We interrupt this program

As much as I'd LOVE to keep talking about the SGK crisis, there is an equally important crisis going on that's not getting as much publicity:

Pfizer Issues Statement On Voluntary Recall

The recall affects Lo/Ovral^®-28 (norgestrel and ethinyl estradiol) oral contraceptive pills. If you are a user, talk to your provider and use a backup method!

To Have an IUD or Not to Have an IUD (And then, which type?)

Desembarazarme’s recent post about IUDs here got me thinking. IUDs definitely are more popular. Not so much the ParaGard, but Mirena is. Women are often asking for it and providers are generally – in my experience – urging women to use it. I hope, too, that as long-term birth control methods become more available, that our community doesn’t swing their biases towards one method over another (but , this does seem to happen). The thing is, no method is the savior of all birth control for all women. We’re individual, unique people and different methods fit our needs: including abortion as birth control.

I’ve talked about my very own personal choice to not use hormonal birth control for over 15 years. With my current partner, we combine natural family planning with withdrawal and Plan B to control pregnancy. It’s worked for us. I’ve only become pregnant when I’ve wanted to. Despite this, I’ve actually been considering an IUD for years. When I recently discussed this with my Gynecologist and explained to him my reasons for considering the IUD, he told me that Mirena “is the birth control of choice for female OB/GYNs…even for themselves…so that tells you something,” and admitted that he’d recommend it over the ParaGard (which contains no hormones, but generally causes heavier, longer periods and cramps).

The doctor at my clinic loves the IUD, too, and inserts them immediately following an abortion for many of our clients. Many of our clients soon have them removed, though, because there is “nuisance” bleeding for a few months with the Mirena (which has a small level of progesterone) and then no period at all. (Some of us like to have our period to feel more certain we’re not pregnant, even though you can have bleeding and still be pregnant.) Personally, I’m still a bit on the fence about it and since it does cost so much money, I find it hard to just “play” with the method and see if it will work for me, only discover it doesn’t, after forking out over $500.

What do you guys think?

P.S. If you want the recipe for the IUD cookies (they are super cool!), then check out this blog here.

The Mississippi Personhood Amendment

Next week, Mississippi voters will be voting on Amendment 26. If passed, a fertilized human egg will be considered a legal person, thus making abortion (and some forms of birth control and miscarriage) murder.

The Personhood strategy goes back to 2008, when Colorado citizens attempted twice to enact similar laws, both of which failed miserably. Colorado is much more liberal than Mississippi, though I guess pretty much any state is more liberal than Mississippi.

Should this pass, and it does seem like it will, this promises to be big trouble for women. Not only because it will like fire up the base and states like Florida, Ohio, and South Dakota have similar movements happening, but because it will reframe the debate to "birth control isn't abortion," away from the core message that women have the right to have abortions.

Yikes. Additionally, there is no exception for rape and incest victims. On Amendment 26's website, they have a "What about rape?" section, and it is simply a link to Rebecca Kiessling's website. Her mother was raped. Because Rebecca is alive and glad about it, this is somehow supposed to imply that all women who are raped should be forced to carry the pregnancy to term, go through the excruciating pain of labor, pay for all the medical costs associated with pregnancy and labor, and then have a baby and pay for all childcare costs as well. The fact that Amendment 26 couldn't even bother to create a separate page to address the concerns of rape victims (and incest cases were completely ignored) illustrates how blatantly they disregard women and others in general. Their view is so narrow and slanted that they are incapable of offering compassion or caring for a woman who has gone through a horrible experience. You cannot say that every case of rape is exactly the same and each woman will want/need the same thing. You just can't.

And then there is the whole birth control thing. Under this amendment, using birth control, the IUD, emergency contraception, and having a miscarriage would all be forms of murder. This is very problematic, obviously, because if having an abortion is murder, then women are going to want to be extra sure to not get pregnant. Yet many common ways to avoid getting pregnant would be classified as "abortion" under this amendment. WTF? Amendment 26's birth control page, "How does Amendment 26 impact birth controll (sic) & bioethics" appears to be all about cloning and IVF, with no mention of how OCPs or the IUD would be impacted by this bill. Again, WTF? I can only assume their complete dismissal of this is because they realize there is no way they can really say that birth control won't be illegal under the amendment.

As for the miscarriage issue, all they say is, "The Personhood Amendment would prevent the intentional taking of a life, but it would not adress (sic) miscarriage."

THIS IS THE WORST IDEA EVER, GUYS.

As we have talked about before, the vast majority of abortions occur before 12 weeks. I know it's a little gross, but if you have a person look at the pregnancy tissue of a nine week old pregnancy and then a 5 year old, and then said, okay -- the tissue or the child has to die -- pick one, most people would pick the tissue. That is because the tissue is NOT the same thing as the child. I know some people believe they are, but my point in this example is that when it comes down to it I don't think most people really think they are the exact same thing. Which is why, until this point, personhood bills have failed so badly. Is a woman who has a miscarriage, a totally natural process out of her control, a murderer? No. And is someone who takes birth control pills killing a baby everyday? Is a woman who has an IUD in killing babies too? NO EFFING WAY. Is someone who has IVF killing a baby if the first egg doesn't take? No. If someone was raped by her father and takes the morning after pill the next day murdering a baby? NO. It's not the same thing. So stop acting like it is.

/end rant

Can we talk about Sandy Rios and why she sucks?

Have you watched the clip Sparky posted on Friday? If you haven't, watch it now. I'll wait.

Okay. So can we take a minute to talk about how incredibly fucked up the views espoused in the clip are?

If you watch the whole segment from FOX News, Sandy Rios, Vice President of Family PAC Federal, says some insane things that deserve more attention:

“Why in the world would you encourage your daughters, and your granddaughters, and whoever else comes behind you to have unrestricted, unlimited sex anytime, anywhere and that, somehow if you prevent pregnancy, that somehow you’ve helped them. I would submit to you that uncontrolled sexual behavior is what is harming our girls, not their lack of birth control — which by the way they don’t seem interested in taking anyway. Having a baby is not the worst thing. I think having multiple sex partners without any kind of restraint or responsibility is much more damning, why would you support that?”

So, this is a pretty popular, deeply embedded societal belief: If women take birth control, they WILL have wild promiscuous sex. If they have access to EC, they WILL abuse it and use it as a method of birth control. Why is our country so terrified of women having access to birth control? What is so threatening about the prospect of women being in control of their bodies?

Also - "Having a baby is not the worst thing." EXSQUEEZE ME? Having an unwanted child seems like a pretty bad option, for both the mother and child. Instead, Rios demonizes women who have multiple sexual partners, saying that is much worse. So it's better to have sex and have babies, versus have sex? .......................What?

“Is the White House out of their mind? Does the West Wing not know what the left wing is doing? We’re $14 trillion in debt and now we’re going to cover birth control, breast pumps, counseling for abuse? Are we going to do pedicures and manicures as well?”

:LSKDJFDSL:KFNDSKBGFHJKFJGKFHDJH

I like how birth control, which in the long run will save the country billions per year, breast pumps, which have proven to improve the health of the mother and the child (thus also has long term savings benefits), and counseling for abuse survivors somehow equates to a completely frivolous, unnecessary purchase like a manicure.

And what is with her complete dismissal of abuse survivors? Statistically, she knows someone who has been abused. Therapy is fucking expensive. If you are lucky enough to have insurance, it probably doesn't cover the full cost of each session, which in metropolitan areas easily runs $150 for a 45 minute session, so it can add up quickly. If you don't have insurance, good luck paying for that. $150 4x or 2x a month? Forget it. Free counseling for abuse survivors is a completely awesome service. I'm sure Rios prefers our society's traditional method of Shame & Silence. I'll just stay with my husband and he can keep beating me, NBD. :/

Some Comedy for your Friday!

Blog Carnival: We've Got You Covered (Birth Control)

We’re happy to take part in the National Women’s Law Center’s blog carnival campaign about the importance of access to contraception for all those who want it. It’s great that the National Women’s Law Center is bringing this important issue to attention, because unfortunately, access to birth control information – and birth control itself – isn’t readily available to all.

There are lots of different views on how to provide birth control counseling and information during the time of abortion. One view is that all women seeking abortions must/should have birth control counseling (whether they want it or not). Under this category, some feel that all women should leave the abortion clinic with some form of contraceptive because if the client ends up returning for an abortion, the providers/society/clinic/counselor somehow “failed” her. Others feel more that it’s a fluid subject and should be one driven by the client herself: she requests the information, the clinic provides it, and the clinic gives the type of method she’s seeking/asking for. Under this view, the clinic staff would not feel they “failed” a client if she came back for an abortion. (Statistically, most women who have abortions have had at least one before.)

One of the things that I always enjoy at work is when a patient – either on the phone or on the day of her abortion – asks lots of questions about birth control. I love being able to share as much information as possible, and letting her come up with what she feels is the best method for her at the time. I feel fortunate to work for an abortion provider that really puts that decision in women’s hands. Though I think it’s imperative that all women – who want it – have access to both birth control and birth control information, I also think it’s totally OK for patients not to receive birth control after their abortions if they don’t want it. I’ve heard comments (that I believe are judgmental) like this to women on the day of their abortions, “Are you sure you want to continue using condoms as your birth control? I mean, that’s what you said you were using this time and look what happened.” I find this cringe worthy, parental, and well, totally not feminist.

I’ve come across quite a bit of judgment/bias on certain types of birth control methods, too. Barrier methods, withdrawal, and “natural family planning” types of BC seem to be frowned upon. It’s true that statistically they’re less effective, but certainly that depends on the individual using them, their knowledge about the method(s), and their knowledge about themselves and their bodies. Just as it’s important for women to have access to as much information they want when considering an IUD versus Implanon, women who are interested in natural family planning/withdrawal/barrier methods deserve to have accurate information on those methods as well. And they deserve to be supported. I’ve been working in RH for many years and I choose not to use a hormonal birth control method. In fact, for over 10 years, I haven’t used any type of “conventional” birth control at all. Not even condoms. (Gasp!) My partner and I use the withdrawal method. Our children were planned and I have not had any unplanned pregnancies. Many people (myself included) combine several methods together (I tend to use withdrawal with some natural family planning and Plan B for back-up when needed). I believe I know when I ovulate. My periods are regular and I experience mittleshmerz. My partner is very – err – disciplined I feel very confident and happy with my BC choice.

Unfortunately, despite my success in preventing unplanned pregnancies and planning some planned ones, I still am given a hard time by my PCP and other physicians who kind of “mock” me that I do not use any birth control. Then they lecture me about it. (Which is super annoying and I always want to say, “It’s OK. If I get pregnant, I can just get an abortion at work!”) The fact is, I DO use birth control. Just not hormonal or device-driven birth control. And I believe I know what the hell I’m doing and – really – no unplanned pregnancies in 10 years is pretty damn good, in my book! I also cannot be the only person out there with a similar experience.

I think our jobs are to trust that women know what’s best for them at the time. Given them the information about the birth control they’re interested in. Answer their questions. Ask them questions. Help provide an environment of critical thinking. Let them decide what method they want. Help them get it. (On a macro level, advocate that all women can access affordable contraception!) And support them in their decision. We trust them to make the decision to have an abortion (which, don't-ever-forget might actually be her form of birth control, too!), we should trust them to make decisions about their overall reproductive health.

"to go back and get it:"

The night I found out my closest sister was pregnant I was on my way home from a lecture by a Planned Parenthood representative. The lecture was about the lack of access to sexual health services in poor communities and communities of color. I was catching a ride home with someone I knew and my cousin, sister, friend called to say "I have something to tell you.....I'm pregnant" We were both 19 years old. I was in my sophomore year of college. She was living in small town, America just trying to make it.


The abstract concept that people, with out money, living in rural areas, or in urban centers, where billboards say "who's your daddy?" and promote cigarettes and liquor consumption, do not have access to accurate information about sexual health and reproduction became extremely concrete. My closest sister was pregnant. As an abortioneer my first reaction was, "ok, ok you have options" After a few hours talking with her mom and calling me she firmly decided to keep the pregnancy. As an abortioneer I was very supportive of my childhood soul mate choosing motherhood.
If my sister had a ride to the nearest planned parenthood nearly an hour away she might have been on birth control. She may have also chosen not to use birth control. The thing is her lack of access to transportation and money meant she also lacked access to birth control. She didn't have the ability or opportunity to make a choice about what birth control method to use, if any.

During the Planned Parenthood lecture I attended earlier in the evening I also learned that the father of gynecology, J. Marion Sims, developed much of the science of gynecology through experiments on enslaved African women and poor Irish immigrants. He did not use anesthesia on these patients because there was a widespread belief that they were less sensitive to pain than wealthy white women. J. Marion Sims owned slaves and it is documented that he did experimental procedures on women that he "owned". He was well known as a plantation physician and treated numerous enslaved Africans.

I was appalled to find out that gynecology was born out of a racist and classist history. In this country social inequality is built into the most basic fibers. The enslavement of Africans, annihilation of natives, and exploitation of poor people is at the very roots of the development of the good ol' U.S. of A. This country was built by people of color and poor people to serve the needs of wealthier white landowners. The science of gynecology is no exception.

The ability to determine one's life is based on one's access to resources. People who are historically disenfranchised do not have the ability to access necessary resources. Maybe that necessary resource is a ride to planned parenthood for birth control or STD testing. Maybe that resource is a safe abortion, or maybe its a condom or an education.

The history of this country cannot be erased. The West African Adinkra symbol Sankofa means "to go back and get it" and is representative of learning from the past. Racism and classism is not ancient history. Access to resources is one very concrete way the history of racism and classism in this country has translated into today. The ability to control one's body and reproduction is the most basic human right. Women need access to birth control and sexual health care in order to gain this very basic human right.

Book Review

During Superbowl Sunday I was discussing abortion with a relatively pro-choice individual, and the question of the sexual health utopia arose.

Her version: all women would have unfettered access to contraception and would all use it scrupulously.

My version: all women would have unfettered access to abortion and would use it as needed with no fear of stigma or retaliation.

Now, I totally understand her side. A few years ago I was on that side too. But nowadays I understand that a) if abortion access is unfettered than contraceptive access has probably been unfettered for centuries, and b) some women, all types of women, simply don't want to use contraception. And as hard as that is for lots of folks to understand, it's true. And I'm not even talking unfortunate, hopelessly unaware women. I'm talking about fully aware, competent women who make the choice not to use a method. Maybe they don't like the way condoms feel, or they don't like the effects of hormonals on the body, or don't like OB/GYNs telling them what's best. Whatever the case, I'm finding more and more women out there who don't think twice about a) carrying as many pregnancies as they will because they don't practice contraception, or b) having as many abortions as they will because of the same.

And yet, and understandably so, my counterpart was horrified. Why would anyone do that? After the third abortion a woman must just be lazy or plain stupid. She even challenged my assertion that there was no limit to the number of abortions one could have before crossing an ethical line with all the disbelief of Fabio in an "I Can't Believe it's not Butter" commercial. And as strange as these things sounded to my reformed ears, I know that they are common sentiments. Any woman who has that many abortions on purpose must be crazy!

Now, it's not the road that I've chosen. I've never had an abortion or needed one, and I quite enjoy the daily hormones that have saved me over $100 in tampons over the last couple years. But when is it ever my place to tell Sue how many abortions she can have before I stop being her friend? I couldn't, wouldn't do it! The logical flaw is that I don't have an ethical dilemma with abortion, therefore the number of times a non-unethical act is committed makes no difference to me.

Man, that was a tough conversation to get through. Anyway, I relayed this incident with a friend of mine, who recommended to me the following book: [/rant] [actual blog topic]

I'm not really familiar with the author (Cristina Page, anyone?), but she's great because she says everything I already know to be true but in a way that makes you actually want to listen and not cringe at my boisterousness. And her basic premise is something we all know to be true, but don't articulate quite enough: Antis are not simply anti-abortion, or even anti-contraceptive. They are anti-sex!

This is true enough, and I enjoy that Page makes a series of logical steps to prove this beyond the shadow of a doubt. Most importantly, by pointing out how antis refuse to accept any scientific evidence you provide, make up their own to counter it, and reject the most sensible compromises that will ensure that abortion rates plummet.

Wanna hear some funny things about antis? (As if you haven't heard enough by now.) On the prolife.com website, masturbation is identified as a "homosexual" behavior, that is, "sex with a person of the same sex, namely, yourself." Ah, if only I'd had a nickel for every time an anti whacked off. But you can find this and other philosophical gems in the book. Very excited to finish it and report back to you all the musings of dumb-dumbs and do-dos.

Ta!

Abortion is soooo gay

My running team happens to be a local member of an international LGBT running club. I ran a half-marathon on the anniversary of Roe v. Wade this year, and as I was getting to the start of my race, I ran into a friend from the running team:

(Note: I am on a running team that is a local member of an international LGBT running club.)

Friend: Happy Roe v. Wade anniversary!

Me: Thanks! I wanted to put something on my shirt about Roe v. Wade but just didn’t get around to it in time.

Friend: That would be a lot of different messages on your shirt since our team logo is already on the front…and people might think our team has an official pro-choice stance.

Me: Ha, yeah, but I hope most people on our team are pro-choice.

Friend: Yeah but how will we recruit all those gay Republicans to join our team then?

Me: Hey you never know, they could be pro-choice Republicans...I mean they are already Log Cabin Republicans so….


One of the things I find interesting about the reproductive rights and LGBT movements is prevalence of the word “choice” and how one embraces it and one defends against it. CHOICE is synonymous with abortion in my mind and the reproductive rights movement has really latched onto this term because it acknowledges bodily autonomy and a woman’s control over her own self. However, the LGBT movement has had to fight off their opponents who say it’s a CHOICE to be gay, transgender, etc. Reproductive rights are all about CHOICE; it’s not being anti-baby or pro-abortion, but about wanting to have a CHOICE. The LGBT movement vehemently opposes the notion that being gay is a CHOICE and argues against those who say they can just as easily CHOOSE to be straight (after all, it just takes a little ‘Ted Haggarding’ to become an “ex-gay”, aka anyone can pray away the gay with the right amount of training and determination!).

When you Google “abortion homosexuality” the second link that shows up leads to a piece called “Abortion and Homosexuality Movements Are Linked in their War Against Life and Marriage”. Funny, I’ve always believed that the movements are intersected and linked too, but for very different reasons. For me, LGBT rights and reproductive rights are both about bodily autonomy. People can do whatever the fuck they want with their bodies!

There are the obvious alliances between the two movements. We are fighting the same enemies and share similar allies. The groups who hate and fight against one of these movements often fight against the other (Umm Westboro Baptist “Church” anyone?). And then there are the LGBT singles and couples that seek to get pregnant and delve into the world of assisted reproductive technology (which has grown thanks to the reproductive rights movement). The clinic I worked at provided abortions in the same space where (mainly) lesbians came to get assistance with pregnancy. Many of these women get on birth control to regulate their period. And then there were even a few times where women who were artificially inseminated unfortunately had to seek out an abortion due to a fetal anomaly or health risk.

And lets not forget about all the lesbian women out there who never plan on needing birth control but take hormonal contraceptives in order to manage their period or decrease acne! I include my own sister in this group and I still find it funny to talk to her about oral contraceptives.

But then you have groups like this who clearly disagree with me and it just blows my mind:
http://www.plagal.org/

They state on their website:
Towards this end PLAGAL was formed: to challenge the notion of abortion as acceptable, to bear witness to the Gay/Lesbian/Bisexual/Transgendered (GLBT) community that abortion rights and GLBT rights are not one and the same, and to work towards those alternatives that are life-affirming as well as pro-woman.

By the way PLAGAL=worst acronym ever

I’ve heard the argument from anti-abortion gay groups that if/when a “gay gene” is discovered then people will do selective abortion based off of sexuality. Anyone have thoughts on this?


Final thought: Clearly our movements need to work together. We both face challenges from those trying to control us, from the religious right, from the healthcare system, from politicians, and from assholes like Eric Rudolph who CHOOSES to use violence to express his hatred for abortion and homosexuality.

"Why don't you..."

Ensure women are confident in the decisions they make about their problem pregnancies
Help women leave their abusive partners so they can have that baby
Combat domestic violence
Provide women with contraceptive services to avoid unplanned pregnancies
Find a job developing more effective forms of contraception
Prevent rape and sexual violence - so that "the innocent ones" don't have to have abortions, natch
Find counseling for assault victims
Throw them baby showers so they'll have "all the supplies they need"
Offer to adopt her children so she'll have time and energy for one more
Buy her kids the damn Christmas presents so she won't have to have the abortion (What?? Please work on distinguishing between a problem and its symptom, OK?)
Help her with the cost of a new baby
Pay their utility bills
Help them find safe cheap childcare...

*

Dear devoted denialist antis, regular know-it-alls, and well-meaning strangers/friends/family/bloggers who just think abortion "shouldn't be used so thoughtlessly": 


Thank you for your suggestions. We regretfully see that you consider yourselves geniuses for having hit on the one magic solution that no one has tried.


In order to keep this letter brief, I leave to your own heroic efforts the task of identifying which of these things we ALREADY DO that you just assumed we don't do, which of them we would NEVER DO because you are not adequately informed to dream up effective strategies ("tell her to Just Leave him!"), and which ones we would LOVE to do but lack the resources and/or magical patriarchy-busting power to do.


In fact the purpose of our reply is simply to ask you a question, since you brought it up.


Why don't you?


No, seriously. Why don't you do those things? Answer me, each of you, about your individual practices. And society-at-large, you answer me too. And when you've all answered why YOU don't do these things, I'll understand you a little better, and then one day maybe we can "discuss reasonable solutions" as you have proposed but are currently unprepared for.


We regret that we will not be working with you at this time but encourage you to submit future proposals that meet the minimum thoughtfulness standards.


Good luck,


Placenta Sandwich
VP of Irritated Blogging
The Abortioneers

IUDs!!!!!!!!!!!!!!!!!!!!

Mirena IUD

I have an IUD. I am pretty much in love with it. Over the years, I had heard all sorts of things about them, but the biggest thing was that IUDs were mainly for married women who were done having children. AKA, not me. It also seemed like kind of a pain (pun intended) to get it inserted, cost alot of money, etc etc etc.

Well, first off, pretty much anyone can get an IUD. You don't have to be married, or "done" having babies. It turns out, IUDs are recommended for post-having babies women because giving birth stretches out your uterus, which makes the IUD insertion generally less painful and less likely to be expelled. However, that doesn't mean you can't get one if you haven't given birth.

Since I was no longer happy using oral contraceptive pills, I decided to take the plunge and get a Mirena in June. The ENTIRE thing was covered by my insurance so I figured worst-case, if I hated it, I could get it removed after three months and then go back on the Pill. I was pleasantly surprised to find the insertion wasn't terribly uncomfortable. I had cramping and spotting afterwards for a few weeks on and off. Then it was over and everything has been going swimmingly since.

I bring this up not only because I think the IUD is an underutilized form of birth control, but also because post-abortion and post-partum IUD insertion is becoming a growing trend here in the US. Since the cervix is already dilated and you already have your feet in the stirrups, it's a pretty convenient time to get your birth control taken care of for the next couple years. In addition to the convenience, there is also evidence to suggest this is a particularly useful form of birth control for low-income populations because it lasts for so long and does not require a lot of maintenance (versus having to go to the pharmacy every month to pick up pills, pay for the pills every month, etc). Plus, getting an IUD inserted at the time of an abortion is helpful because it saves the woman an additional trip to the doctor.

A very low percentage of U.S. women in general use the IUD, and even smaller amount of low-income women use it. Studies have suggested about 1% of low-income young women use it as a method of birth control. Informed counseling, I think, can change this, and there are programs out there which offer IUDs for free/low-cost to qualifying patients. For clinic-working abortioneers out there, if your clinic doesn't offer IUD insertion, or have discounts for low income women, it might be worth checking your state laws, programs, etc... maybe something is out there.