Lesbian Health Research Center

Institute on Health & Aging, UCSF

The E-Newsletter of the Lesbian Health Research Center at UCSF        Vol 2, No 2

Lesbian Health MattersNewsletter Archives

 

Welcome to the fourth edition of Lesbian Health Matters, the biannual, e-newsletter of the Lesbian Health Research Center (LHRC) at UCSF.

On Saturday, December 11th, we will have a wonderful opportunity to come together to celebrate our fine work this year at our second annual benefit Holiday Gala, featuring Suede and Master of Ceremonies comedian Kelli Dunham. The evening will include a fabulous sit down dinner, an exceptional concert and dancing!

On January 1, 2005, AB 205, the Domestic Partner Rights and Responsibilities Act of 2003, will take effect. We’ve included in this issue an important article, contributed by Deb L. Kinney, Esq., that will provide an overview of this act and help to begin to clarify some of the nuances and complications.

Other highlights of this edition include:

  • Polycystic ovary syndrome (PCOS) among lesbians, a common hormone disorder;

  • Information about the upcoming Benefit Holiday Gala, as well as a Berkeley Rep fundraiser for LHRC in February ; and,

  • Resources for the aging members of our community

On behalf of LHRC I wish you and your families – chosen, created and natural – a healthy and happy holiday season and new year!

Maureen A. Kenney, Principal, Comet Communication
 – Editor-In Chief,
Lesbian Health Matters
 

LHRC Holiday Benefit Gala

 LHRC Holiday Benefit Gala
Featuring Suede

Benefiting the Lesbian Health Research Center @ UCSF
Silent Auction / Dinner / Concert / Dance
Saturday, December 11, 2004
6:30 PM – 11:30 PM
San Francisco Jewish Community Center
3200 California Street, San Francisco

Come out and celebrate with friends in support of LHRC! 
The evening will include a ‘Healthy Escapes’ themed Silent Auction featuring items related to health, travel and relaxation.  Guests will be able to bid on bed & breakfast stays, spa treatments and restaurant gift certificates.

Followed by a sit-down catered dinner – choose from our menu options:

Herb brined roasted ½ Chicken w/ Roasted Tomato Concasse with Country style Potatoes and vegetable du jour
 
Indian Spice rubbed Seabass with Curried Lentils and Roasted veggies
 
Eggplant Parmesan with spaghetti and marinara sauce, sauteed Italian style zucchini

After dinner enjoy a concert featuring Suede with special guest David Pearl accompanying her on the piano and close the night hour with dancing.

Get your tickets now and pass this information along to a friend!

Individual Tickets $150
Table Captain (10 tickets) $1500
tickets and information available at http://www.lesbianhealthinfo.org
or by phone: contact Stacey Carter at 415 502 8347
Early reservations are encouraged.


Meet the Artist

Imagine a cross between Ella Fitzgerald and Bette Midler, add a dash of Louis Armstrong, and you might get some idea of Suede's unique musical talents and abilities. One part rat pack and one part Rosie Clooney, Suede is the "Diva la Difference" and the swinginest singer in town! Think sophisticated pop/jazz, think naughty blues with a sizzling trumpet, think love songs that will make you swoon, think funny, think- Wow-what a voice!

This consummate entertainer sings original material and pop, blues and jazz standards like nobody you've ever heard.  Suede accompanies herself on piano, trumpet, and guitar, or plays with her fabulous band: Mr. David Pearl on piano and either Mr. Max Murray or Ms. Sue Williams on bass. Mr. Steve Holloway on drums is the newest addition to this talented group.

A native of New York, Suede knew early on that she wanted to make singing her life. Her natural talent wowed friends and family throughout her childhood, culminating in her first "bar gigs" while still in high school. Completely self taught until her college years, Suede then began formal training in classical voice and trumpet, obtaining a Bachelor of Music degree before launching her musical career shortly after graduation. She started out in the Washington/Baltimore area playing locals clubs from Harrisburg, PA to Richmond, VA seven nights a week, booking the gigs, running her own sound and traveling in her trusty Toyota hatchback, which somehow fit all her instruments and sound gear. Indeed, the requisite dues have been paid, as Suede has evolved from playing 'Proud Mary' behind chicken wire to packing the best concert halls and jazz clubs in the US and Europe. Easily Suede Music, her own record label founded in 1988, allows Suede to maintain artistic control and make independent creative choices in her work.

From unbelievable A Cappella to "bring down the house" belting blues, Suede delivers it all with her own unique blend of warmth, wit and musical artistry.

Salon Series

The Second Annual Lesbian Health Salon Series
Following on from last year’s success the Lesbian Health Salon Series organized by the Lesbian Health Research Center (LHRC) and co-sponsored by Bay Area Community of Women (BACW) kicked off on Thursday, October 21st (Series Schedule Below). Each Salon in the series includes a meet and mingle hour followed by an informal, interactive discussion on a selected topic led by LHRC medical and research leaders. There is no charge to attend.

The Salon Series was initiated last year by LHRC Community Leadership Circle co-chair, Jan Corlett, PhD. At each event the question of how lesbian health differs from women's health in general is briefly addressed. Timeframe for each Salon is 7:00 PM - 8:30 PM.

WHO
Participating in the Salons will be interested community members, health care personnel and others who wish to explore topics related to lesbian health and the services and functions of LHRC. Medical practitioners, researchers and others in the field will serve as featured speakers.

HOW to Request More Information -
For details on salons and their locations, contact Anna McGrath at anna@mcgrathcc.com  or by phone at 415 255 9286.

 

Upcoming Events

LHRC Lesbian Health Salon Series
November, 2004 thru April, 2005
Time for each Salon is 7:00 PM - 8:30 PM

November 18, 2004 - Thursday
Urinary Incontinence: Everything your mother never discussed with you!
For location: anna@mcgrathcc.com

January 20, 2005 - Thursday
Aging, care and community

February 17, 2005 - Thursday
Creating Heart Felt Connection Through The Relationship Dance

March 17, 2005 - Thursday
Considering hysterectomy: Risks, Benefits, Alternatives

April 21, 2005 - Thursday
Alternative Complementary Medicine

LHRC Annual Holiday Gala
Saturday, December 11, 2004
Jewish Community Center
San Francisco, CA
http://www.lesbianhealthinfo.org

The Gay and Lesbian Medical Association's Annual Conference
September 22-24, 2005
Montreal, Quebec
Le Centre Sheraton
1201 Boulevard Rene-Levesque West
Montreal, Quebec, Canada H3B 2L7
(514) 878-2000

LHRC Annual Holiday Gala
December 11, 2004
Click here for tickets

 
 

 
 

Kelli Dunham is not your typical lesbian
ex-nun stand-up comic

Pop jazz blues artist Suede

 

 
Upcoming Events (con't)

Berkeley Rep night/OUT Benefit For LHRC
FÊTES DE LA NUIT written by Charles Mee / directed by Les Waters
February 10, 2005

WORLD PREMIERE
BERKELEY REPERTORY THEATRE
2025 Addison Street
Berkeley, CA 94704

Contact: Maureen A. Kenney,
Volunteer Coordinator
mauriano@yahoo.com  
415-641-4343

 


night/OUT at the Berkeley Rep
a benefit for the Lesbian Health Research Center (LHRC)

Reserve your place NOW for the Berkeley Rep ‘NightOUT’ Performance and WORLD PREMIERE of

FÊTES DE LA NUIT on Thursday, February 10, 2005
written by Charles Mee / directed by Les Waters

WORLD PREMIERE
(
sure to sell out!) $45.00

BERKELEY REPERTORY THEATRE
2025 Addison Street
Berkeley, CA 94704

Love, love, love! in its many splendored incarnations is the celebrated subject of playwright Charles L. Mee's latest work,
Fêtes de la Nuit. After winning rave reviews for their collaboration on Big Love during the 00/01 season, Mee and Les Waters, Berkeley Rep Associate Artistic Director, will pair up again for this long-awaited world premiere. Set in contemporary Paris, Fêtes de la Nuit is a theatrically vibrant collage on the themes of love and romance. The play examines the Parisians' attempt to reconcile their history with the multiculturalism of the present. Mee's vision is poetic and extravagant, making Fêtes de la Nuit a not-to-be-missed theatrical experience for anyone who has ever been enchanted by the complexities of life's greatest enigma.

Followed by:
night/OUT Reception (included in price)

Berkeley Rep's Lesbian/Gay/Bisexual/Transgender Evening .
Meet a friend, see a fascinating show, connect with someone new. Have a night/OUT at Berkeley Rep. Now in its third year, night/OUT mixes Tony award-winning theatre with a fabulous party for the LGBT community. The party features hors d'oeuvres, drinks and music mixed by cutting-edge Bay Area DJs spinning live. Bring friends or expand your circle; night/OUT provides a perfect opportunity to mingle with the cast, catch up with
friends or discover someone new.

This group / fundraiser will benefit LHRC. To reserve your tickets, please contact Maureen A. Kenney ASAP via e-mail at mauriano@yahoo.com  or via phone at 415-641-4343.
 

AB 205

The New Domestic Partner Rights and Responsibility Act of 2003
by Deb L. Kinney, Esq.

On January 1, 2005, AB 205, the Domestic Partner Rights and Responsibilities Act of 2003, will take effect. The law gives California state registered domestic partners all of the rights and responsibilities that married people have under state law. This will include such rights as privileged communications, the right to bring lawsuits on behalf of one's partner and the right to file for state benefits on behalf of one's partner. Employers will be required to offer the same benefits to domestic partners that they offer to spouses. Partners of state employees will be eligible for survivor benefits and retirement benefits. In addition to these new rights, registered domestic partners will also have some real responsibilities.

If domestic partners dissolve their relationship, one partner may be eligible for spousal support, and there may be a forced division of shared assets. These issues will be decided in family court, more commonly known as divorce court. The two-year delay between the signing and implementation of the law allows already registered couples a chance to 'opt out' until December 31, 2004, or to create property agreements if they do not want to share assets.

Sharing of assets, known also as community property rights, creates some issues both for couples who have significant wealth and those of more modest means. A domestic partner who receives state benefits will most likely be classified as having 'spousal' income when qualifying. The combination of the incomes of two domestic partners could disqualify certain persons from continuing to receive state benefits. At this time it is not expected that the federally mandated benefit programs will recognize domestic partnership. For those earning money, it is unclear how the IRS will characterize the sharing of income earned or unearned. It is possible that community property could trigger gift or income tax. Estate planning can help protect you against these penalties, and at the same time allow you to leave behind a charitable legacy in your community.
Advance planning will help you to identify the appropriate vehicle for passing on charitable contributions after your death. In many cases, your charitable giving can be leveraged in order to minimize taxes and maximize the amount you are able to leave to charity and to your family.

In order to fully protect yourself and your family, it is necessary to make an affirmative statement about how your affairs should be handled during incapacity and in the event of death. It is important for domestic partners and non-registered LGBT couples to be thoughtful about how they hold title to property so that they can minimize income, gift and estate taxes. Creating rights for each other that extend beyond state lines remains extremely important. Working with estate planning attorneys who are familiar with the new laws and who understand the nuances of LGBT planning will allow you to make the best possible use of all the tools and techniques available.

Deb L. Kinney is a partner in Boutiette + von Herrmann, LLP, a San Francisco law firm specializing in estate planning for LGBT families. The firm provides realistic solutions that reflect the goals and desires of each client. For more information or a complimentary consultation, please call 415-693-0550 or visit www.bvhlaw.com.
 

 PCOS

Polycystic Ovary Syndrome: More Common in Lesbian Women?
By Paula Amato, M.D., Assistant Professor
Department of OB/GYN, Baylor College of Medicine

Polycystic ovary syndrome (PCOS) is a common hormone disorder affecting 5-10% of women of reproductive age. Common clinical features of PCOS include irregular periods, excess hair growth (hirsutism), obesity, and infertility. Ultrasound examination often demonstrates the classic polycystic ovary appearance characterized by several small follicles arranged around the periphery of the ovary (the so-called “string of pearls” sign). Elevated androgen (male hormone) levels and insulin resistance are common biochemical features of PCOS. Insulin resistance is defined as a subnormal biological response to insulin. The diagnosis of PCOS also requires the exclusion of other causes of irregular periods.

A study of women undergoing fertility treatment with intrauterine insemination found that the prevalence of PCOS was significantly higher in lesbian women compared with heterosexual women (42% vs. 14%), while the prevalence of tubal disease was similar in both groups.1 This finding has yet to be confirmed in larger, population-based studies.

The underlying cause of PCOS remains unknown. There appears to be evidence for a genetic component in PCOS based on family studies. The clinical expression of PCOS is extremely variable from one individual to another. It is likely that a series of different genes can predispose to PCOS and that these can be modulated by environmental factors, such as obesity.

Women with PCOS are at increased risk for infertility, endometrial cancer, type II diabetes, and possibly cardiovascular disease. Thus, patients with PCOS should be screened for diabetes, an elevated cholesterol, and high blood pressure. Management of these conditions is part of the overall primary care prevention strategy.
The treatment of PCOS usually involves treatment of particular symptoms. If the patient is obese, a major component of any treatment should be weight reduction through lifestyle modification, including both diet and exercise. The most common pharmacologic treatment of PCOS, in women not currently desiring pregnancy, is the oral contraceptive pill (OCP). OCPs are effective in regulating withdrawal bleeding, decreasing the risk of endometrial cancer, reducing androgen levels, and improving hirsutism and acne. If hirsutism is a persistent problem despite treatment with OCPs, an antiandrogen, such as spironolactone, may be added.

Recently, insulin-sensitizing medications, such as metformin, have been used in the treatment of PCOS. Metformin has been shown to reduce androgen and insulin levels, ameliorate menstrual patterns, and increase ovulation and pregnancy rates in women with PCOS. The beneficial role of metformin as an adjuvant to treatment of infertility has been well-established. However, the effects of long-term treatment are currently under investigation.

 

 

In patients who present with infertility and desiring pregnancy, ovulation induction with clomiphene citrate is usually first-line therapy. In patients who fail to conceive on clomiphene, alternatives include metformin and/or injectable gonadotropins.
Whether PCOS is indeed more prevalent in lesbian women in comparison to heterosexual women awaits confirmation in further studies. The optimal treatment for PCOS in lesbian women, who do not currently desire pregnancy and are not in need of contraception, is the subject of ongoing research.

1. Agrawal R, Sharma S, Prelevic G, Bailey J, Bekir J, Conway G. The prevalence of polycystic ovaries and polycystic ovary syndrome in lesbian compared with heterosexual women. European Society for Human Reproduction and Embryology Annual Meeting, 2003. Abstract #O-070.

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About

About Lesbian Health Matters

Lesbian Health Matters is the quarterly e-newsletter of the Lesbian Health Research Center (LHRC) distributed by e-mail and available on our Web site: www.lesbianhealthinfo.org.

To subscribe, unsubscribe, or comment, please send an e-mail to: newsletter@lesbianhealthinfo.org .

Lesbian Health Matters Staff

Editor-In Chief

Maureen A. Kenney, Principal, Comet Communication

 

Contributors:

§    Paula Amato, M.D.;

§    Deb L. Kinney, Esq,;

§    Patricia Robertson, MD; and,

§    Joanna Sickler

Copy Editors:

§    Suzanne Dibble, RN, DNSc; and,

§    Maureen A. Kenney

 

Web Master
Barb Rush, barb@lesbianhealthinfo.org  

LHRC Co-Founders & Co-Directors

§    Suzanne Dibble, RN, DNSc

§    Dixie Horning

§    Patricia Robertson, MD

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©2004 Lesbian Health Research Center Newsletter Archive