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People with Vulvas’ Health Blog

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Let’s talk about health care! It’s recommended that people schedule a visit to the doctors once a year, usually this is called an annual exam. At this visit they can talk about any concerns they have about their body, health, or activities. It is a chance for a doctor to provide preventative services and check to see if there are any concerns developing. There are a few things that happen during an annual, so let’s look into it!

The nurse will measure a person’s height and weight. In the office they will ask about medications to see if there are any changes. There will be a depression screening, and there will be questions about a person’s activities such as substance use and sexual activity. The nurse will also ask if the person has any questions or concerns they want addressed that day. During this visit there may be a discussion on contraception depending on the answers a person has about their sexual experiences. This is a great opportunity to ask about different types and the effects it could have on a person. 

When it comes to the exam the nurse or doctor will ask to check various parts of a person’s body. They will typically check blood pressure, pulse, the heart, lungs, nose, ears, and, mouth. At myHealth, someone will have a physical exam of their genitals if the patient requests it or if there are things to address such as rashes, discharge, or other irregularities. 

Pap Smears 

A doctor may recommend a breast exam and a vaginal exam (pap smear). Pap smears should be completed starting at age 21 and continue every 3 years if results are normal*. Sometimes a person is given a hospital gown to wear or a person will remove their bottoms and underwear, a paper cloth is given to place over a person’s lap. During a pap smear, a person will lay on the exam table and the doctor will sit on a stool for the exam. Usually, the doctor will let the patient know what they are doing and state when they are going to go into the vagina. A speculum and lubrication are used to go into the vagina. Sometimes it might feel slightly cold and there might be some pressure. There are different size speculums that a doctor can use so if there is some discomfort with the exam a person can ask for a smaller speculum.

For a pap smear, a small sample of tissue will be taken from the cervix. The doctor will look to check for cysts, discharge, and any other concerns a person might ask about. If a person has a history of trauma or anxiety around vaginal exams they can inform the doctor or nurse and different processes can be utilized to make sure the person feels safe and comfortable during the exam.


This relationship between a doctor and their patient can be vulnerable and it is important a person feels comfortable with the doctor performing exams, asking about a person’s activities, and having conversations about a person’s health. A patient has the right to ask their doctor questions about the exam, treatment, recommendations, and any other part of the visit. 

If a person feels uncomfortable with their doctor it could be helpful to search for another provider. Many times clinics will have a small bio on the doctors that a person can use to see if they are a good fit. Doctors will list their focuses, passions, groups they have experiences with, and many times some identities are present in their pictures. Some might mention they are LGBTQ+ comprehensive, sports focused, and so much more. 


A person can let their healthcare provider know how they would like to be addressed and what name they prefer. This can be added to the chart. A patient deserves to have their pronouns and name correctly used during their visit.

*If results are abnormal, the person should have a repeat pap in one year, not any earlier. Their doctor can explain the process more in-depth. 

**Check out our blog on what happens at annuals for people with penises

Navigating Sensitive Conversations with Your Doctor

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“Why me? Why now?” 

No matter how many revolutions happen in health care, the thought of visiting the doctor can be overwhelming. But it doesn’t have to be an obstacle to seeking the care that you need — and the care you deserve!

Our bodies are unique, ever-changing organisms. Don’t fall into the trap of assuming you are exactly like someone else, or like the worst-case scenario that pops up when you search for your symptoms.

Nothing they haven’t seen before

You may feel anxious, but remember you are one of many people who have felt just like you feel right now! There isn’t a question that hasn’t been asked before. 

Maybe you fear an HPV infection, and you’ve just booked your first cervical screening. Your doctor is only there to help, and it’s probably their 1875th screening (or so!). Doctors are people who understand what you’re feeling and how to help.

Addressing uncomfortable topics with your doctor

Anxiety-inducing questions vary by person. Here are some common ones:

  • Sex-related topics such as libido, erectile dysfunction, sexually transmitted infections
  • Poop stuff: IBS (irritable bowel syndrome), constipation
  • Mental health issues like anxiety, depression, and relationship struggles
  • Gender identity and sexual orientation
  • Bad breath
  • Body odor

You may be describing something that feels like a flaw, but health struggles do not determine your self-worth. No matter how silly or awkward the problem appears to be, dealing with it head-on prevents it from growing into something potentially more serious.

Let’s look at an example.

Bring your notes

Let’s say you need counseling, but you don’t know how to verbalize what and how you’re feeling. Just the thought of being asked what you need help with may conjure up scenes of awkward silence as you try to figure out what to say.

Write down your concerns down beforehand. Conduct a case study of your own. Don’t worry about your literary style—we’re not in school, and there are no grades. Make a note of your symptoms, whatever the problem may be. Your notes will spark a conversation with your doctor, who is trained to guide you and ask helpful followup questions. 

Try reading your notes out loud before your appointment to ease your nerves. No method is too silly when your health is at stake.

Fellowship hour

You and your doctor have the same goal and share the same interest: making you healthy and happy. Addressing uncomfortable topics with your doctor doesn’t have to be distressing. Give yourself space to establish a rapport with your doctor. 

Once you trust them, it becomes so much easier to open up about sensitive, private concerns about your body. Health care workers want you to be well; they just need you to give them information so they know how to help.

Honesty is your shield

Building trust with your doctor may start with blunt honesty. It can be as little as: “Hi, I’m nervous,” or “I’ve never shared this with anyone.”

This admission is your doctor’s cue to slow down and do everything in their power to make you feel comfortable before asking questions. It’s important to remember that they’ve seen, heard, and touched things beyond our wildest imagination. They are eager to help, and they will work around shyness and uncertainty to work toward a good outcome.

Tell it plainly

Sex, addiction, and mental health issues are common in adolescents and younger people. No matter how embarrassing or bad it feels to admit, you’re there because your problem needs fixing and you want to fix it. Sharing details about painful sex with your doctor sounds frightening, but it is a necessary step. Google isn’t a doctor; always remember that. 

Schools can support students going through recovery, too, so learning to be open and talking about it is the first step to getting better. If you’re struggling with addiction, don’t hesitate to reach out. Your whole future depends on whether you’re open to receiving the help you need. 

There is no shame in asking questions

As the conversation unfolds, you may feel overwhelmed by the exam, the advice, or the medical terms. Don’t be afraid to ask questions, or write things down on some paper or on your phone. If you’re there to get help regarding stress management, for example, just nodding through their advice won’t be nearly as beneficial!

Always remember that you’re not bothering your health care providers when you ask questions about your care. They want you to understand everything they are telling you. They want you to be able to take charge of your health. This is a partnership, not just the doctor curing you, or you wandering off on your own.

Don’t sweep it under the rug

You’d be surprised how easily some health issues can be fixed. Not addressing uncomfortable topics with your doctor and keeping it a secret will only prolong your discomfort and worry. Gather the courage and get help today!

pride flag

Pride in 2022

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Pride Month brings a celebratory atmosphere every year, but in 2022, Pride also reminds us that the fight for equality is ongoing. In the past year, over a dozen states have restricted the rights of trans youth, including unwarranted sports restrictions, bans on gender-affirming care, and the endorsement of Child Protective Services investigating families with trans minors.

The concerns felt by many in the LGBTQIA+ community in the United States are legitimate, and myHealth stands with the LGBTQIA+ community in calling for human rights for everyone. We are grateful that the Minnesota government has upheld rights for LGBTQIA+ people and we will continue to advocate for those rights.

Our education team, clinic staff, and counselors are proud to support LGBTQIA+ young people in their journeys, whether it’s by providing counseling, education, reproductive health care, insurance assistance, or referrals for gender-affirming care. We are always thinking of ways to keep myHealth a place where LGBTQIA+ people can feel accepted, safe, and free to be themselves.

Taking Pride

The term “Gay Pride” was coined just miles away from myHealth! In the early 70s, Minneapolis residents Michael McConnell and Jack Baker popularized the term after becoming the first gay couple to successfully apply for a marriage license in the United States.

Since the 70s, the idea of Gay Pride or LGBT Pride has come to cover a multitude of marginalized identities. All people deserve to take pride in who they are, and in their role in their community. 

This June, myHealth wishes you a Pride full of joy, love, and the defiance of hatred. Know that no matter what happens in the United States, there are countless people who support you and will fight for your right to be you. Together, we are stronger and happier.


Are you concerned about your general, mental, or sexual health? Call myHealth at 952-474-3251.

Are you seeking gender-affirming care? Our trusted community partner, Family Tree Clinic, can help you! 

Are you a young person ages 14 to 19 in need of emergency shelter? Contact our trusted community partner Hope House.

Celebrating 50 Years of myHealth!

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Please join us for an open house celebrating 50 years of myHealth! Since 1972, myHealth has sought to bring easily accessible high-quality care to the young people in the west metro. For our 50th anniversary, we want to celebrate our partnership with our wonderful community:

What Day: Saturday, June 4, 2022

What Time: 10am to 2pm

Where: 8th Avenue S, Hopkins, MN 55343

Celebration Details

Spread the word! Send people to myHealth’s website, or to the press release below.

View Press Release

Stress Management

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While feeling stress is normal and expected, constantly battling worry, anxiety, and excessive levels of stress can be draining and negatively impact your health. Eliminating all stress isn’t possible, but it is possible to begin ridding yourself of unnecessary stress and building tools to better manage unavoidable stress. 

What’s Causing You Stress?

Start by identifying your stressors. One approach is to keep a record of things that are causing your stress. Check in with yourself throughout the day, noting the time, your level of stress, and what the root cause is or what you believe it to be. It could be a person, a situation, or your own thoughts and actions. Keeping track of these stressors will help you identify patterns and better understand why you feel stress as well as what you can do to change them or better manage them. 

Importance of Prevention

Set yourself up for success by building healthy habits. 

  • Aim to eat 5-9 servings of fruits and vegetables each day 
  • Make time for movement! Experts recommend at least 30 minutes of moderate physical activity every day. Remember that you can split the 30 minutes, if necessary, and exercise for 15 minutes in the morning and another 15 minutes later in the day. 
  • Set a goal to sleep about 8 hours every night and keep a consistent sleep schedule, even on weekends. 

Stress Management Techniques

While some stress may be preventable, it is also important to have tools to manage stress that is unavoidable. Let’s explore six stress management techniques to help keep you grounded and some tools that can get you started. 


Meditation is a skill which is continuously built by training your mind and thoughts in order to raise your awareness and sense of perspective. There is a misconception that meditation is emptying your mind, but it’s actually about learning to let thoughts come and go, observing them without judgment. 

If you are new to meditation, remember to be kind and patient with yourself. It’s normal for your mind to wander. No one is bad at meditation, it just takes time and practice to learn to quiet your thoughts. It is counterproductive to let your stress management methods cause you greater stress!


  • Body Scan

    • Start by sitting or lying down in a comfortable position and taking a few deep breaths, feeling the sides of your abdomen expand and collapse
    • Let your breathing return to normal and bring your attention to your feet
    • Observe any sensations such as the feeling of your socks on your skin or points of contact between feet and the floor
    • Breathe through any tension, itchiness, or pain. Acknowledge these sensations and gently breathe through them or visual them leaving your body through your breath
    • Once your feet are relaxed, continue up to your ankles and repeat.
    • Continue slowly bringing your awareness to each part of your body until you’ve reached the top of your head
    • Take a few deep breaths to let go of any remaining stress or tension
  • Visualization

    • Being by sitting in a comfortable position
    • Close your eyes and take three deep breaths
    • Visualize a setting that is calming, it can be imagined or a real place you have visited such as a bench overlooking a stream or lake
    • Add as much detail as possible to immerse yourself in your visualization. What season is it? What sounds do you hear? What smells surround you? What’s the weather like? What time of day is it? 
    • Continue to slow your breath and building your mental image
    • If your mind begins to wander, gently bring it back to your breath and add more detail to your visualization, such as another plant or object in sight
    • When you feel calm, return to your focus to your breath and let your visualization fade before opening your eyes
  • Guided Meditation

    • Guided meditations are led by a narrator who helps you find your focus and walks you through steps to meditate
    • This technique can be especially helpful for those who are new to meditation or would like some additional guidance to stay mindful and in the present
    • There are many guided meditations available for free. The Youtube Channel Goodful has several 5- or 10-minute guided meditation videos. There are also apps that you can download to your phone such as Insight Timer or Calm with plenty of free content to help you get started


Positive affirmations are short, motivational statements that help build self-esteem, ground you in the present, promote mindfulness, and combat negative thoughts and harmful self-talk. 


I love myself unconditionally.

I accept myself as I am.

I am enough.


  • Leave small notes or post-its in areas you frequently walk past with a meaningful affirmation on it and say it aloud each time it catches your eye
  • Take a video or audio recording of yourself repeating your favorite affirmations and play it in the morning to start your day
  • The Daily Shine podcast has guided meditations and affirmations          
  • I Am is an app that provides affirmations as well as notifications throughout the day to remind you of your affirmations


Journaling can be a great place to start on your mindfulness journey. Simply grab a diary, notebook, or paper try out the methods below!


  • Regrets/Gratitude/For Today
    • Start by sitting down with your journal, closing your eyes and taking three deep breaths
    • When you feel calm and grounded, open your eyes, pick up your pen, and write three regrets from the day before, followed by three things you are grateful for, and then goals for the day or your affirmations
  • Find prompts for guided journaling here

Prevention and practice are both essential parts of stress management. Rather than trying to get rid of all stress in your life, instead focus on building healthier responses to stress.

Don’t be afraid to ask for help. If you’ve taken steps to manage your stress but it continues to interfere with your daily life, it may be time to schedule a visit with your healthcare provider. myHealth staff are here to support you! Visit to learn more.

Woman in Winter

Winter Asthma Control

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It’s that time of year! Enjoy these asthma control tips for winter complements of the Minnesota Department of Health.

The winter months can be difficult for Minnesotans with asthma because of triggers associated with winter and the holidays.

Take steps to control your asthma.

  • Cold, dry air can trigger asthma but you can avoid this by wearing a scarf around your nose and mouth to keep the air you breathe warm and damp.
  • All kinds of smoke can trigger asthma, so it’s best to avoid wood smoke, e-cigarette vapor, and cigarette smoke.
  • Avoid using scented products such as candles, incense, and cleaning products.
  • Live holiday trees and wreaths can contain mold and dust to build up. Consider allergy-friendly alternatives.
  • Vacuum dusty holiday or winter decorations to avoid allergens.

Continue to take your medications, follow your asthma action plan, and remember your inhaler technique.

  • Take your controller medication as prescribed, carry your rescue medication with you, and follow your asthma action plan (AAP).
  • Schedule a visit with your health care provider.
  • Get your annual flu vaccine.
  • Pack smart. If you’re traveling across country or just for an overnight with friends or family, make sure all asthma medications are packed, inhalers are full (check the expiration date) and that the medications will last the length of the trip.
  • Remember your inhaler technique.

For more information for patients, families, and caregivers on different types of triggers and how to avoid exposures to specific individual triggers, a MDH trigger information sheet is available in both English and Spanish.

Learn more about improving your asthma during the winter season by visiting the Asthma and Allergy Foundation of America’s article, 5 Asthma and Allergy Tips for a Healthier Home for the Holidays.

Make sure you know how to use your inhaler.

Improper inhaler technique can negatively impact asthma control. According to the Asthma and Allergy Foundation of American, up to 92% of people with asthma use their device incorrectly.

The National Jewish Health inhaler technique videos or CDC asthma inhaler videos are great resources to review your technique.

Learning More About Vaccines

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by Katelyn Maddox

The COVID-19 vaccine is already helping control the spread of COVID-19 worldwide, but how much do you know about vaccines in general?

Children are born with an immune system that has not been exposed and infected with many foreign antigens, so often when kids first get exposed to a disease, the immune system is not able to produce antibodies fast enough to properly fight the disease. Though newborns often have antibodies from their mothers, they go away during the baby’s first year. Immunity is what occurs after the body has produced antibodies so that the next time infection occurs the body is able to produce antibodies fast enough to fight the illness.

Vaccines are used to help an immune system become stronger and protect it from different harmful diseases. Throughout the years, they have saved millions of lives. They have proven especially life-saving in immunocompromised populations, like children and older adults. In the United States, vaccines for polio, smallpox, diphtheria, tetanus, rubella, measles, and mumps and more have been used to help reduce or eradicate the diseases. Smallpox, for example, killed over 300 million people in the world in the 1900s, but due to vaccination it is completely eradicated. Even if a disease is not common in the U.S., complete eradication is rare and worldwide travel can make diseases easy to spread so diseases that are preventable by vaccine require high vaccination rates to avoid.

Vaccines work by stimulating the body’s adaptive immune system and producing antibodies against a specific disease. Often, a weakened form of the disease, such as smallpox, is injected into your body and then your body creates antibodies to fight the weakened disease. This way, if you’re exposed to the actual disease then the antibodies the vaccine helped create will destroy and fight off the actual disease (the foreign antigens). The injected antigens are weakened so they don’t cause disease, but they are able to produce antibodies to contribute to immunity.

Some children and adults are unable to be vaccinated. There can be many reasons for this, such as age limits or specific medical conditions, so immunization helps protect others in the community. The more people who have taken a vaccine, the less the disease can spread. High vaccination rates are essential because low vaccinate rates can allow diseases to spread again. Everyone needs vaccines. There are more than 12 different vaccines recommended for children to receive before their 6th birthday and there are vaccines intended for later in life too. In order to prevent the spread of contagious diseases, immunizations are key.

There have been many advancements in vaccine creation and usage since the first vaccines were created. We now use vaccines containing weak, live, or killed microorganisms/viruses, as well as protein and/or mRNA. In the 21st century, vaccines are as important as a regular health check-up and are a vital part of preventative care. The U.S. requires stringent regulations for vaccines and has long approval processes for safety, and any side effects (such as a fever) are often considered normal and less severe than the actual disease as your body builds immunity.

In order to protect yourself, your family, and your friends, talk to a healthcare professional about which vaccines are recommended for you today. The CDC is also a great resource for most vaccination questions and further reading.

Why Are Vaccines Important

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by Nancy Huber

Eating well, exercising, practicing yoga and mindfulness, getting enough sleep, managing stress, and laughing (yes, laughing) are a few of the things we do during our life to stay healthy.

Another important item that definitely belongs on this list is getting vaccinations.  On that note, you might not have heard the U.K. was the first nation to administer fully vetted and authorized COVID-19 vaccines to its citizens.  A 90-year-old woman was first to receive it.  The second was 81-year-old William Shakespeare.  Everyone made a big deal of his name, but it seems to be Much Ado About Nothing.

It’s easy to get a vaccine, and when you do you are helping not only yourself stay healthy,  but your friends, family, community, and humanity too.  From infancy through adulthood, everyone needs vaccines.

Getting vaccinated is important for many reasons.  It aids in protecting us from diseases, thus preventing disabilities and complications such as hearing loss, seizures, arm or leg amputations, brain damage and even death.  Equity in immunization can contribute to health and economic advantages  by preventing illness and the high cost of treatment.  It saves millions of dollars in healthcare costs.  Getting vaccinated enables us to live healthier and fuller lives.

The immediate benefit of getting a vaccine is individual immunity.  That leads to long-term and, at times, lifelong protection against contracting a disease.  But if vaccination rates drop to low levels it’s possible to have outbreaks of epidemics of diseases we thought had been subdued.

In the past 18 months we have all learned much about the importance of achieving herd immunity with COVID-19.  Specific rates of vaccination–which vary widely by disease but are always less than 100 percent–result in herd immunity.  Once that’s achieved it’s difficult for a disease to continue to spread because there are not enough susceptible individuals left to infect.  Herd immunity is particularly helpful for infants too young for certain vaccines and those not able to get vaccinated for health reasons.  So even for diseases that don’t see 100-percent vaccination rates, herd immunity picks up the slack to protect the entire community.

Before vaccines it was common to lose many children in the same family to certain diseases such as Whooping Cough (Pertussis), which can cause uncontrollable coughing, making it difficult to breathe; Measles, which can cause serious complications like pneumonia, seizures and encephalitis; and Diptheria, which can cause a thick coating in the back of the throat or nose, making it hard to swallow or breathe.

Thanks to worldwide vaccination efforts another disease, Polio, which causes paralysis, has been nearly eradicated after having been epidemic in the U.S. in the 1950s.  In 2000 the World Health Organization (WHO) declared Measles eliminated, too.  But because of international travel it reemerges at times, causing pockets of outbreaks.  This is much as it was thousands of years ago, when increasing migration, exploration, and trade led to the spread of many diseases.

Also called the “speckled monster” because of the scarring it causes, Smallpox is the only disease to be totally eliminated.  That was declared in 1980 and credited to a worldwide vaccination campaign.  (You might remember getting a smallpox vaccine as a child, the scratching of the needle on your upper arm leaving a more desirable telltale scar.)  Smallpox appeared around 10,000 B.C.  It was frequently epidemic in the Middle Ages and caused massive destruction.  An estimated 300 million people have succumbed to its ravages.

Attempts to inoculate  against smallpox date back to at least the 1500s, when the Chinese ground up dried smallpox scabs into a powder and blew it up the nostrils, which might sound rather unpleasant.  But only one to two percent died from this deliberate infection, called variolation, compared to the 30 percent who died after contracting the disease naturally.  In 1798 the smallpox vaccine was the first to be developed against a contagious disease.

Other diseases have declined thanks to vaccines, and today many are almost gone in the US.  A few examples of more-recent vaccines saving lives are Meningitis and Rotavirus, and the HPV vaccine is helping to prevent cancer.  New vaccines are always in the works, such as for HIV.

Experts have concluded that the use of vaccines has prevented and will continue to prevent tens of thousands of deaths and spare millions of episodes of disease in children and other vulnerable populations in the US alone.

We should not let time blur memories of the devastation caused by disease in the days before vaccines.  The fight against our current pandemic, COVID-19, has shown how important it is to agree to develop, promote, and provide vaccines to the world to improve health and save lives.

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