STD Awareness: Transgender Men and Cervical Health

Healthy cervical cells as seen under a microscope. Image: National Cancer Institute

Just one month ago, headlines screamed that the Centers for Disease Control and Prevention (CDC) received a list of “banned words” from the Trump administration. One of those words was transgender, raising the alarm that the current president might be eyeing policies that would further marginalize the trans population and harm their health. (Other forbidden words include fetus, evidence-based, and vulnerable.) Some have argued it wasn’t Trump policy per se, but self-censoring on the part of the CDC to protect their budgets from being slashed by legislators hostile to transgender rights, abortion rights, science, people of color, and poor people.

In any case, refusing to use words like transgender can have grave consequences for trans health. If the CDC can’t reference the trans population when requesting money for services and studies, they will be hobbled in their ability to serve that population’s needs.


Recommendations for cervical cancer screening are the same for anyone with a cervix, whether trans or cisgender.


January is Cervical Health Awareness Month. Anyone who has a cervix can develop cervical cancer — including transgender men who have not had their cervixes surgically removed. In observance of the month, and in defiance of directions to avoid the word transgender, today we’ll discuss the importance of cervical health in trans men — and why taxpayer-funded entities like the CDC and the National Institutes of Health must be able to study and serve this population.

Transgender men (or trans men for short) are individuals born with female reproductive organs, but who identify as male. Likewise, cisgender women were born with female reproductive organs and identify as female. Both trans men and cisgender women were born with cervixes, and wherever a cervix exists, the possibility of cervical cancer exists. Continue reading

Do Birth Control Pills Cause Breast Cancer? The Latest Study

Last month, you might have seen headlines warning you that hormonal birth control increases risk for breast cancer. This news came from a study that examined the medical records of nearly 1.8 million Danish women — and the huge sample size lent heft to the findings, several of which stood in stark contradiction to commonly held beliefs about modern hormonal contraception.


Some types of hormonal contraception could increase breast cancer risk, while others may not. But the Pill also reduces risk for endometrial and ovarian cancers.


Birth control comes in two “flavors” — hormonal and nonhormonal. Hormonal contraception is among the most effective, and includes birth control pills, hormonal IUDs, the shot, the vaginal ring, the implant, and the patch. Nonhormonal contraception ranges from very effective, including surgical sterilization and the copper IUD, to the not-quite-as-effective, including condoms, diaphragms, and withdrawal. (With the exception of condoms, birth control does not provide protection against STDs.)

Hormonal contraception is one of the greatest achievements in the history of medicine, and offers those wishing to control their fertility an array of effective options. However, as with all effective medications, there is potential for side effects. And, because many forms of hormonal birth control contain types of estrogen, and exposure to estrogen is a risk factor for breast cancer, many people wonder if hormonal birth control might increase users’ chances of developing breast cancer later in life.

Most birth control pills contain a combination of two hormones: estrogen and progestin (synthetic progesterone). Other hormonal methods, such as the ring and the patch, also use combinations of these two hormones.

There are also pills that don’t contain estrogen, called POPs, or progestin-only pills — aka the “minipill.” Additionally, hormonal IUDs, the implant, and the shot are progestin-only methods.

What Previous Studies Have Shown

The connection between hormonal contraception and breast cancer is murky, because the association is difficult to study properly. There are so many different types of hormonal contraceptives, each with different dosages, different chemical formulations, and different ways of entering the body. We can’t tease these differences apart on the one hand, but make blanket statements about hormonal contraception as a whole on the other hand. But we can look at the available evidence and see where it points. Continue reading

2018: A Quick Look at What’s Ahead

The following guest post comes to us via Kelley Dupps, director of public policy for Planned Parenthood Advocates of Arizona.

We made it! We’ve survived a year under a regime keen on dismantling democracy, marginalizing many of our most vulnerable neighbors, and draining the swamp. Apparently, the swamp has been drained to release some of its inhabitants to serve as cabinet secretaries, presidential advisors, and political appointees. Despite the abuses to our civil liberties we endured on a weekly — even daily — basis, we have one good thing to say: This administration’s ability to galvanize the grassroots of the Resistance is impressive, and 2018 is poised to be another cage match of democratic ideals against despotic rhetoric.

The Trump Administration’s first year has been a whirlwind in which we found ourselves focused on survival, protecting our most vulnerable, and fighting back; and a quick assessment would show success on each front. From the millions of calls and emails generated to protect the Affordable Care Act (Obamacare); to Jane Doe’s legal victory to obtain an abortion while in ICE custody; to the millions who marched for women, science, truth, and the environment. So 2018 is all set for some intense campaigning as we head into midterm elections and weather attacks from a misinformed opposition, but look forward to some much-needed victories in November! Continue reading

Best of the Blog: 2017 Edition

It’s been a rough year. Ever since the 45th president was inaugurated in January, we have been pushing back against attempts to overturn the rights of women, LGBTQ folks, immigrants, people of color, and other marginalized populations. Racist and xenophobic voices have been emboldened by an administration that validates their hatred and minimizes their violence. It feels like the progress we’ve been making in advancing reproductive justice, gay rights, trans rights, and voters’ rights has stopped dead in its tracks.

But 2017 was also a year that shook many people out of their complacency — and re-energized longtime activists. January’s Women’s March may have been the largest protest in our nation’s history. Throughout the year, we rose up and shut down Republican attempts to destroy Obamacare, setting the stage for November, when enrollment records were shattered. A year after the gut punch of the 2016 presidential election, women, LGBTQ folks, people of color, and immigrants enjoyed well-earned victories across the nation in the 2017 elections. We need to keep working — staying on this trajectory can turn the tide in the 2018 midterm elections if we take control back from the legislative branch and douse the executive ego with a bucket of ice-cold water.

Our bloggers have been with us every step of the way, whether they are on the front lines of the fight to keep lifesaving laws intact and hold our culture accountable for its multifaceted bigotry, or helping to keep members of the resistance (and everyone else) healthy, informed, and compassionate in this new era.

Rachel kept close track of Republicans’ attempts to destroy the Affordable Care Act throughout the year. Pre-ACA, insurance policies could employ sex-based discrimination, refuse coverage to people with pre-existing conditions, kick people off their plans, and not cover essential services that keep people healthy. Each attempt revealed its creators’ wish list for destroying health care. In 2017, our activism worked, but the fight isn’t over, and we must remain vigilant. Stay tuned throughout 2018!

Matt has been watching the growing, right-wing extremism at the crossroads of racism and misogyny, a subject he covers in his response to the violent events in Charlottesville in August. Matt’s piece explores a political force that has put racial hatred on full display, but also one where misogyny resonates in a culture of disaffected — and often dangerous — men. We need to be intersectional as we fight for justice for everyone who is marginalized by white supremacist extremism.

Amanda observed American Heart Month by sharing the story of the sudden, heartbreaking death of her mother, who lost her life to a heart attack. As you mull over New Years resolutions, consider that heart disease is a top killer in the United States, but you can make lifestyle changes to help prevent it. The best gift for those you hold closest to your heart is to keep your heart healthy and strong, and Planned Parenthood Arizona provides care to help you maintain your heart’s health!

Gene made a slight departure from the blog’s mission to provide good guidance for readers to take care of their sexual health — his favorite post highlighted some of the most ridiculous things you could do for your sexual health. Whether he was lampooning stick-on condom alternatives, labia-sealing tampon alternatives, or egg-shaped rocks made to be inserted into the vagina, Gene took on some of the Internet’s looniest ideas surrounding sexual health and the human body.

Anna has been writing about sexually transmitted infections since 2011, and has become increasingly sensitive to the stigma surrounding these infections — and how people often internalize that stigma. Pairing STDs with fear and guilt has compromised medical care for generations. Folks who worry that the HPV vaccine or pre-exposure prophylaxis encourage promiscuity borrow century-old arguments from opponents of condoms, antibiotics, and other STD prevention methods. We think you’ll learn a ton of fascinating tidbits from this article!

Anne traveled all the way to Washington, DC, to meet lawmakers and represent the one woman out of every three who has had (or will have) an abortion. In a country that is becoming increasingly hostile to reproductive rights, we need people like Anne to put a face on abortion, a legal medical procedure that most of us have colluded to keep taboo. As Anne put it, “We were all darned tired of being characterized by ignorant anti-abortion advocates as shadowy, irresponsible, hypothetical women. We’re real people.”

Serena observed National American Indian Heritage Month by shining a spotlight on the little-known, shameful history of forced sterilization of Native American women. More recently, Native women’s control over their fertility has been further impeded by the Indian Health Service’s inconsistent access to emergency contraception and refusal to provide access to abortion. The ability to control our own bodies is essential to our dignity and self-determination, and it must not be abridged, whether it is interfering with our ability to have children or our ability to prevent or discontinue pregnancy.

Pride paradeCare observed Pride Month by remembering Pride’s roots. For a lot of us, Pride means parades and parties, but these annual celebrations didn’t originate that way — Pride Month commemorates the Stonewall Riots, which erupted 48 years ago. Care explains why the current political climate makes remembering Pride’s roots of the utmost importance. We need to stay vigilant, because when it comes to keeping and expanding the rights of LGBTQ people, and ensuring their safety and dignity, we’re all in this together.

Harvey MilkKelley, Planned Parenthood employee and honorary blogger, celebrated Pride Month by introducing us to Harvey Milk, whose call to LGBTQ people to “come out” led to a seismic societal shift, as hearts and minds were connected through empathy and storytelling. Today, we’re calling on you to take the torch of pioneers like Harvey Milk and keep fighting for LGBTQ rights and reproductive justice — for human dignity, bodily autonomy, and love.

STD Awareness: Is HPV Now a “Men’s Disease”?

Human papillomavirus, or HPV, is most notorious for causing cervical cancer — making it, in many people’s minds, a “women’s disease.” But this gender-blind sexually transmitted virus can cause cancer in any cell it infects, and is associated with cancers of the cervix, anus, vagina, vulva, penis, and mouth and throat — aka oropharyngeal cancer.

While oropharyngeal cancers used to be caused mostly by tobacco, as people quit smoking an increasing proportion is caused by HPV. In the 1980s, only 15 percent of oropharyngeal cancers were caused by HPV, but nowadays the virus is behind 70 percent of them. A 2011 study predicted that the number of HPV-positive oropharyngeal cancers will surpass cervical cancers by 2020.


HPV is rapidly gaining prominence among men.


It’s only 2017, but we’re ahead of schedule. Earlier this year, researchers reported that, in the United States, oropharyngeal cancer is more common among men than are cervical cancers among women — and oropharyngeal cancer rates are increasing in the male population, while they are relatively stagnant among women. These rates are projected to continue climbing, which will skew oropharyngeal cancer even more heavily toward the male population. But, in the public’s imagination, HPV is most well-known for its association with cervical cancer — while most people haven’t even heard of oropharyngeal cancer.

Oropharyngeal Cancer and HPV

Oropharyngeal cancer can strike the inside of your mouth and throat. Risk factors include tobacco (including cigarettes, snuff, and chewing tobacco), marijuana use, alcohol, and oral infection with HPV. HPV can be spread by most sexual activities — including vaginal, anal, and oral sex, as well as “French kissing” and rubbing genitals together. There are many strains of HPV, which come in two main categories: low-risk HPV, which can cause genital warts; and high-risk HPV, which can cause cancer. Continue reading

Pro-Choice Friday News Rundown

  • I love to start the rundowns off with happy news, and the departure of an anti-choice zealot from office is always a happy occasion!

    When news broke last week that AZ Rep. Trent Franks was resigning from Congress, it sent shock waves through the state of Arizona. To hear that he had reportedly been hounding female members of his staff to serve as pregnancy surrogates for him and his wife was stunning for many reasons:

    1. Ewwwww, this is your boss asking you to have his baby. ACK! NOT NORMAL! AND GROSS!

    2. Surrogacy contracts are illegal in Arizona.

    3. Trent Franks is “pro-life” and surrogacy is almost surely not in line with “pro-life ideals.”

  • All of that aside, we should mark the demise of this horrible man by reminding you all of just how terrible he truly was. The one instance that sticks out most in my mind? When he said that more black babies are “devastated” by abortion than slavery. What a repulsive, malicious, and sickening thing to suggest. That blacks are better off suffering through a lifetime of brutality, torture, and subjugation than never having been born. Adios, Trent, you will NOT BE MISSED, fella! (Rewire)
  • We think this is great news, but for some reason, the teen abortion rate dropping in Colorado by 64 percent isn’t causing jubilation among the anti-choice crowd. Anyone else find that weird? (HuffPo)
  • I don’t know about you, Dear Readers, but yesterday’s plea from that creepy little GOP weasel, Paul Ryan, for Americans to “have more babies” for economic reasons REALLY ticked me off.

    This rich pipsqueak (who whines incessantly about people sometimes needing to draw upon government “entitlements”) sits in total opposition to EVERY policy that would entice people to have more children: universal health care, free or low-cost access to higher education, better funding for public schools, paid family leave, extended social services, a livable minimum wage for all, subsidized childcare, etc. … He and his Republican cohorts are literally opposed to ALL of that which makes having a family less insurmountable.

    It’s hypocritical and callous to try to shame people into having “more babies” when he and his party go to extreme lengths to ensure people have NO financial safety net or governmental aid to rely on when they need it. Let’s hope the rumors of this jerk leaving the Senate in 2018 are true. Maybe he can find it in his icy heart to fund the Children’s Health Insurance Program before he goes. It’s in danger of leaving millions of children without insurance otherwise. I mean, come on. The health of all the babies he wants us to have has to matter to him, right? (Splinter News)
  • There have been a lot of headlines lately about the correlation between birth control pills and cancer. But left out of many of these news stories is the fact that hormonal birth control can also protect against certain cancers. Like everything, have conversations with actual medical professionals to figure out what’s best for you! (NY Times)
  • There may be hope that 45’s attempts to overturn Obamacare’s birth control mandate will fail! (Reuters)
  • As an Ohio native, I must say I’m horrified at how virulently anti-choice the state seems to have become in the 12 years since I left. Currently, a bill is headed to the governor’s desk that would ban abortion in the event a fetus is diagnosed with Down syndrome. Doctors who perform an abortion while aware of the diagnosis would lose their medical licenses in the state and face a fourth-degree felony charge. Is there any chance that maybe the men behind this bill are parents or adoptive parents of children with Down syndrome? I’m guessing no, but it’s nice to know they value the lives of these children. We can only hope that since they are taking families’ choices away, they will somehow provide meaningful support each time one is born rather than adopted. (Scientific American)
  • Remember how all the lying liars in the GOP claimed that they could defund Planned Parenthood and  “community health centers” could easily absorb our clientele and do our work better than us? Welp, the lie detector determined that was a lie. Planned Parenthood will have to start taking on more patients in a suburb near St. Louis because St. Charles County will no longer offer treatment and exams for sexually transmitted diseases through its public health department. And mind you, this is despite increasing STD rates in that county. Unfortunately, the county’s clinic is closing now and re-opening in 2018 with a reorganized clinic model “formulated to reduce expenditures and generate opportunities to increase revenues …” So basically, STD testing and treatment, while a public good, hasn’t been good for their bank account so they’re giving the job to us. Planned Parenthood is here and ready for you STL folks. (STL Today)
  • And lastly, I just want to shout out to my peers and fellow black women in Alabama. They turned OUT in the special election this week and helped Democrat Doug Jones win a seat in the Senate! To quote Cosmo, “White women preferred the accused child molester.” And I have nothing further to add. (Cosmopolitan)

In the Wake of Roe v. Wade: The Helms Amendment

USAID is essential in reducing infant and maternal mortality in the developing world.

This Sunday, December 17, is the 44th anniversary of the Helms Amendment.

What is the Helms Amendment and why should we care about it?

The simple answer to the first part of that question is that it is language added to the 1973 foreign aid bill. It reads:

No foreign assistance funds may be used to pay for the performance of abortion as a method of family planning or to motivate or coerce any person to practice abortions.


The Helms Amendment was the first federal legislative attack on abortion rights in the post-Roe era.


But of course nothing to do with abortion is ever simple. Think of the Senate in December 1973, just 11 months after the Roe v. Wade decision made abortion legal. In the intervening months the war in Vietnam ended; Henry Kissinger visited China; the Watergate hearings and the first trials of the conspirators began; Vice President Spiro Agnew resigned after being convicted of accepting bribes; President Nixon named Gerald Ford to replace Agnew; there were bloody coups in Greece and Chile; the Yom Kippur War was fought in the Middle East; Saudi Arabia led the oil embargo against the United States, raising gasoline prices from 25 cents per gallon to more than a dollar; Nixon tried to stop the Watergate investigation by firing the special prosecutor, Archibald Cox; the top two people in the Justice Department resigned rather than do so, leaving Robert Bork to carry out that order, in what became known as the Saturday Night Massacre; eventually Nixon was compelled to turn over his tapes after fighting the order in court.

In other words, 1973 was a turbulent year, a time of great change and political turmoil in Washington. Continue reading