Blog of the Society for Menstrual Cycle Research

Are There Limits to Empathy?

March 17th, 2014 by Chris Bobel

Readers—I need your help!

Next month, I will participate in a friendly debate at the Museum of Modern Art about Sputniko!’s provocative piece “Menstrutation Machine.” We’ve written about Menstruation Machine on re:Cycling before. In short, the metal device is equipped with a blood-dispensing system and electrodes that stimulate the lower abdomen, thus replicating the pain and bleeding of a five-day menstrual period.

Here’s the video that the artist created to simulate what it was like for one fictional boy (Takashi) when he wore the device while socializing with a friend in the streets of Tokyo.

The debate is part of a series Design and Violence-an “ongoing online curatorial experiment that explores the manifestations of violence in contemporary society by pairing critical thinkers with examples of challenging design work.”

The exact debate resolution is still being worked out, but it will revolve around this question of EMPATHY.

That is, what is the potential of “Menstruation Machine,” specifically, or any other object, to engender empathy in another?

Need more examples? Think Empathy Belly (thanks to sister blogger Chris Hitchcock who conjured that connection).

But we can extend the concept to ANY experience designed to expressly help an individual see inside someone else’s reality. Think “Walk a Mile in Her Shoes”, the International Men’s March to Stop Rape, Sexual Assault & Gender Violence, “a playful opportunity for men to raise awareness in their community about the serious causes, effects and remediations to men’s sexualized violence against women”; The Blind Café; or the TV show 30 Days, “An unscripted, documentary-style program where an individual is inserted into a lifestyle that is completely different from his or her upbringing, beliefs, religion or profession for 30 days.”

So, dear readers, I am hungry for you to share your thoughts as I prepare for the debate.

What do YOU think?

Can design help us be more empathic?

Can a non-menstruator ever really know what it is like to menstruate?

Can a temporary simulated experience, like this or any other, build a bridge?

Are there limits to what we can know of another’s lived experience, even if we can, for a short while, FEEL the pain?

It Is Gross, but Why Is It Gross? Adventures in Grossland

October 28th, 2013 by Chris Bobel

For me, that’s always the question.

Gross is a decision. It is a judgment based on a set of values derived from a particular perspective. And because of this slipperiness, some things are more widely deemed GROSS that some other things.

Readers of this blog are well aware that bleeding lady parts often end up in Grossland. And they end up there more often than other body parts doing their body part thing. So why is this?

It’s been a busy few weeks in Grossland— dizzying days upon days of seeing the obvious contradictions embedded in what we, as a culture, deem gross and what we see as just- bodies- being- natural-bodies. Sometimes these bodily functions are FUNNY and other times only mildly yucky, but still okay to talk about.And sometimes, in the case of menstruating bodies, we are socialized to keep the whole thing quiet and hidden.

My most recent trip to Grossland began with the uproar over the newly-released (and nearly sold out) American Apparel masturbation-period-vulva T shirt flap. The flap just barely died down when Kristen Schaal’s brilliant satire (on the Daily Show with Jon Stewart) delivered a bit on the proliferation of sexy Halloween costumes for women. In it, Schaal suggested that women “take it to the next level … get everyone thinking about sex (by) dressing up as the place where sex happens!” (and in walks a 6 foot high vulva! With Stewart-as-straight-man remarking “I don’t know if we can show that….” )I love what she did there, but the piece is not ONLY funny for its feminist take down of the hypersexualization of women’s bodies. The costume is outrageous because it  is gross, right? “Sexy Vagina” (vulva, of course, more accurately, but this is not the time for anatomical correctness)  is funny because who-in-their-right-mind-would dress-up-like-that?  That’s disgusting. Welcome to Grossland.

Petra Collins, the 20-year-old artist commissioned to produce the t-shirt image for no-friend-to-women retailer American Apparel gets this (even if her check was written by a corporate entity who could care less about the social message she has in mind). Collins speaks compellingly about the objectification and containment of women’s bodies that her work endeavors to challenge. And she reports that the controversy swirling around a line drawing of a hand stroking a menstruating (and hairy!!!) vulva was “awesome” because

“it totally proves my point…. that we’re so shocked and appalled at something that’s such a natural state—and its funny that out of all the images everywhere, all of the sexually violent images, or disgustingly derogatory images, this is something that’s so, so shocking apparently.”

And appalled we are! One commenter on a TIME article about the t shirt controversy remarked: I….would equate her imagery with a straining rectum expelling a painful, post-digestion steak dinner.” And there it is. We can’t seem to have a menstrual moment without someone rushing in to equate menstruation with defecation. Liz Kissling has taken it on. Breanne Fahs has, too, more recently, but we still haven’t gained much traction in showing that

1) menstruating and pooping are not the same thing, and even if they were,

2) menstruating IS  more shamed than pooping

Menstruation is gross (throw in masturbation and pubes to make it really beyond the pale) because we say it is. And those that hasten  to compare uterine-lining shining with expelling feces are missing the fact that while the processes do overlap in some ways, we are NOT, culturally speaking, as hellbent on silencing the poop (or the farts and certainly not the piss) as we are the menses.  and why is that? Perhaps it it matters who is doing the business.  I assert that it ain’t no coincidence that  bleeding LADY parts are the Grossest of Them All.

To wit, I submit the following:

A colleague put the new film Movie 43, a blend of edgy and puerile vignettes acted by a star studded ensemble cast, on my radar. The film includes the segment: “Middleschool Date” (written by Elizabeth Shapiro. Elizabeth: If you are out there, will you be my friend?).

A Review of Selene: A New Cycle-Tracking App

September 2nd, 2013 by Chris Bobel

Guest Post by Amy Sedgwick, HRHP, Red Tent Sisters

Screenshot of Selene app // Photo courtesy of daringplan.com/selene

While there are no shortage of apps designed to help women track their periods, finding an app that meets the needs of women who are practicing fertility awareness methods (FAM) for birth control or conception can be quite a challenge. As a teacher of the Justisse Method of Fertility Management (there is currently no app available but there is one in development) I am often asked by my clients about web-based solutions to tracking their cycles when they are travelling or find themselves in other situations where their physical charts are impractical. Fertility Awareness users will be pleased to know that there is a new app on the market, Selene, which has been developed with FAM in mind. In addition to being able to chart the standard fertility markers (cervical mucus, cervical position, and basal body temperature), Selene boasts loads of unique features like the ability to make note of the things that affect reliability the most – like sickness, travel, and disturbed sleep. Selene also allows the user to define their own markers to track patterns in health, mood, libido, and more. The chart tab of the app shows you your cycle in a graph format, while the calendar tab displays it from a monthly perspective. Some of the other highlights of the app include a description of the daily moon phase, an automatic luteal phase calculator, the ability to ask questions about your chart in the “Ask an Expert” section, and a detailed instructions and help section. Selene excels at utilizing the principles of the widely-used fertility awareness method taught in Taking Charge of Your Fertility. Using principles from the book, the app will shade out days of predicted fertility based on the information you enter. It will also calculate an ovulation prediction based on the average length of your cycles. The app highly encourages users to seek additional support and education for their fertility awareness practice, particularly if they are using it for birth control. While Selene offers the most nuanced approach to menstrual cycle charting that I have thus seen (although I can’t claim to have evaluated all the apps on the market), one feature I would like to see added in future versions is the ability to manually choose whether a day is considered fertile (i.e., as indicated by bold stripes on the calendar view) so that those schooled in other approaches to fertility awareness, like the Justisse Method, could have the option of applying our own rules and calculations overtop of the calendar view. The only other critique I have of Selene is that the developer has chosen a dark navy background, which I personally find difficult to view. I’d prefer to see them use a colour scheme that is brighter and easier to read. I am grateful to Selene’s creators for being so thoughtful, thorough and conscientious in the creation of their app. I look forward to seeing what enhancements and updates they integrate into future versions.

Another Day, Another Shame: Sports Edition

August 5th, 2013 by Chris Bobel

The BODY POLICE just wrote us another ticket.

Sweating through our workout clothes, is a big NO NO, that is, if the sweat shows up (whisper…blush…giggle…) down there. The “solution” to the non-problem du jour is U By Kotex’s Sports Liners. Thank you, Kotex, for reminding me that I am, in fact, a functioning, healthy human. Here’s the commercial. (Prepare your rage).

In response, Australian Humorist Sammy J sent the BODY POLICE back to the station with: “The Crotch Song” He performed the jaunty tune on the new Australian weekly comedy series Wednesday Night Fever, which he hosts.  Then, like good satire often does, it went viral.

Apparently underestimating our hunger for a good solid FemCare smackdown, Sammy J humbly posted to his Facebook page on July 25th:I awoke to discover my song about crotch sweat has gone viral overnight, clocking up over 30,000 views. Power to the sisterhood!”  Well, Sammy J, your fandom is growing. Video views on YouTube alone are at nearly 48K and climbing.

I love the sassy critique of the product, of course, but I especially appreciate the way Sammy J redirects our attention away from the intractable ‘to use or not to use’ debate that quickly devolves into missing the point much bigger than any particular individual’s consumer choice. Instead, he exhorts every woman to steer clear of men (let’s expand that to ANYONE) “ who would make you feel as bad as panty liner companies.”

Amen.

Here’s the full lyrics here. Every delicious word.

 The Crotch Song by Sammy J 

 I saw a new ad for a new product aimed at women
New panty liners to eliminate crotch sweat.
And though I don’t have degree in feminism
I feel their message is a little hard to get

Cause the assumption seems to be that sweating when you exercise is a major turn off so it’s best to keep sweating in disguise

But that does not address the fact that any guy who judges you for sweating when you exercise is probably a cock-head.

So if we apply the logic they’re using to sell it.
And your crotch is sweaty so you buy a 30-pack

Well then there’s a stronger chance you’ll end up with a douche-bag, and that’s a few years of your life you won’t get back.

In-fact when you think it through
Any guy who talks to you despite your sweaty crotch has already past a very basic test
It means he’s not brain dead.
It means he understands the cause or link between exercise and perspiration.

So take him to the formal

The website says and this is word for word I’m quoting “It’s time we all stop being shy about vaginas” 


And then you click the product tab they’re promoting
 guilt, shame and embarrassment to sell their panty-liners.

So young girls if you’re listening and your crotch is feeling sweaty.
You can chose to use a liner. 
Do whatever sets you free

But as you make your way through life avoid dating the assholes who would make you feel as bad as panty liner companies.

[Source: LYBIO.net]

The Many Faces of Cervical Fluid

May 7th, 2013 by Elizabeth Kissling

Guest Post by Kati Bicknell, Kindara

It has been brought to my attention several times that not all women’s cervical fluid matches the usual descriptions of sticky, creamy, egg white, or watery. This means some women are having a hard time charting their fertility, because they don’t know how to categorize their cervical fluid for their chart.

So today I’ll give you very detailed descriptions of the different types of cervical fluid, and how to classify them.

I’m going to be incorporating vaginal sensation into the mix here. Vaginal sensation is the way your vagina *feels* when different types of cervical fluid are present. You know how you can tell if the inside of your nose is wet, like when you have a runny nose? And you know how you can tell if the inside of your nose feels dry, like when you are in a dusty desert? You can tell the same things about your vagina as well, if you pay attention. The way your vagina feels can give you a lot of insight on the state of your fertility and what kind of cervical fluid you’re likely to find.

One thing to keep in mind when it comes to cervical fluid is that there is a baseline level of moisture that will always be present in the vagina. After all, it’s a mucus membrane, like your mouth. If you touched the inside of your cheek, it would be damp — same thing with the vagina. Don’t let that normal vaginal moisture confuse you. Unless there is a physical substance on your fingers or toilet paper, it doesn’t count as cervical fluid. (The exception here is watery cervical fluid: sometimes the water content is so high that there is nothing that will hold together, and it’s just plain wet. But in those cases there is usually so much of it that there is no question about whether or not it’s cervical fluid.)

Cervical fluid is measured above that baseline level of moisture. It tends to start out on the drier end of the spectrum, and it increases in water content as a woman approaches ovulation. Generally, the higher the water content, the more fertile the cervical fluid. After ovulation the water content will decrease.

Note: all cervical fluid is potentially fertile. If you are charting to avoid pregnancy, any cervical fluid you notice before ovulation means that your fertile window has begun. But for women who are trying to achieve pregnancy, there are definitely types of cervical fluid that are more optimal for getting pregnant. So, shall we launch our boat onto the sea of cervical fluid exploration? Lets!

These are the different categories of cervical fluid.

None:

  • What it feels like (vaginal sensation): dry, or like “nothing’s going on.”
  • What it looks like: nothing! Maybe a slight dampness on your fingers that will quickly evaporate.
  • What it feels like on your fingers: a slight dampness.
  • What it looks like on your underpants: nothing. Squeaky clean. You could wear those underpants again tomorrow if you wanted to (ain’t no one gots to know about it!).

Sticky:

  • What it feels like (vaginal sensation): dry, sticky, or like “nothing’s going on.”
  • What it looks like: whitish or yellowish, tiny bits of clear gummy bears, tiny pieces of drying rubber cement, grade school paste, wet Elmer’s glue, wet wood glue, crumbly off-white Play-doh, thick white or yellow cream, clumpy, pasty, tacky, gummy.
  • What it feels like on your fingers: springy, sticky, crumbly, dry, pasty.
  • What it looks like on your underpants: white or yellowish lines or areas that tend to sit on the top of the fabric, as opposed to soaking in. When it dries it forms a crust that can hard to wash out on laundry day.

Creamy (similar to sticky, but with a higher water content.):

  • What it feels like (vaginal sensation): cool, slightly damp, or may not feel like anything.
  • What it looks like: milky, cloudy, like hand lotion, yogurt, whole milk, or heavy cream.
  • What it feels like on your fingers: smooth, creamy.
  • What it looks like on your underpants: white or yellowish lines or areas that tend to sit on the top of the fabric, as opposed to soaking in. When it dries it forms a crust that can be hard to wash out on laundry day.

Eggwhite:

  • What it feels like (vaginal sensation): slippery, lubricative.
  • What it looks like: raw egg whites, wet rubber cement, clear, stretchy.
  • What it feels like on your fingers: slippery or lubricative or stretches an inch or more between thumb and forefinger.
  • What it looks like on your underpants: slippery, wet, may sit on top of the fabric, or soak in slightly.

Watery:

  • What it feels like (vaginal sensation): water rushing, dripping or gushing out of your vagina; cold, wet sensation.
  • What it looks like: clear or milky/clear, about the consistency of water or skim milk.
  • What it feels like on your fingers: wet, slippery.
  • What it looks like on your underpants:  leaves round wet patches that soak into your underpants.

I’m sure I left out some possible descriptions of cervical fluid here. If I didn’t name one that you’ve personally experienced, let me know in the comments. I’ll add in more descriptors as needed, so we can make the most thorough cervical fluid compendium known to humankind!

Cross-posted at Kindara, February 20, 2013.

Five Things You Should Know About the Three Vs

April 9th, 2013 by Elizabeth Kissling

Guest post by Kati Bicknell, Kindara

Now I know in the title of this post I say “Five things you probably don’t know about your vagina,” but really it’s about more than your vagina. The V Book, by Elizabeth Gunther Stewart and Paula Spencer, is basically the owner’s manual for all people who have any of the following V’s — vagina, vulva, and vestibule. Don’t know what a vestibule is? Read on, my good friend!

I am a bonafide vagina nerd myself, and when I read this book I learned a BUNCH of things that I did not know. Here are my top five:

  1. So we all know (now) about cervical fluid, but did you know that it’s not the only substance produced by your lady bits to keep things running smoothly? Your vulva actually produces a thin waxy substance, called sebum that lubricates the folds of your labia! It’s a blend of oils, fats, waxes, and cholesterol. If it didn’t, your labia and everything else would be all friction-y and chafe when you walked, had sex, moved, did anything really. That blew my mind. Thanks, body!
  2. Have you ever wondered how the vagina is simultaneously quite small, (i.e., sometimes even putting in a tampon might be uncomfortable and “stretchy”) and also somehow stretches to accommodate a baby passing through it? I definitely have. Well, it’s all thanks to your rugae! Rugae are small pleats that allow the vagina to be both very small and compact, and then to expand to many times its original size when necessary. Rugae is kind of like ruching! You know, the process of using tons of fabric and then scrunching it so it becomes a smaller form. I’m wearing a ruched jacket at this very moment, actually. It makes you think, if you wore this dress to the prom, are you subliminally broadcasting “HEY! THIS IS WHAT THE INSIDE OF MY VAGINA LOOKS LIKE”?
  3. Vestibule! (I told you we’d get here.) Okay! So the vestibule is important enough to be included in the three V’s of the V book, and yet I was like, “where the heck is my vestibule?” Well, it’s the place in between your inner labia. Here it is on Wikipedia, with an image that is ***not safe for work,*** unless you work in the field of sexual health, in which case, click away!
  4. Labia (as in the labia majora and labia minora). This word is actually plural. If you are referring to only one lip it’s called a labium.
  5. Only in rare instances is a human female born with the hymen completely covering the vaginal opening. Most hymens are a little circle of very thin skin that partially covers the vaginal opening, but still leaves space for menstrual blood and cervical fluid to come out. Here is a hilarious and educational video explaining more about this. [Editor's note: Many sex educators today call it the vaginal corona, not the hymen.]

And there is a LOT more info in that book. Tons. Go pick it up today and learn more than you ever thought possible about vaginas, vulvas, and vestibules!

Cross-posted at Kindara.com March 29, 2013.

A Week of Vaginas

April 3rd, 2013 by Mindy Erchull

The Cast of the 2013 UMW Production of The Vagina Monologues || photo used with permission from JB Bridgeman and the cast

A surprising amount of my time last week was spent thinking about vaginas.  In part, this was because I had plans to attend  the Friday night show of The Vagina Monologues on my campus.  It’s always a great show, and this year, one of my students was directing it.  During the course of the week, however, a former student of mine also posted a news story about the use of the word vagina on my Facebook wall.  All of this led to me reflecting a lot of people’s comfort and discomfort with this word.

The Vagina Monologues does address people’s comfort, or lack there of, with vaginas (or vulvas – although the way the two terms are conflated is a topic for another post) and women’s sexuality.  My focus was a bit different.  I was thinking about the word vagina itself….

In the late 1990s, when I was a senior in college, I had the wonderful opportunity to see Eve Ensler perform The Vagina Monologues as a one woman show on my campus as part of the dedication celebration for the newly funded Women’s Studies chair which would allow for the formal creation of a Women’s Studies major.  Since I was one of the students most involved with the program, I was given one of the few tickets for students.

Since so few students attended the show, Sunday brunch conversation the next day largely consisted of a discussion of The Vagina Monologues over dining hall french toast sticks. One of my friends was very uncomfortable with the conversation because I was consistently using the word vagina “in mixed company”.  I try to be respectful of others’ limits, but I couldn’t wrap my head around how to talk about this show without using the word vagina. Plus, it’s not a slang or pejorative term – it’s a formal anatomical name for a body part.

Given that The Vagina Monologues were part of my plans for the week, this experience immediately came to mind when my former students shared a Jezebel.com post about a tenth grade science teacher facing investigation and possible disciplinary action for using the word vagina in an anatomy lesson. Seriously? Once again, this is a formal biological term for a body part.  Yes, it’s a body part associated with sex and reproduction, but we need to be able to use these words.

photo taken by Mindy Erchull

When I teach Psychology of Women and get to development, reproduction, and women’s health, I typically have to spend a few minutes just saying vagina repeatedly until the giggles stop, the discomfort dies down, and we can actually move on with the content of the class. Yes, words have power – but we don’t get like this about the words knee or forehead. People run around in “Save the Ta-Tas”  t-shirts. Why can’t we say vagina?

One of the fundraisers the students staging The Vagina Monologues did this year was to sell buttons that say “I ♥ My Vagina”. Yes, we should love our vaginas and the vaginas of our consensual sexual partners. I also think we should love the word vagina. Let’s stop being scared of this one.  Don’t shush people if they say it in public. Don’t try to come up with covert ways of referring to vaginas without using this word. Just say vagina.

Vagina. Vagina, vagina, vagina. Va-gin-a.

Give me a V, give me an A, give me a G, give me an I, give me an N, give me an A.  What’s that spell?  VAGINA!

Come on – say it with me: Vagina!

Be loud. Be proud. Love and respect vaginas, but also embrace the word.  Some words need to be normalized. It astounds and saddens me that this has not yet happened with vagina. Let’s change that starting today.

How to Check Your Cervical Fluid When You Feel Like You Just Don’t Have Any

February 12th, 2013 by Kati Bicknell

In an older post I wrote, I talked about how to check your cervical fluid with a folded piece of toilet paper or your clean fingers.

BUT! What if you’re doing that and not finding anything? What if you, like many women I talk to, think that they don’t have any cervical fluid?

Well, you’re in luck, because I’m about to explain how to measure your cervical fluid, even if it seems like you don’t have any! Are you ready for this? You’re so ready.

Adapted from a photo by Lamerie // Creative Commons 2.0

Things you’ll need:

  • Hand mirror
  • Clean towel
  • Soap and water

So … it goes a little something like this — CRAM YOUR FINGERS IN YOUR VAGINA! Just kidding. Not really. Kind of. Kidding about the “cramming” thing, but not about the “in your vagina” thing.

First things first, wash your hands. You don’t want to introduce any foreign bacteria into the vagina — it’s got a whole host of its own friendly bacteria that keeps things running smoothly, and you don’t want to upset the balance.

Now that your hands are clean … wait a minute! Okay, a lot of you reading this are probably very familiar with your vagina, where it is, how it looks, and every little nook and cranny inside and out. But some of you may not be. For those of you in the second camp, there is an extra step.

Grab a hand mirror!

Okay, was that hand mirror very dirty? Did you take it out of the woodshed or something? Is it your husband’s shaving mirror? If any of the above are true, wash your hands again.

Now get naked from the waist down — think gynecologist’s office, but significantly less unpleasant. You can leave your socks on. No cold stirrups (hopefully). Now sit or squat on a clean towel on the floor, and hold the hand mirror between your legs so you can actually get a good look at your vulva (external genitalia). As women, our genitals are positioned in such a way that they are very hard to get a clear look at without the aid of a hand mirror, so unless you’ve done this before, you may be surprised at what you see. Look at how beautiful you are! So many little folds of soft delicate skin, so many different shades of color. Vulvas come in all shapes and sizes and colors, and each are perfect and beautiful and packed with nerve endings, so don’t you even dare consider labiaplasty, even if the vulva you see in the mirror doesn’t look like the ones you may have seen in certain adult movies (or Canadian strip clubs). Yours is perfect. I promise.

Have a look and a feel around! Gently spread your inner labia apart and take a peek at what’s in there. You’ll see your clitoris, vaginal opening, and, if you have keen eyesight, the urethral opening. Neat, huh? You may even see some cervical fluid at the vaginal opening.

Now see where your vaginal opening is? Gently slide one clean finger inside, see how that feels? Okay, now you know WHERE to stick your finger when checking your cervical fluid internally.

Crouch in a squatting position, and place one or two (if they fit) fingers in your vagina, until you feel something like the tip of a nose (if you are fertile it might be much softer). This is your cervix! The place from whence all cervical fluid hails! The motherland!

Now draw your finger(s) gently out of your vagina and have a look at them. They will be slightly damp, because the vagina is a mucus membrane, like the inside of your mouth, so wetness is a given. Other than that, is there any “substance” on them? Anything that looks like grade school paste, or hand lotion, or raw egg whites? If so … there is your cervical fluid!!!! You found it! Hooray!

If not, you may be a) on the pill, b) in the pre-ovulatory infertile phase of your cycle, before you’ve started to make cervical fluid, or c) in the post-ovulatory infertile phase of your cycle, after ovulation, and your body may have stopped making cervical fluid for the remainder of your cycle.

If you don’t notice any, check again later in the day, and several times tomorrow, and every day after that! Soon you’ll have something to record on your chart!  :-)

Now you can stand up, wash your hands (again), pull up your pants (this step is critical), and go about your day!

Wheeee!!! Any questions on that? Ask me in the comments.

Cross-posted at Kindara, February 5, 2013

Politics and Sex Education Make Strange Bedfellows

June 6th, 2012 by Elizabeth Kissling

Guest Post by Lisa Leger

Yesterday (June 4) on MSNBC-TV, my girl Rachel Maddow interviewed New York Times columnist Gail Collins, author of the new book, As Texas Goes. The book criticizes the state’s politics and morality laws and their impact on the rest of the country. Now, I’m all for slagging the state of Texas for its abstinence-only sex ed policy, and I look forward to reading Collins’ book (which Maddow called “the funniest political book of the year”). However, my problem started when Maddow read a quote that seems to mock a piece of sexual health information that is actually correct.

The statement in question is “if the woman is dry, the sperm will die” , followed by the interpretation that it is some sort of colonial-era notion relating to the woman’s enjoyment or collusion in the sex act. Of course, the quote refers to fertile mucus and not lubrication or ejaculate, as the rather garbled interpretation seemed to imply. It’s a shame that a piece of perfectly useful information about fertility is confused with some arcane puritanism to make the [valid] point that abstinence-only sex ed is backward. I’m also disheartened [and vindicated] to see my assertion that mucus is either left out of sex education or inadequately taught being demonstrated once again.

In this story, though, my concern is not for the un-informed teens I champion in the blog linked here — but for the many adults who worked with Collins on her book and with Maddow on her show who let that reference get by them. Are we to assume that none of them ever learned to chart their cycles? Could there be no one on either staff trying to get pregnant? How can not a single one of the likely dozens of professional writers, fact checkers, and other staff members not have noticed that the reference they chose to hold up to ridicule is actually valid information about sperm survival in mucus?

A “Strange Bedfellows moment” for me as a Fertility Awareness Method (FAM) teacher is when what we teach is lumped in with what abstinence-only courses teach.  Another example would be finding oneself in favor or opposed to something like hormone pills for entirely different reasons.  As a Justisse Method teacher for 20 years, I’ve watched how charting is portrayed as some sort of Vatican roulette and how mucus is hidden away even more than menstrual blood is. I wince when I see perfectly good educational opportunities go by the wayside like that. How do the biological facts of fertility (sperm need mucus to survive) become invalidated simply by being taught from an authoritarian religious perspective?  I usually see the humor in a strange bedfellows moment, but hearing an evangelical Texan being mocked for teaching kids some mystical version of what I teach — this one stings a bit.

Lisa Leger is a member of the Society for Menstrual Cycle Research and a Justisse Fertility Awareness teacher on Vancouver Island.

 

Is Your Period A Sentence?

June 1st, 2012 by Elizabeth Kissling

My friend and colleague Patty Chantrill loves clever menstrual puns as much as I do, and recently snapped this picture of an area billboard from her car. I’ve edited the photo to try to highlight the sign, but there’s only so much one can do with a Blackberry in motion [clicking the image will show you a larger, slightly clearer version]. The sign features a photo of presumably female feet in high-heeled shoes, wearing a ball and chain, next to the words, “Does Your Period Feel More Like a Sentence? There’s Help.” This is followed by the name of a local women’s health clinic that shall remain unnamed.

Photo by Patty Chantrill

The clinic offers numerous treatments for heavy periods, including NovaSure endometrial ablation, a process of permanently removing the uterine lining with radio frequency, and HerOption cryoablation, which removes the uterine lining by freezing the tissue. I haven’t yet researched these procedures enough to form strong opinions for or against them, but I do have strong opinions about some of the other procedures offered by this clinic. They are providers of what their website terms ‘aesthetic gynecological surgery’, which includes such mutilations as labiaplasty, G-spot augmentation, vaginal rejuvenation, and ‘radiofrequency tightening’. Check out the price list for these crimes against womanity:

  • Labiaplasty: $4200 (surgery cost)*
  • Vaginoplasty: $6000 (surgery costs)*
  • Combined Labiaplasty and Vaginoplasty: $9400 (surgery cost)*
  • *IV sedation is done by a separately contracted CRNA and is $150 per hour.
  • Radiofrequency Tightening $999 (never covered by insurance)
  • Initial G-spot augmentation (hyaluronic acid, lasts up to 4 months): $100 for initial 30 minute consultation, $850 for initial G-spot augmentation itself (never covered by insurance)
  • Follow-Up G-Spot Augmentations (hyaluronic acid, lasts up to 4 months): $600 each (never covered by insurance)

May I recommend, again, Lisa Rogers’ documentary film, In Search of the Perfect Vagina? You can watch the film for no cost at all at either link, no insurance needed, and discover that you already have the perfect vagina.

Tell me again, why can’t we talk about body stuff?

March 15th, 2012 by Alexandra Jacoby

Tell me again, why can’t we talk about body stuff?

Your body is your home.

It’s your medium of self-expression — your voice spoken and written, your hands gesturing, making things, touching someone, legs walking toward, running away from, hips dancing, butt sitting, with arms folded — are you bored, annoyed, worried, satisfied?

Your body is your receiver and interpreter of the world around you and the people in it with you.

It’s integral to your life.

How can it be weird, embarrassing, inappropriate, [tactless?] to talk about your bodylife?

What happens inside your body is literally defining your experience of the outside world, and of yourself, and your possibilities.

You can’t feel your blood moving, hair growing, cells changing…

…Some things you can feel as they happen inside you, and with those experiences, you interact directly.

Our bodies aren’t sealed containers. They are living— we are living beings.

Nutrition, hydration, elimination of waste, sweating, breathing, menstruating — these things happen in our bodies and outside them.

We make choices about our behavior, buy supplies, clothing, fixtures — we are involved in the care and maintenance associated with these aspects of our body lives.

Why wouldn’t you talk about it?

Why wouldn’t you be interested in ways to improve your experience, or someone else’s?

Why would it be unusual or unacceptable to share your experience, to ask questions, to get advice? (out loud, anywhere) — like you would when it came to any other aspect of your life.

Why wouldn’t it be normal to be interested in the quality of your body-life?

What exactly is more important than that?

 

Endometriosis and the Mysteries of Pelvic Pain

December 16th, 2011 by Elizabeth Kissling
Endometrial tissue embedded in abdominal wall

Endometriosis in abdominal wall. Photo by Ed Uthman, MD. Public domain.

I’ve recently developed a whole new understanding of why it takes so long for women to receive a diagnosis of and treatment for endometriosis. It’s not just the constraints of menstrual etiquette or the belief that painful periods are normal, especially for young women.

 

It’s about poop. No one wants to talk about that, least of all me.

 

I have endometriosis, and I’ve known it known for years. My doctors know it, too. It was seen through the laparoscope during a procedure for something else when I was about 35. But I’m still having trouble getting a diagnosis and treatment.

 

A flare-up of pain began two months ago, and I went to the clinic for relief and told the responding physician, “I think it might be my endometriosis”, pointing to the low area on my pelvis where it hurts. He asked a lot of questions about my bowels — I’ll spare you the grisly details — and ordered blood tests and an abdominal x-ray. After studying the results, he prescribed treatment for constipation, and urged me to call or return if my pain was not soon resolved.

 

Since that October afternoon, I’ve seen three additional physicians and continue to experience daily pelvic pain. I’ve had more blood tests, another x-ray, and a contrast CT scan, which showed normal bowel function. Perhaps because I had a hysterectomy a few years ago for adenomyosis, my doctors* continued to focus their attention on my ‘bowel problem’, rather than reproductive health issues, even though I retain healthy, functioning ovaries.

 

Until this week, when I finally saw the gastroenterologist. He listened to my description of the pain and its location, and more detail about my bowel habits than I’ve ever had to report since my mother toilet-trained me. And after a brief examination, he referred me back to the gynecologist who performed my hysterectomy. That’s right — he found nothing wrong with my bowels. My appointment with the gynecologist is early next week, and I’m optimistic that I will finally have an answer about the source of my pain, and even better, a means to resolve it.

 

For me, a well-educated, 48-year-old ciswoman with good health insurance who already knows she has endometriosis, this has been only two months of dealing with pain and the annoyance of waiting and medical bureaucracy. I can only imagine what kind of torment this might be for women with more severe symptoms without these resources, and without the knowledge that endometriosis frequently presents as, or with, gastrointestinal symptoms. Doctors who don’t specialize in women’s reproductive health may not even know this. Frequently, the symptoms of endometriosis are bowel symptoms:

  • Painful bowel movements
  • Constipation
  • Diarrhea
  • Alternating constipation and diarrhea
  • Intestinal cramping
  • Nausea and/or vomiting
  • Abdominal pain
  • Rectal pain
  • Rectal bleeding

I’m reminded again of my friend and colleague Laura Wershler’s frequent calls for body literacy; we need to know our own bodies, and know how to talk about them. I can talk about menstrual cycles until the cows come home, but it has been a real challenge to observe and talk about the details of bowel habits, even with my trusted physician.

 

Good health requires good communication.

 

P.S. I’m still in pain, and it’s really hard to say this in public, but thank you, Dr. S., for recommending the daily dose of MiraLax.

 

 

*I’m compelled to note that, Dr. S., my primary care physician, or ‘PCP’, as my health insurance plan refers to him, is a wonderful doctor. I really don’t have complaints about his care, and I have pretty good health insurance, and I’m lucky to have both.

Readers should note that statements published in re: Cycling are those of individual authors and do not necessarily reflect the positions of the Society as a whole.