Monday, December 19, 2016

Why so many mothers of color are dying in the U.S.

America is one of the only developed countries with a rising maternal death rate. And it’s even higher for women of color.


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Why so many mothers of color are dying in the U.S.

Friday, November 18, 2016

Do I Have HIV?: Early HIV Symptoms

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Learn about the early stage of HIV and the symptoms that may be experienced during it.


HIV cannot be diagnosed based on symptoms alone. The only way to know for sure if you have HIV is to get tested for the Human Immunodeficiency Virus. There are three stages of HIV: The early stage, the latency stage and the late stage also known as AIDS (Acquired Immunodeficiency Syndrome), all of which can be accompanied by their own symptoms.


Some individuals who have contracted HIV may never experience symptoms, or may experience symptoms that are similar to other illnesses like the common cold or flu.


The Early Stage of HIV


The early stage of HIV (also known as acute HIV) starts upon contracting the virus. During this stage, some people may experience symptoms that are similar to the flu approximately 2-4 weeks after becoming HIV-positive. While many do experience symptoms in this stage, some people may never experience any signs or symptoms of having contracted HIV.


Early Symptoms of HIV


When early signs of HIV do occur, they are likely to present as one or more of the following symptoms:


  • Rashes on the body

  • Fever

  • Swollen lymph nodes

  • Malaise (a general feeling of body weakness, discomfort and/or lethargy)

According to the Centers for Disease Control and Prevention (CDC), these symptoms above (which are known as acute retroviral syndrome) are seen in 50-80% of newly HIV-positive individuals. They are often overlooked as they are common symptoms of many illnesses and people do not suspect these non-specific symptoms to be related to HIV.


Additional symptoms that may occur during the acute stage of HIV include:


  • Nausea and/or vomiting

  • Night sweats

  • Headaches

  • Sore throat

  • Aching muscles and/or joint pain

  • Fatigue

  • Ulcers that occur in the mouth

  • Ulcers that occur on the genitals

It is important to start treatment for HIV as soon as possible since the virus replicates and begins to destroy important immune cells. This is why it is so crucial to get tested after potential exposure, even if you are not experiencing symptoms. HIV is highly contagious during the acute stage, and because this stage occurs during the first few weeks after contraction, it may not show up as a positive test result this soon unless the test taken is an early detection test.


HIV Incubation Period


Incubation periods (also known as window frames) vary from person to person, so while one HIV-positive individual may be able to take an HIV test and show a positive result 15 days after contracting it, another HIV-positive individual may take 40 days to develop enough antibodies to result in a positive test result. The average incubation period for people to develop antibodies to HIV is 25 days to two months, however it can take some people as long as three months to develop a sufficient amount of antibodies to the virus. If you get antibody testing done before this time frame has elapsed, it is recommended that you get tested again to confirm your results once the incubation period has fully passed.


HIV 4th Generation Antibody/Antigen Testing


If you think you may have been exposed to HIV, you can get an FDA-approved HIV 4th Generation Antibody/Antigen test. It can accurately detect HIV antibodies as early as 13-42 days after exposure. This HIV 4th Generation test also detects HIV P24 antigens, offering two ways to detect whether or not you have the virus. P24 antigens are proteins emitted by HIV that the immune system detects as a foreign substance and attempts to fight off. Antibodies are proteins that the body produces as a response to pathogens like bacteria and viruses; this test detects the antibodies the body creates to attack the HIV virus.


HIV RNA Testing


We also offer an FDA-approved HIV RNA Early Detection test which can detect HIV as soon as six days post-exposure in some individuals. This test has very high accuracy rates after 9-11 days (which are even higher after 28 days post-exposure). RNA is the genetic material of a virus, so HIV RNA tests are detecting the presence of the Human Immunodeficiency Virus itself, therefore it does not have to wait for the body to produce a high enough level of antibodies for detection since it is not looking for antibodies at all. This HIV RNA test is the best option for detecting HIV as soon as possible.


Following the acute (early) stage of HIV is the asymptomatic stage, during which no symptoms are exhibited for months or even years.


The CDC recommends getting testing for HIV at least annually, however it is important to get tested anytime you participate in high-risk sexual activities or intravenous drug use.


The post Do I Have HIV?: Early HIV Symptoms appeared first on STD Exposed – Sexual Health Blog.


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Do I Have HIV?: Early HIV Symptoms

Tuesday, November 15, 2016

8 ways women can protect their pussies from Donald Trump’s America

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Elena Scotti/FUSION



The realization that Donald Trump and Mike Pence will be moving into the White House this January has caused many women, and their uteruses, to feel under attack—and for good reason.



Throughout their presidential campaign, Trump and Pence were open about their desire to restrict women’s reproductive health care by overturning Roe v Wade, defunding Planned Parenthood, and repealing the Affordable Care Act, which grants millions of women access to both contraception and preventative care. As a result, women are starting to fear what their health care will look like under the president- and vice president-elect, who seemingly want to take a time machine back to 1950 when birth control consisted of women putting an aspirin between their knees.


In light of this fear, I reached out to experts to learn what women can do now to protect themselves and their reproductive organs down the line.


Figure out a contraceptive game plan ASAP


The Affordable Care Act mandates that all insurance companies must cover the cost of contraception: Since Obama signed the act into law, most women have not had a copay for their birth control. If Trump repeals the law, many women will struggle to afford contraception.


“If the ACA is dissolved and women don’t have private insurance, contraception prices can go up,” says Kristyn Brandi, a family planning specialist at Boston Medical Center who specializes in abortion and contraception. “If you’re paying out of pocket for it, it’s going to be expensive, especially for low income women who don’t fall under Medicaid.”


Thus, experts advise that women visit a doctor or women’s health clinic now to discuss contraception options before Trump takes office. “I would urge women to consider the best contraceptive that fits their needs and not to delay getting that,” adds Donna Crane, the vice president of policy for NARAL Pro-Choice America, one of the country’s leading reproductive rights advocacy groups.


Consider getting an IUD


An intrauterine device, or IUD, is a long-acting, reversible form of birth control that comes in both hormonal and non-hormonal varieties. As the name implies, the device is inserted into a woman’s uterus; depending on the model, it can prevent pregnancy for five to 12 years (as long as it remains in the body). It’s a great option for women who don’t think they want to have kids for a while, or ever.


If Trump repeals the Affordable Care Act, insurance companies could stop covering IUDs—and the device may start costing women from $500 to $1,400. That’s why women should consider taking advantage of their current insurance and get an IUD now, say women’s health advocates.


Boston Medical’s Brandi, who is also a member of the advocacy group Physicians for Reproductive Health, says she’s already treated patients who are either seeking an IUD for the first time or asking to have their IUD replaced (to increase the span of its coverage), since Trump was elected.


Stock up on birth control pills


As I mentioned, the Affordable Care Act grants women access to birth control pills at no additional cost—and if the law is repealed, that coverage could go away. However, even if Trump is unable overturn the law, Vox explains, Trump could use a regulatory maneuver to end birth control coverage.


In preparation for any cost increases down the road, women who rely on birth control pills can preemptively ask their pharmacy for more than one month at a time. While some insurance plans put a limit on how many packs you can pick up at once, try calling your insurance company and asking if the cap can be raised. Planned Parenthood, meanwhile, supplies up to a year’s worth of pills at a time.


Get emergency contraception now, even if you’re not having sex


Access to all women’s reproductive health care services could become more restricted under a Trump administration, which is why advocates recommend purchasing emergency contraception now, just in case it’s needed down the road. “If other contraception goes away, it would be important to have,” says NARAL’s Crane. Luckily, Plan B One-Step, one of four emergency contraception products approved by the U.S. Food and Drug Administration, is currently available without a prescription, so you can pick some up today.


Learn your rights


Even though Plan B is available without a prescription, some states still make it tricky to access by allowing pharmacies to put it under lock and key—or allowing pharmacies to deny selling it outright. Thus, it’s more vital than ever that women know their rights, says Gretchen Borchelt, vice president for reproductive rights and health and National Women’s Law Center.


The Food and Drug Administration has made it clear that Plan B can be sold over-the-counter, that it should be easily accessible to customers, and that pharmacies don’t have to check customers’ identification to purchase the drug.


“There are no point of sale restrictions, no age restriction—any individual can purchase it, and there’s no limit to the [quantity] you can purchase,” explains Borchelt.


If a pharmacist refuses to sell you emergency contraception in a state where doing so is illegal, let him or her know it’s your right to purchase it, then complain to a manager. “Take it up the chain,” she says. If that doesn’t work, you can file a complaint with your state’s Board of Pharmacy or reach out to organizations like the National Women’s Law Center for help.


Research abortion in your state


Trump has vowed to appoint a Supreme Court justice who will work to overturn Roe v Wade, the landmark 1973 court decision that made abortion a constitutional right. On Sunday, Trump told CBS’ 60 Minutes that if Roe is overturned, abortion’s legality would be decided on a state-by-state basis—and if a state wants to restrict women’s access, women could simply drive to another state.


While Roe won’t be overturned overnight, it’s never too soon to start researching your state’s abortion laws and options. “I would urge women to become much more aware of where their clinics are,” says NARAL’s Crane. She adds that many states—including Louisiana, North Dakota, and Mississippi—already have “trigger bans” in place, so the moment Roe is (theoretically) overturned abortion would become nearly illegal.


Even states that are currently abortion-friendly may not stay that way. “That is the height of ignorance, to suggest that women can go to another state,” says Crane of Trump’s remarks on 60 Minutes. “If the Supreme Court has [the] votes to roll back [Roe], it also has the votes to criminalize abortion nationwide.”


Make an appointment with a health care provider today


Given how tenuous the future of women’s health care appears to be under a Trump administration, consider making an appointment with a doctor or clinic today, to get a jump on any broader health care needs. “[Women should] take full advantage of the health insurance [they] do have now,” says Crane.


Not to mention, the president-elect has vowed to defund Planned Parenthood, which millions of women rely on for general healthcare, including STD testing, cancer screenings, and maternity care—not just abortions. “We absolutely think Planned Parenthood is at risk,” says Crane. “Get the care that you need now.”


Planned Parenthood has vowed to keep its doors open despite Trump’s plans, and NARAL says any efforts to defund the organization or others like it won’t happen without a fight.


Make your voice heard!


Now more than ever, it’s vital for women to fight for their reproductive rights. Women can do this by reminding their local lawmakers that taking away reproductive rights does not reflect the will of the American people, and will not stand, says Crane. Indeed, 56% of Americans think abortion should be legal in all or most cases, and 67% think employers should be required to offer birth control coverage.


“Women need to know who their elected officials are and tell them in no uncertain terms that we will not stand by and watch our rights be dismantled,” she says, adding that there will be a “political price to pay” for any elected official who doesn’t stand up for the rights of women.


So how can you do this? Crane says to literally pick up the phone and call your elected officials. Write them a letter. Donate to organizations like Planned Parenthood, NARAL, and the National Network of Abortion Funds. Join Facebook groups like Pantsuit Nation. Volunteer at clinics. Offer to be an escort at abortion centers. Participate in marches. But most importantly, don’t sit back and just let this happen.


“Spend as much time as possible reaching out and making your voice heard,” says Crane. “Let [lawmakers] know this is so out of sync with our values, and there is no credible line of thinking that this is something the American people will support.” Who’s ready for battle?


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8 ways women can protect their pussies from Donald Trump’s America

Monday, November 14, 2016

Please stop trying to sell me special gym makeup

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Getty Images


Apparently women can’t do anything without makeup. While perusing Facebook this past weekend, an ad popped up on my feed for Sweat Cosmetics, a makeup line made specifically for working out. I had never heard of this company or their products, but anyone who tells me to wear makeup while I work out is not my friend.


So I did what any annoyed person on the internet does and I googled some s**t. It turns out Sweat was founded by ex-professional soccer players whose dream in life was to show that women could be “both strong and beautiful.” I never thought those two concepts were mutually exclusive, but then again, I’ve never felt the need to wear lipstick on a treadmill, either.


Sweat’s promo videos feature the gaggle of blonde women who work for the company powdering their faces while running, snowboarding, weightlifting, and riding a stationary bike. In one video, a soft voice-over says that the modern woman is “brave, powerful and strong, but above all else she is beautiful.” In another, one of the founders says, “We wanna tell every woman that uses our product that we see your struggle.” Um, what struggle is that exactly? The struggle to be beautiful every second of every day, even when I am sweating my ass off? Yeah, I didn’t actually think that was even a thing until I saw your ad, but thanks.



Here’s why this product is infuriating: If you are a woman (or man) and want to wear makeup to the gym, wear makeup to the gym. People have worn makeup and worked out for quite some time: gymnasts, dancers, women hitting the gym on their way home from work, and that chick on the treadmill taking 5 million selfies. It’s cool. Be you. But what I don’t like are companies acting like they are building women up, when really, they’re trying to create a need that never needed to be filled. For decades, beauty companies have told women they are not pretty enough, or skinny enough, or feminine enough, and that they need some product to fix what’s wrong with them. From corsets to diet pills to high heels, these products are supposed to help women look better (for empowerment!) when in reality they keep us in uncomfortable—and often unhealthy—chains.


Now, that racket is bleeding into the gym, the one place where women can get dirty because they’re supposed to be dirty. The space where bleeding is a sign of strength and not weakness. Indeed, athletics is one of the few spaces where, ideally, being respected has nothing to do with how you look and everything to do with how well you perform. Call me crazy but I don’t want to give that up just yet.


Before you roll your eyes at me, I understand that not everyone is as serious about working out (or feminism) as I am. Not everyone goes to the gym for the same reasons I do. I know that some people go there to blow off steam, or find dates, or meet up with friends. And I get that some women just love makeup and want to wear it all the time, like a favorite scarf or necklace. But all of those options are still available. You can wear makeup to the gym already. No one is stopping you.


But if “workout makeup” ever becomes a thing the way high heels became a thing, women will start feeling pressure to wear makeup to the gym, which means we’ll have to buy cosmetics for work and for Saturday night and for spin class. What’s next? Makeup for the shower? “Hate how gross your face looks when it’s wet?” the commercials will say. “Yuck! Buy this special shower makeup so no one has to look at your unvarnished face ever again.” It’s too much.


Unfortunately, that future is actually possible because Sweat isn’t the only company trying to make “workout makeup” happen. Birchbox, a monthly subscription service that mails makeup to your door, now offers a beauty brand called Arrow designed for “badass women who lead active lifestyles,” according to a press release. And others have slowly but surely begun popping up, too.

The truth is companies call us “badass” and “strong” to grab our attention but, instead of actually trying to empower women, they ask us to spend our cash on even more beauty products. And that hypocrisy comes with a cost.


Research compiled by the New York City Girls Project shows that 40% to 70% of girls are dissatisfied with two or more parts of their body by middle school, in large part due to the images they see on magazines and on TV. According to a 2010 study conducted by the Girl Scout Research Institute, although most young girls (63%) think images represented by fashion models are unrealistic, 60% still say they compare their own bodies to those models.

The point is that what we say and represent in advertising and marketing seeps into girls’ minds at an early age. If we start sending the message that women need to be pretty while playing sports, we’re doing something wrong. So instead of telling girls they can be strong and beautiful—you know with some magical sweat-proof makeup—we should be saying that strong is beautiful. And that should be enough.


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If you think you have a STD, there is something you can do about it! The only way to know for sure is to be tested.


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Please stop trying to sell me special gym makeup

Sunday, November 13, 2016

What my Jewish, immigrant father taught me about the American Dream

8th September 1946: Holidaymakers on a fairground ride at Coney Island, America's popular holiday resort in Brooklyn, New York. (Photo by Keystone/Getty Images)

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Hatred is not a new concept to Jews. We’ve been on the receiving end of it for more than 5,000 years, and our fear of violence and terror is as ingrained in our culture as gefilte fish, Friday night prayers, and self-deprecating jokes.



This past Wednesday, November 9th, marked the 78th anniversary of one of our most pivotal and tragic moments. Kristallnacht, or “Night of Broken Glass,” was a massive, state-sponsored act of terrorism in which synagogues, Jewish-owned businesses, and homes throughout Germany and Austria were burned and vandalized. Some historians point to it as the “official” start of the Holocaust, but, more accurately, it was the moment when expressing long-festering hatred became normalized and was allowed to blossom out in the open.


The early hours of Wednesday the 9th were also, incidentally, when Donald Trump, a candidate known for tweeting anti-Semitic imagery and inciting violence against minorities, was elected the 45th president of the United States. Almost simultaneously, a store in Philadelphia was vandalized with Swastikas and other Nazi references, along with hastily scrawled pro-Trump graffiti. I would like to explicitly say that I am not calling Trump a Nazi or a fascist, as some writers have. Only history can decide that. I am merely stating the facts, and the fact of this incident is that it was abhorrent but not shocking. For Jews, well aware that we are still reviled in many places in the world, it just felt like history repeating itself.


As Wednesday trudged on, I heard about more hate crimes across the country and felt scared, so I called my father. Born in the shadow of the Nazi regime, an immigrant, but also the best embodiment of the American Dream I can think of—who came here with literally nothing but a weakened immune system and a legacy of trauma and rose to an exceptionally good life—I wanted his words of wisdom. I asked if he thought we were safe; if we needed to move.


Instead, in the calm, Buddha-like manner I’ve come to expect, he told me not to be terrified. There’s a minority in this country that’s filled with hate and rage, he said, emboldened by the Internet and endless media coverage. They are trying to intimidate and bully others into fear and passivity, but that’s not the real America—and you can’t let them rattle you and keep you scared and silent. That’s what terrorists want. We’re a nation of immigrants, he reminded me—one of the most heterogeneous in the world, and our hope and values will sustain us.


That my father, who should have so many reasons to be angry, nervous, resentful, and nihilistic, could retain his optimism made me feel ashamed for my own fearful thoughts. It also made me feel something I didn’t think was possible right now: pride.


In 1948, my father—before he changed his name from Shlomo to Michael in order to assimilate—was born in a small German town near Munich. After the end of WWII, it had been transformed into a makeshift displaced person’s camp by the U.S. military in order to house folks, mostly Jews, who could no longer safely return to their countries. (Imagine France’s refugee port of Calais, with even less food.) My grandparents had lost their entire families, but miraculously met and fell in love in this strange European purgatory. My dad was born there, surviving despite the lack of proper healthcare facilities or pre-natal nutrition. Because of latter, he would have health problems for the rest of his life, including rheumatoid fever, encephalitis, and a heart murmur all before the age of 10.



Ida Pearlman, my grandmother (farthest left with the black bob) protests a planned deportation to Cyprus with camp activists. She got to go to Brooklyn instead. (Pocking, Germany, sometime between 45-48).Courtesy of Yad Vashem

My grandmother, Ida Pearlman (farthest left with the black bob), is shown here protesting a planned deportation to Cyprus with fellow activists at her displaced persons camp in Pocking, Germany. She got to go to Brooklyn instead.



When he was still an infant, through an act of benevolence and a lenient immigration policy on the part of the U.S. government, he and my grandparents were allowed to come here and resettle in Sheepshead Bay, Brooklyn.


It wasn’t a fairytale. His parents were broken from what they’d experienced in Europe—especially my grandmother, who’d seen her brother die of starvation. Little things, like an extra portion of dinner she was too full to eat, would make her convulse in sobs. They were haunted by the knowledge that people, even neighbors, might want to kill you for your religion or ethnicity; that sometimes you can’t keep the people you love safe. But they also believed you should never stop striving, and sometimes all you need is a sliver of kindness to survive. As my grandma, my zayde, used to tell my father, “In every group there are both good and bad people. There were kind Germans who helped me, and fellow Jews who undermined me.” The real danger comes from lumping whole groups together as deplorables or saints.


Though my grandparents were incredibly poor, they somehow made sure my father and my aunts had food and a clean house, and felt loved. “I had Coney Island, friends, and family,” my father told me when I asked him if his economic status ever wore him down. “I was a train ride away from art and culture—what else did I need?”


Until he was in 5th grade, his first language was Yiddish, with only a smattering of English. Today, he frequently schools me on New Yorker articles with an unplaceable accent. I have no idea how he did it, but the son of a window washer put himself through college, and earned two Master’s degrees, becoming an engineer. As he entered adulthood, anti-Semitism persisted in this country; there were certain jobs he knew he was barred from attaining, or whole swaths of the country, sometimes controlled by the KKK, that “you just couldn’t visit.”


Despite his Eastern European heritage, he looks Latinx and would sometimes, accidentally, get a taste of that particular flavor of discrimination. He never got bitter, but he did get to work. His philosophy was to start small and stay focused on whatever was in front of him, whether it was learning English, applying to colleges, or attempting to join corporate America during the tech boom. He married a musician and they moved to the suburbs, where they had two loudmouth, opinionated daughters who would spend afternoons running and screaming through a lush, green yard.



My dad, Michael Feinstein, as a teen, living on Avenue Y in Brooklyn, New York.

My dad, Michael Feinstein, as a teen, living on Avenue Y in Brooklyn, New York.



Growing up, sometimes I would get frustrated at the injustices of the world, as most teens do. I would rage over income inequality, war, sexism, or even my own petty concerns. Why can’t I have a new car like my classmates? Why can’t we travel? Why do we always have to share fries at McDonalds? My father never let me indulge in these feelings. “America is the best country in the world,” he would say, as I rolled my eyes. “It’s the best place for immigrants, for opportunity. We have so much here.” He let me know that America was a place where, even if you faced adversity, you could rise above. It’s built into our Constitution. He never explicitly said this, but I always felt that if he could do it, there was no reason I couldn’t either. Even today, after so much has changed in the U.S. in terms of upward mobility, he still believes that in America, an outsider, a marginalized population, can raise themselves up—and points to the many disgraceful ways immigrant groups have been treated abroad.


My own life experiences have led me to believe there are those who will try to hold you back, hold you down, for no reason. They will tell you you’re less than; that this is as good as you can expect from life. But they’ve always, consistently been wrong. Change doesn’t happen overnight—it happens bit by bit, small action by action. It cannot evolve in a bubble. You need other people, the warmth of a community, and just the smallest sliver of light to crawl through.


On Wednesday night, as it sunk in that a Trump presidency was a reality, I couldn’t bring myself to go home and eat that whole pizza I was craving (ironically, as part of my “self-care,” I just keep eating junk food). My brain felt like it was on a rush hour train, flooded with rage and ideas and fear all pushing to get out at the next stop. Instead, I went with friends to Union Square to check out a protest I’d heard about on Facebook. It had started with a few hundred, but by the time we arrived there were thousands, shutting down 5th Avenue and marching like a liberal army toward Trump Tower.


During my morning commute the city had taken on a funereal cast, as people openly wept in silence. Now, I saw New Yorkers happy, singing, and holding hands despite honking cars and overhead helicopters. I don’t think anyone at that rally expected to change the outcome of Tuesday’s election. Trump came to power democratically, no matter how flawed our system may be. But it wasn’t about radical revolution, at least not in my mind. It was about hope, that you can move the dial of progress, even incrementally. That there will be setbacks and hardship, but you’re not alone if you have optimism. That those across the country expressing hateful sentiments are just a minority in a nation filled with all kinds of people: wonderful, hardworking, awful, petty, amazing, complicated, striving people. That there is no “us versus them,” there is only us versus us. No one person, or election, can decide the fate of such a diverse country. These setbacks are real, but temporary, and there’s always tomorrow. These, among many other thoughts, are the lessons my father taught me.


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What my Jewish, immigrant father taught me about the American Dream

Friday, November 11, 2016

How to cope with the bottomless grief you’re feeling

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Shutterstock, FUSION



As I approached the sidewalk outside the White House in the early hours of Wednesday morning, the white glow of street lamps lit the faces people milling around, awaiting the final call. When I got closer, I spotted a cluster of the unmistakable red hats—“Make America Great Again” emblazoned on the front—perched on the heads of young white men moving jubilantly to “Jump Around.” House of Pain, indeed.



Weaving through the crowd, I clung to my final shred of hope for the successful election of our first woman president, even as my heart beat out of my chest and I feared these men could turn violent at any moment in animalistic triumph. Moments later, I would read on my phone that the Associated Press called the presidential race for Donald Trump—and in an instant, hope gave way to grief. How will we ever get through this? I wondered. How will I get through this?


As night turned to day, I found myself repeating the same four words: “I am profoundly sad.”


This was all I could muster as friends and loved ones reached out to see how I was grappling with the reality that Hillary Clinton would not be the next president of the United States. They knew I was in Washington, DC, to cover what (in my mind) was supposed to be a night of celebration for the first woman president. Within a matter of hours, my thoughts turned from the future to figuring out how to lift my head off the pillow. I was experiencing, and continue to experience, classic symptoms of grief—and I know millions of others are right there with me.


And so, with the hope of shoring up my own mental health and helping others feeling the same way I do, I spoke with New York City-based grief counselor R. Benyamin Cirlin of the Center for Loss and Renewal. Cirlin both helped me to better understand my feelings of grief and offered a few mental health hacks.


To begin, he assured me that it makes perfect sense for Hillary supporters to feel a sense of loss, and explained that we, as humans, naturally get attached to people and to ideas. These attachments lead to assumptions, and we make connections to these assumptions. When those connections are severed, grief floods in.


“Most of us—with the hope of media and polls—assumed Hillary was going to win. That assumption was broken,” Cirlin told me via phone. “There’s a huge sense of disbelief. ‘How and why did this happen?’” He said people don’t have the “cognitive capabilities to take it in so quickly,” and that’s what accounts for the feelings of shock and sadness.


When it comes to processing grief, we often hear about the “five stages” popularized by Swiss psychiatrist Elisabeth Kübler-Ross. Her stages—denial and isolation, anger, bargaining, depression, and acceptance—primarily dealt with grieving death, but are applicable to anyone feeling a loss. Cirlin shared a different set of tools for dealing with immense loss that are non-sequential—these “tasks” account for the fact that the process of healing isn’t usually orderly and often quite messy.


The first task he shared is coming to terms with reality—one with which I must admit I’m really struggling. “When we lose something, we feel out of control—particularly when there’s no warning. We want to do things to give us control. There’s a psychological dynamic of protest, ‘It can’t be true,’” we tell ourselves. He pointed to the reaction of many who say Trump is “Not my president.” While these protesters don’t identify with Trump or support his policies, in time, he said, they must begin to accept that he was elected to the position.


Another task is to simply recognize and deal with your feelings. Whether it be anger with the outcome, guilt about not being active enough in the days leading up to the election, or anxiety about how his proposed policies will personally impact you—deportation, lack of healthcare, the list goes on—Cirlin stressed how it’s important to identify and put a name to these feelings.


It can also be helpful to figure out how your role in the world needs to change to account for a seismic shift (like the last person you’d ever want as president being elected). “It’s really about figuring out your new identity and realizing, ‘I’m not that same person anymore,’” Cirlin said. “When assumptions are changed or shattered, and you base your life on your relationship with them, you have to ask ‘Who am I now? Who am I going to be in this new world with Trump? Who am I as an American?’”


And finally, we have to ask ourselves, “How do I create meaning in my life knowing that a major loss occurred?”


These are tasks that I’m stumbling through. And yet, I’ve also begun to remember what it felt like be 17-years-old, lying on my bed despondent after George W. Bush was reelected in 2004. I knew that it meant more war and less human rights. The world seemed to pause on its axis as the reality set in, and I wondered how life would go on. But it did.


“It’s really about honoring your grief,” Cirlin said. “Loss does not heal quickly. In American culture, we like to get through things very quickly. This has been a two-year process…it’s only when the disbelief wears off you get some sense of what it means.”


The thing is, many of us already have a sense of what this all means. And that’s why we’re so very scared. No one can tell you exactly how to cope with this unprecedented source of grief, but may you take some comfort in knowing you’re not grieving alone.


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How to cope with the bottomless grief you’re feeling

What Donald Trump’s win could mean for women with Zika

zika-trump-president

via Shutterstock


The Zika virus was already a threat to women before the election. But now that Americans have elected a man who campaigned on the promise of overturning Roe v. Wade, that threat could get even worse.

For the past several months, women in certain parts of the country, especially South Florida, have had to reckon with the effects of the Zika crisis on their fertility and reproductive rights. According to the Centers for Disease Control, more than one thousand pregnant women in the United States have shown signs of infection so far.


It’s been excruciating to think about the choices these women and their families have been forced to face as they’ve grappled with the notion of carrying a fetus that might be born with lifelong and debilitating birth defects.


In fact, we didn’t even get a full view of these defects until days before the election. On November 3rd, the Journal of the American Medical Association Pediatrics released a report identifying a pattern of birth defects appearing in children born to mothers infected with the Zika virus during pregnancy. This grouping is now officially called congenital Zika syndrome.” It includes five types of defects seen all at once among babies born to Zika-infected women: severe microcephaly (abnormally small head size) with a party collapsed skull; decreased brain tissue with a specific pattern of calcium deposits indicating brain damage; damage to the back of the eye with a specific pattern of scarring and increased pigment; joints with a limited range of motion, such as clubfoot; and too much muscle tone, restricting movement soon after birth.


But five days after that report came out, former reality television personality Donald Trump and former Indiana governor Mike Pence, who has said that he wants to see Roe v. Wade “sent to the ash heap of history,” won the presidential election. And just like that, the circumstances around women’s reproductive rights got even more severe—especially in the wake of Zika.


Perhaps the most painful aspect of what pregnant women with Zika face boils down to timing. According to guidance issued by the Centers for Disease Control, microcephaly can typically be detected on an ultrasound between 18 to 20 weeks of gestation at the earliest, but it more often becomes apparent on an ultrasound during the late second and early third trimester, somewhere between 24 to 28 weeks gestation. By that point, it may be too late to make a decision. According to the Guttmacher Institute, a sexual and reproductive health research and policy organization, 14 states already ban abortions after 20 weeks except in cases of life or health endangerment to the woman. Another eight states ban abortion at 24 weeks, another two states at the start of the third trimester, and another 19 at the point of viability outside womb. Although there is no definitive gestational age that guarantees fetal viability, roughly 95% of babies born before 23 weeks gestation do not survive. Current data shows that between 67% and 76% of babies born at 25 weeks gestation survive until discharge from the hospital.


If he keeps his campaign promises, President-elect Trump will make it significantly more challenging for women at this stage of pregnancy to access a full range of reproductive options. He has been vocal about his intent to support a federal ban on so-called “partial birth abortion,” a term used by anti-choice advocates to describe the medical procedure of dilation and extraction commonly used for late-term abortion. Nineteen states already have laws on the books banning this procedure. Some states have even started banning the procedure known as dilation and evacuation, commonly used in abortions after the first trimester, as well. A federal ban on dilation and extraction would subtract from Zika-infected women’s already limited options.


That’s why American women are not wrong in thinking that they’re proverbially f*cked when it comes to their reproductive rights under Trump—especially because the Zika crisis isn’t over.


In Florida, the first place in the continental U.S. where people became infected with Zika through active local transmission, the Aedes aegypti mosquito that spreads the virus is abundantly present almost year-round throughout the entire state. That means all 3.5 million women of reproductive age in Florida are theoretically at risk, not just those in the greater Miami area. And while abortion after 24 weeks gestation—just around the time when a pregnant woman might learn if her fetus has been impacted by the Zika virus—is already banned in the state, that limitation might get stricter. Mike Pence has promised to help Congress pass legislation that would make abortion illegal after 20 weeks nationwide.


Florida isn’t the only state where women face the continuing threat of Zika—and real restrictions on their access to reproductive health care.


The National Institutes of Health have predicted that Texas and Louisiana will be the states to see active Zika transmission next. Both states ban abortion at 20 weeks postfertilization. They also have mandatory state-directed counseling requirements designed to discourage women from choosing abortion care, as well as mandatory ultrasound requirements for women seeking abortion.


“The Zika virus and the way it’s played out on a policy level is a perfect parable for the entire fight we have,” Ilyse Hogue, the president of of the reproductive rights advocacy group NARAL Pro-Choice America, told me shortly before the election. “What I mean by that is that you’ve got politicians—anti-choice politicians—who are completely intransigent, even [when] standing before an active public health crisis.”


When I spoke to Hogue on Wednesday, following Democratic presidential nominee Hillary Clinton’s concession to Trump, she told me that although polling suggests most Americans take a pro-choice stance, the challenge that lies ahead for groups like NARAL is making this an issue “important enough for people to vote on them.” She added:


To vote for a candidate who would decide that he or she knows better than you about what is best for your family better than you do, better than your doctor does, it is literally a vote against your confidence in yourself and your own values. We have to have this values conversation and bring these people with us. We have to have these conversations and have them now.



Our past—and future—living with the Zika virus, Hogue said, only makes that mission more urgent.


“Zika puts into focus what those of us who do this work every day already know—when it comes to making decisions, every circumstance is different and every individual is much more successful making their own decisions with their doctors,” she continued. “Politicians don’t know anything about how to make these decisions and shouldn’t have a voice in this decision making.”


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What Donald Trump’s win could mean for women with Zika

Thursday, November 10, 2016

How a gay mom explained Donald Trump to her sons

161109-how-to-tell-your-kids

Shutterstock, FUSION



He’d been crying in the shower. I could tell by his red, puffy eyes. So I pulled myself together despite the sickening knot in my stomach and asked him to sit next to me on the couch. My son, at 13, is generally no longer game for snuggles with his mom when things aren’t going his way. He’s reached that stage when he tries to be stoic about pretty much everything. But watching Donald Trump win the election turned him back into what he really is: A hurt, frightened, and very sad child.



How did we get here? More importantly, where do we go now? I’m not talking about the nation. I’m talking about raising my son.


For months I’ve watched with pride and delight as Eddie turned into a politics junkie. He is, as my wife would say, my “mini me.” During primary season he’d eagerly watch results with me and spout the daily twists and turns of FiveThirtyEight’s prognostications when he clambered into the car after school. It was fantastic and fun and it seemed so harmless. Now, as he wept into my shoulder, his body feeling so much smaller and more frail than he tried to project every day, I wondered if I’d failed him by teaching him to care so deeply and to hope so exuberantly about something over which he had no control.


“How can everyone be so stupid?!” Eddie asked me.


I assured him that the people who voted for Trump weren’t stupid—though internally I had my doubts. I said they were just scared by change. And that an awful lot of people across the country didn’t vote for Trump.


“Can we please move to Canada? Please!” he wailed.


I wanted to say yes. I wanted to say of course we’d run for the hills to get away from everything Trump represents—that we could get away from it. But I told him he wouldn’t really want to leave his friends and his school and his family. He might want to now, but things would look better when he realized that his day-to-day life wouldn’t change much. He’d still have school, still have swim practice, still have a mom who nagged him to practice piano and a twin brother who sometimes seemed like he was from a different planet.


“But the Supreme Court!” he shot back.


At this point I was cursing myself for encouraging him to learn and understand his government. See, we are a two-mom, two-boy household. He knows that the Supreme Court gave his family legitimacy. But I took a deep breath and reminded him of how little our daily life and our family had actually changed after the Court legalized the marriage between his moms. I told him they wouldn’t take away our marriage, and that even if they did, they couldn’t tear us apart.


“Can I please stay home from school tomorrow?” he begged.


I confess, this one was hard. After all, my plans for Wednesday included curling into the fetal position in my bed, turning off the lights, and pretending it was all a bad dream. How could I ask more of my child? But I did. I told him it wouldn’t get easier to go to school and resume life until he went to school and resumed life. I told him we had to stop wallowing and keep living. And hey, there may be new Pokemon released any day! Distraction is a parenting technique that never gets old.


And so, with swollen eyes and unable to stomach breakfast, Eddie and his brother Chas trudged off to school the day after the unthinkable.


Once they left, I began to worry if I had handled Eddie’s post-election trauma correctly—a feeling many other parents I know have also grappled with these past few days. So I called an old friend from my grad school days who is now a child psychologist across the country in Connecticut, Nancy Fredine. What the heck do I tell my kids?, I asked. I could tell her voice was weary. She’d been talking about this all day. But she went on to offer some useful advice for parents and non-parents alike.


First, “just assure them that as adult you will keep them safe,” she advised. “This is probably the first time for many of them that they’ve really gotten invested in something so much larger than themselves.” But loss is part of life. “It’s a learning experience. There were a lot of people who lost. And life goes on. Losing and risk is part of life.”


Fredine also said we need to remind kids—and ourselves—that we live in a system where there are people to provide checks and balances. “He’s not making decisions on his own. He’s got people around him that didn’t even vote for him. This is where humanity kind of steps in.”


She said President Obama’s post-election statement on Wednesday provided good guidance for people of all ages. “Tell your kids we are all on the same team. We didn’t necessarily get the person we wanted to coach the team, but he recognizes we are all one team.”


After such a polarizing, hate-filled campaign, that can be hard for any of us to believe, but Fredine doubled down on the value of sharing this empathetic message with kids. “We all want America to run well. We all want people to have jobs,” Fredine argued “We are all in this together.”


Who knows, she mused, “it could be a really good lesson for kids. How do you turn the other cheek?”


I felt, somehow, a little better about my response when I picked the boys up from school. Were they still sad? Yes. “Did anyone gloat,” I asked, revealing my own fears about leaving the house. “Yep,” Eddie said. “Did you wanna punch them?” A half grin crept across his face. “Kind of. But when they go low, we go high.”


That’s when I realized, for all the pain they’ve experienced from paying close attention to this election, they’ve also learned some pretty amazing coping skills.


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How a gay mom explained Donald Trump to her sons

How sexual assault survivors can cope in Donald Trump’s America

sexualssault_header

Alex Izaguirre/FUSION



Over the past few months, as Donald Trump’s abhorrent treatment of women moved into the spotlight, many survivors of assault have found themselves triggered by his words, his voice, even just the sight of his face. Though many of us assumed that Trump, and the stress that comes with him, would disappear after Election Day, this week offered up the nasty surprise that Republican nominee Trump is President-Elect Trump. How can a survivor cope when a stark reminder of some of her most traumatic moments is ensconced in the Oval Office?



I reached out to Kirstin Kelley, a sexual assault and domestic violence advocate at Call to Safety (formerly Portland Women’s Crisis Line), to get some tips on how to manage the anxiety and emotional exhaustion that comes with seeing the personification of sexual assault and abuse get elected to the presidency.


For starters, Kelley notes that self care differs from person to person; there’s no one definitive list that will work for everyone, but she does have a handful of strategies she recommends to survivors who call in to the crisis line when they’re struggling.


“One of the things that often happens to survivors when they feel triggered is that they’ll start to feel really depressed,” Kelley tells me. Basic self care can be a good way to combat that depression; even just getting out of bed and taking a shower can be a huge step towards looking out for your well being.


And if that’s as far as you get, that’s okay. But if you’re motivated to do more, Kelley recommends engaging in calming activities that don’t require a lot of focus: taking a walk, coloring in coloring books, zoning out to one of your favorite movies, eating comfort food— basically, anything that’ll take your mind off your trigger and lead to some positive feelings (“One of the things that I’m doing today is rereading all of my favorite chapter books from childhood,” she tells me.).


Should you venture onto social media? That’s entirely up to you. As with many aspects of self care, social media can be helpful to some—especially if it’s a source of consolation and commiseration for you—and toxic for others (in which case she advises a total social media fast). If you’re leery about engaging on social media but have to be online for work or some other, non-negotiable purpose, then make sure to set limits with yourself. If someone is toxic, it’s okay to unfriend or unfollow them (you can always re-add them later). Kelley advises that you should “really think about [your] emotional safety and don’t be shy about saying enough is enough.”


And what about the news? How do you stay informed about global affairs without setting off an anxiety attack? Kelley recommends consuming the media in small doses. “Don’t feel like you have to overwhelm yourself to be informed, [but] certainly spend time getting news from sources that you feel connected to.” And remember that staying informed isn’t just about reading the paper: Processing current events with friends can be a great way to manage your trauma (and, as an added bonus, help you form a community that can provide additional support).


Setting limits isn’t just about your internet interactions either: Having limits in the rest of your life is important as well. “The biggest thing is setting boundaries with people,” Kelley tells me. “You don’t have to take that abuse.”


Having those boundaries could be even more important in the coming weeks. Difficult as the election has been for many people, some survivors’ trauma will be compounded by the upcoming holidays, which can require interaction with Trump-supporting family members—or potentially even one of your abusers. If your family is more a source of stress than one of comfort, make sure you get a self-care plan in place over the next few weeks. That might involve keeping your visit short—just a day trip rather than a full weekend, perhaps—or making plans to stay at a hotel or with friends rather than spending the night in your parents’ home. Just as important: Look up the info for your local crisis line and be sure to keep them on speed dial. If you find yourself overwhelmed by anything, they’ll be able to offer support and brainstorm even more coping strategies that’ll help you get through the holidays.


The most important thing is to take things one step at a time, and one day at a time. As long as you’re doing something to protect and care for yourself—even if it’s something small—that’s an important step. Though it may not always seem like much, the mere act of surviving, of continuing to be here and refusing to be destroyed by abusive forces, is a display of strength.


And don’t ever be afraid to reach out and ask for help. “As a country there’s a lot of shame around taking care of mental health needs,” says Kelley. There’s major stigma around it. But today is a good day for it. Call your therapist if you’ve got one, find friends if you can.” There are networks of support all around us; don’t be shy about making use of them.


Lastly: Though it may be cold comfort in the wake of a painful election, Kelley urges survivors to “try and remember it was a close a election. It’s not everybody. … Half of this country is still full of people who said no to the toxicity and the abuse. So find them.”


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How sexual assault survivors can cope in Donald Trump’s America

Did California just reclassify rape as a non-violent crime?

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via Shutterstock


Don’t believe everything you read on the internet, folks. After Tuesday’s election, a tweet circulated claiming Californians voted to reclassify rape as a non-violent crime with a measure known as Proposition 57—causing many of us sink even deeper into our depressive stupors.



The problem is, this tweet is 100% incorrect—despite the fact that more than 40,000 people retweeted it.


Let me break it down for you.


Californians and the passage of Prop 57 didn’t reclassify anything. Per the California penal code, which was established in July 1977, rape is still considered one of 23 violent felonies in the state. What Prop 57 did was allow for people convicted of non-violent felonies to be granted earlier parole, explained Paul Takakjian, a criminal defense attorney in Southern California.


So how did rape enter the conversation?


Prop 57 aims to help solve California’s overcrowded prison problem by enacting three significant changes: (1) sending fewer juveniles to adult courtrooms, (2) allowing easier parole for felons who have not been convicted of one of California’s designated “violent” crimes, and (3) creating new good-behavior credits that all state prisoners would be eligible to earn, which can contribute to parole.


The notion that rape would be reclassified likely stemmed from a misinterpretation of nuances in the penal code. As I mentioned, rape is considered a violent felony under the California penal code—but only in two specific circumstances:


Where it is accomplished against a person’s will by means of

force, violence, duress, menace, or fear of immediate and unlawful

bodily injury on the person or another.



And:


Where the act is accomplished against the victim’s will by

threatening to retaliate in the future against the victim or any

other person, and there is a reasonable possibility that the

perpetrator will execute the threat. As used in this paragraph,

“threatening to retaliate” means a threat to kidnap or falsely

imprison, or to inflict extreme pain, serious bodily injury, or

death.



In other words, when rape is committed by force or by threat.


Prop 57’s easier parole measure does not apply to people who have committed these crimes.


Good, right? The trickier part is that since the state’s penal code only classifies some rapes as “violent” felonies, it means the other types of rape are considered non-violent: Statutory rape, the rape of an unconscious person, the rape of an intoxicated person, and rape using a controlled substance—none of these are designated “violent” crimes.


Thus, under Prop 57, those convicted of “non-violent rape” could be eligible for parole earlier, said Takakjian. But these individuals were always eligible for earlier parole than people who had committed rapes classified as “violent” felonies. Prop 57 didn’t change the penal definition of rape.


If anything, the passing of Prop 57 is simply a fresh reminder that California’s penal code has accounted for these “non-violent” rapes for decades. We saw this reality play out last summer when former Stanford swimmer Brock Turner was convicted of sexually assaulting an unconscious women but was only sentenced to six months in jail with probation, and ended up only serving three months.


Following that catastrophe, Governor Jerry Brown signed two laws that broadened the power of judges to officially adjudicate sexual assault as rape and created mandatory minimum sentencing for people convicted of rape. (Prior to the bills, rape was only defined as an act involving sexual intercourse. The bills expanded this definition to include all forms of nonconsensual sexual assault.)


The upshot? If you take issue with the fact that the rape of an unconscious or drugged person is not classified as “violent,” persuade your legislators to amend the penal code—because Prop 57 is not to blame.


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Did California just reclassify rape as a non-violent crime?

Free STD Testing: Where To Get It?

where-to-get-free-std-testing


We dug into the pros and cons of getting free STD testing, and now we are answering where you can go to get free STD and HIV testing.


There are many places you can visit for free or nearly free STD tests including most state health departments, local nonprofit health organizations, Planned Parenthood locations, and various college and university programs.


For the most part, free STD testing is funded federally, through non-profit organizations or through programs provided by various institutions (colleges, universities, churches, etc.).


Federally Funded STD Testing


According to the Catalog of Federal Domestic Assistance, the Department of Health and Human Services offers control grants for preventative health services for sexually transmitted diseases via the Centers of Disease Control and Prevention (CDC). This funding may be applied for by an eligible “state or authorized subdivision including American Indian/Alaska Native tribal governments or tribal organizations located wholly or in part within their boundaries, academic institutions, and public health organizations.” In 2016 and 2017, the allotted assistance to cooperative agreements is estimated to be approximately $98,904,456 for each year.


These grants for STD testing and preventative care are given to places like state health organizations and clinics, which in turn are able to offer free or low cost STD testing services.


Sexually transmitted infections and diseases cost the government a lot of money every year. In fact, a 2013 report from the National Institutes of Health found that the diagnosis and treatment of chlamydia alone in 2008 in the United States cost more than $516,000,000, and that gonorrhea cost more than $162,000,000 in the same year.



Planned Parenthood


Due to funding from the government, as well as other sources, Planned Parenthood is able to offer free or low cost STD testing services to certain individuals, especially those whose income levels are below the poverty level. Individuals on Medicaid are typically eligible for free STD/STI testing at Planned Parenthood locations. Planned Parenthood also accepts numerous forms of insurance.


According to Planned Parenthood, they conduct STD tests in several manners:


  • Physical Exams – During a physical exam at Planned Parenthood, a physician “may look at your genitals and/or your anus for any signs of an infection, such as a rash, discharge, sores, or warts. For women, this exam can be similar to a pelvic exam.”

  • Blood Sample – You may have a blood sample drawn that will be tested for specific STDs.

  • Urine Sample – A urine sample may be collected to test for specific STDs.

  • Swab Sample – A sample of discharge, tissue, cell matter or fluid, or saliva may be collected to be tested for specific STDs.

Because Planned Parenthood locations are reporductive health centers, they test for a large variety of sexually transmitted infections. The common STDs can be tested for here, including HIV, chlamydia, gonorrhea, syphilis, herpes, hepatitis B and C, and other infections like public lice (crabs), trichomoniasis, HPV (testing for women) and Molluscum contagiosum.



Local Health Departments


Federal and state funding trickle down to local (city or county) health departments to allow them to offer free or low cost testing for sexually transmitted infections. Sometimes local health departments have a fee associated with STD testing or discounted prices for certain STD tests, but often STD testing can be found for free (especially HIV tests). Some health departments only test for a few of the common STDs. Rather than being able to get tested for 8 or 10 different STDs, you may only be able to get tested for 3 or 4 STDs at a local health department. Occasionally, testing is provided based on an income slide scale, so you pay an amount for the testing that varies depending upon your income.


Local health departments’ testing options vary widely from location to location. Some departments may offer only blood and urine STD tests, some may offer rapid tests, some may offer swab testing. All local health departments that offer STD testing will offer HIV testing. Chlamydia, gonorrhea, syphilis and hepatitis C testing is typically standard as well. Herpes testing is sometimes offered, but may only be for genital cases of herpes.



Nonprofit Organizations


There are many nonprofit organizations that offer free STD or HIV testing clinics. Numerous cities have local health clinics that are run by LGBT groups and programs, religious organizations, and other community programs that provide free testing services. Like health departments, these facilities’ testing services will vary from site to site, and so will their methods of STD testing. Nearly all nonprofit organizations that offer health testing offer HIV testing. Additionally, they may offer other STD tests, like hepatitis C or common bacterial infections like chlamydia and gonorrhea.


Nonprofit organizations receive funding from various resources, including federal grants, donations, fundraising, and other resources.



Colleges and Universities


Many higher education institutions offer students free or low cost HIV and STD testing. College and university students are a crucial group in terms STD testing as 50% of all STDs are contracted by individuals between the ages of 18 and 24, as such, many academic institutions provide testing services or have free or low cost resources available to suggest to students.


Like health departments and nonprofit organizations, college and university programs and  facilities’ testing services will vary from site to site, and so will their methods of STD testing. Types of testing most frequently offered for free through college and university testing programs include HIV tests, chlamydia and gonorrhea. Other STD tests may be available, or you may be directed to a local health department for more comprehensive testing options.



These facilities or programs often offer more than just STD testing. Many of them also offer free or discounted condoms or other barrier forms of protection, like dental dams or female condoms. They may also provide birth control or well women exams. It is important to call to find out exactly what services are rendered and what kind of STD testing is available at a free STD clinic or center near you; you do not want to miss out on comprehensive testing and it may be a deciding factor on where you go if certain centers require physical exams rather than just giving a blood and/or urine sample.


To get a 10-test panel that checks for 10 common STDs via a blood sample and a urine test, go here.


The post Free STD Testing: Where To Get It? appeared first on STD Exposed – Sexual Health Blog.


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Free STD Testing: Where To Get It?

Wednesday, November 9, 2016

President Trump is a disaster for transgender people

transrights_rouser

via Shutterstock



I wish that a Donald Trump presidency were more of a surprise. But transgender Americans have always known how powerful hatred can be.



Under President Obama, transgender people have benefited from piecemeal progress in public policy, largely held up by executive action and court decisions. Whether they were combating housing discrimination or protecting transgender students or fighting health care exclusions, various federal departments advanced transgender equality in quiet but significant ways.


But all of that change could come crashing down in the next four years. If Donald Trump and Mike Pence make good on their campaign promises, our rights are at risk. With Republicans in control of Congress and a notoriously anti-LGBTQ vice president in the White House, many of those precarious gains made under Obama could be eliminated within days of Trump taking office.


For starters, Mike Pence has already suggested Donald Trump will roll back the Obama administration’s guidance to school districts regarding accommodations for transgender students, as Pink News reported. In early October, the VP-elect told evangelical talk radio host James Dobson that “the transgender bathroom issue can be resolved with common sense at the local level.” He was referring to a May announcement from the Departments of Education and Justice, which stated that anti-transgender discrimination in schools was prohibited under Title IX and, therefore, transgender students should have access to “facilities consistent with their gender identity.”


If that guidance gets rescinded, the issue will be referred back to “the local level,” as Pence told Dobson, which means transgender students in hostile school districts could face even more discrimination than they already do over the next four years.


But Trump and Pence might not stop at undoing the Obama administration’s progress on transgender rights. They could set back the clock on transgender rights even further.

First and foremost, a Trump presidency will have a major impact on the makeup of the Supreme Court, which could issue monumental decisions about transgender rights in the coming years. Trump has already promised that he will “not [be] appointing a liberal judge” to replace Antonin Scalia, whose death has left the court with only eight justices thanks to months of Republican obstructionism. That decision could have far-reaching effects for social issues like immigration and abortion access that were probably on more voters’ minds last night than transgender equality. But a conservative-leaning court could also devastate transgender rights just as federal courts were starting to reaffirm them, building up hope and momentum for a larger Supreme Court victory to come.

Electing Trump may delay that eventual victory by decades. In late October, the Supreme Court announced that it would hear the case of Gavin Grimm, a transgender boy who was denied access to the men’s bathroom in his Virginia high school. If Trump and Pence get to decide who’s on the bench, the court could erase years of judicial progress for transgender rights in one fell swoop. Undoing that damage could mean waiting for Supreme Court vacancies to be filled with more progressive justices several presidents down the road.


A conservative Supreme Court would also make it more challenging for transgender people to marry. A little-known fact about transgender people is that 77%—myself included—identify as something other than heterosexual, according to an analysis published by the National LGBTQ Task Force. In other words, same-sex marriage is a transgender rights issue and same-sex marriage is now under renewed threat. In February, Trump said in an interview with the Christian Broadcasting Network that he opposed the Supreme Court’s nationwide legalization of same-sex marriage last year. When CBN asked Trump about evangelicals who wanted him to protect “traditional marriage,” he said, “I think they can trust me.” Overturning Obergefell is a long shot—as Bustle pointed out last night—but it is still within the realm of possibility.


But many of the most hurtful consequences for transgender people won’t come from the Supreme Court—they’ll come from Congress. The 2016 GOP Platform has been described as “the most anti-LGBT platform in history.” That platform directly opposes efforts to make anti-transgender discrimination illegal and it defends conversion therapy, which is still practiced on transgender people despite widespread opposition from major medical associations. Trump has also said that he will sign the First Amendment Defense Act if Congress puts it on his desk. That legislation would essentially make it legal at a federal level for employers and other organizations to discriminate against LGBTQ people in the name of “religious freedom.”

Trump’s promise to repeal the Affordable Care Act would also harm transgender people. LGBTQ Americans are already more likely to be uninsured than non-LGBTQ people. For transgender people, who experience poverty and unemployment at staggering rates, the death of Obamacare could mean the loss of a lifeline. In May, as Buzzfeed reported, the Obama administration even instructed health care providers that they could not deny gender transition-related health care. Those instructions are likely imperiled now, too, which means that transgender people could face even more difficulty accessing mental health care, hormone therapy, and surgical treatment.

Of course, some anti-transgender effects of a Trump presidency could be due to simple inaction on issues like public health. In 2000, Mike Pence wanted to cut HIV/AIDS funding and spend it on conversion therapy instead. While he was governor of Indiana, Pence waited more than two months to lift a needle exchange ban after HIV began spreading among intravenous drug users in southern Indiana. Pence also cut spending for public health programs as governor. And according to the Washington Post’s David Fahrenthold, Trump allegedly pretended to be a donor at a 1996 event for children with HIV and then left without giving money.


If these actions are indicative of the next administration’s level of enthusiasm for HIV prevention, then transgender people have even more reason to be troubled by a Trump-Pence presidency given the disproportionate rates of HIV infection in the community. In one 2008 study highlighted by the Centers for Disease Control, a staggering 56% of black transgender women tested positive for HIV. If the pressing public health needs of the transgender community remain in the shadows—or worse, if public health funding gets slashed during the Trump administration—the repercussions will be tragic.

Ultimately, the worst-case scenario for transgender people under President Trump would be even more dystopian than our present. The federal government would either nod in agreement or look the other way while transgender people are denied employment, medical care, and access to public accommodations. There is early evidence to suggest that suicide attempts would rise among transgender students if they were barred from school bathrooms and locker rooms corresponding to their gender. And if access to health insurance becomes less reliable, the consequences for some transgender people could prove fatal.


None of these problems are brand new. Transgender people have been facing and surviving them for decades with no expectation that they would end in our lifetime. But many of us were at least hoping that our situation would marginally improve under our next president.

As it turns out, our next president is Donald Trump.


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President Trump is a disaster for transgender people