Category Archives: Women’s health

Chlamydia and gonorrhea have increased among younger women, study finds

From the Philadelphia Inquirer

Rates of chlamydia and gonorrhea are increasing among women ages 18 to 30 in the United States, a recent study by Quest Diagnostics suggests.

The study, recently published in the American Journal of Preventive Medicine, analyzed more than 17 million laboratory samples taken between 2010 and 2017 from females ages 12 to 30. Researchers found that while there was a decline in cases of chlamydia and gonorrhea among adolescents ages 12 to 17, women of ages 25 to 30 experienced a 50% increase in positive test results. Women 18 to 24 had a 21% increase in positive test results over the period of the study.

The U.S. Centers for Disease Control and Prevention (CDC) recommends annual screenings for sexually transmitted diseases (STDs) among sexually active women under 25, said Harvey Kaufman, director of Quest’s Health Trends Research Program. For women 25 and older, the CDC recommends screenings only for those with specific risk factors, such as reporting that their sex partner may have a concurrent sex partner. Kaufman, a co-author of the study, said the findings suggest that sexual and contraceptive practices have changed since 2002, when the CDC guidelines were first published.

Kaufman pointed out that the CDC guidelines were largely influenced by a 1998 study published in the New England Journal of Medicine that found that the overall rate of chlamydia among female Army recruits was 9.2%. As a result, the authors of the study recommended a screening program for female recruits 25 and under.

Read the full article. 

Women’s Health: Facts about Birth Control, STIs and Condoms

From the Society of Behavioral Medicine

A Sexually Transmitted Infection (STI) is a bacterial or viral infection that is passed from one person to another through sexual contact (i.e., anal, vaginal, or oral). More than 25 STIs have been identified, affecting 20+ million men and women in the U.S. each year.

Anyone who is sexually active can get an STI, even without having penetrative sex (i.e., vaginal or anal sex). Some STIs, like herpes and HPV, are spread by skin-to-skin contact. Many STIs don’t show symptoms for a long time. Even without the presence of symptoms, they can still be harmful and passed between partners during sex (i.e., anal, vaginal, or oral).

woman holding condoms

STIs occur in all parts of the population.

Young adults between the ages of 15 to 24 account for nearly half of all new STIs infections each year.

Racial and ethnic minority groups are experiencing significant increases in STI rates. In 2017, the rate of reported cases of Chlamydia among Black females was five times the rate of White females and 6.6 times greater in Black males than White males.

STI rates have significantly increased within the LGBTQIA+ community. A 2018 CDC report states Gonorrhea diagnoses nearly doubled between 2013-2018 in gay and bisexual men, and men who have sex with men (MSM). Data from 2018 indicate that gay and bisexual men accounted for 54% of all syphilis cases.

People 60+ account for the largest increase of in-office STI treatment. Between 2014-2017, rates for Herpes simplex, Gonorrhea, Syphilis, Hepatitis B, Trichomoniasis, and Chlamydia rose 23% in this population.

Women who are pregnant can become infected with the same STDs as women who are not pregnant.

Fact: Oral contraceptives (birth control) cannot prevent an STI.

A common myth is that birth controls can prevent the spread of STIs. Two of the most common forms of birth controls are oral contraceptives and condoms. Many people may not use condoms because they are using another form of birth control, and feel they are safe from STIs.

Oral contraception is only effective in preventing pregnancy and cannot stop STIs from being passed between sexual partners.

Fact: Condoms can prevent an STI.

Correctly using male and female condoms can help prevent the spread of STIs and help prevent pregnancy. Dental dams, a barrier method for oral sex, can also help prevent STIs when used correctly. Most condoms and dental dams are made from latex or polyurethane, which may be preferable for individuals with a latex allergy.

Read the full article on Society of Behavioral Medicine.

STDs are sexist

From CNN

America is in the middle of an epidemic of sexually transmitted infections, and when it comes to heterosexual transmission, it’s hitting women the hardest. Why is that?

Simply put, because “STDs are biologically and psycho-socially sexist at all levels,” said Dr. Hunter Handsfield, a professor emeritus of medicine at the University of Washington Center for AIDS and STD who has studied sexually transmitted diseases for 40 years.

“Women bear the largest burden of these diseases,” agreed Dr. Edward Hook, co-director of the Center for Social Medicine and Sexually Transmitted Diseases at the University of Alabama at Birmingham. “Chlamydia and gonorrhea, for example, are two of the leading preventable causes of infertility and ectopic pregnancies in the United States, and on Earth.”

Read the full article.

Sex and COVID-19

It may seem obvious that if a person is infected with COVID-19, they risk infecting others during sex. But people still have a lot of questions. Here’s an excerpt on the topic form the Mayo Clinic Website:

man and woman embrace

The virus spreads by respiratory droplets released when someone with the virus coughs, sneezes or talks. These droplets can be inhaled or land in the mouth or nose of a person nearby. Coming into contact with a person’s spit through kissing or other sexual activities could expose you to the virus. People who have COVID-19 could also spread respiratory droplets onto their skin and personal belongings. A sexual partner could get the virus by touching these surfaces and then touching his or her mouth, nose or eyes. In addition, the COVID-19 virus can spread through contact with feces. It’s possible that you could get the COVID-19 virus from sexual activities that expose you to fecal matter.

There is currently no evidence that the COVID-19 virus is transmitted through semen or vaginal fluids, but the virus has been detected in the semen of people who have or are recovering from the virus. Further research is needed to determine if the COVID-19 virus could be transmitted sexually.

Since some people who have COVID-19 show no symptoms, it’s important to keep distance between yourself and others if the COVID-19 virus is spreading in your community. This includes avoiding sexual contact with anybody who doesn’t live with you. If you or your partner isn’t feeling well or think you might have COVID-19, don’t kiss or have sex with each other until you’re both feeling better. Also, if you or your partner is at higher risk of serious illness with COVID-19 due to an existing chronic condition, you might want to avoid sex.

In case that wasn’t clear, The National Coalition of STD Directors (NCSD), in partnership with National Alliance of State and Territorial AIDS Directors (NASTAD), released a frequently asked questions resource regarding sex and COVID-19. In short, if you’re in the same room with someone who has the virus, you can get infected–sex or no sex.

If you have questions about getting tested, talk to your doctor or health care provider. You can also find testing in your area via a Google search. In Pennsylvania, call the Health Department at 1-877-PA-HEALTH (1-877-724-3258).

Demi Moore’s New Erotic Podcast ‘Dirty Diana’ Is All About Women’s Pleasure & Sex Positivity

From sheknows.com

When it comes to stories about sex, the male gaze remains a constant threat to portrayals of real intimacy without the performative, who-is-this-for-anyway? energy that totally kills the mood. One partial solution? Cut the literal gaze entirely and pair with radical, honest and complicated portrayals of sex. Demi Moore’s latest project, “Dirty Diana” is an erotic podcast that does just that — and unapologetically centers women’s sexual pleasure in a positive and shame-free way.

“There’s so much unspoken shame attached to our sexuality. It’s this conditioning telling us that it’s only okay for us to desire sex if it’s for the purpose of procreation or if it’s somebody that we intend to be with for the rest of our lives,” Moore told Vogue in a recent interview. “Even though we’re modern women who can feel that we are more liberated, it’s still this undercurrent. [Dirty Diana] was so sex-positive. I was in.”

Actress Demi Moore
Actress Demi Moore

The sexy podcast follows the story of Diana (played by Moore) who, unsatisfied in a sexless and uninteresting marriage, secretly runs an erotic website where women reveal their intimate sexual fantasies and features the voice talent of other celebs you may recognize (including Melanie Griffith, Lena Dunham and Lili Taylor) along the way. And somehow the entire thing was recorded on Zoom!

See the full article on sheknows.com.

STIs During Pregnancy: Knowing The Signs & Risks

From Babygaga.com

Sexually transmitted infections (STIs) pose a serious risk to the health of an expecting woman’s pregnancy, particularly if left untreated. Luckily, most STIs are caught at the first prenatal screening, as the doctor will test for a variety of sexually transmitted diseases, such as HIV, chlamydia, and syphilis, as many STIs go untreated if a woman isn’t showing symptoms. Your doctor may also recommend testing for gonorrhea or hepatitis C during if you have been promiscuous prior to or during pregnancy. If a woman is sexually active throughout her pregnancy, particularly if she has multiple partners, then she runs the risk of contracting an STI. The later the trimester, the more harmful an STI can be to the pregnancy.

Read the full article.

Self-obtained samples show similar performance as lab diagnostics for gonorrhea, chlamydia testing

From Helio.com...

Vaginal swab samples collected by patients performed similarly to lab-based molecular diagnostics for chlamydia and gonorrhea testing, therefore supporting the use of a new 30-minute point-of-case assay, according to findings published in JAMA Network Open.

Barbara Van Der Pol, PhD, MPH
Barbara Van Der Pol, PhD, MPH

“The new binx io CT/NG assay can facilitate a complete paradigm shift in how we offer testing for the two most commonly reported notifiable diseases in the United States — chlamydia and gonorrhea,” Barbara Van Der Pol, PhD, MPH, professor of medicine and public health at the University of Alabama at Birmingham and president of the American STD Association, told Healio. “Rates of infection with chlamydia and gonorrhea continue to rise, suggesting the need for additional tools in order to effectively reduce the burden of disease. Providers can now identify and treat infections (that are predominately asymptomatic) during a single office visit to prevent transmission and development of sequelea.”

[…] “Sample-first collection by clients seeking sexual health care (or who are eligible for routine screening according to the CDC guidelines) immediately upon arrival at the clinic can enable rapid, accurate results that allow the provider to offer both accurate treatment and appropriate counseling,” Van Der Pol said. “This is the first truly rapid molecular assay for chlamydia and gonorrhea. It is a breakthrough development.”

Read the full article.

Why Are More Women Choosing To Get An IUD As A Form Of Birth Control?

From babygaga.com

Dr. Margaret Dufreney of New Jersey discusses why more women are choosing IUDs over other forms of birth control.

image of I D UWhen it comes to birth control, women have a lot more choices to pick from than they realize. Most women begin with taking oral contraceptives, or the pill, because it is easy to take. However, not all oral contraceptives agree with every woman’s body or hectic schedules. Because of this, more women in today’s society are choosing to use an Intrauterine Device (IUD) for their birth control. IUDs have wonderful benefits, but there are inherent risks involved as well.

An IUD is literally a T-shaped device that is placed in a woman’s uterus. Depending on the type of IUD, it will block an egg from attaching to the uterine wall or it will use hormones to prevent a woman from ovulating. Surprisingly, IUDs have been available to women just as long as oral contraceptives. But in the 1970s, IUDs became discouraged because one type was made with an “ill designed removal string that funneled bacteria into the uterus”. After some serious developing, IUDs were back on the market by 1988 and are completely safe to use as birth control today.

Read the full article.

Attitudes About COVID-19 Shift as Cases Among Young Adults Rise

From HIVplusmag.com

When Laura Mae, 27, first head about the coronavirus, it didn’t            seem  like a big deal.

“I’m in college, and school was still going on. It didn’t really sink in,” she said. “And once it did start spreading, I thought, if I did get it, I’m young and healthy, I’ll be fine. I don’t need to worry.”

decorative imageIt was Saturday, March 14, and concerns about the coronavirus were amping up around the nation, said Laura Mae, who lives in Milwaukee. (Kaiser Health News is using Laura Mae’s first and middle names to grant her request for partial anonymity due to concern about online harassment.)

She realized it might be the last weekend to go out before everything shut down. Plus, her spring break had just started. So she and a friend decided to party that night.

And she wasn’t the only one.

As college and university spring breaks across the country converged that weekend, news coverage showed young people frolicking on Miami beaches, walking down Bourbon Street in New Orleans and crowding music clubs in Nashville, Tennessee. And to celebrate St. Patrick’s Day, many cities, such as New York, Washington, Chicago and Austin, Texas, saw throngs of people dressed in green and lining up for beer. There wasn’t a lot of social distance to be seen.

Part of the reason these young adults might have felt comfortable going to spots with large crowds was that media reports, buttressed by data from China’s outbreak, indicated younger people were not as susceptible to the coronavirus as older age groups or people with underlying conditions. But, that hasn’t held true. Now, in several major American cities, young adults between 18 and 40 account for some of the largest shares among groups testing positive.

As of Thursday, in New York City, 39 percent of cases were among those ages 18 to 44. Out of Los Angeles County’s 7,194 confirmed cases, 2,409, or 33 percent, were in the 18-40 age range. Nearly half of those testing positive in Travis County, Texas, which encompasses much of the Austin metro area, were between 20 and 39. Washington, D.C., the nation’s capital, released numbers Wednesday showing that 40 percent of the district’s cases were ages 19-40.

Continue reading on HIVplusmag.com.

Six things you don’t (but should) know about STIs

From Seattle & King County’s Public Health Insider

Sex positivity is in, sex shaming is out. More people are comfortable talking about what it means to have a healthy sexual relationship, and that’s a good thing. But there’s one thing that many of us still feel awkward or downright avoid talking about: sexually transmitted infections (STIs).

You may know them as sexually transmitted diseases, or STDs, which is the term doctors use when an STI has symptoms. (We’ll be using the term STI throughout this article because it’s broader.)

This omission can lead some people to assume there’s no real risk, says Dr. Lindley Barbee, an infectious disease specialist and medical director for the Public Health Seattle & King County Sexual Health Clinic at Harborview Medical Center.

Unfortunately, the risk is very real. Consider this the STI 101 class you probably never got in high school.

The six things you need to know… (read the full article).