Category Archives: Bisexuality

What it’s like to talk to your doctor about sexual health when you’re bisexual

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There’s a misconception that bi people are just going through a phase — but what if our doctors believe it too?

“Are you sexually active?”

I’d been dreading this question since losing my virginity to a female friend a few weeks earlier, not long after my 16th birthday. Somehow, the harsh fluorescent lights in my doctor’s examination room made this query seem even more menacing.

“Yes,” I said, but there was an ellipsis in my voice. A hesitation. An unspoken “but . . . ”

“You’re using condoms, right? So you don’t get pregnant?” she prompted, and I didn’t know what to say, because we weren’t. We didn’t need to. It was the wrong question.

“Uh, I’m not having sex with a guy,” I managed to stammer.

My doctor peered at me over her wire-rim glasses, “Oh,” she replied.

There are a lot of things a teenager might be nervous to disclose to their doctor — a marijuana habit, some worrying mental health symptoms, a secret relationship their parents don’t know about. While we should all feel free to tell our doctors what’s really going on with us, it’s particularly egregious that so many of them are still in the dark about something so basic as sexual orientation, making these already-difficult situations even more challenging.

The day of my first difficult conversation about my sexual health, my doctor didn’t give me any medical advice on the sex I was having. She didn’t suggest my partner and I use dental dams or latex gloves. She didn’t suggest we get tested for sexually transmitted infections (STIs). She didn’t ask whether my partner was cis or trans. She didn’t ask what sexual orientation I identified as (bisexual, for the record). She didn’t even ask me if I had any questions for her. She just moved on to the next part of our checkup.

I didn’t recognize these as problems at the time; I was too young and nervous to question the approach of my all-knowing doctor. Everything I later learned about safer sex — with the other cis girl I was seeing at that time, and with other partners later on — I learned from the internet. And while the internet can be a great resource for such information, doctors should be a better one.

Bisexuals are told all the time — both implicitly and explicitly — that we’re not queer enough to align ourselves with queerness, or that we’re too queer to align ourselves with straightness. I still find it hard to push back against these stereotypes today, at 25.

These presumptions are particularly upsetting in medical situations, where many of us already feel nervous and unempowered and, for many queers, apprehensive. The medical system has oftentimes failed us and our queer foreparents: inequitable health care access due to poverty, doctors’ lack of knowledge about LGBT identities and sexuality and the pathologization of queerness are just a few examples.

Two years later, in a different relationship with a person of a different gender, I returned to my doctor. I was a girl on a mission.

“I’m seeing someone new and I’d like to get an IUD,” I told my doc, with all the bravery and resolve I could muster as a meek 18-year-old still coming to terms with her sexuality.

“I thought you were a lesbian?” she replied coolly, barely looking up from her computer screen.

“No, I’m bisexual,” I clarified, my voice only shaking a little.

Medically speaking, it shouldn’t actually matter what word(s) I use to define my sexual orientation; my doctor should want to know, instead, what sexual activities I am participating in. I could’ve been a lesbian having sex with a man (they do exist!). I could’ve been having sex with a trans woman or a nonbinary person who had the ability to get me pregnant. There was no reason for my doctor to assume I was a lesbian in the first place, nor that a risk of pregnancy during sex meant my existing sexual orientation was being challenged.

I was reminded of a story I had read online. An American photographer I followed, Brigid Marz, wrote on Flickr that she and her girlfriend went to a hospital to get treatment for her flu symptoms. A staff member asked Brigid if there was any chance she might be pregnant, and she laughed, indicated her girlfriend, and said no. She’d dated and had sex with men before, but not recently enough that she could be pregnant. Months later, she received a $700 medical bill, $300 of which was for a pregnancy test she’d neither authorized nor needed.

“I am so sick of being treated differently just because I have boobs,” she wrote, but I would argue she was treated differently because she is non-monosexual – she is neither completely straight nor completely gay. Our medical system seems to assume everyone is one or the other, sometimes even when we’re loudly asserting otherwise.

In the end, my doctor refused to prescribe me an IUD on the basis that I was “just casually dating” and should wait until I was “in a serious relationship” before committing to a long-term birth control method that reflected my relationship status. She prescribed me the pill instead — the hormonal content of which exacerbated my mental health conditions for years, something the non-hormonal copper IUD may not have done.

What rankled me was that I was in a serious relationship at the time. My doctor may have assumed my relationship was casual because I was now with a man and I was previously with a woman, or she may have simply thought I was too young for the IUD — but I think it was because of negative stereotypes about bisexual people.

Bi folks’ relationships and attractions are often written off as “just a phase” or “just for fun.” We’re told we don’t know what we really want or who we really like — or, worse, that we’re intentionally playing with partners’ hearts, never intending to pursue commitment or depth in our relationships.

In my experience, this is about as true for bisexual people as it is for straight or gay people — some folks are looking for serious relationships and some just aren’t — but this assumption weighs most heavily on bisexuals. Whether or not my doctor was consciously aware of the stereotypes she was affirming that day, it’s clear to me that my relationship would not have been written off as “casual” if I identified as straight or gay.

If I could go back and talk to myself when I was a shy and shaking 16-year-old in my doctor’s office, I’d tell her to advocate for herself. I’d tell her to ask the questions she wanted answered, and double-check the answers on Scarleteen later. I’d tell her it was okay if she didn’t even know what questions to ask.

I’d tell her to be unashamed of her burgeoning bisexual identity, because it’s nothing to feel shifty about. But mostly, I’d wish I didn’t have to tell her all these things. Her doctor shouldn’t have made her doubt all this in the first place.

Complete Article HERE!

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LGBTQ definitions every good ally should know

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By Alia E. Dastagir

Millions of Americans identify as LGBTQ, and like any group, they have their own language to talk about both who they are and the challenges they face in a society that doesn’t fully accept or protect them.

If you want to be an ally, these terms might help — but be aware that many have been used derogatorily by straight, white, cisgender (defined below!) people, and were reclaimed over time by the LGBTQ community.

This list is by no means exhaustive, and some of these terms — because they are so personal — likely mean slightly different things to different people. If you’re puzzled by a term and feel like you can ask someone you love in the LGBTQ community to help you make sense of it, do it. But also be careful not to put the burden of your education on other people when there’s a whole wide world of resources out there.

Let’s get started

LGBTQ: The acronym for “lesbian, gay, bisexual, transgender and queer.” Some people also use the Q to stand for “questioning,” meaning people who are figuring out their sexual orientation or gender identity. You may also see LGBT+, LGBT*, LGBTx, or LGBTQIA. I stands for intersex and A for asexual/aromantic/agender. The “A” has also been used by some to refer to “ally.”

Speaking of intersex: Born with sex characteristics such as genitals or chromosomes that do not fit the typical definitions of male or female. About 1.7% of the population is intersex, according to the United Nations.

Sex: The biological differences between male and female.

Gender: The societal constructions we assign to male and female. When you hear someone say “gender stereotypes,” they’re referring to the ways we expect men/boys and women/girls to act and behave.

Queer: Originally used as a pejorative slur, queer has now become an umbrella term to describe the myriad ways people reject binary categories of gender and sexual orientation to express who they are. People who identify as queer embrace identities and sexual orientations outside of mainstream heterosexual and gender norms.

Sexual orientation

Sexual orientation: How a person characterizes their sexuality. “There are three distinct components of sexual orientation,” said Ryan Watson, a professor of Human Development & Family Studies at the University of Connecticut. “It’s comprised of identity (I’m gay), behavior (I have sex with the same gender) and attraction (I’m sexually attracted to the same gender), and all three might not line up for all people.” (Don’t say “sexual preference,” which implies it’s a choice and easily changed.)

Gay: A sexual orientation that describes a person who is emotionally or sexually attracted to people of their own gender; commonly used to describe men.

Lesbian: A woman who is emotionally or sexually attracted to other women.

Bisexual: A person who is emotionally or sexually attracted to more than one sex or gender.

Pansexual: A person who can be attracted to all different kinds of people, regardless of their biological sex or gender identity. Miley Cyrus opened up last year about identifying as pansexual.

Asexual: A person who experiences no sexual attraction to other people.

​Demisexual: Someone who doesn’t develop sexual attraction to anyone until they have a strong emotional connection.

Same-gender loving: A term some in the African-American community use instead of lesbian, gay or bisexual to express sexual attraction to people of the same gender.

Aromantic: A person who experiences little or no romantic attraction to others.

Gender identity and expression

Gender identity: One’s concept of self as male, female or neither (see “genderqueer”). A person’s gender identity may not align with their sex at birth; not the same as sexual orientation.

Gender role: The social behaviors that culture assigns to each sex. Examples: Girls play with dolls, boys play with trucks; women are nurturing, men are stoic.

Gender expression: How we express our gender identity. It can refer to our hair, the clothes we wear, the way we speak. It’s all the ways we do and don’t conform to the socially defined behaviors of masculine or feminine.​

Transgender: A person whose gender identity differs from the sex they were assigned at birth.

Cisgender: A person whose gender identity aligns with the sex they were assigned at birth.

Binary: The concept of dividing sex or gender into two clear categories. Sex is male or female, gender is masculine or feminine.

Non-binary: Someone who doesn’t identify exclusively as female/male.

Genderqueer: People who reject static, conventional categories of gender and embrace fluid ideas of gender (and often sexual orientation). They are people whose gender identity can be both male and female, neither male nor female, or a combination of male and female.

Agender: Someone who doesn’t identify as any particular gender.

Gender-expansive: An umbrella term used to refer to people, often times youth, who don’t identify with traditional gender roles.

Gender fluid: Not identifying with a single, fixed gender. A person whose gender identity may shift.

*(Note: While the previous six terms may sound similar, subtle differences between them mean they can’t always be used interchangeably).*

Gender non-conforming: People who don’t conform to traditional expectations of their gender.

Transsexual: A person whose gender identity does not align with the sex they were assigned at birth, and who takes medical steps such as sex reassignment surgery or hormone therapy to change their body to match their gender.

Transvestite: A person who dresses in clothing generally identified with the opposite gender/sex.

Trans: The overarching umbrella term for various kinds of gender identifies in the trans community.

Drag kings & drag queens: People, some who are straight and cisgender, who perform either masculinity or femininity as a form of art. It’s not about gender identity.

Bottom surgery: A colloquial way of referring to gender affirming genital surgery.

Top surgery: Colloquial way of describing gender affirming surgery on the chest.

Binding: Flattening your breasts, sometimes to appear more masculine.

Androgynous: A person who has both masculine and feminine characteristics, which sometimes means you can’t easily distinguish that person’s gender. It can also refer to someone who appears female — like Orange is the New Black’s Ruby Rose, for example — but who adopts a style that is generally considered masculine.

‘Out’ vs. ‘closeted’

Coming out: The complicated, multi-layered, ongoing process by which one discovers and accepts one’s own sexuality and gender identity. One of the most famous coming outs was Ellen DeGeneres, with “Yep, I’m gay” on the cover of Time magazine 20 years ago. Former President Obama awarded DeGeneres a Presidential Medal of Freedom in 2016, saying that her coming out in 1997 was an important step for the country.

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Outing: Publicly revealing a person’s sexual orientation or gender identity when they’ve personally chosen to keep it private.

Living openly: An LGBTQ people who is comfortable being out about their sexual orientation or gender identity.

Closeted: An LGBTQ person who will not or cannot disclose their sex, sexual orientation or gender identity to the wider world.

Passing: A person who is recognized as the gender they identify with.

Down low: A term often used by African American men to refer to men who identify as heterosexual but have sex with men.

Attitudes

Ally: A person who is not LGBTQ but uses their privilege to support LGBTQ people and promote equality. Allies “stand up and speak out even when the people they’re allying for aren’t there,” said Robin McHaelen, founder and executive director of True Colors, a non-profit that provides support for LGBTQ youth and their families. In other words, not just at pride parades.

Sex positive: An attitude that views sexual expression and sexual pleasure, if it’s healthy and consensual, as a good thing.

Heterosexual privilege: Refers to the societal advantages that heterosexuals get which LGBTQ people don’t. If you’re a straight family that moves to a new neighborhood, for example, you probably don’t have to worry about whether your neighbors will accept you.

Heteronormativity: A cultural bias that considers heterosexuality (being straight) the norm. When you first meet someone, do you automatically assume they’re straight? That’s heteronormativity.

Heterosexism: A system of oppression that considers heterosexuality the norm and discriminates against people who display non-heterosexual behaviors and identities.

Cissexism: A system of oppression that says there are only two genders, which are considered the norm, and that everyone’s gender aligns with their sex at birth.

Homophobia: Discrimination, prejudice, fear or hatred toward people who are attracted to members of the same sex.

Biphobia: Discrimination, prejudice, fear or hatred toward bisexual people.

Transphobia: Prejudice toward trans people.

Transmisogyny: A blend of transphobia and misogyny, which manifests as discrimination against “trans women and trans and gender non-conforming people on the feminine end of the gender spectrum.”

TERF: The acronym for “trans exclusionary radical feminists,” referring to feminists who are transphobic.

Transfeminism: Defined as “a movement by and for trans women who view their liberation to be intrinsically linked to the liberation of all women and beyond.” It’s a form of feminism that includes all self-identified women, regardless of assigned sex, and challenges cisgender privilege. A central tenet is that individuals have the right to define who they are.

Intersectionality: The understanding of how a person’s overlapping identities — including race, class, ethnicity, religion, sexual orientation and disability status — impact the way they experience oppression and discrimination.

Complete Article HERE!

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Pride 2017

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Happy Gay Pride Month!

gay-pride.jpg

It’s time, once again, to post my annual pride posting.

In my lifetime I’ve witnessed a most remarkable change in societal attitudes toward those of us on the sexual fringe. One only needs to go back 50 years in time. I was 17 years old then and I knew I was queer. When I looked out on the world around me this is what I saw. Homosexuality was deemed a mental disorder by the nation’s psychiatric authorities, and gay sex was a crime in every state but Illinois. Federal workers could be fired merely for being gay.

Today, gays serve openly in the military, work as TV news anchors and federal judges, win elections as big-city mayors and members of Congress. Popular TV shows have gay protagonists.

Two years ago this month, a Supreme Court ruling lead to the legalization of same-sex marriage throughout the whole country.

The transition over five decades has been far from smooth — replete with bitter protests, anti-gay violence, backlashes that inflicted many political setbacks, and AIDS. Unlike the civil rights movement and the women’s liberation movement, the campaign for gay rights unfolded without household-name leaders.

And yet, now in Trump’s America, we are experiencing a backlash in the dominant culture. I don’t relish the idea, but I’d be remiss if I didn’t mention it. And while we endure this be reminded that it won’t smart nearly as much if we know our history. And we should also remember the immortal words of Martin Luther King, Jr. “The moral arc of the universe bends at the elbow of justice.”

In honor of gay pride month, a little sex history lesson — The Stonewall Riots

The confrontations between demonstrators and police at The Stonewall Inn, a mafia owned bar in Greenwich Village NYC over the weekend of June 27-29, 1969 are usually cited as the beginning of the modern Lesbian/Gay liberation Movement. What might have been just another routine police raid onstonewall.jpg a bar patronized by homosexuals became the pivotal event that sparked the entire modern gay rights movement.

The Stonewall riots are now the stuff of myth. Many of the most commonly held beliefs are probably untrue. But here’s what we know for sure.

  • In 1969, it was illegal to operate any business catering to homosexuals in New York City — as it still is today in many places in the world. The standard procedure was for New York City’s finest to raid these establishments on a regular basis. They’d arrest a few of the most obvious ‘types’ harass the others and shake down the owners for money, then they’d let the bar open as usual by the next day.
  • Myth has it that the majority of the patrons at the Stonewall Inn were black and Hispanic drag queens. Actually, most of the patrons were probably young, college-age white guys lookin for a thrill and an evening out of the closet, along with the usual cadre of drag queens and hustlers. It was reasonably safe to socialize at the Stonewall Inn for them, because when it was raided the drag queens and bull-dykes were far more likely to be arrested then they were.
  • After midnight June 27-28, 1969, the New York Tactical Police Force called a raid on The Stonewall Inn at 55 Christopher Street in NYC. Many of the patrons who escaped the raid stood around to witness the police herding the “usual suspects” into the waiting paddywagons. There had recently been several scuffles where similar groups of people resisted arrest in both Los Angeles and New York.
  • Stonewall was unique because it was the first time gay people, as a group, realized that what threatened drag queens and bull-dykes threatened them all.
  • Many of the onlookers who took on the police that night weren’t even homosexual. Greenwich Village was home to many left-leaning young people who had cut their political teeth in the civil rights, anti-war and women’s lib movements.
  • As people tied to stop the arrests, the mêlée erupted. The police barricaded themselves inside the bar. The crowd outside attempted to burn it down. Eventually, police reinforcements arrived to disperse the crowd. But this just shattered the protesters into smaller groups that continued to mill around the streets of the village.
  • A larger crowd assembled outside the Stonewall the following night. This time young gay men and women came to protest the raids that were commonplace in the city. They held hands, kissed and formed a mock chorus line singing; “We are the Stonewall Girls/We wear our hair in curls/We have no underwear/We show our pubic hair.” Don’t ‘cha just love it?
  • Police successfully dispersed this group without incident. But the print media picked up the story. Articles appeared in the NY Post, Daily News and The Village Voice. Theses helped galvanize the community to rally and fight back.
  • Within a few days, representatives of the Mattachine Society and the Daughters of Bilitis (two of the country’s first homophile rights groups) organized the city’s first ever “Gay Power” rally in Washington Square. Some give hundred protesters showed up; many of them gay and lesbians.

stonewall02.jpgThe riots led to calls for homosexual liberation. Fliers appeared with the message: “Do you think homosexuals are revolting? You bet your sweet ass we are!” And the rest, boys and girls, is as they say is history.

During the first year after Stonewall, a whole new generation of organizations emerged, many identifying themselves for the first time as “Gay.” This not only denoted sexual orientation, but a radical way to self-identify with a growing sense of open political activism. Older, more staid homophile groups soon began to make way for the more militant groups like the Gay Liberation Front.

The vast majority of these new activists were under thirty; dr dick’s generation, don’t cha know. We were new to political organizing and didn’t know that this was as ground-breaking as it was. Many groups formed on colleges campuses and in big cities around the world.

By the following summer, 1970, groups in at least eight American cities staged simultaneous events commemorating the Stonewall riots on the last Sunday in June. The events varied from a highly political march of three to five thousand in New York to a parade with floats for 1200 in Los Angeles. Seven thousand showed up in San Francisco.

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Does Progesterone Influence Baby’s Later Sexuality?

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A new study addresses whether supplementing progesterone during pregnancy, a common practice to prevent miscarriage, could influence a baby’s sexual orientation in later life.

Dr. June Reinisch, director emerita of the Kinsey Institute in the U.S., led the study. She found that bisexuality is quite common among men and women whose mothers received additional doses of the sex hormone progesterone while pregnant.

As discussed in the journal Archives of Sexual Behavior, researchers tracked the sexual development of 34 Danes whose mothers were treated with the hormone to prevent miscarriage.

According to the investigators, progesterone appears to be an underappreciated factor influencing the normal development of variations in human sexuality and psychosexuality.

Researchers believe the findings warrant further investigation given that little is known about the effects on offspring of natural variations in levels of maternal progesterone and that progesterone is widely used to treat pregnancy complications.

Men and women all naturally produce the sex hormone progesterone. It is involved in women’s menstrual cycles, and helps to maintain pregnancies and development of the fetus.

Progesterone plays a role in neural development and the production of other sex hormones as well as steroid hormones that help to regulate stress responses, inflammation, and metabolism in the body.

Physicians often prescribe progesterone and its bio-versions to support the fertilization process, to prevent miscarriages or premature births, or to increase babies’ birth weights.

The 34 participants in the study were drawn from the Copenhagen Perinatal Cohort, which comprises information collected from virtually all children born between 1959 and 1961 at the university hospital in Copenhagen, Denmark.

The 17 men and 17 women were selected because their mothers exclusively received the progesterone lutocyclin to prevent a miscarriage.

These men and women were compared with a carefully selected control group who were not exposed prenatally to lutocyclin or any other hormone medication, but who otherwise matched the study participants based on 14 relevant physical, medical, and socioeconomic factors.

The participants were all in their mid-20s when asked about their sexual orientation, self-identification, attraction to each sex, and sexual history using questionnaires and a structured interview with a psychologist.

It was found that men and women whose mothers were treated with progesterone were significantly less likely to describe themselves as heterosexual. One in every five (20.6 percent) of the progesterone- exposed participants labeled themselves as other than heterosexual.

Compared to the untreated group, the chances were greater that by their mid-20s they had already engaged in some form of same-sex sexual behavior (in up to 24.2 percent of cases), and that they were attracted to the same (29.4 percent) or to both sexes (17.6 percent). Both exposed males and females also had higher scores related to attraction to men.

“Progesterone exposure was found to be related to increased non-heterosexual self-identification, attraction to the same or both sexes, and same-sex sexual behavior,” says Reinisch.

“The findings highlight the likelihood that prenatal exposure to progesterone may have a long-term influence on behavior related to sexuality in humans.”

The research team believes further studies on the offspring of women medically treated with progesterone and other progestogens during their pregnancies are necessary. Additionally, studies examining the effects of natural variation in prenatal progesterone levels are warranted to provide more insight into the role that this hormone plays in the development of human behavior.

Complete Article HERE!

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Seven things you didn’t know about bisexual health

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by Helen Parshall

Bisexual Health Awareness Month is dedicated to raising awareness about the startling disparities that the bisexual community faces in terms of both physical and mental health. When compared against statistics for both heterosexual populations and their lesbian and gay peers, startling trends emerge in both social, economic, and health inequities.

Here are seven things you probably didn’t know about bisexual health:

  1. HRC’s 2014 report, Supporting and Caring for Our Bisexual Youth, found that when compared to their lesbian and gay peers, bisexual, queer and pansexual youth were more likely to experience being excluded and harassed, less likely to have caring adults to turn to if they felt sad and less likely to report feeling happy.
  2. The Movement Advancement Project’s 2016 report, Invisible Majority: The Disparities Facing Bisexual People and How To Remedy Them, found significantly lower rates of graduation and college attendance among bisexual students. Bisexual-identified people were approximately 47 percent less likely to enroll in college than respondents who identified as straight.
  3. Pew Research Center found in its 2013 Survey of LGBT Americans that while 77 percent of gay men and 71 percent of lesbians say that “most or all of the important people in their lives know of their sexual orientation” only 28 percent of bisexual people report being out.
  4. According to the Bisexual Resource Center (BRC), 45 percent of bisexual women have considered or attempted suicide, followed by bisexual men (35 percent), lesbians (30 percent), gay men (25 percent), and much lower rates for straight women and men.
  5. At the historic first White House Roundtable on Bisexual Issues in 2013, the Bisexual Resource Center shared that bisexual women are twice as likely to have an eating disorder than lesbians.
  6. In partnership with BRC, BiNetUSA and the Bisexual Organizing Project, HRC Foundation’s issue brief, Health Disparities Among Bisexual People, highlighted these disparities, which include higher rates of cancer, heart disease and obesity, and higher rates of HPV and other sexual health issues, likely stemming from a lack of access to preventative care and not being out to medical providers.
  7. The Williams Institute found that 39 percent of bisexual men and 33 percent of bisexual women reported not disclosing their sexual orientation to any medical provider, compared to only 13 percent of gay men and 10 percent of lesbians who chose not to disclose.

Complete Article HERE!

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