Blog of the Society for Menstrual Cycle Research

#Making Menstruation Matter—For All the Wrong Reasons

April 15th, 2013 by Chris Bobel

Oops!

Somebody fell in it.

And by it I mean the tired old WomenCan’tDoStuffBecauseTheyAreWomen pit–a veritable snake hole crawling with misogynists, essentialists, and old school protectionists.

Image adapted from public domain photo // Design by Anne Bobel Zelek
[Actual menstrual status of shooter unknown. That's the point, people. You can't tell]

Terri Proud, a newly hired Administrative Assistant in the Arizona Department of Veterans’ Services, landed in the pit recently when she (allegedly) made comments about women’s menstrual cycles in combat. She was fired, and her boss, Colonel Joey Strickland, was asked by the Arizona governor to resign (apparently, Strickland hired Proud against the Governor’s wishes).

According to the Arizona-Sonora News Service, when asked about women serving on the front lines, Proud said “Women have certain things during the month I’m not sure they should be out there dealing with….”

Proud says she was misquoted. Was she or wasn’t she? Even if the quote is verbatim, I struggle to imagine a government official’s capacity  to register the absurdity of this comment, but maybe I am just cynical. Suffice it to say, there is surely more to this obviously political  here, but I’d like to focus on the menstrual dimension.

The assumptions about what women can and cannot do while menstruating make for a long and logic-defying list. The rationale for menstrual prohibitions is sometimes religious  (e.g., bans on menstruating women from religious rites, sex, and food preparation). There’s another category of no-nos beyond the menstrual taboo, though.  Women can’t do [fill in the blank] because their periods render them incapacitated or otherwise put them at risk. Many people still believe a woman should not camp or hike in bear infested woods because their menstrual odor will render them bear bait.  Not true. Often, women themselves are constructed as the predators during their PRE-menstrual period. You know….PMSing women are dangerous, even potentially homicidal. And women can’t be trusted to make decisions (or serve on the Supreme Court) because they are Out Of Control.

But we know differently. Women—during all phases of the menstrual cycle—can do all manner of things,  all the time, thank you very much, including jobs that are not, shall we say, menstrual management-friendly. They fight forest fires. They collect data in remote field sites. They orbit space. They are perform brain surgery.

Yet, PREJUDICE against women is often JUSTIFIED because they menstruate. The Disability Rights/Inclusion Movement has taught us that often, the most pernicious barriers to inclusion are perceptions, not the actual limits imposed by our disabilities. That’s certainly the case here. Let me go out on limb here: if women were respected, if women were valued, if women were seen as competent peers, then the fact of their menstruation would be less of a “disability” and more of a fact of a life.

But you know what? I want to give Terri Proud the benefit of the doubt for a minute. When pressed about her comment by The Arizona Daily Star, Proud said “I don’t have a problem with women being on the front line if that’s their choice….I’m not going to sit there and say, ‘No, you don’t have that right.” In the same story, Proud is described as harboring  a “curiosity”  about “how menstrual cycles are handled” and noted “that whether or not that hurdle is being addressed is a real issue, even if it isn’t talked about. Women are designed differently from men and need to have their needs met on the front lines.” And I say to that: well done Terri Proud, Menstrual Activist.

Because she is right. Menstruation is a reality, and menstruators need support and resources. Managing our menses can be tough when we don’t have access to facilities, or privacy, or both. Anybody that’s been camping while on their period can tell you that (bears notwithstanding) this IS a REAL issue. So she is right to ask (even if she is merely doing so to recover from blurting out something really dumb) What is the US military doing for women in combat? Now with the ban on women in (officially recognized) combat positions is no more, a change in policy that is expected to open 230,000 front-line positions to women, this question demands answers.

One answer: Suppress menstruation through the use of extended oral contraceptive pills. That is an option, yes, but it might not be the right one for every woman. Even beyond many menstrual cycle researchers discomfort with the one-size-fits-all approach to dosing cycle-stopping contraception (readers of re:Cycling are no stranger to concerns about this trend), there is a deeper concern about the implications of just making the menses go away.

Cycle stopping contraception, Liz Kissling has argued, enables a particularly new manifestation of the docile neoliberal subject. The feminine non-mensturating body, is not, as popularly believed, liberated, but rather, one held even tighter to the hegemonic male standard. Place this compliant amenorrheaic body in the context of the military and a curious paradox is revealed. The submissive soldier? The docile woman packing an assault rifle? Really? Seems both oxymoronic, and hardly like a gain in the fight for women’s equality.

Instead, can we imagine an expanded universe of menstrual management options?

  • Reusable cups and sponges provided for free (with eww-effect reduction training included) ?
  • Cycle stopping contraception offered as an option (not a mandate)—including an honest discussion of risks and benefits?
  • Quality reproductive health care in which menstrual health is a part of a comprehensive whole?
  • Work cultures, even remote ones, that acknowledge cyclical and variable human needs of all sorts?

Otherwise, if women must alter their very bodies to “fit in” and be taken seriously in their jobs, show me the ground we have gained. Cuz when I look down, all I see is the bottom of the same ole stinky pit.

Stopping Depo-Provera: Why and what to do about adverse experiences

April 11th, 2013 by Laura Wershler

Laura Wershler interviews Ask Jerilynn, clinician-scientist and endocrinologist

A screen shot of comments to Laura Wershler’s blog post of April 4, 2012: “Coming off Depo-Provera can be a woman’s worst nightmare.”

With 250 comments – and counting – to my year-old post Coming off Depo-Provera is a women’s worst nightmare (April 4, 2012) I thought it was time to revisit this topic.

That blog post has become a forum for women to share their negative experiences with stopping Depo-Provera (also called “the shot,” or Depo), the four-times-a-year contraceptive injection. (Commenters reporting positive experiences have been extremely rare.) Many women have experienced distressing effects either while taking Depo and/or after stopping it. They report that health-care professionals seem unable to explain their problems or to offer effective solutions. What is puzzling for many is why they are experiencing symptoms like sore breasts, heavy and ongoing bleeding (or not getting flow back at all), digestive problems, weight gain and mood issues when they stop Depo.

This post aims to briefly explain how Depo works to prevent pregnancy, its common side effects and, most importantly, why and what to do about adverse experiences when stopping it.

What follows is my interview with Dr. Jerilynn C. Prior, Society for Menstrual Cycle Research board member, professor of endocrinology at the University of British Columbia, and scientific director of the Centre for Menstrual Cycle and Ovulation Research (CeMCOR) Section 1 explains how Depo-Provera works and what causes its side effects. Section 2  explains the symptoms women are experiencing after stopping the drug.

1) Taking Depo-Provera: How it works and established side effects

Laura Wershler (LW): Dr. Prior, what is Depo-Provera® and how does it prevent pregnancy?

Ask Jerilynn: The term, “depo” means a deposit or injection and Provera is a common brand name of the most frequently used synthetic progestin in North America, medroxyprogesterone acetate (MPA). Depo is a shot of MPA given every three months in the large dose of 150 mg. Depo prevents pregnancy by “drying up” the cervical mucus so sperm have trouble swimming, by thinning the endometrium (uterine lining) so a fertilized egg can’t implant and primarily by suppressing the hypothalamic and pituitary signals that coordinate the menstrual cycle. That means a woman’s own hormone levels become almost as low as in menopause, with very low progesterone and lowered estrogen levels.

LW: Could you explain the hormonal changes behind the several established side effects of Depo? Let’s start with bleeding issues including spotting, unpredictable or non-stop bleeding that can last for several months before, in most women, leading to amenorrhea (no menstrual period).

Ask Jerilynn: It is not entirely clear, but probably the initial unpredictable bleeding relates to how long it takes for this big hormone injection to suppress women’s own estrogen levels. The other reason is that where the endometrium has gotten thin it is more likely to break down and bleed. These unpredictable flow side-effects of Depo are something that women should expect and plan for since they occur in the early days of use for every woman. After the first year of Depo (depending on the age and weight of the woman) about a third of women will have no more bleeding.

LW: What about headaches and depression?

Ask Jerilynn: It is not clear why headaches increase on Depo—they tend not to be serious migraine headaches but are more stress type. Perhaps they are related to the higher stress hormones the body makes whenever estrogen levels drop. Unfortunately, headaches tend to increase over time, rather than getting better as the not-so-funny bleeding does.

Does Depo-Provera work like a charm or a curse?

February 6th, 2013 by Laura Wershler
Author’s Update, February 14, 2013: As clarified by Bedsider.org in the comments section below, the Works Like A Charm Contest mentioned in this post is not current but ended in 2011. The contest website pages are now inactive.

If Bedsider.org sponsored a contest called Why I Hate My LARC, there would be no shortage of contest entrants. But I expect it will be a long time before the nay-sayers get as much attention as the yeah-sayers.

Composite illustration by Laura Wershler

Bedsider has jumped on the LARC bandwagon. The online birth control support network for women 18-29 has launched the Works Like a Charm contest encouraging “the awesome women and couples” who use long-acting reversible contraception to share why they love their LARCs for the chance to win up to $2000. This is a variation of the Why I Love my LARC video campaign sponsored by the California Family Health Council last November, only with prizes!

To quote my blog post about the earlier campaign: “Throughout the contraceptive realm, LARCs are being heralded as the best thing since Cinderella’s glass slipper with little acknowledgement that for many women LARCs are more like Snow White’s poisoned apple.”

One long-acting, not-so-reversible contraceptive in particular – Depo-Provera – is causing grief for many women. Yet “the shot” is front and center in the graphic on the contest website.

Considering the rah-rah tone of the Works-Like-a-Charm campaign messages, it seems that bedsider.org, a project of the National Campaign to Prevent Teen and Unplanned Pregnancy, is oblivious to the misery caused by this contraceptive. Often, Depo works like a curse.

I acknowledge that Bedsider is doing good work: The website provides youth-friendly, accessible information about the full range of birth control methods. But, in my opinion, any organization that promotes Depo-Provera as a contraceptive method should be totally transparent about the ill effects many women experience both while taking and after stopping the drug.

Depo-Provera, to put it bluntly, fucks with a woman’s endocrine system.

The long list of ill effects while on or after stopping this drug includes: continual bleeding (from spotting to heavy), mood disorders, severe anxiety, depression, digestive issues, loss of sex drive, extreme weight gain (often without change to exercise or eating habits), lingering post-shot amenorrhea, intensely sore breasts, nausea, and ongoing fear of pregnancy leading to repeated pregnancy tests. (Not to mention its documented negative effect on bone density.)

These effects are why the continuation rate of Depo-Provera is only 40-60% after one year of use, and why women are filling online comment pages with stories of their struggles coming off this drug.

At Our Bodies, Ourselves, the blog post Questions About Side Effects of Stopping Contraceptive Injections has been attracting comments since November 3, 2009, with no end in sight.

On my April 4, 2012 re:Cycling post – Coming off Depo-Provera can be a woman’s worst nightmare - there are over 130 comments. All but six were posted since mid-November when the post caught fire. Not more than a day or two goes by before another women shares her story of distress, confusion or frustration. I read each one and respond occasionally. Rarely, a positive experience appears; one criticized other commenters for complaining.

It’s one thing to read or hear about potential ill effects while trying to decide whether or not to use Depo-Provera. It’s quite another to experience some or many of them for months on end without acknowledgement or health-care support from those who promote or provide this drug.

The Works Like a Charm contest website says about LARCS:

Reversible = not permanent. If and when you’re ready to get pregnant, simply part ways with your LARC and off you go.

“Off you go?” Tell that to the thousands of women who are waiting, months post-Depo, to get their bodies and their menstrual cycles back to normal. Most of them still aren’t ready to get pregnant.

Hormone Imbalance: Breaking the Silence

September 5th, 2012 by Elizabeth Kissling

Guest Post by Leslie Carol Botha Women’s Health Freedom Coalition Coordinator, Natural Solutions Foundation

I still remember the first Society for Menstrual Cycle Research Conference I attended in Tucson, AZ in June, 1999. The statement that made the most impact was the collective concern that in ten years there might no longer be a menstrual cycle. It turns out the truer words were never spoken.

In the past 40 years, the pharmaceutical industry has spewed out and packaged and repackaged so many synthetic hormone contraceptives – pills, injections, and implants that virtually eliminate the menstrual cycle.  It also amazes me that in the 30 years I have been involved with the women’s health movement condoms and spermicide are still the safest and most effective contraceptive on the market.

However, a new trend is emerging as condoms and birth control pills are being pushed on the back burner because of ‘human error’. Women and men are not always diligent or careful about condom use, and many girls and women forget to take their pills.  What is now being prescribed to adolescent girls – whether or not they are sexually active — are implants and injections. Health considerations are not taken into consideration, nor are hormone levels. Somehow the pharmaceutical industry still views this as a one-size-fits-all prescription for all women, no matter their age of their state of health.

Menstrual cycle advocates are most aware that birth ‘control’ is about control…controlling the woman’s body with potentially harmful synthetic hormones. What has been overlooked are education and natural methods of fertility awareness.

While our focus recently has been on the politics of birth control, another ugly monster has reared its head and that is the silent epidemic of hormone imbalance. Not only is this the result of taking synthetic hormones for birth control but our environment, our foods, and water supplies are filled with estrogen mimickers upsetting the delicate orchestration of hormones in our bodies.

Another concern is the excess estrogen stored in women’s bodies and passed on genetically to their offspring.  It is possible that their children are hormonally imbalanced at birth.

Either way, the damage has been done. I believe we are at the tip of the iceberg in this silent epidemic and that hundreds of thousands of women are being misdiagnosed and over-prescribed. In most cases, thyroid imbalance is not considered as a cause of depression, and the prescribed fix is generally Prozac or a higher dose of synthetic hormones.

In 2009, I posted an article to my blog, from eHow editor, Shelly Macrea titled: What is Hormone Imbalance?, a very informative article and probably one of the first pieces for a general audience on the myriad of conditions that hormone imbalance can cause.

At the time I had three responses (with an average of 30,000 unique visitors a month.) In June of this year, another post on the article (which by this time was buried in my archives) appeared from a woman suffering anxiety due to hormone imbalance. And then another post appeared and I decided to bring the article out of the archives and re-post it. What ensued was a steady stream of women commenting on almost a daily basis on their extreme anxiety and depression and the myriad of misdiagnosis and drugs they were prescribed. I am posting the link here so that others can read what I believe should be of concern to all of us: Hormone Imbalance Anxiety, A Precursor to Other Health Issues.

Flipping the Image: Try New Semen-Off!

June 11th, 2012 by Chris Bobel

Cartoon created by Lisa Leger, with photo by Λ |_ ν- Γ Ø // CC BY-NC-SA 2.0

At the 2007 conference of the Society for Menstrual Cycle Research, a presenter cited the famous satirical essay by Gloria Steinem, If Men Could Menstruate, as inspiration for ”flipping the image”  to raise awareness about an issue.

 

Remembering this and frustrated by the marketing of cycle-stopping contraception, Lisa Leger created this spoof ad for a drug that suppresses an integral part of the male reproductive cycle.

She says,

I work in a pharmacy setting and monitor the medical journals to observe how the pharmaceutical industry markets drugs to both doctors and patients. An ad framing male ejaculation as a bothersome and icky inconvenience mirrors the way cycle-stopping contraceptives are marketed to women as a modern way to escape the hassles and mess of menstruation. By flipping the image and taking the same marketing tactics that are used toward women and using them toward men, the absurdity of suppressing a vital body function for the sake of convenience is revealed.

 

Lisa Leger is an SMCR member and fertility awareness educator who works in a community pharmacy setting on Vancouver Island. Her cartoons featuring the adventures of Wanda the Wandering Uterus have appeared in Femme Fertile, the newsletter of Justisse Healthworks for Women.

 

Coming off Depo-Provera can be a woman’s worst nightmare

April 4th, 2012 by Laura Wershler

Need proof that women are sometimes desperate for information and support when it comes to quitting hormonal contraception? You need look no further than the 100 plus comments in reply to an old blog posting at Our Bodies OurselvesQuestions About Side Effects of Stopping Contraceptive Injections.  The comment stream – a litany of woes concerning women’s discontinuation of Depo-Provera – has been active since Nov. 2, 2009.

On March 29, 2012, Rachel, author of the post, wrote a follow-up piece in which she laments: “Although a quick internet search finds many women complaining of or asking about post-Depo symptoms, there isn’t much published scientific evidence on the topic.” Beyond research about bone density and length of time to return to fertility, little is known about the withdrawal symptoms women have been commenting about.

Depo-Provera is the 4-times-a-year birth control injection that carries an FDA “black box” warning that long-term use is associated with significant bone mineral density loss.  Never a fan, I made a case against this contraceptive in a paper for Canadian Woman Studies, published in 2005. The comments on the OBOS post indicate that many women took Depo-Provera without full knowledge of the potential for serious side effects while taking it, or of what to expect while coming off the drug.

Considering that Depo-Provera completely suppresses normal reproductive endocrine function, it is not surprising that many women experience extreme or confusing symptoms once stopping it. Take Lissa’s comment for example, posted on February 21, 2011:

Omg I thought I was tripping. I have been on depo for a year and stopped in jan. My breasts constantly hurt, I put on weight, have hot flashes, and sleeping problems. I pray everyday my cycle returns and stops playing with me. I only spot lightly.

Two and a half years after publication, the original article continues to garner monthly comments. I’ve read most of them and have yet to see one that offers concrete advice or a referral to resources that provide information and support to women looking for both. One such resource is Coming Off The Pill, the Patch, the Shot and Other Hormonal Contraceptives, a comprehensive, clinical-based guide to assist women transition back to menstruation and fertility, written by Megan Lalonde and Geraldine Matus.

Lalonde, a Holistic Reproductive Health Practitioner, and Certified Professional Midwife, helps women establish healthy, ovulatory cycles after using hormonal contraception. She says that women who’ve used Depo-Provera generally experience the most obvious symptoms and have the hardest time returning to fertility.  She finds that every client’s experience is different and will be affected by the status of their cycles before taking the drug, and their overall health. “It can take time to regain normal menstrual cycles, from a few months to 18 months, in my experience,” says Lalonde. “Some women have minimal symptoms while their own cycles resume, while others might have significant symptoms, including mood changes, unusual spotting and breast tenderness.”

The comments to the Our Bodies Ourselves blog post demonstrate that many women are not finding the acknowledgement and support they need to understand and manage the post-Depo transition. Some are disheartening to read, like this comment by Judy from April 12, 2011, and this recent one posted by Melani on March 21, 2012.

In my last re: Cycling post, I asked for input on the Coming Off the Pill Mind Map I created. I’ll be making a few revisions thanks to the thoughtful feedback readers have provided. I had assumed that this guide would be applicable to all methods of hormonal birth control but, after reading these women’s comments about their Depo-Provera experiences, it appears this contraceptive may require its own branch on the mind map.

Misogyny, Medicine, or Menstrual Madness?

February 29th, 2012 by Elizabeth Kissling

Guest Post by Lydia Aponte — Marymount Manhattan College

In Professor David Linton’s Social Construction and Images of Menstruation course, our class watched two documentaries involving menstruation and menstrual suppression. Both Period: The End of Menstruation? and Red Moon addressed what is becoming an increasingly concerning topic: now that menstrual suppression in the form of birth control is becoming more and more readily available – and is even being promoted to specifically stop or slow the menstrual cycle – is menstruation necessary?

Many women, including myself, have asked themselves this very question – some because of the monthly cramps that have reduced us to a fetal position, some because of the awkward situations that menstrual stigma has put us in. Yet, many women still do not question it because menstruation is believed to be a natural occurrence that must happen because, well, that’s just life. What happens, on the other hand, when a man questions the necessity of menstruation? Or even further, does something about it? Meet Dr. Elsimar Coutinho.

From São Paulo, Brazil, Dr. Coutinho appeared briefly in Red Moon avidly disputing the necessity of menstruation. He believes that it is not necessary, because “what is the use of an ovulation if it does not result in a pregnancy?” I was initially stunned by his intensity when it came to the subject, not only because of his stance against menstruation, but because of the role he seemed to be playing. It seemed as if Dr. Coutinho were playing the “mad scientist,” distributing birth control to women and spreading the word that menstruation was “unnecessary” and “unnatural.” So I decided to look up this “character,” and came upon Dr. Coutinho’s biography page. Of course, the first paragraph of his bio was nothing but praise: “Dr. Elsimar Coutinho is, unquestionably, a man born to make history. For more than 50 years, his research and discoveries in the fields of human health and reproduction have broken paradigms and brought down millenary concepts.” (For a man who made history, I had never heard his name before Red Moon.)

Yet, I was more taken aback by how he had been quoted regarding menstruation. “My greatest contribution to humanity was to realize that menstruation was unnecessary, a disposable phenomena.” (Coutinho, E.M.) Not only is a doctor refuting the biological necessity of menstruation, which alone is jarring, but a man is refuting the necessity of a cycle highly regarded by many women, including myself, as a symbol of womanhood and deeming it “disposable.” Not only is Dr. Coutinho refuting it, he is actively taking measures to suppress menstruation through his research and practices.

If menstruation equals womanhood to so many, and Dr. Coutinho believes that menstruation is unnecessary, what is he saying about the beliefs and values that many people hold in regards to femininity? According to his philosophy, those,too, would be disposable. Dr. Coutinho’s suggestions — although questionable — have caused me to ask these questions: has something I regarded a natural part of my female biology been unnecessary this entire time? Is the human body wrong, and is Coutinho seeking to correct it with medicine? Or is misogyny still a key player in the menstrual realm?

The pill, reduced period pain and the ongoing delusion

January 20th, 2012 by Laura Wershler

Is there a woman over the age of 18 anywhere who doesn’t know that taking the birth control pill can make her periods lighter and less painful? Most women know this, but not many know why. The news stories swirling around a new study about the pill and period pain will not enlighten them.

Photo credit: Ceridwen, Creative Commons 2.0

A 30-year longitudinal Swedish study has finally proved the worth of what is accepted practice in North America and Europe: the prescribing of combined oral contraceptives (COCs), or birth control pills with synthetic estrogen and progestin, to treat painful periods known clinically as dysmenorrhea.

Of course, pharmaceutical companies that manufacture COCs are probably eager for this research, as prescribing the pill for dysmenorrhea is still an off-label use in the U.S. (unlicensed use in the U.K.). Pill manufacturers may be able to use this finding to lobby the FDA (or equivalent agencies in other nations) to approve the pill as treatment for menstrual pain, leading to increased sales and insurance coverage. Perhaps that’s why news media have been treating this discovery as breaking news.

Take this headline: Yes, the Pill CAN ease the agony of period pain: Scientists confirm what millions of women already know, or this one: The pill ‘does ease period pain’, or this one: Combination oral contraception pills cut menstruation pain, or, really, any of these.

You can read the abstract of the study by Swedish researchers Ingela Lindh, Agneta Andersson Ellström and Ian Milsom, published this week in the journal Human Reproduction, here: The effect of combined oral contraceptives and age on dysmenorrhoea: an epidemiological study. The conclusions are simple: “COC use and increasing age, independent of each other, reduced the severity of dysmenorrhoea. COC use reduced the severity of dysmenorrhea more than increasing age and childbirth.”

Forget the age factor for the purposes of this discussion. The fact that COC use reduces the severity of dysmenorrhea is not astounding. This is old news. So says Dr. Steven Goldstein, an obstetrician/gynecologist at NYU Langone Medical Center in New York City, quoted in a USA Today story:

“The study results are not surprising. It’s gratifying to see researchers documenting scientifically what practitioners have been seeing for a very long time. The amount of discomfort from a woman’s period with a combination birth control pill is a fraction of what it is without the Pill. There is a diminution of pain from the Pill.”

What is astounding is what Dr. Goldstein, and other OBGYNs, didn’t say in responding to the study. That the reason the pill reduces menstrual pain is because the synthetic hormones in the pill shut down a woman’s own menstrual cycle. The “period” women experience when on the pill is technically known as a “withdrawal bleed,” brought on by seven days of placebo pills. While it feels like a period to menstruators, it is not the same physiologically as the period they experience when NOT on the pill. That’s why it doesn’t hurt as much.

The point is, the pill is too often credited with regulating the menstrual cycle. It does no such thing. The pill does not regulate any woman’s menstrual cycle; it supercedes it. This research, and the many news stories that reported it, once again ascribe power to the pill – this time the power to cut menstrual pain. This is an incomplete truth.

New versions of menstrual suppression drugs on the way?

August 4th, 2011 by Elizabeth Kissling

Successful tests on rhesus monkeys are a long way from clinical trials on women, but this is interesting to those of us following the conversations and debates about cycle-stopping contraceptives: new research testing progestin antagonists indicates that the drug can be successful in suppressing menstruation without necessarily suppressing ovulation. Another variant of the drug can suppress both menstruation and ovulation.

Dr. Robert Brenner, who is the lead researcher conducting these studies in the Division of Reproductive Sciences at Oregon Regional Primate Research Center, notes that this has potential beyond just a new lifestyle drug:

I would emphasize that we are not talking here only about lifestyle choices but also about the potential to bring relief to the many women who suffer years of misery from distressing complaints such as endometriosis, and painful and excessive monthly bleeding. In fact, excessive bleeding is one of the major reasons that women undergo hysterectomy, and this treatment may also reduce the need for this surgical procedure, with all its attendant risks and costs.

Don’t Ask, Don’t Smell

January 27th, 2011 by Elizabeth Kissling

female-minority-happy-military-wide-horizontalGuest Post by Emily Swan, Marymount Manhattan College

With the military’s history of suppressing minority groups, its new effort to conceal and terminate menstruation comes as no surprise. Hopefully, the menses will be able to come out of the closet soon enough.

I recently wrote a paper about menstruation in the military and was excited to see this recent post at re:Cycling. Researchers have suddenly become sensitive to the “devastating” effects of menstruation on women in combat and training, citing a potential link to iron-deficiency, among other things. (Might I add that, while the article identifies menses as the culprit, the actual data suggest no correlation between the loss of menstrual blood and the low iron levels of the participants.) Researchers have also conducted studies and interviews to determine the level of difficulty menstruation adds to a variety of physical activities and expose reported difficulty in obtaining, storing, transporting, changing, and disposing of “sanitary products” (Note the hygiene-promoting terminology). These reports have indicated a significant struggle with menstrual management, giving grounds to the military’s new encouragement for women to use continuous oral contraceptive pills (OCPs) to “temporarily” induce amenorrhea.

What’s happening here is not simply a conquering of the menses but an overpowering of women as a whole. The article about iron deficiency says it best, with its opening paragraph explaining the biological disadvantages of women: women’s lower levels of physical strength, inferior aerobic performance, and a number of other physical and mental “shortcomings” that include the ability to menstruate. It states, “the physical differences between genders in the military setting should be minimized as much as possible” (866). They’re not trying to make women more comfortable by stopping their periods; they’re using men to set the physical and mental performance standard for which women must strive. The failure of women to meet this standard lies in their very biology; the study directly blamed their femaleness as the source of this imbalance. It’s not, “Stop menstruating because it will help you.” It’s, “Stop menstruating because it will get you that much closer to being a man.” Oh joy.

The misogyny embedded within this move toward menstrual suppression does not discount the results of the studies; menstrual management poses a serious issue for most military women! In addition to the difficulty reported in transporting, obtaining, and storing products, another article relayed the troubling results of interviews from women of the Air Force, Army, and Navy regarding personal hygiene and field menstrual management.4 These interviews told of highly unsanitary bathroom facilities in combat environments, lack of privacy for the use and changing of menstrual products, and bathrooms that rarely contained receptacles for disposing of the products. The women reported collecting used products in Ziploc bags to either bury them in the secrecy of night or to keep them in their luggage until they returned to the U.S. Because of the hot, moist climates inhabited during deployment; the heavy, reused, and unwashed clothing; and the frequent lack of water or time to wash up, the interviewees reported constant awareness and humiliation surrounding menstrual odor. Most of the women also admitted hesitancy toward utilizing the clinic for menstrual health issues because they were made to feel that their menstrual symptoms were not worthy of care. They also reported that gynecological exams were excluded from their general deployment health examinations.

Menstrual Suppression for Military Women

January 13th, 2011 by Elizabeth Kissling

One of the arguments for using hormonal contraception to suppress the menstrual cycle is that it mitigates the logistical challenges menstruation can present in high-stress occupations in harsh settings — such as military service in a combat theatre. Given how  compelling the argument is, it’s surprising that birth control pills/patches aren’t used in these settings more frequently.

A new study in Women’s Health Issues indicates that although service women are eager to learn more about the option of menstrual suppression, education about it is lacking. A survey of U.S. women serving in Iraq, Afghanistan, and other combat operations indicates that the number of lost duty days due to menstrual pain would likely decrease with better education about suppression options and compliance regimens.

How the Birth Control Pill Works: An Illustrated Guide

November 17th, 2010 by Elizabeth Kissling

tumblr_pill_500


[Source: Jackie, Let's Be Honest]

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.