health information

Stroke of Conscience: Contraception Choices and Risks

Independent sex-site diva Trixy of (nsfw, duh) TastyTrixy.com passes along word that a fellow solo sex-site host, UndressJess, appears to have had a stroke. (Uncommon in Pill users, yes, but still way, way less common in the general population among people her age.) After reading some last chaotic Twitter posts, including one about her heading for the hospital, Trixy was able to reach her by phone.

She was able to speak fairly coherently, though she stopped and apologized a couple of times because it’s hard for her to organize her thoughts. Apparently the main thing is that SHE CAN’T READ and is pretty worried wondering how she’ll be able to work on her site, camming, blogging, promoting herself, etc. when she totally can’t READ. It’s like weird instant dyslexia.

It’s really hard to imagine being so young, living alone and becoming disabled overnight. You never know how long (if ever) after a stroke you’ll regain the function(s) you lost, but if I heard her correctly the estimate is about a year for her to be able to read again. Apparently the only guess being made as to why this happened to her is from her birth control pills. Yes, fuckers, STROKE is one of the risks of being on hormonal birth control. So next time you hear a guy complain about using a fucking condom, pull out this little gem. Risk of stroke isn’t just a bunch of tiny words on a pill pack insert no one reads.

She said it here.

I don’t know Jess but the response around the independent

Just to be clear, it’s not certain the pill caused her stroke. It’s just a possibility. But this would be a good time to mention that possibility and, as Trixie did, put it in context.

Given a map of the world where the lacework of fringe can extend deep into the interiors of continents it’s really important to understand that the risks of birth-control pills is pretty low on the continuum of potentially-pregnant things that can happen from heterosexual genital-to-genital activities.

The risk is also much lower today than it was in the 1960s and 1970s when The Pill contained whopping amounts of hormones compared to today.

So by and large if you’re going to have unprotected heterosexual intercourse it’s statistically safer both health- and life-wise to take the pill than not.

But the risk of most contraceptives is real and it’s one born at the moment by women. Vasectomy, condoms, withdrawal, and no intercourse at all are _

Information About What You'll be Facing is As Important As Information About "The Cure"

Jill, formerly Twisty, of I Blame The Patriarchy, herself a double-mastectomy survivor, reflects on an intrinsic bias towards treatment over prevention for many types of illness — breast cancer in her case.

Specifically Jill was responding to the lack of online information, particularly photographic information, about mastectomy and aftercare compared to, say, enough images of pink ribbons and pink soda-bottle packaging to repave Los Angeles.

As Samantha King writes in the enlightening Pink Ribbons, Inc.:

[Women] are discouraged from questioning the underlying structures and guiding assumptions of the cancer-industrial complex. The culture of breast cancer survivorship does not, in other words, embrace patient-empowerment as a way to mobilize critical engagement with biomedical research, anger at governmental inactionk or resistance to social discrimination and inequality, even if its history is bound up with attempts to do just this.”

People can’t find out how really fucking gross treatment is, because if they did they might start thinking, hey, maybe preventing breast cancer — as opposed to waiting for women to get sick and then slamming them with a series of debilitating, barbaric procedures — is a good idea.

She said it here.

One needn’t agree that there’s a purposeful conspiracy to get the point that there’s not as much emphasis placed on finding ways to prevent common illnesses like breast cancer as there is for “the cure” after they’re diagnosed. Nor does one need to think the emphasis on treatment boils down to profit motive to agree more emphasis could be put on prevention.

Part of the problem, of course, at least in America, is that we’re great optimists and (Katrina notwithstanding) pretty good at responding to immediate catastrophe. And so we have a hard time in general with anticipation: “you won’t get cancer if you…” when you don’t have it (yet) is just way harder to gear up for compared to how we’re able to marshall ourselves in the face of “you have cancer…” (What’s that line “nothing so concentrates the mind as the prospect of being hanged in the morning?)

But I digress. I just want to echo Jill’s point that when one is facing a crisis like prospective surgery and chemotherapy (of any sort) it would be awfully nice if there was as much information available about what to expect before and during the process as well as there is for after.

Oh, one last thing: this, I think, is one of those areas where blogging really shines. It’s sometimes heartwrenching to read someone’s personal experience with surgery, recovery, chemo, remission, reoccurrence. But it’s very good to know. Just as its good to know what to expect before our first kiss, our first orgasm, our first time driving, our first child, or job, and so on, it’s good to know what to expect when we fall ill. Again, that’s where people who blog have shined.


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Burying the Lede: Breastfeeding Might Benefit the Mother

Ann Bartow of Feminist Law Professors passes long a tidbit that was pulled out last week in the blogosphere but buried in the original NYT article. The upshot, Bartow points out, is women who breastfeed have…

...a 59 percent lower risk for these women with an immediate relative with breast cancer! Read the rest of the article for yourself here.  I helpfully provide the link because the story is difficult to find.  It’s not on the front page of the paper nor on the front page of the Science section.  It’s not even summarized on the front page of the online section of the Science section (only a link), apparently bumped by other, more newsworthy articles.  See (here) for yourself.

Interesting the placement of this article, considering how much front page attention the media has given to the benefits of breastfeeding for the baby (and all the guilt-tripping of those women who don’t).  The media message seems to be:   You should breastfeed if you’re a good mom (although we’re not going to make it any easier for you by actually giving you a place to breastfeed at work, for example…) but not because it’s good for mom.

She said it here.

In other nutrition-related news there’s much kerfuffling about recent studies showing that organic food isn’t any more nutritious to consumers. With proponents arguing that the studies not being rigorous enough, and skeptics noting that if the studies have to be rigorous to demonstrate benefit the benefits can’t be large. And yet, relevant to Bartow’s post, one very clear benefit of organic food production is it minimizes farmer, farmworker, and food-handler’s exposure to toxic materials in quantities that don’t require rigorous studies to measure the effects of.

In both cases society obsesses over sometimes very small benefits that might accrue to food consumers, while remaining peculiarly oblivious to even very large benefits to either maternal or agricultural food producers.

Update: But doh! See Sungold of Kittywampus for a take on a) just how small a subset fall into the category of beneficiaries and b) that women have been told about previous stories about cancer reduction in an attempt to encourage breastfeeding.

And darn it all! When I first composed this post I had a section about how news like this should be just one more data point when making decisions to nurse one’s children, not a deciding factor in itself. (See also similar reasoning about alleged or real benefits of other activities.)

And in retrospect I don’t think I made clear that the point for me (and, I think, Ann Bartow) isn’t so much that breastfeeding is some great breakthrough for some women as the fact that potential life or health benefits of any sort to mothers as benefits to mothers are tend to be stinted compared to the heaps of attention paid to potential benefits to their children.


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Site Looks at Vaginismus, Vulvodynia, Etc. From a Feminist Perspective

So thanks to a comment a few days ago on this post where I quoted Karen Forsythe’s point that intercourse is only one of several options I learned about a cool-concept blog, Feminists with Female Sexual Dysfunction. From the “About” page

Welcome to Feminists with FSD, a blog written by, for, and from the perspective of feminists with female sexual dysfunction.

This project began as after this blogger, a self-identifying feminist with vulvodynia, became fed up with the available information about FSD from a feminist perspective! There are relatively few discussions about this topic on the internet, despite the fact that up to 43% of women experience some form of FSD during thier lifetime according to the American Medical Association – and that’s just in the US! I found that what little material there is, while well-meaning, is all too often misinformed or jumps to distressing (or even outright wrong) conclusions.

This blog’s mission statement is: To provide women with FSD, and their partners, a voice on the internet where we can discuss how feminism influences our views of sex, and how our sexuality influence our views of feminism.

Read the quote in context here.

The intro says a lot, but it skirts the point: vulvodynia, vaginismus, vestibulitis, interstitial cystitis, and other conditions of the pelvic floor makes penis-in-vagina extremely painful. And consequently treatment tends to revolve around making it less painful. Or, ideally, not painful at all, but it’s considered progress if treatment only reduces how painful it is.

That’s a pretty androcentric outlook. And if we didn’t have feminism we could just leave it at that and be done — less painful good, more painful bad. And if we had only Rush Limbaugh and maybe Twisty Faster’s also-androcentric vision of political-lesbian “rad-fem” the answer would be nearly as clear cut: intercourse is bad for women anyway so just don’t have PIV intercourse. (Actually see the author’s nuanced take on Twisty’s ideas about it here.)

But in fact androcentrism isn’t the most helpful approach. The biggest one being that the pain often extends beyond PIV penetration to any kind of touch at all. Including wearing clothes, sitting down, walking, etc. The other being that even when the context is sex and even when the desired outcome involves contact, insertion, and intercourse it doesn’t have to have anything to do with the convenience of men.

Shocking I know. But all the more reason to examine it from the perspective of those who actually have it instead of their partners or random pundits and passers by.


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Your search for "abortion" produced no results.

According to an article on MSNBC, John Hopkins University had programmed its computers to ignore abortion as a valid search term when utilizing a publicly financed database.

A prominent public health school has restored the word “abortion” as an acceptable search term on a reproductive health Web site funded by a federal agency that restricts references to abortions.The move by the Johns Hopkins Bloomberg School of Public Health follows criticism from some health advocates and librarians that the restriction amounted to censorship.The restriction on the POPLINE Web site — “population information online” — had been put in place after inquiries by the United States Agency for International Development, which funds the site, according to a statement from Dr. Michael J. Klag, the dean of the Bloomberg school.USAID denies funding to non-governmental organizations that perform or actively promote abortion as a methods of family planning in other nations. The policy was started under President Ronald Reagan and was revived when President Bush took office in 2001.
“I could not disagree more strongly with this decision, and I have directed that the POPLINE administrators restore ‘abortion’ as a search term immediately,” Klag said in a statement. “The Johns Hopkins Bloomberg School of Public Health is dedicated to the advancement and dissemination of knowledge and not its restriction.”
You can read the entire article by clicking here.

Dr. Klag’s decision received the support of the American Library Association. According to the ALA’s press release, Loriene Roy, President of the American Library Association, stated:

We applaud Dr. Klag’s swift action to restore full access to the POPLINE database. We are dismayed, however, at the circumstances that caused the administrators running the POPLINE database to begin blocking any and all searches on the word “abortion.” Any federal policy or rule that requires or encourages information providers to block access to scientific information because of partisan or religious bias is censorship. Such policies promote ideology over science and only serve to deny researchers, students and individuals on all sides of the issue access to accurate scientific information.

The American Library Association has vigorously opposed the use of internet filtering and filed suit to overturn the restrictions of the Children’s Internet Protection Act (CIPA) on the grounds that the Act violated the First Amendment rights of patrons of public libraries. The ALA claimed that the search filters required to comply with CIPA restrict from access a wide array of materials, including medical information. In 2003, the Supreme Court of the United States upheld CIPA, with the provision that libraries must comply with requests from adult patrons to disable the filters. The ALA continues to provide assistance to libraries that must implement CIPA to comply with federal funding requirements.

To determine if internet filtering did restrict access to health information, the Kaiser Foundation conducted a large-scale, scientific study designed to help determine whether Internet filters would block young people’s access to non-pornographic health information. The results of the study, released in 2002, supported the ALA’s claim concerning filters:

But as filters are set at higher levels, they block access to a substantial amount of health information, with only a minimal increase in blocked pornographic content.
The full report, in pdf format, is available for download here.

The Kaiser report also included a list of health sites blocked by the search filters such as suicide hotlines, the CDC pages on sexually transmitted diseases and diabetes, an FDA article on testicular cancer and a site dedicated to preventing teen pregnancy. Do teenagers really look up information about health? Yes, they do, according to an earlier Kaiser study that indicated 70% of 15-17 year-olds have used the Internet to look up health information, including 40% who have researched sexual health issues such as birth control or sexually transmitted diseases.

So when you are done with your Sunday morning coffee, please write to Dr. Michael Klag, Dean of the Johns Hopkins Bloomberg School of Public Health, and Loriene Roy, President of the ALA, and thank them for protecting your reproductive freedom. Am I exaggerating? Not at all. You cannot use federal funds to pay for abortion and, if not for advocates like these, you could not use federal funds to even read about an abortion.


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