Blog of the Society for Menstrual Cycle Research

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 Red Scare: Blood Rituals

July 16th, 2010 by Elizabeth Kissling

Red Scare illustration from Whore! MagazineAnyone else seen the premier issue of Whore! Magazine (Fast, Feminist, and Feminine) yet? My copy arrived yesterday and while I haven’t read the whole thing yet, I’m enjoying the quality of the writing and the production values.

I’m also pleased to see a positive story about menstruation in a magazine, in Tracy Merlau’s essay, “The Red Scare”. It’s short, sentimental essay about adolescence and menarche, and the sadness of the nearly complete absence of any public recognition, let alone celebration, of menarche for girls in the U.S.

Recommended.

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Early Menarche: A New Theory

June 13th, 2010 by Elizabeth Kissling
Photo by Splorp // CC 2.0

Photo by Splorp // CC 2.0

It’s well-documented that girls today reach menarche earlier than previous generations. A century ago, it was common to experience one’s first period at 16 or 17; today, that’s regarded as so late that medical examinations are often conducted to reassure parents and girls that their development is normal. The typical North American girl sees her first period at age 12, give or take a few months.

Many explanations have been posited for this phenomenon; personally, I’ve long suspected that a primary cause is endocrine disruptors that are the hormones used in raising beef and dairy cattle as well as chicken in this country. Also, girls today typically achieve the minimal body fat necessary to menstruate at younger ages, due to improved health and nutrition. Now a new study suggests that it is not merely consumption of meat that lowers the age of menarche, but the high content of zinc and iron in a meat-rich diet.

Oddly, the lead researcher is quoted in the news story as saying, “These results add to the evidence that it is healthiest to avoid diets containing very high amounts of meat,” but also that there is no need for young girls to cut their meat intake. (I haven’t yet been able to locate a copy of the actual study.)


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Menarche at the Movies

June 1st, 2010 by Elizabeth Kissling

Only Yesterday DVD cover/movie posterI’m not an expert in Japanese anime films, but I am pretty knowledgeable about the representation of menstruation and menarche in films in the English-speaking world, especially the U.S. So I was surprised to read in this review/story about the Isao Takahata film, Only Yesterday, that the reason the film won’t be distributed on DVD in the U.S. because there is a menarche scene.

The reason Only Yesterday has not been released on DVD in the United States, and never will be in the near future, is because it includes references to menstruation. Disney has a distribution deal with Studio Ghibli, but decided it could not release the film because of this. And Studio Ghibli included a clause in their contract which stated the scene could not be altered. Removing this scene would have been detrimental to the film, also foolish. This is I’m sure a fundamental part of growing up for females, and the point of its insertion is that the ‘82 Taeko is changing just as she was changing in 1966. She must learn to accept these changes, not reject them, and it is an issue she faces at both periods in her life. (no pun intended)

Menarche has been used in other films to communicate the same kinds of messages; as I argued in Capitalizing on the Curse, that was part of the purpose of Vada’s menarche in My Girl. This is a turning point in the film, in which Vada realizes that she is a girl, will develop into a woman, and must abandon her childhood pastimes – including her friendship with Thomas J.

Menarche scenes occur in other films as well, with similar plot functions, but usually the actual bleeding takes places off-camera, as in My Girl. (A Walk on the Moon is a notable exception.) I can’t tell from the review how explicit menstruation is in Only Yesterday, but given the description of the rest of the film, it’s hard to believe it justifies blocking U.S. release of the movie.

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Blood on Screen: The Runaways

March 23rd, 2010 by Giovanna Chesler

Last July we posted photos from an unnamed film set where Dakota Fanning stood, ready for camera, with blood running down her thighs and a blood stain on the back of her skirt. Were these menstrual markings or the next era of horror film misogyny? The answer can be seen in the newly released film The Runaways, a drama about a 1970’s all girl rock band fronted by Cherie Currie (played by Dakota Fanning) and guitarist, Joan Jett (Kristen Stewart.)

Here, menstruation is a framing element, as the film begins with a screen sized image of a red blood drop falling to the pavement. Cut to Fanning wiping blood from her thigh in disbelief. Her sister, Marie rushes her to the bathroom to attend to their first period, for Marie whines “Everything happens to you first!” Cherie packs her undies with paper towels, ties a sweatshirt around the stain, and in stunned disbelief of what has just transpired, tags behind her sister and her sister’s creepy dude date. He leers at her, “You’re a woman now.”

Later that evening, Cherie crops her hair, paints a David Bowie red streak across her face, and begins to come into herself. Becoming a woman in this film, does not include being soft and desirable for boys. Rather, menarche signifies entrance into glam rock iconography.

As Cherie meets up with Joan, and the two launch The Runaways, Cherie’s early entrance into womanhood seems to have come too soon. Still a child, Cherie is pushed into the front of a stage and asked to groan into a mic about her bursting sexuality in the song Cherry Bomb. The demanding manager, Kim Fowley (Michael Shannon), yells at her to give more to the song “This isn’t woman’s lib. It’s woman’s lib-ido.”

In the coming weeks on tour, Cherie will partake in her first kiss, first sip, first line, first pill – revealing how womanhood has not “dropped” upon her. It arrives in waves through her choices, or her inability to make them. And there is still more growing to do.

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New Research Indicates Link between Early Menarche and Endometriosis

March 11th, 2010 by Elizabeth Kissling

Drawing of uterine cross-section indicating endometriosis.In a controlled study of 268 Australian women with surgically confirmed moderate-to-severe endometriosis (cases) and 244 women without endometriosis (controls), researchers found that characteristics of a woman’s early menstrual cycles were associated with later development of endometriosis. Data showed those who did not start their menstrual cycle until after they turned 14 had a significantly reduced risk of later developing endometriosis.

Duration of the cycle, intensity of flow, and preferred choice of menstrual product showed no association with endometriosis.

The results are published in the American Journal of Obstetrics and Gynecology, December 2009. You can read the abstract here.

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Debating the Causes of Early Menarche

December 29th, 2009 by Elizabeth Kissling
Three of my young nieces.

Three of my young nieces, Labor Day Weekend 2009.

Janice Horowitiz’ “Dueling Docs” feature at Huffington Post today is about the issue of girls reaching puberty at increasingly earlier ages than previous generations. Both Dr. Alisan Goldfarb and Dr. Stephen Safe talk about endocrine disruptors such as BPA (bisphenol-A, a carcinogenic component of some plastics found in some baby bottles and water containers) and pesticides. Certainly both types of chemicals are likely to be a factor in early menarche, but I find it surprising that those are the only factors mentioned. There’s no discussion of the roles of psychosocial stressors, low birth weight, or formula feeding. Neither physician gives serious consideration to the endocrine disruptors that are the hormones used in raising beef and dairy cattle as well as chicken in this country; Dr. Safe acknowledges that “[a]lmost all foods have endocrine disruptors”, but qualifies that statement with, “particularly fruits and vegetables.” (Do you suppose the beef and dairy lobby advertise at Huffington Post?)

For a more thorough, nuanced analysis of this issue, 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.

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Early menarche, late menopause and breast cancer – what’s the whole story?

December 10th, 2009 by Laura Wershler
Mammograms showing healthy (left) and (right) cancerous breast. Courtesy of the National Cancer Institute.

Mammograms showing healthy (left) and (right) cancerous breast. Courtesy of the National Cancer Institute.

Can having too many menstrual cycles give you breast cancer?  That’s what one might conclude from two unrelated articles that appeared in national newspapers this week.

First was Nicholas D. Kristof’s Op-Ed in the New York Times. Kristof had recently attended a symposium exploring whether certain common chemicals are linked to breast cancer and other ailments. The role of estrogen – both the real thing our bodies produce and the pseudo-estrogens – in breast cancer was his major example.

The real thing:

One theory starts with the well-known fact that women with more lifetime menstrual cycles are at greater risk for breast cancer, because they’re exposed to more estrogen. For example, a woman who began menstruating before 12 has a 30 percent greater risk of breast cancer than one who began at 15 or later.

The pseudo-estrogens:

One class of chemicals that creates concern — although the evidence is not definitive — is endocrine disruptors, which are often similar to estrogen and may fool the body into setting off hormonal changes. This used to be a fringe theory, but it is now being treated with great seriousness by the Endocrine Society the professional association of hormone specialists in the United States. …These endocrine disruptors are found in everything from certain plastics to various cosmetics.

Blood on Screen: The most popular title for menstrual artwork is…

October 14th, 2009 by Giovanna Chesler

A Period Piece

The third film in the Blood on Screen series is Camille Holder Brown’s award winning A Period Piece (2005). I know of at least two other films and one sculptural artwork that use this title. Yet despite the ubiquitous pun, each work has an equally clever take on the cycle (other Period Piece films include a music video by Zeinabu Irene Davis (1991), a documentary by Jennifer Frame and Jay Rosenblatt (1995,) and this installation by LaThoriel Badenhausen which was presented at the SMCR Conference in 2009.)

Camille Holder-Brown’s piece of the cycle is a fictional film portraying the awkward experiences of Sionne, a girl about to begin menstruating. From her earthy sex-ed teacher who gushes about the beauty of the cycle, to her friends and classmates at different stages of menstrual acceptance, to her mother who warmly and carefully introduces her to menstruation, A Period Piece is filled with menses-positive imagery. But Sionne’s overriding fear and her association of menstruation with shame clouds most of the film.

What It Feels Like for a Girl

September 17th, 2009 by Elizabeth Kissling

Nearly 20(!) years ago, I conducted research for my doctoral dissertation about how and what girls learn about menstruation. I researched the literature and interviewed girls ages 11-16 about what kinds of information about menstruation they received and the sources of their menstrual knowledge. Among my findings, I learned that even girls who had received adequate menstrual education from school and parents did not consider themselves prepared for their first periods. They wanted to know more about what menstruation would feel like – not more about ovaries and hormones (although research and anecdotal evidence suggests their knowledge in that area is not as well-developed as they believe). They had serious questions about whether it would hurt, how often they would need to change their menstrual pads, and other phenomenological questions about the experience of menstruation. This kind of information is seldom part of formal menstrual education, but the girls in my study found ways to seek out this information, often through girlfriends and sometimes through popular culture sources, such as teen magazines.

These issues are even more important to girls with autism or other special developmental needs. This morning I stumbled upon this discussion at change.org about how communication with one’s daughter about what to expect at menarche is even more critical for autistic girls:

BBF: Best Bones Forever

September 3rd, 2009 by Elizabeth Kissling

DotgirlDot Girl™ First Period Products, a retailer of first menstrual period kits for pre-teen girls, announced today that they are partnering with Best Bones Forever!, a national campaign led by the U.S. Department of Health and Human Services’ Office on Women’s Health.

It’s hard to get cranky about a federal program that seems to consist mostly of PSAs about good health habits for girls, but a couple of things about this particular campaign make my SpideySense tingle:

  1. The press release about this new partnership states that Dot Girl™ is based in Seattle and was founded by sisters Terri Goodwin and Kathy Pickus with the intent to help parents manage the often difficult conversation about menstruation with their prepubescent daughters. The sisters’ products also “create empowered young women who have a positive first period experience.” But a closer look at the contents of the Dot Girl’s First Period Kit suggests a close relationship with Kimberly-Clark: it contains two Kotex products and coupons for discounted purchase of other Kotex products. I also note that the name and logo of the company, Dot Girl, evokes the red dot used in Kotex commercials and logos. Kotex received a lot of kudos when their Red Dot campaign was first launched in 2000, for its playfulness and for being the first advertising campaign in the U.S. to use the word “period”.
  2. The Kit also contains a sample package of “Scensibles™”, labeled “scented bags for clean, easy, discreet disposal of feminine care products” and a package of hand wipes. I suppose these are included because periods are so smelly and dirty; apparently empowerful young women need to be very clean. In the U.S., it is not unusual for key developmental moments such as menarche to be marked by increased consumer behavior but it still rubs me the wrong way that an organization purportedly focused on helping girls and their parents with this transition tries to do so by selling stuff – especially unnecessary stuff with shaming implications.
  3. I also note that all the material about how to develop and maintain healthy bones makes no mention of the link between bone health and menstruation. With each ovulatory cycle, the ovary secretes progesterone, which stimulates the production of osteoblasts. Osteoblasts are cells that build new bone. If menstruation is irregular or suppressed with cycle-stopping contraceptives (which work by suppressing ovulation), bone health can be negatively affected.

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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.