Sex
Screwed by science
The elusive birth control pill for men may be as much about gender as research
Why is there no male birth control pill? A piece by Lisa Campo-Engelstein in this month’s Science Progress argues that we could have solved this problem decades ago, if not for “social factors” that have effectively made contraception a “woman’s problem” while simultaneously denying men the same option to control their fertility without their partner’s participation or consent. To borrow a metaphor, this screws us all: Women take on a greater burden for preventing pregnancy, while men can only hope their partner did so.
Let’s pretend you are a straight couple, in a monogamous long-term relationship, and you don’t want a kid. Consider your options: A woman can choose from 11 forms of contraception — including barrier methods like the diaphragm, permanent sterilization, and that holy grail of the sexual revolution, the pill, and its more recent and even more foolproof sisters in hormonal birth control, the ring and injectibles. A man can choose two: condoms or a vasectomy.
When comes to effectiveness, there’s no competition between hormonal and barrier methods: Condoms fail at a rate of about 16 percent, while the pill and other forms of hormonal contraceptives hover at about 3 percent. But to get the pill, a woman has to pay for regular gynecology appointments, where she will put her legs in stirrups and let her doctor root around in her vagina, then be prescribed a monthly dose of hormones. It’s also not cheap: According to Campo-Engelstein, women pay 68 percent more out of pocket for birth control than men of the same age. Not all insurance plans cover birth control. And uninsured women — who make up one in five women — are 30 percent less likely to use prescription birth control. What’s more, women sign on for a host of possible side effects: cardiovascular complications, depression, hepatic adenomas, pathologic weight gain, and possible bone loss. If you’re over 35, you have to quit smoking, or risk an even higher chance of blood clots that could lead to a stroke. Most women prefer these risks to those that accompany unplanned pregnancy, or a life of celibacy. But they are not trivial.
Guys? The shy ones might squirm a bit at the druggist (or dispense with the whole mess and order from Condomania). But women often take responsibility for male contraception, too: According to the piece, women are responsible for contraception about 67.3 percent of the time; when one includes condoms bought by women, the rate rises to 91 percent. But what men gain in convenience, they lose in control: They have to trust their partners to take their contraceptives correctly (while considering that even the most conscientious woman can miss a pill or two). If their partner gets knocked up, they have no say in whether or not she aborts. And if she keeps the child, they will be thrust into legal and financial fatherhood, like it or not. Writes Campo-Engelstein: “In some ways it seems unfair to hold men responsible for children they did not want when they are ill equipped to prevent pregnancy.”
What would solve this problem is a long-acting reversible contraceptive, or LARC, for men. But, infuriatingly for all of us, science isn’t the only thing standing in the way. Scientists didn’t even start researching male LARCs until the ‘70s — 50 years after research began on female contraception. During the ‘90s, 60 percent of research dollars went to high-tech female contraception, while only 7 percent went to male contraception (3 percent went to female barrier methods, spermicides and natural fertility; 30 percent to multiple methods, mostly female).
The reasons behind this inequality, writes Campo-Engelstein, are based on outmoded “gender ideologies, not fact.” One such ideology is that men can not be trusted to be honest about birth control — although surveys show only 2 percent of women worldwide agree with this, while 55 percent of men say they would be willing to take a male pill. But some scientists believe men wouldn’t put up with the kind of unpleasant side effects that women take for granted: Some working on hormonal birth control for men, for example, are afraid that men might believe the common side effects of testosterone — including acne, mood swings and temporary shrinking of the testes — would “ ‘minimize’ their masculinity.” Others working on a pill that would prevent ejaculation worried that men would freak out — even though ejaculation has no effect on a man’s orgasm. The author has great hope in a new study of a protein that might inhibit male fertility with fewer side effects. But even if we catch the elusive male LARC, there’s still reason to wonder if we will see equal use of contraceptives between men and women: As Campo-Engelstein points out, the final solution — vasectomies and tubal ligations — are equally available to men and women. But although vasectomies are “quicker, easier, safer and cheaper,” than tubal ligations — and sometimes, reversible — American women are three times as likely to use permanent contraception than men.
For now, we’re at a stalemate: Men and women have separate and unequal access to birth control and thus unequal control over their sexual autonomy. We need more funding for research, untainted by outmoded gender assumptions. No form of birth control is perfectly accurate, perfectly safe, or without a few side effects. But as we develop more options, we also need to believe — and expect — that men and women will both be willing to compromise if their greater goal is participating in the joys of nonreproductive sex.
Amy Benfer is a freelance writer in Brooklyn, N.Y. More Amy Benfer.
Taxing strip clubs for rape
Politicians are holding adult entertainment venues responsible for funding sexual assault services
(Credit: iStockphoto/wragg) It used to be that strip clubs were merely blamed for society’s ills. Now they’re actually being charged for it.
In recent years, measures have been introduced in Georgia, Pennsylvania, Texas, Illinois and, most recently, California to apply special taxes to strip clubs — specifically to fund sexual assault services. Now, even if you aren’t inclined to view erotic entertainment as the source of all evil, this might seem an appropriate aim — who wants to argue against additional support for rape survivors? It would seem even more so when you consider politicians’ and activists’ repeated claims of solid scientific evidence showing a link between strip clubs — specifically those that sell alcohol — and sexual violence.
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Tracy Clark-Flory is a staff writer at Salon. Follow @tracyclarkflory on Twitter. More Tracy Clark-Flory.
Massage therapists rubbed wrong by sex talk
A Jennifer Love Hewitt show and the Travolta allegations have masseuses tired of being confused for sex workers
(Credit: iStockphoto/sybanto) Joe, a licensed massage therapist, knows what it’s like having a famous client who expects something extra. He had an Academy Award-winning actor begin gyrating on his massage table before raising his hips in the air to show off his erection. “He was hoping that I would play with him in some shape or form,” he says.
Needless to say, Joe isn’t surprised by allegations by two masseurs that John Travolta got handsy during massages. (Travolta’s attorney has denied all the allegations, and called them “ridiculous.”) “It happens all the time,” he says, and not just with celebrity clients. He frequently encounters men who try to fondle him, usually while he’s working on their glutes or lower back and their hand happens to be level with his crotch. “They think they’re so original, but they’re all so much the same,” Joe says, his voice rising. “They all use the same tactics, the same body movements, the same gyrations and grinding my table, the [heavy] breathing.”
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Tracy Clark-Flory is a staff writer at Salon. Follow @tracyclarkflory on Twitter. More Tracy Clark-Flory.
A night at the vibrator museum
Early vibrators were hand-cranked, two-person jobs -- and prescribed by doctors. How far we've come since then
(Credit: Antique Vibrator Museum) I can now say that I’ve used a turn-of-the-century vibrator — on my hand, but still.
The silver, hand-cranked contraption is usually kept behind glass at Good Vibrations’ Antique Vibrator Museum in San Francisco — but staff sexologist Carol Queen made a rare exception. “This is very special,” she whispered, unlocking the case and carefully pulling out Dr. Johansen’s Auto Vibrator, a relic from 1904. The “auto” part is not so much: It was a two-person job, with her having to crank the device’s handle to get it thrumming. Pressing my finger tips to its inch-wide circular platform of pleasure, I was pleasantly surprised by its power.
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Tracy Clark-Flory is a staff writer at Salon. Follow @tracyclarkflory on Twitter. More Tracy Clark-Flory.
Maggie Gyllenhaal on sexual liberation
The beloved indie star tells Salon about her "vibrator movie" and why she loves playing transgressive women
Maggie Gyllenhaal (Credit: Reuters/Mark Blinch) When I met Maggie Gyllenhaal about six weeks ago, she was enormously and gloriously pregnant, stretching out on a sofa with her shoes off and feet up in a Manhattan office building. (Since that time, Gyllenhaal and husband Peter Sarsgaard have welcomed their second daughter, Gloria Ray, to the world.) We were there to talk about “Hysteria,” the charming, lightweight feminist farce from director Tanya Wexler that explores a key event in the history of female sexuality: the invention of the vibrator by Mortimer Granville, a Victorian doctor who was seeking to cure the mysterious “female malady” that lends the movie its title.
Continue Reading CloseMother-daughter sexperts
Susie Bright and her daughter, Aretha, make parental talks about sex look easy -- and fun
Most parents loathe talking to their kids about the birds and the bees, let alone pubic hair grooming, faked orgasms and “water sports” — but most parents are not legendary “sexpert” Susie Bright.
Better than talking about these things, she penned an advice column in 2009 with her daughter, Aretha, then 19, for the ladyblog Jezebel. Their answers to questions about everything from porn to Paxil were unflinching but playful, and at times controversial. Now the pair have collected those columns into a new e-book, “Mother/Daughter Sex Advice.” Together, they read as an irreverent version of “Our Bodies, Ourselves” for the Internet age. The mother-daughter team also reflect on what the experience of writing the column was like, and it turns out it wasn’t as weird as many would think: For the most part, it was just a continuation of conversations they had been having throughout Aretha’s life.
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Tracy Clark-Flory is a staff writer at Salon. Follow @tracyclarkflory on Twitter. More Tracy Clark-Flory.
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