Back when she was 23, Tiffany Gaines tried to buy condoms over the counter at a convenience store in New York City. She distinctly remembers how uncomfortable she felt. “It was this awkward and shameful experience, and I felt humiliated,” as the clerk used an eight-foot orange claw to pick up the condoms in front of a group of men buying beer on a Saturday night.

It was 2012, and at the time, she was a graduate student in design for social innovation at the School of Visual Arts. Gaines saw an opportunity to take what could feel like a distressing experience and turn it into making purchasing condoms empowering and fun.


In 2014, Lovability Inc. was born, and Gaines found herself running and operating a company aimed at promoting feminism through every condom purchase. But she never could have predicted the current state of affairs, with reproductive rights at risk and employers no longer covering birth control pills. As the Trump administration continually undermines women, people are taking their sexual health into their own hands more than ever before. And that puts women-owned condom companies in a rather enviable position.

[quote position=”left” is_quote=”true”]The name Trojan, it’s extremely aggressive. It’s the story of the Trojan horse sneaking its way into an impenetrable city and ravaging it.[/quote]

Gaines is one of many women bringing a different perspective to the condom industry. Talia Frenkel founded L. Condoms (which partners with organizations in Sub-Saharan Africa) in 2011 after working as a photojournalist for Red Cross and United Nations. It was during her time chronicling the AIDS and HIV crisis affecting young girls that she saw an opportunity to make a difference. “I hadn’t realized that 90% of countries in Sub-Saharan Africa go through condom stock-outs and this was really undermining the efforts of organizations on the ground working to promote awareness and usage of condoms,” she says. “There was a lot of talk about girls being our greatest impact resource and future agents of change in development, but at the end of the day, it was easier to raise funds for business micro-loans and more difficult to talk about those same girls becoming sexually active.”

Then, in 2014, Meika Hollender teamed up with her father, the co-founder of Seventh Generation, and established Sustain, a non-GMO condom company. It was the lack of eco-friendly condoms “that sort of drove us in a certain direction when we started Sustain,” Hollender says. “Coming from the background of Seventh Generation, we thought it was crazy that when it came to the most intimate parts of our bodies and what went inside women’s vaginas, there weren’t many natural options. So we saw a huge opportunity there.”

With over 450 million condoms sold in the United States alone each year, there certainly does appear to be a market, particularly with women. But two companies currently dominate the condom space in the U.S.: Trojan, which makes up 69% of condoms purchased, and Durex, which sells 15%. The other 16% is made of smaller companies like Lovability, Sustain, and L.

Statistically, women are less likely to carry condoms or even use them. The National Survey of Sexual Health and Behavior found heterosexual men consistently use condoms at a higher rate than straight women when it comes to vaginal intercourse.

While compiling research when starting Sustain, Hollender found that 40% of condoms are purchased by women; however, Hollender also learned “that only 21% of single sexually active women use condoms regularly; 48% of pregnancies are unplanned; and 1 in 4 college freshmen contract an STI in college during her first year of school. These statistics mixed with the reality that I knew about how women feel buying condoms sort of triggered this idea and journey of building Sustain to help break the stigma of buying and carrying condoms and helping empower women to feel good about making a responsible choice.”

Why are women reluctant to buy or use condoms? Frenkel described Trojan’s hypermasculinity in their products as one example, “The name Trojan, it’s extremely aggressive. It’s the story of the Trojan horse sneaking its way into an impenetrable city and ravaging it.” Gaines added, “So many condoms are associated with hypersexuality, dominance, and masculinity, so what we’re doing [as companies] is taking condoms out of that context and redefining them as a symbol of self-love.”

And women-owned condom companies seem to be targeting women successfully. Richelle Schilling, 30, started carrying condoms consistently in the last year and has purchased her condoms through Lovability’s website. Despite taking control of her sexual health, she is aware of the stigma attached to a woman carrying her own condoms. “It seems to be viewed that if a woman is carrying a condom, she is easy to get into bed.”

Now that she has an option to support a woman-owned company with women in mind, Schilling feels more comfortable purchasing condoms. “When purchasing from a condom company that is marketed toward women, it is a reminder that women are taking control of their [sexual] lives. With the stigmas out there, it’s a reminder that other women are staying protected, enjoying their sex lives, and supporting other women,” she says.

Ariel Stallings, a publisher and author, found herself in a strange position after divorcing her husband of 18 years. When she started dating again, the thought of buying condoms felt strange and elusive. “I don’t feel a sense of shame for carrying them though,” she says, but “the idea of carrying a condom in cute packaging is appealing to me because I’m a sucker for cute packaging.”

Outside of the cute factor, however, Stallings believes there’s a benefit in creating condoms that directly focus on women. “I like to think of harm reduction. While it’s ideal for women to not feel shame for having a condom fall out of their bag because it shouldn’t be a big deal, these products are good to have available to them since we’re not in an age yet where women don’t feel shame.”

The packaging for Lovability, Sustain, and L. all have different aesthetics. Lovability’s condoms are playful and fun, coming in tin cans with sayings written on them like, “Talk Feminist to Me” or “Babe with the Power.” Lovability started the theme of the company centered around discretion and being able to hide the fact one was carrying condoms. “Now it’s much more about being proud about being a person that takes responsibility of your sexual health,” Gaines says, adding, “condoms are a very bold statement of believing in gender equality because, if you have a condom, all of a sudden you are decreasing the amount of risk from it being totally on the man to carry a condom.”

Sustain also recently rebranded itself, moving away from being too discreet. “Initially, we didn’t think about the fact that as a brand we should be really straightforward because we are bold and we aren’t trying to hide who we are. If you make it too discreet, you’re kind of buying into that idea that you should not feel comfortable that someone sees you buying condoms,” Hollender says.

Frenkel always had a sleek design in mind for her brand. “I’ll get invited to speak at this women’s event in Silicon Valley, and all I’ll see is pink and purple and stuff that’s super flowery,” she says. “I think that it’s funny because I think women are drawn to things that are clean and modern, and that’s why we went for a black and white box.”

For Olivia Gunther, a sexuality researcher at the University of Michigan, marketing condoms specifically toward women will only further stigmatize women carrying and buying condoms.

Gunther pointed to Trojan’s latest XOXO condom, which is made to look discreet and feminine. “Condom companies that do target women need to be careful with how they market their gender-defined packaging. [For example,] the XOXO box looks very feminine and is clearly supposed to comfort the typical woman who wants to purchase safer sex products. It tries to normalize the product for her by assuming that it will appeal to her feminine interests and style.” According to Gunther, this is problematic because it assumes that women do not own their sexualities in public, or in general.

“Marketing towards women needs to align itself mores with including them in the conversation about sexual health and the importance of using barrier methods when engaging in sexual activity, instead of shaming them into buying condom boxes that don’t even look like condom boxes,” Gunther says.

At Gunther’s university, she has observed a shift since the election. “I’ve noticed an uptick in my friends and other students at my university purchasing condoms more frequently. With the risk that hormonal contraceptives may not be covered or harder to access in the future, it’s imperative that women who aren’t planning on becoming pregnant in the next few years consider what their options may be.”

For Lovability, Sustain, and L., their aim is to not only help women take charge of their sexual health, but also promote philanthropic causes that support women’s rights that feel under siege. Which is another reason women are attracted to them over other more mainstream brands.

Sustain gives 10% of its proceeds to women’s health care organizations, which has resonated with more of their customers since the election. “Before the election, we received negative feedback on where people would say ‘I love your brand, but can’t support your because [Sustain] supports Planned Parenthood,’” Hollender says. “But since November, we haven’t received one of those emails.”

With every purchase of an L. condom, one is donated to a female entrepreneur in a developing country. “When I started this I wanted to make sure our condoms didn’t sit in a warehouse when we donated them and that we took a more holistic approach. These nonprofit program officers are able to pinpoint women in high impact areas, such as unplanned pregnancies or high HIV contraction rates and work with them and train them,” Frenkel says. “Then they go door to door and sell it at low market costs. That makes it a lot more likely that the product will be used. There have been reports that if you sell a mosquito net for pennies, it’s much more likely to be used than if you give it for free. You can also see that with condoms.”

[quote position=”full” is_quote=”true”]I’ll get invited to speak at this women’s event in Silicon Valley, and all I’ll see is pink and purple and stuff that’s super flowery. I think that it’s funny because I think women are drawn to things that are clean and modern.[/quote]

Lovability donates a condom to Planned Parenthood with every purchase and also employs physically and mentally disabled people from ARC San Diego to assemble their condom tins. Meanwhile, L. Condoms is putting fewer chemicals in the condoms themselves. “The World Health Organization does not recommend spermicide in condoms,” Frenkel says.

Research does appear to be leaning in this direction. Dr. Ann Duerr, HIV chief in the reproductive health division at the U.S. Centers for Disease Control and Prevention told ABC News, “For sexually transmitted disease prevention, our recommendation has been to use condoms with or without nonoxynol-9. Now it’s clear that N-9 does not add protection and may be harmful.” For Frenkel, this is troublesome. “The fact that there are condoms sold with spermicide still on shelves is pretty alarming.”

Each of these companies’ condoms are free of chemical irritants, dyes, fragrances, and spermicides. As a result, the women using these condoms are experiencing less discomfort. “A lot of these chemicals are on the shelf-condom brands … that can really irritate the vaginal wall. So I think it’s not only empowering to have condoms made with women in mind, but to have control of what’s going inside your body,” Gaines says.

“We get really positive feedback from women because they’re the ones most affected by chemicals in condoms,” Hollender says. As of now, 70% of the condom purchases from Sustain are made by women.

The FDA does not require condom companies to list their ingredients, which can be nerve-racking for those who are particularly sensitive to certain chemicals or ingredients. “There’s really no way for consumers to know what’s in their products other than the companies themselves electing to tell all the ingredients,” Hollender says, adding that Sustain lists all their ingredients online and on the box. She hopes this encourages consumers to demand other companies to also have a level of transparency.

“If you look at all the messages we receive about sex, generally most of this information started in a room of men discussing how things should be taught and it’s told from their worldview,” says Gaines. “And I think there’s an opportunity for women to really rewrite the script around what it means to practice safe [sex] and what it means to be sexually healthy and have sexual wellness.”

Women may not have overthrown the major condom brands just yet, let alone the political and cultural systems that deem their sexual health a low priority. But as they start making big money in an industry that’s long been the domain of men, tucking a condom into one’s purse feels less like a backup option and more of a radical act.

  • Every dog has its day, but it’s not the Fourth of July
    Photo credit: Leigh Prather/Shutterstock.comDogs often react with great fear to July 4th celebrations. Border collies such as this dog are especially sensitive to loud noises.
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    Every dog has its day, but it’s not the Fourth of July

    How to protect anxious pups from holiday booms.

    The Fourth of July can be a miserable day for dogs. The fireworks make scaredy-cats out of many canines.

    That’s because dogs, like humans, are hardwired to be afraid of sudden, loud noises. It is what keeps them safe. Some dogs, though, take that fear to the extreme with panting, howling, pacing, whining, hiding, trembling and even self-injury or escape. And, unlike humans, they don’t know that the fanfare on the Fourth is not a threat. Dogs hear the fireworks and process it as if their world is under siege.

    How a dog responds to noises may be influenced by breed, with German shepherd dogs more likely to pace, while border collies or Australian cattle dogs are more likely to show their fear by hiding.

    While we veterinarians don’t know exactly why some dogs are afraid of fireworks and others not, many dogs that react to one noise often react to others. Therefore, early intervention and treatment are essential in protecting the welfare of these terrified dogs. Here’s how you can protect your dog from fireworks.

    • Take your pet to the vet. If your dog is afraid of fireworks, the first step is to have your veterinarian evaluate him or her, especially if your dog’s noise sensitivity is relatively new. One 2018 study found a link between pain and noise sensitivities in older dogs, indicating that muscle tension or sudden movements in response to a loud noise may aggravate a tender area on the body and thus create an association between the loud noise and pain, causing fear of that particular noise to develop or escalate.
    • Create a “safe haven” in your home with a secure door or gate, preferably away from outside windows or doors. Close the blinds or curtains to reduce outside noises, and play some classical music to help reduce stress by creating a relaxing environment for your dog during the show. A white noise machine or box fan may also help reduce anxiety, along with a pheromone like Adaptil sprayed on bedding, a bandanna, a collar or from a diffuser plugged into the wall.
    • Consider noise-canceling headphones such as Mutt Muffs to muffle the sounds and further reduce noise sensitivities.
    • Find a food your pet will love. This could be cut pieces of boiled chicken or squeeze cheese. Sit with your pet and feed him with each boom. You can also use a long-lasting food-dispensing or puzzle toy to release food continuously during the show. This is to help your dog make a positive association with the noises for the future.
    • Consider anxiety wraps, fabric wraps that exert a gentle pressure on your dog’s body. These may help to lower heart rate and other clinical signs of fear and anxiety, operating on the belief that they swaddle a scared animal and thus calm its fears. These work best, however, in conjunction with a complete behavior treatment plan including medication or behavior modification, or both.
    • When it comes to comforting your dog, the jury is still out. It is difficult, however, to reinforce an emotional response with comfort. Therefore, it is OK to pet your dog when frightened by a noise event so long as the dog appears to be comforted and not more distressed by the attention.

    This article originally appeared on The Conversation. You can read it here.

  • Pollen is getting worse, but you can make things better with these tips from an allergist
    Photo credit: Alex Cofaru/Shutterstock.comA girl in a field of flowers.

    Blooming flowers signal the beginning of spring, but for millions of people, they also signal the onset of the misery: allergy and asthma season. Itchy, watery eyes; sneezing, runny nose; cough and wheezing are triggered by an overreaction of the body to pollen.

    Every spring, trees and grasses release billions of buoyant pollen granules into the air, using the wind to disperse across the countryside in an effort to reproduce. It’s all about survival; plants that release more pollen have the survival advantage.

    As an adult and pediatric allergist-immunologist in the Midwest, the onset of spring signals my busy season treating hundreds of patients for their seasonal allergy and asthma symptoms. If you suffer through the season, know that you are not alone. Throughout history, pollen has taken the fun out of spring for many. In modern times, however, medical science has identified practices and treatments that help.

    Older than the dinosaurs, as wide as the world

    Fossilized specimens of pollen granules have been found predating dinosaurs and alongside Neanderthals.

    And, sinus and asthma symptoms and treatments are documented throughout history and across the globe. People just didn’t know exactly how to treat the symptoms, or exactly what was causing them.

    For example, over 5,000 years ago, the Chinese used the berries of the horse tail plant, ma huang (Ephedra distachya), to relieve congestion and decrease mucous production associated with “plant fever” – a condition affecting people during the fall.

    In Egypt, the “Papyrus Ebers,” written around 1650 B.C., recommended over 20 treatments for cough or difficulty breathing, including honey, dates, juniper and beer.

    Although Homer’s “Iliad” describes the loud noise of breathing in battle as “asthma,” Aretaeus of Cappadocia of the second century A.D. is credited with the first clinical description more consistent with modern understanding of this condition. He wrote of those who suffered that:

    “They open the mouth since no house is sufficient for their respiration, they breathily standing, as if desiring to draw in all the air which they possibly can inhale… the neck swells with the inflation of the breath, the precordia (chest wall) retracted, the pulse becomes small and dense,” and if the symptoms persist, the patient “may produce suffocation after the form of epilepsy.”

    Tobacco leaves
    Tobacco leaves were exported to Europe for experimentation in treating the symptoms of spring time coughing and sneezing. Jeep 2499/Shutterstock.com

    By the time Columbus landed, indigenous populations in Central and South American were utilizing ipecacuanha, a root found in Brazil with expectorant and emetic properties and balsam, which is still used in some cold remedies today. Coca and tobacco leaves, used medicinally by the Incas, were later exported to Europe for additional experimentation for the treatment of rhinitis and asthma.

    Aside from the “plant fever” described in China, the first written description of seasonal respiratory symptoms is credited to Rhazes, a Persian scholar, around 900 A.D. He described the nasal congestion that coincided with the blooming of roses, termed “rose fever.”

    Symptoms noticed, but no cause identified

    As scientific advancement was stifled during the Middle Ages, in large part due to the plague, it wasn’t until 900 years later, in 1819, that Dr. John Bostock published a description of his own seasonal allergies. But he didn’t know what was causing them.

    Having suffered from “summer catarrh” since childhood, Bostock persisted in his study of the condition, despite an initial lackluster response from the medical community.

    In the nine years between his first and second publications, he found only 28 additional cases consistent with his own seasonal allergy symptoms, which perhaps demonstrates the lower prevalence of the condition at the time. He noted that nobility and the privileged classes were more often afflicted by seasonal allergies. This was thought to be the consequence of wealth, culture and an indoor life.

    Societal changes with their roots in the Industrial Revolution, including increased exposure to air pollution, less time spent outdoors, increased pollen counts and improved hygiene, all likely contributed to the increased prevalence of allergies that we continue to see today. They also helped form the hygiene hypothesis, which states that in part decreased exposure to particular bacteria and infections could be leading to the increase in allergic and autoimmune diseases.

    The source of seasonal symptoms at the time was also thought to be caused by the smell of new hay. This led to the coining of the term “hay fever.”

    Bostock instead suspected the recurring symptoms were triggered by the summer heat, since his symptoms improved when he spent the summer on the coast. It would later became common for nobility and aristocrats to spend allergy season in coastal or mountain resorts to avoid bothersome symptoms.

    Identifying the true culprit

    Through methodical study and self-experimentation, Dr. Charles Blackley identified that pollen was to blame for allergy symptoms. He collected, identified, and described various pollens and then determined their allergic properties by rubbing them into his eyes or scratching them on his skin. He then noted which ones resulted in redness and itching. This same technique is used in skin prick testing by allergists today.

    Inspired by discoveries related to vaccination, Dr. Leonard Noon and John Freeman prepared doses of pollen extracts for injection in an effort to desensitize patients with allergic rhinitis in the early 1900s. This effective treatment, called allergy immunotherapy, also known as allergy shots, is still used today.

    Antihistamines first became available in the 1940s, but they caused significant sedation. The formulations with fewer side effects that are used today have only been available since the 1980s.

    Pollen counts likely to grow

    Pollen on a street in Atlanta
    Pollen on a street in Atlanta, March 31, 2019. Lynne Anderson, CC BY-SA

    Though recognized by ancient civilizations, seasonal allergic rhinitis and allergic asthma have only increased in prevalence in recent history and are on the rise, now affecting 10 to 30 percent of the world’s population.

    Fueled by warmer temperatures and increased carbon dioxide levels, pollen seasons are longer, and pollen counts are higher. Many experts believe this will worsen in the coming years due in large part to climate change.

    To keep you and your loved ones safe from pollen, close windows and change out of clothes exposed to pollen as soon as you come indoors.
    To keep you and your loved ones safe from pollen, close windows and change out of clothes exposed to pollen as soon as you come indoors. Monkey Business Images/Shutterstock.com

    What can you do? Often, those who are allergic need a multifaceted approach.

    • Find out what allergens are causing your symptoms. Take note of when your symptoms start by making a note in a calendar or planner.
    • Minimize exposure to allergens. Track pollen counts. When pollen counts are high, keep the windows closed at home and in the car. After spending time outdoors, shower and change clothing to prevent ongoing exposure to pollen.
    • Take a pro-active approach to treating symptoms. Starting medications before symptoms develop can prevent symptoms from getting out of control. This can also decrease the amount of medication needed overall. Long acting non-sedating antihistamines are helpful for itching and sneezing. Nasal corticosteroid sprays are more helpful for stuffy noses.
    • Consider a visit to see a board certified allergist/immunologist. She or he can help you determine which particular pollens maybe the source of your symptoms.
    • Explore the role of immunotherapy with your doctor. Immunotherapy changes the immune response through administration of small regimented doses of allergens over time. This induces a state of tolerance, eventually helping people become less allergic over time.

    While pollen season is coming, taking a multifaceted approach can provide much needed relief from the symptoms that have plagued humankind throughout the millennia.

    This article originally appeared on The Conversation. You can read it here.

  • 22-year-old gives out toothy smiles by providing free 3D-printed dentures to those in need
    Photo credit: Canva3D printing can help dental patients.

    Much like anything else, the cost of dental care has risen as need grows. A report from the American Dental Association found that, in 2024, dental spending grew by $7 billion from 2023. A young engineer is making a difference, though. He has helped put a smile back on the faces of folks in need by providing free dentures made with 3D printers.

    Connor Gibson isn’t a dentist or even an expert on 3D printers. He’s a Tennessee community college student who wants to help people. While studying engineering at Walters State Community College, Gibson volunteered with Remote Area Medical (RAM). RAM is a nonprofit that provides mobile clinics offering free medical, vision, and dental care through volunteers. 

    An issue that bites

    A common issue the clinics found was that many people needed dentures. The cost of dentures can be very pricey, ranging from $452 dollars to over $6,500 depending on the patient’s needs and their insurance coverage. Another issue was availability. Even if a patient could afford dentures, it could take weeks or even months before they could be delivered. 

    But Gibson had an idea. He thought that if he could 3D print pairs of dentures, it would save money and time. After all, having a 3D printer on-site would allow the dentures to be made within hours rather than weeks. A patient could get a free set of dentures the same day as their visit.

    Great idea…but how?

    There was a setback: Gibson had no experience in dentistry or 3D printing at all. In spite of his inexperience, Gibson used his engineering and design skills to teach himself how to use a 3D printer. He also got dental experts to teach him how to make dentures the old fashioned way. This way, he was sure to accurately recreate every detail via 3D printing. After taking an impression, Gibson was then able to design specific dentures per patient.

    “Honestly, if you told me three years ago this is what I would be doing, I would have called you crazy,” Gibson said to CNN. “I made it my mission and studied up like I was doing a test, studying up on videos and documents — anything I could find on how to make a denture using this specific software and how to 3D print it.”

    After Gibson successfully completed a pair of 3D-printed dentures for the first time, he knew it was something special. Seeing the tears of joy on the patient’s face was enough to confirm he was doing the right thing.

    “That first delivery was really a huge eureka moment,” Gibson said. “To see that raw, human emotion and just know that I played a change in this person’s life… it’s very humbling, and I’m beyond blessed.”

    Gibson has since been helping RAM develop more denture mobile clinics that can quickly develop dentures for patients who drop in.

    How to find low-cost dental care near you

    If you or someone you know needs low-cost to free dental care, there are options. In addition to Medicare, Medicaid, and CHIP, you can find local and state programs online. You can also dial 2-1-1 for information.

    Another option dental schools and dental hygiene schools that provide supervised, low-cost care from their students.

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