Blog of the Society for Menstrual Cycle Research

What I told the girl in my life about menstruation

December 22nd, 2011 by Alexandra Jacoby

Last month I wrote about what I would tell the ten-year-old girl in my life about menstruation. This would be my first conversation about it with her.

I really appreciated the supportive responses that I received in the comments and offline! 
I was nervous about it. Your participation helped me to move forward.

Some of you asked me to tell you how it went…

I’m not going to.

Maybe it went well. Maybe it didn’t. Maybe it was a long talk, and kind of delicious to get that time with her, or maybe it ended abruptly. Maybe we hugged, suffered long silences, or laughed each other silly. Maybe I drew diagrams and she was the art director. Maybe she’s avoiding me now.

It doesn’t matter.

Because the point is – even more than to start talking – to keep talking. Not to look for done. Not to hope for done.

Just to say what you have to say; ask questions, reveal what matters to you, and stay.

Knowing that it’s not over. If it didn’t go “well”, that’s just a moment in time.

Remember why you wanted to have this talk – why you wanted her to have this information – why you wanted her to trust you with her questions and opinions.

If it went well, that’s just a moment in time. You don’t know what will happen next.

Her body-experiences, social experiences, ideas, needs and wants are going to change change change.

Done doesn’t exist in our world of human bodies.

Maybe I gave a really “good” talk and it still sucked for her. Maybe my girl’s poised reception of my seriously-delivered speech is not a possibility for either of you. Don’t worry about that.

I’m not telling you how it went because I don’t want our story leading to dos and don’ts, cues to take, and pitfalls to avoid. All that is useful, but I want to stay general for a moment, and, in the absence of specifics, to appreciate on the ongoing, evolving nature of

talking about, 
and being, 
a human body.

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what to tell the girl in my life about menstruation?

November 24th, 2011 by Alexandra Jacoby

Ever since I saw this uterus pillow, I have been thinking about what to tell the girl in my life about menstruation. She’s ten years old. This pillow is exactly something I would give her! It’s handmade, using strong colors of the kind I like, and about a subject most people don’t want to talk about. [I like to annoy her!] Also, it’s pretty.

I’ve had it since the summer, and I still haven’t given it to her — because I want to say something with it.

uterus pillow - ovulating

uterus pillow by Wendy Caesar.

But – what?

I have no idea what she knows or thinks or feels about her body in general, or about menstruation in particular.

Where do I start?

[translate that to several months of procrastination]

Telling myself that it was research and preparation for a good talk, I started asking people what they think I should say to a ten-year old girl in my life. Most asked me if it wasn’t too early to start this topic? I mean if she isn’t menstruating yet…

why bring it up?

Her school will know when to start the conversation. Or maybe leave it up to her, to whenever she asks you…

She’ll ask her mother then probably. Or maybe her mother has already started this conversation….

Wait! None of that matters —

I am totally ducking. I am afraid to get it wrong.

How will she know that conversations are not tests, or competitions, if I keep acting like there’s a right way to do this— like I need training, expertise or approval to talk to the girl in my life about something that I have experienced myself for several of her lifetimes?

I want her to know that it’s ok to not-know EVERYTHING about your body and what comes next, and that it’s ok to ask questions from a place of not-knowing.

Right. Decision made. I will not become an expert before talking with her.

I’ll make this about her and about me.

Here’s what I’ll do:

I’ll ask her what she’s heard so far:

  • What do you know about menstruation?
  • What did your mother tell you?
  • School?
  • Friends?
  • Female relatives?
  • Your father?

I’ll check in with her:

  • What does it feel like? – What people told you —
  • Is it: scary, embarrassing, no big deal, exciting…

I’ll tell her why I brought this up:

The menstrual cycle is not just about bleeding and whether you can get pregnant today — though, those two situations are reason enough to learn as much as you can about your cycle. You want to be prepared for, and satisfied with, both experiences.

uterus pillow - menstruating

the same uterus pillow, by Wendy Caesar.

The menstrual cycle is one of your body’s vital signs.

Its hormones and processes affect and interact with how you feel, how your bones grow, how your skin looks, your body temperature… From the inside out, of your body-your home, your cycle determines your quality of life in many ways.

Most of us know little about how our bodies work. And, unless we feel pain, have difficulty doing something we want to do, or are incapacitated, we don’t necessarily need to know any more than the little we know.

But — and this is why I bring it up — the more you do know about how it works, the more power you have over the quality of your body-life, which in turn feeds your mental-spiritual-emotional life. And back around again.

“It means there’s blood flowing out of my uterus!”

November 4th, 2011 by Elizabeth Kissling

So says 15-year-old Judy to her boyfriend Johnny on the occasion of her first period, in this vintage film about menstruation, Linda’s Film About Menstruation. This 18-minute treasure was produced in 1974 by the Creative Artists Public Service Program of the New York State Council of the Arts (CAPS), a program that ran from 1970 to 1981.

Would that cities and states still had arts budgets for these kinds of projects!

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Vitamin D and Early Onset of Menstruation

September 21st, 2011 by Laura Wershler

Could vitamin D deficiency in young girls contribute to early onset of menstruation?  

A study conducted by the University of Michigan School of Public Health suggests this may be the case.  Blood vitamin D levels were measured in 242 girls between the ages of 5 and 12 in Bogota, Colombia. The girls were then followed for 30 months.

“Compared to girls in the vitamin D-sufficient group who first menstruated at the age 12.6 years, those in the vitamin D-deficient group started menstruating at11.8 years. (Epidemiologist Eduardo)Villamor says that although 10 months may seem like a small gap, the difference is momentous because at that age, a young girl’s body may undergo many changes rapidly.”

The findings are significant because of other research suggesting links between early onset of menarche, or first menstruation, before the age of 12 and serious health concerns later in life such as cardiovascular disease and breast cancer. Vitamin D deficiency is also associated with poor bone health and osteoporosis.

This study showing an association between vitamin D deficiency and early menarche raises many questions. Should mothers be asking their doctors to test their daughters vitamin D levels? How might vitamin D supplementation prevent future health concerns now associated with early menarche? What blood level for vitamin D is optimal?

Grassroots Health, a non-profit advocacy organization promoting optimal vitamin D levels for the prevention of disease and maintenance of good health, has recently launched a study on breast cancer prevention with vitamin D. The group also has an initiative called D*Action involving a consortium of scientists, institutions and individuals committed to solving what they consider to be a worldwide vitamin D deficiency epidemic.

Might the girls in Colombia lead the way for vitamin D supplementation to begin at a young age to protect the bones, breast and hearts of the next generation?

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Have You Had HPV? Tweet It Today!

September 16th, 2011 by Elizabeth Kissling

The Village Voice has declared today, Friday, September 16, ‘Tweet That You Have Had HPV Day’.

U.S. readers probably know that on Monday, Congresswoman Michele Bachmann upbraided Texas governor Rick Perry for requiring girls in his state to have the vaccine during a Tea Party sponsored debate among Republican candidates for the presidential nomination, and then claimed the HPV vaccine causes ‘mental retardation’.

One dramatic response came on Twitter from writer Ayelet Waldman, who wrote that she got HPV from her husband in a monogamous marriage, and had to have cervical lesions removed. She was promptly told to keep that to herself, it was TMI, and that it was probably her fault for being slutty. (For an excellent critical summary of the whole kerfuffle, read Jill’s post at Feministe.)

HPV is easy to spread and hard to detect. From the CDC:

HPV is passed on through genital contact, most often during vaginal and anal sex. HPV may also be passed on during oral sex and genital-to-genital contact. HPV can be passed on between straight and same-sex partners–even when the infected partner has no signs or symptoms.

A person can have HPV even if years have passed since he or she had sexual contact with an infected person. Most infected persons do not realize they are infected or that they are passing the virus on to a sex partner. It is also possible to get more than one type of HPV.

HPV is easily spread, but can be prevented and treated. As the Village Voice article asserts, “Perhaps the greatest danger in the battle against HPV is one of PR. People are ashamed (after all, it’s an STD), and women in particular are shamed. No one wants to admit it, no one talks about it, and when people do, it’s in whispers and there’s a lot of misinformation.”

So talk about it, tweet about it, and don’t be ashamed. Fight sex negativity.

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Golly! Molly is growing up.

February 14th, 2011 by Elizabeth Kissling

Molly Grows Up _ screenshotPreparing for class discussions this week about sex education policy in the U.S. found me flipping through the Prelinger Archives, where I found this gem: Molly Grows Up. It’s a menstrual education film apparently intended for girls in about the sixth grade, made in 1953. Along with a basic explanation of the physiology of menstruation and puberty, the school nurse assures the girls that no one can tell when they are menstruating. But then she offers them this advice visible in this screen shot — and recommends the girls wear their best dresses and take extra care with “hygiene”.

You can view the film here.

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Menstrual Cups for African Girls

January 5th, 2011 by Elizabeth Kissling
Rhoune Ochako, a research officer at APHRC, explains how the cup works in this photo from the APHRC web site.

Rhoune Ochako, a research officer at APHRC, explains how the cup works in this photo from the APHRC web site.

At re:Cycling, we’re interested in all kinds of menstruation and women’s health issues, all over the world. We have written several times about the need for menstrual pads for girls and women in developing nations, like the Kasissi Project Girls Program producing M.A.K.A. pads in Uganda and Sustainable Health Enterprises making pads from banana trees for women in Rwanda, and LunaPads’ Pads4Girls program, which collects and donates reusable pads to girls in several African nations as well as Mexico and South America. We’ve also suggested that cramps and menstrual pain may cause girls to miss school as much as lack of menstrual supplies.

So it was with great interest that we read about a new pilot program of the African Population and Health Research Center (APHRC) that will distribute menstrual cups to girls in Nairobi.

Women and girls in Korogocho slums have been identified who will use the cup for up to four months, after which they will be interviewed about their experiences,” explained Rhoune Ochako, a research officer at APHRC.

The study will also assess acceptability of the cup, as many girls were intimidated to use the cup. A teacher at Our Lady of Fatima Secondary school initially queried 400 students, of whom only three were willing to participate in the study.

Celestine Awino [age 17] is among girls who agreed to participate in the project that started about a year and a half ago and has been using the cup since then. “At first I was afraid. I waited until a friend used it, then I tried. I have now been using it for over ten months,” she says.

Awino says she is able to engage in school activities during her periods while wearing the cup. “I take part in sports, cleaning and learning activities without any problem. It is better than missing school because one lacks sanitary pads,” she says.

Given the economic and environmental advantages of menstrual cups (not to mention their reliability), this experiment has great potential to make a big difference.


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Maka Pads help girls and women in Uganda

November 12th, 2010 by Elizabeth Kissling

The Kasiisi Project Girls Program is now the first producer of locally manufactured sanitary pads in Uganda. Their M.A.K.A. pads (Menstruation Administration Knowledge Affordability) are made of papyrus. A package of ten sells for 650 shillings — one-third of the cost of imported pads. The availability of MakaPads helps women miss work and girls miss school less frequently.

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S.H.E. = Sustainable Health Enterprises

October 13th, 2010 by Elizabeth Kissling

Check out the new video about the latest developments from Sustainable Health Enterprises (SHE).

(Previously at re:CyclingSHE featured in Marie Claire; Girls, Periods, and Missing School II: Breaking the Silence.)

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You’re Never Too Young to Wax

September 16th, 2010 by Elizabeth Kissling

Via Virginia at Beauty Schooled, who is celebrating her graduation from Beauty U by republishing selected posts, I found this August 24 article about the trend of spas offering hair removal services to increasingly younger clients – starting at age 8.

Wanda Stawczyk, owner of Wanda’s European Skin Care Center in New York, says girls who start waxing young, even before they have dark hair, will always have lighter, thinner hair.

“It’s a very big result,” she tells ParentDish. “The hair is diminished almost 100 percent.”

She advocates for it even more strongly on her website.

“I call it the ‘Virgin’ — waxing for children 8 years old and up who have never shaved before,” the website reads. “Virgin hair can be waxed so successfully that growth can be permanently stopped in just 2 to 6 sessions. Save your child a lifetime of waxing … and put the money in the bank for her college education instead!”

Pediatricians consulted for the article raise concerns only about removal of pubic hair:

Waxing pubic hair if a girl is too young can make it difficult for doctors to tell if a girl is maturing as she should, Williams says.

“We use development of a certain type of hair and distribution of hair as a marker of normal puberty,” she says.

No worries, though. Wanda says her salon doesn’t do bikini waxes on their prepubescent clients:

“Everything but bikini. We don’t want to introduce them to that kind of service yet.”

Regular bikini waxing starts at 14 or 15 for her clients, Stawczyk says. Apparently they missed the latest issue of Cosmopolitan.

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Social Effects of Menstrual Pain for Turkish Teens

September 10th, 2010 by Elizabeth Kissling
Illustration via sexualityandu.ca

Illustration via sexualityandu.ca

A new study published in the Journal of Pediatric Adolescent Gynecology reports on a study of how dysmenorrhea affects girls’ relationships with families and friends and school performance for girls in Turkey. Previously, we reported on research documenting that menstrual pain is the norm for adolescents; this study represents a next step by looking at the effects of that pain. 1951 girls from 26 high schools completed surveys assessing the level and the nature of menstrual pain they experienced and answered questions about how their pain affected their school work and relationships.

Unsurprisingly, more than half of the girls surveyed reported that dysmenorrhea does affect their ability to perform well at school, with 50% of the girls reporting “lack of focus on the content of the courses” and 26.9% reporting “not being able to answer the questions in exams despite having the knowledge”.  A staggering 77.3% report “having problems with their families” when they are experiencing menstrual pain.

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The Leap from Younger Puberty to Fat-Shaming

August 12th, 2010 by Elizabeth Kissling
'Puberty' by Edvard Munch. Photo courtesy of Flickr user independentman // CC 2.0

'Puberty' by Edvard Munch. Photo courtesy of Flickr user independentman // CC 2.0

When the story that girls are reaching puberty earlier than ever began popping up everywhere this week, I did not doubt its veracity. It was no coincidence that I received an email from a friend yesterday, observing with mixed feelings that she had just purchased a first bra for her oldest daughter. Her daughter is 9.

News about girls reaching puberty earlier and earlier isn’t exactly new. We saw a flurry of stories in late 2009, when studies found an association between early menarche, late menopause and breast cancer. Additionally, the finding that African American girls often show signs of pubertal development earlier than other girls is well-established.

The study that triggered this new explosion of publicity, published this week in Pediatrics, assessed girls’ development by evaluating the size of breast buds (as breasts are called in early stages of development). The researchers evaluated an ethnically diverse population of 1,239 girls ages 6 to 8 across three research sites. They found that 10.4 percent of white, 23.4 percent of black and 14.9 percent of Hispanic 7-year-olds had reached “Sexual Maturation Stage 2.” Stage 2 is more typically reached at age 10, but may occur any time from age 8 to age 13. Menarche, the first menstrual period, occurs on average at age 12, in Stage 4, but it, too, varies, occurring as early as age 9 and as late as age 17.

The Pediatrics study does not, however, reveal what has caused the age of puberty to fall. Many are quick to blame the alleged obesity epidemic, as the study found that heavier girls were more likely to have more breast development. But Dr. Frank M. Biro, the first author of the study and the director of adolescent medicine at Cincinnati Children’s Hospital Medical Center, told the New York Times that it is unlikely that weight alone explains the findings. Instead, he speculates that environmental chemicals may influence early breast development, and he and his colleagues are presently running lab tests to assess the girls’ hormone levels and chemical exposure.

Fat is one of many factors affecting pubertal development. Others include:

  • environmental toxins, including phthalates and Bisphenol A, commonly known as BPA, which can be found in nearly anything made of plastic: baby bottles, toys, plastic serving utensils, and more
  • premature birth and low birth weight, which affect endocrine function
  • psychosocial stressors, such as family dysfunction or abuse
  • formula feeding, especially without breast feeding
  • in-utero chemical exposure
  • and, often neglected in these discussions, endocrine disruptors–the hormones used in raising beef and dairy cattle as well as chicken in this country. Almost all foods in a modern North American diet contains endocrine disruptors.

(For a more thorough analysis of causes of early puberty, see Sandra Steingraber’s report, The Falling Age of Puberty in U.S. Girls: What We Know, What We Need to Know, published in 2007 by the Breast Cancer Fund. Among other findings, Steingraber reports that new research has revealed that the amount of natural hormones a child’s body produces on its own is much lower than previously estimated; this means “safe levels” of exposure to synthetic hormones and endocrine disruptors must be recalibrated, and policy modified accordingly.)

Sadly, much of the public discussion of this research seems to be centering on the possible role of the alleged obesity crisis (or in fat activist Kate Harding’s preferred terminology, “the obesity crisis OOGA-BOOGA!”), despite a lack of concrete evidence. I’d hate to see this research lead to increased fat-shaming and body image issues for young girls, as there are far more serious consequences of a dramatic decline in age of puberty.

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.