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Column: Putting an end to periods?

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A woman's period is no fun. Sarah Pfander can tell you as much. But, should a woman really take birth control that suppresses menstruation? Is it really worth it?

Sarah Pfander

SARAH PFANDER
Gargoyle assistant editor
Posted Tuesday, May 1, 2007
Opinions

IN CASE ANYONE was wondering, I still hate my menstrual cycle. If you want to hear all of my thoughts on this matter, then read my Jan. 8 column, “ProbleMS with periods.”

However, it seems as though a new birth control pill, soon to be approved by the Food and Drug Administration, will be the first contraceptive on the market that completely eliminates a woman's period. The pill, created by Wyeth, will go on the market in the next month as Lybrel.

Birth control pills have been headed this way for a while, with many versions decreasing the amount of periods women have to three or four a year and almost all decreasing the amount of flow and discomfort. And, the periods that do come when a woman is on the pill, are fake, induced by the change in hormone level, not by the release of the uterine lining and the egg.

However, there is still concern that completely canceling one's menstrual cycle is unnatural and possible unhealthy.

With the creation of this pill came an outpour of dissent. Many women's health groups that are concerned with promoting a healthy view of women's bodies and the menstrual cycle, such as the Red Web Foundation, feel that suppression of periods is unnecessary and harmful.

The new pill also inspired Giovanna Chesler, a professor at the University of California at San Diego, to create an hour-long documentary about the topic, explaining why women don't need to end their periods. The documentary, called “Period: The End of Menstruation?,” is now being shown at schools and bookstores across the country.

So, with all this talk, I must ask myself, would I end my period if given the choice?

When I first read the New York Times article about Lybrel, I immediately jumped on the idea.

“What a great thing,” I thought. “I would take that pill just to end my period even if I didn't need birth control.”

I was actually kind of excited about the prospect. No more cramps, no more discomfort, no more tampons. My period would no longer interfere with sports and with games; I would no longer have to worry about accidentally bleeding through my underwear.

But am I more attached to menstruation then I initially thought?

To some extent, it does confirm my womanhood, my reproductive abilities, etc. And I do enjoy complaining about it every month, because, well, everybody likes to complain sometimes.

And it is completely natural. No one wakes up one morning and decides that they just want to stop urinating. So why must women decide to stop menstruating?

It seems that if society were more accepting of a woman's period, she wouldn't feel the need to end it.

Perhaps I am beating a dead horse. According to the New York Times article, Canadian researchers recently reported that women with heavy menstrual flow lose an average of $1,692 per year in wages due to absenteeism caused by their period.

That is a little ridiculous. If employers were more understanding of women's monthly plight, then the women wouldn't have to take special birth control to reduce their lost income.

So where do I stand on Lybrel?

I guess not having my period would be a great thing, and I would encourage women who want to suppress menstruation to go ahead and do it.

But I do think it is important to do it for the right reason. Not because your boyfriend thinks it is gross.

Realize that it is OK to embrace your period. It is natural, and can act as a symbol of one's fertility. Don't ever feel like you need Lybrel or any other drug to stop this completely normal, healthy cycle.


RELATED

— Gargoyle column: ProbleMS with periods

— New York Times: Pill That Eliminates the Period Gets Mixed Reviews

Comments

I totally agree Sarah. I would be really sad if I never got my period. It can def be inconvenient sometimes, but I would feel so unnatural without it and the one thing I love about having a period is that it forces you to listen to your body and pay attention to it and take care of it and love it.

Actually, I wasn't wondering. In all seriousness though, studies are showing that birth control pills that alter a woman's menstrual cycle significantly can cause hormonal problems that can cause breast cancer, fertilization problems later in life, early onset of menopause, etc. But more importantly, keep in mind that the most common reasons a woman looses her period or has irregular menstrual cycles (other than pregnancy of course) is due to health problems: stress, dietary problems, being underweight or overweight, too much exercise, physiological imbalance, etc. If irregular menstruation is so strongly associated with health problems, consider for a moment the potential implications of forcing your body into irregular menstruation cycles.

All women are different, but in my experience, there is one powerful, unifying force that brings women together in overcoming the unpleasantness of their cycles. It's called "chocolate." It's the true measure of how cool your partner is. Or so I've been told. I think Sarah is totally correct in suggesting that---aside from the pain, discomfort, and annoyance felt by women individually---the real problem here is not with biology but with society. We simply have not come to terms with the notion that women deserve a realistic chance at the opportunities men have. Periods are a tiny part of the problem. What happens to mom's workday when---as is often the case---care for a child too sick for school or daycare falls to her? What does mom's boss think about it? This is just one of many very real "biology" issues we face. As always, drugs are a distraction, not a solution.

I don't love my cycles. I can say that flat-out. I can't wear light-colored pants (white? *shudders*), I get REALLY bad cramps (oh, yeah, and my cycle's right around the 5k. That REALLY stinks.) and I just feel horrible. But I don't think I'd take drugs to get rid of my periods, just the cramps, because I have heard that those pills can cause not good things to be more likely, like breast cancer or something. I'd take the periods, thank you very much.

It's great that the FDA has recently approved a pill specifically designed to "override" a woman's natural menstrual cycle. However, women have been working with their doctors for decades to do just that. Many women skip the week of placebo pills and start a new pill pack during the fourth week when menstruation would occur. This article talks a lot about what's "normal." Ovulation is a normal part of a woman's menstrual cycle that is suppressed by all hormonal birth control methods. Also, very few women naturally have an exact 28-day cycle, like those they experience when taking hormonal birth control. Putting artificial hormones into your body isn't "normal," but when taken with a doctor's consultation, hormonal birth control is not only effective but also safe. The amount of synthetic hormones in the average pill is one tenth what it was in 1960 and with that decrease in hormones comes a decrease in risk.

As a feminist scholar, I emphatically do not support the supression of normal biological functions in anyone, especially in women. But I also have to say that it is a very postmodernist construct to expect that women should menstruate every month of their lives until they reach menopause. In most non-industrial cultures, girls do not reach menarch until they are well into their teens. During the Regency and Victorian periods, most girls in Britain and the US began to menstruate sometime between the ages of 15-17. I believe the average age of menstruation in the US now is around 12.5 years old. In addition, once girls began to menstruate in the 18th and the 19th centuries, they did not have continuous menstrual cycles each month, interrupted only by 2.5 pregnancies, as is now the statistical average in most postindustrialist Western nations. Middle class to upper class women, married in their early twenties (working class women even earlier) and would have been pregnant and nursing for much of their adult lives. Anyone who has read Virginia Woolf's, To the Lighthouse, will notice that Mrs. Ramsay is in her early 50's and she has had 8 children--James being only 6 years old at the onset of the novel. That means that two things were occurring that most teens today would find bizarre--women were still sexually active in middle age and having kids into their late 40's, and many of them would have had very few menstrual cycles in their entire lifetimes. The reality is that constant menstruation from one's preteen years into one's 50's was unheard of until the mid to late 20th century when contraception became readily available, and a diet rich in simple carbohydrates and proteins made it possible for girls to put on enough weight so that they could reach puberty before high school. For most of the time that humans have been around on this planet, females were not undergoing the hundreds of menstrual cycles they now find is de rigeur to experience. So although I am not advocating that we pop a pill to give us fewer and lighter periods per year, we should also consider just how natural and normal it is to menstruate each month from our pre-teen years into our early 50's.

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