Blog 001.1- Menstruation: breaking the Taboo
Menstruation is often shrouded in taboo and misconceptions. As a medical professional specializing in obstetrics and gynecology, I see it as a natural, essential process. To dismantle these taboos, let’s start with the basics.
The uterus, part of the female genital tract, is a muscular organ with various layers. The innermost layer, the endometrium, plays a crucial role in menstruation. This layer begins to grow and thicken after the previous menstrual cycle ends, stimulated by hormones produced by the ovaries.
After about three weeks of growth, two outcomes are possible:
- Pregnancy: If the woman becomes pregnant, the fetal system produces hormones that maintain the endometrium, providing a nurturing environment for the developing fetus.
- No Pregnancy: If the woman does not become pregnant, the hormones produced by the ovaries start to decline after three weeks. This hormonal drop causes the endometrium to break down and flow out as vaginal bleeding, known as menstruation.
We humans have always sought to explain the phenomena we encounter in life. For example, ancient civilizations believed that a solar eclipse was caused by a demon eating the sun. Similarly, thunderstorms were thought to be the gods expressing their anger, and diseases were often attributed to evil spirits or divine punishment. In the same vein, menstruation was a misunderstood and often stigmatized part of the female experience.
When logical explanations are lacking, ignorance tends to fill the void. Now, I don’t mean to say that our ancestors were ignorant. Their interpretations were based on the knowledge and cultural context of their times. For instance, the practice of isolating menstruating women likely originated from a well-meaning intent: to provide them with rest. The physiological demands of menstruation can be significant, and a period of rest can indeed be beneficial. Imagine a period where the household work required a lot of physical strain. However, over time, this practice evolved into a restrictive and non-progressive tradition, contributing to the stigma and misinformation surrounding menstruation.
Now that you have a basic understanding of menstruation, the next step is to apply this knowledge in a meaningful way. Simply knowing about menstruation is one thing, but using that knowledge to understand and support the women in your life is what truly matters. So, where do you start?
Starting the Conversation
One of the most impactful ways to support the women in your life is by initiating an open and respectful conversation about menstruation. This can be with your partner, mother, sister, or any woman you are close to. Be prepared for the possibility that they may initially reject discussing this topic. Menstruation is still a taboo subject for many, and they might feel uncomfortable or embarrassed.
Respect their feelings and let them know that you are there for them, without pushing the conversation further if they’re not ready. Express your gratitude for their presence in your life and your desire to support them, especially during their menstrual period. Offering to accompany them to a hospital visit if needed can also show your willingness to be supportive.
Listening with Empathy
If they are open to discussing it, approach the conversation with empathy and understanding. Ask about their experiences, but be mindful and sensitive.
Many women have faced awkward or uncomfortable situations related to menstruation and may feel vulnerable discussing them. Your role in this conversation is to listen, not judge. Avoid making any comments or jokes that could make them feel embarrassed or uncomfortable. Simply being a compassionate listener can make a significant difference.
Continuing the Dialogue
Remember, this conversation may not happen in one sitting. It could be an ongoing dialogue that evolves over time. The important thing is to create a safe space where they feel comfortable sharing their thoughts and experiences.
By fostering open and empathetic communication, you can help break down the taboos surrounding menstruation and create a more supportive and understanding environment. This is not just about learning facts; it’s about building deeper connections and showing that you care about the well-being of the women in your life.
Now, I’d love to hear from you. How do you feel about this topic? If you’ve spoken to the women in your life about menstruation for the first time, share your experience. Your stories can help others in similar situations and contribute to a more open dialogue. Let’s work together to normalize these conversations and support each other.
