Sexual & Reproductive
Envision SRH provides innovative, accessible sexual and reproductive health resources and learning support with a sex-positive focus on women’s health and family planning.
To support comprehensive sexual health, Envision SRH defines sexual agency and considers that a sex-positive frame embraces prioritizing enjoyable sexual activity and considers it health supporting. Sexual agency includes the ability to initiate sexual activity, as well as the ability to say yes, no, and--perhaps most importantly--maybe. Envision SRH describes cornerstones to sexual health that entail self-knowledge, including an appreciation of accurate anatomy. For example: understanding the clitoral complex and control of pelvic muscles. Knowledge of one’s sexual self allows fluency in the language of one’s own arousal and freedom to apply that fluency in partnered and solo sex with agency.
Envision SRH appreciates that comprehensive reproductive health begins and ends with a person’s agency over their own reproductive life. Clearly, this often necessitates efforts towards prevention of sexually transmitted infections, violence, negative pregnancy and birth outcomes, and unwanted pregnancies. Reaching beyond these negatives, healthcare providers can support comprehensive reproductive health by applying principles of patient-centered care. Envision SRH promotes a patient-centered approach in providing access to both novel and time-honored approaches in counseling based on the bedrock principle that all people should have control over their own reproductive lives. This principle informs equitable interactions, and Envision SRH seeks to help providers engage in these interactions successfully by sharing effective questions, presenting a variety of counseling skills, encouraging providers to continuously check their own biases, and listening to their patients.
In an ideal world, healthcare providers would bring “the science” to interactions with patients, while patients would bring preferences based on their own values. In this perfect equation, providers would not contribute their own values nor preferences into counseling, and patients would be free to ask questions free of judgement and bias. However, we know that this is not always the case, and Envision SRH believes that this ideal equation is both the goal and the means to achieving patient-centered care. The PATH questions were developed by Envision SRH as a way to help accomplish patient-centered counseling, beginning with a conversation that helps a person clarify their own reproductive goals.