Archive for the ‘Owning Menopause’ Category

Owning Pink: Embracing Our Girlytude

Wednesday, January 20th, 2010

neon-pink-tutu

Hiya Pinkies,

Lissa here with some reflections on the concept upon which Owning Pink was originally conceived. Remember back when this was all about just owning our girlytude? Though our community has evolved into something far, far greater – a place where we are free to be precisely who we are and hold space for others to do the same – it all started as an invitation to OWN the parts of ourselves that make us uniquely female (and, as such, powerful beyond imagine).

Frankly, I revel in the fact that I was born a woman.  As a baby girl, I got to wear frilly tutu confections and pink head frosting.  As a toddler, I wrapped baby dolls in blankets and held them tight to my chest so they could nurse from my breasts, just like my mother did with my baby brother.  As a young girl, I pranced like a princess, pirouetted on tippie toe, and painted rainbows and unicorns in pastel purples, teal green, sunshine yellow, and carnation pink. I donned tiaras and twirled batons and collected china dolls with porcelain faces and rosebud lips. I curled my hair with pin curls, took hula dancing lessons, and wore panties with ruffles.

Growing into my teen years, I toned down my prissyness a wee bit, just to be cool- but I doubt I fooled anyone.  Princess costumes made way for pointe shoes, singing at the top of my lungs in high school musicals, and wrist corsages adorning hoop skirt prom dresses.  As I got older, my unique femininity evolved.  Cancan dancing with my girlfriends to the tunes of Grease trained me well for sashaying my hips to salsa music while wearing a white silk bridal gown and delicate veil.  Sitting around campfire circles with my karmic sisters led to giggles and grins and glorious tales of girlness.

Later, when my body flourished with the ultimate face of femininity, round and curvy with a baby moving inside of me, I came to experience the female experience as something even deeper than tutus and pastels and prom dresses. As a soon-to-be-mother, you learn to appreciate your body for the vessel that it is, the pleuripotential creator of all life.  Then, as the mother of a daughter, the whole cycle begins anew, and I revel in the girlytude of my little one, who spins and twirls and wants me to curl her hair and paint her toenails. It’s enough to make me deeply appreciate the divine feminine within me and within all women. I find myself bowing deeply to the sacred Goddess I know I am, deep in the heart of me.

So when I find myself cursing my vagina, complaining about menstrual blood, bitching about stretch marks, or otherwise dissing my gender, I remind myself that it’s all part of the female package, that you can’t cherry pick what it means to be a woman. You have to take the whole kit and kaboodle. And that’s just the beginning.

When I teach workshops about Owning Sexuality, we often talk about what it means to truly own your body and your sexual self.  One woman, who is married with three kids, said she realized that she needed to take responsibility for her sexuality, rather than expecting her partner to read her mind and meet all of her needs. Rather than lashing out at her husband because he wasn’t making her feel loved and nurtured enough, she needed to love and nurture herself first.  Another woman said that she has spent her whole life hating her femininity, bad-mouthing her yoni, and wishing she had been born male. Then she wondered why her sense of self suffered.  By learning to reclaim her feminine self, she was able to step more fully into the beautiful being she is.

If you’re one of those women who has work to do in order to appreciate being feminine, let us all hold out our arms in Pink sisterhood and invite you to open yourself to the blooming flower that you are.  Only when we embrace all aspects of ourselves can we be truly whole.

Own it, sister!

Yours in Pink love,

Lissa

Owning Pleasure, Confidence & The Vulva: My Interview With Mama Gena

Thursday, December 17th, 2009

mamagena

Hiya Pinkies. As part of the research for writing my upcoming book What’s Up Down There? Questions You’d Only Ask Your Gynecologist If She Was Your Best Friend, I had the pleasure to interview Regena Thomashauer of Mana Gena’s School of Womanly Arts. This Pink Goddess is the go-to queen of all things pleasure. For this interview, I took some of the questions gathered from friends, colleagues, and of course you Pinkies, to see what the founder of the Pleasure Revolution had to say. Below is just some of what we talked about. Enjoy, Pinkies, and a big, pleasure-radiating bow of gratitude to you, Mama Gena!

Some women seem like they just radiate sexy, but I’m not one of those women. How can I change that?

If you were born female, you are sexy. That’s the deal – you can’t do anything about it. You just are. You have all the equipment. It’s your birthright. How to step into the experience of that is a question of ownership. Like any inquiry, if you have a dusty old piano that nobody plays, there’s no music. But you can start one key at a time, just like a piano lesson.  Then, you can slowly expand your skill set so you can own the symphony that you are.

There is a chapter in my book (Mama Gena’s School of Womanly Arts : Using the Power of Pleasure to Have Your Way with the World) titled “The Womanly Art of Owning Your Beauty.” Every woman is beautiful, but if you don’t believe it, you’ll never fully step into that beauty. Owning your beauty is an inside job. Owning your beauty is a practice. There are little tiny things that make the difference between a woman who feels hot and a woman who doesn’t. Even if I’m going to the gym, I’m going to put on lip gloss because it will change my experience of myself between home and the gym. I know that, so why would I decline those 4 seconds when I know it will make me feel more confident? Every woman has her own journey and is already equipped with tips and secret steps she will take to feel beautiful. Once you know what’s in your toolbox, it’s there for you to use anytime.

I don’t even know what turns me on. How can I get in touch with that?

Most women don’t know what turns us on. How could you learn? Did your mom pull you on her knee and say “puberty is coming, so we’re gonna learn what turns you on?” And you can’t leave it up to your boyfriend. Guys don’t know what turns on a woman. You can’t expect them to know about our bodies. Not only that, but we don’t have anywhere to go and study.

That’s why I write and teach what I do- to educate women about how to begin to learn about their relationship to pleasure. If you don’t know what pleasures you, you’ll never get in touch with your desires. Come to my classes, read my book, but in addition, it’s really key for a woman to just begin to do a little research on her own. Take the time to learn the difference between what it feels like to touch the palm of your hand vs. running your fingers across your belly or down the inside of your thigh. What parts of your pussy (that’s my favorite word for it) feel good?  What pressures might you enjoy? Without learning, you are unable to permit your lover to gratify you.

There’s a scene in the Julia Roberts movie Runaway Bride where someone asks her what kind of eggs she likes, but she doesn’t know. When she dated a guy who liked scrambled eggs, she ate scrambled eggs. When he liked fried eggs, she ate hers fried. When he liked hard-boiled, she ate hard-boiled. In one scene, she finally lines them up and tastes them all, so she can make a decision, independent of any man.

A woman can definitely be seduced into running that kind of experiment with her own body. However, I find that it is even more powerful for women to begin to learn about their bodies and what pleasures them in community where they are able to give each other permission. There’s a way in which having a sister by your side gives you courage and inspiration where you might have lacked it. It’s important to have the support of a community of women.

I can’t even stand to say the word “vagina.” Everything about it grosses me out.  How do you make peace with your vagina and stop feeling uneasy at the mere mention of the word?

It’s not just you. Every woman feels this way. We live in a vulva-unfamiliar culture.

We’ve been educated to feel secretive and to feel shame and humiliation, rather than appreciation. This is a piece of cultural inheritance that we’ve all been handed.

I have a slide show for the School of Womanly Arts of different pussies, and the associated “5 stages of pussy.” The first time a woman sees a photo of a naked vulva, the reaction is to feel nauseated, dizzy, grossed out, and uncomfortable. This is Stage 1. It’s universal.

Then I invite a woman to join me as a fellow researcher, put her researcher’s cap on and begin to look at this magnificent part of the body as if she’s a scientist- study the dimensions, the colorations, the configurations, the mesmerizing brilliance of the structure. Every woman’s pussy is this healthy, phenomenal ecosystem of creation- it’s a miraculous construct. When a woman begins to do some research, taking in the magnificent vista of the vulva and then supplementing this with education about the different parts- the clitoris, the inner lips, the outer lips- she can begin to make friends with her own vulva. This is Stage 2.

Stage 3 is the appreciative researcher. You start to notice that, for example, in this particular vulva, the clitoris is different. You accumulate more data, you have different visuals. You see the differences.

In Stage 4, you become the enthusiast, completely enamored by this miracle that woman is- even the fact that there’s an organ on the body whose sole purpose is pleasure.

Only a certain handful of people will ever make it to Stage 5- rapture over the breathtaking overwhelming beauty of this sacred and phenomenal part of the body. You become like an artist, who with every stroke of their brush- are in complete rapture of the subject, as demonstrated by the artist Courbet was when he painted L’Origine du Monde.

L'Origine Du Monde by Courbert

L'Origine Du Monde by Courbet

I feel uncomfortable with all things sexual and get all wigged out whenever it seems inevitable. What’s my problem and how can I relax during sex?

You don’t have a problem about sex. Your problem is about communication. Talk to your partner about the things that make you uncomfortable and only move at the speed of your level of comfort.  Whenever we take on a new activity, there can be a sense of awkwardness. One remedy for awkwardness is just confessing your awkwardness, and then it goes away.  If you talk, you make space for yourself to get comfortable. Take all the time in the world to do what it takes to become comfortable, and then the experience can become comfortable. People feel like we’re supposed to know what to do from the beginning. The first time you kiss a boy, you expect that you should already have a PhD in kissing. Just slow down. Nice and easy does it.

As I get older, I feel like the fresh young mining village that was my vagina years ago has become an old closed down mining town. Is that all in my head? How can I change it?

A woman’s relationship to her vulva is absolutely completely in the eye of the beholder. If you look at that part of your body as if it’s elegant, luscious, phenomenal, you would have a completely different experience of your sensuality. But as women, we’re not given good role models when it comes to how to fall in love with your pussy. We’re told that this part of our body is not beautiful and will get us into trouble. We’re not taught about the exquisite, rapturous sacred nature of that part of our body that is the pleasure center and the source of life.

The “Womanly Art of Sensual Pleasure” chapter of my book speaks to this. A woman who owns her pussy, owns her life. If you don’t feel good about your pussy, you don’t feel good about your life. And if you feel fantastic about your pussy, you feel fantastic about your life. It’s an opportunity not only to own your own beauty, but to learn the journey and the experience of each of the pussy’s 8,000 nerve endings and how that informs your being. If 8,000 desires, decision and dreams are not about pleasure, then you’re not really living what it means to be a woman. The key is to be guided by the physiology and to pay attention to the song that your body wants to sing with you. Learn the poetry that your body wants to whisper in your ear. Open yourself to pleasure and rapture. It will transform you.

The genital tissue is elastic and luscious and responsive for your entire life. You can continue to expand sensually for your whole life. It’s very good to put the key in your own ignition and then you can invite passengers. Women are obligated to do an enormous amount of discovery and self exploration. Once you know how to dance, you can have a good ride on the dance floor.

I wish I felt like Samantha when it comes to my sex, but really I’m more of a Charlotte. How can I improve my sexual confidence?

To improve sexual confidence, recognize that where you are is the perfect launching spot for expanding in whatever direction you desires. Then, communicate from wherever you are. There’s nothing more appealing to a partner than when you say, “Hey, I’m a little shy but I’m so interested in having a rockin’ sex life. I’m so interested in expanding and learning everything you know about sexuality.” Come to a sexual encounter with real interest, real curiosity, and an interest in investing in your own sexual education. It’s such a pleasure to explore – your partner’s experiences, Tantra, workshops in expanded orgasm, etc. The people who take workshops in sensuality are brilliant- they know there’s more to learn, and they’re putting themselves in the position of uncovering new experiences.

The best partner is interested in learning.  When you find a partner who thinks they know everything, it’s the worst. Really, it’s a shared exploration. That’s what intimacy is all about.  Samantha may have a longer resume but it doesn’t mean that Charlotte doesn’t have a better time in the sack, as long as she’s willing to be where she’s at and communicate about it.

How can mothers help their daughters to love and accept their bodies?

Every mother could teach her daughter the correct terminology for her body. Many moms teach their daughters “down there,” or “pee pee” or “wee wee.” They don’t connect a little girl to the power or the privilege of being a woman. I think that it’s really key to teach a little girl that she has a vulva.  What you can see is not a vagina – it’s a vulva. The roots of the word “vagina” mean “sheath for a sword.” But your sexual organs are more than a sheath for a sword. Your vulva is what you can see, and it’s beautiful in its own right.  The best thing a mom can do is feel great about her own body and her own sexuality. Mom has to rock the word “woman” in the way she lives her life and then teach her daughter the proper terminology and encourage her exploration.

Phew!

So, Pinkies, are you blown away or what? And this is just the half of it. Check out Mama Gena’s website, book, and courses to Own your Womanhood and unlock the powerful, miraculous being you are. And of course stay tuned for What’s Up Down There, where all of Mama Gena’s pearls of wisdom will be put to use in my quest to demystify the female body.

Walking with you in sisterhood,

Lissa & Regina

Feel the love and join the Owning Pink community.

Owning Your Dreams- Never, Ever Give Up on YOU

Tuesday, December 1st, 2009

IMG_0246When we started Owning Pink just over six months ago, I set a personal goal- I wanted to write books. I had already written a memoir that Barbara Poelle, my literary agent who I lovingly call Monkey Barbara, shopped around.  A whole slew of editors took the book to editorial boards, where it got shot down by a whole slew of marketing departments who didn’t know how to put it in a box. The glowing rejection letters piled up.

Set Goals, But Release Attachment to Specific Outcomes

But I refused to count this as failure. Instead, I figured that book just wasn’t ready to get published yet- or maybe, I wasn’t far enough along in my personal development to handle it. Either way, I still wanted to write books. I figured I’d wait for a Sign from the Universe. I decided to simply let go and let God.

Well, wouldn’t you know it. God took over.  A few months later, an editor from St. Martin’s Press, who was familiar with my writing, ran into my agent and said, “I have a book idea and your client is the perfect person to write it.”  When Rose Hilliard and I spoke about the project, Rose said the magic word, “empowering.” She wanted me to write a book answering the questions you’d only ask your gynecologist after three martinis. She figured we could use the opportunity to educate women as part of a greater goal to empower women to own who they really are. When Monkey Barbara was shopping the memoir, I felt like people kept putting me in a doctor box where I no longer fit comfortably, so I had resisted putting on my white coat, standing up on a pedestal and talking down to people. But I felt myself light up when Rose sent me the questions her girlfriends and female staffers at St. Martin’s had asked. Yes, I could use this book opportunity to help women Own Pink.  So I wrote a book proposal, prayed like mad, and once more- I surrendered it to the Universe.

The Universe Listened

Voila. Suddenly, I had not one but four publishing houses fighting over the book proposal I wrote. But I stuck with St. Martin’s Press, where Rose believed in me and gave me a chance to realize my dream. She had been an answer to prayer, and the synchronicity between her idea and my dream felt like one of those Signs from the Universe I listen to.  It honestly felt too good to be true. I mean- seriously- after a year of disappointment, an editor was going to just show up and hand me a book deal? Apparently, it’s that easy. You set goals, you release attachment to outcomes, and you just let go…

So I’ve been writing writing writing, and yesterday, I just sent the manuscript to Rose. I’M DONE, PINKIES!  Amazing authors helped me along the way- Bonk, Spook & Stiff author Mary Roach, sexpert Lou Paget who wrote The Great Lover Playbook, S Factor founder Sheila Kelley, Barbara Whipple (who famously named the G spot- opting against the chance to name it the Whipple Tickle), Tantric sex goddess Caroline Muir, piercing guru and The Piercing Bible author Elayne Angel, and Susan Crain Bakos, author of The Sex Bible.  And now- miracle of miracles- Dr. Christiane Northrup just agreed to write the foreword (Thank you Chris! I love you!)
Introducing My Book

Nine months from now, my book What’s Up Down There? Questions You’d Only Ask Your Gynecologist If She Was Your Best Friend will be on book shelves. And my dream is that it will unleash a whole revolution of Pinkies owning it. Hey, when I dream, I dream big!

Writing this book has been such a blessing for me. You Pinkies submitted amazing questions- hundreds of them (thank you Pinkies! YOU made this book!) Your candor, wit, and vulnerability built the perfect skeleton so I could flesh out what we collectively know, feel, live.

So what’s the book about?  Just imagine if your best friend was a gynecologist and you could talk candidly about every question you’ve ever had about gynecology, sex, and women’s health, all while drinking a glass of wine and sharing a good laugh?  My girlfriends actually get to indulge in that kind of intimacy, asking me all the things they would never ask their doctors.  Most women don’t have a gynecologist at their beck and call, so they share girl talk amongst themselves, often perpetuating myths and repeating misinformation.  My goal is that What’s Up Down There? will help bridge that gap.  I tried to answer your questions with typical Pink style, aiming to demystify the female body and all its quirky, eccentric intricacies, while empowering you to learn, grow, and celebrate the curious oddities that make us women.  I say let’s invite the G spot, the scary metal duckbill, the bikini wax, and the feminine deodorant spray to come out of the closet.  Let’s put the maxi pads, the douche bags, the sex toys, and the clitoris out there on the table for discussion.  Let’s give vaginas a chance to shine, empowering women to embrace and own their femininity, with all its glorious pink power.

Now, the book is done, and I’m looking back on the magical journey that has lead me to this place in my life. You Pinkies were a big part of helping me realize my dream. That you care what I have to say helped convince publishers that there is an audience for what I write. And this is just the beginning. Somehow, I know and trust that there will be more books ahead. Maybe my memoir will even get published one day…

Never, Ever Give Up

The reason I wanted to share all this with you Pinkies is because I want to encourage you to never give up on your dreams. After a year of rejection, I might have convinced myself that I wasn’t good enough. If all those publishers passed on my book, I must lack the chops to be a professional author, right? After all, I had quit my job and spent a year of my life holed up in a cave writing a tell-all book. And it was all wasted, right? How many of you would have told yourself those stories if it had been you? How many would have given up on your dream?

Certainly, the gremlins of self-doubt jumped all over me, whispering evil nothings into my ear. I had dark nights of the soul when I lay silently in the dark, crying.  My anxiety mounted and niggling voices threatened to rob me of my mojo.  But I pulled out my Monster Spray (thanks Dana!) and clung to my dream. By golly, editorial boards could reject me, but nobody was going to take my dream away from me.  I guess, deep down, I’ve always had the confidence that- no matter what happens- I would land butter side up.

What about you Pinkies? What’s your dream? What’s keeping you from pursuing it? Are the gremlins getting you down? Are you afraid to take a Pleap (Pink leap of faith)? Or have you Pleaped and then Unpleaped, because things aren’t happening effortlessly?  Have you tried giving your dream a great big hug and then letting it go into the Universe?
Never, never, ever give up, Pinkies.
Never.

Still Pleaping,
Lissa

New Pap Smear Guidelines & Why The Holistic Health of Women is in Jeopardy

Friday, November 20th, 2009

docpatientGood morning, Pinkies.  I just heard the news (calm down, Lissa. Breathe…) In the wake of the U.S. Preventative Services Task Force’s new guidelines for mammography screening, the American College of Obstetricians and Gynecologists just announced new recommendations that cut back on Pap smear screening. My blood is boiling, Pinkies. WHAT IS GOING ON? Why are we recommending cutting back on women’s health screening? Don’t get me started (yet). Let me fill you in on the news.

New Pap Smear Guidelines:

  1. Instead of recommending that Pap smear screening begin after you’re sexually active, new guidelines say that even a sexually active 13 year old should wait until 21 for her first Pap.
  2. After 21, Pap smears are recommended every 1-2 years until age 30.
  3. After 30, if you’ve had three consecutively normal Pap smears with no history of a seriously abnormal Pap, new guidelines say you only need to do Paps every three years.
  4. If you’ve total hysterectomy for benign reasons, new guidelines say you can skip Paps altogether.
  5. New guidelines recommend quitting Paps sometime between 65-70 if you’ve had three consecutively normal Paps with no abnormal Paps in the past 10 years.

Why the Change?

There is evidence to support the changes.  The truth is that you’re unlikely to go from having a normal Pap smear to having cervical cancer in 3 years, even if you contract HPV. Because cervical cancer grows slowly, it’s still likely to be precancerous by the time it gets picked up. And yearly screening does increase the number of procedures performed, and some of those procedures- such as cryotherapy and LEEP procedure can affect fertility and pregnancy in rare cases.  Plus, cutting back on Pap smears saves precious health care dollars. And if we’re not saving lots of lives and potentially causing harm by implementing procedures that may not be necessary, why do annual Pap smears?

So these guidelines aren’t positively ludicrous like the new mammogram guidelines that threaten to kill hundreds of thousands of women. I understand why they’re recommending pushing back the age of first Pap smear.  HPV, the virus that causes cervical cancer and abnormal Pap smears, is almost ubiquitous among teens. As such, doing Paps will lead to many abnormal results and require colposocopies, biopsies, and possibly treatment such as LEEP procedures, which can affect their pregnancies in the future, leading to scarred cervixes and preterm labor. And many of those abnormalities, if left untreated, would have resolved themselves without treatment.

I can also see why they’ve said that women who have had a hysterectomy can stop getting Paps. After all, they don’t have a cervix. And while there may be scant cervical cells left at the surgical scar inside the vagina, the risk of cervical cancer is exceedingly low.

BUT (and this is a gigantic BUT) there is a GINORMOUS problem here that carries far-reaching consequences for women’s health, and I can’t keep this quiet. Though women come to the gynecologist under the guise of their annual Pap smear, they actually come for WAY more than that.

Here are some examples of issues I handle under the guise of an annual Pap smear exam:

  • Sexual problems that threaten your relationship
  • Debilitating depression and anxiety
  • Chronic fatigue that prevents you from living vitally
  • Pelvic pain, often as the result of sexual abuse you have never confessed to anyone until I hold the sacred space for you and invite you to tell the truth
  • Urinary incontinence that causes so much shame and embarrassment that you might not leave the house, much less exercise or pursue your dreams
  • Menstrual disorders like hemorrhaging or menstrual cramps that cause you to miss work and other important life functions.
  • PMS/PMDD that may be hampering a happy life
  • Interstitial cystitis symptoms that make you feel like you constantly have a UTI
  • Menopausal symptoms that threaten a woman’s relationships, sleep, work, and life
  • Relationship counseling
  • Parenting advice
  • Losing your mojo

And that doesn’t even include the oh-so-necessary annual breast exam, internal pelvic exam to check for ovarian tumors and such, and the opportunity to make sure a woman is up to date on other cancer prevention procedures, such as colonoscopy in older women, or the HPV vaccine for teens.

Now, ACOG does say you should still talk to your doctor about getting an annual pelvic exam. (Thank you ACOG.)  But are insurance companies going to cover a routine pelvic exam in the absence of a Pap smear?  Are women going to go? So many women will hear these new guidelines and think, “Cool! I can skip the gyno for 3 years!”

By changing its guidelines, ACOG is going against the other main authorities on cervical cancer. The American Cancer Society and the U. S. Preventative Services Task Force both recommend that women get their first Pap test within three years of having sex, or at age 21- whichever comes first.

I respect evidence-based medicine and understand the rationale for these guidelines. I went to Duke and Northwestern and learned all the ivory tower beliefs about  practicing based on evidence, not anecdotal speculation or emotion-based care.  BUT….

What Do I Think?

Hmmm…I guess I think all the guidelines that have come out this week are missing something critically important in medicine.   As leaders in women’s health, what messages are we putting out there? Somewhere along the way, governing bodies in medicine have forgotten the most vital aspect of what we doctors do. When they are reviewing data to make these guidelines, they are focusing only on what “cures” someone. But they have forgotten that there is a difference between healing and curing.

Let’s take a huge leap and assume that cancer screening is completely worthless and doesn’t prevent cancer at all. Is there not some value to the other types of healing work we doctors provide under the pretext of the annual Pap smear? Women don’t make separate appointments to talk about their sex life or whether they’re living as vitally as they might.  They lump those things under the umbrella of a Pap smear.  Many women feel like they’ve been handed a “You’re worthless” card at birth.  I try to extract that card and replace it with a hot pink one that says, “You’re lovable, valuable, beautiful, and worthy.” This kind of work cannot be proven in a scientific study. But is taking away a woman’s excuse to visit her gynecologist taking away that hot pink card as well?

I’m not suggesting we do unnecessary testing or procedures just for the sake of getting a woman in the door. Ultimately, you have to be your own advocate for your health and wellness. But I worry about the far-reaching effects these kinds of guidelines will have for women who misunderstand and fail to hear the part about annual exams still being a critical part of women’s wellness.  What if they get lost in the system? Especially underprivileged women, who may not be educated enough to advocate for their own well-being.

My fear is that cutting back on cancer screening will not only increase a woman’s risk of cancer. It may also limit a woman’s access to the kind of healing good doctors can provide.  For most of my young patients, I am their primary care provider.  The Pap smear is what gets them in the door.  If you hear that you only need a Pap smear every three years, you may go three years without anyone talking to you about whether you’re living as healthfully and joyfully as you possibly can.

And you can be sure that insurance will cut back your coverage. If ACOG says you don’t need a Pap smear, your visit will likely only get covered if you have an ICD-9 code diagnosis like endometriosis or fibroids. And let me tell you- there’s no ICD-9 diagnosis for losing your mojo or cancer prevention.

You may think I’m biased. After all, I’m a gynecologist. It’s my business to have people come in for Pap smears, so of course, I would oppose these new guidelines. But the truth is that most gynecologists lose money by doing a Pap smear. The cost of the visit exceeds what insurance companies will reimburse most of the time. And since Medicare already doesn’t cover annual Paps, we usually eat the cost for older women who want to get Pap smears but don’t have coverage. So trust me, for most gynecologists, this is not about money.  One of my dear friends in San Francisco (a total Pink God) is closing his practice- declaring bankruptcy- because he simply can’t make ends meet with a busy insurance-based practice. It breaks my heart. He is one of those doctors who, like me, practices love, with medicine on the side.  Why does the system not embrace him? Why have we replaced doctors like him with technology, scientific data, and task forces? (*crying now*)

And why are they cutting back on only women’s health screening? Why not PSA testing for men? Not to be all conspiracy-theorist on you, but you can’t convince me that there aren’t some sexual politics caught up in all this. With all the advances we’ve made in women’s rights and women’s health over the years, why are we going backwards? Won’t somebody please stand up and shine the light on the Emperor’s new clothes?

I get that we need to cut back on health care costs. But come on, people. Must we do it at the expense of women? Can’t we focus our energy on tort reform or capping profits for insurance companies. Is this really the way?

For me, it’s all about advocating for holistic women’s health- the big kind, the kind that looks at a whole human being, not just a breast or a cervix. The only way we can help women holistically is to get them into our offices, provide a safe, sacred space for healing, and show up- fully present- to help them get in touch with what their body needs to be whole.

What Will I Do In My Practice?
I think you should be given a choice. The way I see it, it’s my job to present the data and help you understand the risks and benefits of cancer screening. If you want to get a yearly Pap smear and mammograms after 40- Fine. If you’d prefer to stretch out your screening or skip it altogether, no problem. It’s your body- your choice. I’m just here to help you understand your options and deal with whatever comes up.

The Bottom Line
Please, Pinkies, regardless of what you decide to do about your Pap smear or your mammogram, please don’t stop seeing a doctor every year.

Our Broken System

Thinking of how these new guidelines may limit your access to health care breaks my heart.

This system is so BROKEN. Hand me the suture and a needle driver. I want to stitch the fragmented, fractured, hemorrhaging heart of medicine back together again.sutured heart

Waiting, with hand outstretched- “Suture, please,”

Lissa

Let’s Talk about Coochies & Boobs

Monday, August 17th, 2009

pussyPlease, Pinkies, help me write my next book! I just signed a book deal with St. Martin’s Press to write a book addressing the secret vagina/ breast/ women’s health questions you’ve always wanted to have answered. The working title is Coochie Confidential: Questions You’d Only Ask Your Gynecologist If She Was Your Best Friend. Now I need to know your questions. Will you help? Pretty please?

Some sample questions women have already submitted:
Why do we have pubic hair?
Is there really a G Spot?
Is it true that some women ejaculate when they orgasm?
What’s the average length for a woman’s labia?
Do male gynecologists ever get turned on by their patients?
What’s it like to look at vaginas all day long?
Will my boobs shrink if I breastfeed?
What’s the craziest thing you’ve ever found in a vagina?
Why does my coochie smell like fish?
What is the most common labia size?
Why is sex so painful sometimes?
Why do we have hymens?
If I lose something in my vagina, what should I do?
Do old ladies get saggy vaginas?
I can’t have an orgasm during intercourse. Is this normal?
I have to get a hysterectomy. Will it make me less of a woman?

Nothing Is Off Limits

Own Your Body and get your questions answered in my next book. Sex, fertility, boobs, urination, odor, pregnancy- you name it. We are women- hear us roar, so let’s banish taboo and finally give the vagina a voice. Nothing is off limits, but do make sure your questions are general and would be applicable to most women.

Ask away, Pinkies. The Doctor Is In. Submit questions in the comments section or Email Me. If you have personal questions that are specific to you and your gynecology issues, please make an appointment to see me at www.clearcenterofhealth.com.  If you don’t live in the Bay area but are interested in talking to me over the phone, please Email me to set up an appointment.

Big Pink Love,
Dr. Lissa