Category Archives: Sexual Health

Why is there a need for transgender specific healthcare?

For a lot of transgender people, going to the doctor is a big cause of anxiety. Having to explain pronouns and genitalia to the nurse, getting looks from other people in the waiting room, feeling uncomfortable with having to receive reproductive care—it adds up to make the doctor’s visit a really nerve-wracking experience. Even though it can be intimidating, everyone, including transgender persons, should go and get the healthcare they need.

It’s important for trans people to know that there are places they can go for healthcare and feel safe. Maine Family Planning offers their services to people of all genders. That includes STD testing, birth control methods, breast and pelvic exams, emergency contraception, and more. Maine Family Planning also offers a wide range of transgender health services. Hormone replacement therapy (HRT); self-injection lessons; referrals to mental, behavioral, and specialty providers; and other family planning services are offered to transgender patients.

The comfort of our patients, regardless of gender identity and expression, is important. All care and support is provided without judgment. To learn more about what Maine Family Planning can do for transgender patients or to set up an appointment, visit our website or give us a call!

This is a guest post by Adam, one of Maine Family Planning’s student interns.  Adam is pursuing a degree in creative writing. When he’s not writing for class or for Maine Family Planning’s blog, he’s petting cats.

Experimenting and hooking up: not just for college students

Experimenting and hooking up are very normal things to do during our college experience. While it’s fun and exciting to try new things and be with different people, it can also be dangerous if the proper protection isn’t used. Using protection such as condoms or dental dams can be a great way to decrease the chances of getting a sexually transmitted disease. However, we all have a mishap once in awhile. It’s not the end of the world—it’s easy to get tested and
receive treatment.

I interviewed some fellow college students to find out how often they get tested for STDs (everything was 100% anonymous!). A common response was, “Every few months, just to be safe.” Another response: “After every relationship or new sexual encounter.” And, “I do it when I’m sexually active and concerned.” All of these are great examples of how often a person who’s sexually active should get tested for STDs.

STD testing is readily available; all you have to do is make an appointment at your local family planning clinic. People who qualify for Maine’s Family Planning benefit program can receive STD testing for free—along with other services! Applications for this program are available at any Maine Family Planning location.

And remember: free condoms are available at every MFP clinic. STDs are preventable, so along with getting tested on a regular basis, be safe!

This is a guest post by Adam, one of Maine Family Planning’s student interns.  Adam is pursuing a degree in creative writing. When he’s not writing for class or for Maine Family Planning’s blog, he’s petting cats.

Why we need Title X, Abortion Care & Maine Family Planning:

The Title X Family Funding Program gives federal funds to centers—including Maine Family Planning!—that provide services such as contraception, cancer screenings, STD testing, and much more. Enacted in 1970, it was designed to provide quality family planning care to low-income or uninsured persons who may not be able to afford it on their own. With funding from Title X, they can get the care they need at little to no cost. In 2013, it was estimated that
Title X-funded centers served 4.6 million clients nationwide (Guttmacher Institute 2015).

In 2014, approximately 20,000 Maine women received contraceptive services and supplies from
Title-X funded programs (Frost et al. 2016). Without funding from Title X, it’s likely that these women may not have received the contraceptive care they needed. Using contraceptive methods
such as birth control can have benefits in addition to preventing pregnancy such as regulating periods, preventing menstrual migraines, reducing acne, and relieving symptoms of polycystic ovarian syndrome (PCOS). So don’t let people fool you—there are MANY reasons to start using a contraceptive method beyond pregnancy prevention, and contraception services aren’t the only
services provided by Maine Family Planning and other Title X-funded centers.

Due to the Hyde Amendment (FMI HERE), no federal funds can be used for abortion services.  Maine is also a state where Mainecare coverage does not include abortion care.  Maine Family Planning believes that abortion care is a KEY piece of women’s health.

There are bound to be some people in your life saying they do not support a woman’s right to choose unless she has been sexually assaulted or if she will be harmed bringing a pregnancy to term. Often, people view abortion as a last resort, something that should only be considered when there’s nothing else to do. This creates the feeling of taboo, shedding a negative light on those who receive abortion care. Abortion shouldn’t be considered a last resort; it should simply be viewed as another option.

Everyone should have equal access to abortion care, no matter the reason for seeking abortion care, whether it’s sexual assault, harm to the mother, not wanting a child, not being able to afford another child, or any reason at all. The decision is valid; the choice resides with the person who’s pregnant, period.

Some of those people in your life who don’t support abortion may be participating in 40 Days for Life: a group that pickets at Maine Family Planning’s Augusta office every year. Consider fighting back—against them and the stigma surrounding a woman’s right to choose—by participating in our Pledge-A-Picketer campaign HERE.

Maine Family Planning also provides physical exams, pap smears, breast exams, transgender health care, and immunizations! Title X-funded family planning centers are essential for low-income or uninsured women—and men!—who may not be able to afford these services otherwise. It’s not just abortion and birth control; it’s so, so much more.

This is a guest post by Adam, one of Maine Family Planning’s student interns.  Adam is pursuing a degree in creative writing. When he’s not writing for class or for Maine Family Planning’s blog, he’s petting cats.

Sources:
Contraceptive Needs and Services, 2014 Update, Frost JJ, Frohwirth L and Zolna MR, 2016.
< https://www.guttmacher.org/report/contraceptive-needs-and-services-2014-update >

The Role of Reproductive Freedom in Ending Domestic Violence

The right to determine what happens to our own physical selves has everything to do with our safety and wellbeing.  Attacks bodily autonomy are central to the issue of domestic violence. The behavior of those who commit domestic abuse is rooted in the belief  that they have the right to make decisions about every facet of their partners’ lives, including their bodies.

Survivors tell us that their abusers, using a wide range of coercive tactics, dictate what they wear, when and what they eat, where they go, who they see, when they sleep, and whether they can hold their children in their arms. They tell us they are not allowed to say “no” to sex, and when they do they are assaulted. They tell us they are grabbed, touched, hit, kicked, stroked and held in ways they do not want, and which they are unable to repel. In short, abusive people systematically work to strip survivors of their autonomy and their ability to make choices for themselves without risk of retribution.

Often, abusers focus on their partners’ reproductive health as a means of maintaining control over their partners’ lives. This is called reproductive coercion, and it particularly—though not exclusively—impacts women, for whom a pregnancy can make the difference between breaking free of and being connected to their abusers forever, through shared parenting if not through the relationship.

Women tell us about preparing to end the relationship, having painstakingly put together plans for starting over—a place to go, some income, childcare and transportation—when they realize they are pregnant. Maybe he tampered with her pills, or maybe he poked holes in the condoms, or maybe he raped her. No matter the tactic, with a new baby all of those carefully laid plans are often rendered unworkable. Some women tell us that this happened to them more than once: “It’s like he always knew, just when I was getting ready to go.”

Others tell us about how their abusers kept them from ending a pregnancy, sometimes physically keeping them from going to a clinic for an abortion, sometimes showing behavior change that lasted only until the baby was born. And still others tell us about how their partners supported them, even encouraged them, to get an abortion—and then later used the knowledge of the procedure as a weapon, blackmailing and shaming them with it. Abusers are often perfectly willing to capitalize on the social stigma associated with abortion, as doing so allows them to isolate their partners even further.

Reproductive freedom matters for survivors of domestic violence. It matters because it is an essential part of safety planning around reproductive coercion. It matters because the ability to become pregnant leaves women vulnerable to abusers in a very specific set of ways, and women need to be able to manage that vulnerability in whatever way works best for them.

Reproductive freedom also matters because the belief that anyone other than a woman herself has the right to control what happens to her body is a key part of the culture than condones abuse in the first place. At the core, it is an abuser’s belief that his rights take precedence over hers that drives his behavior, and his belief has been culturally supported for millennia, in laws that treated women and children as property and gave men the final say over their lives.

In just one example, it was only in 1985 that raping one’s spouse was finally outlawed in Maine. Before that, our laws maintained that a husband’s right to his wife’s body was absolute; that once she was married, she had given up her right to choose when and if to engage in sexual activity. But by 1985, our understanding had evolved. We saw that women have the right to decide for ourselves what happens to our bodies—and that right must be recognized and upheld under the law.

The same understanding needs to be applied to our discussions around reproductive freedom.

Access to a full range of reproductive health care, including abortion, not only helps survivors counteract the abusive tactics used by their partners, but it sends a message of accountability to abusers, as well. Because a culture that insists that only a woman can decide what happens to her body is one that will be able to stand beside survivors and affirm, “Your body is yours, and no one else’s, and we will support you in keeping it that way.”

Used with permission by MCEDv and also appeared on the MCEDV Voices Blog March 7, 2017

B.Y.O.R. (Be Your Own Receptionist)!

Things I do from my phone:

  • Keep in touch with friends and family
  • Listen to podcasts (and Beyoncé)
  • Check my bank account balance
  • Look up driving directions
  • …Basically everything important

And now:

  • Schedule appointments with Maine Family Planning (!!!)

We’re excited to announce that online scheduling is now available at MaineFamilyPlanning.org.

While current patients have been able to schedule online (using the Patient Portal) for a few years, new patients have always had to call us or come to a clinic to make an appointment. Now, anyone can make an appointment online, day or night.

Why schedule online?

Privacy

Need to make an appointment but don’t want people around you to overhear your concerns? We know it can be tough to find time and privacy to call us during business hours, and while nothing freaks us out, chances are you may not want your coworkers, family, or strangers in the coffee shop to know about your birth control method or that you think you might have a UTI.

Convenience

You can schedule your visit using a computer, smartphone, or tablet whenever and wherever works best for you. Waiting in line at the grocery store and just remembered you need your next Depo shot? Only have a couple minutes during your lunch break to schedule an STD test? Did you put off calling about your annual exam until after our offices close? No worries—our website is always open.

Peace of Mind

We know what it’s like to feel anxious about something going on with our bodies. We also know the relief that comes with knowing you’ve scheduled time to figure things out with a healthcare provider. With online scheduling available 24/7, you don’t have to lose sleep worrying about when you’ll be able to get a pregnancy test or see a Nurse Practitioner about that weird bump you just found.

How it works:  Continue reading

Preventing HIV with PrEP

medication chalkboardStarting this month, Maine Family Planning will be offering consultations and prescriptions for HIV pre-exposure prophylaxis – commonly called PrEP – a daily pill that significantly reduces the risk of HIV infection (HIV is the virus that causes AIDS). You can talk to a Nurse Practitioner at any of our 18 clinics about your HIV status, your individual risk, and whether PrEP is a good option for you.

Want to know more? We’ve answered some of the most commonly asked questions below. If PrEP sounds like something that might be right for you, give us a call to set up a visit.

What is PrEP?

PrEP (brand name Truveda) is an antiretroviral medication that can be taken by an HIV negative person before potential HIV exposure to reduce risk of HIV infection. When taken consistently and correctly, PrEP is over 90% effective at preventing HIV transmission through sex, and over 70% effective at preventing HIV transmission through IV drug injection.

How does it work?   Continue reading

#GiveDifferently for #GivingTuesday

Maine Family Planning is getting ready for #GivingTuesday and we need your support!

It’s that time of year again; the weather is getting colder and for many of us in Maine that means breaking out the shovels and snow tires. It also means that the holiday season is approaching quickly. While you may be starting to think about holiday shopping lists and hosting family gatherings, Maine Family Planning is getting ready for #GivingTuesday!

giving tuesdayIn case you haven’t heard, the goal of #GivingTuesday is to create a global day of giving back, celebrating generosity and kindness. The day itself falls on the Tuesday following American Thanksgiving each year. This year #GivingTuesday is on December 1st.

We all know that this time of year can be incredibly hectic so we’ve come up with some ways to #GiveDifferently with Maine Family Planning. Monthly gifts spread your contribution over twelve months, so you don’t spend your holiday bonus all in one place. Giving in someone else’s name makes a great holiday gift, especially for that activist in your life who cares passionately about reproductive rights. There are even ways to contribute while you finish up your holiday shopping with Amazon Smiles and of course, one time gifts make a big difference too!

Continue reading

National Coming Out Day: A chance for safer Maine communities

This week’s guest post was authored by Cara Courchesne, Katie Kondrat, and Rachel Epperly, all of the Maine Coalition Against Sexual Assault and also appears in the Bangor Daily News

__________________________________________________________________

With the Supreme Court ruling in favor of marriage equality and Caitlyn Jenner’s iconic Vanity Fair cover, issues faced by the LGBTQ (lesbian, gay, bisexual, transgender, and queer) community dominated headlines this summer.

As we celebrate these victories and the headlines fade, activists continue to rightfully point out the work that remains.

SAFE-SPACE

We know that sexual violence is the most under-reported violent crime in the United States, and that there are often barriers to victims and survivors who want to report to law enforcement and seek services. We also know that the rates at which LGBTQ people experience sexual violence are alarming survivors face even more barriers when seeking help. 

These barriers include: previous homophobic or transphobic experiences with services providers and law enforcement; concern the services available don’t have the expertise to affirm and support someone; a lack of understanding by the victim that what happened was sexual violence; a fear of being outed; service providers making false assumptions about someone’s gender identify or sexual orientation; or worse still, discriminate against someone who has come to them for help.  Continue reading

Back by popular demand: we can get you covered!

Open enrollment for Marketplace Insurance Plans starts November 1st, 2015, and remains open until February 1st, 2016. For those who don’t have health insurance, the time to sign up for coverage is quickly approaching, and Maine Family Planning is here to help.

get covered

Last year, we helped over 900 Mainers find and enroll in an affordable plan; we can help you find coverage this year.

Reproductive health care is essential for well-being and success. The ability to decide whether and when to have children allows people to pursue education, fulfilling careers, and to raise safe and healthy families if or when they’re ready. As important as reproductive health care is, it’s not the only kind of care people need. That’s why Maine Family Planning will be helping patients and their families enroll in affordable health insurance plans– we want Mainers to be covered for ALL of their healthcare needs, including Primary Care, prescriptions, and any emergencies that may come up. Maine Family Planning has always been a place where anyone can get affordable health care, regardless of insurance status. While we do accept private and public health insurance, many people who come to us are uninsured. In fact, we’re often one of the only health centers that people without health insurance can afford to visit.

What is the Affordable Care Act (ACA)?  Continue reading

Thank you.

During the 40 days of Lent each year, anti-choice protesters descend on Maine Family Planning’s Augusta headquarters to spew lies, judgment, hate, and to intimidate our patients and staff. These picketers can not understand the lives of those who enter our gates, yet they show up daily to harass patients, despite the fact that protesting does not change the minds of people who know what’s best for themselves and their families.

In an attempt to make lemons out of lemonade (and to show our patients and staff that they are supported by many of their neighbors), Maine Family Planning runs a Pledge-A-Picketer fundraising campaign during these same 40 days. This year, we raised about half as much as we typically do; the Christian Civic League of Maine claimed that their prayers were responsible for defunding abortion and family planning.

But that wasn’t the end. Over the past week, Mike Tipping, Dan Savage, and advocates all over the world stepped up to speak out against the CCL’s harassment and bigotry.

Since the CCL’s claim of righteous victory, we’ve received almost $24,000 from over 720 new donors in six countries and 45 states (pushing our total over $29,000).

Many of you stepped up and donated, despite not knowing Maine Family Planning or the work we do. Perhaps you heard about our effort from  Dan Savage, Mike Tipping, Think Progress, Raw Story, Wonkette, Daily Kos, or our supporters on social media. Despite the fact that many of you don’t know us, you’ve made it clear that you trust family planning clinics to provide reproductive care, and that you trust women, men, teens, and trans* people to make the decisions that are right for themselves and their families.

The work we do is important. We provide confidential reproductive health care that people can afford, including birth control, pap smears, breast exams, STI testing and treatment, pregnancy testing and counseling, and queer and trans-friendly care. At some of our centers (we operate 19 practices at 18 sites), we provide abortion care, primary care, support for growing families, needle exchange services, and hormone therapy for transgender patients.

We work with schools throughout the state to provide evidence-based, comprehensive sex education. We work with legislators, policy makers, and advocates to ensure that sexual and reproductive freedom are protected in Maine. We work in coalition with many other organizations to address sexual assault and domestic violence, to promote the rights of LGBTQIA Mainers, and to help make our state a place where people can create their families safely and with dignity.

Our patients, like many across the country, can’t always afford the health care they need. Health insurance does not always cover the cost of reproductive health services, and thanks to corporations like Hobby Lobby, it may not always have to. We do receive federal Title X funds— and (like many Planned Parenthood centers) we rely on those funds to keep our doors open. Federal dollars make sexual and reproductive health care available to many people who would not otherwise be able to afford services, but those dollars do not always cover the full cost of care, are not available for every patient, and don’t cover every service.

That’s one reason your support is so important. Throwing up our hands and allowing basic reproductive health care to be a luxury afforded only to those with enough money is not an option. This is a point you’ve helped us make and a promise you’re helping us to fulfill.

Access to family planning allows people to pursue education, to make a living wage, to leave abusive relationships, and to create the healthy families they choose. Celebrating a lack of funding for family planning services means celebrating the perpetuation of inequality.

Your support accomplished something else, too. You sent an emphatic message to those who would foster discrimination, inequality, and hatred in the name of religion: bigotry is not divine.

We’re proud to be an organization that works to promote sexual health and reproductive justice in Maine, and we are grateful to have received such an enormous outpouring of support for our work and our patients.

Thank you.

p.s. Haven’t donated yet but want to? Now’s your chance.

Update: as of Monday, April 13th, you’ve helped us raise over $40,000! Thank you, thank you, thank you forty thousand times over. 

PAP 40k 2