Showing posts with label sexual health. Show all posts
Showing posts with label sexual health. Show all posts

Monday, June 11, 2012

Sex Positivity Interview

A reader of this blog recently emailed me a request for an interview of my opinions on sex positivity. I was ecstatic to oblige and I got permission to post the interview here:  

A.B.: How do you define sex positivity?

Me: Sex positivity is harmonious with enthusiastic consent. Both involve a strong sense of self, awareness, communication, and respect for other consenting adults. A positive attitude about sex, both what one is having (or not having) and in general, educates and opens minds. Sex is more enjoyable when it is enthusiastic and positive - not fluffy bunny happy-face positive, but positive in the sense that the participating consenting adults are aware, respectful and pleased. This is not to say that asexuals and virgins can't be sex positive. The actual act of sex is only a part of sex positivity. Body positivity, respect for identity, intersectionality and inter/intrapersonal literacy are all other parts as well.

A.B.: When you lived in Edgewater, did you feel it was a sex positive place? Why or why not?

Me: It's difficult for me to say whether or not Edgewater was sex positive, except in comparison to Jefferson Park, where I grew up. Sex shops such as Tulip (would that count as Edgewater or Andersonville?) and Early 2 Bed never would have made it into Jefferson Park, nor would gender-aware businesses such as Kitchen Sink and Graham Cracker Comics - shout out to Shanna, who's a guru of comic books and feminism. In this sense, Edgewater is sex positive. I also had an art show as part of the Edgewater Art Walk in October 2011, which was technically PG-13 but with more racy ideological themes. Aside from these individual places and experiences, particularly in comparison to other more conservative/Victorian neighborhoods, Edgewater didn't seem to have much of a centralised community awareness. I have friends in Edgewater who don't tend to participate in in the community, and I know outsiders who make a special effort to participate.

A.B.: Where do you think the expression and enjoyment of a healthy sexuality tie into the grand picture of women’s health?*

Me: One can better enjoy sex with education, which involves sexual health. Many women don't have comprehensive sexual education about their own bodies, which is a health issue. When a woman doesn't comprehend her own body, how can she decipher her cycle, understand what angle of penetration is most pleasing to her (or penetration at all), or love her body at all? For example, many clinics and gynecologists will not give IUDs to women who are not already married with children. This practice declares that pleasurable sex is allowable only after one has reproduced sufficiently and in legally recognised monogamy. Firstly, very few women know about IUDs in the first place; secondly, how many women in that situation would continue to search? Or would know where to look? Or know that their states might provide financial coverage for both the IUD itself and its insertion procedure? Or whether she should get a Mirena IUD, Paragard IUD, or use another method? Reproductive health is a branch of sexual health, though the emphasis is stronger for women. The difference between vaginal and clitoral orgasms isn't valued as much as how an egg gets fertilised in our society (and even education on that is poor). The emphasis is on reproduction, not pleasure. While it's true that this information is important and protection from unwanted pregnancy is necessary, awareness should continue beyond that. A woman can take a birth control pill - regardless of her knowledge of how it affects her body - to keep from getting pregnant but still might not orgasm during sex and not know why. Resources for that understanding are fewer than for birth control, which is still too little.

A.B.: On your blog, you talk about sex positivity as a prevention technique. Can you expand on this?

Me: To better understand "prevention technique," I'll elaborate on exactly what is being prevented. There are many layers of sexual assault/harassment, none of them "better" or "worse" than another. There is the commonly perceived scene of a masculine stranger forcing a woman into something sexual; to be certain, this does occur and it is horrifying. There are also respected authority figures or seemingly-platonic intimates who use their relationships, sometimes unknowingly, to manipulate the trust of one for sexual ends. And then there is sexual coercion, given into in order to avoid a fight or to maintain a relationship. Sex positivity is not a shield against sexual harassment/assault, but it can both enhance one's awareness of a situation - particularly one's role, responsibility, options, lack of responsibility - and be a healing agent. Through sexual enthusiasm (again, not necessarily pertaining to the actual sex act), one can transcend from victim to survivor. Many people use this as a way to take back control in sex, whether as a dominant or a submissive or vanilla or asexual or "born-again virgin." For a survivor, sex positivity erases the taint on sexuality brought about by an assaulter. A "sex negative" mindset relates sex to shame and guilt (not in a consensual, bdsm way). When this connection is made, coercion and manipulation tend to be more effective. This isn't to say that a survivor in this kind of a situation is to blame: chances are that the survivor doesn't know that "no" or "yes" could be said and respected. Sex positivity as a cultural awareness opens communication and makes sex a discussion between consenting adults, personal sex positivity involves a consciousness of options and what one actually wants.

* I'm defining women's health as any health issues (mostly sexual health) that are of concern to anyone who identifies as female. I suppose an issue I'm also grappling with in the article is how typical discussion of women's health is kept narrowly to reproductive rights and resources, and I want to explore past that.

Friday, March 23, 2012

Wisconsin Women's Health

Illinois Healthy Women provides medical insurance coverage for my reproductive/sexual health - they paid for my Paragard IUD in full.

Minnesota has a similar program. Unfortunately, I’ve lost the contact information for the person I knew who had gotten her free IUD through that.

I have many friends in Wisconsin who want similar coverage for IUDs. Wisconsin Women’s Health Foundation doesn’t provide this, Wisconsin Well Woman Program works only with menopausal women, and all my searching keep leading back to Planned Parenthood.

Any information regarding birth control coverage in Wisconsin would be very helpful. Or any state for that matter, we could make a map of states’ coverage!

Thursday, January 26, 2012

The Vagina Monologues

The V Day Campaign, the season in which The Vagina Monologues performs, is upon us again. Formed 14 years ago and still going strong, The Vagina Monologues (the play, the book, the movement) balances validating activism, unity, good humor, and welcoming. Through story-telling, awareness is awakened: the personal is still political.

I first read The Vagina Monologues in spring '04, right around the time I graduated high school. Until reading it, I thought that I was malformed and diseased - too mortified and ashamed to talk to anyone about it. The controversy around The Vagina Monologues, years after it began, had sparked my interest in my budding feminism. Oddly enough, I was working as a receptionist in a Catholic parish office when I first read it! (I also read Harry Potter & The Order Of The Phoenix at that job!) Before reading Eve Ensler's magnum opus (opa?), I was honestly not aware that anything between my knees and my neck existed. My physical self-awareness was sparked by The Vagina Monologues, and by no means am I alone in that.
From there came The Feminine Mystique by Betty Friedan, CUNT by Inga Muscio, The Bell Jar by Sylvia Plath, The Color Purple by Alice Walker, flannel menstrual pads, menstrual sponges, menstrual cups, vibrators, sex positivity, trans advocacy, and everything I have going on today.

Spring '09 was the first time I actually saw The Vagina Monologues play, which I co-assistant managed at my internship at The Milwaukee Gay Arts Center. My all-women college, Alverno, also hosted a student-run performance as well - it was ridiculously difficult to get a performance approved there!! You'd think that an all-women college would have been among the first places to advocate anything that supports women's awareness, but they were so afraid of being pegged as a "lesbian school".
Before seeing the play, The Vagina Monologues really felt like a private, personal, secret thing of my own. It was MY experience, shared with others who didn't seem real. Sitting in FOUR sold-out shows, though, opened up the doors to this community. Matrons, young girls, transwomen, lesbians, sex workers, rape survivors, virgins, allies - all these people seeking validation and finding community. It was a powerful thing, which made The Vagina Monologues more real as a social force powered by shared experience.

Monday, January 9, 2012

My ParaGard IUD

I got the ParaGard IUD (http://www.paragard.com/) for FREE the other day, thanks to Illinois Healthy Women (http://www.illinoishealthywomen.com/) and Planned Parenthood (http://www.plannedparenthood.org/).

Step 1: I applied to Illinois Healthy Women. Other states, such as Minnesota, have similar programs that cover costs for female reproductive health. This was roughly a 2 month process since they had to process all my paperwork, including my low income.

Step 2: Upon receiving my Illinois Healthy Women card, essentially an insurance card, I had a consultation at Planned Parenthood for the ParaGard IUD. I knew that I didn't want anything messing with my hormones, and the ParaGard is just plastic with copper coils. Upon getting the information from the doctor at Planned Parenthood, I decided to get it.

Step 3: The actual IUD insertion procedure. I had to eat and treat the morning like any other day, no fasting. The staff at Planned Parenthood gave me 600mg of ibuprofin and checked me to make sure I'm clean of STIs. For privacy and security, no guests were allowed past the waiting room - I have great pain tolerance, but I was nervous and wanted someone's hand to hold. Since I was texting my closest friends the whole time, I squeezed my cell phone.

Just like with a regular pap smear, I was all set up with the stirrups and speculum. This is uncomfortable for some people, but doesn't bother me. Then the doctor, with whom I was discussing sexual health the entire time (she loved me for being so well-informed and curious), coated my cervix with a numbing agent - this looked like brown vaseline. Next, she dilated my cervix with a metal rod about the thickness of a regular chopstick. This was the most painful part! I felt like I was having the biggest menstrual cramp of my life!

Finally, she inserted the ParaGard IUD. I had asked to see it before the entire procedure, it was much smaller than I was expecting: I'm very petite and the Y-shaped IUD was the size of my thumbnail. A string hangs out of it, outside the cervix for about an inch, so that it can be removed quickly and easily.

Step 4: Recovery. The entire insertion procedure took less than ten minutes, but the intensity of the pain made me nearly faint. I told the doctor that I felt like I was passing out and she greatly appreciated this - people pass out all the time, but they don't tell anyone so how can the doctor know whether this is normal or a diabetic seizure or something else?

I lay on the medical bed, free of the stirrups and speculum, for about 20 minutes until the dizziness subsided. There was no blood, but all the cramps felt like a much stronger version of my normal period. My periods are very light and I was glad that the doctor had warned me that they would be worse from now on (still better than pregnancy!). As soon as I was steady, I got to go. The rest of the day, my cramps were terrible and I mostly lay around in bed with more ibuprofin and hot soup. Two days later, I felt completely back to normal.

The ParaGard IUD lasts for 10-12 years. The copper wires on it irritate the uterine walls to great more buildup, so an egg can't implant. Also, the acidity of the vagina is altered by the copper so much that sperm cells can't fertilize an egg. At 99.5% effectiveness, the ParaGard IUD works more often than getting your tubes tied. It doesn't not protect from STIs/STDs or HIV/AIDS, only pregnancy. Again, the only drawbacks are stronger periods (spooting should be expected, but I haven't bled at all) and that menstrual cups (http://en.wikipedia.org/wiki/Menstrual_cup) can't be used. The ParaGard IUD is effective immediately, though the doctor told me to not put anything in my vagina for 24 hours - with all the pain I was in, I wouldn't have wanted to anyway.

So now all my condoms will be used only when toys are shared and with new male sexual partners.