Our Generation

In Millennials, Sexually Transmitted Infections, or STIs are on the rise.

We are a generation that has been educated on the benefits of safer sex, have access to more options than any of our previous generations, yet we seem to be going backwards in terms of our sexual health.

So it’s time to ditch the stigma of STIs – you wouldn’t be embarrassed by having a cold, so there’s no need to be embarrassed or secretive about having an STI. Get a check up, get it treated, and cure or manage it.

But the only way you can know if you have an STI is if you have a simple test with your doctor.

Chlamydia

Chlamydia is currently one of the most common STIs, and can cause serious and permanent damage to a woman’s reproductive system that can make it difficult or impossible to get pregnant. One of the most dangerous things about chlamydia is that it often has no symptoms, meaning carriers can have the infection for weeks without knowing.

Chlamydia can be transmitted through oral, vaginal or anal sex, and can be passed on even when an infected person shows no symptoms. Untreated chlamydia can spread to the uterus and fallopian tubes, causing pelvic inflammatory disease.

If symptoms do present, they may include an abnormal discharge, a burning sensation when peeing, and occasionally in men, pain and swelling in one or both testicles.

Testing for chlamydia is as simple as providing a urine or swap sample at your doctor. Treatment includes a course of antibiotics, though it’s important to be retested for chlamydia after treatment since reinfection can occur.

The only way to prevent the contraction of chlamydia during sex is to use condoms.

Genital HPV Infection

Human papillomavirus (HPV) is one of the most common sexually transmitted infections, and is so common that doctors estimate nearly all sexually active women will get it at some point in their lives. HPV can be transmitted through oral, vaginal or anal sex, and can be passed on even when an infected person shows no symptoms.

There are many different types of HPV. In most cases the virus goes away on its own and doesn’t cause any health issues. However, when HPV does not go away, it has the potential to lead to problems like genital warts and cancers of the cervix, vulva, vagina, penis or anus, which can take decades to develop after infection. It has also been linked to cancer in the back of the throat, base of the tongue and tonsils.

Most people with HPV do not know they are infected and never develop symptoms. Some people find out they have HPV if they develop genital warts, and some women may discover they have HPV if the results of a cervical cancer-screening test show abnormal cells. This is why Pap smears are so important for the sexual health of women.

There is now a vaccine to protect against HPV that is available for children aged around 12 years, and ‘catch-up’ vaccines for women aged up to 26 and men aged up to 21.

For women who fall outside the age of vaccination, using condoms can lower your chances of contracting HPV, although it’s important to note that HPV can affect areas that are not covered by condoms, so condoms cannot provide full protection against the virus.

Genital Herpes

Genital herpes is estimated to affect around 1 in every 6 people, and can be transmitted through can be transmitted through oral, vaginal or anal sex. The fluids found in a herpes sore carry the virus, and contact with those fluids can cause infection. It is possible to contract herpes from an infected partner who does not have a visible sore (or who may not even know are infected) because the virus can be released through your skin and spread the infection to your sex partner.

Most people who have herpes have no, or very mild symptoms. Mild symptoms can be mistaken for another skin condition, such as a pimple or ingrown hair. Genital herpes sores usually appear as one or more blisters on or around the genitals, rectum or mouth. Herpes blisters can break and leave painful sores that may take weeks to heal, and may be accompanied by flu-like symptoms like body aches or swollen glands.

More often than not a doctor can diagnose herpes simply by looking at symptoms, although they may also take samples for testing. Though there is no cure for herpes, there are medicines that can prevent or shorten outbreaks, and make it less likely for the virus onto sexual partners.

While condoms can aid in the protection against this infection, outbreaks can also occur in areas that are not covered by a condom, meaning condoms may not fully protect you from getting herpes.

Gonorrhea

Gonorrhea can be transmitted via anal, vaginal, or oral sex with someone who has the infection. Like many other STIs, it often presents no symptoms – and mild symptoms can be mistaken for bladder or vaginal infections. When symptoms do present, they can include an unusual discharge and a burning sensation in both women and men. Additional symptoms can include vaginal bleeding between periods for women, and painful or swollen testicles for men.

Untreated gonorrhea can cause serious and permanent health problems in both women and men, including pelvic inflammatory disease and infertility.

The testing and diagnosis of gonorrhea is relatively simple. Urine can be tested for the infection, although in some cases swabs may be required. Gonorrhea can be cured with the right treatment, although some drug-resistant strains of gonorrhea can be more difficult to treat. If symptoms persist for more than a few days after receiving medical treatment, it’s important to go back to the doctor to be checked again.

To protect yourself against gonorrhea, use condoms correctly every time you have sex.

Syphilis

Syphilis is often referred to by doctors as a great imitator, because it can present a range of possible symptoms – many of which look like symptoms for other infections. The painless syphilis sores that can present themselves after first being infected can be confused with ingrown hairs or other seemingly harmless bumps, which is part of what makes this infection so dangerous.

When not treated, syphilis can cause long-term complications, and the symptoms can be divided into three stages. The disease can be contracted by direct contact with a syphilis sore during vaginal, oral or anal sex.

Because syphilis sores can be hidden in the vagina, anus, under the foreskin of the penis, or in the mouth, it may not be obvious that a sex partner has syphilis.

The diagnosis of syphilis is simple. Most of the time doctors will test blood samples, though sometimes testing the fluid from a syphilis sore may be required. Syphilis can be cured with the right antibiotics.

Condoms are the only way to protect against the contraction of syphilis.

Do Yourself A Favour And Get A Simple Sexual Health Check

Remember, you are in control of your body. Always protect yourself with condoms when you’re engaging in sex outside of a mutually monogamous sexual relationship, and get regular routine STI checkups and pap smears.

Access to family planning resources and information should be the simplest, most accessible part of healthcare for women. And yet, in developing countries it is a huge factor in women’s early death. In developed countries, it’s an issue that still kills women.

In this article, we’re going to discuss the impact that family planning has on women and their communities in developing countries, and what we can do as individuals to make positive difference. In follow up articles, we’ll examine how limiting women’s access to safe abortion, contraception and education is a violation of human rights, and discuss how women’s health is a public health issue.

47,000 Women Die From Unsafe Abortions Yearly.

For over 214  million women in developing countries, even the simplest and most readily usable safer sex tools aren’t an option.

This is a youth issue, it’s a women’s issue, it’s a public health issue, it’s an inter-generational issue that has long lasting health and economic consequences, and it’s one that we desperately need to talk about. In 2016, 44 in 1000 girls aged 15-19 had unplanned pregnancies in developing countries. With these pregnancies representing large risk to the women’s and children’s lives and health.

3 million of these girls will access unsafe abortions each year. And some 47,000 women die from unsafe abortions world wide each year.

Banning Abortion Doesn’t Work

I’ve personally had this discussion with people who sit comfortably in proverbial ivory towers, making suggestions that it isn’t their problem, that unsafe sex is the issue, or that the issue of abortion is cut and dry: don’t allow it.

This simplistic view of things is neither helpful nor accurate; unsafe sex is an issue but it’s not the causative issue. Lack of family planning resources, education, and options available to women and their families is a more accurate determinant.

As for abortion, we have overwhelming evidence that making abortion illegal does not stop women from seeking and accessing it, but it does kill women. If we are going to address women’s health in a pragmatic and sensible way, then access to safe, legal, abortion is the option that saves lives and reduces abortions. Science and stats are fun.

A Simple, But Not Easy Issue

This issue is simply fixed, but not easily fixed.

Family planning is a multifaceted gemstone of an issue, and it needs to be approached from several angles, at different stages throughout an individual’s life.

We know we can’t stop people having sex, and frankly why would we want to. But we can empower them with education and put them in the driver’s seat of their fertility. We can teach about consent, and rape. We can gently nudge cultures to see sex as a positive act between two individuals who are both willing and consenting.

We can train health care professionals and have conversations about sexual health, STIs, birth control (ugh, I hate that term… let’s run with contraception) and we can influence our governments to provide funds for family planning programs.

The World Health Organisation Guidelines

In 2011, WHO published guidelines to address the issue of child and teen pregnancy, and it’s long lasting social, health, and economic consequences with 6 main over-reaching guidelines.:

• Reducing marriage before the age of 18 years. Estimates suggest a 10% reduction in child marriage could contribute to a 70% reduction in a country`s maternal mortality rate (16).
• Creating understanding and support to reduce pregnancy before the age of 20 years.
• Increasing the use of contraception by adolescents at risk of unintended pregnancy. If this need was to be met, 2.1 million unplanned births, 3.2 million abortions, and 5600 maternal deaths could be averted each year 
• Reducing coerced sex among adolescents.
• Reducing unsafe abortion among adolescents.
• Increasing use of skilled antenatal, childbirth and postnatal care among adolescents

Access to contraception and family planning education is key to turning this proverbial ship around and improving the lives of women and their communities in developing countries.

Family Planning Saves Lives, Builds Communities

So what is Family Planning? It’s the access, means, knowledge and resources to decide if and when you’re going to have children.

This includes understanding hormonal contraceptives, implants, surgical methods, fertility treatment, and barrier methods such as male and female condoms. It includes sex education and discussion about fertility, STIs and pregnancy and childbirth.It includes talking about concepts like rape, coercion and consent.

These conversations need to be had with religious, cultural, and economic sensitivity, as the barriers to family planning are what make this issue a simple, but not easy challenge.

According to UNFPA, if the unmet needs of family planning were met in developing countries, some 76,000 lives would be saved. That number is astounding.

Family Planning Empowers Women

The follow on consequences of Family Planning means that women are empowered. They have the potential to complete their education, better economic security, and participate autonomous members of their households and communities. This infographic demonstrates the amazing impact that education, resources, autonomy has for women, their communities, and public health at large.

The UNFPA is doing amazing work along side the Bill and Melinda Gates foundation to deliver family planning resources to developing countries and it’s having some incredible success.

In 2017, the UNFPA Program:

• Averted 13.5 million unintended pregnancies
• Averted 4.1 million unsafe abortions
• Averted 32,000 maternal deaths
• Saved $819 million in health-care costs

But there is a long way to go, with funding, resources, and government backing being a barrier to achieving true success for women and their communities.

How You Can Help

Here at ChloePedley.com, I love to leave my work with actionable things the individual can do. So if you want to make a difference to access to family planning, here are some steps you can take:

• Share this article!
• Share the UNFPA link to family planning https://www.unfpa.org/family-planning
• Talk about family planning issues, and contraception and remove the stigma around discussions about public health.
• Donate to UNFPA https://www.unfpa.org/donate

Pronouns Are Important

I’m Chloe, I identify as a bi-woman (my sexuality and  gender), and my preferred pronouns are “She/her”

I like to make sure I don’t misgender the folks I hang around with – so I do try to use preferred pronouns, and be sensitive about making assumptions when I meet people.

Why? What is all of this about you might ask? Well, firstly, it’s because I’m not a jerk, and I think we should all be included respectfully in society. Secondly it’s because I genuinely care about the people I meet, and I want them to feel included, respected, and like actual humans.

Not that hard really.

What Is Gender?

Contrary to the popular belief that gender is whether or not you’re male or female (Nup, that’s sex, folks, more on that in a second!) Gender is the feeling of whether you’re a guy, or a girl, a man or a woman, or somewhere in between those two ends of the spectrum.

Gender is diverse, and much more fluid than the black and white definition of “Man” and “Woman”.

Yay for gender diversity!

I’d also like to  bring to the table the idea that gender doesn’t necessarily have to do with sexuality. That’s a whole other discussion! And we’re gonna have that discussion. We’re gonna have these discussions until people understand, accept, and include all of their fellow folk!

What Is “Sex”

No, not that kind of sex, but biology is fun too, mmkay?!

Sex relates to our anatomy. While there deviations of sex that extend beyond male and female anatomy, “male” and “female” are most commonly used terms.

The classification of a person as male or female at birth. Infants are assigned a sex, usually based on the appearance of their external anatomy.

What If I Don’t Identify With My Assigned Sex Or Gender?

No problems. You’re perfectly normal, acceptable, and magical however you identify, and your’e certainly not alone.

Some folks don’t feel like they connect or associate with their assigned gender or sex. Some identify with the opposite sex. Sometimes it’s fluid, and it changes, and sometimes folks don’t identify with any particular sex or gender.

I say this with a degree of caution, because I simply cannot speak for each individual experience of gender.

Common Gender Definitions

Agender or Gender-Neutral: A term for folks whose gender identity and expression does not align with man, woman, boy or girl or any other gender.

Androgynous/Andro: Identifying and/or presenting as neither obviously masculine nor feminine.

Bi-gender: Someone whose gender identity comprises of both man and woman. Some folk identify with one identity more than the other, but feel that both are present.

Binary: Archaic way of understanding gender as being only man or woman.

Cisgender: A term used to describe a person whose gender identity aligns with the sex assigned to them at birth. E.g. “Cis-Male” or “Cis-Woman”

Gender dysphoria: Clinically defined as the condition of feeling one’s emotional and psychological identity as man or woman to be opposite to  or different to one’s biological sex.

Gender expression: How someone chooses to present their gender via their external appearance.

Gender fluid: A person who does not identify with a single fixed gender, and expresses a fluid or unfixed gender identity.

Gender identity: How individuals perceive themselves and what they call themselves. Gender identity can be the same or different from one’s sex assigned at birth.

Gender non-conforming: A broad term referring to people who do not behave in a way that conforms to the traditional expectations of their gender, or whose gender expression does not fit neatly into a category.

Gender questioning: A person who may be processing, questioning, or exploring how they want to express their gender identity.

Genderqueer: A term for people who reject notions of static categories of gender and embrace a fluidity of gender identity and often, though not always, sexual orientation. People who identify as genderqueer may see themselves as being both male and female, neither male nor female or as falling completely outside these categories.

Misgender:  Don’t do this! Referring to or addressing someone using words and pronouns that do not correctly reflect the gender with which they identify. We can do better than this, and if you don’t know how someone likes to be addressed, it’s nice to ask what their preferred pronouns are.

Non-binary: Any gender that falls outside of the binary system of male/female or man/woman.

Queer: A broad term to describe non-binary gender, and genderqueer has been used as an adjective to refer to any people who transgress distinctions of gender, regardless of their self-defined gender identity, or who “queer” gender.

Transgender: An umbrella term for people whose gender identity and/or expression is different from cultural and social expectations based on the sex they were assigned at birth.

Transitioning: The social, legal, and/or medical process folks may go through to live outwardly as the gender with which they identify. Transitioning can include some or all of the following: telling loved ones and co-workers, using a new name and pronouns (he/she, him/her/ etc), dressing differently, changing their name and/or sex on legal documents, hormone therapy, and possibly gender reassignment and or cosmetic surgeries.

Got more to add? Comments, questions, criticisms? Call me out. I’m learning too, and I want to improve!

Mirror mirror, on the wall, who’s the sexiest of them all?

Mirrors in the bedroom might be a 1970s porn cliche, but they also just might be scientifically proven to add some spice into all things sexy and nice.  A study published in the Journal of Sexual Health sought to find out whether body awareness improved sexual function  in women.

Mirrors, Erotica, and Electrodes, oh my!

Participants in the study placed electrodes on themselves in front of a full length mirror, to ensure they were aware of their bodies, then they were shown erotical to measure their physiological responses and arousal.

The experimental group demonstrated that body awareness does  have an impact on sexual arousal.

So what does that mean for sex?

You don’t need to re-plaster the ceiling just yet. Body awareness means being visually, and physically aware of your body. Play such as blindfolds to enhance physical awareness, or mindfulness and meditation can be super sexy all while increasing awareness of your body.

And of course, you can always use a mirror and watch yourselves do the wild thing!