- Although it’s well known that weight affects dosing of many medications, including birth control pills, new warnings about effectiveness of Plan B and similar morning-after pills made headlines this week when the European manufacturer of a similar drug announced that they will begin warning consumers that the drug is completely ineffective for women who weigh more than 176 pounds and begins to lose effectiveness in women who weigh more than 165 pounds. The FDA is evaluating whether to require US emergency contraceptive pill makers to change their labels. (The average weight of a woman in the US is 166.2 pounds.)
- The new label of Norlevo, the European morning-after pill, also says it “cannot stop a fertilized egg from attaching to the womb”. While US brands say they work mostly by blocking the release of eggs before fertilization, they also say the drugs may inhibit fertilized eggs from implanting in the uterus. Court watchers are speculating about whether this could affect the current case before the US Supreme Court, involving corporations that object on religious grounds to the health care law’s requirement that employers provide insurance coverage for contraception, including emergency contraception.
- Could old-school menstrual gear be the solution for VPL (visible panty lines)? Nah, we didn’t think so either, and neither do our Twitter and Facebook followers.
- The Act of Gender Equality in Employment in Taiwan has been modified, adding three extra days of menstruation leave that will not be deducted from half-pay common sick leave.
- Vaginal discharge is part of the magic of the vagina’s self-cleaning function, but it can still stain your unders, maybe even more than menstrual fluid. If that bothers you, Jezebel‘s Jolie Kerr has some advice for you.
- Gynecologists who treat men are not common, but some do treat men with anal cancer. It is rare, and usually caused by the human papillomavirus, or HPV, which is sexually transmitted. But these doctors risk losing their certification from the American Board of Obstetrics and Gynecology if they don’t limit their practice to female-bodied patients.
- This article has been making the rounds on the #Menstruation Twitters this week: Men don’t like to talk about menstruation because they’re men.
The recent death of writer Doris Lessing led me to revisit her work a bit. *
Author of more than 50 books as well as an opera, Lessing was brave. She spanned genres, refused to tow a singular ideological line and used her Nobel Prize moment to remind us that privilege shapes greatness as much, even more perhaps, than talent. And Lessing wrote about menstruation when few others dared.
In her 1962 novel The Golden Notebook, protagonist Anna Wulf journals on the first day of her period—chronicling every thought and feeling her menses produced for her. In the passage below, Wulf’s disgust with her body is hardly a menstrual-positive standpoint (and isn’t something off with her cycle if she detects such an offensive smell?). But there is an honesty, here. A broken silence. Lessing brought to the fore the reality of the fraught and conflicted menstruating body in the early 1960s, and that was a bold move.
I stuff my vagina with the tampon of cotton wool … I roll tampons into my handbag, concealing them under a handkerchief … The fact that I am having my period is no more than an entrance into an emotional state, recurring regularly, that is of no particular importance … A man said he would be revolted by the description of a woman defecating. I resented this … but he right … For instance, when Molly said to me … I‘ve got the curse; I have instantly to suppress distaste, even though we are both women; and I begin to be conscious of the possibility of bad smells … and I begin to worry: Am I smelling? It is the only smell that I know of that I dislike. … But the faintly dubious, essentially stale smell of menstrual blood, I hate. And resent. It is a smell that I feel as strange even to me, an imposition from outside. Not from me. Yet for two days I have to deal with this thing from outside—a bad smell, emanating from me. … So I shut the thoughts of my period out of my mind; making, however, a mental note that as soon as I get to the office I must go to the washroom to make sure there is no smell (pp. 339-340).
Lessing is not alone among the brave who dare to Speak a Menstrual Language. In honor of Thanksgiving in the US, I offer this shout out to a short list of the courageous who inspire. Thank you menstrual champions.
Rachel Horn, of Sustainable Cycles, who cycled coast to coast this summer, promoting menstrual literacy and menstrual cup awareness.
Holly Grigg-Spall, who has put herself on the line with her new book Sweetening the Pill: Or How We Got Hooked on Hormonal Birth Control. Grigg-Spall has been challenged, sometimes pretty nastily, for suggesting that one can use a feminist reproductive justice lens to be critical of the pill.
And how about radical feminist pioneer of queer cinema, Barbara Hammer. Her 1974 expeimental film Menses playfully interprets, though a group of women enacting their own individual fantasies, what menstruation means to them. 1974!
Menarchists Jaqueline J. Gonzalez and Stephanie Robinson, who founded the Menstrual Activist Research Collective (M.A.R.C) in 2011, and just released their line of menstrual gear (http://www.etsy.com/shop/menarchists) at cost so you can help them spread the good word, or as they put, leave your MARC! We bleed. It is okay. We bleed.
Then there’s Arunachalam Muruganantham, the self described “school dropout” (and now the subject of a new documentary) who developed a table top machine that rural Indian women can use to produce and sell low cost single use menstrual pads. He wants to make life easier for Indian women (and he is not interested in getting rich). Yes, there are sustainability issues, here, but there’s also a widening of options for women.
Every teenager who, on the way to the school toilet, ever dared to walk down the hall with femcare-product-of-choice in open view.
Every menstruator who hangs cloth pads on the clothesline with the rest of the laundry.
It’s Throwback Thursday on social media, and we’re joining in with this ad for Pursettes tampons that ran in Cosmpolitan (U.S.) magazine in 1966. Nearly 50 years on, little has changed in femcare marketing: Look at the familiar themes of medicalization of menstruation, secrecy, fearmongering, and the dreaded scourge of odor problems.
The idea that tampons can steal virginity isn’t quite as pervasive today, but one can still find it in tampon ads as recently as 1990 in teen magazines.
Recently I was fortunate enough to be asked to lend an excerpt of my recently released book to the UK Sunday Times Style magazine. The mostly fashion-centric Style magazine is not really known for its edginess or risk-taking (except perhaps in the realm of shoe and make-up choices) and so I was happily surprised when the editor told me that the subject matter discussed in my book that she happened to find most interesting was, in fact, menstruation. I had expected her to want to focus on condoms perhaps, or just my personal story, but no, she was keenly interested in what I wrote about periods.
The argument I make in my book is that how we feel about hormonal birth control is inextricably linked to how we feel about menstruation. In a sense, many of the newer methods of hormonal birth control, as well as the newer uses (running packets of pills together, prescriptions for cramps or heavy bleeding) show an effort to get rid of the period completely, rather than just hide it away. I also discuss in the book, briefly, menstruation activism. However, I do defer to the far better work done by the likes of SMCR’s own Chris Bobel who writes on this topic with far more knowledge (not to mention wit).
You can read the feature in full here at my website (it’s otherwise behind an online pay wall and frankly I’m pleased to rob Rupert Murdoch of a few pounds by making it freely available).
In the end, the feature was not exactly an excerpt from my book – more so it was quotes from the book mixed with quotes from a long interview with the editor. Therefore I didn’t quite know what would be published in the magazine. The finished piece covered a range of controversial topics seen here at re:Cycling regularly – menstrual outing, reusable femcare products, the potential health benefits of ovulation…
If the high point of my career was getting the word “patriarchy” into the notoriously right-wing British tabloid The Daily Mail, I think I had another peak seeing this sentence in the Style (notorious for its high priced designer fashion spreads) – “This movement believes the act of stopping and hiding our periods with hormonal contraceptives and sanitary products is a mark of corporate ownership of our bodies.” I take great pride in also getting a discussion of menstrual extraction on to Style’s pages, and therefore onto the breakfast table of approximately one million British people – “an entire period’s worth of menstrual blood could be removed in a few hours instead of being experienced over days.” Well, if we can have Page 3, why not menstrual extraction?
The editor who did such a great job on this piece was Fleur Britten and in a funny twist of fate I realized, during our conversations, that in my first full time working position after college, at the publishing company Debrett’s in London, I worked as a production assistant on one of her books – Etiquette for Girls. At that time controversy surrounded Fleur’s section on the proper etiquette for one-night stands (I think it was something about getting out quickly, quietly, but leaving a nice handwritten note). So, it made me smile to see her skewer the etiquette of menstruation in the opening paragraph of this piece: “Many women are bored with having to take a whole handbag into the ladies rather than carry a tampon in their hand. Men say “I’m going to take a dump,” but we don’t say, “I’m just going to change my tampon.””
When I was carrying the proofs of Fleur’s book to the printers back some seven years ago, little did I know we would be conspiring to get the British public to say “I am menstruating” today over tea and toast.
Questioning and quitting the pill are current hot topics, fueled in no small part by Holly Grigg-Spall’s recently released Sweetening the Pill Or How We Got Hooked on Hormonal Birth Control. Her book has drawn ample backlash, brilliantly addressed by re:Cycling blogger Elizabeth Kissling.
Adding to the media clamour was Ann Friedman’s New York Magazine online piece No Pill? No Prob. Meet the Pullout Generation which explores how and why women she knows are ditching hormones and depending on withdrawal and period tracking apps for birth control.
Both writers, along with Toronto freelancer Kate Carraway, recently discussed the topic Rebelling against the pill: ‘Pulling-Out’ of conventional birth control on CBC Radio-Canada’s The Current.
Listening to Grigg-Spall, Friedman, and Carraway discuss the pill rebellion affirms that while many young women are through with hormonal birth control, their transition off the pill, etc., is not without risk-taking and pushback.
Grigg-Spall nailed the pivotal point when she said “It’s a provider issue.”
The rise of the “pullout generation” is proof that sexual health-care providers and educators, among whom I count myself, have failed on two counts:
1) We’ve failed to address a key aspect of contraceptive use: how to transition successfully between method groups, in this case from hormonal to non-hormonal methods. We’d rather present the so-called “latest and greatest” hormonal methods and say – earnestly, pleadingly – try this! The CBC panelists provided strong anecdotal evidence that more and more women are having none of it.
2) We’ve failed to adequately acknowledge and serve women who can’t, won’t or don’t want to use hormonal methods. We are NOT providing across-the-board support and programs that include easy access to diaphragms or certified training in fertility awareness based methods (FABM), either onsite or through collaborative referral strategies.
For over 25 years I’ve advocated for increased access to information, support and services for women who want to use non-hormonal methods of birth control. It’s self-evident such services must include access to qualified instruction to learn FABM that have effectiveness rates over 99%. This is not to say there isn’t a place for withdrawal as an effective back-up. Check out this confessional how-to post by fertility awareness instructor Amy Sedgewick.
As Friedman said on The Current, women are intimidated by the idea of learning fertility awareness. I believe this is mostly because mainstream sexual health-care providers have never fully educated themselves about FABM or fully committed to presenting these methods as viable options to drugs and devises. Do they think that most women can’t or don’t want to learn fertility awareness skills? That would be like thinking most girls can’t or don’t want to learn to read.
As I’ve written elsewhere: “Fertility awareness, like riding a bicycle, is a life skill.”
If you can learn to swim, ski or snowboard, knit a sweater, read a balance sheet or master Adobe InDesign, you can learn to observe, chart and interpret your menstrual cycle events. We can all acquire body literacy.
Until sexual health educators and care providers develop programs to fully serve women who won’t use or want to stop using drugs and devises for birth control, we will continue failing to meet the growing “unmet need” for effective non-hormonal contraceptive methods.
The reign of hormonal birth control as the top-of-the-contraceptive-hierarchy gold standard appears to be coming to an end. The pullout generation represents just one thread in this transition. The questions is: Are sexual health educators and care providers paying attention and, if so, what are they going to do about it?
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?).