Birth Control Could Be Triggering Your Anxiety And Depression

 

 

This article is coming from my personal experience with the pill, and may differ from what others have experienced. I am writing this to help girls who might not understand what is going on with their bodies and to bring awareness to the side of birth control many of us do not know about.

In October of 2017, I decided to get on the pill. After years and years of excruciating cramps, taking sick days because I was too nauseous to get out of bed, and having two week-long periods a month, I was starting to become sick of dealing with Mother Nature.

I was definitely skeptical of getting on the pill because of what I had heard about it. Rumors such as, “it’ll make getting pregnant harder”, “you’ll get cervical cancer”, “it makes you gain weight”, and “it breaks you out” stirred through my mind when I talked to my doctor about the possibility. She debunked all of those rumors, and made me feel confident with getting on the pill. I love my doctor, and still do, but I wish she would have warned me about the possible negative effects of the birth control pill.

I started with an off-brand version of Junel. I was taking a low-dose Microgestin (a hormone medication combo that prevents pregnancy) pill daily, which seemed to have been doing fine for my weight and skin. I did not gain a single pound due to the pill and if anything, my skin cleared up.

A month after getting on the pill, I had my first panic attack. When I had this panic attack, I was confused, sad, and worried about myself. I wondered why I had this overwhelming flood of emotion all-the-sudden. I didn’t know why I felt like I was about to cry, or why my stomach was in knots. I thought it was because of the awkward situation I was in at the moment, but I knew my body never reacted that way — no matter what situation I was in. I understood my body, and I knew this was not me. I got up, walked into another room, and made someone hold me until I stopped panicking. On that day, I self-diagnosed myself with anxiety.

The panic attacks continued, and on top of that, my birth control pill was not regulating my periods whatsoever. I was continuing to have two periods a month, along with some breakthrough bleeding. Breakthrough bleeding is when you occasionally spot even while taking the pill. It is not alarming, usually (you should still talk to your doctor!), but it is definitely a pain when it comes out-of-the-blue.

Because of my breakthrough bleeding that went on for a few months, I had to raise my dosage to Microgestin 1.5/30. As soon as I got on the high-dosage pill, my panic attacks increased, my anxiety became a daily struggle, and suddenly I was feeling extremely depressed. I was confused and didn’t know why I was so unhappy when everything in my life seemed so perfect. I had wonderful friends, a new and perfect relationship, a roof over my head, and so on.

Months went on of waking up anxious, not being able to work because I always felt as if I was going to start crying, and laying in bed turned away from the person next to me because I did not have the energy or emotional stability to have a normal conversation. I convinced myself that it was me; that I was worthless and had a long list of reasons to feel this way. I convinced myself that maybe my life did suck, maybe my mental health was just really poor. It wasn’t until I, on my own, decided to look into the pill and its side effects that I realized this might be the issue.

My doctor drew blood and took tests to figure out why I had been feeling so anxious all the time. She also downloaded the “Headspace” app onto my phone (not an ad, just love the app), and told me to start meditating. She was convinced it was my thyroid, but when my results came back normal, we were both left even more confused. She recommended that I see a psychiatrist, and did not even think to ask about my birth control pill.

Holtorf Medical Group did an article about the link between depression, anxiety, and thyroid, stating, “hyperthyroidism – an overactive thyroid – can cause revved up symptoms like high heart rate, high blood pressure, palpitations, anxiety, insomnia, tremors, diarrhea, lack of menstrual periods, loss of appetite, and weight loss.” It might be worth it to research this link and talk to your doctor about your thyroid if you’re concerned about any recent changes with your mental health.

My doctor gave me an ultimatum. She said either I get off the pill, or she puts me on the anti-anxiety medication, Zoloft. I told her I would get off the pill and send her updates. After one week off the pill, I was a brand new person.

My friends, family. and especially my significant other, noticed an enormous difference in my mood, my face, and my well-being. I was immediately happier, and the disturbing thoughts and constant anxiety went away in a what felt like a heartbeat. I truly never thought I would have seen the day that I would be happy.

Of course, I still have the occasional panic attack due to other reasons that have built up throughout the two years I was on the pill, but I have not experienced an extreme panic attack or had feelings of depression since being off. I feel absolutely, completely, brand new. It’s worrisome that my doctor did not suggest this earlier, but it is refreshing to know that I did not give up on myself.

If your pill works for you, stay with it and keep up the good work! But for many of us, oral birth control is the pill from hell. It’s crucial to also do our own research, as well as communicate with our doctors before putting something new into our bodies.

 

First photo via Lady Clever, and the following by Lucy Welsh and Dina Veloric.

I Don’t Forgive You And I Don’t Have To

I have dated enough toxic men to know that I am sick of being forgiving.

Forgiveness within a relationship is not a necessity, despite what we have been led to believe. It’s hard to know what emotional abuse looks like, but you know what it feels like. There is a pattern of sweeping emotional abuse under the rug because there aren’t the same bruises you can show as when someone throws you around. But abuse isn’t quantifiable and sometimes healing takes a lifetime.

After my second round in a budding romance that quickly turned sour, I was paralyzed by what that meant about myself. I wondered why it was so difficult to love me. I eventually realized I wasn’t undeserving of love; my partner was undeserving of me. Your partner isn’t allowed to project pain onto you because they are hurting. There are some who do and some of us put up with anything in the name of unconditional love — and I am absolutely guilty as charged. Now I have a strictly enforced policy of kicking toxic people out of my life for good.

*  *  * 

 

You are not allowed to body-shame me as some sick grasp for control in our relationship.

My partner would constantly compare every inch of my body to other women. My eyes, my ass, my lips, and the excessive softness of my belly were all subject to falling just short of his fantasy of what I should look like for him. Years later, I am still recovering from the injuries to my body image, something that might never heal to what it once was, but that is okay. What isn’t okay is a pattern of violent slut-shaming and body-shaming that is a product of someone else’s own sexual insecurities. The way in which my body was fragmented and scrutinized discouraged me from feeling like I had any possession of my own body. Not only is it harmful in the micro-romantic settings of your partnerships, but it also a perpetuated competition against other women, insisting that you exist within an hierarchy of arbitrary desirability. But I do not want to live within those confines and if your partners are adamant in assuming control over your body, I promise you that their version of love is one you can thrive without.

 

You are not allowed to define me by my sexual experiences or impose your unfortunate sense of purity onto me.

Looking back, it seems like the most obvious display of subtle misogyny from my partner was how threatened he felt by my sexual experiences and his lack thereof. The interactions that made me feel liberated disgusted him. I’ve been called “nasty” and “gross” and a plethora of other unsavory and juvenile insults. His disgust transparently exhibited the truth of his fears, fear that I knew more about my own body than he ever would about his. But it is not my problem or my duty to absolve men of their tendency to exemplify just how fragile their masculinity is.

 

You are not allowed to use me as an emotional punching bag, let alone lay your hands on my body as an exercise of your falsely imagined dominance.

As complicated as relationships are, everyone has their threshold. All I think about after my partners have hit me, kicked me in my stomach, and tortured me mercilessly is how much better I am than them. They will never know what it’s like to love themselves. After years of healing, my most ingenious approach has been to realize that they do not deserve my forgiveness. I do not have to make amends with anyone but myself and it is completely valid for me to come to terms with the fact that there are experiences I’m not required to get over, and there are individuals who do not deserve anything but a big, wet, and juicy “fuck you” forever.

*  *  * 

 

You are allowed to be enraged that your partners have hurt you, you are allowed to hold your partners accountable. You are allowed redefine what it means to heal.

 

Photos by Alisha Hofkens.

Tips For Overcoming Body Dysmorphia In The Bedroom

 

 

Body dysmorphia is an incredibly difficult thing to deal with and can be especially detrimental for intimacy. For those who aren’t sure what body dysmorphia is, according to the Anxiety and Depression Association of America

Body Dysmorphic Disorder is a mental illness which causes people to constantly obsess over real or perceived flaws. Flaws can be found anywhere on the body, but the most common locations include hair, skin, nose, chest, and stomach. Body Dysmorphic Disorder — or body dysmorphia, affects all genders. 

 

Signs of body dysmorphia can include…

  • Being extremely preoccupied with a perceived flaw in appearance that to others can’t be seen or appears minor
  • Excessive grooming
  • Frequently seeking cosmetic procedures
  • Constant comparing one’s appearance to others
  • Wearing baggy clothing for the purpose of “camouflaging” perceived flaws
  • Avoiding going into public out of the fear of being mocked for these perceived physical flaws

Causes of the disorder are still being researched, but the most common beliefs as to what’s behind this disorder include differences in the brain, genetic makeup (especially from relatives who have obsessive-compulsive disorder), and environmental factors such as childhood abuse or neglect.

Becoming comfortable with your body, especially with body dysmorphia, is a very intimate process. This can make the prospect of sex especially intimidating. Sex creates an environment in which your body is seen in a new light. For those with dysmorphia, this may seem like an experience you’re not cut out for. However, sex can still be enjoyable and confidence-building for those with body dysmorphia. Everyone deserves an incredible sexual experience, and no one is any less deserving simply because of mental illness or personal issues.

For those with body dysmorphia, there are things you can try to take the reins on your sexual experience. Here are a few tips to get you started:

 

1. Be honest with your partner about what you’re experiencing.

There will be nothing your partner can say to cure your body dysmorphia, but there are small things you can do together to help you cope with it. For example, I experience body dysmorphia around my stomach. However, my boyfriend will sometimes play with it, lay on it, and make cutesy remarks about it that. Even if the effects were only short-term, it made me feel more at ease about my insecurities. Talking about my insecurity with my boyfriend offered him a guide on how to support me better. It was one of the best decisions I feel I’ve made.

 

2. Talk to someone.

Speak with someone who isn’t  your partner, who can help you get to the root of your body dysmorphia and help you actively recover/cope with it. If possible, seek the assistance of a licensed therapist (especially if they specialize in the area of body dysmorphia disorders). Be completely honest about how you’re feeling about your body (even if it sometimes feels embarrassing) to get your money’s worth out of the therapy, and work with your therapist to set goals for achieving a better body image. If not a therapist, vent to a well-trusted friend who will help hold you accountable.

 


3. Get to know your body yourself.

You can stand in front of a mirror, nude, to get used to seeing yourself in that light. Try masturbating, with or without porn, to become more confident in what you like and to become accustomed to seeing your body as a sexual entity.

 


4. Follow people on social media that advocate for realistic body types. 

One of my personal favorites that helps me is @saggysara on Instagram, who shows how with the right posing and lighting, anyone on social media can look like a “typical model,” but also how she normally looks, unposed with a natural body that is beautiful.


5. Open yourself up to sex with your partner through smaller steps.

Start off gradually! You don’t have to go all in at once if you’re not fully comfortable. Begin with things such as: letting your partner finger you, perform oral, or engaging in mutual masturbation. As you get more comfortable, try to start shedding more clothes. Eventually, once you become more confident in sexual acts, that’ll matter more than how you feel that your body looks.

6. Do all that you can in your free time to nurture body acceptance.

Reframe your thoughts about your body and remind yourself that your body is allowed to be unique and beautiful at the same time. It’ll take a LOT of time to believe it, but it’ll definitely be worth all of the time it takes.

 

 

For more information on Body Dysmorphic Disorder, you can visit ADDA.org.

 

Photos by Daisy Rosato. To view more of their work, you can click here. 

 

 

How To Stay Safe While Dating Online

This article originally appeared in Pull Out, a print magazine exploring the relationship between sex and technology.  

 

Online dating and meeting via the Internet or apps is commonplace these days. However, meeting someone and talking to them online is very different than meeting someone in person. You’re only getting to know a single dimension of the person, and you just see what they want you to see. How you interact with someone in person is extremely important and a fundamental part of a relationship. Here are some basic tips for keeping your online communication safe!

Dating online:

 

  • When communicating online, always keep your personal information private, at least while you are vetting the person! This information includes where you live, the name of your school, phone number, last name, etc. If you’ve been speaking to someone and you feel that you’re ready to take the next step, you can give out your number and eventually set up a public meeting.

 

  • Be honest. If you are sixteen — don’t tell them you’re nineteen. If you identify as man, don’t say that you’re a woman. Don’t deceive someone; it’s not safe.

 

  • Realize that many people online aren’t honest about important things such as their gender or age. Watch out for inconsistencies in their personal information: this can be a red flag that you might be getting catfished.

 

  • Make sure they’re being truthful if they tell you that they’re single or in an open relationship. Following them on social media is an excellent way to figure this out.

 

  • Don’t get in too deep on the internet. People can be very different online than they appear in real life. How you interact with someone in person is extremely important and a fundamental part of a relationship. It’s best not to share personal information until you’ve met IRL and have determined that they are who they say they are and the right person.

 

  • If this person threatens your safety or reveals intimate details about yourself you have not shared with them, block them — but be sure to take screenshots of your conversations beforehand.

 

If you decide to meet…

 

  • Always meet in a public place.

 

  • Make sure you tell someone close to you what you are doing and where you’ll be — just in case.

 

  • Have your friend shoot you a text halfway through your meeting to see how it’s going. If the person you are meeting is weird about your cautionary steps, that’s usually a bad sign that their motives aren’t safe.

 

  • Trust your gut. If you feel like the person you’re meeting is creepy or has a strange vibe — get out of there! Even if you’re in a public place, if you feel something is off, you should get away from them.

 

  • Be on the lookout for inappropriate questions. If someone is asking you about your sex life or how you masturbate during the first meeting… that’s not usually a good sign.

 

  • If you end up hooking up, remember always to use protection! Even if they say that they don’t have any STIs.

 

  • If decide to go home with them, check in with your friends and let them know the address of where you’re headed.

 

  • Friends: if you can’t get reach them for a prolonged period (12 hours, for example) and they’re with a stranger, you should notify a family member or the police.

 

  • Turning on a tracker or activating Find My Friends on your iPhone when you go on a Tinder date is also a good idea.

Great friendships and relationships can originate online, but always remember to put your safety first!

 


Photos by
Jairo Granados.

 

To Cut or Not To Cut?

“Hey Callie, I’m here to talk to you about my penis.”

Out of context, this message sounds like the usual dick-centric DM — it’s like a sales pitch: the virtual version of a solicitor at my door, or maybe it’s a cringing-ly straightforward version of the classic “what r u doing 2nite?” text. Thankfully, this time, no one was trying to sell me on their penis.

This message actually originated from a conversation with a female friend of mine. We’d been discussing penis appearance and circumcision when we realized that we knew very, very little about it. How common was it? Were there any proven benefits? Where does all the foreskin go? What even is a penis? In search of answers, I reached out to the Facebook community asking for penis anecdotes and opinions, specifically surrounding circumcision. The post was basically an inverted version of that Jonah Hill scene in Accepted, where he’s yelling, “Ask me about my wiener!” I was yelling into the cyber-void for people to let me ask them about their wieners.

As it turns out, people really want to talk about dicks because, believe it or not, no one ever actually asks.

Maybe you’re rolling your eyes at the suggestion that penises should be talked about more. We do seem to talk about them all the time, whether it’s jokes, comments about the size of the president’s peen, or some other masculinity-threatening insult. But the truth is, the United States has a penis problem — or rather, a penis discourse problem.

Most of us think about the penis a whole lot, whether it’s because we want dick or because we have a dick. But we don’t really think about the foreskin. That is, until we have children ourselves. “Congratulations on your new baby! Now do you want to cut off its dick skin or not?”

There is, in fact, a war being waged over the foreskin — the war on circumcision, as some see it. Circumcision has been the unquestioned norm in the United States for a long time. Only in the past couple of decades have people started resisting the practice. Anti-circ and pro-circ folks are, shall we say, going head-to-head over circumcision: its benefits, frequency, ethicality and so on. People have a lot of opinions, and the debate is surprisingly complex. Thinking about circumcision solely as a decision of whether to snip is just the tip of the… iceberg.

Those against circumcision deem it an act of violence. Circumcision of infants, they argue, is non-consensual and cruel, as many infants are not given anesthetic for the operation. The leading group against circumcision, Intact America, considers circumcision akin to female genital mutilation. Groups like Intact America, which describe themselves in their mission statement as “passionate, professional, principled, and uncompromising,” are of the opinion that circumcision is an unnecessary and invasive surgery. They go as far as to support an all-out ban on circumcision in the United States.

Looking over Intact America’s website, I realized I didn’t actually know exactly what happened during a circumcision. In order to fully understand, I spent an hour watching different instructional videos on how to circumcise both adult and infantile penises. My personal favorite circumcision video was the one featuring “Blue Danube” by Richard Strauss (every good circumcision is accompanied by a full orchestra).

Now that I’m basically an expert, I can clear up some medical and anatomical confusion. A circumcision happens like this: first, you cut open the foreskin on the upper side of the penis with scissors, then slit the underside, peel it like a banana, and cut it off. Often, metal instruments are used to hold the foreskin open in order to ease the cutting process. The procedure sounds incredibly painful, although I can’t imagine a surgery that would sound pleasant when described in graphic detail.

The World Health Organization estimates that about 30% of the world’s penis-owning population is circumcised. Most of this population is comprised of Muslim penis owners living in Asia, North Africa, and the Middle East — circumcision, or “khitan” in Arabic, is mentioned in the holy texts of the Hadith and the Sunnah. Circumcision is also mandated by most Jewish communities, a tradition which apparently stems from a passage in Genesis 17. I skipped over my childhood Bible studies, so I had to look it up. God tells Abraham, “This is My covenant, which ye shall keep, between Me and you and thy seed after thee: every male among you shall be circumcised.” God then goes on to explain that if Abraham doesn’t keep his people circumcised, their souls will be compromised and their cut off from God. From what I gathered, this is where religiously-motivated circumcision began. But, in the New Testament, Paul basically argues that because Jesus was circumcised, no one else has to be. Jesus’ foreskin died for our sins, so circumcision fell out of Christian tradition.

In other primarily Christian countries like France and England, non-religious circumcision has basically disappeared. But circumcision rates in the United States are still high (around 80% of men aged 14 to 59 are circumcised, according to CIRP) despite the fact that the majority of the United States is Christian. So how did we come to live in a foreskin-less nation?

There’s no one clear answer. It seems, however, that if God wasn’t the one telling you to circumcise your child, it was your box of cornflakes. Cereal namesake John Harvey Kellogg popularized the belief that circumcision was an effective method of stopping masturbation and keeping a person clean and chaste. That anti-masturbation pro-hygiene argument became especially popular after the first World War, when the military was forced to discharge more than ten thousand men due to STIs. The proposed solution? Circumcision.

Starting in the Second World War, soldiers were required to be circumcised before being deployed (this is all, of course, based on very little scientific evidence suggesting it would help prevent STIs). This meant a lot of grown-ass men were circumcised (without anesthetic) and were told that it was for their health. So later on, when given the decision to circumcise their own children, many couples decided it was better to do it early when the memory wouldn’t be so painful (medical opinion at the time held that babies didn’t feel pain). During the postwar baby boom when hospital-births were the new standard, circumcision became the doctor-recommended option for parents. A slew of medical reports by Dr. Benjamin Spock, whose book Baby and Child Care remains one of the best-selling books of all time, claimed that circumcision was cleaner and safer for the child. (Spock, as it happens, rescinded these statements near the end of his life). By the 1960s, CIRP reports that nearly 90% of babies were circumcised. Couples in the 60s saw their friends throwing their children off the proverbial dick-snipping bridge, and they decided to follow suit.

In this time, the argument for circumcision seemed to be that circumcision was cleaner, safer, and prettier than the alternative. The hygiene argument for circumcision has never really made sense to me. I understand it’s another part of your body you have to clean but to recommend cutting it off so you don’t have to clean it? That’s kind of like saying you should cut off your hands since, if you don’t have hands, you don’t need to wash them after you go to the bathroom.

The arguments of safety and STI transmission are contentious ones; look it up and you’ll find a hundred studies that say circumcision prevents STIs and another hundred that say it doesn’t. Neither has been proven. And the argument that circumcision makes penises more attractive is just a positive feedback loop of negative thought to justify a popular practice against its challenges. Apparently, if all scientific justification for something fails, the public resorts to “it just looks better that way.”

The online discussion of circumcision makes it seem very black and white, so I wanted to know if people actually think about their penises the way the internet makes it seem they do. After my Facebook inquiry, it was awesome to see the number of people willing to talk to me openly about their penises. People I hadn’t spoken to in years reached out — from old camp counselors to boys from my middle school, my friends from Colorado College messaged me, even my uncle sent me his opinions.

Corresponding with the high rate of circumcision in the United States, most of the responses came from circumcised people. All of the responses I got were from penis-owners who identified as male. In general, most were pretty nonchalant about circumcision — definitely not as heated as some of the debates I had witnessed on the internet.

Some of them hadn’t thought about circumcision at all before, while others had several paragraphs worth of thoughts on the matter. Opinions on the debate ended up boiling down to a few main contentions also made by circumcision scholars: religion, consent, cleanliness, pleasure, and appearance. (I granted all interviewees anonymity in the interest of getting frank, honest answers. Completely randomly generated names are used in lieu of given names).

The question of consent is at the heart of the circumcision debate.

A lot of the responses I received were from Jewish men who had no issue with their parents making the decision to circumcise them. On the other hand, non-Jewish Richard (uncircumcised), found it an “imposition of religion.” He said it was a “consent violation if the person is too young to make an informed decision for themselves…and frankly abusive.” One of the few women who reached out for an interview said it was “pretty barbaric… it should be a choice that a penis owner makes when they’re old enough to do so, rather than a choice that’s made for them when they’re babies.”

Others, however, argued that as kids we had to do a whole bunch of shit we didn’t want to anyway. One guy called the consent argument “complete bullshit. I didn’t consent to if I could or could not go to preschool, eat veggies, grow up in the USA, etc. The list is endless.” He reasoned that “it’s not like children can consent to orthodontic surgery [which is often cosmetic].” Those making the violation-of-consent argument were typically uncircumcised people, while circumcised folk tended to have a more relaxed attitude about it. Both sides make good points: I didn’t consent to my parents giving me horrible haircuts as a child, true, but my hair grew out, whereas growing foreskin back is much harder. But also, if a parent is following what their religion has dictated for years, what’s common with other new parents, or what they’re told is best for their child, then I’m not quite sure it’s abusive, either. Additionally, banning circumcision (like Intact America suggests) means preventing Jewish and Muslim practices, and could lead to amateur circumcisions performed out of adherence to religion, which carries serious medical risks.

Pleasure is the one thing I found circumcised guys get bummed out about, as there is a good deal of rumors that having that ultra-sensitive foreskin makes for better sex. The public seems to have accepted this as fact, although there isn’t much actual scientific evidence because sexual pleasure is hard to quantify. As circumcised Paul put it, “I want a penis that is as sensitive as can be, because… sex is nice.” A lot of guys I talked to who had been circumcised for non-religious reasons found it pretty illogical — they said they definitely wouldn’t have been circumcised if they had been given the choice.

On the other hand, there’s the cleanliness argument. One girl I interviewed felt better knowing that guys she was hooking up with were circumcised because she found it cleaner. Several fraternity brothers expressed that they thought uncircumcised penises were gross but quickly backtracked to make it clear that they had never thought about any penises, ever. The cleanliness argument has spurred some pretty demoralizing conceptions of uncircumcised penises as “gross” or “dirty.” A friend of mine told me she had considered uncircumcised penises ugly and dirty before she saw one and realized they were just regular old penises with more skin. That experience wasn’t unique to her, either. Colorado College junior Richard II told me a story about his friend whose girlfriend wouldn’t go down on him specifically because he was uncircumcised, and several guys I attempted to interview for this article actually told me they thought uncircumcised penises were “disgusting.” It turns out that a lot of people get squeamish about the uncircumcised penis.

There’s a lot of danger in the “ew” argument. Penises have become a sort of bodily indicator of power in addition to sexuality. Maybe the rhetoric surrounding penises is negative because they’re sometimes associated with male domination and toxic masculinity. With the recent increase in body positivity surrounding vaginas and their beauty, I’ve found that no one really ever calls penises beautiful or strong or any positive adjective. And I’m not hopping on some men’s rights bullshit train, but I do wonder how penis owners feel about having the general narrative remain, “all penises are gross, and some are even grosser, and there’s nothing we can do about it.”

I tried asking people I interviewed about penile body positivity. Some, like John and Peter, felt that this lack of conversation about the penis and the body was detrimental. According to uncircumcised John, the inclusion of penises in discussions of body positivity could “delegitimize the stigma and shame of differently shaped and sized penises” and “get men talking about their feelings around their bodies in general.” This body talk is important, too, because almost every guy I interviewed pointed out how they almost never see other people’s dicks. Most guys noted that they only see other penises in porn, and that as a result, porn is what shaped their idea of how the “correct” penis looks and acts. On the other hand, Richard II pointed out that because of the penis’ association with sexuality and male power, any body positivity movement around the penis would end up feeling like a movement for male power.

We see how body shaming and lack of representation of bodies affect people all the time but seem to ignore the penis in a very counter-intuitive way. We don’t talk about penis appearance because we don’t think that cisgender men belong to a faction of people that needs more attention or support. This leads to internalized insecurities that can very quickly turn into aggression. If someone is ashamed of their penis, they might associate sex with embarrassment, and a supposed indicator of “power” might come to indicate their inadequacy. It’s easier to see, then, how guys can end up combating feelings of powerlessness with violence. The circumcision debate thus only exacerbates this issue — an incredibly vulnerable part of someone’s body is considered unattractive because of circumstances (and circumcisions) completely outside of their control.

Aggressively masculinizing the penis through our rhetoric has implications other than cis male shame, though. It further ostracizes trans women and perpetuates the dangerous idea that trans women are still male. We paint the penis as this solely sexual, male body part and it seems as if the only place we’re talking about the penis removed from its sexuality is in the circumcision of infants, where it suddenly seems like the penis belongs to the argument and not the owner. The only arena where the penis is desexualized is one where it’s denigrated. To me, we seem to be focusing on the penis in all the wrong ways, and our rhetoric is creating a culture that kills people. Toxic masculinity thrives in a phallocentric society. Insulting the penis in any way (even by proxy, as in rejection of sexual advancement) becomes a dangerous action for all women but especially for trans women, whose penises are used as proof of their “fake” womanhood. This myth of the penis as inherently and aggressively male contributes to the transphobia of men who have killed at least six trans women in 2018 as of February 23, 2018, in the United States alone.

So where do we go from here? One possible solution would be to start viewing and thinking of penises in a non-sexual way. Our country is weird as hell about nudity no matter how you cut it, but penises are often shut out of the whole “nudity isn’t inherently sexual” narrative. Of course, there are reasons for this — say indecent exposure, which is something that crosses the line over body positivity into harassment. Though we maybe shouldn’t advocate a universal “free the penis” movement, we should definitely rethink the strange place we’ve put the penis in our thoughts about the body.

In terms of being pro- or anti-circumcision, I am very much on the dick fence, but that’s not what matters. What matters is that when we take as rigid a stance on the circumcision debate as people tend to, we shame one kind of penis or another. Calling uncircumcised penises dirty and unsafe isn’t exactly uplifting, and calling circumcised penises mutilated (as groups like Intact America do) doesn’t do wonders for self-esteem either. Surely, there’s a way to have this discussion that doesn’t denigrate all penises and perpetuate a culture of body shame around a vulnerable body part.

Peter seemed to nail this topic on the head (the metaphorical one, not the penis one, because ouch): “Masculinity standards are not talked about enough. Penises are a large part of being masculine and being comfortable in your own skin. Guys grow up watching porn and there are discrepancies of expectation and reality. I think that being able to love what you have, and understanding that what you see in the fiction world of porn can create a feeling of inadequacy. I think that this feeling leads to anger that is targeted at women and other guys. So creating a culture of penis positivity is important.”

We are so obsessed with the penis as an emblem of male sexuality that we don’t even know where would we be if we could break down these notions about the penis. The entire conversation clearly indicates how strangely our culture thinks about bodies and sex and how they relate. It’s completely nonsensical to think the uncircumcised penis looks weird. If we think that, it’s because we were taught to.

It’s time to quit dicking around.

Photos (in order of appearance) by Hollis Johnson, Lotte van Raalte, Sara Lorusso, and Giulia Bersani. 

 

 

Expecting Too Much

When we are young, one of the first things that we grapple with is learning what to expect on a basic level. What to expect of our caregivers, and what to expect in relation to the environment that surrounds us. In order to confront the sometimes subtle but ever-present intensity that just being a living and breathing entity presents, expectations can act as a safety mechanism to prevent us from constantly feeling like a deer in the high-beams of life. These initial, formative expectations teach us what is dangerous, what is safe, and what we should be uncertain about.

These expectations might take on a more simple manifestation — the essentials, just the things we need to be able to wake up every day, and get back in bed at the end of that day unharmed. But once those fundamental expectations are solidified and we grow as individuals, we start to develop more complex relationships to the people around us. The largely instinctual expectations that have guided us up to this point gradually become less prevalent, forcing us to operate in a more nuanced manner.

Although this relational nuance is something that we must accept, actually coming to terms with it can be hard.

I turned 23 years old last month, and it is a bit of a personal tradition of mine to reflect on certain aspects of my life around the time of my birthday. The truth of my current position is that I have found myself largely friendless. The majority of the friendships that came about in my college years have eroded with time, and with the lack of location-based convenience, each one had a shorter life expectancy than I would have hoped. Though I do mourn what has felt like the death of these friendships, I accept it as a reality of growing older and try daily to move forward accordingly.

However, what has proven more challenging to deal with are the friendships that have collapsed as a result of some sort of fall out. As humans, we can at times be reactionary. In the heat of the moment, and for days, weeks, and sometimes even years after, we will place blame on another person for the way that something played out — despite the possibility that we also be at fault.

One of my favorite front-women right now, Sophie Alison of Soccer Mommy, once said “Oh I choose, choose to blame it all on you / cause I don’t like the truth.” Something that I’ve recently determined is that many of my friendships have failed because of an unequal balance of expectation. Generally, I end up expecting more than I maybe should of the person, and when conflict arises, I implode in a way that has likely been frustrating and even confusing for past friends. This has, in most cases, led to those people slowly distancing themselves from me.

Many of these conflicts, generally occurring between myself and college friends, would manifest in the form of me reaching out to someone in an attempt to coordinate a hang-out. More often than not, me reaching out would be met with something that usually came across, in my view, as an excuse as to why we couldn’t spend time together, but to them, a valid explanation. “I’m too busy/broke” etc. The harsh truth that I’ve frequently faced is that sometimes when people say they’re too busy, broke, or whatever other myriad of reasons they offer up, what they really mean is they’re too busy for you, they’re too broke for you. They have the money and time to do what they want, but they’ve chosen to spend it in the way that is most fulfilling for them. The reality is that we aren’t always going to be a person’s first choice.

Since then, I’ve realized my perception of the depth these relationships was inaccurate. Some of these fall outs were happening with people that I, in the grand scheme of life, did not know for very long. Yet I wondered why I was getting passed up by friends of mine so that they could spend time with those who they had deeper relationships with? My misconception of the intimacy of these relationships likely has to do with my tendency to become emotionally invested in people very (too) quickly.

Another aspect of this expectation based issue I’ve encountered is that I can be an incredibly spontaneous person, the type who will hit you up out of nowhere and suggest that we hang out that night or within a few days. While this works for some, for a lot of people, they require you to ask them x amount of time in advance otherwise it’s not going to happen, typically leaving me feeling frustrated and unimportant.

I’ve come to understand that these people were operating in this manner because it works for them and makes their lives easier, not because they were intentionally trying to make me feel ostracized. Are there people that I genuinely believe treated me in a questionable way and possibly even manipulated my investment in them for their own benefit instead of just being honest with me? Absolutely, but that isn’t always the truth and it’s unfair of me to act like it is. Everyone can’t “do” spontaneity, and not everyone should have to just because I prefer it. I was placing certain expectations on others without having consideration for what might be best for their schedules.

There are some people who simply prefer to have as few expectations placed on them as possible, especially by people with whom their relationship only has a finite history, and instead of me trying to force these people into relating how I relate, I should have just moved on — or, modified my expectations to be more accommodating, which sometimes is easier said than done, especially for me.

So for the time being, the conclusion I’ve reached is that I must declare a death of expectation. The less I expect of others, the easier it is for me to move through life in a way where I don’t feel continually damaged by a lack of reciprocation, because the toll it has taken on me has proven to be overwhelming. Decreasing your expectation of others, while it can be painful and disheartening, provides a freedom to take things as life brings them to you, allowing you to be more grateful for the good that comes your way. Plus, this way it’s less discouraging when something doesn’t pan out.

For those out there like me, who naively jump in too deep too fast and end up getting hurt, I want you to know that I feel you, I see you, and I hear you. That said, it is up to you to figure out what is healthy and functional for your relationships. For me, I’m opting to lower my expectations.

 

Photos (in order of appearance) by Joseph McDermott,  @wiissa0, and Victor Sjöström.

 

 

A Silent Problem

As young as 12 years old, I knew something was wrong: the fogginess, the inability to concentrate, the feeling that life had no purpose, the increase of binge eating. Through lack of knowledge on the topic and an inability to understand what I was feeling, I didn’t say anything about it. I covered up my inability to feel with boys, relationships, sports, my friends, and partying. Temporary distractions. I was finally diagnosed with severe depression and anxiety when I turned 19 and came back home from college.

I had taken off my mask and told my doctor the truth. In college, something snapped in me. I moved away from my routine distractions and was slapped on the wrist by the emotions I had been avoiding. I could no longer go to my close friend for a hug — she was in Missouri — the closest I could get to her was a text telling her how shitty I felt.

College is a difficult time; the ages of 18-25 give us such miraculous growth, but also a feeling of instability.

I felt stuck between different medications and fogginess; a lack of appetite and not wanting to get out of bed because I felt that life had no purpose. In the midst of it all, I was coming alarmingly close to scary thoughts about my life that I’d never had before, ones anyone would be devastated to hear. For so long I felt like it was my fault for feeling this way. I live such a great life, right? What in the world could I be depressed about?

Throughout my freshman year of college, I did a research project and realized I wasn’t the only one dealing with this. College depression is at an all time high: 1 in 4 students have a diagnosable mental illness, 40% of them never seek help. The third leading cause of death in college youth is suicide. Although I’d been dealing with this since I was a young girl, I had to come to terms with the fact that if I wanted to live, this was not going to be manageable in college without help.

I felt as though I’d betrayed my parents. I felt that if I told anyone, they would think I faked everything I had with them. I felt like a fraud. I felt like there was tape over my mouth, and I was screaming and no one could hear it — even me. I didn’t want any of the people in my life to know I was feeling this way. When I got back from the doctor’s office, I collapsed into my father’s arms. I told him I was a failure. He told me he was proud.

I didn’t understand why he said that then, but I understand now. When I came back from that winter break, I felt different. I felt lighter. On trial with new medication and being honest with my parents about how I felt, I understood that maybe, just maybe I could survive this. Depression comes in waves, and the waves can either be gentle or they can drag you along the shoreline for miles. As cliché as it sounds, admitting that you aren’t OK is the first step to getting better.

When I feel depression coming on at college, the first thing I do is take a shower. I wash my hair. I listen to a playlist. I walk around my college town and I get my favorite cheese fries down the block from my apartment. My anxiety may be going wild and my heart may feel heavy, but I breathe. I tell my friends to watch out for me. If I’m not eating enough, my best friend (who doubles as a neighbor) will notice and make me pasta. Find your support — and if you can’t find it, find it within yourself. Cut off those who don’t believe in your story or make you feel worse than you already feel. You are only as great as the people you surround yourself with. So if you can’t tell them how you feel, ditch them. When you can’t get out of bed, play your favorite songs and feel how much they make you want to get up. Cry. Don’t suppress it. Learn ways to take off your mask and not be ashamed of it. Do your hair. Text an old friend you haven’t talked to in a minute. It can feel like moving a boulder off your back or escaping a shadow, but a shadow only lasts so long before the sun moves and shines right through it. The waves come and go, but you’re still here. Stomp in the sand. Try your hardest to play in the water. 

The most important lesson I’ve learned in college is that feelings are temporary. But me and what I have to offer are not. I’ve learned that this town isn’t my home, where my parents live isn’t my home, my friends are not my home, my new apartment isn’t my home.

I am my home. And I will survive. So will you.

 

Photos (in order of appearance) by Villedepluie,  John Nonlens, Hong Sang-soo, and Jean Amb.

 

 

This App Is Changing Women’s Healthcare

 

Tia is a San Francisco based Femtech initiative created to address the many facets of female health. The term “Femtech” may bring to mind images of an obnoxiously pink barbie laptop covered in flower stickers and love hearts… and if that’s your thing, then why not? However, Femtech goes a little deeper than that, and is revolutionizing the world of female health care. Continue reading “This App Is Changing Women’s Healthcare”

I’m Not Broken

The following may be triggering to those who’ve been affected by abuse. 

 

“I know exactly how to give you a panic attack,” he said nonchalantly as I began to hyperventilate.

My head shot up as I handed his phone to him, vision blurred from the mascara streaming down my face. My head was throbbing uncontrollably from sobbing so much. That night, I found out he was cheating on me with the same girl he had before, and, in a frenzied rage, I took his phone to find the messages they had been sending each other. Every sweet nothing he had uttered to me lost all meaning as I scrolled through a plethora of overused lines. The person in front of me once wanted to be my forever, now he wanted nothing to do with me.

Even though I could feel my heart breaking, I still wanted him. I needed him. He had been there through some of the darkest moments of my life, and I was certain my life without him would be a bleak existence. Maybe I could give him another chance. He was my everything. No matter how many times he hung up the phone while I was having a panic attack or told me my depression was an inconvenience, he was still there for me eventually and that’s real love… right? 

Instead, I spent the better half of that year trying to pick myself up and move on with my life. I had lost all interest in anything that could make me remotely happy: everything was tainted. The song that once sweetly reminded me of him was stripped of its sentiment, replaced with a harrowing sense of numbness. The beach we frequented was now a cesspool of heart-wrenching memories. Now and then I’d torture myself by scrolling through pictures of us, recounting our relationships timeline. I knew we weren’t the same. I knew he had changed. I blamed myself and my mental health for driving him away. But I was certain, with every fiber of my being, that he would come back to me.

After months of crying my eyes out until exhaustion put me to sleep, I suddenly stopped thinking about him. Instead, I would wake up, look at my phone, and not desperately hope his name popped up on my screen. I felt a new sense of purpose. I wasn’t the same girl who had sobbed loudly enough to muffle the sound of passing cars on that fateful Friday night. I believed that part of my life had been erased and I was starting over.

Five months later, I was in the corner of my current boyfriend’s apartment curled up in fetal position, unable to cease my uncontrollable sobs. My mind had decided it was time to unleash the traumatic memories of my two-year relationship. Flashbacks played in my head like a scary movie you can’t stop watching no matter how terrified you are. I remembered his verbal, emotional, and mental abuse. I remembered how much he talked down to me and how worthless I felt. I felt a variety of mixed emotions, including pain, guilt, and shame. I couldn’t wrap my head around the fact that I let it go on for so long. I wanted to take a shower to scrub off the layer of disgust that consumed my body.

Here I was, finally happy with someone that truly and wholeheartedly cared about me — so why did this have to happen now?

That’s the thing about trauma, it stores itself in the back of your brain so you can endure the pain, giving no warning before re-entering your consciousness. My ex knew exactly what he was doing. He made me his puppet, toyed with my emotions, made me a lovestruck mess, then callously cut my strings.

Abusive individuals figure out a person’s weakness or what makes them vulnerable and then use it to their advantage. They’re extremely power-hungry, indulging in controlling the person they’re with. I know firsthand that being with an abusive person can significantly deteriorate your mental health. Your significant other should never be the reason that you’re depressed, that you’re coaxed into a panic attack, or that you feel somehow subhuman. It might take you some time to finally see that person for what they truly are, and that doesn’t make you naive and it most certainly does not make you weak. It’s easier said than done, but it’s up to you to keep that person out of your life. You and your mental health should always come first.

It may have taken over a year, but I’ve finally learned how to take the power back. And by that I mean, I’ve managed to accept that part of my life and not let it define me. You have so much life left; one toxic person shouldn’t be the reason you don’t get to truly live it.

Granted, getting to this point wasn’t easy. I still have days where I’m triggered by certain places, words, feelings, and things that send me back into that warped sense of thinking. I become depressed, riddled with regret. He recently tried to follow me again on Instagram and although I felt a brief moment of paralyzing fear, I made the decision to block him.

Toxic people don’t deserve a place in your life. Take solace in knowing that you never have to fix yourself. You don’t have to put the “pieces back together” — you were never broken. No one, regardless of who they are, has the power to do that. All of you is still there, it always will be, you just have to see it again.

 

All photos by Chad Moore. 

 

 

Birth Control 101

It’s 2019 and there have never been more contraceptive options available for individuals looking to avoid pregnancy. Below is a list of the birth control options currently available and their respective efficiency.

CONDOMS

 

What are they?

Condoms are thin pouches made of latex (rubber), plastic (polyurethane, nitrile, or polyisoprene) or lambskin that cover the penis during sex and prevent semen from entering the vagina. Note: condoms made of lambskin do not prevent STIs, but they’re still effective for reducing the risk for pregnancy.

Internal condoms are pouches made out of nitrile (soft plastic) that you put inside of your vagina or anus to act as a barrier so sperm cannot enter. Internal condoms also prevent STIs.

Condoms are an accessible form of birth control that you can find in your local drug stores, college campus, Planned Parenthood health centers, doctor’s office, or supermarket. There is no age restriction to buy condoms, and no prescription is needed.

 

Do they protect against STIs?

Yes, condoms reduce your chances of getting a sexually transmitted infection during oral, anal, and vaginal sex.

 

How often do I have to switch it?

You should use a new condom every time you have sex. Make sure to replace condoms if you’re switching between anal and vaginal sex to prevent bacterial infections.

 

How effective are condoms?

Condoms used for penises are 85% effective, while condoms for vaginas are 79% effective.

 

Benefits?

  • Inexpensive
  • Do not need a prescription
  • Protect against STIs
  • Can be used with other birth control methods
  • Disposable
  • Convenient

 

Considerations?

  • Condom size does matter, so make sure you are using a condom that fits securely and comfortably.
  • Condoms have an expiration date.
  • Do not use a male and female condom at the same time or two male condoms.
  • Play around with different brands and types of condoms to see which type fits and feels best.

 

“THE PILL”

 

What is it?

The birth control pill is an oral contraceptive that uses hormones estrogen and progestin to prevent pregnancy. These hormones stop ovulation so the sperm and egg can’t fertilize, which stops pregnancy from happening. These hormones also thicken the mucus on the cervix, making it harder for sperm to reach an egg. The pill continues to work through the month, even when you are taking placebo pills so that additional forms of contraception aren’t needed.

A prescription is needed to get the pill. There are many different brands, so talk to your healthcare provider if you think it’s right for you.

 

Do they protect against STIs?

No, the pill does not prevent STIs. You should still use condoms while you’re on the pill to protect you and your partner from infections.

 

How often do I have to take it?

The pill is meant to be taken once every day. You should take it at the same time every day to make it as effective as possible. To remind yourself to take it, set an alarm and keep your pill pack in a convenient place.

 

How effective is the pill?

The pill is 91% effective when taken at the same time, every day.

Benefits?

  • A convenient form of contraception.
  • May lead to lighter or more regular periods.
  • Can decrease menstrual cramps.
  • The pill can help time your period.
  • Allows for sexual spontaneity.

Side effects? (Most will go away by the second or third month of use – as your body adjusts to the hormones)

  • Headaches.
  • Nausea.
  • Spotting between periods.
  • Decreasing libido.
  • Breast tenderness.

 

IUD (Intrauterine Device)

 

What is it?

An IUD is a small, T-shaped contraceptive that sits in the uterus to prevent pregnancy. There are two types of IUDs: copper (ParaGard) and hormonal (Mirena, Kyleena, Liletta, and Skyla). The copper IUD has no hormones, and the copper itself is what prevents sperm from getting to an egg. The hormonal IUDs use a hormone called progestin, which thickens the cervical mucus to trap the sperm, and sometimes stops ovulation altogether.

 

How often do I have to switch it?

ParaGard can protect you for up to 12 years. Mirena and Liletta work for up to 7 years, Kyleena works for up to 5 years, and Skyla works for up to 3 years. If you prefer a birth control with little maintenance, IUDs may be a good choice.

 

Do they protect against STIs?

No, IUDs do not lower your risk of getting STIs.

 

How effective are they?

IUDs are 99% effective. Copper IUDs can also be used as emergency contraception, and if inserted within 5 days after unprotected sex, it’s more than 99.9% effective.

Benefits?

  • REALLY convenient (You barely have to think about it).
  • Discreet.
  • Does not require daily dosing.
  • You can get pregnant after you have it removed.
  • Can reduce cramps.
  • Can make your period lighter or no period at all.
  • The copper IUD has no hormones.

Side effects?

  • Spotting between periods.
  • Cramping.
  • Irregular periods.
  • Heavier periods and worse cramps (copper IUD).

IMPLANT

 

What is it?

The birth control implant, also known as Nexplanon, is a matchstick-size device that’s inserted with a gun into the upper arm by a nurse or doctor to prevent pregnancy. The insertion process is similar to getting your ears pierced and it is removed with topical numbing cream and a quick incision. The implant releases the hormone progestin that works the same way as a hormonal IUD.

 

How often do I have to switch it?

The birth control implant last up to 3 years.

 

Do they protect against STIs?

No, the implant does not lower your risk of getting STIs.

 

How effective are they?

The implant is 99% effective.

 

Benefits?

  • Discreet
  • Does not require daily dosing
  • Good option for those who can’t use estrogen contraceptive methods
  • Fewer hormonal ups and downs due to the steady flow of hormones

Side effects?

The most common side effect is irregular menstrual bleeding. This is the most common reason for removal of Nexplanon. Other side effects can include weight gain, headaches, acne, and abdominal pain. However, it is a safe form of birth control for most women.

 

BIRTH CONTROL SHOT  

 

What is it?

The birth control shot, also known as Depo-Provera, is an injection you get from a doctor or nurse that contains the hormone progestin. This hormone works the same way as a hormonal IUD or implant to prevent pregnancy.

 

How often to I have to get it?

In order to be effective, you must get the birth control shot every 12-13 weeks, or every 3 months. To make sure you don’t miss your appointments, add them to your calendar or have a friend or family member remind you.

 

Do they protect against STIs?

No, the shot does not lower your risk of getting STIs.

 

How effective is it?

The birth control shot is 94% effective when it’s injected every 12-13 weeks.

Benefits?

  • Convenient and private (You get the shot at a doctor’s office).
  • Does not require daily dosing.
  • Can lighten or stop your period.
  • It can help protect you from uterine cancer and ectopic pregnancy.
  • The shot is temporary, you can get pregnant after you stop using it.

Side effects?

  • You have to get the injection every 3 months.
  • Change in your period.
  • Weight gain.
  • Headaches.
  • Breast tenderness.
  • It can take up to 10 months after stopping the shot to get pregnant.

BIRTH CONTROL PATCH 

 

What is it?

The birth control patch is a transdermal [application of a medicine or drug through the skin] contraceptive that you can wear on your stomach, upper arm, butt, or back. The patch contains estrogen and progestin to help prevent pregnancy.

 

How often do I have to switch it?

Similar to the pill, you only wear the patch for three weeks, then you get a break for one week before putting on another.

 

Do they protect against STIs?

No, the patch does not lower your risk of contracting STIs.

 

How effective is it?

When used correctly, the birth control patch is 91% effective.

Benefits?

  • Convenient.
  • No daily dosing.
  • Can make your period lighter and less cramping.
  • Can regulate your period.
  • Can reduce acne.
  • You can get pregnant right away when you stop using it.Disadvantages?
  • You have to change it on time.
  • There can be negative side effects: bleeding between periods, nausea, headaches and more.
  • Some side effects can be serious: these include heart attack, stroke, and blood clots. Talk to your doctor to see if you are a good canidate for the patch.

 

BIRTH CONTROL RING

 

What is it?

The birth control ring, also known as the NuvaRing, is a contraceptive that sits inside of the vagina. The vaginal lining absorbs the hormones estrogen and progestin which help prevent pregnancy. You need a prescription to get the NuvaRing.

 

How often do I have to switch it?

In order to be effective, you must change the ring once a month.

 

Does it protect against STIs?

No, the NuvaRing does not lower your risk of getting STIs.

 

How effective is it?

When used correctly, the NuvaRing is 91% effective.

Benefits?

  • Convenient.
  • No daily dosing.
  • Makes your period regular.
  • Can lighten your period and reduce cramps.
  • Can reduce acne.
  • You can get pregnant after using it.Disadvantages?
  • Your partner can feel it during fingering, etc.
  • You need to change it on time
  • You can have spotting between periods.
  • Extra vaginal wetness.
  • Change in libido.
  • Some side effects can be serious. Talk to your doctor to see if you are a good candidate.

 

Every medication and type of birth control has side effects. It’s best that you do your own research before settling on an option and, if available, consult with a medical professional. 

 

Photos (in order of appearance) by @retro_fucking, unknown, Oliver Hadlee Pearch, and Petra Collins.Â