Over 90 Percent of What Planned Parenthood Does, Part 8: Hormonal Option without Pelvic Exam (HOPE)

Welcome to the latest installment of “Over 90 Percent of What Planned Parenthood Does,” a series on Planned Parenthood Advocates of Arizona’s blog that highlights Planned Parenthood’s diverse array of services — the ones Jon Kyl doesn’t know about.


I remember sitting in the exam room, fidgeting with my paper gown and nervously explaining to the doctor that my boyfriend and I had come very close to having sex already, and I would please like to be on birth control pills when it actually happened.

“Sure,” he said, swinging open the stirrups. “Just as soon a we do a pelvic exam.”

I didn’t want one. I really didn’t want one.


While it’s common for health care providers in the United States to require or routinely perform a pelvic examination — with or without a Pap test — prior to prescribing hormonal birth control, several health organizations state that a pelvic exam isn’t necessary in order to be safely prescribed hormonal contraceptive pills, patches, shots, or rings. For instance, the American College of Obstetricians and Gynecologists advises, “A pelvic exam is not needed to get most forms of birth control from a health care provider except for the intrauterine device (IUD), diaphragm, and cervical cap.” In such cases, HOPE (Hormonal Option without Pelvic Exam) may be an appropriate alternative. Continue reading

Becoming a Woman

Vagina. It is a fairly innocuous word, don’t you think? But in today’s America, it has become more than a correct clinical term for female genitalia; it has become a naughty word. Suddenly, in a presidential election year notable for its lack of substance and abundance of acrimony, the vagina has taken center stage. The rules, however, for its inclusion seem to be muddy. Countless state legislatures have passed increasingly draconian laws that relate directly to the vagina. Ironically, the majority of people who have been most vocal in anti-vagina activities do not have one. In Michigan, at least, it has even become a word whose use can get you banned from speaking on the legislative floor. Love, lust, empowerment: These are all words that describe feelings different people have about vaginas. But what about envy?


The closer I am to getting a vagina, the more I understand that I don’t actually need one to be the woman I am.


A few days ago, I received a private Facebook message from a dear friend. It began, “I got to see my vagina today. For the very first time, my vagina. I know you know how significant that is and I only wish the same for you and soon. It will change your life.”

My friend, Natasha, sent this from her hospital room in Montreal, where she is recuperating from the most significant surgery anyone like us can ever undergo: gender affirmation surgery. We are transgender, which, for those few of you who might not know, is the phenomenon where the gender identity that is programmed into the brain of a fetus does not coincide with the physical sex into which that fetus develops. To make a million long stories short, it is unarguably one of the most painful conditions imaginable, largely because the person suffering from it has to fight tooth and nail to make people understand that it’s real. Continue reading

Look Out Ladies: Anti-Woman Bills from the Arizona Legislature Are Coming Your Way!

For many people, the start of the New Year is marked by plans and vows to make life changes and start fresh. Some people go on diets , some give up nasty habits, and others reconcile differences with loved ones. Then there are those who set out to impose on the lives and health of millions of Arizonans, as is the case of for 61 of the 90 Arizona Legislators. This year’s legislative session was a deliberate, detrimental attack on women’s freedoms, women’s health and the intelligence of women to make decisions regarding their own bodies, their fate and their lives.

Through the nine anti-choice bills that were proposed by members of the House and Senate, opponents of Planned Parenthood sought to mandate regulations that try to eliminate abortion out of existence, stigmatize not only abortion, but the individuals who seek this type of medical care as well as harass the Planned Parenthood network including patients, staff, volunteers and supporters.

House Bill 2416 is one of the bills that try to eliminate abortion out of existence. It redefines taking the abortion pill as “surgery.” It is clearly an unnecessary, extravagant, over-regulation that will result in more than half of Arizona’s miniscule population of abortion providers becoming ineligible to provide care. Women who live in Arizona’s rural areas will lose access to abortion entirely, as abortion-by-pill is currently the only form of care outside Phoenix and Tucson. Because abortion-by-pill is used by women in the fifth to ninth week of pregnancy, this proposal aims to reduce abortion early in pregnancy which could result in more surgical abortion which is potentially riskier than by pill. Continue reading