Pure As the Driven Slush: Heather Corinna's Journal and Diary, Online since 1999

Archive for the 'women' Category

Thursday, August 7th, 2008

Before I head off the San Francisco — where for the religious right to get at me, they’d have to crawl through an ocean of queers first, who probably would rub their cooties all over them and turn them gay — after a few hours in Slumberland, I feel the need to sum up my week in but two words: holy shit.

Which does a rather amazing job, really, of saying it all in very short order.

Tuesday, July 29th, 2008

I don’t mean to do a drive-by dumping with something so heavy, but the topic has been on my mind a lot over the last few months. I’m not going into depth because I think the statement I’m quoting here — or rather, the attitudes it speaks to — truly speaks for itself.

Basically, however loaded, heated and conflicted discussions about prostitution and sex work can and do get, whatever difference of opinion anyone may have about law and policy and approach, I feel like there’s a very easy common ground where everyone should be able to start: with the essential humanity of anyone who is or has been a prostitute or a sex worker.

I was reminded of this the other evening. This is an excerpt from Gary Ridgway’s statement at his sentencing for the murder of 48 women, a majority of whom were prostitutes:

The plan was I wanted to kill as many women I thought were prostitutes as I possibly could.

I picked prostitutes as my victims because I hate most prostitutes and I did not want to pay them for sex. I also picked prostitutes as victims because they were easy to pick up without being noticed. I knew they would not be reported missing right away and might never be reported missing. I picked prostitutes because I thought I could kill as many of them as I wanted without getting caught.

(Bolding mine)

I feel like that if that statement doesn’t elicit a great deal of sympathy and empathy for women who do or have done sex work or who have been trafficked; a great deal of anger and sadness towards the way women in prostitution (and men, but I do think that all things given, the stigmas are greater for women and transwomen) — whether it is chosen or not, whether or not, when it does involve choice, that choice is made more freely or less freely or with more or less agency — are so often seen (or made invisible) and treated by a wide range of people, including but by no means limited to johns, what position sex workers/prostitutes are so often placed in by social mores, law and individuals…

…well, I don’t know if anything could.

However, I do think that no matter what side of the proverbial fence (as if it were so simple) anyone in good conscience is on, something like this really should be — and often is — a solid place where everyone can meet and be in agreement as to its inhumanity, whether it’s said by a john and serial killer of prostitutes or that nice lady down the street who goes to your church.

Friday, July 11th, 2008

Yesterday was my last official day counseling in the clinic.

I’ll be back once a week or so in around a month to do outreach work and sex education, so it’s not like I’m gone forever, but lordisa, it still was sad. When I got home from grabbing a few drinks with one of my work buds, I came home and mostly sat on the couch is a sort of a dull, heartsick malaise until I fell asleep. I’ll miss my team. I’ll miss my other co-workers. I’ll miss simply doing that work. And bloody hell, will I miss those women who came through my office every day, who for the brief time I had to listen to and speak with all of them, something magical and intimate in the best, most unexpected way happened and so often left me awestruck with a quiet but fiery admiration for all of them.

I think in the next few weeks, I need to carve out some time to bet back to my art and see if I can’t do a series of some sort for them, about them. Those clients have been my sheroes. I’ve kept trying to think of really how to leave the ones I will never meet some sort of gift in honor of those I did, and also better express what they gave to me, and also creatively work through my sense of loss, and I think that’s my best bet.

I will not miss catching my first bus of three before 6 in the morning in order to arrive at work at 8. It may well be that I’ll need to do that again sometimes should things turn around at some point, but I will enjoy the brief respite from it. Several times in that hellacious commute, I found myself feeling a sort of dignity in it, but in hindsight, I think I was just that desperate to find some good in it. I will not miss wearing scrubs. I remember as a child us often having some hospital castoffs from my mother as jammies, and they seemed very comfy then, but that was only because they were eight sizes too big for us, I think, and because we were wearing them to bed, not in the middle of downtown. There’s no stretch to the damn things, and if you’ve hips and breasts, you have to often buy them way larger than you’d like. I reminded myself of MC hammer a few times too many for comfort. It is a good thing not to be working over 60 hours a week during my favorite season, and instead, working only a little bit more each week than your average Jill. And financially, I really will be okay. The clinic manager yesterday also filled me in one a possible route for healthcare in the state I didn’t know about, so there may still be hope on that score. I will not miss….

…yeah, I’m out of items for that list. Ladies and germs, my feeble attempt at glass-half-full.

I am very much looking forward to the new teen outreach/education directorship, though. Doing in-person ed is a very nice bookend to all I do online, so doing more of it is a serious bonus. And I really am looking forward to bringing it into the clinic for our clients. I think too few people realize that information on birth control or getting clients BC methods just isn’t enough to keep women from unwanted pregnancy. If sex is an obligation or duty, if it isn’t really about you as an equal part, if you don’t know how to set limits and boundaries, don’t know where your clitoris is, don’t have a good sense of what a healthy sexual relationship looks like, don’t really feel some bonafide agency in your sexuality and sex life, then there are huge chunks missing which not only are going to be more helps to help limit how often that happens, they’re obviously also integral parts of having sex be a positive in your life, rather than something which, at best, just spares you a negative or unwanted consequence.

Mark has been away for the day job in Nebraska this week, and having one helluva week of his own, and comes back home this afternoon. I see extensive snuggle in our near future. We’re heading to Snoqualmie Falls early tomorrow morning, for a meeting I have for work, and then staying over with the pug so we can take a hike on Sunday. Big mountains, fresh air, green things, human sweetie, small-snorty-canine sweetie: just what the doctor ordered, I’d say.

Friday, May 30th, 2008

Yesterday at the clinic I got wedged in the middle of a client’s abusive relationship.

It was pretty clear even from watching the goings-on in the waiting room that something was not at all right. She was dressed like she’d been scraping by, yet he was dressed like he was going for a job interview. He gave us her ID and insurance card because he was the one who kept hold of her purse. When she came in for her labs, he used that time in the waiting room to try and woo other women. (I found out later that while he was the one pushing for abortion, one of his wooing tactics was apparently to tell the women in the waiting room how much he didn’t want his wife “to kill our poor little baby.”) She also clearly, from her body language, did not want to be at the clinic. She had a do-rag she kept pulling down over her eyes, she was all curled into herself, but she also looked very irritated and upset.

We have a section of the intake form which asks how sure someone is of their decision to terminate, and she’d marked she was unsure. Those charts are more often given to me, in part because I’m trained for options counseling, and in part because they tend to be more difficult sessions, but I’m usually okay with that. When I get that on a form, I usually start with a discussion about that before I do anything else.

She told me firmly that she did not want to terminate. She had kids from a previous relationship, had never had an abortion, never wanted to have one.  She had been married to this man for a year, and described a very textbook pattern of the cycle of abuse. We discussed how the lone conflict she was having — the only thing which would incline her to choose to terminate of her own accord — was that she knew full well that having a child with this man would tie her to him. I talked about the realities of this, about legal help, about how it was a big issue, even if she could get a divorce and help keeping him from her and a child, a person obsessed with control tends not to be someone who gives up easily, so she would have to be okay with possibly fighting legal battles for years and years. All the same, in our conversation, it because clear that while she still might consider a termination given the permission to evaluate it for herself, she had been forced to be there by someone else that day — she was physically pushed into the car that morning and driven to the clinic — and so terminating that day was off the table so far as our polices go and her wishes went. I discharged her, making clear that should she make her own choice to terminate, she could reschedule for another day.

In trying to assure that going home not having terminated would not compromise her safety, I talked a little about shelters and ways to taxi her out potentially without his notice. What she just wanted was just somewhere inside the clinic to sit for a bit, gather her thoughts, ready her resolve, so I arranged that for her in another area of the clinic. I really thought she needed to get to a shelter, but obviously, I can’t usurp her choices that way. Unfortunately, when she stepped outside to smoke, he’d been circling the clinic and found her, and I was notified that there was a bit of an altercation outside. Looking at the security cameras, he kept blocking her path on the sidewalk, and wasn’t yet pushing or hitting her, but it didn’t look good. I was asked to go outside and help escort her into the clinic and to ask him to leave, making clear that we’d call the police if he came back into any of the waiting rooms.

And here’s the part where I found myself sucked into the vortex of another planet.

When I circled around to them, greeted her by name and motioned with my arm a bit protectively around her back for us to walk back into the clinic, and we tried to go in, he stepped in front of me, as well. He stepped in front of me, arms waving as if flagging down a driver who has come to help you when your car has broken down — as if clearly, I was help en route for him — and said, “She won’t LISTEN to me!”

It wasn’t just what he said, but the way he said it; the way he said it with this confidently held belief that I was on his side, that her disobedience was preposterous, and that, of course, her compliance to him would have been my primary or sole concern. I had to fight off the very nonproductive urge to say something to the effect of, “Oh dear! She won’t listen to you? That’s not right at all. Why don’t us uppity little ladies just sit down and you can tell us how it is since we’ve clearly lost our marbles all thinking for ourselves. I just don’t know what’s gotten into us. I am so sorry. Daddy knows best!”

Instead, still trying to get us both past him and back into the clinic, I said, very firmly, “I don’t care. I am taking her inside where she is safe, and you need to leave.”

He then said, “But she’s my WIFE!”

Resist sarcasm, Corinna, as it is not at all likely to de-escalate squat. Also? Do not stand there slack-jawed and silent because you can’t believe someone is trying to have this conversation with you at all. So, instead, again firmly and clearly, “That is not meaningful to me. I am taking her inside where it is safe, and you need to leave.”

And it isn’t meaningful to me, personally or politically, but it’s particularly devoid of meaning in my book when it’s obvious that the person telling me it is has acquired a wife the way one acquires chattel, and sees her likewise. You can have a marriage which is a partnership, but marriage alone does not partnership make, and I care about if someone has an earnest partnership, not a legal shackle to someone else as their personal property. I don’t give a rat’s ass what papers you have, what ceremony you’ve had, what promises you’ve made or what you call someone: what I care about is what is enacted and actionable. You can call it marriage all you want, but when what it is is bondage, putting a pretty, legally-sanctioned name on it doesn’t change a damn thing.

Then, clearly not having absorbed the general sentiment that we’re all just heartless babykillers (though most likely only because he sees us as people able to get him what he wants: I’m sure if he had wanted her to stay pregnant, we would have been Satan’s handmaidens), he tries a new line.

“But she SMOKED a cigarette today while she was PREGNANT with MY child!”

Oh, well THAT is a totally different story! Because of COURSE the damage a fag is going to do to a fetus so, so far surpasses a woman having you make her reproductive choices for her. Because of COURSE when you scheduled the appointment FOR her last week, you knew, being omniscient and omnipotent, she would have this cigarette today and thus make sustaining a pregnancy completely off the table, which I’m sure whatever you do to her at home can’t come close to comparing to. Because of COURSE your deep and utterly selfless concern for the fetus usurps her own life. Because of course, if a woman has done anything less than perfect pre-natal behavior we are morally obligated to terminate her pregnancy against her will. Duh!

He starts to ask if I asked her about that. I make clear that what goes on with a client and us is private, I can’t talk to him about her medical history or health, and that, again, I am taking the client inside, he needs not to block us or try and follow, and that if he persists, we will call the police. He is starting to sputter why at me, and then even goes so far as to make a move where his hand is starting to raise in my general direction.

I tend to react to anything like that, at this point in my life, with a reflexive look which I’ve determined, the times I’ve been physically threatened since I left home to get free of that in my teens, gives a crystal clear impression that laying a hand on me would be a Very, Very Bad Idea. For all my self-defense training, I never even really get a chance to use it, because the look always comes first, and it’s been 100% effective over the years. (I wish I could make it in the mirror to see what it looks like: I’m curious. Alas, I can’t do it on purpose, or at least I don’t think I can, because nothing I do when I’m trying looks all that intimidating to me, especially since it’s also usually happening several inches to a foot lower than the person I’m giving it to.) He lowers his hand very quickly, I swoop us both around him and get her inside, he tries to follow. Someone else’s boyfriend or husband tries to do him the profoundly undeserved service of being a brother helping another brother out by making clear that he really needs to go back outside because he’s about to find himself in serious shit if he doesn’t.

There’s more to all of this — it’s a very long story, aspects of it can’t and shouldn’t be disclosed, and this whole incident had legs and took up half my day. I’m not happy with how it resolved itself, if you can even call it that. She rescheduled for next week to terminate, clearly pressured again after several more bouts with him in the parking lot, thanking me the whole time tearfully for trying to help, telling me it isn’t what she wants to do, and wound up quasi-electively leaving with him (I say that because he had a pretty firm hold on her arm, and he looked like the cat that ate the canary), but the whole situation was such that our hands were tied, and since she was discharged and did go outside again and go to him, and they were leaving, there wasn’t anything we could do. I would have written down his license plate number — since we did make clear to both of them that he may not ever come to the clinic again, and police will be called ASAP should he do so — but he didn’t have any on the car. I will probably be her counselor if she shows up for next week’s appointment, and will have to try and suss all of this out again, trying to help her figure out what she wants or needs to do knowing that in the situation she’s in, whether I like it or not, what he wants is going to have an influence I can only mitigate so much. I’m trying to think of a small token to have for her if she shows up again: I’m thinking she might need some Maya Angelou.
Obviously, I was left after the whole thing feeling both rather unhelpful and helpless, my heart aching for this woman, but I also still just had this profound feeling of total sci-fi. That guy didn’t know me. He had no idea that I interpreted his words and behavior as completely sinister while, to him, they were sacrosanct. But I know me, and anyone who knows me even thismuch would know that saying the kinds of things he was saying, trying to sway me the way he was was so completely ridiculous as to — were the situation not so sad — be knee-slappingly funny. Again, were I not so outraged for this woman, I would have laughed myself, and amidst all the adrenaline, when he first opened his mouth at me I did have to fight off laughing outright. If we can (even though we really can’t) take out all of the ugly in this, to anyone who knows me, a person talking to me like this, asserting this kind of shit to me presuming I’m on board, is earnestly silly beyond measure.

By my perspective, it was this level of total delusion that his words were meaningful, that his control over the woman he was married to was sovereign and that I’d recognize that which struck me first and foremost. I couldn’t believe, through the whole exchange, that it was happening, that this guy could not know that he was trying to speak a language to me which was a long-dead language that even if I recognized some of the words, didn’t mean shit to me.

That was immediately followed by the not-at-all-laughable feeling that it was not entirely delusion, not outside my frame of reference, anyway, and what I will and will not tolerate or enable in my own life. Clearly, in order for both of them to be at this point, this crap had been working on this woman for some time, and was likely working for him in one or both of their extended families, in the community they were in: after all, in our session it seemed clear that no one had made any kind of motion to help this woman before or acknowledge that this guy was very bad news. When we talked about him, the way she was telling me about this had a certain certainty on her part that I’d think she was crazy and that he was reasonable: that I was supportive of her pretty clearly came as a total surprise.

(I should add, as an aside, that some of that might be my color. The clinic staff are very diverse, but unfortunately, all of us who counsel right now — who often have the most in-depth conversations with clients about their trickiest stuff — are white. So, I’m often not surprised to have women of color warm more slowly to me, be more cautious at first, and, understandably, be reluctant at first to trust that I’m in their corner.)

I managed my clients the rest of the day, but it wasn’t easy. I got a ride from work to a spot downtown a mile or two from the stop for my third bus, and took a long walk there, fighting tears. Sitting on the packed, rush-hour bus on the way home, I was not only still fighting tears, I felt pressed in on all sides by people, in dire need of more air, open space and ideally, the opportunity for a good, loud primal scream. I dove into some bell hooks, but I couldn’t stay with it all sardine canned like that. I stopped at the market on the way home, picked up a bottle of wine and some things so I could have a good meal, got home, had a yawp and a good weep, took out the dog, than parked my tucas on the porch with a hefty glass and Flannery O’Connor. I needed me some Flannery: I needed her beautiful darkness and her realness all at once, the way she shows up the facades of people. I needed her to give me empathy. Mark came home, and listened to the whole saga and gave me a much-needed hug. I sat this morning for a while: I breathed it all in and out. I need some extra time for myself at some point in the next couple days — which won’t be easy, given it’s Mark’s birthday today and festivities are afoot, I have a march tomorrow, and work that needs be done before Monday — but that’s okay.

* * * * *

I also have a bit of a Buddhist conundrum about scenarios like this when it comes to how I approach, manage and experience them.

In so many ways, I am loving the work at the clinic — even when things happen like this — because it is such an amazing and constant exercise in compassion. It is nothing close to easy: it’s sometimes very tough (especially when sometimes, you have to remain compassionate with a client when they are not extending you the same compassion), but it’s a nourishing, life-affirming challenge. I certainly have a similar dynamic with Scarleteen, but it’s a little different. Not only is it virtual, but if something shakes me up, stirs me, overwhelms me, I can step away from it for at least a few minutes, if not hours, gain some composure, and come back to it on my own time. I don’t have that luxury in my counseling office: the person disclosing to me, letting me in, is sitting right in front of me, and their need is intensely immediate. I also have to address those needs knowing that a) they need to be able to move through the clinic at a decent clip so they, other clients and staff don’t have to spend all day there, so I have to try and be efficient in how I address them, and b) I will not likely have another opportunity to help this person again. This is probably my one shot.

Here’s the kicker, though: in any aspect of healthcare or counseling, from a professional standpoint, you’re supposed to keep this given distance, not get too stirred, too invested, etc. That approach runs solidly through care-based services. But as a Buddhist — and as someone trying to remain devoted to helping others in heart, mind and body — striving for distance (not nonattachment, distance) in order to cope, stands counter to my practice, and in my mind in order to best connect with clients/readers/users/the-universe-en-large, I have to remain pretty open. When a client is upset, and I am troubled by their troubles — while still keeping my own shit together enough not to make them feel guilty or like they need to take care of me, and keeping it together enough to do my job for them — this clearly is and has always been a comfort for them. I have a tough time believing that when you feel you have been marked by a great tragedy that for a person you disclose that to not to express a deep and real empathy for you, to express feeling some trace of that tragedy in a very real way, is a comfort.

There’s obviously a balance to be struck. You still need to do your job and you need to be a support, not just a co-griever. You need to instill a sense of faith in that person that however upset you also may be, that you are capable of being unattached to your feelings enough to help them when they can’t help themselves. If they feel out of control or incapable, you need to be someone they feel is in control and capable. You need to be able to still do what you can do for them while being open enough that part of the help you are giving them is being someone — sometimes that only someone they have yet encountered like this — who feels their pain and is unhappy that they have been wronged, traumatized, shafted. And of course, you need to be able to do all of this and find a way to preserve enough of yourself and your own emotional equilibrium to still start each day whole and end it the same way.

When I hear noises from anyone that I or my kind of approach gives too much, opens too much, doesn’t distance enough, doesn’t shut down enough, should strongly consider putting a larger shield up, my first reaction tends to be repulsion. I feel like there is a certain arrogance in the idea that self-preservation must always come first, as if we had any way of determining that somehow our self has greater import or meaning than someone else’s self. (Mind you, I think I’m a bit passively suicidal sometimes, but I figure it beats being the actively suicidal I was when I was younger by a serious long shot. This may color my views here.) I know that in part, that kind of directive comes from a place of care, perhaps the same kind of place that mine is coming from in trying to put others first myself: people say that to me because they care for me. But I also can’t help but think that some of it comes from a place where I’m effectively being asked to follow a certain status quo as to not threaten or usurp it: if we don’t all agree that the self always comes first, even if making it secondary, temporarily or permanently, might help someone else, that we then make it harder for those who want or need it to always rule all to feel as comfortable doing that. That sounds a bit pious to me, but I don’t know how else to express it. Thing is, I’ve been going about helping and counseling the way I do it for many years now, and I have my own way of managing it. Clearly, I can handle it without burnout better than most since I’ve got some serious staying power, and I still very much like doing what I do. My way seems to work for me and feels authentic to me — and is also in line with the kind of person I want to be, the kind of life I want to live — and I’m the expert on me.

I came to the practices I did because they make sense to me, and they run through everything I do in my life, including work. I’ve never been able to — or wanted to — separate my politics, my ethics, my spiritual life from my work, or set them aside somehow, and I’ve tried very hard to only choose work and work settings where I don’t have to do that. I often approach people very vulnerably, with a great deal of openness. It’s gotten me hurt before, for sure, but I think that the benefits have far outweighed the harms. Yesterday was a hard, hard day and parts of it were painful and very frustrating. But at the same time, yesterday, amidst everything else, I did get to share more than one moment where I was able to do anything at all to help someone feel a little more empowered and a little more cared for. But I do sometimes feel a little alien, both at the clinic and en-large, when it comes to all of this stuff, particularly when it comes to the harmony and cacaphony of all of it with my practice. I need a new sangha, I think. It’s tough to find something I can actually get to here without a car (good lord is this city car-centric), but I think it’s time to renew my efforts.

I’m rambling. I’m seeking out a balance and a clarity with this which I’m finding difficult both to do and to express. I’m glad for the opportunity, but it is a lot to try and sort through in the breakneck pace of my life these days, and I’m certainly not going to sort it out before I head back to the clinic on Monday.

Saturday, March 15th, 2008

I am filing my survival of this last week under M for total freaking miracle. I slept until 10:00 this morning, after going to sleep before midnight, which is legendary sleeping-in for me, and I still woke up with achy feet and a very exhausted mind.

It’s tough to be unable to really write about work here. For as long as I have been keeping a public journal — nine years now — I have been self-employed, with only the occasional freelance gig where I had non-disclosures. Of course, I have never discussed every single case with Scarleteen, everything that goes on with managing the volunteers, nor did I do the same with Scarlet Letters or with photo clients, but I have always had an awful lot of room to discuss the ins and outs of my day being my own boss and having a setup where client privacy was not a big issue.

It’s weird to have a million big things I could write about and to be unable to write about them. Every day at the end of the day I come home with at least one client stuck in my heart or my head which I need to process, and writing things out is one of my primary means of expression and process. I have still sometimes written things out just for myself, but this is a large part of how much more infrequently I’ve posted here of late: time constraints notwithstanding, I just literally cannot write about my clients in-depth at the clinic or most of the goings-on there. I’m trying to feel out the ways that I can while protecting privacy, but it’s tricky.

In an extra training for options counseling yesterday — counseling for clients who are pregnant and don’t know what they want, so need someone to just sit for an hour or so and talk through their unique situation and walk through how all of their choices look and feel to them to help them find the best one — my trainer asked what we do to take care of ourselves when we’re feeling emotionally spent or upset. And I do still write it out sometimes, but given privacy issues and that writing is so much more work for me than leisure, I’ve been diversifying how I process lately. Obviously, talking it out with friends is massive, but on really tough days, I also have this thing going I really like where I load up the woodstove with wood and get a really hot fire going, sit in front of it and start sweating, and then let myself have a really good cry. The heat and sweat mixed in with the tears is my little sweatlodge: it’s seriously cleansing, and usually does the trick. I leave feeling warmed and relaxed by the whole process rather than feeling isolated or wrecked.

I also brought up the issue of how with any kind of job like this, you have to be able to recognize that there is only so much you can do, especially since by the time someone comes to you for help or counseling, they are coming as a result of situations and background that you can’t influence. In other words, the stage was set long before you. So, you have to invest yourself in doing what you can to help them right now — be that in giving them education they want/need or negotiating in relationships such as at Scarleteen, or in providing abortions or counseling to help them make reproductive decisions at the clinic. Any or all of that will, hopefully, help them, and be positives, but you can’t even get invested in those positives having legs: they may or may not. And by the time they leave your office or your websites or your email, you’ve done what you can do most of the time for them. You had your moments, and they have passed, and afterwards, it’s out of your hands. In other words, when you’re there, to do your best by them, I think you really need to fully commit and invest, but for you, after you’ve done that, then you need to be able to detach and let go. Obviously, that’s not always easy, and it’s also not always comfortable to fully invest when you’re in it.

The cases that keep leaving me hit the most hard are the genetics cases and the women you have to tell are too late to have a termination. With the genetics ones, even though I’m personally not one of those people who has ever seen the import of having biological kids vs. adopting (or to be more clear, creating family in any number of ways) — likely in part because I’ve never found that being actually related to someone automatically creates a stronger bond and because I also hate how many kids live their whole lives in foster care — it still is just so heartbreaking when a woman has planned a pregnancy or really wanted a happy surprise with one that was unplanned, made room in their lives and hearts for kids, saved money, etc., gotten all excited about it and then has to terminate when that is the last thing in the world she wants to do. Conversely, with the too-lates (which often happens because someone just didn’t know — lots of women have very irregular periods, especially young women — saving money for a procedure just took that long, they had to travel long distances, etc.) when an abortion is THE thing a woman wants, and she absolutely doesn’t want to parent or stay pregnant, telling her she’s without that choice is often an awful thing to have to do. When that happens with teens or very young women, I get extra sad, and when it’s with women, for instance, who are heavy drug users and you know that beyond their turmoil, they’re not even likely to deliver healthy kids (and lord knows that this is one of those instances where these folks are unlikely to be good parents, and those kids are unlikely to find adoptive families either, if they’re born special-needs), it’s another huge weight.

Of course, even outside of those situations, the stories women tell you about how they came to be in the spot they’re in are often maddening, upsetting, or just really sad. I’m not just talking rape or domestic abuse cases but also serious interpersonal betrayals or sudden abandonments with partners, the way they lose jobs or homes, how many doctors are just lax in telling people how to use birth control properly or just choose methods for patients that are not likely to work for them, how many partners don’t comply with birth control use, and so on. A couple times now, I’ve had women for whom the two-week period where you cannot have vaginal sex in order to prevent infection afterwards was a very real problem, not because of abusive partners (had those too), but because sex was how they paid the rent: making clear that they may have to choose between paying their bills and putting their health or lives on the line just stinks. And as a sexuality activist, how many women are thrilled when you say they can’t have sex for two weeks — some of whom will even ask if we can’t tell their partners it’s longer than that — is endlessly depressing.

I keep threatening to wear a button that says “Just keep it in your pants, man” for the men in the waiting room given how frequently I hear the story that’s that some guy doesn’t want any more kids because he has so many with other partners. Yet, Mr. Thing, knowing full well he no longer wants any children and being firm on that point, isn’t willing to get a vasectomy or even back up BC methods with condom use. Instead, he sees it as totally workable that he can just pressure partners into abortions they may not even want to serve his own ends. These same guys will usually pitch a fit when I say that no, they can’t come into the counseling session, because they usually really, very clearly, do not like the idea that their partner can say something about them uninfluenced or uncontrolled. Suffice it to say, if and when I find they’ve pressured a partner who doesn’t want an abortion and I discharge those partners with resources to have the kid they want, these guys are NOT happy. (Apparently, we’re not doing our job if we don’t push abortion on people, as clearly, we’re expected to do that.) I have, however, developed a hairy-eyeball just for them that has limited the number of times they’ll ask to go back with us, to the point that though I do usually say I can come get them when they are done if they have questions or want to talk to me, many of them are starting to get the message that they probably do not want to give me private time with them, because I am not the women they’re used to dealing with.

Too, sometimes you meet women who have just been through these unbelievably challenging lives are are flat-out amazons. I had one of them the week before last who had to be discharged due to having such collapsed veins from years of heroin use — she’d kicked the habit amazingly for the last handful of years — but got to come back last week. She had a kid she loved dearly, but because of a severe reproductive health problem likely due to her years as a user, found out she was not going to be able to carry another. I adored her, but there was something bittersweet about it, beyond her having to make a choice she would have preferred not to. With how she looked and what her social mannerisms were, with what she told me about her life and her recent medical history, it was clear she was one of those people that most tended to treat like shit on sight and without seeing who she really was. If I could have scheduled someone to give her a foot massage during her procedure and a week on some beach afterwards, I would have. I didn’t leave those days feeling sorry for her, like I said, she was incredibly strong and really amazing in my book, but there was something I carried home: this sadness that she deserved a life she was probably not going to be able to ever have, no matter how hard she worked at it and how much she survived.

This last week, not only did I work more than twice as many hours as usual, and have some other work issues on my plate to deal with, I had all of these kinds of cases and more when I was counseling. This weekend, I’d planned to be at Scarleteen pretty much 24/7 to make up for last week, but today that is so not going to happen. I think I need that heat and those tears today, and then some time to deal with no one’s crises.

Friday, January 11th, 2008

CHOOSE WIFE.

That was a sign being held up by a protester in front of our clinic this week. Two words, but they speak volumes. (Though I confess, it took me a little while to get pissed, because I couldn’t stop saying it in an Elmer Fudd voice for a few minutes.)

This has been one of the biggest blind spots I’ve had to contend with when it comes to both working in sexuality education and working in women’s health, and with women’s reproductive choice. There’s a very pervasive idea out there — and boy howdy, does it serve the agenda of the far right — that somehow, getting married fixes absolutely everything for women when it comes to unplanned pregnancy, sexually transmitted infections and just about anything and everything you could think of when it comes to sex, sexuality and reproductive health and choice. That married people — but more to the point, married women — don’t need sex education, don’t need birth control, don’t need abortion, don’t need sexual healthcare, don’t need to know about their bodies, don’t need safer sex, don’t need to know sexual negotiation skills. Women, if you want to be protected and safe, get married. That’s what’s been said to women for most of our history, and despite knowing better now — especially if you provide any of the above services and happen to notice that married women are among the clients you serve — it’s still what is said to women daily and incessantly.

I’ve talked before about the flaw in that logic when it comes to STIs. Historically and currently, marriage, in and of itself, does not and never has offered protection from sexually transmitted infections, especially when you consider not only what the rates of infidelity are — particularly among men, who more often transmit disease to their spouses, simply when we’re talking about the physiology of sexually transmitted infections — and as well, when you consider that most people will have had other sexual partners before marriage, and how many people (again, especially men) never get STI screenings, and also don’t use latex barriers consistently, or at all. I’ve talked before — and you hardly need me to deliver this news flash — about how anyone with ears and eyes knows that marriage does not guarantee a safe or satisfying sex life. I’ve talked before about how given domestic violence rates, the notion that women are guaranteed lifelong safety, on every level, simply by getting married is an incredibly cruel piece of propaganda.

There’s not likely a woman in the world who needs me to tell her that getting married does not mean that birth control is no longer needed or wanted at times, or constantly — remembering that funny little factoid that not all women or couples want to reproduce at all — or that getting married does not mean a woman thus wants to spend the rest of her reproductive life pregnant or risking pregnancy. Getting married doesn’t necessarily provide even the woman who DOES love being pregnant and does love rearing children, who wants to be pregnant and parenting every waking minute of her life the financial or practical means to do so. My mother grew up with two parents in an Irish Catholic family: she has eight siblings, and would have had more save one stillbirth and a couple of miscarriages. Mind, her mother hardly had a choice in when she got pregnant, or when she had sex, but still. Anyone who wants to tell me I just don’t know what I’m talking about and what nirvana it is to be a kid in a household stretched that thin can bite one of my grandmothers dry Bisquick-and-water biscuits (and be unable to afford the dental care needed to repair their chipped teeth, too).

Even most conservative women know these truths. They too, are either using a method of birth control, or if they are not, are trying to just avoid sex to try and prevent pregnancy. Very few women in the world with any real agency are choosing to have ten children, and to be at constant risk of pregnancy, unsure when they’ll be pregnant again at any time. Conservative women come into clinics for abortions who make very clear that they do not believe in abortion, all while choosing to have one. For those most vocal about how not-okay with abortion they are, when a clinician tells them that IF they are really not okay with it, they can’t perform a procedure for them, the outrage is often astounding. (Because, of course, abortion providers are supposed to be just DYING to give everyone on earth an abortion, since the aim is apparently to wipe out the human race and make millions from abortion procedures, so we are never, ever supposed to say no to anyone. After all, we’re supposed to be lying when we say that we’re committed to women, committed to their choices being choices they can live with: when we show up that untruth, the antichoicers get mighty pissed.)

I’d posit that a lot of conservative women have the best of all possible worlds. They can malign or try and limit sexuality education, birth control and abortion all they like, even very publicly, even fight it actively, and yet, it’s still there for them — for now, and tenuously because of their efforts to make it so — when they need it, without judgment, and most of them do use at least some of these things. They can benefit from the feminist movement when it comes to getting them out of the house, allowing them the ability to be public spokespeople, to be politically visible, and reap those benefits while denouncing their source. They can even beg off sex to prevent pregnancy by being able to say they are so, so tired from doing the things in a day that only movements they oppose have allowed them to do. They can also cheerlead marriage and abstinence even if their marriages are a mess and they didn’t abstain from sex themselves. They don’t have to be consistent or truthful in any of this, because they know they can rely on our consistency, and the truth of our commitments.

From what I can gather by polls at Scarleteen over the years, as well as the daily conversations I have with teens and young adults there, around 30% of our users are not yet sexually active. Plenty have no intention of becoming so any time soon, and plenty are, in fact, right now waiting for marriage. (Some of them are even swift enough to know they may well change their minds about that later on, but acknowledge that even if that’s how things work out, this is their plan for now.) What they’re doing, see, is this crazy-smart thing we call preparing for the future. They know that someday they likely will become sexually active, and that at that time, they’re going to need to know about their bodies, about how to work sexuality out alone and with partners, about birth control and/or safer sex. They’re looking this stuff up now, asking questions now because they both know they’ll need it later and because they are curious about it now. Some of them WILL be people’s wives or husbands later, but most are smart enough to know — smarter than some of their elders in this regard — that that doesn’t mean they won’t need to have an idea about using birth control or how to take care of their sexual health. I feel pretty confident saying that most teens would do this — including those who do become sexually active in their teens — but many don’t simply because having the information in advance isn’t an option for them, and they don’t know where to find it.

As a former — though it still informs the way I educate — Montessori educator, it’s a very big deal to me to try and educate in such a way that I am teaching what I am in the windows in which someone’s mind is absorbent, or for you non-Montessori geeks out there, at the times when a person is in a stage of development where a given set of skills or knowledge are most likely to be learned, and a natural curiosity is most prevalent. For instance, the usual window for language is, not surprisingly, under the age of six. Children under six can often become bilingual or trilingual without even trying, just by listening and being talked to in several languages, simply because that time is when they’re forming most of their basic language skills and when doing so is so gangbusters for them. And one of the ways we, as educators, determine windows of the best absorbency is simply by watching and listening to our students: they tend to show us or ask us, pretty directly, when they want to learn something. Of course, when it comes to sex education, that can be tricky simply because so many young people have been shown by so many that it’s just not okay to ask questions about sex.

In the same vein, it’s no big shocker that during the big peak of physical and emotional sexual development, young adult minds tend to be particularly absorbent to sexuality information. For sure, if they are or are becoming sexually active at that time, that information is all the more essential because it has a very immediate and practical application. But even for those young adults who are NOT yet sexually active, even for those few who WILL not be in any way sexually active until their twenties, this is STILL a great time to teach them about it because they are so absorbent, and also because it’s obviously ideal to educate someone about something they will need before they actually need it. There’s a reason we try and do Driver’s Ed before someone is ever behind the wheel, after all, and why people who start factory jobs with big, sharp machines are given training first, rather than just being told to blindly try it out, see what happens, and hope they don’t lose a limb.

Again, I’m going to state the obvious. Speaking as one longtime sex educator, the idea that I somehow would profit from someone getting a sexually transmitted infection is hilarious. No one is going to donate to Scarleteen because what I do results in greater levels of infection. I bust my arse trying to do everything I know or suspect will be effective to reduce rates of STIs. Really, either way, profit isn’t my motivation, because I’d be a moron if I hadn’t figured out by now that no matter how great a job I do, I will rarely get paid, and when I am, I should never have any expectation that I will be paid at a rate at or much higher than your average high school kid working at the drive-through gets: in a good year, I tend to make around the minimum wage. If I wanted to work in sex ed for money (and had no problem leaving my conscience at the door), I’d work for the abstinence-only faction. THAT is who has been making the big bucks in sex “education” over the last ten years, kids. Leslie Unruh, for example, as executive director for the Abstinence Clearinghouse, reported compensation in 2004 at $109,920. In the same year, her reported compensation as executive director of the Alpha Center — a CPC — was $57,547. That’s an annual personal salary — not a gross for her organizations — of almost $170,000. I haven’t done my taxes yet, but for my sex ed work — at Scarleteen and with the book — I’d estimate (and I just took a closer look) that my personal salary for 2007 is going to have been somewhere around $16,000, if that, and I likely work more hours than she does, no less. Without the one larger private grant I get (knock on wood), I just couldn’t do this as a job at all anymore — in 2004, the same year Unruh was raking in the big bucks, that huge profit I was making from sex ed was a big, fat $7,026 — and it’s been crystal clear over the years that how hard I work, how many people I educate, or how good a job I do has little to no bearing on if I get paid and how much. No matter what, this girl just picked the wrong side of the wrong fence, and it is THAT which influences my finances.
I’m sure I’d horrify Wendy Wright and her ilk and perhaps even prove the link she’s reaching for: after all, I now am not only a sex educator, I also work at an abortion clinic. Surely, this has been a very crafty plan on my part. Work like the demon I am in sex ed for ten years, talk myself blue in the face about safer sex knowing that all sexy talk about condoms and Chlamydia is only going to make teens want to race out and have sex even more (Herpes sores, in case no one told you, are all the rage now, because with all that public hair removed, you’ve got to have something to decorate your vulva with, after all), know that those young girls with the STIs will get pregnant because of them, which assures that they’ll wind up for an abortion at my other job. And don’t you think for a minute that given the lousy pay, I didn’t negotiate in advance for a steep commission from all that new business I’m going to be bringing them. I’m no fool.

(Ten bucks and two doses of EC says that at some point I find what I just said there quoted out of context in some conservative blog or book.)

But what Wright and the woman standing in front of our clinic doesn’t seem to realize is that our lobby isn’t overflowing with nothing but teenagers and fallen, unmarried women. Married women are in there every single day, some even with their husbands sitting right beside them. Some of those couples are military, flag-waving, apple-pie baking, churchgoing folk. Why on earth would they be there?

It’s a stupid question, and we all — even Wright — know the obvious answer. Because there is NO woman on earth, no matter her age, marital status or station, for whom it is always the right time to be pregnant and no child on earth for whom it is always the right time and environment in which to be born and raised. Women like Wright, of course, are likely planets away from families who can barely afford to feed themselves, let alone more — or any — kids. Most women who come into the clinic do already have at least one child. I saw someone just last week who already had two, and whose biggest concern about having an abortion was that it would impact her fertility, because while there was just no way she could afford to remain pregnant or have another child now, she wasn’t sure she wouldn’t want to have another somewhere down the road if things improved. She “chose wife,” and yet, there she was. A lot of women who get abortions do use birth control, and plenty correctly — this business about BC not being 100% effective isn’t a fairy tale. This one, though, not only wasn’t, she didn’t know how to. No one had ever taught her how, discussed her options, or even let her know that if she wanted to keep using natural family planning as she had been, there was a far more effective way to do that than the calendar method.

Suffice it to say, an abortion clinic doesn’t profit from STIs. That’s just silly. But it also doesn’t exist to profit from unwanted pregnancy. When I took this other job, for certain, some of it was financially motivated. I was working full-time and still having a helluva time paying my bills, despite already being without things many people have: a car, a house they actually own or are in the process of buying, health insurance. And this other job will help me pay my bills, but only because I live so leanly to begin with. Your average pencil-pusher makes more on the hour than most of us at the clinic, just for sitting in a cubicle and clockwatching every day, and he’s also not risking being shot or bombed, nor is he likely responsible for anyone’s physical or emotional health. And if suddenly there were methods of birth control that were 100% effective, totally safe for, and affordable and available to everyone (and you can tell me complete abstinence is when a) people stop having a libido and b) men stop raping women or obligating them to have heterocourse), if suddenly there was no more unwanted pregnancy, ever, I can assure you that not a single person at the clinic would shed a tear and be upset that the part of our job that is about providing abortions was over.

The thing that gets me the most about this “Choose Wife” stuff, whether it’s on a sign in front of my workplace or on the nightly news is that I have to also hear strong statements — from these same mouths — that women are no longer mere chattel. And yet, it is also stated or implied that once/if a woman marries, there’s just no need for any of these discussions about birth control, choice or sexual health because part of marriage presumably still requires a woman to forfeit all of that agency to one’s husband, or somehow removes a woman’s desire to have any of that ownership over her own life and body. Suffice it to say, it also — so far as I can make sense of it — implies that these children we’re told are SO important, are so UNimportant as to disregard their quality of life, whether we’re talking about having the means to feed and clothe them or we’re talking about assuring that they grow up without one or both of their parents resenting the hell out of them, telling — overtly or covertly — them HOW much they gave up to bring them into the world. Gee, thanks, Mom: lucky me.

I’m a blunt gal. I’m not going to say that some people’s opinions don’t horrify the hell out of me, they obviously do, particularly when they seek to make those personal opinions public policy. However, even with the seriously scary stuff, I prefer it straight up.

If you just think, as a woman yourself, that it’d be best for women to be without options anymore, for women’s lives to revert (and when I say that, I’m not even talking about all women: for the poorest women and women of color in many areas, marriage never even pretended to offer financial security, stability or safety) to being about nothing but preparation for marriage-and-mothering-as-career, then just freaking say it, and out of both sides of your face, please, with baby food in your hair and in your sweatpants, not a $500 hairdo and a Brooks Brothers suit. If you want to say that comprehensive, accurate sex education benefits no one, then you’d best start planning now for how you’re going to cover it up when your perfect teenage kid who has pledged abstinence gets knocked up, or winds up with PID due to an untreated STI from their new husband — who wanted to marry them, so he must have been a good guy, and who said he loved God and was waiting until marriage, so he must have been — an STI they didn’t even know they had since marriage = safe sex and no one who waits for sex until marriage needs regular pap smears and STI screenings. If you think, as a woman, women should have no choice as to when they have sex, when they become pregnant, if they remain pregnant, if they parent, then just say so and mean it…. which means you’re going to be saying it to a house full of whining tots, not on the evening news, not in your new Random House book; not with your sign you can somehow afford to stand holding every day in front of clinics where women are working, plenty to support the freaking kids women have already, plenty to support women just like you on the day you show up there, talking about how against abortion you are while you’re there getting one.

Sunday, December 30th, 2007

Things I love about the new gig:

• The fact that this is a no-argument feminist job. Mind, at this point, I feel the same way about the sex education I do, and the art that I do, and I have for a while. Way back when, I was feeling it out, not sure if it was or it wasn’t for myself, and then, of course, I spent far too long listening to and engaging debates with others about if it was or it wasn’t. And I am still privy to plenty of those arguments daily, be it about my work specifically, or about the kinds of work I do in a more general way. But this? Feminist, women-centered organization, literally doing every woman who walks in there’s bidding, and providing unilateral support, when it comes to what she wants for her own body and life and being there for that express purpose; doing so in an overall environment which is massively hostile to it, even right outside the gates sometimes. I don’t even need to ask the question because “Is it feminist work?” about this sounds as seriously stupid as “Is the sky blue?”  It sure makes getting up before 5 AM a whole lot easier than it would be otherwise, I’ll tell you that much.

• When I come home at the end of the day I am completely wiped. I’m often wiped out intellectually or emotionally from the work I do here at home, but rarely am I physically exhausted as well. The kind of worn out I have when I come home is one part commute, one part standing all day, one part tons of information coming in at all times, and one part mind-blow. Even for the bits derived from tiresome things that aren’t pleasant (read: this damn commute in a city without a damn subway), it’s a good thing because this insomniac has been sleeping like the dead without any trouble.

• The women who work there just freaking rock. SO diverse (unlike most of Seattle, honestly: this is NOT a lily-white workplace by any stretch), so good-spirited, so warm and so dedicated. I nearly spit up half my lunch today listening to one of the two abortion providers there going on about how Daisy Sour Cream has been found to have more lactobacillus than even yogurt, and how she tells women — putting on a faux southern accent — who ask her about yeast infection preventatives how inserting that weekly will leave them “fresh as a daisy.” It’s just really great to be in a community of women who are my kind of people, and who I don’t have to explain things to about my and our work because they already get it completely, some of them for a whole generation before I even came to it. I have yet to meet one woman there who I don’t like immensely.

• Can I just say that abortion freaking rocks? I know, one isn’t supposed to, of course, but I’m saying it anyway. I’m not just talking about the ability to make the reproductive choice best for you, and that being an option and a reality. That’s long been an inarguable given for me, and this job has only cemented that further. There’s this moment in counseling where you inform the women there, after explaining the whole of the procedure, that they will no longer be pregnant when they leave and you don’t see a single woman at that part of the process who doesn’t noticeably exhale with relief. You can literally watch the burden sail away. But I’m talking about the actual procedure here. This last week, I got to watch procedures with one of the doctor where her clients and under general, so it’s not as invasive to really get in there and watch close up as it is for those using a local. Not only is it just outrageous how deft this doctors hands were, and how fast and sure she is — and let me tell you, there was indeed a bit of envy there, missing the deftness I might have had with my own disabled hand, which often fails these days at even writing a legible word on a bad day, even when I try very hard — it’s just a revelatory procedure when you’re all up and in it. Plus, I got to look through the products after a few procedures in a glass tray over a light, and I SO wished I was comfortable asking if I could come in there one day with my camera for this stuff. Ultrasounds and illustrations don’t do fetal development any justice. Not only do embryonic or fetal products (up until a certain point, obviously) not look like baby, it doesn’t even look human or mammalian. When you can identify something at all it is like looking at some sort of prehistoric, translucent sea creature and it is fascinating. Makes sense, of course, we grow in a liquid environment, but I was totally unprepared for the utter coolness of it all. So incredible and amazing.

Things I loathe about the new gig:

• The hour and a half to two hour commute each way when I don’t have a carpool setup, especially days like today when I get to do that both ways. The other morning was particularly special, as the bus passed me by at my stop and I got to run like the freaking wind for four blocks (a jogger I am not), nearly losing my scrub bottoms, at the glorious hour of 6:30 in the morning. I completed that day by standing in the freezing rain for twenty minutes waiting for the first of the three buses back home, and the commute on the way home took just over two hours.

Did get a bit of perspective, at least: one of the women who just started working there commutes all the way from one of the islands, giving her a ferry and a bus, for a swell three hour trip each way. And she’s full-time, with kids (rather than just a crabby little pug like some people) at home. Jaysis.

• It’s not especially comforting that there are printouts of what to do per a bomb threat at pretty much every desk. Mind, I knew the deal going in, but still. When you’re zoning out from doing training reading and look up to rest your eyes, and see that — and also hear someone in the next room calling about someone who has been sitting in a creepy truck eyeballing the clinic all day at the same time — that’s not exactly restful. Walking past the protestors first thing in the morning when you’d prefer to be in your cozy bed is also not fun, and I confess that yesterday morning, I was so too tired to deal with it that I jutted through a shrub and stuck my tongue out at the protester staring down “God will strike you down dead with the power of my eyeballs” daggers at me while I flew by. I figure things like sticking-out-tongues or the ever-classic “Phooey on youie,” are perfectly peaceful, nonengaging responses. If you’re six years old, sure, but before enough coffee and deprived of sleep, I effectively am six.

• My shins have been KILLING me after these days. I’ve really never had a job that’s about standing all day. Lifting all day, sure; standing, walking, squatting and running around liek a chicken with your head cut off, you betcha (welcome to ECE and Kindergarten teaching). But this thing where most of the day you are simply standing, without really moving much? Good gawd. I’ll be trying every pair of shoes I can think of for a while. I thought clogs were the ticket, but clearly not. Next week, I think it’s sneakers one day, and maybe my gardening shoes the next. (Mind, I don’t like wearing shoes, period, but going barefoot isn’t an option.) Nice thing about already looking like a dork in scrubs already is that no footwear can really make it worse.

Monday, December 10th, 2007

Just so’s ya know, I wasn’t being vague about the new job, what it was, and where it was, just because. I just wanted to have a talk with the development director first about it before I said anything to be sure they were okay with it, and make sure we the same parameters I’d apply myself to talking publicly about work.

Truth is, I love, love this organization SO much — and that love has been mutual for some time, which has been such a compliment — and am so excited about working with them that I was aching to say something.

I had that conversation today, and it’s all good. :)

So, I’m now working for the Cedar River Clinics/ Feminist Women’s Health Center as an abortion and birth control counselor two days a week. Possibly more over time, I just need to feel out how this all works with everything else I do. It’s one of the last remaining independent feminist women’s clinics which provides abortions — I’ve talked about them before, so you likely already know this — it has an amazing history, is full of amazing women running an organization by a completely feminist model (The one big rule there? No stupid rules. Welcome home, me!). I’m really still quite beside myself that I get to do this work: it’s a position in which you’re there helping women who are giving you their trust in something so huge and so important. I’ve done a lot of feminist work over the years, but I feel like this really is such a peak. Being a pro-choice activist for so long, getting to be right in the thick of it all is such a gift. I’m nervous as hell — suffice it to say, one doesn’t want to fuck this up, ever — but for as nervous as I am, I’m even more elated.

Today I spent the day in some meetings with the women working in my clinic and one of the others, and it was very good news. That this is a new work community for me is heaven: as I said during orientation last week — and right after saying so, realized my lingo could perhaps use a makeover from all the time I spend talking to teens — these women are seriously badass. A drink afterwards with an instant pal from training last week was also just the thing. I’m tired as hell and will likely go to bed crazy early, but that’s largely because, of course, I had to get my period yesterday. I think my body figured out it was going to be in a room full of estrogen, so considered it my duty to not contribute further. I disagree, but I don’t really get a vote.

So y’all know the parameters, I likely won’t talk that much about this job when it comes to specifics. Patient confidentiality is obviously the mot central issue, but I’ve also been writing online longer than most and know better than to get anything even resembling in-detail with an employer of any stripe. So, that’s not going to happen, here or elsewhere.

But, that’s where I work, and I remain psyched-beyond-psyched. And today, very tired. I need some supper, a few Advil, a bath and my warm bed, big time.

Sunday, December 9th, 2007

You have probably heard that the teen pregnancy and birth rate is up in the United States, for the first time since 1991. As is reasonable, the primary issue most talking about this are addressing is abstinence-only sex education and, due to the way the U.S. has only given federal funding to those programs since 1996, the lack of comprehensive sex education. Of course, too, the ab-only corner is immediately coming to the table with the strange idea that pregnancy and birth rates are up because of comprehensive sex education. Logic and sound data obviously is not the order of the day for that faction, including in their curricula chock-full of intentional medical and practical misinformation, so it’s hardly a shocker that they either haven’t looked at the facts here or have, but don’t care about misrepresenting them.

It’s not tough to find the flaw in that supposition: we’ve only had the abstinence-only mandates, and the popularity of those programs, in this country since 1996, and those mandates have grossly limited comprehensive sex education for teens everywhere. It was during the heyday of comprehensive sex education in the States — combined with the heyday of the greatest access to and awareness of reliable methods of contraception — that we saw teen pregnancies and births begin one of the strongest declines ever. As well, if they’re going to posit that comprehensive sex education is to blame, then as Desi Arnaz liked to say, they’ve got a lot of ’splaining to do, Lucy. Why, then, aren’t we seeing these increases in other nations, in which comprehensive sex ed, and contraception, is often even more widely available than it is here of late? Why, before the advent of abstinence-only, and in the swell of comprehensive sex education, did we see a decline in these rates begin around 1990, and a rise again now? If social and sexual conservatism is the answer to teenage pregnancy, why does the U.S. and other socially conservative nations have the highest rates of teen pregnancy?

As someone who talks to scores of sexually active teens every day, and has watched these trends closely for many years, I worry that critical issues will get lost in the battles between groups of adults fighting about who is in the right when it comes to sex education that isn’t even for them in the first place. Increases in pregnancy and birth rates to any group, including teens, are about more than just what sort of sex education people are getting, and tunnel-vision or polarized thinking is never helpful.

By all means, a lack of accessible, approachable and accurate comprehensive sex education is always going to create problems with unwanted pregnancy. It always has. Heck, in any given day, we see at least one teen — and sometimes full-fledged adults — who really, truly, doesn’t even know exactly how pregnancy can occur (and most abstinence-only curricula are incorrect or incomplete in that regard). If you don’t know how something even happens, and know ALL that you can do to prevent it, it’s not rocket science to figure that preventing it is going to prove a challenge. So, we know that sound, accurate sexuality education is a vital starting point, but what else should we be addressing?

1. The refusal of men of all ages — but particularly teen men and older men sleeping with teen women — to always and gladly use condoms. It’s a given that this remains one of the biggest problems with sexually transmitted infections, but this is also a huge issue when it comes to teen pregnancy. Many teen women do not have — and many cannot get — another method of birth control. Even when the female partner is using a method of hormonal birth control, effectiveness rates for those methods are lower among teens than they are for adults (largely due to so many teens having to hide use of that method from parents). If I had a dollar for every teen who I have had tell me that they (usually if they are male, or if they are female, if their male partner has given them this message) or their male partners “just don’t like” condoms and “can’t feel anything,” I would be an incredibly wealthy woman. Ironically, I get as many teens saying that as I hear about condoms having slipped off without anyone even knowing. We hear a lot about how condoms aren’t “natural” (as if hormonal birth control, the preference of most men, was), how they “get in the way” of sex (as if headaches, extra depression and decreased libido and vaginal lubrication on the pill don’t), and about how teen women will often go without them, even when they don’t want to, because it isn’t worth the strife and conflict they get from their male partners.

That negativity is often learned. A lot of the time we dig deeper into condom bellyaching, we discover that at least half the time, the guys complaining have never even used a condom, and/or have gotten messages that risk prevention is only women’s responsibility. They’re often parroting what they hear from other men: fathers, brothers, friends, men in media.

Too, girls are still getting the message that if they want to be sure to be prepared even when their male partners are not by having condoms in their own pockets and purses, then they must be sluts. “Good” girls don’t carry condoms: they may still have sex — and that can be socially acceptable, especially if they are in love, and especially when it’s what their male partners want — but being prepared on their part FOR that sex is not very acceptable these days. Condoms, in particular, are a no-no for girls to carry because it’s often assumed that they’re then concerned about STIs, and would only have that concern if a) they didn’t trust their male partners, and/or b) they have had many sexual partners and an STI themselves.

Condoms are, in my book, the best birth control going, especially for teens. They protect against STIs as well as pregnancy, they have no side effects for either partner, they are one of the least intrusive methods when it comes to impacting the sexual experience of either partner; they’re cheap, easy to find, and easy to use. And when a person knows how to use them and uses them properly, they are nearly as effective as any hormonal method. To boot, they engage men in taking equal responsibility in managing the risks of sex, and allow female partners of men to earnestly feel that investment when men not only use condoms, but do so gladly and of their own accord.

2. Steep increases in costs of birth control methods and the decreased access to birth control methods and sexual health services. Birth control costs have been skyrocketing, especially for student health centers, due to a loophole in federal law which penalizes companies (by receiving lower payments from Medicaid) for offering prescription medications at a discount. Some student groups and organizations have been working to try and subsidize birth control costs for students to offset this, but many young women are having to just leave methods behind which were working for them.

While it should be obvious, it’s always worth reminding everyone that birth control methods fail. Sure, we can say that abstinence does NOT fail, but the problem is that it does, because few people WILL remain abstinent for the whole of their lives (and unwanted pregnancy is still unwanted pregnancy, even in marriages). Abstinence-pledges have NOT proved more effective than most birth control methods: based on the data we have for the long-term effects of abstinence programs, we can basically say that abstinence is about as effective as the withdrawal method.

3. Rising rates of poverty. In every country, during every time, poverty has always created increased teenage pregnancy and birth rates, as well as presenting additional health and quality-of-life risks to young, pregnant mothers and their children. Worse still in the states, family planning services through Title X — and the placement of individuals in that department who outright oppose the services it is in place to provide — have been diminished or cut off for the poorest young women. The Senate tried to give it an increase in funding last month: the . It’s particularly nefarious in an antichoice administration which never shuts up about how concerned it is about giving children life, knowing that poor mothers equal children living in poverty, too. No child left behind my fat fanny: the United States ranks next-to-last in child welfare in a recent United Nations survey of the wealthiest countries.

Teen pregnancy in poverty increases health and other quality-of-life risks to mother and child, makes it even more likely for poor young women to complete their education and reach life goals, and it is usually far more challenging to be a teen parent than it is to parent at older ages. Don’t care enough about teen parents and their children, or about those living in poverty, to feel this is your problem? Then you probably at least care about our collective wallet: teen pregnancy costs the U.S. over nine billion dollars a year.

4. Self-esteem issues and lack of assertiveness among young women. Young women often struggle with low self-esteem, especially in a culture where everywhere they look — the media, peers, and from the right and the left — they’re sent endless messages every day about how their appearance and sexual appeal to others is everything. We’ve also been seeing with some feminist backlash in terms of gender roles, resulting in young women getting the message that they are supposed to be passive about sex and with sexual partners. Several times daily we counsel young women at Scarleteen through sexual conflicts and negative consequences due solely or largely to lack of esteem. And abstinence-until marriage attitudes don’t help that at all. Telling young women that sex is only acceptable within the context of marriage, and that they aren’t as good unless they do does not increase their self-esteem. Telling young women and men that sex is only okay (for them: you can say it’s not okay for men either, but male sexual behavior and cultural double standards about male and female sexuality show that up) within a certain type of exchange — in other words, men “earn” sex from women by marrying women — only enables and validates the message that women’s primary value is a sexual one. Positing every aspect of sex as something that needs to be bartered with or controlled is not empowering. On the other hand, young women generally report that learning how to set limits and boundaries, that they have their own sexuality which they can choose to share or not, on their own terms, that sex is about personal expression, not performance or duty, about how their bodies and sexualities work and learning how to use safer sex methods and birth control — even if they don’t plan to do so for a while — IS empowering for them. Not sure what young women need to raise their esteem and learn to be assertive? Then ask them.

In order to teach young women to be assertive, we have to protest traditional gender roles and heterosexism, because they are based in male assertiveness and female passivity as well as the notion that the only basis for relationships between men and women is sex and/or romance. We need to be talking to teens about sexuality honestly. We need to counter the messages they’re sent from the media about appearance and its value; about women as sexual objects or conquests. We need to let young women know that a young man not being down with them taking a turn in the driver’s seat is not the worst thing that can happen to them. We need to challenge young women to create a better world with better dynamics than the one they’ve got now, not just figure this is as good as it’s going to get.

We also need to pay teens real respect. The fact that most of the argument we hear about teen sexuality and sex education happens among a group of people it isn’t even about, and who are not directly impacted — adults, and adults who often aren’t even parents to teens — speaks volumes about the respect we have for young people. The fact that it’s up to adults what kind of sex education teens receive — rather than say, voted for amongst student bodies in the schools teens attend — is appalling and patronizing, and no wonder many kind of sex education aren’t effective. Speaking for teens without speaking with teens doesn’t increase esteem: we need to be their allies, not their zookeepers.

5. Rape and gender-based violence. Studies have found that between 11% and 20% of pregnancies in teenagers are a direct result of rape. 62% of pregnant and parenting adolescents had experienced contact molestation, attempted rape, or rape prior to their first pregnancy (Boyer & Fine, 1993). Around 60% of teenage mothers state their pregnancies were preceded by unwanted sexual experiences (Gershenson et. al., 1989). Before age 15, a majority of first intercourse experiences among females are reported to be non-voluntary. The Guttmacher Institute found that 60% of girls who had sex before age 15 were coerced by males an average of six years their senior. The California Center for Health Statistics found that 70% of babies born to teenage mothers are fathered by adult men. Sexual exploitation of minors, rape and other sexual abuses are NOT a small factor when we’re talking about teen pregnancy OR a lot of teenage sex. Do the math: you can see that that doesn’t leave us a lot of teen pregnancies that have NOT had something to do with rape, abuse and exploitation.

Most messages about sex and when to have it are directed at girls and young women, and when they become pregnant, they are often told, overtly and covertly, that they have been irresponsible. And yet, rates of partner abuse and date rape among teens are incredibly high, and for the youngest women, not only was pregnancy often unwanted, so was the sexual activity which created that pregnancy. “Just say no,” doesn’t help when you ARE saying no — or don’t feel your no would even have influence — and someone else is going to have sex on you anyway.

What’s our federal government been doing about that? Well, slashing away at domestic violence prevention and gender-based violence programs like VAWA and rape prevention programs and rape crisis services included under that vetoed Labor HHS bill, of course.

6. A greater window of teen fertility due to earlier menarche. This is a simple statistical matter. With menarche happening earlier and earlier, teen women have a larger window in which to become pregnant than they have before. What does that mean to us? Yet one more reason (as if we needed more) to do all we can to prevent sexual abuse and exploitation of the youngest women, to be sure young women know that common myths like them being unable to become pregnant the first time or at a certain age aren’t true, to do all we can to empower girls from day one so that they can be assertive about limits and birth control when they need to be.

7. When two people love each other very, very much… I’ve always found it pretty darn strange to hear people trying to keep teens from sex talking a blue streak about how partnered sex — or more pointedly, heterosexual vaginal intercourse — is the most super-special thing any two people can everdo together. Not only do I tend to disagree with that — simply because it can be mighty special, but isn’t always, and there are lots of other equally special things people can do together — I can’t for the life of me figure out why that is supposed to make anyone want to avoid sex. If you’re in a relationship that feels very special, you’ve got some sexual chemistry going as well as some sexual desire, AND you — understandably — want to do something with someone to enjoy and celebrate that specialness and those desires, then sex is going to be one of the first things you think to do. especially with everyone and their uncle telling you how precious it is.

The same goes for putting motherhood on a pedestal. We can all be supportive of mothers (and fathers) without being a perpetual Hallmark card about it. If you’re wondering why so many young people can’t get how much of a challenge parenting is, look around and listen: most of the messages we’re all sent about parenting are not realistic or practical, and many make pregnancy and parenting sound like a state of constant bliss and a guarantee of unconditional love. On top of sending teens really mixed messages, this kind of treatment of parenting also makes a lot of good parents feel like awful parents, and keeps their realities invisible, because they figure all the doubts they have, all the times they’re not so stoked about being a Mom or a Dad may mean they’re substandard or bad parents.

8. Which country won’t make emergency contraception over-the-counter for teen women? Oh right, ours! EC is incredibly effective, safe and easy to use, and yet, for all the bellyaching about teen pregnancy, and despite finding no scientific data that shows EC would be a danger to young women (especially when you consider that we have plenty of OTC drugs anyone can get which can be dangerous and even deadly); even despite losing valuable FDA staff over this, the U.S. refuses to have the same policies about teens and EC that other countries have.

Many teens who want EC are still going to find a way to get it, as they should. But because EC needs to be used in such a short window of time — before a pregnancy occurs — to be effective, the harder we make it for teens to get it, the less likely they are to use it when they need to (not to mention that we then increase the stress of an already panicked teen further).

9. Stop chipping away at reproductive rights. When we’re also talking about birth rates, not merely pregnancy rates, it’s also a whole different ballgame. Whether or not a teen woman continues or terminates a pregnancy isn’t really about why or how she became pregnant in the first place. And when we consider that most of the abstinence-only faction — as well as our President — is also usually antichoice, you have to admit that it’s awfully strange to see them framing increased teen births as someone else’s fault, or as a problem they don’t like. (Leslie Unruh — who has previously offered teen women money to bribe them into continuing pregnancies and who was key in the South Dakota abortion ban — in particular did a particularly creepy spot on a news show a while back cooing about how women, period, shouldn’t be using birth control because we all needed babies, babies and more babies! Thinking about it still gives me the willies, and makes me wonder if she doesn’t eat babies or something. Her statement in that link about ab-only getting 1/12th of the funding comprehensive sex ed gets is also a blatant untruth, and one easily checked.) They may or may not desire teen pregnancy — though I think it’s more accurate to say they are more concerned about teen sex than teen pregnancy — but most abstinence-only proponents DO desire births, especially if those births occur within a marriage or result in adoption. Additionally, for those who push adoption on pregnant women, it should be noted that teens who have been reared in foster care often have doubled rates of teen pregnancy as compared to other teens. Setting aside the grotesque of guilt-tripping women into what for many is such a difficult thing to do and treating woman as baby factories, consider how many children never are placed in a permanent home here. According to the U.S. Department of Health and Human Services, between 1999 and 2005, each year around 125,000 children are not placed, and of course, race plays a part: the poorest women so often being women of color, their children are less likely to be adopted.

If it’s teen births, not teen pregnancy that troubles you — and when those births are unwanted, it really should — then you’ve got to make sure that abortion becomes and remains widely available, accessible and affordable, including to minors. At the present time, 87% of counties in the United States have no abortion provider. Abortion continues to become more and more costly thanks to our policies about it. Most states have laws and policies which require parental consent or notification for minors seeking abortion (and the same is not required for minors continuing pregnancies), and in several states it is illegal for a teen to cross state lines to terminate an unwanted pregnancy. I know I’m yelling into the void when I tell many conservatives that every birth and every child should be a wanted birth and child, and that we may never reach an agreement there. But if you’re going to talk about not just teen pregnancy, but unwanted pregnancy being a problem, you have to recognize that limiting reproductive choice is a huge part of that problem.

For the progressives reading sure they’re already doing all they can? One extra tip: stop apologizing for and about abortion. It’s nothing to apologize for, a procedure which most women who have it report as a positive, and there is no utopia we can imagine up — including a world where there are no-risk BC methods all women can use and afford which are 100% effective and reversible, a world where every woman always gets a say about sex, a world where infant health risks or defects are a nonissue, a world where every woman who wanted a child could afford to raise one — where abortion would not be an essential and needed service for women to prevent unwanted births. Women have had or sought abortions for as far back as we go, and the option of safe, legal and effective abortion is nothing to be sorry for.

10. An overall acceptance that teenagers always have and always will often be sexually active in some respect. There is no teen sex epidemic right now. Historically, teens have, as a group, always been sexually active, and that activity tends to happen with the physical, emotional and social sexual development that no one can halt and which is developmentally normal. By all means, it’s beyond sound to talk to teens about sex and sexuality and let them know about risks and consequences, and about what sorts of things they need to be ready to manage if they’re going to be sexually active. By all means, we should be talking to teens to let them know that if sex isn’t fully wanted on their part, then they should not be having sex (and sex-until-marriage rarely sends that message: instead, it tends to enable the message that once a person — especially a woman — is married, she MUST have sex, and often not based on her own desires). By all means, we should be supporting teens in waiting for any kind of sex until it is wanted and until they’re ready to handle it.

But trying to stop teens from doing something which is developmentally normal for them is not only ineffective, it’s ridiculous. Sure, once a two-year-old learns how to walk they’re going to face more risks and potential dangers than they did when they were less mobile. But we don’t hear anyone trying to make a strong case that because of those increased risks, we should be doing everything we can to keep toddlers from walking, an essential part of their growth and development. Sex isn’t inessential. It’s not required, but it isn’t inessential for most people and teenagers know that, even if older adults have forgotten (or their own sex lives have grown so stale and rote that sex seems inessential to them).

As a final aside, it’s important to realize that some teens choose to become pregnant. It’s patronizing and ignorant to class all teen pregnancies as accidental. Most are, but many are not. Plenty of teen women want to become pregnant, some even more than they want to sex they’re having to get there. Certainly, with many of those young women, we can identify some common causes for that desire to have a child. Poverty, low self-esteem (primarily, thinking that the only thing they have the capacity to become is a mother), loneliness, a need to prove maturity, as well as looking to try and cement young relationships have often been found to be common issues of the youngest parents who want to be parents. But too, not only are some of these some of the same reasons that older women want to be parents, some teens also share another common reason older women have to want to become pregnant: the desire to be a parent.  Whether or not you feel teen pregnancy is or is not acceptable (and from a standpoint of real reproductive choice, if you feel it’s outright not-okay when you’re not the one pregnant and parenting, I’d urge you to rethink that), it is not always accidental, and teen women do have the right to choose to become pregnant and remain pregnant if that is what they want to do.

So, you want to help halt unwanted teen pregnancy? What do we all need to do besides supporting comprehensive sex ed?

  • Teach men to use condoms, always, and without all the bellyaching. Work to make it a positive for men AND women sleeping together to keep condoms on hand. Men: support and encourage other men in condom use. Women: tell teen women about how you don’t take no for an answer when it comes to condom use.
  • Increase access to all reliable and safe methods of birth control and slash the costs of birth control. Bring back family planning and sexual health services and access for the poorest women.
  • Fight poverty, even if that means giving up some of the luxuries you call needs. Live lean, and give to organizations like the YWCA, UNICEF, your local homeless shelters and other organizations which fight poverty and provide supports for those currently in poverty.
  • Support and nurture positive self-esteem through personal achievement and value of diversity, address lookism, sexual performance vs. sexual intimacy and sexual valuation, and by treating teens with respect and AS young adults, not as children.
  • Do everything in your power to work to end rape and gender-based violence, including blaming perpetrators, not victims.
  • Recognize current changes in sexual development — like earlier menarche — and take them into account.
  • Talk realistically, to teens and each other, about partnered sex, pregnancy and parenthood.
  • Make emergency contraception easily available for all women, of all ages.
  • Help keep abortion legal — even if you have no want or need for abortion yourself — and commit to making it affordable and accessible to every woman who wants it.
  • Know and accept that many teens will seek out and have sexual relationships.

Comprehensive sexuality education does address usually all or nearly all of these issues, and incorporates an awareness about all of them into our approaches to sexuality education. Obviously, as a comprehensive sex educator, I’m all about doing all we can to get comprehensive sex back back in the game, for real. Even from a personal standpoint, every year when I file my taxes and know that I have no choice but to fund the institutionalized misinformation that I have to bust my butt every day, without funding, to correct, my blood boils. And I absolutely think that abstinence-only funding and curricula — and the lack of comprehensive sex education that has been a result — are a big part of the unwanted teen pregnancy and birth problem.

But I also think — scratch that, I know — that that’s only one part of the problem.

(Cross-posted from the Scarleteen Blog)

Tuesday, November 6th, 2007

I have no idea what the heck brought this on, but something I was working on yesterday made me think that it’d be pretty fun and empowering to think of my average vulva as my super, big, GIANT vulva. I suddenly found myself wanting to say, and quite loudly, to no one in particular, “Yeah, well check out my BIG VULVA!”

I came to the conclusion that “big vagina” somehow has a better ring to it, though, likely because however incorrectly it’s often used, it is a more commonly used term, and it’s that part of the vulva which women are so often told or think must never, never — oh, the horror! — be anything but as diminutive as possible. It’s still overall seen as much more okay to have a big labia than a big vagina, and big clits often seem to be seen as fine and dandy, mostly because they’re perceived as being like big penises.

attack of the 50 ft. vulva!You might wonder what on earth would compel someone to somehow get fixated — and in a way that makes her feel giddy and silly and very excited and more than a little powerful — on BIG VAGINA.

Often, activists who do serious and emotionally challenging work can, when pushed to the work-limit, become slap-happy and rather silly at times. It’s also been a big of a girl-bits-themed week for me, and I could possibly blame Christa in part. Plus, I work in sex, which while it is certainly important, and absolutely very serious in some ways, is in just as many ways, something ungodly silly which people do. My partner is used to these occasional bouts of sex-geek-goofy by now, so, while it certainly created a moments pause — and also a question as to if I had been drinking — my greeting him when he arrived home by jumping into the room and bellowing “BIG VAGINA!” was not the surprise it might be for someone else’s partner.

This does NOT mean, by any means, you should discount what I am about to say, or dismiss that ultimately, I’m quite serious about all of this. But you are allowed to laugh, and in fact, I strongly encourage you to do so, because way too many people take the size and appearance of their genitals way, way too seriously, and it is really messing y’all up for no good reason.

Women (though it’s important to put out that we’re pretty much always only talking about heterosexual women when it comes to this) have started to obsess on their vaginas or vulvas or labia just being way too big to a similar degree that many men have long fixated on their penises being way too small. People are tossing away ungodly piles of money daily to attempt to change the shape or size of their genitals, and some — a lot, really, vaginal “rejuvenation” surgies rose a whopping 30% from 2005 to 2006 — even risk going under the knife for surgeries which not only pose serious risks to their overall health, but also put their sexual function at risk, all for the sake of appearance or sexual performance concerns which are almost always completely unfounded and unrealistic, and which most often do NOT impair sexual function.

Genitals are small. ALL genitals are small, because in this big planet we live on, in the far bigger context of the whole cosmos, people are amazingly small, let alone a handful of inches of genital tissue. Even when we’re looking only at people, we’ve got parts of our bodies that make our genitals look microscopic: our small intestines go for 20 feet and our blood vessels quite literally are 100,000 miles long. My dog, a pug, is a small breed — so small as to be considered a “toy” breed — and she’s far bigger than anyone’s genitals could ever aspire to be. But my dog, even though she thinks quite otherwise, is but a very small dog. If I had a dresser drawer the size of any genitalia, that drawer would be really useless. Sure, compared to say, one of my freckles, my vagina or clitoris is big, and it’s all relative. But let’s face it: genitals aren’t big, even though they can sure feel big, and can even make us feel bigger or emotionally amplified.

Before I tell you more about my VERY big vagina, it’s probably a good idea to do some basic discussion and deconstruction of genital size. We’ll get to penises in a little bit: for a change, let’s first start by talking about female genital size. To keep this discussion from becoming War and Peace, we’re going to focus on average size ranges, so do understand that average means just that — the middle point of a group of values (in this case, sizes), obtained by taking the sum of a group of values and dividing by the number of values — not “normal.” The sizes of normal, functional genitalia are generally well beyond the averages in either direction, and genital size, even sizes pretty far from the averages, very rarely impacts sexual enjoyment or function unless the person with them gets so hung up on normalcy that their hangup becomes a buzzkill, or unless that person’s sexual partners aren’t making any adaptations that might be needed in some cases.

It’s not exactly an easy discussion to have about women’s bodies, for a few reasons: a) female sexual anatomy is seriously nonlinear, both internal and external, and thus very tough to measure or quantify, b) so few people have given a hoot about our genitals that they still haven’t been studied very much, and c) the parts of our genitals which have been studied have more often been the parts that men deem important to them than the parts we deem most important to us. Plus, the size of our genitals varies a lot based on age, sexual arousal, whether or not we’ve had children, the works. Men’s penises are given measurements for erect and flaccid, which is only so apt for men, but it’s even less so for women as we have more degrees in between in terms of changes with sexual arousal, and parts of us that change with arousal we can’t really measure (since they’re internal), as well as those additional factors.

That said, the things we can look at when it comes to female genitalia and size, which we have some numbers for, are the size of the clitoris, the inner labia, the length of the vaginal canal, and the width of the back of the vagina. We can’t really talk about differences in size when it comes to the vaginal opening once the hymen has worn away — and boy howdy, do you bet your rump I get tired of explaining this every day — because as we all know (and if we don’t we seriously should by now), the vaginal opening is closed unless we insert something it it, or something (read: baby) is coming out of it. It’d be sensible to talk about measurement of vaginal muscular strength, but since scientists don’t seem to find that worthy of study, we can’t speak to it just yet very quantifiably. And the size or measurement of all of these things is often relatively useless and very arbitrary, but for our purposes today, that’s okay.

The vaginal canal: Let’s start by talking about the length of the vaginal canal. To most folks concerned about penis sizes, that’s about the only thing they might consider relevant (even though it isn’t all that relevant, given that when we’re talking about women who like vaginal intercourse, length usually is a non-issue, save when someone is trying to insert something too deeply which is just too long: it’s width that’s an issue, as well as how the penis is stimulating the g-spot and internal clitoris). We already know we can’t talk about the width of most of the vaginal canal, since that depends on what is inside of it, and when nothing is inside of it, its walls are collapsed save at the very back, but I will talk about width in one respect in which we can in a minute. The vagina is often referred to as a “potential” space — a term I can never figure out whether I like or not: on the one hand, very literally, the world of potential really is all about vaginas, but on the other hand, I think that term is often used to suggest that the vagina isn’t “actual” in any way unless something is inside of it, which is absolute crap.

From the vaginal opening to the cervix, the average vaginal canal length is 3 to 7 inches, unaroused to aroused, with an average capacity to stretch — when something is inside of it — to around 8 or 9 inches deep (it can also stretch from side to side). It might be helpful when we’re trying to illustrate this range to consider the range of adult speculum sizes: they range from around 3 inches to long and one inch wide to just four and a half inches long and one and a half inch wide.

Vaginal anterior width: If you really want to talk about vaginal width we have a practical reason — that being to fit a diaphragm to use for birth control — to measure, then we’re talking about the back end of the vagina. In case it’s not clear, the vagina is smallest at the opening and widest at the back, whether we’re aroused or not. Diaphragms are held in place by the vaginal muscles in the back of the vagina — a place we don’t even have the sensory nerve endings to really feel, mind — and sits over the cervix. Diaphragm sizes range from 50 to 95 mm in diameter, with fit determined by the distance between the posterior fornix and the pubic bone. A 70 mm diaphragm size is generally considered average. If it helps to understand how minor a difference this all can be, and how adaptable the vaginal muscles are, most menstrual cups only come in two sizes, with only around an eighth of an inch between sizes, to fit all women, and these two sizes sure fit us all a lot better than the ten sizes of pants we’re all supposed to fit our behinds and thighs into.

Labia minora: Since so many women, especially younger women, are so crazed over it lately, the range of average sizes for the labia minora (bearing in mind that no one ever seems to account for the fact that the size of our labia changes a bit during sexual arousal) is apparently between just less than an inch to just over two inches in length to the longest point. Average inner labia are everything from barely visible to easily seen outside the labia majora.

But obviously, given how incredibly organic and nonlinear the shapes of the labia are — and how vastly they vary amoung women, to a degree that there’s no way you could try and make the kind of easy comparisons men make between penises — it’s not exactly easy to measure, or even to determine what the longest point of some labium is. It’s often said — and anyone who had had their face or hands around even a small sampling of vulvas knows this — that the largest range in size, shape, color and texture that we see from vulva to vulva is with the labia minora.

Clitoral glans: When we’re talking about the clitoris (which also changes in size with arousal: measurements done with averages have shown an average change of 1.5 cm with arousal in XX women: intersexed women are sometimes a different story), the developed clitoral glans when “resting” is about an inch long on average, but it’s not really something there has been a lot of focus on, probably because when it comes to clits (or ovaries, or vaginas, or…yeah, you get it), many researchers just aren’t that interested and you also don’t have to tell women that something does not have to be big to do Very Big Things, especially when you consider we’ve got more nerve endings in our clitorises than there are in any size of penis. Heck, if you want to pick something that includes everyone, let’s not forget that sperm and eggs are microscopically small, but look what they can do! Too, the clitoris as a whole, when we include the internal clitoris, is basically the same size as most penises, but again, so spread out and organic in form, we can’t really measure it well, and can’t really measure it at all in live subjects at this point.

(You’ll note, if you have to torture yourself by ever looking at FAQs for genital cosmetic surgeons that they are very reluctant to say or even ruminate what normal and average sizes are, and more often will say that “normal” is determined by if the owner of said labia likes them or not — in other words, if a woman, for whatever reason, by whatever standard, doesn’t like her genitals, then it’s apparently sage for her to then consider them abnormal. Oy. It should also be noted that in double-checking the things that already live in my head on all of this, I kept falling upon studies showing that for most men and women looking to surgically “correct” their genitals, most of them have perfectly normal, functional and average genitalia.)

Take a break from the words for a minute, and before we move on to penises, check out this handy visual reference I’ve made for you, especially since it was a total pain in the bottom to make and try and keep as right as I could get it. While in even the largest version, things are still not exactly actual size, they’re awfully close, and the relative differences are correct. The anterior width circles were the toughest, but I just happen to have a wide array of diaphragms sitting aro