One Simple Kit

A community health worker teaches how to make cloth pads. Photo: Nyaya Health

A community health worker teaches how to make cloth pads. Photo: Nyaya Health

Last week, I texted a friend of mine and told her: I have a hard choice before me. When she asked what that was, I smiled as I replied: I must choose between replenishing the MAC mascara that I just ran out of and buying the new Harry Potter book. We both laughed. But really, even as a single mom who falls beneath the poverty level, this was my choice of the day.

I have known hard times. I have lived in my car with my two dogs and I have had to volunteer my time cleaning my son’s school to ensure that he gets an education because I couldn’t afford the monthly tuition. I have taken hits by the ones I love, both physical and metaphorical, and I have had my innocence stolen from me by a boy I hardly knew.


One simple kit is combating poverty, hunger, and gender inequality.


Yet somewhere across a sea, a young girl sits in her room, blood gushing from her for reasons unbeknownst to her. Fear brings tears to her eyes as she struggles to understand why God has cursed her. That is what her mother has taught her. That if such a thing occurs, it is a curse from her creator for being a filthy creature. A girl her age tells her that she has contracted a disease, something she couldn’t remember the three letters to reference, but she knew was deadly.

In a rural region in southern Malawi, a girl who has had her first period may be expected to undergo a “sexual cleansing” ritual, in which she is made to have unprotected sex with a man called a hyena — a risky proposition in a country in which nearly 1 in 10 adults has HIV. Her choice to deny such an offer could result in her entire family being stricken ill or even dead — at least that is what she is told. Continue reading

Let’s Talk Contraception: Can I Use Birth Control to Skip a Period?

In 2003, the FDA approved Seasonale, an extended-cycle birth control pill. This pill, a combination of estrogen and progestin, is taken daily for 84 days followed by one week of inactive (placebo) pills, allowing a woman to have her period once every three months — four times per year.

Since that time, several other extended-cycle birth control pills have been marketed, including Lybrel, released in 2007, which offers women continuous contraception coverage with only one period per year.


Using birth control to skip periods doesn’t result in side effects quite this exaggerated.

Prior to Seasonale’s debut, certain types of birth control pills could be taken back to back, allowing users to have period-free weddings and honeymoons, or to treat certain conditions, such as endometriosis. But there was no consensus about how to use birth control pills this way, and no actual product marketed specifically for this type of use. Early studies on extended-cycle pills reported that users were highly satisfied using pills to have fewer periods — and wanted to continue using these pills to reduce periods after the study was completed.

Can skipping periods be beneficial or harmful? Is this a lifestyle choice that’s not “natural”? How many “normal” periods do you need in a lifetime? Continue reading

Over 90 Percent of What Planned Parenthood Does, Part 7: Pap Testing

Low-grade lesions of cervical cells, which can be treated before progressing to cancer. Image: National Cancer Institute

Low-grade lesions of cervical cells, which can be treated before progressing to cancer. Image: National Cancer Institute

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.

Pap tests are not beloved — there, I said it. Many people who receive them hope for the day that medical science devises an equally effective but noninvasive test, whatever that might entail, as they may find them to be anything from slightly awkward to incredibly traumatizing. However, the evidence overwhelmingly shows that access to Pap testing (also called Pap smears) has transformed cervical cancer from a top killer into something that can be caught early and treated before it can do much damage. As a tool to reduce cancer deaths, Pap tests have been a resounding success.


In countries with widespread access to Pap tests, cervical cancer rates have plummeted.


A Pap test involves an instrument called a speculum being placed into the vagina to hold it open while a health care provider uses a small spatula or a tiny brush to collect cells from the cervix, which is at the opening of the uterus. These cells are analyzed in a laboratory, where a technician can determine if they are precancerous. (Cervical cancer is caused by a sexually transmitted virus called human papillomavirus, or HPV.) When caught in its precancerous stages, cervical cancer can be treated with procedures such as colposcopy and cryotherapy.

Pap testing guidelines have recently changed. Continue reading