Foreword to Last Word in “Is Menstruation Obsolete” – Comparing Oranges to Apples?

 

 

 

In a MOLT minute’   ~  Just because a woman writes the intro to a book...doesn’t mean she speaks for all women.

 

 

Below is the last paragraph from ‘Is Menstruation Obsolete’s’ Foreword:

 

“This is a message whose time has come.  Fifty years ago women and men lived with certain immutable assumptions about the reproductive process:  that human eggs could not be fertilized outside the body, that a woman’s pregnancy must involve her own egg, than an anovulatory woman could never conceive, etc.  By now, these medical barriers have all been broken, and their use by individuals and couples have found gradual acceptance in society.  This book’s conception of menstruation is perhaps another example of the medically “immutable” rendered healthfully under the control of individual women.”

 

-- From the “Foreword,” xi, Kate Miller, MPH University of Pennsylvania, USA

 

 

And then, the last paragraph of ‘Is Menstruation Obsolete?’s Conclusion, over 100 pages later:

 

“The transition to a new reproductive paradigm cannot be achieved overnight, but by the gradual transformation of the old.  In this book we propose the abandonment of the traditional paradigm, ordained by Hippocrates in an era of medical naiveté, that regular menstruation is good for women.  Understanding why cyclical bleeding is unnecessary would be the next step.  This would be followed by more women becoming comfortable with the idea of not menstruating.  With the cooperation and supervision of their physicians, women would use currently available means to stop menstruation for several months and, growing more confident, would lengthen the menstruation-free interval.  As the benefits become evident, other women would be encouraged to try this procedure and medical researchers would be motivated to find more advanced methods to control menstruation.  This would forge a major advance in women’s health, led by women.  Today’s proposal would become tomorrow’s new paradigm.  The pioneer feminist Margaret Sanger wrote, “No woman is completely free unless she has control over her own reproductive system.” 

 

Let this new freedom begin.”

 

-- From the “Conclusion,” 163-164,

Elsimar Coutinho, MD, Federal University of Bahia School of Medicine, Brazil

 

 

It is pertinent that the reproductive breakthroughs listed by Kate Miller, MPH, are certainly not ones that the majority of “individuals and couples” avail themselves of – rather, they are ‘last resorts’ when reproductive difficulties are encountered.  [Why not do an Internet search to determine the exact percentages of individuals and couples availing themselves of the reproductive technologies listed?  Are these the percentages that Coutinho envisions embracing menstrual suppression?]

’Last resort’ reproductive technologies do not “a new reproductive paradigm” make.  And that is exactly what Elsimar Coutinho, MD, in his closing paragraph is arguing for.  Whereas Coutinho envisions a ‘domino effect’ taking place, with women
inevitably deciding to become menstrually suppressed, Miller presents menstrual suppression as something “rendered healthfully under the control of individual women.” 

 

Control implies choice, and choice implies a variety of responses – yes; no; maybe; now but not later; when I have the money; when I’m ready; etc.  For example, perhaps a woman would be menstrually suppressed for a dozen or so years – but when her daughter goes through puberty, she might decide to start menstruating again, in order to strengthen her relationship with her daughter.  [What other possible scenarios can you think of?]

 

As well, Coutinho apparently casts himself in the role of the new “Hippocrates,” “ordaining” a new “reproductive paradigm.”  Again, this goes against the claim made by Miller that menstrual suppression is something “rendered healthfully under the control of individual women.”  If women have control of their decision to embrace or reject menstrual suppression, they also have control of their decision to embrace OR reject Coutinho as the ‘father’ of a new “reproductive paradigm.” 

 

Coutinho also contradicts himself, by casting himself as the one to “ordain” a new “reproductive paradigm,” and yet in the same paragraph claiming menstrual suppression to be a “major advance in women’s health, led by women.”  Obviously, as Coutinho has the last word in “Is Menstruation Obsolete?,” rather than women (plural, not singular), he is leading the charge.  That a quote from “pioneering feminist Margaret Sanger” is tacked on at the end, does not diminish the fact that it is Coutinho, a man, who is doing the tacking on.

 

~

 

Whew!  And that’s just two paragraphs!  Obviously, as you wend your way through “Is Menstruation Obsolete?,” you may want to keep a notebook handy, jotting down the various claims made at various points in the book (hint: don’t forget to include page numbers).  You may be astounded by the number of “oranges and apples” that can be packed into a mere 164 pages!

 

 

 

Go to SMCR Position Statement on Menstrual Suppression

 

 

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