Falling Short: Sexual Health and LGBTQ+ Youth

This guest post comes from the Planned Parenthood Arizona Education Team’s Casey Scott-Mitchell, who serves as the community education & training coordinator at Planned Parenthood Arizona.

We know most young people in Arizona are not getting sex education in their schools — or if they are, it is often abstinence-only, not fact-based, and not inclusive of all students’ identities. Comprehensive sex education programs do a better job of approaching sexuality from a more holistic perspective covering a range of topics such as STDs, relationships, birth control methods, reproductive anatomy, and abstinence, at an age-appropriate level and utilizing fact-based information. Additionally, comprehensive programs are often more inclusive of students’ identities — specifically various gender identities and sexual orientations.


Schools should be responsible for educating all students about keeping themselves healthy.


However, even with comprehensive sex ed, we often fall short of inclusivity when addressing topics of pregnancy prevention and choices, healthy relationships, and sexual health.

As educators and providers of sexuality information to young people, when we talk about pregnancy we often slip into language that assumes (heterosexual and cisgender) identities, which leaves many folks out of the conversation. We all have a gender identity, a sexual orientation, and sexual behaviors that we engage in — sometimes those pieces line up in a way that is “predictable,” but oftentimes, they don’t.

For example, in working with a student who is a cisgender girl, how often are we going to automatically assume she is attracted to boys, and that she will then be having vaginal/penile sex and therefore be at risk for unintended pregnancy? The answer is often. Continue reading

STD Awareness: Transgender Men and Cervical Health

Healthy cervical cells as seen under a microscope. Image: National Cancer Institute

Just one month ago, headlines screamed that the Centers for Disease Control and Prevention (CDC) received a list of “banned words” from the Trump administration. One of those words was transgender, raising the alarm that the current president might be eyeing policies that would further marginalize the trans population and harm their health. (Other forbidden words include fetus, evidence-based, and vulnerable.) Some have argued it wasn’t Trump policy per se, but self-censoring on the part of the CDC to protect their budgets from being slashed by legislators hostile to transgender rights, abortion rights, science, people of color, and poor people.

In any case, refusing to use words like transgender can have grave consequences for trans health. If the CDC can’t reference the trans population when requesting money for services and studies, they will be hobbled in their ability to serve that population’s needs.


Recommendations for cervical cancer screening are the same for anyone with a cervix, whether trans or cisgender.


January is Cervical Health Awareness Month. Anyone who has a cervix can develop cervical cancer — including transgender men who have not had their cervixes surgically removed. In observance of the month, and in defiance of directions to avoid the word transgender, today we’ll discuss the importance of cervical health in trans men — and why taxpayer-funded entities like the CDC and the National Institutes of Health must be able to study and serve this population.

Transgender men (or trans men for short) are individuals born with female reproductive organs, but who identify as male. Likewise, cisgender women were born with female reproductive organs and identify as female. Both trans men and cisgender women were born with cervixes, and wherever a cervix exists, the possibility of cervical cancer exists. Continue reading