Pro-Choice Friday News Rundown

  • Some happy news to share right off the bat — Epic TV Goddess Shonda Rhimes has joined the board of Planned Parenthood! (ABC News)

  • Dr. Willie Parker, a prominent physician and abortion provider, visited The Daily Show to talk about the barriers faced by women seeking abortion and the religious beliefs that inform his pro-choice values. What an astonishingly brave and compassionate man. (Comedy Central)
  • The Democrats’ filibuster was successful, so Republicans went ahead with the “nuclear” option for Neil Gorsuch’s appointment to the Supreme Court. We know how they roll, so it’s not a surprise. “Better to change the rules altogether than play the game fairly!” –Republicans (MSNBC)
  • Can you imagine being CONVICTED of molestation for changing a baby’s diaper? Arizona was very close to enacting this, but luckily the law was struck down. (Slate)
  • This is scary: Anti-abortion groups in various states have been  tracking women’s visits to Planned Parenthood and other health clinics via cellphone data (a practice known as “geofencing”), and then sending “pro-life” digital ads to their smartphones! Massachusetts is not having it, but what about the rest of us? (Boston Globe)
  • Ivanka Trump, who purports to be all about the “economic empowerment” of women, held a meeting with Planned Parenthood President Cecile Richards in the weeks following the inauguration and has since done NOT A DAMN THING to advance THE most crucial aspect of women’s livelihoods — reproductive rights. (Politico)
  • The global gag rule, recently put back into effect by President Trump (wonder where Ivanka was???), will only “increase the likelihood of perilous, sometimes fatal [abortion] procedures.” Thanks in advance for contributing to the deaths of scores of women around the world, 45. (Lenny Letter)
  • Republicans have a remarkable knack for taking something that sucks and literally making it suck even worse. Kudos and cheers to Trumpcare 2.0 failing just as badly as the first version. (Think Progress)
  • The spike in oral cancer cases is spurring more and more doctors to order parents to vaccinate their young children against HPV. This goes for girls AND boys! (Chicago Tribune)
  • Speaking of HPV, a quarter of American men have cancer-causing strains of the virus! (Jezebel)
  • One of my biggest pet peeves is hearing non-scientific hysteria surrounding birth control. “Oh, I tried the Pill but it made me CRAZY!” Or, “I gained x number of pounds taking birth control!” Or, “I took the Pill but it made me super-depressed!” Well, science has spoken: Birth control has not been proven to cause depression. Also, please keep in mind, there are dozens upon dozens of different types of birth control pills. They don’t all have the same side effects! (NY Times)
  • Here’s How John McCain and Jeff Flake’s Votes Could End Up Screwing Over 30,000 Arizona Women (Phoenix New Times)
  • “The Donald” has halted all U.S. grants to the United Nations Population Fund, an international humanitarian aid organization that provides reproductive health care and works to end child marriage and female genital cutting in more than 150 countries. (HuffPo)

STD Awareness: Human Papillomavirus Grabs Headlines

Human papillomavirus, or HPV, is the most common STD out there — a fact made even more aggravating by the absence of a good test for it. Sure, Pap testing can detect cellular abnormalities triggered by HPV, and the HPV DNA test can find evidence of infection. But it’s not a definitive test — a negative Pap/HPV DNA co-test doesn’t rule out the possibility that you carry the virus. Ditto for the anal Pap test — which most people haven’t even heard of anyway!


There are more compelling reasons to vaccinate boys against HPV — and not-as-compelling reasons to think Gardasil could protect against skin cancer.


The lack of a good diagnostic test makes the HPV vaccine an even more valuable asset. If we can drive the virus to extinction through aggressive vaccination campaigns, our limited diagnostic abilities become a moot point. And recent headlines have given us reasons to love the HPV vaccine even more.

HPV and Men

Many people think of HPV as a women’s issue, as the virus causes cervical cancer, and for a long time, boys and men weren’t even targeted for vaccination. But HPV is everyone’s issue — genital warts don’t care what gender you are, and cancer-causing strains of HPV cause most cases of anal cancer, penile cancer, and oropharyngeal cancer. Recently, a large, first-of-its kind study published in JAMA Oncology analyzed penile swabs provided by 1,757 men to figure out how common HPV is in this population. (While there is no FDA-approved test for diagnosing male patients with HPV, scientists can still collect swabs for research purposes.)

The results: 45.2 percent of American men ages 18 to 59 carry genital HPV — for a total of nearly 35 million adult males. HPV carriers can transmit the virus to sexual partners through vaginal, anal, or oral sex — or even just rubbing genitals together, as the virus is spread by skin-to-skin contact. Furthermore, a quarter of men are infected with cancer-causing strains of HPV. And, while the female population sees a peak in HPV infections in their early 20s, men’s HPV prevalence increases with age. While 28.9 percent of men 18 to 22 years of age carried HPV, 50.8 percent of them carried it by the time they were 28 to 32 years of age, and 59.7 percent of 58- and 59-year-olds were carriers. Continue reading

STD Awareness: Two Out of Three Ain’t Bad

For the past decade, human papillomavirus, better known as HPV, has been a pretty consistent headline grabber. Formerly a little-discussed virus, HPV was catapulted into the public consciousness in 2006, when suddenly people were all aflutter about this cancer-causing sexually transmitted pathogen, as well as Gardasil, the three-shot vaccination series the Centers for Disease Control and Prevention was recommending to preteen girls as protection from cervical cancer.


Kids 14 and younger develop such a strong immune response to Gardasil that they only need two doses — not three!


Dialogue has evolved since then, as people have recognized that HPV causes more than just cervical cancer — including anal cancer, head-and-neck cancer, and penile cancer — meaning that all children should be vaccinated, not just girls. And fears that the vaccine will “encourage” promiscuity still abound, despite thorough scientific debunking. In fact, many experts believe that our skittishness surrounding sexuality — especially when it comes to teenagers — causes parents to turn a blind eye to the importance of vaccinating their children against HPV. (Unvaccinated children might not appreciate their parents’ choice, if, say, a few years down the line they find a smattering of genital warts below their belts.)

Ongoing scientific research into Gardasil and the virus it protects against provides continuous fodder for journalists covering medical and scientific advances. Here are just a few of the most recent headlines featuring HPV:

Continue reading

STD Awareness: Gardasil and Gendered Double Standards

male female teens largeDespite the fact that it’s been approved for males for years, Gardasil is still largely seen as a vaccine for girls, and human papillomavirus (HPV) is still thought of by many as a virus that only impacts the female population. The fact of the matter is that HPV can have serious consequence for boys and men, and Gardasil is an important tool in protecting their sexual health. Why, then, does the association between girls and Gardasil persist?


Let’s stop thinking of Gardasil as the cervical cancer vaccine. Gardasil is a cancer vaccine, period.


Before Gardasil’s introduction, the pharmaceutical company Merck launched an HPV-awareness campaign to get a buzz going for their upcoming vaccine. Their talking points could be boiled down to one simple fact: HPV causes cervical cancer. Outside of the medical field, HPV was a little-known virus, and Merck strove to connect HPV and cervical cancer in the public’s mind so that, after it hit the market, Gardasil’s value would be easily recognized.

So the origins of the association between girls and Gardasil lie in its marketing — and the fact that the Food and Drug Administration (FDA) initially only approved its use in females. From its introduction in 2006 until 2009, Gardasil was only FDA-approved for use in girls and women, and its routine use in males was not recommended by the Advisory Committee on Immunization Practices until December 2011.

While Gardasil’s website is currently gender neutral, archives show that before FDA approval for males, it contained photos of young women and female-specific language. This initial focus on female recipients could have “feminized” Gardasil, entrenching its association with girls and women in the cultural imagination. Some scholars say that, by only recommending it for one sex, the FDA implicitly assigned liability for HPV transmission to females, and advertisers framed the woman as a disease vector in taglines targeting females, such as “spread the word, not the disease.” Although a male’s sexual history is a major predictor of a female partner’s HPV status, girls and women were assigned sole responsibility for their HPV status while boys and men were not similarly burdened. Such messages downplayed the male role in HPV transmission as well as HPV’s effect on males. Continue reading

STD Awareness: Can Genital Warts Lead to Cancer?

HPV from CDCOne of the most confusing sexually transmitted diseases (STDs) out there is human papillomavirus, or HPV. Despite the fact that it’s the most common STD in the United States, most Americans don’t know very much about it. So, whenever I wade into conversations about HPV on Internet message boards, I prepare myself to enter an ocean of misinformation and misunderstandings.


The strains of HPV that cause genital warts are different from those that cause cancer.


This post, in fact, was inspired by some particularly egregious falsehoods spouted by quite confident-sounding message-board denizens who were dispensing advice to a distraught man with genital warts. He had read that the virus responsible for genital warts was also responsible for cervical cancer, and was upset that he might have “given” cancer to his beloved girlfriend. While some commenters gave good advice, others shared ideas that were not factually correct — and in a forum devoid of sources or citations, it would have been difficult for him to distinguish the bad information from the good.

Situations such as these highlight why it’s not a great idea to get medical advice from the “hive mind” of the World Wide Web. I know American health-care access still isn’t all it can be, but dang — I hope most people know to use reputable sources, like the Centers for Disease Control and Prevention (CDC), whenever they take to the ’net in search of health information.

The first thing to know about HPV is that it can be spread by any type of sexual contact — penetrative and non-penetrative. It can be transmitted by vaginal sex and anal sex, as well as by oral sex or rubbing genitals together, even without penetration. Continue reading

Is Pap Testing Better Than HPV Vaccination?

Good news: The decision to be vaccinated for HPV or receive regular Pap testing isn't either/or. Image: Andy Newson

Good news: The decision to be vaccinated for HPV or receive regular Pap testing isn’t either/or. Image: Andy Newson

It’s January, which means that it’s Cervical Health Awareness Month! If you have a cervix, there are two big things you can do to protect its health: get vaccinated against human papillomavirus (HPV) before becoming sexually active, and receive regular Pap testing after becoming sexually active. When you take both of these steps, you can maximize what modern medicine has to offer. However, some people think you can just do one and ignore the other. Are they right?

You’ve probably heard of HPV, which causes genital warts and certain cancers. This virus has the dubious honor of being the most common sexually transmitted pathogen — some call it “the common cold of STDs.” According to the Centers for Disease Control and Prevention, “HPV is so common that nearly all sexually-active men and women get it at some point in their lives. This is true even for people who only have sex with one person in their lifetime.”


HPV isn’t just the “cervical cancer virus” — it’s a jack of all trades that can trigger cellular abnormalities all over the body.


One of the cancers most commonly caused by HPV is cervical cancer. In fact, when Gardasil, the most popular HPV vaccine in the United States, made its debut, it was marketed as a “cervical cancer vaccine,” despite the fact that HPV can cause other types of cancer. Nevertheless, a vaccine that could protect against such a common and potentially dangerous virus was good news indeed. However, some critics were quick to point out that cervical cancer is rare in the United States, thanks to widespread access to Pap testing, an effective screening procedure that can catch cellular abnormalities when they are still in their “precancerous” stages, allowing them to be treated before progressing to cancer.

For those of us planning to receive regular Pap testing, is vaccination really necessary? Likewise, if we’ve been vaccinated against HPV, do we really need regular Pap tests? Let’s examine both questions separately. Continue reading

STD Awareness: Does Gardasil Have Side Effects?

Teen_GroupIn 2006, a vaccine called Gardasil made its debut. Its ability to protect against two of the most widespread strains of human papillomavirus (HPV) means that it doesn’t just protect against an infectious disease — it protects against cancer, too. A persistent HPV infection can trigger cell changes that could lead to cancers of the mouth, throat, cervix, vulva, anus, or penis. Gardasil also protects against two additional strains of HPV that cause most genital warts.


The most common Gardasil side effects are fainting, dizziness, nausea, headache, fever, and hives, as well as possible pain, redness, or swelling at the injection site.


Cervical cancer is not as common in the developed world as it once was, thanks to an effective screening test. The Pap test catches “precancerous” cell changes, allowing the precancer to be treated before it develops into full-fledged cancer. So, while HPV vaccines have the potential to save hundreds of thousands of lives if they can be distributed in countries without widespread access to Pap testing, they have utility in the United States, too. Gardasil has spurred declines in high-risk HPV infections and genital wart incidence among American girls — which means less “precancer” and all the invasive, possibly expensive or painful, treatments that they entail, and a lot fewer genital warts. What’s not to like about that?

Despite this, a lot of people are curious about Gardasil’s side effects. If you enter a few key search terms into Google, you can easily find all kinds of websites warning you of Gardasil’s alleged dangers. So, you might be wondering: Is Gardasil safe?

What are Gardasil’s side effects?

Despite Gardasil’s relatively recent debut, many studies have already been conducted to evaluate its safety — and research continues so that we can consistently reassess its risks and benefits. So far, the consensus is that Gardasil is safe, with very few side effects. According to the Centers for Disease Control and Prevention, the most common Gardasil side effects are fainting, dizziness, nausea, headache, fever, and hives, as well as possible pain, redness, or swelling at the injection site. These reactions are not considered to be serious, some people don’t experience any of them, and they are only temporary. Continue reading