Elana is...

...a dweller of Brooklyn, an agent of books, a support-teamer of Squarespace, a purveyor of snark, an employer of awkwardness, a lover of coffee, a mistress of bourbon, and an enforcer of comma-placement.

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Saturday
Aug222009

Our Uteri, Ourselves

Am I allowed to talk about birth control here? Or is that too personal for a supposedly non-personal blog? I think I will do so anyway. I'll keep an eye on over-sharing.

There have been a number of articles in Slate and Double X (Slate's sister magazine for us sisters) about methods of birth control American women don't seem to give much thought to. The first was about IUDs, which got a bad rap in the 70s, but might actually be one of the best options yet. Yesterday there was an article in Double X about natural methods of monitoring fertility.

My girlfriends and I have had many conversations about all these methods, like good girlfriends should. We've all had various issues with the tried and true methods, the ones we're supposed to like. Condoms are a necessary evil, though I know no one who enjoys them. As for the pill (which I fully endorse as one of the greatest innovations of the 20th century), most of us, at one point or another, have had issues with it. For some of us it made us feel fat, bloated, lethargic, crampy. For a few of us, it didn't stick and we had all kinds of break-through bleeding. For a good chunk of us, our sex drives were totally whacked. The latter is the often ironic outcome of the pill: it's supposed to give us more sexual freedom and yet totally hampers our desire to have sex. Is that a win or what?

So most of my circle of lady friends (myself included) have tried several options. A few of us have been lucky to find something we love. Some are still exploring.

But the thing I find really interesting is the willingness of women to get to know their bodies. I know which of my friends are more comfortable talking about this stuff, and which aren't. Personally, I've never been too uncomfortable with it (minus those first couple "Are You There God? It's Me, Margaret" years when you're, like, getting your period and don't know what's happening and can't talk about it). I taught a lot of my friends how to use tampons. I don't mind having a frank talk with my younger sisters, cousins, campers, students, whoever, about what a trip to the gynecologist will be like. Mostly, how my body works, and how to take care of it, is just a fact of life.

I do understand how adding sex to the equation gives the conversation a layer of just-maybe-too-private that stops women from wanting to share. Even just saying you're on some form of birth control comes across as a ringing endorsement that you at least plan on having sex, be it regularly or semi-regularly. And it's ridiculous that we think that's a bad thing. We're quite comfortable as a society pushing Viagra on TV. Men are supposed to want sex, and we applaud it and want to allow them to continue having sex as long as possible. But women? Nope. Respectable ladies are not supposed to feel the same way.

But that's slightly beside my point. Which I think is about women being more honest with themselves.

Mostly I wish more of the options were given more cred and endorsement by doctors. Not every woman's body works the same way, and yet many of us are pressured into using the status quo if only because it's the status quo. But I will react differently to one progestin than my sister would or my best friend would. Just because the pill can be great doesn't mean we should all use it. I will always love my lady-parts doctor for listening to me when I told her something wasn't working and she suggested other options.

So, ladies, know thyselves. Maybe we if we get more used to our bodies, the rest of the world will too.

Reader Comments (5)

Great, thoughtful post, Elena. From someone heading toward the other end of the spectrum, where birth control won't be necessary anymore, I can tell you that you still have to hunt and ask and push with doctors about what can help with all the ups and downs. It's worth it, I think, to keep looking to find a doctor who can and will talk it all out with you and be willing to try, and try again, till they help you find what DOES work...for your body. I've been lucky that way, but it's taken a while, too.

August 22, 2009 | Unregistered Commenterbeckylevine

Great post, Elana! I joined a parenting forum after the birth of my first child and since then, I think we've probably discussed every form of birth control available. It's been great to hear what various methods have worked and haven't for others, whereas all of my in-person girlfriends have been strictly on pills and condoms.

Honestly, I think a lot women fear trying something new. There are horror stories about every form of birth control, and experimenting can be a little scary when your body and hormones are involved.

But, if more women trusted how individualized their experience is bound to be, and educated themselves on the statistics of side effects, etc. they'd have a greater chance at finding the perfect form for their body and situation.

August 22, 2009 | Unregistered CommenterCasey

I coudn't agree more! I, unfortunately, am having to deal with the issue of infertility and I WISH I had taken the time t figure out my body and how it ticks many years ago. The discoveries in the last 18 months have been painful, and I actually have spent years on the pill when natural family planning would have been an easy (and incredibly inexpensive) alternative.

Great post!

August 22, 2009 | Unregistered CommenterChristy Smith

A friend sent me a link to http://www.coolaunt.org/ - a project by the National Sexuality Resource Center, encouraging adults to talk openly with kids about issues exactly like this. I'm now finding dozens of reasons to pass it on, in hopes that people continue to keep conversations open - not only with people in your generation, but with generations to come as well.

August 23, 2009 | Unregistered CommenterAngela

Hey, thanks! That's a great resource and I'll definitely check it out.

August 23, 2009 | Unregistered CommenterElana

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