was issued a moral citation via comment box.

A few days later he sent me an email about the better choice being adoption. I now felt like I needed to explain myself without apologizing or igniting personal defenses. I do not want to fight with family about the work I do. And I will not apologize. Having spent time discussing such awkward and uncomfortable interactions with family a few days before at the workshop, I felt like I was prepared to respond. Awkward? Yes. Impossible? No. In summary:

…I’ve been working one-on-one with women who choose abortion for the past 5 years. I’ve met with hundreds and hundreds, perhaps thousands of women in my office, and my beliefs about choice stem from listening to them and learning their stories. For many, adoption is an excellent choice, and I whole-heartedly support women who choose that route. I am most excited when I meet with a woman who has planned her pregnancy, and is ecstatic when the pregnancy test comes back positive. There is so much joy to share in life.

Though the organization I work for only sees about 10% of clients for abortion services, I travel to our different locations and work predominantly with those clients. I do family planning education and give emotional support to women who are choosing abortion. I feel I am an angel for so many of the women I see, who are ashamed, afraid, stigmatized, guilt-ridden and desperate. I accept them, I accept their choice, and I honor them as human beings trying to do the best they can for themselves, their families, and their futures.

Having said that, I speak with each and every single woman who is considering abortion about adoption. That is a requirement; we talk with women about adoption and how to continue their pregnancies for parenthood, along with abortion education. Over and over and over again, when I talk with women about adoption, many give the same response: there is no way they could spend 9 months becoming emotionally attached to their pregnancy and give it away. The guilt and resentment they would feel knowing they had a child in the world that they had “abandoned” is a worse choice for them than to prevent the pregnancy from continuing. These are their words, not mine. For others, adoption is an opportunity to give their child to a family who is ready and able to provide a quality life for their child. Every woman’s view is valid.

In many cases over the years, I have helped women choose to continue their pregnancies. I support their choice, regardless of the outcome. It is their body, their life, not mine…. Having said that, our perspectives on this issue are different, but I respect your opinion, as your beliefs are just as valid as mine.

This line of work is both incredibly challenging and incredibly rewarding. Our greatest hope and mission is for all children to be wanted children, and for the need for abortion to no longer exist. However, we do not currently live in a world where this is possible, and abortion is a safe option that 1/3 of U.S. women make in their lifetime. I emphasize education and prevention. I will not apologize.

 

The Lighter Side of Breastfeeding


Posted on April 29, 2013 by

The following images pretty much sum up the lighter side of breastfeeding. WARNING: laughing too hard post-babies may make you tinkle a little. Sneezing too. And coughing. Hell, just expect to pee your pants a lot after you have a baby. Enjoy!

Seriously.

breastfeeding

 

Just admit it, you’ve totally caught your own face in the crossfire.

abundance

 

Work it, girl!

bf7

 

So true.

bf6

 

Chopped liver. Dads.

bf5

 

Love it when celebrity moms normalize breastfeeding.

bf pink

 

Breastfeedicus.

bf8

 

HA!

Udder Feeding in Public

 

Take that, sucka!

bs11

 

True ‘dat.

Breastfeeding-85-ppi1

 

Not funny, but awesome nonetheless. 

bf establishment

 

Do you have a funny breastfeeding story to share? Leave it in our comments section.

 

April is Sexual Assault Awareness Month


Posted on April 10, 2013 by

Photo via The Dawn Center.

Photo via The Dawn Center.

Feronians, it’s April once again, which means it’s Sexual Assault Awareness Month. A big part of why SAAM exists is because we don’t often talk about sexual assault – for every Steubenville or Delhi case that involves a prosecution and spurs widespread discussion, there are thousands of assaults that pass by without comment, and without legal consequence.

On the one hand, this year seems like it’s had a lot of good conversations about this topic – and thinking back to 2001, when the national campaign officially began, I think that there’s a ton of progress that we can see. Watching commentators like Melissa Harris-Perry proclaim their support for rape survivors on air and hearing Australia’s Prime Minister Julia Gillard tell survivors ‘we hear you, you’re valued and you’re believed’ as Australia begins an inquiry into child sexual abuse is amazing, and isn’t something that I think we would have seen 12 years ago.

We’ve also seen new approaches in assault prevention that are moving away from the old framing – how potential victims of assault can protect themselves – to how to prevent assaults more broadly. These range from videos about how you should treat people who’ve passed out (don’t assault them, do get them a blanket) to broader campaigns on what bystanders can do. (Trigger warning – that video focuses on an evening leading up to an assault, and various ways that bystanders could have made a difference).

But I also know that these still aren’t the norm when it comes to talking about assault. When multiple CNN commentators spoke to how difficult life will be for two young men convicted of rape, without expressing any similar concern for their victim, many people got upset, but CNN never responded. Judges, educators and journalists still focus on how to change what women wear as a way to control men.

So, in honor of the strides we’ve made, and with an eye towards the work that still needs to be done, here’s some more information on activism opportunities this month, locally and nationally:

Activism / SAAM Events

Local
New College of Florida events (Sarasota)
Tampa events, and events throughout Florida

National
One Student – based out of the Tampa area, this group focuses on campus strategies for preventing sexual violence
Project Unbreakable (trigger warning – this project involves survivors reclaiming words that were used against them through art. It can be very powerful, but is a very emotionally charged space.)

Resources for survivors

National
RAINN
Survivor Project

Local
CARE (Charlotte)
Peace River Center (Hardee, Highlands & Polk)
The Dawn Center (Hernando)
Crisis Center of Tampa Bay (Hillsborough)
ACT (Lee)
Sunrise of Pasco County, Inc. (Pasco)
Suncoast Center (Pinellas)
Manatee Glens (Manatee)
SPARCC (Sarasota & DeSoto)

Happy Endometriosis Awareness Month!


Posted on March 26, 2013 by

endoMarch is Endometriosis Awareness Month, and as such, we’re sharing some information about the disease and what you can do to manage it if you find yourself symptomatic or diagnosed. Endometriosis is a common disease that can lead to infertility. It can be managed with hormonal birth control – but only if women are aware of the disease and have access to good health care.

Endometriosis affects 5.5 million women in North America and is most diagnosed in women in their 30s or 40s. It is a leading cause of infertility in women. Hormonal birth control is a treatment for the pelvic pain that accompanies endometriosis and may help prevent long-term damage to the reproductive system.

Other symptoms can include intestinal pain, spotting or bleeding between periods, pain during sex, and in some cases, infertility.

Find out more about this disease by reading an excellent post about it by E.G. Hannah!

And as always, we care. No matter what.