Feeds:
Posts
Comments

Archive for the ‘contraception’ Category

For the first time since our congresscritters launched their attack on Planned Parenthood last winter, I have the feeling that public outrage has risen to a boiling point. The attacks continue, of course, but their extreme brazenness is finally provoking a robust counter-reaction. Maybe I’m just spending too much time on Facebook (and certainly my Facebook friends are far from a representative sample), but the Komen Foundation’s de-funding of Planned Parenthood – and subsequent backpedaling – seems to signal a change in the people’s tolerance of the war on women’s bodily autonomy. At the very least, it showed that millions of pissed-off women could use social media to defend health services for the most vulnerable among us.

Then Obama actually stood up to the bishops and told the insurance companies to cover contraception, period. As Katha Pollitt noted, he finally noticed that American women are more numerous than the bishops. Darrell Issa’s farcical all-boyz hearing on religious freedom contraceptive coverage earned a backlash as furious as the Komen decision’s. As usual, Jon Stewart perfectly skewered the hypocrisy:

Now, after a couple of days of public shaming by silent protestors at the state capitol, Virginia’s governor has been forced to “reconsider” supporting a bill that mandates transvaginal ultrasounds prior to abortion – and (in breaking news) its sponsor says she’ll kill the bill altogether! She claims an attack of conscience. (Yes, a woman sponsored this rapey bill. No, she didn’t have any ethical pangs until it became a national disgrace.) As Jon Stewart put it, the poor governor evidently didn’t realize the procedure is “like a TSA patdown for your vagina.”

Hey, we’d better not give the TSA any new ideas.

I’m also tickled pink at state legislators’ over-the-top proposals to regulate men’s bodies, for a change. Virginia Senator Janet Howell countered the transvaginal-ultrasound madness with a bill that would’ve required rectal exams before a man could be prescribed an ED drug. In Oklahoma, Senator Constance Johnson proposed (then withdrew) an amendment stating “any action in which a man ejaculates or otherwise deposits semen anywhere but in a woman’s vagina shall be interpreted and construed as an action against an unborn child.”

Now, Georgia Representative Yasmin Neal has put forward a bill to sharply restrict vasectomies: “It is patently unfair that men avoid the rewards of unwanted fatherhood by presuming that their judgment over such matters is more valid than the judgment of the General Assembly. … It is the purpose of the General Assembly to assert an invasive state interest in the reproductive habits of men in this state and substitute the will of the government over the will of adult men.”

It’s high time someone stood up for spermato-Americans!

Of course, no one’s seriously out to punish men. These legislators just put anti-choice laws through the Regender translator, instantly exposing their absurdity and cruelty. It’s telling that these mock proposals hold the power to shock, while anti-choice legislation remains business as usual. Georgia, for instance, is weighing one-to-ten-year jail terms for abortion after 20 weeks – which last I heard was still constitutionally protected under Roe v. Wade.

I’m hopeful, though, that these extremist proposals are galvanizing a majority that will force extremist legislators to back down. But not just yet. Let them keep horrifying every voter who’s ever used contraception. Maybe we can throw out all the Tea Partiers and Blue Dogs, come November.

Read Full Post »

In my previous post, I promised I’d deal with feminist ethical objections to delving into the veracity of Palin’s claimed pregnancy with Trig. Is it illegitimate to ask questions about a candidate’s reproductive history? Are we invading Palin’s privacy, down to her very uterus?

The arguments for backing off from the tale of Palin, Trig, and her alleged Wild Ride fall into two main categories. (Let me know if you can think of others.)

1) Palin and especially her children deserve at least a modicum of privacy.

2) It’s always anti-feminist to second-guess women’s choices in childbearing and mothering.

On 1) privacy: As I mentioned in my last post, it’s standard operating procedure for presidential and veep candidates to disclose their medical records. While I would object strenuously to laws and policies that demanded the same of grocery clerks and accountants and locksmiths and (yes) college professors, the presidency isn’t just any job. There’s a reasonable case to be made for the citizenry knowing whether a candidate has a condition that might render her or him incapable of serving or exercising good judgment. We should have known, for instance, that Ronald Reagan was experiencing symptoms of Alzheimer’s.

We expect this disclosure of all candidates for the presidency and vice-presidency. Why should Palin get a pass? Why should her records remain private? Is it justifiable simply because she has a uterus? That would be sexist in its own twisted way, wouldn’t it – throwing us back to the days when ladyparts were still “unmentionables”?

Now it’s rather late to demand medical records be released, since Palin is no longer a candidate. But I think it’s still fair to say that Palin would have set the record straight on Trig’s birth, one way or another, had she only behaved like other candidates back in October 2008. Instead, she substituted secrecy for transparency (which didn’t surprise many Alaskans). She was nominated without any real vetting by McCain’s people, and they built an opaque wall between her and the press. She guarded her secrets while piling up lies. It’s not surprising that quite apart from Trig’s birth, the contents of her medical records would become subject to speculation.

Concern for the privacy of the Palins’ minor children (which included Bristol in 2008) is a legitimate and noble cause, one that I’ve consistently espoused. Let’s be clear: None of the brouhaha around Trig’s birth is actually about Trig. It’s about Sarah Palin.

The Palin children’s privacy has been breached, all right, but this has been almost entirely Sarah Palin’s own doing, apart from Bristol’s own self-promotion as a (*cough*) abstinence advocate. Who chose to use Trig as a political prop? Who decided to out Bristol’s pregnancy to the world instead of directly laying to rest the rumors about Trig’s birth? (Let us be clear: Bristol’s pregnancy in fall 2008 did not prove Sarah gave birth to Trig; it only made Bristol an unlikely mother to Trig unless he had actually been born earlier in the winter of 2008.) Who carried on a public feud with Levi Johnston’s family (which ultimately involved Palin’s grandson Tripp)? Who signed her family up for a reality TV show?

Mind you, I disapprove of the Gosselins and Duggars, too, for televising their children’s childhood. It’s just that none of them are running for president.

On point 2) – reproductive choice and trusting women – Melissa McEwan writes:

Birtherism, in which both conservatives and liberals are engaging, is a terrible and intrinsically misogynist game to play, entirely dependent on a belief that policing women’s bodies and reproduction is an acceptable recreation.

Actually, what’s going on here is not policing Sarah Palin’s body. What’s truly at stake is not what or who came out of her uterus. It’s what came out of her mouth. It’s her self-contradicting statements and outright lies.

McEwan tosses out a straw man when she says mockingly that the only acceptable evidence for “Trig birthers” would be video of Trig emerging from Palin’s vagina. Of course that’s silly. On the other hand, medical records showing that Palin truly was pregnant, underwent amnio, and gave birth when she claimed – well, that would be pretty darn conclusive. The unreasonable few would continue to hatch conspiracy theories. The rest of us – people like me and Litbrit – would say great; case closed; let’s carrying on dissecting why Palin, Bachmann, Trump, Santorum, and Co. are a danger to the United States. Andrew Sullivan would back off it too and devote himself more fully to his irrational quest for fiscal austerity. (Hmm, that’s one good argument for keeping the mystery of the Wild Ride alive.)

As I’ve written before, if Palin’s account of the wild ride is true, it displays epically poor judgment. By her own account, she board not one but two long flights after her water broke, without even stopping for a check-up before she left Dallas.

The party-line feminist response is: trust women. And I agree, we have to do that. Generally, women are trustworthy. That presumption underlies any pro-choice position on reproductive rights.

But what happens when a woman (or a man!) is reckless? What happens if a mother (or father!) makes egregious choices? Are we obligated to suspend judgment?

The consensus at both Shakesville and Feministe is that you turn in your official Feminist card as soon as you question the wisdom of anyone’s parenting or reproductive choices, no matter how irresponsible they may be.

Really?

To take a more extreme case, do I have to agree that it’s hunky-dory for a woman addicted to heroin and meth to have one baby after another, only to have them taken by Child Protective Services? As a matter of fact, I think it’s a pretty terrible situation. What makes me pro-choice is that I don’t want that hypothetical – but all-too-real – woman to be thrown into jail (as South Carolina has done, repeatedly, with pregnant women of color who are addicts). I don’t want her to be forced or coerced into Depo-Provera shots or Norplant. I do want the people who provide her prenatal and birth care (assuming she gets any) to compassionately counsel her about treatment programs. I want drug treatment programs to be abundant and free, so that no barriers prevent pregnant women from using them – unlike the many programs that have historically refused to admit expectant mothers! I want her caregivers to kindly and non-coercively explain her birth control options, including the potential benefits of long-term contraceptive methods (both the IUD and hormonal methods). I want her to have free access to birth control. If her children must be placed for adoption, open adoption should be the default unless there are very compelling grounds to separate the children from their birth mother.

That is a pro-choice position. I do see a need to exercise judgment. I do assert that childbearing while in the grips of an addition is a Bad Idea. Abandoning judgment, in such cases, would be abandoning responsibility. What makes this position pro-choice isn’t a refusal to judge; it’s rejecting punitive and coercive measures.

Now, Sarah Palin obviously is not comparable to a poor drug addict (unless you want to call power an addiction). Palin lives in a realm of privilege that insulates her kids, to some degree. CPS is not about to seize them even if she and Todd serve them Lucky Charms with crystal meth sprinkles for breakfast.

But the basic question still stands: Must feminists withhold judgment when a woman – or man! – makes reproductive or parenting decisions that are grossly unwise? Does it make us anti-choice to say that even though a woman has the legal right to implant eight embryos into her womb, it’s nonetheless an über-crappy decision? Does it make us anti-choice to say that medical evidence unequivocally shows that smoking is worse than crack for a developing fetus, and so every effort must be made to help expectant parents (not just mothers!) stop smoking?

And is it really anti-choice to say that Palin’s decision to fly home after her water broke not only potentially endangered her and Trig, but also exposed the whole plane to the risks of an emergency landing? I’m not saying “There oughtta be a law,” just that it was a piss-poor decision.

Again, this is not policing Palin’s uterus. This is questioning what went on in her brain. And if she runs again for POTUS, her brain is the organ that ought to concern us.

The good mother/bad mother dichotomy is still used as a cudgel. It’s one that feminists should always regard with deep suspicion.

But sometimes, bad mothering – and importantly, bad parenting – is egregious. When it occurs in politicians who position themselves as paragons of family values, it’s reasonable to ask about their general judgment and scrutinize them for hypocrisy. So while I regard it as out-of-bounds to criticize Todd and Sarah Palin for the fact that Bristol became pregnant, I do think it’s fair to criticize how they handled it in the national spotlight. When the Palins announced Bristol’s pregnancy instead of debunking the Trig rumors head-on, both parents threw their eldest daughter under the bus. (It was Sarah and her political who made that decision, but the First Dude was part of that inner circle and I’ll bet he could have vetoed it.) Similarly, it’s understandable that Sarah Palin would have kept her pregnancy quiet until late in the game. Most women who work for pay realize that they may be seen as less competent and committed once their pregnancy becomes public, and that goes doubly for female politician. What’s not reasonable is boarding a plane without any idea how imminent labor might be after leaking amniotic fluid.

If wanting politicians to exhibit sound judgment not just in public life but as private individuals – and yes, as parents – makes me an anti-feminist, so be it. Just let me know where I should turn in my F-card.

Read Full Post »

I’ve got to disagree with Clarissa on this one: It’s not fair to equate pregnancy with a hangover (even if the nausea can be similarly overwhelming). Specifically, a student who misses class for pregnancy-related disability should not be treated the same as one who misses due to oversleeping or a hangover.

But let’s back up. Clarissa was responding to a post by The Feminist Breeder on prodromal labor, in which TFB also mentioned that she was feeling crappy enough in her 40th week of gestation that she just couldn’t hang with her college-degree program. Here’s the bit that set Clarissa off:

I have to keep going to class until I’m really in labor, and school is pretty far away.  My Tuesday class is a reasonable half hour away, but my Wednesday class is 90 minutes away in traffic.  If I started hard, active labor at school, I have no idea what I would do.  Also – get this – I left class early last Tuesday because I was so sick I couldn’t see straight, and my professor actually had the balls to dock me 20 out of 25 possible Participation points just because I had to leave.  Clearly she’ll be docking me ALL 25 Participation points for each class I miss while I’m doing a silly little thing like trying to have a baby, so I cannot take off a single extra day other than what is absolutely necessary.  (And yes, I am SOOO writing a letter about that.)

Now, I think jumping straight to a letter to college administrators, rather than trying so say, talk to her prof, is pouring gas on the flames. If a student has a beef – especially an adult student like TBF who’s got the cojones and verbal skills – she should first talk to the the instructor, preferably when she doesn’t feel on the verge of hurling. Personally, I would be much more receptive to a conversation than a formal complaint. Going slow offers a chance to preserve the student-teacher relationship as a collaborative one. Going directly to the administration strikes most teachers as an act of aggression (which is why I’ve never done that to my kids’ teachers, even when it might have been warranted). Often, too, the instructor will cool down and reassess a rash decision, opening the gate to a reasonable compromise. If not, there’s still time to write a scathing letter, though I suspect TBF, who could very well be in labor as I write this, felt the hourglass was empty (prodromal labor has a way of remininding one of the clock). And so I understand perfectly why she might skip negotiating and just lodge a formal complaint.

That said, I just can’t sign on to Clarissa’s reaction:

There is no doubt in my mind that her pregnancy is very special to this woman. It must also be very special to her relatives and friends. For strangers, however, of which her professor is one, it is neither more nor less special than another student’s hangover. Both the pregnancy and the hangover are the results of the choices these students made as adults. In my capacity as an educator, I don’t think it’s my place to judge whose choices are more legitimate and deserve of greater consideration. All I need to know is that the student wasn’t there and, as a result, didn’t manage to participate.

This is a false conception of “fairness.” As my friend Moonglow (who just happens to be the mother of a brand-new daughter, yippee!!!) told me today: “I never promise my kids that I’ll treat them all equally. But I do commit to treating them all fairly. That means knowing what each of them needs and when they need it.” (And if I misquoted you, my dear, please blame it on the delectable distraction of brie with fig jam.)

Much the same goes for my students. Last spring, a student of mine landed in the ER with appendicitis and only appeared two weeks later (full documentation in hand). I’ve had multiple students felled by mono, over the years. I’ve had students come to me with serious mental health issues (sometimes exacerbated by the portion of my syllabus dealing with sexual violence). I’ve had students totter to class on crutches due to slippery messes in the dorms. I’ve had students with arms in casts due to (ahem) barroom brawls.

I am not happy about the last category of problem – injuries that result from drunken stupidity – but I am grateful for those students’ frankness. And once a student acquires a disability, don’t I have an obligation – both human and feminist – to accommodate it? Would I not be a monster to mark down a student on participation just because his appendix tried to kill him? How could I live with myself if a student went into a spiral of depression, and I exacerbated it with rigid expectations of attending every single class meeting?

Last year, I had a graduate student announce to me that she was likely to give birth within the next couple of weeks. I was dumbfounded. I hadn’t even noticed she was pregnant, only that she’d put on a few pounds. (That alone should’ve given me pause, because I tend not to notice even major changes in people’s shapes. I’m obtuse that way.) The very next class meeting, she was absent, because she’d just come through labor. A week later, she showed up for class, her iPhone brimming with baby pictures. She worked very hard not to let her pregnancy interfere with her coursework, but I certainly could have found ways to accommodate her if she’d asked for more time off.

There’s an easy, pragmatic, fair solution to most of these situations. Exempt the student from work missed (as long as it’s not a major project) and weight the rest of their grade more heavily. This little trick works as well for a pregnant student as for anyone else struck by unexpected disability. The student does pay a small price, in that there’s more pressure on the rest of their work and less opportunity to dilute a crummy grade. But it’s a fair price that makes allowances for the fallibility and vulnerability of our flesh. However much a university might pretend that we’re all disembodied brains, in the end those brains still rely pretty heavily on their whole-body support systems.

I guess I’m a bit of a feminist-Marxist on these issues: from each according to hir ability, to each according to hir needs. That doesn’t mean abandoning all standards. It simply means realizing that life intervenes. Death intervenes. And all kinds of other shit – good, bad, and ugly – intervenes, too. Students are whole people, often needy people, coping with lives more complicated than we instructors often know. They cannot be reduced to their throbbing-in-a-petri-dish brains (or pickled-in-a-game-of-beer-pong brains, either).

This isn’t a matter of trusting my students. (Mostly they deserve my trust; sometimes they prove that they don’t.) It’s a matter of trusting my own judgment. I trust myself to distinguish between the student who couldn’t turn in her final paper on time due to strep and the one who added my class late, then fell asleep in the back row after a mere three minutes! Hey, at least he zonked out so fast I couldn’t take it personally; there was no time for me to bore him to sleep.

This is also an arena where I have to live true to my principles. Any feminist ought to be committed to disability rights. Heck, even Sarah Palin (a nightmare feminist, but a feminist nonetheless, in my book) at least pays lip service to disability rights. You cannot honor human rights without acknowledging that most of us, if we live long enough, will eventually live with a disability. You cannot work toward gender justice but then insist it’s only for those of completely able bodies and minds. What does that mean for me, practically speaking? If a student is struggling to achieve with a disability – of any sort, be it a physical, mental-health, or learning-style condition – it’s my job as an educator, feminist, and mensch to help them perform at their peak, on as level a playing field as I can cobble together.

But hey – isn’t pregnancy a natural, healthy condition? Well, for all the work that women’s health educators, natural childbirth advocates, and feminist historians have done to unseat the idea that pregnancy = disability, we do childbearing women an awful disservice if we insist that pregnancy never spawns disability. Most of us suffer at least debilitating fatigue. Most of us have stories about how we nearly ralphed at work. My students from fall 2002 and winter 2003 – when I was gestating the Tiger – can consider themselves lucky that I maintained a barf-free classroom. And I got off easy, compared to my friends who landed in the hospital, hitched to an IV, after weeks of incessant vomiting.

If you care about women, you must care about mothers, and thus you must be willing to honor pregnancy-related disability as real disability. And yes, pregnancy usually results from a planned, voluntary choice, these days, but not always; women still find themselves pregnant against their will, and they still sometimes decide to carry out a surprise pregnancy, even with the option to terminate. Anyway: Should I only make allowances for students’ injuries if they can prove that, say, the other guy started the fight, or the other driver broke the law? And do I really want to start interrogating a pregnant student about why she and her partner didn’t both get sterilized before they ever had sex (after all, every other contraceptive is fallible), or why she didn’t terminate the pregnanacy early on? That way lies fascism.

To be crystal clear – and fair! – Clarissa doesn’t advocate bare-bulb interrogations. She instead argues that one should never cut students slack when their free will contributed to their inability to participate; that a class missed due to a hangover is no different than one missed due to pregnancy symptoms, because in both cases, “choice” was involved. I trust Clarissa enough to believe her when she says she’s a good teacher – and actually, I trust that in a few more years, because she’s smart and tuned in to her students, she may very well trust herself to draw finer-grained judgments, which just might put the pregnant students in a different category from the hardcore imbibers.

But this other extreme – harshly penalizing pregnant women for making a “lifestyle choice” that most couples eventually make (but predominantly women  pay for) – sets feminism back a couple of generations. It tells women, “It’s fine if you want to compete with the men – as long as you’re just like the men!” Didn’t we leave that trap behind us in the ’80s, along with big hair, shoulder pads, and Tears for Fears?

Read Full Post »

As of this writing, our so-called leaders are still engaged in budget brinksmanship. Alternet called it correctly: This is the Republicans applying shock doctrine. They are doing their damnedest to break democracy. They’re such patriots that they’re willing to delay paychecks reaching our already-underpaid rank-and-file troops.

The Tea Partiers, in particular, are willing to hold our government hostage to their unhinged plan to defund Planned Parenthood.

For the Tea Party, this seems to be a win-win. If they get to defund Planned Parenthood, they’ll have achieved an unimaginable victory in their war against women’s bodies, which otherwise the Senate would block. If they get to shut down the government, then it’s party time. Woo hoo! We’re gonna party like it’s 1995!

A lot can happen in 16 years of politics. Since Newt Gingrich threw his slimy wrench into the works, we’ve had presidential blowjobs, welfare reform, the rise (and now fall?) of the DOMA, hanging chads, Enron and Bernie Madoff, 9/11 and the security state, at least three U.S. wars (that we know of), torture and secret prisons, an economic meltdown, election of our first black president, the rise Mama Grizzlies, pistols at Tea Parties, the attempted assassination of a congresswoman, and gallons of Boehnerian tears. Oh, and a substantial portion of the present electorate was still in the Blues Clues or Britney Spears demographic in 1995, and they have no memory of Newt’s machinations.

Even Newt’s own memory seems to have blurred. In the late ’90s, the conventional wisdom held that the shutdown hurt the Republicans, making them look like the extremists they were (and are), and paving the way for Bill Clinton’s re-election. Back then, the Newtster concurred with with this view. By now, though, he’s hyping the shutdown threat as a positive, viable tactic for his comrades.

The Tea Partiers are practically drooling over the prospect of a shutdown. What more dramatic way to demonstrate their small-government cred to the voters back home? What better way for Rep. Mike Pence to show that women’s bodies are expendable that he really, really hates abortion? Sure, some of us will see it as childish and irresponsible to practice blackmail and hold women’s health hostage. We are the same people who already found the “me-first, me-second, and me-third” attitude of the Tea Party childish and irresponsible. (Not to mention cruel.) We are the same people who know that the Planned Parenthood funding in question cannot legally be used to subsidize abortions.

For Tea Party supporters, though, a shutdown is red meat.

As I write this, the talking heads on MSNBC are discussing whether John Boehner can deliver on a potential compromise deal that may have been hammered out behind closed doors this evening. My take on it: I don’t think he can. As right-wing as Boehner is himself, his Tea Party colleagues are neck deep in anti-government, anti-woman ideology. They see this as a matter of principle. They perceive, again, a win-win.

So I fully expect a shutdown. My hope is that the party will end as it did in 1995: with a lose-lose for the Republicans, who will look petty and extreme. (Which is, of course, exactly what they are.) In any event, the Democrats have already made such deep concessions that no one will be dancing. The compromise already reported includes the $33 billion in domestic spending cuts that Republicans have demanded.

What do y’all think? Will the shutdown happen tomorrow? Will it be deferred ’til later? Or will Captain Boehner deliver?

And is there any hope that Obama would veto a package that included the demolition of Planned Parenthood and/or the full $33 billion in cuts? Remember: The 1995/96 shutdowns only occurred after President Bill Clinton vetoed the heaping pile of a budget that the Republican Congress sent him. Obama frequently tries to frame himself as Reagan’s successor, but it’s Clinton who learned from Reagan not to negotiate with hostage-takers.

Update, 4/8/11, 12:15 p.m.: Maddow had a great segment on the potential shutdown tonight, arguing that unlike the mid-1990s, there’s no high-profile Republican to take the heat, as Newt did in 1995/96. I am now feeling like the game may be lose/lose, after all.

Read Full Post »

Here’s an item from the annals of “no shit, Sherlock!” science: A UCSF study shows a stunning decrease in unintended pregnancy and abortion when women are dispensed a year’s supply of birth control pills at once. What’s stunning is not the basic trend line, but the magnitude of the study’s findings. Science Daily recaps it:

Researchers observed a 30 percent reduction in the odds of pregnancy and a 46 percent decrease in the odds of an abortion in women given a one-year supply of birth control pills at a clinic versus women who received the standard prescriptions for one — or three-month supplies.

Can I rephrase those numbers? Pregnancy declined by nearly a third, and abortion by nearly half!

This is such an an simple yet elegant idea, you’d think it would have occurred to someone decades ago. It’s also a politically charged idea in an era where Planned Parenthood is having to fight for its very existence.

Insurance usually issues a maximum of a three-month supply of any medication, including birth control pills. This is true even for medication that people clearly have to take for the rest of their lives, such as thyroid pills. (I haven’t been on the Pill in years, but I still sometimes come close to running out of my thyroid meds.) The situation is often tougher if you have to buy the Pill through a community clinic:

The findings of this study have implications for women using oral contraceptives across the country. Most oral contraceptive users in the United States get fewer than four packs at a time; nearly half need to return every month for resupply, according to a 2010 study published in Contraception.

Obviously, the requirement to physically show up at a clinic is most likely to hit poor women – and it will be most onerous precisely for these women, whose low-wage employers are unlikely to grant them time off for medical matters. As is so often the case in reproductive health, this is a social justice issue. I really hope this study will get the attention it deserves.

I adore this quotation from the project’s principal investigator:

“Women need to have contraceptives on hand so that their use is as automatic as using safety devices in cars, ” said Diana Greene Foster, PhD, lead author and associate professor in the UCSF Department of Obstetrics, Gynecology and Reproductive Sciences. “Providing one cycle of oral contraceptives at a time is similar to asking people to visit a clinic or pharmacy to renew their seatbelts each month.”

Of course, some Americans object to seatbelt laws – and even seatbelt use – as an infringement on their liberty. But I’m not talking about laws to require use of the Pill; I’m only saying that women should have access to it.

While we’re on the automotive analogy, isn’t the Pill more like a reliable set of brakes?

And wouldn’t the conservative attack on access be akin to sabotaging someone’s brakes?

 

Read Full Post »

This week I’m reading Michelle Goldberg’s masterful The Means of Reproduction: Sex, Power, and the Future of the World with one of my classes. In it, Goldberg traces the history of foreign aid for women’s health – especially reproductive health – from its Cold War, Rockefeller/Ford/Guttmacher beginnings to the present era.

In 2011, well into the second decade after the UN International Conference on Population and Development in Cairo, you’d think we’d be well along the path blazed there: foregrounding women’s need for education and autonomy. Nuh-unh!! Instead, the proponents of women’s reproductive autonomy in developing nations and the Global South face constant friction and opposition from groups funded by the Radical Christian Right in the U.S. This trajectory toward radical rightwing interference is lucidly, chillingly described in Goldberg’s book. It’s as though women’s bodies became a proxy war for the tensions over reproductive rights and justice back here in the U.S.

And now, with the House of Representatives today voting to defund Title X funding, that proxy war has come home. For details, see excellent recaps by Lindsay Beyerstein and Jill Filipovic. The legislation wouldn’t affect abortions – except to inflate their numbers by making birth control less accessible to poor women and young women. No, the target here is broader. It’s a war against all women, but especially those who are poor.

When I was young and underinsured, I too turned to Planned Parenthood, and I’m forever grateful for their services. Some women are transiently poor, like I was. Many struggle with poverty throughout their childbearing years. All of us deserve affordable access to basic services like a Pap test.

I believe this even though – or especially because! – I had a few dodgy Pap test results in my early twenties. Those diagnoses of “cervical dysplasia” scared me. Cone biopsies were threatened. The cellular abnormalities resolved on their own, as HPV usually does. Had I progressed toward cervical cancer, Planned Parenthood might well have saved my life.

All women deserve preventive care, and that includes the prevention of pregnancy. This is sooo not rocket science.

Odds are good that the Senate won’t stand for the House’s crap. Still, I’m appalled that a majority in the House signed onto it. While some members may try to hide behind a figleaf of fiscal responsibility, that’s balderdash, as Amanda Marcotte argues:

Of course, rhetoric that attacks federal funding for contraception as a state-subsidy for promiscuity obscures the fact that continuing Title X is one of the more fiscally sound things the government can do: Research from the Guttmacher Institute demonstrates that every dollar spent on family planning saves the government four dollars down the road.

(Read her whole piece – it’s excellent.)

No, this is strictly culture war ammo, just as the Mexico City rule and all the other right-wing meddling into brown and black women’s bodies has to do with ideology and misogyny – not fiscal soundness.

This is merely the continuation of funding politics imposed on the “Third World” – now aimed at women that Chandra Mohanty once called the “Third World” in the United States. This is the redirection of contempt for brown and black women’s bodies to those women living within U.S. borders. Women like me – white, securely middle-class, employed, insured, and slouching toward the end of my reproductive years – will be just fine. It’s poor women of color who will suffer. College students who can’t tell their conservative parents that they’re on the pill. Appalachian women lacking any form of health insurance.

Senate? The ball’s in your court. Please show us that you consider women human beings whose health is as important as men’s – who should have a chance to participate fully in society – and who should not be written off if they lack racial or class privilege.

In the clip below, Michelle Goldberg suggests that the U.S. culture wars have affected women outside the U.S. more profoundly than women here at home. Up until now, she’s been right. As to the future? Well, that might just be up to the Senate.

Read Full Post »

Gratuitous flowers for a sex post: Cascading morning glories captured by me, Sungold, in October, back before the frost bit ‘em.

The Denver Post ran an article today asking why an arousal-booster for women called Zestra can’t find TV stations willing to run their ads, even as Viagra ads are literally driving in circles around us. Historiann took the article to task for its casual disavowal of feminism, and I’ve got nothin’ to add to her critique except a vigorous nod of approval. Figleaf chimed in to say that the stations’ ad policies spotlight the illegitimacy of autonomous female desire.

What most struck me about the article, though, was its conflation of libido and arousal, which is endemic in “science writing” that reports on “pink viagra.” Here’s how reporter Mary Winter framed it:

Now, you would not know it from the $300-million annual ad campaign for erection-enhancing ads for Viagra, Cialis and Levitra, but women suffer more sexual dysfunction than men do — 43 percent to 31 percent, according to the Journal of the American Medical Association.

In other words, the potential market for flagging female libidos is huge. But here’s the irony: When the makers of Zestra went to 100 television networks and stations to buy ads, the vast majority refused them. The few stations that did take their money would run the ads only after midnight or during the daytime.

The stations “told us they were not comfortable airing the ads,” Zestra co-founder Mary Jaensch told “Nightline.” The double-standard here — men, you deserve sexual pleasure, and women, what’s wrong with you hussies? — is breathtaking.

So how about this ad: a Camaro, a woman, and a vibrating driver’s seat?

(This is just the end of the article; read the whole thing here. Winter is very sharp and witty on the Viagra ads!)

In a way, it’s unfair to pick on Winter, because most writing about female sexual dysfunction fails to draw basic distinctions between arousal, orgasm, desire, and libido. It also tends to ignore the reality of the physical pain some women experience (which K has explored eloquently at Feminists with Female Sexual Dysfunction.) In practice, women can of course have issues with any or all of the above, and problems in one area can easily spill into another. A woman  suffering from vulvodynia, for instance, might be able to orgasm, but if sexual activity hurts, that’s likely to dampen her libido. Another woman might have a generally low libido (meaning she doesn’t crave sex very often) but develop desire responsively to her partner, at least in certain situations. There are probably as many variations as there are women.

Now, getting back to Zestra and the Denver Post: Winter’s article refers mainly to libido. She’s partly on the right track, insofar as that “42 percent” figure refers mainly to women who complain about low libido. (Some feminists have criticized that figure as too high, but let’s set that debate aside for today.) Winter does hint at the primary issue here – arousal – in that apparent throwaway line about a vibrating driver seat in the Camaro. Why yes, I think quite a few of us gals might enjoy such a ride! But if we got a good buzz per gallon, that wouldn’t mean our libido was revving – only that our engine was purring smoothly.

Libido is not the primary target for Zestra, though Zestra’s website refers to a whole host of potential benefits: stronger libido, greater satisfaction, more earth-shaking orgasms, and a more harmonious relationship with one’s partner. (That last point comes up only in testimonials; the overall tone of the website is “try this for yourself,” not “use this to please your long-suffering husband.”) It’s being marketed to women who suffer from sexual problems of any sort due to illness (including cancer), postpartum changes, menopause, antidepressants, stress, and even widowhood. But what does it really do?

Zestra’s primary mechanism, as far as I understand it, is to enhance arousal and response during sexual activity. As far as I can see without having tried it myself, it looks like it might increase engorgement and/or creaste prickling sensations in a nice way. In the best case, yummy sensations start a cascade of increasing desire during lovemaking. As a topical agent applied directly to one’s ladyparts, Zestra doesn’t act directly on libido, which is regulated by the brain and a complex dance of different hormones and neurotransmitters (including estrogen and testosterone, but also thyroid hormone, stress hormones, dopamine and lots of other nifty “messenger” chemicals). A topical gel won’t directly influence that chemical brew. It’s only logical, though, that if sex is more pleasurable, some women might want it more. Biological anthropologist Helen Fisher has written about how hot sex with a new partner gives us a dopamine high akin to cocaine (quick summary of her ideas here). Maybe hot sex with in a newly reinvigorated relationship can give us the same buzz?

Also, the testing for Zestra relied on women who committed to have sex eight times in a month, so it’s unlikely many of them had a super low libido. (For more details on the testing, check out the clinical study.) These women were already open to regular sex. As a group they sound to me more like women who basically like sex but were frustrated by difficulty getting aroused. They don’t sound like the subset of women who’ve given up on sex – a group that constitutes about 15% of American marriages, by the way. (This according to Tara Parker-Pope in the New York Times, where “sexless” was defined as no sex at all with one’s spouse during the previous six to twelve months.)

In other words, the mechanism behind Zestra appears to be entirely different than flibanserin, an orally-administered drug recently rejected by the FDA for ineffectiveness. Flibanserin was supposed to increase libido directly by changing one’s brain chemistry. It too was compared to Viagra, and quite wrongly so: Viagra targets a mans plumbing, so to speak. It produces an erection (though it almost always requires mental and/or physical stimulation to be effective). Flibanserin left physical arousal untouched while aiming to increase psychological arousal and desire.

Calling flib a “pink viagra” was just misleading. In the case of Zestra, the comparison appears more apples-to-apples, since both Viagra and Zestra appear to work by increasing engorgement.

I still think it’s too bad that flib flopped. Yes, the drug was intended to be a Big Pharma Bonanza. I don’t really give a shit. If it had really helped women live better, I’d be all for it. I trust women to make decisions about their bodies (though I also insist on our responsibility to understand our bodies. At any rate, flib failed to gain FDA approval because it didnt work.

As far as I know, there’s still nothing  on the market that specifically helps women who only desire sex once in a blue moon. For some women, hormone therapy (sometimes including testosterone as well as estrogen) delivers a libido boost. But hormones carry some risk. Women fear breast cancer if they take estrogen and they fear growing a beard and unibrow if they take T. But these are the choices, because there’s no drug that specifically targets libido.

Zestra interests me because it seems to be quite safe (worst side effect: transient burning sensations in some rather precious real estate). I’m skeptical to the extent that their studies are pretty small. Unavoidably, the very fact of running a study is an intervention in itself. This can have real effects on its findings. How many of the couples studied would have had sex at least eight times in a month? If most would’ve had less, that means Zestra wasn’t the only independent variable. Perhaps the twice-weekly commitment, combined with a new toy or just wall-to-wall pictures of George Clooney and Jon Hamm would fire their engines just as well. I’m pretty sure I’d be off and roaring on that program! (Where do I sign up?)

Seriously, I have been meaning to try Zestra just for the fun of it, since it sounds like its potential benefits might not be limited to people suffering from difficulty with arousal … and, y’know, anything for science! I’ve got a packet of it in a drawer but I’m not so sure what my lab partner would think.

As always, I’m very curious if any of you out there in bloglandia have given Zestra a whirl? And if so – are you willing to dish? Pretty please?

Read Full Post »

Older Posts »

Follow

Get every new post delivered to your Inbox.

Join 50 other followers

%d bloggers like this: