Thursday, September 8, 2016

The Real Truth about Mycoplasma Genitalium, the "New STI." A Word from our Medical Director.

By Mary Diana, M.D.
Note: this article has been minimally edited for public consumption.

I’m writing to let you know about a “new STI” which you might be reading about in the media.

Mycoplasma is a class of bacteria, of which there are six different species. Five of them inhabit the genitourinary tract. The species Mycoplasma pneumoniae infects the respiratory tract, causing what is commonly referred to as “walking pneumonia.” Mycoplasma hominis is another well-known species in Ob/Gyn, and is often related to pregnancy complications including miscarriage, pre-term labor, low-birth weight, neonatal infection, and stillbirth.

Mycoplasma genitalium is the species that is recently in the lay press and is being called the “new STI”. This species was first identified in the early 1980s and has been recognized as a common cause of male urethritis, representing 15-25% of nongonococcal urethritis in men. Symptoms include pain during urination and discharge from the penis. In women, it is less clear what role it plays, and has not been well-studied. It can be found in the vagina, cervix, and endometrium. Much like Chlamydia and Gonorrhea, there are usually no symptoms in women. There is some evidence that it may cause pelvic inflammatory disease (PID), although it appears that this only occurs in 5% of women who are infected. Studies looking at its relationship to infertility are conflicting. More research needs to be done.

There is good evidence that M. genitalium is transmitted sexually. As far as incidence of infections goes, it is more common than Gonorrhea but less common than Chlamydia, depending on the population studied.

Currently there are no FDA-approved tests for Mycoplasma genitalium. Cultures can take up to 6 months and there are only a few labs in the world that can do this. In research settings, M. genitalium is diagnosed using a method called NAAT (nucleic acid amplification test) which detects the genetic material of the bacteria (this is the same type of test we currently use for Chlamydia and Gonorrhea). It can be detected in urine as well as cervical, vaginal, and urethral swabs. Again, this test is not FDA-approved and is not commercially available. Even if it were available, screening the general population would not necessarily be recommended, and testing would be limited to patients who have symptoms of urethritis, cervicitis, or PID.  Unfortunately, treatment is not straightforward. 

Hopefully we will be able to test for this infection in the near future, but at this time, testing is not available. This is another great reason to encourage condom use!!

If you have further questions, please contact your local Planned Parenthood Health Center.

Tuesday, August 16, 2016

Thank you, Olympic Condom Guy.

As reported by Distractify and other news sites, officials will be handing out half a million condoms to athletes at the Olympics this summer, which averages out to over 40 condoms per athlete.  I get it-- all of these people are young, fit, full of stamina, and they're on a big trip away from home, so excitement levels are high. Things happen.  And while it may not be the first time officials have done this-- the first time was in 1988, when they handed out 8,500 condoms-- it is the first time condoms are being given directly to women. Hooray to Olympic officials for finally realizing that women can annihilate an 800 meter freestyle world record, and also initiate sex. Wow!

Zika has been classified as a new STI directly linked to birth defects, so the increase in condom distribution isn't a total shock. Regardless, the efforts should not be overlooked. In conjunction with Olympic officials, people also have this fellow to thank:


Thank you, Eric. Olympians, go forth and sex safely.

Monday, August 15, 2016

Volunteer Opportunities!



Get Involved!

Upper Hudson Planned Parenthood is looking for volunteers to get involved and to help us engage in our community through outreach efforts and get out the vote opportunities!

In addition, we look forward to working side by side at other community events and continue to fight for reproductive freedom and help educate our community on the importance of safer sex! Together, we can demostrate our power, engage our people and move our work of expanding access to sexual and reproductive healthcare and rights forward.

For the next few months as we lead up to the election, we are looking for volunteers who want to work on My Vote, My Voice, our voter registration campaign! Get Out The Vote volunteers are needed in Albany, Columbia, Greene and Rensselaer counties. If you are interested in helping us GOTV, please respond below or email Amy at amywolff@uhpp.org.


Upcoming Volunteer Opportunities!

August
  • 15:  Letter to editor on Women’s Equality Day (Anniversary of the adoption of the 19th amendment) (copy to be provided by UHPP)
  • 18:  Tabling at Back to School Night @ LaSalle School, 174 Williams Road in Troy from 6 to 9pm.
  • 20:  Tabling and GOTV Voter Registration at the Carnival on the Hill @ Star of Bethlehem Missionary Baptist Church, 513 Clinton Avenue, Albany from 12 to 3 pm.
  • 20:  Tabling and GOTV Voter Registration at the Carnival on the Hill @ Star of Bethlehem Missionary Baptist Church, 513 Clinton Avenue, Albany from 2 to 5 pm.
  • 24:  Tabling and GOTV Voter Registration at Josephs House, 74 Ferry Street in Troy from 4 pm to 5:30 pm.
  • 30:  Tabling and GOTV Voter Registration at the Rensselaer County Dept. of Social Services in Troy from 10am to 12pm.

September
  • 1:  Letter to editor on National Ovarian Cancer Awareness Month (content to be provided by UHPP)
  • 24:  GOTV Voter Registration at LarkFEST in Albany. Times to be determined.
  • 30:  Tabling and GOTV Voter Registration at SUNY Albany, Information Studies Department Annual Program Symposium (Uptown Campus) from 12:30 pm to 2:30pm.

October
  • 1:  Letter to editor on Planned Parenthood's 100th Anniversary (copy to be provided by UHPP)
  • 9:  Tabling and GOTV Voter Registration at the Troy ChowderFest from 12 to 4pm

GOTV
  • Get Out the Vote tabling in the Albany Health Center (any day in August or September)
  • Get Out the Vote tabling in the Troy Health Center(any day in August or September)

Copyright © *|2016|* *|UHPP|*, All rights reserved.

Wednesday, June 8, 2016

Lands End & Gloria Steinem: So What’s the Big Deal?

The Vice Chairperson of UHPP's Board of Directors, Jill Rafferty-Weinisch, has written a scathing dissertation of Lands End's resent goof regarding Gloria Steinem.

For those of you who may not have heard, Lands End decided to feature a different "icon" every season to appear as a model on their website and in their catalogs.  Gloria Steinem is a prominent American feminist, activist, and author.  She appeared as the first guest in the icon series.  Pretty great, right?  Or maybe not for some.

Some anti-feminist and anti-choice people protested the selection of Steinem as an icon, and threatened boycotts.  Lands End caved, and pulled the feature.

Jill goes on to describe the backlash:
"The response to the apology has been fierce, and although there is no way for me to gauge whether the company has lost more customers because of the original article or the ensuing backlash, damage to their reputation is assured. The company’s liberal “if you’re not satisfied for any reason” policy is leading to mass returns. Their Facebook page has become a rallying point for angry women feeling their trust (and consumer dollars) have been betrayed.
Women and girls are routinely socialized that their rights are acceptable – as long as they do not offend or make anyone else uncomfortable. Our existence is regularly constrained by the possibility we might make someone feel bad, or horny, or angry, or threatened. It has broad and sweeping ramifications in terms of violence against women, educational attainment, workplace equity, the provision of medical care, basic bodily autonomy… virtually every part of our lives."
Read her full blog here.

What Jill doesn't tell you in her blog, is that she gathered up every single article of Lands End clothing she had, no matter how old it was, and returned it. She was a big fan of their stuff, and had accumulated quite a bit of it over the years.  True to their policy, they refunded her every cent; over $2000 worth.

Do you have Lands End clothing in your home?  Are you unhappy with their decision to remove Steinem from their website and materials?  If so, you can do something about it.  Take a stand!

#bringbackgloria
https://www.facebook.com/bringbackgloria/

Wednesday, June 1, 2016

The Ongoing-Yet-Completely-Curable Epidemic




By Youth Health Promoter Omiyea Stanford


Omiyea Stanford
Did you know that one out of every four teens becomes pregnant at least once before age 20? Did you know that despite a dramatic decline in teen birth rates and teen pregnancy, the United States still has one of the highest teen birth and pregnancy rates in the industrialized world? Do you know why? Well there are a mess load of reasons, but, a lack evidence-based sex education plays a huge part. Discuss, dissect, and digress? Yes we shall.

A lack of Evidence Based Programming (EBP), is an enormous part of the problem. Abstinence Only Education (AOE), EBP’s bitter enemy and arch nemesis that just won't die, is still used in classrooms across the country. There are so many reasons why AOE programming doesn’t work, including its misogynistic foundations and messages, idealism of heterosexual marriage, sex and gender bias and oppression, lack of consistency in teaching even the most basic aspects of sexual health like anatomy and reproduction, and lack of regulation of information accuracy and bias. However, one of the most prominent problems, is that it is just plain unrealistic! It’s not enough to offer one solution, especially one where the only answer is to do nothing, which is completely impractical and futile. Sex and sexual stimulation are basic human wants and needs, and AOE teachings disregard and create shame around that fact. AOE teachings leave students who become sexually active as teens with zero knowledge of how to protect themselves. EBP, however, works a little bit differently. Ok, actually, it works a lot differently. 

Evidence Based Programming (EBP) teaches that abstinence is an option, but not the only option. EBP prepares students for any path they choose by providing them with accurate, inclusive, and unbiased information that spans every aspect of sexual health, sexual safety and responsibility, and even the aspects of healthy relationships. Despite the facts indicating that EBP is effective in reducing teen pregnancy and STD/HIV rates, it is still is meet with googolplexes of opposition. A common critique, is that if you teach kids about sex, then they will be more likely to have sex. My reply is, "and?"  Firstly, EBP obviously doesn't encourage and teach kids how to have sex. It teaches them what sex is, and how to be safe if/when they have it. Come on people, that one was a given. Secondly, why do adults feel like it is their solemn duty to keep teens from being sexually active? That’s half of the problem in the nutshell! Teens having sex isn’t the issue! That isn’t what we should be trying our very hardest to prevent. It’s ignorance! This urge in adults to stop teens from becoming sexually active is more about keeping teens “innocent” then it is about keeping them safe. Leave them in the dark and hurl a “just don’t do it” at them every time sex comes up, and I guarantee you they’ll be defenseless. Make sure that they are given the information they need about all the aspects of sexual health, and they will have the ability to make informed, safe and healthy decisions about their own sexual health based on what they want for themselves. Sounds like EBP is our cure-all right? Well, not exactly. There is still something vital to sexual health education that is missing from even the EBP curriculum. And what is that? Pleasure and sex positivity! 

Obviously sex isn’t just about reproduction. If it was we’d barely do it, and we’d probably have a lot less humans on earth than we currently do. Humans are one of the very few species of animals on earth that have sex for fun. If this is true, then why is it that pleasure and sex positivity are missing from EBP curricula in our classrooms? Even with EBP, information about sexual health is given in sex negative ways; in other words, sex is only ever really talked about as it relates to anatomy, reproduction, and preventing the negative consequences. The topic of pleasure is treated similarly. This is an extension of our inability to accept and acknowledge true human sexuality and sexual nature. Pleasure positive sex education curricula really means not disconnecting pleasure and positivity from sex. It’s all a matter of keeping a balance between teaching young people that, yes, sex can be dangerous and it can have very serious consequences, but it can also be fun, pleasurable, satisfying, and enjoyable as well. Sex and pleasure positive EBP would provide the information young adults need to be safe, and dispel shame around sexual desire. Four words: two birds, one stone. 

Fellow YHP Blinky Lawrence
making his voice heard
And now for the big question: what do we do? Education is an enormous factor in the teen pregnancy epidemic, but in the larger scheme of things, our issues with sex education is just a symptom of a bigger issue. Our culture and society’s lack of ability to accept and acknowledge true human sexuality and nature is not a problem that can be repaired overnight, and as an extension, neither will the teen pregnancy epidemic. Want to know how you can do your part? Be an advocate for sex positive EBP education! If you’re a parent, make sure your kids are informed. If their school won’t teach them, you teach them. Teens; fight for your right to be educated! Get the right information from anywhere you can. Fight for sex positive EBP in your schools and communities. Last but not least: spread the word. A huge part of why the teen pregnancy epidemic is an epidemic at all is that people don’t know what they’re up against. So get the real numbers and statistics, and put the information into circulation in and around your communities. 

May is National Teen Pregnancy Prevention Month, but efforts shouldn’t end after May 31. Be an advocate 365 days a year! The teen pregnancy epidemic is an incredibly large issue to tackle, but it’s the small efforts of individuals that will bring it down to size. So go ahead people-- get out there and knock this epidemic down a peg or ten.

Tuesday, May 3, 2016

Letter to the Editor: Prevention starts with conversation

By Letters to the editor on April 26, 2016 at 3:31 AM - Reprinted from the Albany Times Union.

Most people have ideas about what sexual assault looks like. Two strangers, physical force, male perpetrator and female victim.

But this isn’t reality. Sexual assault takes on countless forms of verbal, physical or mental abuse, from vicious shaming to the slightest touch.

Anyone can be a victim or a perpetrator, be they male, female or intersex, friend, foe, acquaintance or stranger. It is sexual assault anytime one receives sexual contact or attention of any kind without having given consent to receive it.

Part of the reason sexual assault plagues us is that we put more focus into teaching our kids to abstain from sex than we do teaching them how to be healthy, safe and responsible when they become sexually active.

Consent is an immeasurable part of sexual health, safety and responsibility. It’s lack of knowledge of, and respect for, consent that is the issue in the case of sexual assault.

Without proper understanding of consent, our young adults are vulnerable to either being sexually assaulted, or sexually assaulting another person.

It’s time we learn that sexual assault isn’t a rarity that affects certain people. It happens every day in countless ways, and many of us cannot recognize sexual assault when we see, or even inflict it.

Change is long overdue. We are Planned Parenthood, and we are taking a stand. It’s Sexual Assault Awareness Month, and it’s time to spread the word.

Prevention starts with having the conversation about consent.

Omiyea Stanford

Youth Health Promoter, Upper Hudson Planned Parenthood

Albany