Women's Reproductive Health Quotes

Activism” is not just what we see on the streets or on the Internet or in the news; sometimes, “activism” is the simple act of doggedly, determinedly surviving.

The solutions put forth by imperialism are the quintessence of simplicity...When they speak of the problems of population and birth, they are in no way moved by concepts related to the interests of the family or of society...Just when science and technology are making incredible advances in all fields, they resort to technology to suppress revolutions and ask the help of science to prevent population growth. In short, the peoples are not to make revolutions, and women are not to give birth. This sums up the philosophy of imperialism.

Abortion bans are a denial of women’s citizenship and humanity. There is no freedom without bodily autonomy—and no autonomy without full reproductive health care.

Motherhood seems to be a no-win battle: however you decide to do (or not do) it, someone’s going to be criticizing you. You went to too great lengths trying to conceive. You didn’t go to great enough lengths. You had the baby too young. You should have kept the baby even though you were young. You shouldn’t have waited so long to try and have a baby. You’re a too involved mother. You’re not involved enough because you let your child play on the playground alone. It never ends. It strikes me that while all this judgment goes on, the options available to women become fewer and fewer. I’m not even (just) talking about the right to choose—across the U.S., women have less access to birth control, health care, reproductive education, and post-partum support. So we give women less information about their bodies and reproduction, less control over their bodies, and less support during and after pregnancy—and then we criticize them fiercely for whatever they end up doing. This

As twisted as it sounds, I was so happy that I had received a diagnosis.

That has been the pattern again and again: With the best of intentions, pro-life conservatives have taken some positions in reproductive health that actually hurt those whom they are trying to help—and that result in more abortions.

Only two things matter in the reproductive health debate: the medical opinions of doctors, and the will of women. Also, feminism is intricately connected with all aspects of our society, including health, but also labor and the economy. A woman can't be an equal player in our society until she has total autonomy, and that includes determining the destiny of her own body.

The Center had suffered scars from the cuts of politicians and the barbs of protesters. It had licked its wounds and healed. At one point it had been called the Center for Women and Reproductive Health. But there were those who believed if you do not name a thing, it ceases to exist, and so its title was amputated, like a war injury. But still, it survived. First it became the Center for Women. And then, just: the Center.

The negative focus on single black motherhood is also not about helping black communities. If it were, those who rail against unmarried mothers would spend at least equal time calling for affordable family planning and reproductive health care, universal access to good child care, improved urban school systems, a higher minimum wage, and college education that doesn't break the banks of average people. And they would admit that the welfare-queen image is a distortion and a distraction.

It strikes me that while all this judgment goes on, the options available to women become fewer and fewer. I’m not even (just) talking about the right to choose—across the U.S., women have less access to birth control, health care, reproductive education, and post-partum support. So we give women less information about their bodies and reproduction, less control over their bodies, and less support during and after pregnancy—and then we criticize them fiercely for whatever they end up doing.

Terms like health, freedom of choice, women’s empowerment, unmet needs, quality services, and reproductive health are clichés used to market the strategy of population reduction. Every

Girls’ education, it turns out, has a dramatic bearing on global warming. Women with more years of education have fewer, healthier children and actively manage their reproductive health.

They say women are blessed with the ability to forget the pain of childbirth so they will be able to have more children later. I often wonder whether the same principle applies to the challenges of writing a book of this magnitude. Had another author warned me about what a monumental task it would be, I'm not sure I would have been so insane as to pursue the dream.

But here, there were obstacles: religious, cultural, and legal. In the United States, disseminating contraceptives—or even just information about how to use them—was banned by the government well into the 1960s. The National Institutes of Health refused to fund basic research in the reproductive sciences and was outright forbidden from funding birth control research until 1959.

Why do women not achieve orgasms during intercourse the same way men do? The answer is straightforward. The most sensitive sexual nerves in women are in the clitoris, which is outside and above the vagina. So, during traditional intercourse (with the couple face-to-face in the missionary position), while the man is having a grand ol'time, the woman may be compiling a grocery list for dinner that night.

In retrospect, it is evident that highlighting abortion rather than reproductive rights as a whole reflected the class biases of the women who were at the forefront of the movement. While the issue of abortion was and remains relevant to all women, there were other reproductive issues that were just as vital which needed attention and might have served to galvanize masses. These issues ranged from basic sex education, prenatal care, preventive health care that would help females understand how their bodies worked, to forced sterilization, unnecessary cesareans and/or hysterectomies, and the medical complications left in their wake. Of all these issues individual white women with class privilege identified most intimately with the pain of unwanted pregnancy. And they highlighted the abortion issue. They were not by any means the only group in need of access to safe, legal abortions. As already stated, they were far more likely to have the means the to acquire an abortion than poor and working-class women. In those days poor women, black women included, often sought illegal abortions. The right to have an abortion was not a white-women-only issue; it was simply not the only or even most important reproductive concern for masses of American women.

The technology exists for a male contraceptive pill. We have the drugs to switch off testosterone and prevent sperm production. These drugs have never gone to market because developers know that men would never take something like that. Men would never agree to switch off their hormones. They would never put up with the side effects such as depression and low libido. And, honestly, why should they put up with it? Why should women?

WHY WAS A BEAUTIFUL YOUNG WOMAN SUCH A BIG DEAL? Beauty was a sign of health and reproductive capability; thus, a beautiful woman historically had wide hips (for childbearing), body symmetry (indicating no deformities), hair and teeth that weren’t falling out (indicating health). And she was young—at the beginning of her fertile years. Society needed to reinforce men’s biological dependency on female beauty for the same reasons it needed to make women dependent on male income: dependency created an incentive to marry. A man who was addicted to a woman’s beauty, youth, and sex would temporarily “lose his mind”—he would make the irrational decision to support her for the rest of his life. Female beauty, then, can be thought of as nature’s marketing tool: the way of marketing a woman for the survival of her genes.42 Which is why female beauty is the world’s most potent drug.

Once people understand that women are fertile for only a fraction of the time men are, they are especially struck with the inequity of it all. So it’s particularly interesting to examine the ways in which women have been disproportionately exposed to side effects throughout their cycle. For example, there are many who will concede that while the pill was originally designed to sexually emancipate women, it has also had the effect of burdening the woman with the sole responsibility of birth control.

Readers acquainted with the recent literature on human sexuality will be familiar with what we call the standard narrative of human sexual evolution, hereafter shortened to the standard narrative. It goes something like this: 1. Boy Meets girl, 2. Boy and girl assess one and others mate value, from perspectives based upon their differing reproductive agendas/capacities. He looks for signs of youth, fertility, health, absence of previous sexual experience and likelihood of future sexual fidelity. In other words, his assessment is skewed toward finding a fertile, healthy young mate with many childbearing years ahead and no current children to drain his resources. She looks for signs of wealth (or at least prospects of future wealth), social status, physical health and likelihood that he will stick around to protect and provide for their children. Her guy must be willing and able to provide materially for her (especially during pregnancy and breastfeeding) and their children, known as "male parental investment". 3. Boy gets girl. Assuming they meet one and others criteria, they mate, forming a long term pair bond, "the fundamental condition of the human species" as famed author Desmond Morris put it. Once the pair bond is formed, she will be sensitive to indications that he is considering leaving, vigilant towards signs of infidelity involving intimacy with other women that would threaten her access to his resources and protection while keeping an eye out (around ovulation especially) for a quick fling with a man genetically superior to her husband. He will be sensitive to signs of her sexual infidelities which would reduce his all important paternity certainty while taking advantage of short term sexual opportunities with other women as his sperm are easily produced and plentiful. Researchers claim to have confirmed these basic patterns in studies conducted around the world over several decades. Their results seem to support the standard narrative of human sexual evolution, which appears to make a lot of sense, but they don't, and it doesn't.

Most women feel isolated, with few policies or governmental programs to support motherhood (particularly working motherhood), and few if any systems in place to address maternal mental health. "We've lost any sense of power around our bodies," Joseph told me. We often talk about choice as if it is the be-all and end-all, as if it is something possessed by certain women and not others, as if it is a simple solution, when all of our choices exist within a warped system that denies both maternal power and maternal vulnerability. "Reproductive freeodom," Roberts writes, "is a matter of reproductive justice, not individual choice.

Meanwhile in Wichita, Kansas, Dr. George Tiller, one of the few doctors who performs late-term abortions—only about 1 percent of all procedures but crucial when, for instance, a fetus develops without a brain—is shot in both arms by a female picketer. He recovers and continues serving women who come to him from many states. I finally meet Dr. Tiller in 2008 at a New York gathering of Physicians for Reproductive Choice and Health. I ask him if he has ever helped a woman who was protesting at his clinic. He says: “Of course, I’m there to help them, not to add to their troubles. They probably already feel guilty.” In 2009 Dr. Tiller is shot in the head at close range by a male activist hiding inside the Lutheran church where the Tiller family worships each Sunday. This is done in the name of being “pro-life.

Wealthy queers support initiatives that lock up and murder poor queers, trans* people, and sex workers. Women in positions of power continue to defend and sometimes initiate the vicious assault on abortion and reproductive rights, and then off-load reproductive labor onto the shoulders of care workers, who are predominantly women of color whose employment is often directly tied to their citizenship status. The politics of "leaning in" for a small layer of wealthy women has dovetailed with budget cuts and health care rollbacks that have left poor women at the mercy of misogynist, increasingly lethal anti-reproductive-rights legislation, and left poor, queer and trans* people without access to necessary medical resources like hormones or AIDS medication. Original pamphlet: Who is Oakland. April 2012. Quoted in: Dangerous Allies. Taking Sides.

The history of HRT use dates back to 1966 and the success of Dr. Robert Wilson’s best-selling book Feminine Forever, which he promoted vigorously. The premise of the book was that it was as natural and necessary for a menopausal woman to replace estrogen as it was for a diabetic to replace insulin. Dr. Wilson preached that doing so would keep a woman young, healthy, and attractive. He went so far as to declare that the lack of eggs and decline of reproductive hormones in a menopausal woman was a “galloping catastrophe”5 that could only be averted by taking estrogen supplements. He explained that with estrogen supplements, “Breasts and genital organs will not shrivel. Such women will be much more pleasant to live with and will not become dull and unattractive.” According to Dr. Wilson’s son, Ronald, all of his father’s expenses to write Feminine Forever were paid for by Wyeth-Ayerst, the maker of the synthetic estrogen supplement Premarin. He also said that Wyeth-Ayerst financed his father’s organization, the Wilson Research Foundation, which had offices on Park Avenue in Manhattan.

Underlying phenomena such as the ‘feminisation’, ‘masculinisation’ and ‘juvenilisation’ of poverty, and other identity ways to describe segments of the poverty population such as the poverty of the elderly, or the ‘feminisation of the proletariat’, the ‘feminisation of migration’, or the disproportionate poverty of racial and ethnic minorities, is the impoverishment the working class, the deterioration in the working class’s standard of living and family stability. Consequently, while policies targeted at different poverty populations are important to help and improve the lives of those who are already poor, it must also be recognised that poverty is not uniquely a women’s issue, or a men’s issue, and so forth: poverty is a class issue which can, at best, be ameliorated – not resolved because it is endemic to the capitalist mode of production – through labour’s collective action, through unionisation and struggles for job training and job creation aimed at creating employment for manual, skilled and unskilled labour, in addition to programmes intended to enhance the health and educational opportunities for everyone, regardless of gender, race or ethnicity.

We are in uncharted territory" when it comes to sex and the internet, says Justin Garcia, a research scientist at Indiana University’s Kinsey Institute for Research in Sex, Gender, and Reproduction. "There have been two major transitions" in heterosexual mating, Garcia says, "in the last four million years. The first was around ten to fifteen thousand years ago, in the agricultural revolution, when we became less migratory and more settled," leading to the establishment of marriage as a cultural contract. "And the second major transition is with the rise of the Internet," Garcia says. Suddenly, instead of meeting through proximity, community connections, and family and friends, people could meet each other virtually and engage in amorous activity with the click of a button. Internet meeting is now surpassing every other form. “It’s changing so much about the way we act both romantically and sexually,” Garcia says. “It is unprecedented from an evolutionary standpoint.” And yet this massive shift in our behavior has gone almost completely unexamined, especially given how the internet permeates modern life. While there have been studies about how men and women use social media differently- how they use language and present themselves differently, for example- there's not a lot of research about how they behave sexually online; and there is virtually nothing about how girls and boys do. While there has been concern about the online interaction of children and adults, it's striking that so little attention has been paid to the ways in which the Internet has changed the sexual behavior of girls and boys interacting together. This may be because the behavior has been largely hidden or unknown, or, again, due to the fear of not seeming "sex-positive," mistaking responsibility for judgement. And there are questions to ask, from the standpoint of girls' and boys' physical and emotional health and the ethics of their treatment of each other. Sex on a screen is different from sex that develops in person, this much seems seems self-evident, just as talking on a screen is different from face-to-face communication. And so if talking on a screen reduces one's ability to be empathic, for example, then how does sex on a screen change sexual behavior? Are people more likely to act aggressively or unethically, as in other types of online communication? How do gender roles and sexism play into cybersex? And how does the influence of porn, which became available online at about the same time as social networking, factor in?

Did you know that if you’re a middle-aged woman, you have only a small window of opportunity between the beginning of perimenopause and the start of menopause to start estrogen replacement therapy to protect not only your brain but also your bones and cardiovascular system? I did not, until I dug into the science, because as a woman who was diagnosed with a stage 0 breast lump, I was scared off like so many of us from the results of the Women’s Health Initiative, which got blasted out all over the news and initially showed a link between estrogen replacement therapy and breast cancer, but guess what? That study had so many flaws, its findings are little more than useless and possibly harmful. Worse, women like me without uteri show a decrease in breast cancer with estrogen replacement therapy. But this information never made it either into the headlines or into our gynecologists’ offices. I had to find it in scientific publications such as The Lancet online. In fact, get this: Our medical system barely trains gynecologists in menopausal medicine. A recent study found that only 20 percent of ob-gyn residency programs in the U.S. provide any menopause training. Yes, any. Which means that 80 percent of all gynecological residents in school today are getting no training whatsoever in post-reproductive women’s health. These are people whose job it is to know everything going on in our ladyparts, but they have not been taught the basic tenets of how to care for either us or our plumbing after we stop menstruating. And by “us” I mean 30 percent of all women alive on earth at any given moment. Half of my middle-aged female friends deal with chronic urinary tract infections. Oh, well, we think, throwing up our hands in defeat and consuming far too many antibiotics than are rational or safe or even good for the future safety of humanity. It took Dr. Rachel Rubin, a urologist in Washington, D.C., reaching out to me over Twitter to explain that UTIs in menopausal women do not have to be recurrent. They can be mitigated with, yes, vaginal estrogen. Not once was I ever

It is very important to note, however, that the only segment of the population from whom changing our social and economic conditions in the ways that prevent violence would exact a higher cost would be the extremely wealthy upper, or ruling, class — the wealthiest one per cent of the population (which in the United States today controls some 39 per cent of the total wealth of the nation, and 48 per cent of the financial wealth, as shown by Wolff in Top Heavy (1996). The other 99 per cent of the population — namely, the middle class and the lower class — would benefit, not only form decreased rates of violence (which primarily victimize the very poor), but also from a more equitable distribution of the collective wealth and income of our unprecedentedly wealthy societies. Even on a worldwide scale, it would require a remarkably small sacrifice from the wealthiest individuals and nations to raise everyone on earth, including the populations of the poorest nations, above the subsistence level, as the United Nations Human Development Report 1998, has shown. I emphasize the wealthiest individuals as well as nations because, as the U.N. report documents, a tiny number of the wealthiest individuals actually possess wealth on a scale that is larger than the annual income of most of the nations of the earth. For example, the three richest individuals on earth have assets that exceed the combined Gross Domestic Product of the fortyeight poorest countries! The assets of the 84 richest individuals exceed the Gross Domestic Product of the most populous nation on earth, China, with 1.2 billion inhabitants. The 225 richest individuals have a combined wealth of over $1 trillion, which is equal to the annual income of the poorest 47 per cent of the world's population, or 2.5 billion people. By comparison, it is estimated that the additional cost of achieving and maintaining universal access to basic education for all, basic health care for all, reproductive health care for all women, adequate food for all and safe water and sanitation for all is roughly $40 billion a year. This is less than 4 per cent of the combined wealth of the 225 richest people in the world. It has been shown throughout the world, both internationally and intranationally, that reducing economic inequities not only improves physical health and reduces the rate of death from natural causes far more effectively than doctors, medicines, and hospitals; it also decreases the rate of death from both criminal and political violence far more effectively than any system of police forces, prisons, or military interventions ever invented.

Women who succeed appear reproductively valuable by embodying physical and behavioral cues that signal their youth and physical attractiveness. Women who fail to fulfill these qualities lose a competitive edge. Because men place a premium on appearance, competition among women to attract men centers heavily on enhancing their physical attractiveness along youthful and healthful lines.

10 Things You Should Always Discuss with Your Gynecologist – Motherhood Chaitanya Hospital Your gynecologist is your partner in women’s health, and open communication is key to receiving the best care. From reproductive health to general well-being, here are 10 crucial topics you should always discuss with your gynecologist. If you’re in Chandigarh, consider reaching out to the Best Female Gynecologist in Chandigarh through Motherhood Chaitanya for expert care. 1. Menstrual Irregularities Don’t dismiss irregular periods as a minor issue. They could be indicative of underlying conditions like polycystic ovary syndrome (PCOS), thyroid disorders, or hormonal imbalances. 2. Contraception Discuss your contraception options to find the one that best suits your needs and lifestyle. Your gynecologist can provide guidance on various birth control methods, from pills to intrauterine devices (IUDs). 3. Pregnancy Planning If you’re planning to start a family, consult your gynecologist for preconception advice. This can help you prepare your body and address any potential risks or concerns. 4. Sexual Health Openly discuss any concerns related to sexual health, including pain during intercourse, sexually transmitted infections (STIs), or changes in sexual desire. Your gynecologist can provide guidance and offer solutions. 5. Menopause and Perimenopause If you’re in your 40s or approaching menopause, discuss perimenopausal symptoms like hot flashes, mood swings, and changes in menstrual patterns. Your gynecologist can recommend treatments to manage these changes. 6. Family History Share your family’s medical history, especially if there are instances of gynecological conditions, such as ovarian or breast cancer. This information is vital for early detection and prevention. 7. Breast Health Talk to your gynecologist about breast health, including breast self-exams and recommended mammograms. Regular breast checks are essential for early detection of breast cancer. 8. Pelvic Pain Don’t ignore persistent pelvic pain. It can signal a range of issues, including endometriosis, fibroids, or ovarian cysts. Early diagnosis and treatment are crucial. 9. Urinary Issues Frequent urination, urinary incontinence, or pain during urination should be discussed. These symptoms can be linked to urinary tract infections or pelvic floor disorders. 10. Mental Health Your gynecologist is there to address your overall well-being. If you’re experiencing mood swings, anxiety, or depression, it’s important to discuss these mental health concerns. Your gynecologist can offer guidance or refer you to specialists if needed. In conclusion, your gynecologist is your go-to resource for women’s health, addressing a wide spectrum of issues. Open and honest communication is essential to ensure you receive the best care and support. If you’re in Chandigarh, consider consulting the Best Gynecologist Obstetricians in Chandigarh through Motherhood Chaitanya for expert guidance. Your health is a priority, and discussing these important topics with your gynecologist is a proactive step toward a healthier, happier you

The negative focus on single Black motherhood is also not about helping Black communities. If it were, those who rail against unmarried mothers would spend at least equal time calling for affordable family planning and reproductive health care, universal access to good childcare, improved urban school systems, a higher minimum wage, and college education that doesn’t break the banks of average people. They would admit that the welfare-queen image is a distortion and a distraction from addressing unrelenting systemic racism and White supremacy that has worn on Black families for centuries.

For our purposes, witchcraft means the kind of mundane pursuits that might once have resulted in accusation: enjoying sex, controlling reproductive health, hanging out with other women, not caring what men think, disagreeing, and just knowing stuff.

The critique of the male medical establishment and in particular the medicalization of childbirth were already becoming prominent concerns within the emerging women’s health movement, and engendering its related critiques of biological determinism, sexism in science, and patriarchal epistemology. At the same time, the issue of population control dominated the global planning agenda, as well as the family planning one. The intertwined debates about abortion, contraception, planned parenthood, and population growth all concerned access to technology, improvements in basic research on reproduction, and technological innovation, and espoused a linear technological trajectory of increased biological control in which birth control = population control = evolutionary control.

I sponsored and defended the Reproductive Health Law, although I am a Catholic. In the Catholic church, a woman to avoid pregnancy is allowed to resort to mathematics. Thank God, now Catholic women are allowed to resort to physics and chemistry.

Numerous patients with eating disorders refuse to eat with their families and friends, even insisting on eating only in private. Many of the practices that are seen as essential for creating and sustaining relatedness - the sharing of food, living together, sexual relationships, and even reproduction - are consistently negated by anorexic and other eating disordered practices.

By itself, legal abortion does little for poor and working-class women who have neither the means to pay for it nor access to clinics that provide it. Rather, reproductive justice requires free, universal, not-for-profit health care, as well as the end of racist, eugenicist practices in the medical profession.

Concerns about female reproductive health are probably as old as humankind, and I had many interesting conversations with people listed in these pages on this topic, but perhaps none were more important or more poignant than the ones I had with Marina Bokelman, folklorist, healer, family friend, and second mother to me. In our last conversation before she decided to leave this life, she spoke at length about Hildegard von Bingen, a Catholic nun born in 1098, who became an abbess, composer, writer, and medical practitioner. In her medical texts, Physica and Causae et Curae, she described herbs and provided recipes that would regulate menses, offer contraception, end unwanted pregnancies, and see a woman through pregnancy and birth.

The body is not shaped for maximum health or longevity; it is shaped for maximum transmission of its genes. Alleles (different versions of a gene) that increase the number of offspring become more common over the generations, even if that shortens life and increases suffering. This is not merely theoretical. Half of the human population has been shaped by selection to live fast and die young.61 I mean, of course, the fragile sex. On the average, men die seven years sooner than women do. From ages zero to ten in developed countries, for every 100 girls who die, 150 boys die. At puberty and shortly thereafter, the ratio is 300 men for every 100 women.62,63 Why? The proximate explanation involves testosterone and its effect on tissues, immunity, and risk taking. The evolutionary explanation is that allocating effort and resources to competition instead of tissue repair increases reproduction more for males than females; males who win competitions get more mates and have more offspring.

In the intricate tapestry of a woman’s reproductive health, endometriosis can be a challenging thread. This condition, affecting millions of women worldwide, not only brings physical discomfort but also raises concerns about fertility. With insights from professionals like a gynecologist in Chandigarh at Motherhood Chaitanya Hospital, let’s delve into the world of endometriosis and its influence on fertility, understanding the complexities and avenues for expert care.

At times like the present, however, when more and more physicians hesitate to perform abortions for fear that they will hurt their image, and when medical schools no longer teach the procedure to their regular medical students, women lose their equal access to abortion, and poor women in particular are denied reproductive autonomy.172

The major religious fundamentalisms—Jewish, Christian, Muslim, and Hindu—certainly all demonstrate intense concern for and scrutiny of bodies, through dietary restrictions, corporeal rituals, sexual mandates and prohibitions, and even practices of corporeal mortification and abnegation. What primarily distinguishes fundamentalists from other religious practitioners, in fact, is the extreme importance they give to the body: what it does, what parts of it appear in public, what goes into and comes out of it. Even when fundamentalist norms require hiding a part of the body behind a veil, headscarf, or other articles of clothing, they are really signaling its extraordinary importance. Women’s bodies are obviously the object of the most obsessive scrutiny and regulation in religious fundamentalism, but no bodies are completely exempt from examination and control—men’s bodies, adolescents’ bodies, infants’ bodies, even the bodies of the dead. The fundamentalist body is powerful, explosive, precarious, and that is why it requires constant inspection and care… Nationalist fundamentalisms similarly concentrate on bodies through their attention to and care for the population. The nationalist policies deploy a wide range of techniques for corporeal health and welfare, analyzing birthrates and sanitation, nutrition and housing, disease control and reproductive practices. Bodies themselves constitute the nation, and thus the nation’s highest goal is their promotion and preservation. Like religious fundamentalisms, however, nationalisms, although their gaze seems to focus intently on bodies, really see them merely as an indication or symptom of the ultimate, transcendent object of national identity. With its moral face, nationalism looks past the bodies to see national character, whereas with its militarist face, it sees the sacrifice of bodies in battle as revealing the national spirit. The martyr or the patriotic soldier is thus for nationalism too the paradigmatic figure for how the body is made to disappear and leave behind only an index to a higher plane. Given this characteristic double relation to the body, it makes sense to consider white supremacy (and racism in general) a form of fundamentalism.

The day Speaker of the House Paul Ryan announced that he was going to do everything he could to repeal the Affordable Care Act and defund Planned Parenthood, [...] we saw a 900% increase in requests for appointments to get IUDs, a form of birth control that lasts for several years. Women wanted to make sure their birth control would outlast the [new] Administration.

But if the history of women’s reproductive health demonstrates anything, it is that coercive policies are not only inhumane and unethical, they also fail to work, have extremely undesirable consequences—the neglect of Chinese infant girls is only one of the more drastic examples—and in the long run tend to discredit voluntary birth control programs, making people deeply suspicious of the entire movement to control fertility.

So many women have cancer now. Do you think a new esthetic can develop? Cancer beauty? I mean, if there could be heroin chic, the esthetic of the death-wishing drug addict? Will non-cancerous women be begging their cosmetic surgeons to give them fake node implants under their chins and around their necks? Under their arms? In their groins? So sexy, that fullness. And it works so well as an anti-aging technique, to fill out that sagging turkey neck. Who wouldn't want it? And the jewelry, the titanium pellets piercing those tits. So S&M/bondage." Dunja kept talking in Nathan's head as he segued into a parallel inner dialogue with her about health and evolution, about the theory that concepts of beauty were not just concepts, but perceptions of indicators of reproductive potential and therefore of youth, about selfish genes using our bodies as vehicles only to perpetuate themselves, about how perhaps cancer genes could begin to make their own case for reproductive immortality as well, and so they too would put immense pressure on cultural acceptance of formerly taboo concepts of beauty, concepts which used to indicate disease and nearness to death but now mesmerized and seduced and mimicked youth and ripeness and health, and so her little fantasy of a culture forming around her own dire straits could theoretically... Nathan could only just manage to keep looking into her searching eyes, feeling at that moment very sentimental and ordinary, and therefore mute. Could he really say anything about classical concepts of art, and therefore beauty, based on harmony, as opposed to modern theories, post-industrial-revolution, post-psychoanalysis, based on sickness and dysfunction? Could he make a case for her new, diseased self as the most avant-garde form of womanly beauty? He didn't dare, but she did.

Its activists have made strong political connections between knowledge of our bodies, the capacity to make our own sexual and reproductive decisions, and the more general empowering of women. If this movement began with women telling their stories of alienated childbirth, botched illegal abortions, needless caesareans, involuntary sterilizations, individual encounters with arrogant and cavalier physicians, these were never mere anecdotes, but testimony through which the neglect and abuse of women by the health-care system could be substantiated and new institutions created to serve women’s needs.

Not only do hormones tell all the systems of your body what to do—kidneys, liver, metabolism, digestion, nervous system, reproductive organs—they also have an impressive second job: self-regulation.

Looking more closely, there are two pathways that link energy and estrogen to higher rates of reproductive cancers among women in developed countries. The first is how many menstrual cycles women experience. The average woman in countries such as the United States, England, and Japan starts menstruating when she is twelve or thirteen years old, and she continues to menstruate until her early fifties. Because she has access to birth control, she gets pregnant only once or twice over her lifetime. Further, after she gives birth, she probably breast-feeds her babies for less than a year. All told, she can expect to experience approximately 350 to 400 menstrual cycles during her life. In contrast, a typical hunter-gatherer woman starts menstruating when she is sixteen, and she spends the majority of her adult life either pregnant or nursing, often struggling to get enough energy to do so. She thus experiences a total of only about 150 menstrual cycles. Since each cycle floods a woman’s body with powerful hormones, it is not surprising that reproductive cancer rates have multiplied in recent generations as birth control and affluence has spread. The other key pathway that links chronic positive energy balances with reproductive cancers among women is through fat. Earlier,

Dr. Satcher was responding to the high incidence of sexually transmitted diseases as well as other concerns about sex in the United States: that nearly half of all pregnancies were unintended, the highest rate among the developed countries; that almost one in four women and one in five men have been victims of forced sex; and that more than a hundred thousand children a year are victims of sexual abuse. Noting that each of these problems has lifelong consequences not just for the individuals but also for their families, their communities, and the entire nation, Satcher was prompted to seek out scientific research and to explore public health strategies to address these issues. The result was a thin booklet, published in 2001 as The Surgeon General’s Call to Action to Promote Sexual Health and Responsible Sexual Behavior. In it he wrote, Sexual health is inextricably bound to both physical and mental health. . . . Sexual health is not limited to the absence of disease or dysfunction, nor is its importance confined to just the reproductive years. . . . It includes freedom from sexual abuse and discrimination and the ability of individuals to integrate their sexuality into their lives, derive pleasure from it, and to reproduce if they so choose.

When women and families have access to reproductive health care, including contraception and abortion care, they have children when the time is right for them and build stronger families and lives.

I try to keep my feminism simple. I know feminism is complex and evolving and flawed. I know feminism will not and cannot fix everything. I believe in equal opportunities for women and men. I believe in women having reproductive freedom and affordable and unfettered access to the health care they need. I believe women should be paid as much as men for doing the same work. Feminism is a choice, and if a woman does not want to be a feminist, that is her right, but it is still my responsibility to fight for her rights. I believe feminism is grounded in supporting the choices of women even if we wouldn’t make certain choices for ourselves. I believe women not just in the United States but throughout the world deserve equality and freedom but know I am in no position to tell women of other cultures what that equality and freedom should look like.

The religious right is quick to extol the principle of free speech when it comes to, say, public school officials preaching to children in their care or shouting at women through bullhorns outside of reproductive health clinics. And yet they are eager to regulate and restrict the speech of medical professionals delivering reproductive health services.

Remember that for millions of years natural selection favored women who devoted whatever extra energy they had toward reproduction, partly through the action of reproductive hormones such as estrogen. Natural selection, however, never geared women's bodies for coping with long-term surfeits of energy, estrogen, and other related hormones. As a result, women today are very different and vastly more at risk of developing cancer than mothers from long ago because their bodies are still functioning as they evolved to have as many surviving children as possible.

Inspiration for My Second Novel, Claiming You in Eden: I wanted to write an erotic romance novel that is not just about sexual gratification. I thought there are a lot of women readers out there, and I have come to learn a couple of things during my hospital rotations in reproductive and sexual health clinic, psychiatric hospital, and drug and alcohol units that I wanted to share with them. However, I did not want to share it in a dry exposition, say in a self-help book, and I thought of writing erotic romance novels as a way to educate people through a fun, and interesting medium, albeit an unconventional one. So, I finally decided to try my hands on writing contemporary romance, and as it turned out, I found it much easier to write than fantasy novels.

Reproductive justice, a phrase coined by Black feminists at a conference in 1994, remains elusive for African American women who struggle to access affordable health care due to social and economic inequalities. The abortion rate for Black women is nearly five times that for white women. African American women are three to four times more likely to die in childbirth than white women. Furthermore, health conditions that disproportionately affect Black women, such as uterine fibroids, receive very little government research funding. My hope is that this novel will provoke discussions about culpability in a society that still deems poor, Black, and disabled as categories unfit for motherhood.

Reproductive Justice - a phrase coined by black feminists at a conference in 1994, remains illusive for African American women, who struggle to access affordable healthcare due to social and economic inequalities. The abortion rate for black women is nearly 5 times that for white women. African American women are 3-4 times more likely to die in childbirth than white women. Furthermore, health conditions that disproportionately affect black women, such as uterine fibroids, receive very little government research funding. My hope is this novel will provoke discussions about culpability in a society that still deems poor, black, and disabled as categories unfit for motherhood.

Although medicine now recognises how the trauma of sexual abuse and violence, and difficult childbirth, can lead to chronic pelvic pain, the ingrained connection between women’s mental health and their reproductive organs means the syndrome is often interpreted as a symptom of depression or anxiety.

Women needed access to reliable birth control and information about their reproductive health. And I did not believe in minors becoming pregnant under any circumstances.

Motherhood seems to be a no-win battle: however you decide to do (or not do) it, someone’s going to be criticizing you. You went to too great lengths trying to conceive. You didn’t go to great enough lengths. You had the baby too young. You should have kept the baby even though you were young. You shouldn’t have waited so long to try to have a baby. You’re a too involved mother. You’re not involved enough because you let your child play on the playground alone. It never ends. It strikes me that while all this judgment goes on, the options available to women become fewer and fewer. I’m not even (just) talking about the right to choose—across the U.S., women have less access to birth control, health care, reproductive education, and post-partum support. So we give women less information about their bodies and reproduction, less control over their bodies, and less support during and after pregnancy—and then we criticize them fiercely for whatever they end up doing. This seems not only unfair to me but a recipe for societal disaster. I don’t have answers here, but I wanted to raise questions about what we expect of mothers and who we think “deserves” to be a mother and who doesn’t—and why we think that question is ours to decide.

On occasions too numerous to catalog, she interrupted conversations about health care with a warning to "never go to a Catholic hospital! All they care about is the fetus," she railed, "never the mother!" She would say this if my sisters, each of whom has two children, were talking about birthing options. And she would say it if any of us mentioned appendectomy or setting a fractured bone: in my mother's understanding, what she believed was a preference for fetuses over adult women signaled a general lack of trustworthiness, perhaps to the point of medical incompetence.

In a 2018 analysis conducted for The New York Times, Caitlin Myers, a Middlebury College economist who studies reproductive health, found that the average age at which a woman in Arkansas has her first child is twenty-two, as opposed to twenty-six nationally. The high rate of teen births is pulling the state’s average down. In general, over the past few generations, the average age at which women become mothers has been going up, but that trend is strongly influenced by education level.

Their thesis in this book is that the advice given to American women by male health professionals, particularly in the areas of marital sex, maternity, and child care, has echoed the dictates of the economic marketplace and the role capitalism has needed women to play in production and/or reproduction. Women have become the consumer victims of various cures, therapies, and normative judgements in different periods (including the prescription to middle-class women to embody and preserve the sacredness of the home—the “scientific” romanticiza-tion of the home itself). None of the “experts’” advice has been either particularly scientific or women-oriented; it has reflected male needs, male fantasies about women, and male interest in controlling women—particularly in the realms of sexuality and motherhood—fused with the require-ments of industrial capitalism.

Indeed, these two contradictory extremes that medicine has tended to vacillate between: either women's reproductive functions are pathologized as innately abnormal - in which case any symptoms they bring are "normal" - or else it is claimed that they are normal so if they cause symptoms, it's only because an individual woman's response to them is abnormal - she's just especially sensitive or overreacting. In short, either all women are sick or some women are crazy.

However, the false idea that the ovaries were dead after menopause also came from the long-standing belief that a woman’s main value lay in her reproductive ability and so the end of fertility meant women were hanging around in the Grim Reaper’s lounge waiting for their callout.

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By characterizing "women as vessels of reproduction", physicians contributed to a discourse that interpreted the individual body as a sing of the health (or illness) of the social body.

I began to realize that I knew more about endometriosis than my doctor did.

Maybe Sloan would agree to a deal. I’d talk to someone about some of my issues if she would agree to go to grief counseling. It wasn’t me giving in to Josh like she wanted, but Sloan knew how much I hated therapists, and she’d always wanted me to see someone. I was debating how to pitch this to her when I glanced into the living room and saw it—a single purple carnation on my coffee table. I looked around the kitchen like I might suddenly find someone in my house. But Stuntman was calm, plopped under my chair. I went in to investigate and saw that the flower sat on top of a binder with the words “just say okay” written on the outside in Josh’s writing. He’d been here? My heart began to pound. I looked again around the living room like I might see him, but it was just the binder. I sat on the sofa, my hands on my knees, staring at the binder for what felt like ages before I drew the courage to pull the book into my lap. I tucked my hair behind my ear and licked my lips, took a breath, and opened it up. The front page read “SoCal Fertility Specialists.” My breath stilled in my lungs. What? He’d had a consultation with Dr. Mason Montgomery from SoCal Fertility. A certified subspecialist in reproductive endocrinology and infertility with the American Board of Obstetrics and Gynecology. He’d talked to them about in vitro and surrogacy, and he’d had fertility testing done. I put a shaky hand to my mouth, and tears began to blur my eyes. I pored over his test results. Josh was a breeding machine. Strong swimmers and an impressive sperm count. He’d circled this and put a winking smiley face next to it and I snorted. He’d outlined the clinic’s high success rates—higher than the national average—and he had gotten signed personal testimonials from previous patients, women like me who used a surrogate. Letter after letter of encouragement, addressed to me. The next page was a complete breakdown on the cost of in vitro and information on Josh’s health insurance and what it covered. His insurance was good. It covered the first round of IVF at 100 percent. He even had a small business plan. He proposed selling doghouses that he would build. The extra income would raise enough money for the second round of in vitro in about three months. The next section was filled with printouts from the Department of International Adoptions. Notes scrawled in Josh’s handwriting said Brazil just opened up. He broke down the process, timeline, and costs right down to travel expenses and court fees. I flipped past a sleeve full of brochures to a page on getting licensed for foster care. He’d already gone through the background check, and he enclosed a form for me, along with a series of available dates for foster care orientation classes and in-home inspections. Was this what he’d been doing? This must have taken him weeks. My chin quivered. Somehow, seeing it all down on paper, knowing we’d be in it together, it didn’t feel so hopeless. It felt like something that we could do. Something that might actually work. Something possible. The last page had an envelope taped to it. I pried it open with trembling hands, my throat getting tight. I know what the journey will look like, Kristen. I’m ready to take this on. I love you and I can’t wait to tell you the best part…Just say okay. I dropped the letter and put my face into my hands and sobbed like I’d never sobbed in my life. He’d done all this for me. Josh looked infertility dead in the eye, and his choice was still me. He never gave up. All this time, no matter how hard I rejected him or how difficult I made it, he never walked away from me. He just changed strategies. And I knew if this one didn’t work he’d try another. And another. And another. He’d never stop trying until I gave in. And Sloan—she knew. She knew this was here, waiting for me. That’s why she’d made me leave. They’d conspired to do this.

I am amongst a community of warriors.

Even those who claimed he’d never be president credited him with reaching voters in a visceral way, as having a gift for channeling the rage of a white America which felt it had been left behind, had its privileges stolen by female, nonwhite interlopers—the kinds of people who’d never occupied the White House or held representative numbers of seats in legislative bodies, people who were paid less, taxed more for health care, and denied full control of their reproductive lives, but who had given such a convincing impression of having taken up more than an equal share of space that they were the objects of the resentful ire being channeled by the orange-tinted and toupéed businessman from Queens. The guy who just kept winning primaries.

For most of recorded history, the treatment of women's sexual and reproductive health was the almost exclusive bailiwick of women, including the "juries of matrons" who performed the genital examinations required in the evaluation of rape and annulment cases and who were among the rare women considered qualified to give testimony in medieval courts of law.

But not only did Trump seem to surge ahead in spite of his hatred and dismissal of nonwhite non-men, his supporters seemed to love him because of it. Even those who claimed he’d never be president credited him with reaching voters in a visceral way, as having a gift for channeling the rage of a white America which felt it had been left behind, had its privileges stolen by female, nonwhite interlopers—the kinds of people who’d never occupied the White House or held representative numbers of seats in legislative bodies, people who were paid less, taxed more for health care, and denied full control of their reproductive lives, but who had given such a convincing impression of having taken up more than an equal share of space that they were the objects of the resentful ire being channeled by the orange-tinted and toupéed businessman from Queens. The guy who just kept winning primaries.

Learn about Dr. Radhika Baskar, a leading gynaecologist and fertility specialist in Chennai with 30+ years of experience in women’s health, IVF, and advanced reproductive care at GR Hospital.

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