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When I was entering adulthood and suffering from severe menstrual cramps, I suffered without relief for far too long. And I am certainly not alone in this experience. The most common gynecological disorder is dysmenorrhea — painful menstrual cramps — which strikes an estimated 90 percent of reproductive-age females. Furthermore, around 40 percent of American women use some form of complementary and alternative medicine, or CAM. “CAM” is a catchall for approaches to health care that fall outside of the mainstream. Given the popularity of CAM and the ubiquity of dysmenorrhea, it was no surprise that I experienced painful cramps, nor was it shocking that I tried a few herbal remedies, which are a type of CAM.
“Natural” doesn’t necessarily mean safe or effective, so be critical.
During my second year of college, at the age of 19, a friend recommended a couple of herbal remedies to add to my cramp-fighting arsenal. I tried them, but it was difficult to know if they really worked. My pain varied so wildly cycle to cycle that I had no way of knowing if I was just having a “good month” when I initially tried these products. Although I thought they worked at first, after I had accumulated more menstrual cycles under my belt, I started to wonder if my cramps were really any less painful. On average, I still seemed to be missing just as much school and work as before — but I wasn’t sure.
The problem was that I never collected any before-and-after data — I didn’t spend years ranking the severity and duration of my cramps, or keeping track of the hours spent in bed away from school, work, or other obligations. Furthermore, my initial sense of optimism could have colored my perceptions. Since we can be tricked by our own expectations and biases, it is important to have access to quality evidence — gathered in large, methodologically powerful studies.
Raspberry leaf tea was the first herbal remedy I tried. It tasted OK, and the ritualistic nature of drinking a hot beverage from a steaming mug was soothing. But is there any actual evidence that raspberry leaf can help relieve the pain of dysmenorrhea? Although it’s been used therapeutically since at least the 1500s, the only human studies I can find for any gynecological condition examine its use during pregnancy or labor — not for treating menstrual cramps. The only claims for raspberry leaf’s efficacy in treating cramps come from biased sources, like the manufacturers themselves. It seems the tea I drank during my late teen years had word of mouth and marketing going for it, but not much else. Continue reading
Condoms. You know you should use them to protect against sexually transmitted diseases and unwanted pregnancies, but somehow the thought of possibly reducing pleasure for that protection may stop a lot of people from using condoms as often as they should.
Originally made from animal skins or intestines, condoms have been used for centuries. Not much about them has changed for hundreds of years. The old one-size-rubber-fits-all mentality, however, is a thing of the past. The sheer variety of new condoms on the market can take your sexual enjoyment to a new level, while still keeping you protected.
Condoms can be flavored, colored, or textured. They can glow in the dark or vibrate, or be vegan or custom fitted. Above all, they protect against STDs and pregnancies.
Condoms now come in an assortment of styles, sizes, flavors, colors, and textures. They can be lubricated or non-lubricated and even made to custom fit. Whatever your pleasure, there is probably a condom for you and your partner that will protect your health and enhance your experience. What to choose? Let’s look at some of the options available today.
Most condoms are made of latex. These are probably the least expensive and they also protect really well against sexually transmitted diseases (STDs) and pregnancy. For those with an allergy to latex, there are polyurethane or polyisoprene condoms. Continue reading
Have you ever heard that syphilis originated in the New World, and was imported to Europe by unwitting explorers? Some say it’s a fitting revenge for Europeans, who brought deadly diseases like smallpox and measles to the Americas. Others say that, while it’s an interesting hypothesis, it’s mostly speculation backed by some intriguing circumstantial evidence.
The predominating theory of syphilis’ origin is that it was transmitted from the Americas to Europe via sailors on Christopher Columbus’ ships — sailors who, in addition to other horrific acts, probably raped the natives of Hispaniola, from whom they could have contracted the infection. Historical records show that syphilis popped up in Europe in the last decade of the 1400s, coinciding with the return of Columbus and his crew — when Europe was deeply mired in war. With war came the far and wide travel of troops, who could have introduced the pathogen to prostitutes and other members of local populations.
In the era before antibiotics, syphilis was the world’s most feared sexually transmitted disease.
But we don’t know for certain that Columbus’ crew brought syphilis back from the West Indies in 1493. Some scholars point to ancient writings, from Biblical texts to Chinese records, that contain descriptions of diseases that are consistent with syphilis — though they might merely have described tuberculosis or leprosy. There are also pre-Columbian skeletons from Europe, Africa, and Asia that seem to exhibit evidence of syphilis infection — though diagnosing syphilis based on bone samples is problematic at best. Is it possible that syphilis had existed in the Old World all along, but didn’t become an epidemic until the wars of the Renaissance era allowed syphilis to conquer the continent?
Or perhaps the New World was home to a mild strain of the disease that mutated once it hit European soil. One team of researchers, studying Guyana’s remote Akwio tribe, discovered a disease that was a lot like syphilis, but was not an STD — it spread by skin-to-skin contact and infected about 1 in 20 children. Genetic analysis showed that it was caused by a bacteria that was closely related to the same bug that causes syphilis. Could Columbus’ men have picked up this transitional strain of bacteria and brought it back to Europe, where it mutated to evolve into the virulent pathogen we know today? Continue reading
Marriage equality for same-sex couples has come about partly through court decisions finding against states that have passed laws or constitutional amendments defining marriage as between one man and one woman.
In Arizona, the case was Majors v. Jeanes (formerly Majors v. Horne), which included seven couples and two widowed members of couples. One of the couples in the case was Kent Burbank and Vicente Talanquer, who had adopted two sons. Since Arizona did not allow two “unrelated” individuals to adopt jointly, only one of the fathers — Vicente — had been able to legally adopt. And when the couple was legally married in Iowa, that marriage was not recognized in Arizona, meaning that Kent still could not be a legal father to his sons. Only after the decision in Majors v. Jeanes on October 17, 2014, was he finally able to adopt his sons. His family is one of the first in Arizona in which both parents in a same-sex couple were legally able to adopt their children jointly.
“Vicente became the legal father. I had to, essentially, be nothing.”
Kent Burbank, who was once on the board of directors of Planned Parenthood Advocates of Arizona, agreed to share his experiences with the adoption process, the lawsuit, and his marriage. I was very interested in interviewing him: I am also an adoptive parent, and since I adopted as a single mom, mine was also viewed as a non-traditional adoption. As we talked, I found we had experiences in common, but that some of what we faced was quite different.
Our meeting took place at the library in downtown Tucson, on January 5, 2015.
Arizona only allowed husband and wife to adopt jointly. Is that why you got involved with the lawsuit?
Our primary purpose for joining the lawsuit, speaking just for my husband and I, was about getting the ability to have both of us recognized as legal parents. When we went through the adoption process we had to do everything that a married, heterosexual couple would have had to have done — background checks, lengthy histories on both of us, statements about why we both want to adopt — and at the very end they said, “Oh, so sorry. Arizona doesn’t allow unmarried, gay couples to adopt.” Continue reading
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 never knew about.
Few moments in life are as important and complex as when a woman makes the decision of whether and when to have children. There are many considerations to take into account when planning to conceive, many of which can affect not only the baby, but the mother as well.
Preconception counseling, a service of Planned Parenthood Arizona, can provide those who wish to conceive with valuable information about their own health, suggestions about how to best manage their wellness for pregnancy, and education about a range of outcomes (including the possibility of miscarriage). Preconception counseling can assist you in creating an environment focused on optimal health for both you and your future child.
These counseling services include:
The above list might seem long and detailed, but upon closer examination, you might not know what all of these things mean. What are teratogenic exposures? What does folic acid have to do with a healthy pregnancy? Let’s look at some of these topics in more depth. Continue reading