Blog of the Society for Menstrual Cycle Research

Margaret Atwood’s Menstrual Dystopia

February 27th, 2012 by David Linton

The menstrual cycle has been of interest to novelists from time to time and some of their work has received critical attention by scholars, most notably in Dana Medoro’s Bleeding in America, a seminal study that assesses the menstrual elements in the novels of Faulkner, Pynchon, and Morrison (previously reviewed here).  But perhaps the novel that is devoted most completely to the social, political, religious, cultural and economic impact of disruptions in the healthy functioning of the menstrual cycle is Margaret Atwood’s 1985 depiction of a menstrual dystopia, The Handmaid’s Tale.

Now, 27 years after its publication, the novel resonates with relevance to the current circumstances of our lives.  As such, it deserves recognition along with those other prescient novels of a dysfunctional future, Fahrenheit 451, Brave New World, and 1984.

Atwood envisions a world in which, due to a combination of environmental disasters, most women have become incapable of conceiving, leading to the creation of a cadre of “handmaids” who still have normal menstrual cycles and who are assigned to the leaders (“Commanders”) of the nation to bear them children who are immediately turned over to their infertile wives.  They enact a weird form of surrogacy patterned after the story in Genesis of Rachel’s handmaid having sex with Jacob so that Rachel can have a child.  The handmaids (who do not have names of their own but instead are referred to as possessions of their Commanders with the prefix “of,” as in OfFred) have sex by lying between the legs of the Commander’s wife so as to pretend that the congress is “normal.”  The fiction is continued when a birth occurs with the wife simulating labor surrounded by other wives while the handmaid delivers the child elsewhere.

The novel is prescient on many levels.  Our own concerns with the potential effects of environmental contamination on reproduction are strikingly anticipated:

“The air got too full, once, of chemicals, rays, radiation, the water swarmed with toxic molecules, all of that takes years to clean up, and meanwhile they creep into your body, camp out in your fatty cells. . . . Women took medicines, pills, men sprayed trees, cows ate grass, all that souped-up piss flowed into the rivers.  Not to mention the exploding atomic power plants. . . and the mutant strain of syphilis no mold could touch.” (143-144)

As a result, the birth rate plummets far below replacement level, schools are closed for lack of children and fertility becomes a rare commodity that is carefully controlled as women still capable of conceiving are doled out as special benefits to the rulers of the state.  All of this occurs in the context of a culture of religious fanaticism with a full complement of hypocrisy and brutality common to extremes of any stripe.

Key scenes are built around gynecological exams, menstrual anxiety, failed attempts at impregnation: all aspects of cycle management.  Every moment of the narrator’s life centers on her identity as a potential producer: “Each month I watch for blood, fearfully, for when it comes it means failure. I have failed once again to fulfill the expectations of others, which have become my own.” (95)

As we experience today’s resurgence of efforts to control or limit women’s reproductive options and the tangled skein of regulations, insurance restrictions, religious assertions, and political posturing, The Handmaid’s Tale makes for timely reading.

Post to Twitter Post to Plurk Post to Yahoo Buzz Post to Delicious Post to Digg Post to Facebook Post to MySpace Post to Reddit Post to StumbleUpon

The Quiet Uterus?

November 7th, 2009 by Chris Bobel

Guest Post by Moira Howes, Trent University

Uterus Vase by The Plug and Stephanie Rollin

Uterus Vase by The Plug and Stephanie Rollin

Over thirty years ago, Roger V. Short argued that regular menstrual cycling is probably a health hazard and thus, we should try to “keep the ovaries and the female reproductive tract in a state of quiescence when reproduction is not desired” [1]

More recently, Timothy Rowe, Head of Reproductive Endocrinology & Infertility, University of British Columbia, claims that “the pill keeps a woman’s reproductive organs quiet and healthy[2]
As a philosopher of science, I find the concept of a “quiescent” bodily organ fascinating, troubling and great fodder: there is nothing so tempting to a philosopher of science as a vague, unscientific and value-laden concept.

Short and Rowe use the concept of “quiescence” to describe a presumably defined state of the uterus, but the concept is vague. It’s also unscientific—it calls to mind the promises made for “stimulated” immune systems and “cleansed” livers at my local health food store. And, the quiescent uterus raises old value-laden associations between women and passivity. If the dormant, quiet, and weak uterus is healthy, is the active, energetic, and strong uterus unhealthy?

The quiescent concept also connects temptingly with another problematic concept: “incessant ovulation.”

Short refers to regular ovulation as “incessant ovulation” and an “incessant ovulation theory” has emerged in the last decade or so. Strictly speaking, “incessant” just means “uninterrupted.” But it has negative connotations that the terms “uninterrupted” and “regular” do not. We would not say “incessant ovulation is important for bone health,” but we would say that “regular ovulation is important for bone health.” Ovulation has been described as hard work and as causing wear and tear on the ovaries. Interestingly, we do not talk of spermatogenesis in terms of incessant activity, hard work, or wear and tear: the more prolific the testicular activity, the more energetic, virile and healthy the testicle.

A more specific reason I find the term “quiescent uterus” fascinating concerns my interest in the field of reproductive immunology. Surprisingly little work has been done on the immune defences of the human female reproductive and genital tracts (though immunologists like Alison Quayle, Charles Wira and John Fahey are starting to rectify matters).

Because relatively little is known about mucosal immune defences in the human female reproductive and genital tract—and about how the reproductive immune system also contributes to blood vessel development in the uterus, ovulation, construction of the maternal-fetal interface, and the growth and development of the fetus (to name a few of the more recently discovered immune activities)—it is easy to assume that the uterus just “does nothing” when it is not involved in reproduction. Taking into account these immunological activities, however, it is clear that the reproductive tract does things besides ovulate and gestate fetuses.

What happens immunologically when women take hormonal forms of contraception?

Are the immunological activities of the uterus “quieted” and thus improved? Or are they disrupted and unhealthy?

From an immunological perspective—not to mention social and other medical perspectives—I am concerned that the notion of quiescence may stall research and pose risks to women’s health.
I’d love to hear other ideas about the quiescent uterus.


[1] Short 1976, The Evolution of Human Reproduction. Proc R Soc Lond B 195, 21

[2] “Fertility: From Foe to Friend,” Kate Rae, Glow Magazine, November 2009, 68

Post to Twitter Post to Plurk Post to Yahoo Buzz Post to Delicious Post to Digg Post to Facebook Post to MySpace Post to Reddit Post to StumbleUpon

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.