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

Over 90 Percent of What Planned Parenthood Does, Part 25: Lost Tampons

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.

tamponPlanned Parenthood Arizona offers a wide variety of services, and someday we hope to cover every last one of them in this series. But today, I’d like to talk about one of the odder services: helping you with a lost tampon.

OK, so “lost” might be a weird word. I mean, you probably know the general area where that tricky tampon is lurking … But it happens even to the best of us: Sometimes, when you go to retrieve a tampon, you just … can’t find it. Maybe it was forgotten about, and then pushed farther up the vaginal canal by a subsequent tampon, or smooshed against the cervix during intercourse, and now you can’t find the string to remove it.


The presence of a certain strain of bacteria in one’s vagina can increase risk for toxic shock syndrome, especially when absorbent tampons are used.


The vagina can be a hiding place for all kinds of things — not just tampons, but sex toys, the remnants of broken condoms, and other foreign objects. And vaginas aren’t the only cavity with magical, or possibly just embarrassing, powers of concealment. When I worked at a medical journal, I came across ample (and very, very detailed!) documentation of all sorts of things getting “lost” in people’s rectums, urethras, ears, and throats. Believe me, a seasoned health care provider has probably seen it all, so if you can’t for the life of you remove something from your vagina on your own, don’t be afraid to ask Planned Parenthood for help. (You might ask about making an emergency, same-day appointment.)

Tampons aren’t designed to be used in a vagina for more than a few hours, and leaving them in for too long might increase risk for certain infections. For example, you might have heard of toxic shock syndrome (TSS), which is probably the No. 1 condition that comes to people’s minds when they think of tampons being left in for way too long. While it’s true that TSS is associated with tampons, tampons aren’t the only cause — they play just one role in the infection process. Continue reading

Teen Talk: The Truth About Tampons

tamponsIf you had told the 13-year-old version of me that someday, I’d be writing about tampons on a blog, my first reaction would be, “Eww, gross!” But here I am, writing about tampons. Life can take you in unexpected directions.

When I was growing up, tampons had a mixed reputation. There were those people who thought that tampons would somehow make you lose your virginity. Then there were fears about infections, or the chemicals that were used.


In a school or in a pool, tampons are safe and pretty cool.


Me, I was just worried they’d hurt, and I never wanted to use them. My refusal to use a tampon meant that I couldn’t go swimming in gym class — and everyone knew that I was on my period. There I was, sitting in the bleachers as everyone else was splashing around. I knew I wasn’t the only one who didn’t want to wear a tampon — during lunchtime, a few of us quietly talked about our fears, but none of those other girls joined me on the sidelines. I think they were more concerned about their classmates knowing their business. During our six-week swimming unit, only a few girls sat out their periods in the bleachers.

Tampons weren’t the right choice for me at that time, but for other girls, they were convenient and comfortable. If you’re curious about tampons but have some concerns, it might be worth looking into them so you can make an informed decision. I’m glad we have so many options to deal with our periods — my mom would tell me about these crazy belts with buckles or pins that they’d have to put up with every month. But you have a ton of things to choose from when finding the products that work best for you. Continue reading

Teen Talk: I Can’t Get Pregnant … Can I?

teen pregnancy testIt’s wasn’t something you thought would happen. Your period is LATE!!! And you were sooooo careful — you didn’t use any contraception because you heard if he didn’t ejaculate or pulled out right away, you couldn’t get pregnant. And, just to be extra sure, you did jumping jacks for several minutes right after! What went wrong? Is it possible that the information you heard from your friends about how not to get pregnant was incorrect?


Sperm have one mission: to find and fertilize an egg. They don’t care what position you’re in, whether you have an orgasm, or if it’s your first time.


You know how babies are made, but you may have misunderstood some basic facts of human biology. The male body produces that tiny resilient sperm — actually millions of tiny resilient sperm — whose only mission is to find and fertilize a woman’s egg. They are so resilient that they can travel farther and live longer than you might think. They are present in men’s ejaculated fluid (semen) and also in the pre-ejaculate (the small amount of fluid that leaks out of the penis before a guy ejaculates). If any of that semen comes in contact with a woman’s vaginal area, there is a chance of her becoming pregnant. And if you don’t use some form of contraception with each and every act of intercourse, you are having unprotected sex, which increases your risk of getting pregnant. It only takes one sperm to fertilize an egg.

Let’s look at some common misconceptions you may have heard about how not to get pregnant. Continue reading

Does Douching Work?

illustration of a douching apparatus from an 1882 medical handbook

As a newly minted teenager, I was helping my mother go through some of my recently deceased great-grandmother’s things. I held a mysterious object in my hands and studied it curiously, puzzling over its unfamiliar form, pastel color scheme, and floral pattern. Finally, I gave up: “What is this?” I exclaimed. My mom, instantly uncomfortable, muttered her answer through clenched teeth: “It’s a douche bag,” she replied.

I remember being rather scandalized, but also a bit amused to be holding a piece of ancient misogynist history in my hands. Even as a junior high student, I knew that douching was marketed toward women with the message that their vaginas were “dirty” and in need of “cleansing” — scientifically invalidated ideas to which we surely no longer adhered. It seemed fitting that we were sorting through the belongings of a person born in the 19th century, dividing them into the useful and useless. Surely the douche bag belonged in the latter category.


Just because douching products are available in drugstores doesn’t mean they’re safe or effective.


Little did I know, more than 20 years ago, that douching hasn’t exactly been relegated to a historical footnote. Overall, nearly 25 percent of American women 15 to 44 years old douche regularly — which is down from nearly a third in 2002. Douching rates may vary by ethnic group: CDC data from 2005 found that 59 percent of non-Hispanic black women, 36 percent of Latinas, and 27 percent of white women douche. Socioeconomic status and education level can also be a factor.

For those of you who don’t know, vaginal douching is the practice of flushing the vagina with a liquid, which is administered through a nozzle that is inserted into the vagina. Some people believe that douching cleanses or deodorizes the vagina, or can prevent pregnancy or infections. Some might think their partners expect them to douche, or that douching will “tighten” or “rejuvenate” their vaginas.  Continue reading

Over 90 Percent of What Planned Parenthood Does, Part 24: Miscarriage Management and Counseling

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.

holding handsMiscarriage. It’s a common occurrence — at least 10 to 15 percent of all pregnancies end this way — but one that is not often spoken about. When carrying a wanted pregnancy, its sudden loss can trigger a range of emotions. During this time, Planned Parenthood can help.


There is no “right” or “wrong” way to feel after having a miscarriage.


What Is Miscarriage?

When a pregnancy ends before it has reached the 20-week mark, a miscarriage has occurred; most miscarriages occur within the first eight weeks of pregnancy. Pregnancy loss after the 20-week mark is called stillbirth, and while it isn’t as common as miscarriage, stillbirth occurs in 1 out of 160 pregnancies.

Signs of a miscarriage include vaginal bleeding or spotting, severe abdominal pain or cramping, pain or pressure in the lower back, or a change in vaginal discharge. These symptoms aren’t specific to miscarriage — they could indicate other problems, so visit a health-care provider if you experience them during your pregnancy.

After a miscarriage, you might have pregnancy-related hormones circulating in your body for one or two months. Your period will most likely return within 4 to 6 weeks. While you may be physically ready to get pregnant again after you’ve had a normal period, you might want to consult with a health-care provider about the need for medical tests. You also might need to think about when you will be emotionally ready to try for another pregnancy. Continue reading

PCOS: Erasing the Stigma

two womenUntil I encountered health-related issues of my very own, I had never heard of PCOS. There are no PSAs, no health class curricula, and it is not uncommon for many physicians to be unfamiliar with the seemingly unrelated symptoms that can be a detriment to the life of a woman who is affected.

Irregular menstrual cycles, weight gain, sluggishness, thinning hair, depression, acne, infertility, and sometimes (but not always) cysts on the ovaries are what a woman with PCOS may have to battle on a daily basis. Not only must a woman endure the physical effects of this disorder, but also the psychological effects that come with these changes. To be clear, that is by no means a comprehensive list of symptoms.

This is polycystic ovarian syndrome, and it affects more than 5 million women in the United States alone. Continue reading