Without endorsing the sites, readers of re:Cycling might be interested/amused by this item from Lauren Braun at BioWink that was received recently by a member of the blog team:
Women Break The Taboo Around Menstruation By Sharing Hilarious Period Reminders
Menstrual cycles are still a taboo subject, and this discomfort with talking about them results in both misinformation and lack of information about menstrual health.
But earlier this week a tweet went viral when @pamwishbow customized her Clue period reminders, a new feature we launched last month. As of today, she had 348 retweets and 458 favorites.
We were so inspired by how Pam confidently owned her period in this public way that we decided to encourage other Clue users to share how they made the period reminders their own through customization. The uniqueness of the reminders seems to represent the uniqueness of each person’s cycle.
Sharing something that’s so personal helps break the stigma and open the door to more honest conversation. We’re proud to be part of this growing trend of empowering women with knowledge about their bodies, so that they can make the most informed decisions about their reproductive health. We’re asking women to #OwnYourCycle.
Here is our website: http://www.helloclue.com/
In celebration of our fifth anniversary, we are republishing some of our favorite posts. This post by Chris Bobel originally appeared October 1, 2012.
Okay. Enough. I gotta say something.
Because I am committed to various efforts to reclaim the menstrual cycle as a vital sign and subvert the dominant narrative that menstruation is obsolete and/or a badge of shame, many people assume my periods are all drum circles, red jewelry and a week-long love affair with my Diva Cup.
More insidious still is the pervasive assumption that thinking differently about our cycles necessarily points to LOVING our cycles. As if there are ONLY two choices on the menstrual menu: I’ll have the Obsolete Shaming Nuisance or My Cycle is Womb-alicious. That doesn’t work for me as I suspect it does not work for others. There’s a whole lot of territory between refusing to see menstruation as meaningless OR as proof positive that my body is unruly, out of control, and a source of deep-seated shame AND embracing my menses as the Sine qua non of my gender identity or the gift that keeps on giving, about every 28 days.
I gotta ask: can’t I resist the shame and still find the monthly uterine shedding a royal pain in the vagina? Because, dear reader, that’s how I feel about MY menstruation. Most of the time, I really hate my period.
I am a heavy bleeder– a seven full days of gushing, clotting, and without fail, staining usually both my sheets and my underwear. My period is a week of carrying an extra pair of underwear with me in my backpack, sleeping on a towel (that always bunches up and makes me miserable as I try to find a comfortable sleeping position) and scrubbing stains out of my underwear.
I do not celebrate my flow during my menses. At the same time, I am grateful that my body is signaling All Operations Normal and Functioning. Yes. I AM appreciative of the reminder to practice self care, to slow down, to pause…. but I rarely do, if I am honest. Truth is, even in the context of all this gratitude for what my body is doing to keep me healthy, I groan when Aunt Flo comes a-calling.
But admitting that has not come easily because I am privy toan awful lot of menstrual talk (on this blog and in the wider world) and the two OPTIONS ONLY discourse is pervasive. You either hate it (shame on you for shaming on you) or you love it (Fool. Join the 21st century!). See?
My point is simple. Let’s not trade one dogma for another. Messages on either pole fail to listen to women and instead, PRESCRIBE how we should THINK about our embodied experiences. Some menstruators DO welcome their periods and find ways to celebrate them. Some menstruators spend Day 1 on the floor of the bathroom, clutching the rim of the toilet. Some menstruators are damn grateful to see bloody panties as a signal of Not Pregnant or Right on Schedule and then pretty quickly shift into dogged management mode. Some menstruators _________________ (your experience here).
The different menstrual world I want is a bigger one, one shaped by a more (not less) pluralistic menstrual discourse that makes the way for as many menstrual attitudes are they are menstrual experiences. This stuff is personal and individual and yet, because of FemCare ads, industry-sponsored menstrual education in schools and increasingly Big Pharma’s awkward melding of high tech body meddling so that women can menstruate like their Paleo ancestors, it is hard to hear our OWN voices over the din.
Here’s my voice: thanks for the free monthly wellness check but I wish it were not so much work. But I will be damned if I will whisper that I need to change my pad or be seduced by a slick ad campaign that enlists me as a paying research subject. I just need better pads (longer, anyone?) and maybe a terry cloth fitted sheet. And someone to do my laundry.
Always™ and its corporate owner, Procter & Gamble, have been receiving a lot of praise around the interwebs these days for their #LikeAGirl campaign, launched June 26, 2014, with a video produced by Lauren Greenfield. The video has been viewed 37 million times and counting. Last week, HuffPo actually called it “a game changer in feminist movement”, which I suppose reveals how little Huffington Post knows about feminist movements, more than anything else.
But before you applaud the efforts of Always to raise girls’ self-esteem, remember that they’re also the people who bring you these ads. Because that stench of girl never goes away, and you can’t spend all day in the shower, use Always.
Guest Post by Jennifer Aldoretta
There seems to be a growing disconnect in recent years between physicians and their patients, and women are especially susceptible to this given our reliance on doctors for information about contraception. When compared to the questions many of us ask our doctors, the information we receive isn’t always up to snuff.
Patient autonomy, as defined by medical dictionaries, is “the right of patients to make decisions about their medical care without their healthcare provider trying to influence the decision.” Based on many conversations with other women, in addition to my own personal experiences, patient autonomy often does not exist for women seeking information about contraception. And this is a huge problem. Deadly (and rare) birth control side effects have become a hot-topic in the news as of late – which is likely contributing to this physician–patient disconnect – but the growing patient interest in control and autonomy means that this cannot simply be dismissed as a side effect of the media.
A recent study, published in the Journal of Contraception, asked both women and healthcare providers to rank the importance of 34 questions relating to contraceptive options. They found that the things that are most important to women are often not as important to their healthcare providers. For example, knowing exactly how a method works to prevent pregnancy was ranked by women as the most important piece of information, whereas how to use a method correctly topped the list for providers. Effectiveness, while still important, was ranked fifth by women, which is a stark inconsistency if you consider just how central a method’s effectiveness is in ads and in the media. The study also found that questions regarding potential side effects ranked in the top three for 26% of women, but only 16% of providers.
These stats may seem inconsequential – after all, physicians should be educating patients about proper use of contraceptive methods. But here’s the problem: the methods suggested by physicians don’t always align with a woman’s stated preferences. I’m certain I’m not the only woman who has been pressured to use a hormonal method (despite my voiced concerns) simply because these methods are considered to be easy and effective. While it seems like a logical solution for physicians to advocate for hormonal methods over methods with higher typical-use failure rates, this approach is ultimately a detriment to women.
A growing number of women seem to be turning to withdrawal, and while this isn’t inherently bad, it becomes bad when a patient isn’t educated on how to properly use it simply because her physician is hesitant to discuss “unreliable” methods. This means that women are turning to potentially unreliable internet sources (or, worse, misinformed friends) for this information. The same can be said for diaphragms, cervical caps, and fertility awareness-based methods. If we want to continue to drive down unintended pregnancy rates, dismissing patient concerns and eliminating patient autonomy isn’t the route we should take. Contraceptive methods aren’t one-size-fits-all, which should be obvious by the huge differences in side effects experienced from person to person. So why do so many contraceptive consultations continue to be carried out in this one-size-fits-all fashion?
Empowering women through family planning is more complex than simply prescribing the most effective methods. It must be coupled with engagement in an open dialogue, including acknowledgement of patient concerns and a respect for patient autonomy. Patients are increasingly demanding autonomy, and if healthcare providers wish to remain a respected part of a woman’s health, it’s time to set aside contraceptive biases and listen.
As I’m sure you’re well aware, today is Menstrual Hygiene Day and there are activities all across the globe to commemorate this day.
The SMCR is excited to announce that it contributed to the day by endorsing the Robin Danielson Act of 2014, a legislation that would require the National Institutes of Health (NIH) to research whether menstrual hygiene products contain synthetic additives that pose health risks (including risk of Toxic Shock Syndrome). What’s more, Congresswoman Carolyn Maloney (D-NY) introduced an updated version of this Act today, on Menstrual Hygiene Day! According to Maloney’s office, she first introduced legislation regarding tampon safety in 1997 with the Tampon Safety and Research Act; subsequent versions of this bill were introduced in 2003, 2005, 2008, and 2011.
Now it’s time to take more action: turning this introduced legislation into law. Stay tuned for more information regarding petitions of support and other forms of activism and assistance. In the meantime, step one is to write your local congressperson and voice your support for the Robin Danielson Act of 2014. You may find a list of Representatives (and search for your local Rep.) on the House of Representatives website and you may read more about Maloney’s bill (in which SMCR member and President-elect Chris Bobel is eloquently quoted) on her site.
Happy Menstrual Hygiene Day!
A recent study by researchers at La Trobe University and Monash University in Melbourne, Australia, suggests that working women “need more managerial support [while] going through menopause.” This “Women at Work” study explored the health and wellbeing of working women and women’s satisfaction at work, yet focused on working experiences in or around menopause. The lead researcher, Professor Gavin Jack, reports that “menstrual status did not affect work outcomes” but that “if a woman had one of the major symptoms associated with the menopause — for example weakness or fatigue, disturbed sleep or anxiety, then this did influence how they regarded work.” Jack is further quoted as saying: “What is really important is not the fact of going through the menopause in itself, but the frequency and severity of symptoms which women experience, and how these factors affect their work.”
This study has been described in several news sources over the past few weeks, such as the International Menopause Society, Science Daily, and IrishHealth.com. I have many reactions to this research, both positive and negative.
I’ll present my positive feelings first: I appreciate the fact that researchers are talking about the fact that menopausal women are a large part of the workforce and that menopausal experiences matter for individual women. I also applaud the attention given to the fact that workers are human beings with bodies, and that bodies matter. The idea that employers should recognize that paid workers have bodies and that paid workers may be affected by their bodies is an excellent one. I agree that employers should be educated to be more sensitive to menopause and other bodily experiences that their paid workers might have, and simple adjustments in work policies and work environments can go a long way in making employees happier and more productive (plenty of research has already shown this). Finally, and maybe most importantly, as one article in Science Daily notes, “Not enough attention is paid to the experiences which people go through at different stages of life — the workplace treats this very unevenly.” I couldn’t agree more. Especially when it comes to midlife and aging, we forget that paid workers are still dealing with bodily transitions. We forget the range of chronic illnesses that paid workers might have at midlife and beyond, as well as the many normal health transitions that any midlife or aging individual deals with. Anything from the acquisition of bifocals (and learning to see differently through bifocal lenses) to the hassles of dealing with back pain, neck pain, arthritis, hearing impairments, insomnia, etc., can affect one’s work. Not to mention menopause, prostate conditions, and other aging health concerns that can involve a range of different signs, symptoms, and stages. Starting at midlife, it is also much more common to deal with caregiving for elderly parents, divorces and remarriages, putting kids through college (or putting up with adult kids living at home), deaths of parents and spouses/partners, and other social transitions, and all of these things will impact how a paid worker feels and acts on the job. There is much to pay attention to about paid workers in their 40s, 50s, 60s, and beyond, and I believe that this research is a good start on that. Middle-aged paid workers may be reaching the peaks of their careers and may be excellent at their jobs, but they’re still dealing with a multitude of other life circumstances at the same time. And if they’re not performing well on the job, it may well be because of these very same issues. Paid workers are people, with full lives and physical bodies that they can’t leave at home (no matter how much they try).
A few weeks back I did an interview with Leslie Botha regarding the distribution of Depo Provera to women in developing countries. Recently Leslie shared with me an email she received from someone working in a family planning clinic in Karnataka, India. He described how he was providing the Depo Provera injection to women and finding that, after they stopped using it, they were not experiencing menstruation for up to nine months. He asked for advice – “what is the procedure to give them normal monthly menses….is there any medicine?”
I have written previously about one potential problem of providing women with Depo Provera – the possibility of continuous spotting and bleeding that would not only be distressing with no warning that this might happen and no medical support, but could also be difficult to navigate in a place with poor sanitation or with strong menstrual taboos. As women in developed countries are so very rarely counseled on side effects of hormonal methods of contraception, it seems unlikely women in developing countries receive such information. As we know, some women will instead experience their periods stopping entirely during use of the shot and, as we see from this email and from the comments on other posts written for this blog, long after use.
In this context I find it interesting that the Gates Foundation’s programs for contraception access have a very public focus on Depo Provera. The method was mentioned again by Melinda Gates in a recent TED interview and when she was interviewed as ‘Glamor magazine Woman of the Year’ the shot was front-and-center of the discussion of her work. Yet the Foundation also funds programs that provide support for menstrual management and sanitation. Continuous bleeding from the shot, or cessation of bleeding altogether, would seem to be an important connecting factor between these two campaigns.
Much has been written on the menstrual taboo in India and how this holds women back. In the US we have come to embrace menstrual suppression as great for our health and our progress as women. We see menstruation as holding women back in a variety of ways. However, in India could lack of menstruation also be seen as a positive outcome? Instead of dealing with the menstrual taboo with expensive programs that provide sanitary products and education, might suppressing menstruation entirely be seen as a far more cost-effective solution? It may seem like a stretch, but I am surprised this has not been brought up during debates about the need for contraceptive access in developing countries. Yet of course, the menstrual taboo may well extend to absence of menstruation – a woman who does not experience her period might also be treated suspiciously or poorly.
When Melinda Gates says women “prefer” and “request” Depo Provera I always wonder whether that’s after they’ve been told how it works (perhaps described as a six-month invisible contraception) or after they’ve had their first shot or after they’ve been on it for two years and then, via FDA guidelines, must find an alternative? How much follow up is there? As the self-injectable version is released widely how will women be counseled? Gates argues that the invisibility of the method is part of the draw as women do not have to tell their partners they are using contraception, but what happens when they bleed continuously or stop entirely?
It seems to me like there might be a real lack of communication – both between medical practitioners and their patients, drug providers and the practitioners, and those who fund these programs with everyone involved. It is often argued that the risks of pregnancy and childbirth in developing countries justify almost any means to prevent pregnancy – including the use of birth control methods that cause health issues. How much feedback are groups like the Gates Foundation getting on women’s preferences if they seem to be so unaware of the potential problems, even those that would greatly impact their wider work?
This month an important Sage research journal, Menopause International, “the flagship journal of the British Menopause Society (BMS),” changes its name to Post Reproductive Health. The Co-Editors of this journal are quoted in talking about this name change:
“Women’s healthcare has been changing dramatically over the past decade. No longer do we see menopause management only about the alleviation of menopausal symptomatology, we also deal with an enormous breadth of life-changing medical issues. As Editors of Menopause International, we felt that now is the time for the name and scope of the journal to change; thus moving firmly into a new, exciting and dynamic area. We wish to cover Post Reproductive Health in all its glory – we even hope to include some articles on ageing in men. Our name change is a reflection of this development in scope and focus.”
This name change may seem very insignificant to most people but, for me, a change in name signifies major steps in conceptual thinking, research practice, and (potentially) everyday health care. While I have some problems with the new name (I’ll get to those in a minute), the idea that menopause researchers and practitioners are beginning to see menopause as part of a broader life course transition is phenomenal. It signifies the willingness of many in the business of studying and treating menopause to think more broadly about reproductive aging. It also indicates that many now understand that menopause is not necessarily the “endpoint” of or “final frontier” in one’s reproductive health care needs. Perhaps it also means that we might acknowledge that perimenopausal symptoms are more than single, isolated, “fixable” events and that they may be related to larger, long-term bodily changes. The very idea that “post reproductive health” is important is one that I support and advocate, and I see this as evidence of the realization that there is life after menstruating and having babies. What’s more, the re-branded journal seeks to include research on men’s health too, perhaps signifying that researchers and practitioners acknowledge the sometimes non-gendered aspects of “reproductive” or “post-reproductive” health. Everyone needs health attention, no matter what their life course stage.
What I can still critique about the name change, though, is that the new name of this journal suggests that menopause and other midlife or aging stages are thought of as “post”-reproductive. In my opinion, it is really that we live on a reproductive continuum, that we are never really “post” anything, that prior life stages always continue to affect us and that there are not strict endpoints to the menopausal transition in the way that the word “post-reproductive” might suggest. Reproductive aging as a transition could take as much as 30 years or more, and women report still having signs and symptoms of “menopause” into their 60s and beyond. According to existing research our “late” reproductive years begin in our 30s and don’t end until….what? our 60s? our 70s? The word “post-reproductive” suggests an “end” that maybe doesn’t really exist ever. Here is a link to an article I wrote on this idea of the elusive “end” to menopause, and I think it is important to think about how the word “post” may not be the best way to describe how we live our midlife and older years. We may still have “reproductive” health needs way into our 70s, 80s, and beyond, so how can we think of ourselves as “post” anything?
With this said, however, I still am very happy to see the current name change of the journal, Post Reproductive Health, because I believe it signifies a very important change in the right direction, and I hope to see many more moves like this as we contemplate what midlife and aging health really is.
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?