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Authors: Nora Ephron
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hand, the self-help movement and the concern with health issues among women’s groups spring from a very real and not at all laughable dissatisfaction with the American medical establishment, and most particularly with gynecologists. In New York, the women’s movement has turned this dissatisfaction to concrete achievement in placing paid women counselors in major abortion clinics and in working to lower rates and change procedures at these clinics; in Boston, the Women’s Health Collective has produced a landmark book,
Our Bodies, Our Selves
, a comprehensive compilation of information about how the female body works. But the animosity against doctors has also reached the point where irresponsibility, not to mention hard-core raunchiness, has replaced reason. When Frankfort asked Carol about the possible negative effects of period extraction, her question was taken as a broad-scale attack on feminism. The fact is that if doctors were prescribing equipment as untested as these devices are, equipment which clearly violates natural body functions,the women’s health movement would be outraged. It has been justifiably incensed that birth-control pills were mass-marketed after only three years’ observation on a mere 132 women. The Los Angeles women are advocating a device that has not been tested at all for at-home use; in hospitals, it has been used safely, but by doctors, and primarily for early abortion. There is a horrifying fanaticism to all this, and it springs not just from the zeal to avoid doctors entirely, but from something far more serious. For some time, various scientists have been attacking women’s liberation by insisting that because of menstruation, women are unfit for just about everything several days a month. In a way, the Los Angeles women are supporting this assertion in their use of period extraction for non-abortion purposes; what they are saying, in effect, is, yes, it
is
awful, it is truly a curse, and here is a way to be done with it in five minutes. I am not one of those women who are into “blood and birth and death,” to quote Joan Didion’s rather extraordinary and puzzling definition of what it means to be female, but I do think that the desire to eliminate the first of these functions springs from a self-hate that is precisely parallel to the male fear of blood that underlies so many primitive taboos toward women.
In any event, the extremist fringe of the self-help movement in no way invalidates the legitimate case women have against gynecologists. These doctors are undoubtedly blamed for a great deal that is not their fault; they are, after all, dealing in reproductive and sexual areas, two of the most sensitive and emotionally charged for women. Still, I have dozens of friends who have been mis-diagnosed, mis-medicated, mistreated and misinformed by them, and every week, it seems,I hear a new gynecological atrocity tale. A friend who asks specifically not to be sedated during childbirth is sedated. Another friend who has a simple infection is treated instead for gonorrhea, and develops a serious infection as a side effect of the penicillin. Another woman tells of going to see her doctor one month after he has delivered her first child, a deformed baby, born dead. His first question: “Why haven’t you been to see me in two years?” Beyond all this, there are the tales of pure insensitivity to psychological problems, impatience with questions, preachy puritanism particularly toward single women, and, for married women, little speeches on the need to reproduce. My usual reaction to these stories is to take a feminist line, blame it all on complicated sexism or simple misogyny. But what Ellen Frankfort has managed to do in
Vaginal Politics
—and what makes her book quite remarkable—is to broaden women’s health issues far beyond such narrow analyses. “The mystique of the doctor, profound as it is, is not the only negative feature of the present health system,” she writes.
Our Bodies, Our Selves
, a comprehensive compilation of information about how the female body works. But the animosity against doctors has also reached the point where irresponsibility, not to mention hard-core raunchiness, has replaced reason. When Frankfort asked Carol about the possible negative effects of period extraction, her question was taken as a broad-scale attack on feminism. The fact is that if doctors were prescribing equipment as untested as these devices are, equipment which clearly violates natural body functions,the women’s health movement would be outraged. It has been justifiably incensed that birth-control pills were mass-marketed after only three years’ observation on a mere 132 women. The Los Angeles women are advocating a device that has not been tested at all for at-home use; in hospitals, it has been used safely, but by doctors, and primarily for early abortion. There is a horrifying fanaticism to all this, and it springs not just from the zeal to avoid doctors entirely, but from something far more serious. For some time, various scientists have been attacking women’s liberation by insisting that because of menstruation, women are unfit for just about everything several days a month. In a way, the Los Angeles women are supporting this assertion in their use of period extraction for non-abortion purposes; what they are saying, in effect, is, yes, it
is
awful, it is truly a curse, and here is a way to be done with it in five minutes. I am not one of those women who are into “blood and birth and death,” to quote Joan Didion’s rather extraordinary and puzzling definition of what it means to be female, but I do think that the desire to eliminate the first of these functions springs from a self-hate that is precisely parallel to the male fear of blood that underlies so many primitive taboos toward women.
In any event, the extremist fringe of the self-help movement in no way invalidates the legitimate case women have against gynecologists. These doctors are undoubtedly blamed for a great deal that is not their fault; they are, after all, dealing in reproductive and sexual areas, two of the most sensitive and emotionally charged for women. Still, I have dozens of friends who have been mis-diagnosed, mis-medicated, mistreated and misinformed by them, and every week, it seems,I hear a new gynecological atrocity tale. A friend who asks specifically not to be sedated during childbirth is sedated. Another friend who has a simple infection is treated instead for gonorrhea, and develops a serious infection as a side effect of the penicillin. Another woman tells of going to see her doctor one month after he has delivered her first child, a deformed baby, born dead. His first question: “Why haven’t you been to see me in two years?” Beyond all this, there are the tales of pure insensitivity to psychological problems, impatience with questions, preachy puritanism particularly toward single women, and, for married women, little speeches on the need to reproduce. My usual reaction to these stories is to take a feminist line, blame it all on complicated sexism or simple misogyny. But what Ellen Frankfort has managed to do in
Vaginal Politics
—and what makes her book quite remarkable—is to broaden women’s health issues far beyond such narrow analyses. “The mystique of the doctor, profound as it is, is not the only negative feature of the present health system,” she writes.
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