Where to Find Protection (anti-HPV for older folks)

So after some persuading, my MD agreed to write a scrip for Gardasil-9, the HPV vaccine, even though I am well beyond the recommended age. (Because, well, high-risk group. She doesn’t approve, but she takes good professional care.)

What I didn’t expect is that a whole series of pharmacies would refuse to fill the prescription. Apparently, because I was outside the recommended age, they were afraid of liability were there adverse consequences.

Understand, the recommended age group a) was recently greatly expanded, and b) reflects the ages the vaccine has been tested on. There is nothing inherent in the vaccine that is more hazardous depending on someone’s years; they just haven’t tried it on as many people my age. But the upshot is that many chain pharmacies have policies restricting dispensing prescriptions to only the recommended groups.

A friend in the business suggested approaching non-chain local pharmacies, but I found they did not carry the vaccine as a matter of course, and were similarly chary about dispensing. And the MD said she couldn’t administer it, because their management didn’t give that vaccine to anyone due to cost.

Then I wandered into a Wegmans grocery store. And there on the front door was a sign advertising Gardasil shots. So I grabbed the scrip and gave it a try. And sure enough, I finally got my first shot there today.

(I know, that’s not much help if you aren’t in the northeastern US, but at least there’s hope for some. And if you’re a first-time pharmacy customer there, you get a $10 coupon for store merchandise!)

I also have to say how cool it is that they post a sign like that on the front door. So many folks and businesses are uptight about anything that might be seen as sex-related, and HPV shots for youth are not uncontroversial among those who think it eases the path to “promiscuity.” So, yay Wegmans!

Does Couplehood Require Hierarchy?

In any range of relationships, some will be more intense, more closely bonded than others.  This can lead to placing some relationships ahead of others in priority for time, attention, and resources.  Depending upon what agreements one has with other partners, that can be fine — or deeply troublesome.  But is it inevitable?


That often seems to differ based on how people began their polyamorous journey. Those who began with a steady existing coupled relationship that they later “opened up” often see a need to defend that relationship and its emotional primacy. They practice hierarchical poly whether they are aware of it or not. Others started from a more egalitarian perspective.


It is possible to begin as an established couple, understanding that there are financial, family, and other entanglements but without decreeing that no other relationship will be allowed to reach that same level. Given how most of us were raised, that’s a much harder ideal to achieve.


Those who began as solo poly or relationship anarchists, or who started as a group dating situation rather than a couple, seem to be less susceptible to ranking relationships based on longevity.


Anytime one joins a relationship, there will be pre-existing conditions. The new partner will have other relationships, family and work commitments, among others. The question is how strongly partners defend their existing commitments as their preferred reality versus allowing the new partner to change that reality.