Are There Any Survivors in the Room? A Story for Gynecological Cancer Awareness Month

female-dr-comforting-patient“Are there any survivors in the room?”

I don’t remember why I was there, but it was a discussion of cancer. I looked around at the people who had raised their hands. It wasn’t until the speaker moved on that I realized I was a cancer survivor, too.

Does that seem strange? But my first cancer in 2004 was so ambiguous. I had had a routine Pap test, and was referred to a gynecologist. I had had problematic Pap tests before, and it had usually meant I had a uterine polyp or a vaginal infection. This time it was not simple dysplasia. It seems I had precancerous cells, and the recommended treatment was a hysterectomy. I thought about it, and my sister discussed it with a friend who was also a gynecologist, and reported back that surgery was indeed the treatment of choice.


How was I supposed to relate to a cancer diagnosis that was made only after the cancer was out of my body?


I was over 50, and had pretty much gone through menopause, though once or twice a year I would have some bleeding. Everything about my reproductive system was ambiguous. I had started menstruating at age 9, along with the body changes of puberty, but seldom had my periods. When I was 18 and starting to move beyond my circumscribed Jewish Bronx upbringing, I was diagnosed with Stein-Leventhal syndrome. Great, I thought, I finally get a diagnosis, and it’s Jewish! Since that time, the condition has been renamed polycystic ovary syndrome, or PCOS. PCOS is a risk factor for many other diseases, including endometrial cancer.

But let’s get back to the hysterectomy. I had already decided that I would have the surgery when my sister got back to me. What had my uterus done for me lately, anyway? I had the doctors make the arrangements, met with the surgeon, and went through all the pre-surgery rigmarole. I made plans to stay with a friend for about a week after surgery, and checked into the hospital. When I woke up afterward, I was told that the biopsy that was done during surgery had been negative. Continue reading

STD Awareness: Sexually Transmitted Infections and Seniors

For a while now, seniors plus sex has equaled a surefire route to punchlines and nervous giggles. Take, for instance, an episode of Amy Poehler’s old TV show, Parks and Recreation, titled “Sex Education.” In the opening scene, Poehler’s character Leslie Knope sets up the premise of the episode:

Soon, Knope and her team of public servants find themselves giving information about sexual health to an audience full of elderly citizens, which attracts the attention of abstinence advocates, who accuse her of moral depravity. Hilarity ensues. Funny stuff!

Funny, but based on a not-so-funny reality: Baby boomers and other older people are facing rising rates of sexually transmitted diseases (STDs), both here in Arizona and nationwide, as well as across the pond in Jolly Old England.

Earlier this year, the Arizona Department of Health Services released data showing an increase in STD rates among people 55 years of age or older. For example, in Maricopa County, this population more than doubled its gonorrhea rate, which climbed from 6.1 cases per 100,000 people in 2012, to 12.7 per 100,000 people in 2014. That’s still much lower than the overall rate for Arizona, which was 97.8 cases per 100,000 people in 2013, but the fact that the rates of gonorrhea and other STDs are spiking among the 55-plus population is alarming nevertheless. Continue reading