Blog of the Society for Menstrual Cycle Research

In Praise of Cycles

May 3rd, 2013 by Breanne Fahs

As a professor and therapist, I see many people come through the door who struggle with a variety of feelings they identify as problematic to their lives: depression, anxiety, mania, suicidal thoughts, panic, grief, anger (and so on). We are taught, as therapists, to see the cycles of mood as an inherent problem—something indicative of a “mood disorder,” something to keep high alert about, to monitor, to control, to consider medicating. While I do not deny the existence of some cyclic mood disorders—where people experience “episodes” of severe negative feelings or intense anxiety that cause notable distress—it does seem problematic, both within and outside of therapy, that people so often consider cycles detrimental.

 

Ad poster for Cycles Gladiator by Georges Massias, 1905
Public domain

Never is this disdain of cycles more evident than in people’s descriptions of women’s menstrual cycles as inherently troubling. Women feel more moody, less energetic, more bloated, angrier, less sexual, hungrier, more tender (and men, too often, quickly hurl these cyclic changes into women’s faces as an insult). This bothers women, they say, because they like to feel “normal” (that is, emulating men who supposedly lack emotional and physical cycles). But, isn’t the fundamental nature of things quite…cyclic? Nearly everything that comes in cycles has benefits, teaching us that the world is non-static, ever-changing, always in flux. The changing seasons (even here in Phoenix, where the seasons move from pleasantly warm to unbearably hot) signal the onset of new weather patterns, shorter or longer days, and necessary difference. Growing up in the West, I have heard East Coast and Midwest people lament the loss of changing seasons when they move to California or Arizona—they want the rhythms, pace, and visual scenery that accompanies the traditional four seasons existence.
We are creatures that crave cycles, I think. Academics rely on the ebbs and flows of the academic year to guide their work, pausing in the summer and over the holiday break for some much-needed rest before starting again each school year with full gusto. College professors’ job satisfaction is among the highest in all professions, alongside computer programmers, who overwhelmingly set their own hours, and physical therapists, who have more autonomy than most American workers. (Cross-culturally, European workers generally report more happiness as well, as Europe generally recognizes the cyclic nature of life by offering extended vacation time, paid maternity leave, and generous sick pay.) More and more American companies have started giving employees period “sabbaticals”, acknowledging that larger chunks of time to shift focus, relax, start a new project, or travel will earn company loyalty and will markedly increase job satisfaction. The monotony of the year-round 9-5 job with little vacation time and, more importantly, no cycles of work and play, creates the most havoc on people’s lives. Shift workers who disrupt the natural cycles of their bodies—staying up all night, sleeping all day—have poor life expectancies, substantially higher risk of at least six different kinds of cancer, more heart attacks, and far poorer health outcomes as a result. Even those who take anti-depressants and anti-anxiety medication—perhaps to lift them out of their low moods or panicky states—often report feeling apathetic and robotic as a side effect, missing, it seems, the cycles of mood they once had.

I would argue that the disdain for cycles, the need to convince people that they should never feel too sad nor too happy, the loathing we seem to direct toward the menstruating body, the insistence that people work themselves to death without breaks or cyclic expenditures of energy, results from the dangerous fusion of patriarchy, capitalism, and the pharmaceutical industry. The dogged insistence that people must always be happy, must work until they drop without ever taking time to fully rest, must always “manage” the cycles of their bodies (for example, losing their “baby weight” right after pregnancy, controlling menstrual blood, forcing themselves to work following a death in the family, clocking in the same hours year round), reveals a deep-seated disavowal of cycles as fundamental to human life. Cycles matter—they reflect the truths women have always known, the necessity of change and movement, the power of the body to teach us about the world and, perhaps, to undermine the institutions that deplete and eradicate the natural cycles of human life in favor of sexism and profit.

How do girls learn about periods?

May 1st, 2013 by Laura Wershler

How do girls learn about menstruation today? Who talks to them? Who do they talk to? Or do most girls rely on the Internet for information about periods?

Take this article by Elizabeth (bylines are first names only) – What I Wish I Knew About My Period – posted last week at Rookie, an online magazine for teenage girls. Not a teenager but definitely a young woman, Elizabeth (Spiridakus) shares the wisdom she’s gained through her menstrual experience. Here’s her sum-up:

These are all the things I wish someone had told me before I got my first period, and in the couple of years that followed. Most of all, I wish I had FOUND SOMEONE TO TALK TO! I had so many questions and fears about the whole business, and I think I would have been so much less self-conscious, and so much HAPPIER, if I had only had access to some friendly advice. So, talk to your friends! Talk to your cool older cousin or aunt or sister or your best friend’s cool mom or your OWN cool mom. Leave your questions—and your good advice—in the comments, because I certainly haven’t been able to cover all the bases here.

Read this again: “Most of all, I wish I had FOUND SOMEONE TO TALK TO!”

Photo courtesy of Laura Wershler

Elizabeth urges readers to talk to their friends, cool older relatives, or their own – or somebody else’s – “cool mom.” Great advice, but I have to ask:  Why aren’t cool moms and older relatives already talking to the girls in their lives about menstruation? Sharing friendly advice? Passing on wisdom from mother to daughter, woman to woman?

Suzan Hutchinson, menstrual activist, educator and founder of periodwise.com, a project dedicated to empowering girls and women to embrace the taboo subject of menstruation, has a few ideas about this. She thinks many moms don’t know when to begin “the period talk” or what to say, so they remain silent until their daughters start their periods, or they wait thinking their daughters will initiate period talk. She warns against this.

“We should all remember that when moms offer too little information or start providing information too late, girls often question their credibility and hesitate to return as new questions arise.”

Although Suzan’s mother talked to her about menstruation, she didn’t start early enough, before Suzan heard things from other girls that she didn’t understand. Her early menstrual experience included lying to her friends about getting her period long before she did at age 15. By then she was “too embarrassed to ask my much more experienced friends” and “too proud to turn to Mom.” She tried to deal with things on her own.

“I needed a period coach – someone to walk through things with me and instruct me…help me figure out what to do, when to do, how to do.”

A period coach. This is exactly what Elizabeth is for the girls at RookieRead the comments. Readers loved it.

She’s not the only one using the Internet to connect with girls about menstruation. Despite my reservations about a website operated by the company that sells Always and Tampax, the content of which deserves serious critique, I must acknowledge that thousands of girls are turning to beinggirl.com for period coaching, including tips on how to talk to their moms!

Moms shouldn’t be waiting for their daughters to talk to them. They need to find their own period coaches. Other mothers like Suzan Hutchinson and the mom who started bepreparedperiod.com.

The more information girls have the better. Brava to Elizabeth for What I Wish I Knew About My Period. But moms and cool older relatives have got to get in the game. Now. Don’t wait until the girls in your life come to you.

It Had to Be Done

April 19th, 2013 by Elizabeth Kissling

Menstruation appears far more frequently film and television than you might think — Lauren Rosewarne recently identified more than 200 scenes in her study, Periods in Pop Culture. Other scholars, including David Linton, Chris Bobel, and me, have also written frequently about how menstruation is represented in media and pop culture. Certain themes recur, such ideas about fear, illness, shame, secrecy, and premenstrual craziness, to name just a few.

But this scene from the independent film Rid of Me is one-of-a-kind. A woman sees her husband’s new girlfriend in the grocery, and after a moment of icy stares, she quietly slips her hand into her jeans and then wipes it on her romantic rival’s face, leaving a wide streak of menstrual blood. No words are exchanged, and when the other woman discovers what is on her face, she runs screaming from the store.

[Spoilers ahead]

Rid of Me is described on its website and on Netflix as a ‘black comedy’, which seems to mean comedy which doesn’t make you laugh. It’s the story of Meris, a socially awkward young woman who moves to with her husband to his suburban Portland hometown, where he is soon reunited with his high school girlfriend. He leaves Meris for his ex, and alone in an unfamiliar place, she makes friends in the local punk scene.

When Meris is baffled at being terminated from employment at the candy shop a few days after the menstrual scene shown above, her officious co-worker Dawn tells her that it’s because of the disgusting thing she did: not only the assault, but “touching your own menses”. But the menstrual assault gives her street cred in her new community. When her BFF Trudy asks why she did it, Meris sighs and says, “It had to be done”.

But did it? While the new punked-out Meris is more confident, the use of her menstrual blood doesn’t read as an empowering act in the way of riot grrrls throwing used tampons on stage. This seems meant to embarrass or punish a sexual rival, a reinforcement of menstruation as a stigma.

I’d love to hear what re:Cycling readers think.

#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.

The Physical Body and the Lived Body

March 28th, 2013 by Heather Dillaway

I’ve been writing about disabled women who engage in reproductive experiences, and have been inspired by some of the ideas in the disability literature and literature on the sociology of the body in the past few weeks. Some scholars of the body argue that we should pay attention not only to the physical body and its functions, but also we should pay attention to the “lived body”. That is, we are in the world through our bodies, and therefore our bodies are what allow us to engage in the world and make sense of the world. Thus, the more subjective body, the one that forms our personal experience, is as important as any physical body or bodily function we may have. (For example, what does our first or last menstrual period mean to us?) We can also look at the “governmentality” of bodies – that is, all the rules that surround bodies, all the norms that suggest exactly how our bodies should be and behave. We can think about how those rules affect our experience of our own bodies. (For instance, what if we have a hot flash in public and people see us sweat, or we leak during our menstrual cycle and people see the leak? What happens to us in those instances, and how do we respond to these bodily happenings in the face of societal rules?)

Photo by Matt Wootton // Creative Commons 2.0
http://www.flickr.com/photos/mattwootton

Disability scholars suggest similar things, arguing that to truly understand disability we must separate out physical impairment from the “subjectivity of disability” or the actual experience of living with an impaired body and society’s rules about which bodies are “normal” and “abnormal”. To truly understand something like menstruation then, we would need to separate out the natural, normal bodily function from the actual lived experience of menstruation and the societal rules that affect menstrual experience. We cannot comprehend menstruation until we separate the physical body from the lived body and also pay attention to the social constraints that shape physical and lived bodies.

All of this makes me think that we have a long way to go before understanding menstruation, or any other reproductive process for that matter. Not only do we need to understand the physical body but, even more importantly, we need to understand the lived bodily experience. What’s it like to live with menstruation? What are the issues that arise day to day? What are the rules that really conflict with women’s day to day experiences? What are the parts of the physical experience that take on meaning? What are the meanings that are created? And then how do women live in the world through menstruating bodies? How do women make sense of menstruating bodies as both physical and lived entities?

This blog entry is more conceptual, and it really is just me thinking out loud. I’d love comments though on how readers think about their physical versus lived bodies. When we really think about it our physical body is only one dimension of our much more comprehensive and complicated bodily experience.

If Only!

March 22nd, 2013 by David Linton

Guest Post by Carly Schneider, Marymount Manhattan College

Unlike a lot of my peers, my childhood history with menstruation is relatively positive. In the small, rural town in Vermont I grew up in, the topic of menstruation was dealt with early. I remember as a third grader the two or three days we spent discussing this process and the human body. I remember we all wanted to get ours- it was a sign of growing up. Of course there was the typical giggling and insecurities that often come with such discussion but then again, this was the start of being taught the societal views regarded for this biological process. This was before I was conscious of the innate inequality between men and women. It wasn’t until high school that I learned that female sexuality and body were not subjects of empowerment and confidence, but of silence and shame.

It was when I came to New York City for college that I could define my feelings as ‘feminist’- that word was practically a swear in my town- and I studied the various waves and leaders of the movement including, of course, Gloria Steinem. In my final semester of undergrad, I made it a must to sign up for David Linton’s Social Construction & Images of Menstruation course. It was the perfect ending to four glorious years of out and proud feminism. I was working on my senior thesis film at the time and knew that for my final project for his class I’d rather make something visual than write a paper. I recruited three peers: Rebecca, a fellow communications major and Mauricio and Warren, both BFA actors. Rebecca and I sat down together one night to think of ideas- what kind of project could we do with two men? My mind instantly went to Steinem’s If Men Could Menstruate, a 1978 article published in Ms. Magazine. Rebecca and I came up with several scenes that were each inspired by points in her essay. Feeling inspired, I went home that night and wrote the entire script. A few weeks later, after hours of shooting, a multitude of iced coffees, and plenty of laughs, we shared with our class the video we created.

Each scene is less than a minute long and focuses on a particular point from Steinem’s article. Topics include societal shaming, marketing, product availability, synchronization, and menstrual sex. The reaction from the class was beyond inspiring and the activity on its Youtube page has been exciting. We’re already at 3,000 views and growing.

It is articles like Steinem’s that continue to empower me to feel pride for my femininity, my body, and my cycle.

It’s the only power that I possess: Ani DiFranco’s “Blood in the Boardroom”

February 14th, 2013 by David Linton

Guest Post by Saniya Ghanoui, New York University

Perhaps the most well-known song that addresses menstruation is Ani DiFranco’s “Blood in the Boardroom,” a nearly four-minute narrative about a woman getting her period while sitting in a male-dominated business meeting. The song is from DiFranco’s 1993 album, Puddle Dive, and contains lines identifying women who “bleed to renew life every time it’s cut down” and “right now it’s the only power that I possess.” As such, the song connects the period to an occurrence that bonds women from different classes/social standings; recognizes the period as a source of pride and, as bluntly stated in the song, power; points out the period’s use as a tool of protest; and states the union between life and bleeding. The song is a rich text (and I recommend following along with the lyrics if you’ve never heard the song before) with an even richer music video.

The video is a multi-dimensional piece that opens with a satirical address of typical tampon and pad commercials. A blonde wig-wearing DiFranco sits next to a window, sipping coffee, as she admires the beautiful sunny day. A voice-over starts by saying there are days when women need a “little extra protection,” and ends with a nod to products “introducing the ultimate in feminine protection.” As the last line is said, DiFranco turns to the camera, a small “cat caught the canary” smile on her face, and flicks open a switchblade knife. A play on the meaning of “protection,” the violent image of the knife is contrasted with the soft color palate of the frame and indicates that DiFranco is ultimately the one in power and is capable of her own protection.

The video then proceeds to jump between several quick shots of DiFranco in different locations before coming back to her, by the window, as she “stabs” the camera with the knife, and the song lyrics commence. The act of stabbing (and an aggressive one at that) indicates revulsion of the societal norms regarding the idea of protection from the period. Later in the video, DiFranco removes the wig illustrating the shedding of her faux exterior (an act of defiance) and thus the façade. The rest of the video consists of images of DiFranco performing onstage, shots of DiFranco outside skyscrapers (giving the impression that she is literally and metaphorically outside the male-dominated business world), DiFranco playing with an infant, and two sequences that are, in my opinion, the most distinguished visual sequences of the video: firstly, DiFranco wears a tight white dress and blood “spills” on her from the bottom up while in another image DiFranco rolls in blood on the ground, and, secondly, a collection of words that quickly flash on the screen at various points throughout the song.

The use of blood in the video is notable thanks to DiFranco’s interaction with it: she rolls around on the floor in it, she rubs it on her body, and she is coated in it (while in a white dress). The latter shots turn DiFranco into a used tampon: her tight white dress becomes saturated in red, her white headband turn red, and her face and hair are streaked with the blood. In nearly all of the blood shots, DiFranco seems to enjoy her interaction with it (I would go so far as to argue that, in certain shots, she seems eroticized by it). As she rolls around in it or rubs it on her body, she takes such delight and joviality in the act that she is, thus, embracing part of her existence as a healthy woman.

Mixed with these images of blood are words that flash across the screen creating interesting connections between the lyrics of the song and the words shown. For example, when the word “tampon” is mentioned in the song the word “Plug” is shown on the screen—linking the slang phrase “plug it up” with the menstrual apparatus. In addition, when DiFranco sings about money, what she deems the “instruments of death,” the word “Instruments” flashes on the screen and then all the letters disappear save for the “men” in “Instruments.” She connects the negative notions associated with financial power to men and death and, on the opposite end, women’s ability to make life (the power of the period) should be celebrated.

The text that appears on screen occurs in the following order (all text is in white with a black background unless otherwise noted):

Bored, Bored, Curl, Corporate (turns to Corpse), BLEED (in red font), Love, Life, Period. (punctuation included), Woman, Plug, Menstruate, Puddle (on left side of the screen) turns to Dive (on right), Instruments turns into Men (the letters in Instruments disappear leaving the word men), Life (white background with black writing), Breath (white background with black writing), Board, Bored, Corporate (turns into Corpse), Blood (on the left) turns into Stain (on the right)

As you can see, DiFranco makes numerous hefty statements including the connection between the corporate world and death (Corporate to Corpse)—a sequence that is used twice in the video. Or the play on the homophone of board/bored that is, again, a jab at the corporate world.

The video contains such visually striking images that reaffirm DiFranco’s theme of power in life, and the end of the video is no exception. However, instead of blood or text she concludes in a simple manner: a young child joyfully plays with DiFranco’s guitar as she smiles in amusement.

Periods: A Human Oddity

February 4th, 2013 by Paula Derry

What does it mean to have menstrual periods? This is an intensely personal question, but it is also a scientific and a cultural one.

The menstrual cycle can, of course, be described in terms of a woman’s personal experience of menstrual flow. It can also be described by the complex physiology of hormones climbing, pulsating, falling. However, what are some other things we know about periods?

We know that they are an oddity in nature. Most animals, aside from monkeys, apes, and us, thicken the wall inside the uterus only after an egg has been fertilized. We have periods because we routinely build a thicker wall inside the uterus, just in case it’s needed, which must be eliminated if we don’t become pregnant. According to Ann Voda, much of this wall is absorbed back into our bodies (the same way that if you smash your finger and get a clot under the skin, that blood is absorbed into the body then eliminated). Some of it is released to the outside world in an organized manner in what we call our period.

We know that the menstrual cycle is only one part of a larger whole.  I’ve always liked the description of adolescent development in Barry Bogin’s textbook Patterns of Human Growth.

public domain image from the holdings of the National Archives and Records Administration

To summarize the content of his book: A part of the brain called the hypothalamus changes. Then a growth spurt begins (we all remember growing taller quickly): this is unique to humans, nonhuman primates and other animals don’t have a growth spurt. Then a girl begins developing secondary sexual characteristics, breast buds (the beginning of breasts) and the beginning of pubic hair. Then estrogen levels begin to rise, which leads to a particular female shape due to fat in the hips, buttocks, and thighs. The first menstrual cycle occurs some years after these other changes begin. We’re not done yet. Menstrual cycles are at first irregular and girls rarely ovulate, it is a few years before girls ovulate as regularly as does an adult. In addition, the bones of the pelvis don’t grow quickly during the growth spurt, and it is many years after menarche, when a girl is in her late teens, that the pelvis has finished growing.

To continue the summary: Reproductive maturity requires biological, social, and psychological maturation. It means being an adult.  In Bogin’s words, “[b]ecoming pregnant is only a part of the business of reproduction.  Maintaining the pregnancy to term and raising offspring to adulthood are equally important (p.212).” In cross-cultural research, behavioral and social events typically co-occur with adolescent physical changes. As girls visibly physically mature, and as they begin menstruating, they are invited into the world of adult women. They develop adult modes of thinking (for example with regard to Piagetian stage), interacting with men and women, sexuality. They refine practical skills needed for the tasks and occupations of a competent adult. Age of having a first child is often years after menarche, often around nineteen years of age among women from many diverse cultures. When compared with animals, this complex transitional stage of life from adolescence through adulthood is a human oddity.

Nobody knows biologically for sure why women menstruate, but cultures, including ours, typically assign meaning to menstruation. Personally, I’d say that getting your period isn’t a transition in the sense of flipping a switch on. However, in most cultures, menstruation is an important marker or component with multi-layered meaning for a larger, rich life stage.

References

The Netflix of Menstruation

January 29th, 2013 by David Linton

It was probably inevitable that the success of Amazon, I-Tunes, Domino’s Pizza, and a plethora of home delivery and on-demand food services would spawn a menstrual product service industry. And here it is, the NetFlix of menstruation: Le Parcel.

Le Parcel acts as a clearing house for the home delivery of three major brands of pads, panty liners, and tampons, Playtex, Kotex, and Tampax, which the web site states are “only the best and most trusted brands,” a claim that users of other products would surely be outraged by. It is peculiar that the enterprise does not include an option of purchasing any of the growing number of eco-friendly products nor items like the disposable cup, Softcup.

The packaging idea is a clever one. Buyers can custom design a mix from 30 types of tampons, panty liners, and pads from those produced by the three companies to suit one’s pattern of needs including variations in flow, preference of fit, etc., and a delivery schedule can be set up so that the parcel arrives in time for one’s expected period. Furthermore, adhering to stereotypes of the impact of hormonal changes on attitude and dietary cravings, the parcel includes a chocolate treat of some kind and “a monthly gift” to help one feel special this special time of the month. The gift depicted in the video accompanying the web site looks like a wrist watch but that seems a bit farfetched. The service promises to “make your cycle easy and dare we say, fun!” and the buyer is assured that “each parcel is packaged with love and care.”

Unfortunately, the text accompanying the description of the system reinforces some of the most retro and even ugly negative beliefs about the menstrual cycle, including the misery of having to ask your partner to go to the store: “Gone are the dreadful days of having your significant other ‘pick up’ a box of pads at the store on the way home.” The assumption that the menstruator is stranded at home awaiting the return of her embarrassed mate is quite a throw back. Other casually mentioned descriptions of the period include:

  • “Nature’s gift stinks so we give you a better one.”
  • “PMS – Not so hard when chocolate covered.”
  • “Periods are hard.”
  • “Crap happens” – In this case the word “shit” is crossed out and replaced by “crap.”

The notions that menstruation “stinks” and the period’s arrival is “shit” or “crap” speak for themselves. Not only does Le Parcel deliver the menstrual goods, it delivers a package full of nasty attitudes as well.

Death to the Menstruators!…by Dragon!

January 17th, 2013 by Breanne Fahs

During my more rugged travel experiences, I have often found myself confronted with the formidable task of facing the limitations and boundaries of my physical self. While in India, for example, I often had to contemplate the dilemmas of drinking water (and therefore needing to pee in places where “clean restrooms” did not exist) or becoming dehydrated. (This problem kills malnourished children in developing countries while it merely poses an embarrassing inconvenience for those with generally good health.) On another trip, I had become ill and had vomited violently for two days, leaving my body empty of calories and unable to climb up a sizeable hill to see a grand historical fort. Halfway up that hill, my normally spunky and determined self had a revelation about my newly reimagined relationship between food and energy.

photo taken by Breanne Fahs

On a trip to Indonesia, I had the opportunity to visit Komodo Island, home to the infamous Komodo dragons. My six-year-old nephew informed me (gleefully) that these creatures are extremely dangerous and kill people and animals by biting them, allowing multitudes of mouth bacteria to infect the body, and watching them slowly die. The dragons can then follow around the dying animal and consume their corpses them once their prey is left defenseless and paralyzed with bacterial infection. Before arriving on the island, our guide told us similar stories about the dangers of the Komodo dragon: There is no “anti-venom” equivalent for Komodo dragons and, as such, people die every year by accidentally trekking alone or mistaking Komodo for another Indonesian island. The death of unsuspecting tourists happened often enough that park rangers must now escort guests on the island as a mandatory safety measure. Precautions of every sort must be taken.

Just prior to arrival, excited for the chance to see Komodo dragons in their natural habitat, I received a notice in my room saying that menstruating women could not step foot on the island of Komodo and that only non-menstruating women could enter the island. The notice also informed visitors that people with wounds could not visit the island (though it did not specify the type and size of wound it was referring to), and visitors could not wear any red coloring on their clothing or backpacks. Komodo dragons have a particular combination of aggression, keen smell, bad eyesight, and bloodlust.

As a critical feminist, I initially refused to believe the reality of the caution against menstruating women, imagining that it must be yet another method of excluding women from “men’s” activities like trekking, hiking, and exploring the island. Did these cautions simply represent a repackaging of the “menstrual hut” idea? Would menstruating women actually inspire attacks? Did menstrual blood have a particular “scent” that differentiated it from other kinds of blood? What about women who lived on Komodo Island? How could resident Komodo women protect themselves? Was the ban yet another sexist maneuver to control women and their bodies? Inquiring about this “menstrual ban”, I learned that the dragons can smell blood for up to five miles, and, lacking the ability to discern their “dying” prey from menstruating women, could mistake menstruating women for dying animals and kill them. A series of attacks on menstruating women have been documented on the island, leading the rangers to warn menstruating women that they must not come near Komodo dragons under any circumstance.

My next thoughts focused on the actual disclosure of women’s menstrual status. Typically, few strangers in the U.S. feel entitled to ask women about menstrual status. Would the park rangers actually ask women about their menstrual status? Could a menstruating woman who lied about her status put the group at risk? When I started inquiring about this further, I found that discussions about Komodo Island presented one of the only contexts I can remember when menstrual status could be discussed across genders, ages, races, and cultures, as the notice of warning inspired the group to discuss menstruation openly in ways I had never personally witnessed before. Over dinner the night before our arrival in Komodo, the group I was traveling with discussed menstruation critically, frankly, and in unusual detail. Even though the discourse included (somewhat traditional) notions of “protecting women”, it also provoked the group to consider some of the questions I had asked about the cultural and gendered aspects of menstrual disclosure. Getting “comfortable” with the topic was not an option for women young enough to menstruate, as they had to openly disclose their status regardless of whether they would prefer to keep it secret. Never before had any of us confronted the idea of “security personnel” who would confirm whether we were currently menstruating (a subject that provoked more serious consideration of TSA intrusions on people’s personal lives as well).

Photo by Scott Ellis // Creative Commons NC-SA 2.0

Once on the island, walking among the trees and dusty landscape behind our ranger who carried only a large stick with a forked end, my childlike glee at the Indiana Jones-like qualities of the adventure superseded my fear of Komodo dragon attack. When we finally found the dragons, lazing about in clusters near a spot in the late afternoon shade, I felt a twinge of gratitude that my body had decided not to bleed that day. In my “normal” life, battling the stereotypes and secrecy that surround menstruation, confronting the shame and silence women face about their menstrual cycles, this newfound idea of menstruation as a kind of animal communication felt like a welcome diversion. Menstruation as danger, as physical threat, as something that could put oneself or one’s travel mates in jeopardy seemed unusually exotic, bizarre, and informative. Even more interestingly, the ability to discuss menstruation so openly with such a unique mix of people, under such strange circumstances, provided the opportunity to attach menstrual status to adventure and to remind myself that the narratives we as Americans have about menstruation do not yet reach around the globe.

Getting Over The Pill

January 15th, 2013 by Kati Bicknell

Here’s a notion: Birth control pills are not the only way manage your reproductive health.

The pill came out more than 50 years ago, and at the time, it was a symbol of liberation and freedom for women. Suddenly, they no longer had to worry about unplanned pregnancy. It was great. But now that 50-year-old technology is starting to lose much of the appeal it once had.

Adapted from a photo by Jess Hamilton // Creative Commons A-NC-SA 2.0

Today many women get on the pill as teenagers to “regulate” irregular cycles, and they get off the pill in their late 20s or early 30s when they want to get pregnant. The unfortunate reality is many women find it’s not as easy as they thought it would be to get pregnant. Ten or fifteen years of being on oral contraceptives doesn’t “fix” an irregular cycle; it just kind of pushes the pause button on your reproductive system.

When you come off the pill in your late 20s or early 30s because you finally want kids, your body has to pick up where it left off when you were a teenager. Often women at this stage of their lives find it takes longer than expected to conceive and wind up on the assisted reproductive technology track — reproductive endocrinologists, expensive and annoying tests, procedures, hormone injections ,and all that jazz. And, heartbreakingly, after several years and thousands of dollars, that doesn’t always work.

The side effects of the pill are a real pain in the ass for many women, too. Weight gain, depression, loss of libido, and “not feeling like myself” (AKA “I seem to have gone insane”) are some of the more common complaints cited. In fact, a CDC report on contraceptive use states that 10.3 million women have stopped taking the pill due to side effects, or fear of side effects.

All women need a way to have children when they want them, and to not have children when they don’t. And they need to feel good about the whole thing — not freaked out, bloated and crazy. Imagine how the world would be different if this was a reality.

This reality is possible thanks to the wonderful simplicity of the Fertility Awareness Method — the technology behind Kindara. Instead of women’s reproductive reality being like this:  “Oh my god,  I don’t want to get pregnant” during her twenties, followed by “Oh my god,  I want to get pregnant NOW!” in her thirties, the Symptothermal Method makes it one question: “When do I want to get pregnant?”

Charting your cycle using the Fertility Awareness Method can help you achieve your reproductive goals without pills, side effects, or stress, whether you want to have kids in the next few years, in 10 years, or never. By charting your cycle, you will see if and when you are ovulating, and you will know when you are fertile, which is the trick to knowing when you can or cannot pregnant. Charting your cycle could help clarify issues that need to be remedied before you can get pregnant too. You can even confirm pregnancy with your chart. Exciting!

If women were taught the basics of Fertility Awareness as soon as they entered their reproductive years and knew that they could avoid or plan for pregnancy by charting their primary fertility signs (temperature and cervical fluid), they would save a lot of time, money, and stress.

What a different world we would all be living in if each woman shifted her thinking from “I need this pill so I don’t have unplanned pregnancies, and I need my doctor to prescribe this pill” to “I know just what is going on with my cycle at all times. I am calm, confident, and empowered. I manage my own fertility thank you very much, and I don’t need pills to do it.”

Now I’m not saying that oral contraceptives have no place in the world. They are a wonderful invention. Thanks to the pill, women today can take it as fact that pregnancy can be prevented easily and effectively. But because this is now a forgone conclusion, we are free to look for even better options — options like the Fertility Awareness Method that can prevent pregnancy easily, effectively, autonomously and without side effects.

Originally published at Kindara.com on December 15th, 2012

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.