This was originally published in Maeflowers on Medium Aug. 4, 2023
Women's Health Means Adolescents, Too
Preventing sexual health education leads to ignorance about bodies
This
particular topic is one that seems academic but actually hits close to
home. In this politically rife time of book banning and abstinence-only
approaches to education crossing swords with hot-headed discussions
about abortion, maternity care, and birth control, it seems we’ve
completely lost the plot. Let me tell you a story…
Step back 30 years
Fifth
grade was my first year in public school. I had gone to a small
church-affiliated school up until that point. We had a very small
library of approved books. I had advanced through the curricula for math
and reading so I’d go to the older kids’ classrooms for those subjects.
We had a full hour of “Religion” every morning and Chapel on
Wednesdays. I had never heard of “Health class”. There were 3–5 kids in
my class depending on which year it was. It seemed perfectly normal.
I
transferred to public school and there were five classrooms of 20 kids
each in my grade. We moved between remedial, normal, and gifted
classrooms for different subjects and if you needed to be moved up or
down you missed what you missed. It was chaotic and inefficient compared
to where I had come from. But one day, early in that first semester,
they divided the girls and boys into two different classrooms and gave a
health presentation about our bodies. I learned about menstruation for
the first time — I had my first period just a couple weeks later.
If
it hadn’t been for that health presentation about my body in public
school, I would’ve woken up one morning thinking I had been mauled in my
sleep. As it was I was shocked that it was actually happening. How
traumatic to not know what you’re own body is capable of!
I
was staying at an older cousin’s house — so she had the supplies I
needed and it was all normal to her. I thought I’d have to explain it to
my mom because it had never been spoken of — instead she had a party
waiting for me to welcome me to womanhood. I was mortified and so very
very confused. If it’s such a huge thing, why didn’t I know about it?
The point
Too
often we leave young people out of topics that affect them. Under a
misguided attempt to shield some mythical concept of innocence, they are
left vulnerable to fear, misinformation, and unintended consequences.
Everyone
deserves to know about their body so they can make decisions about
their health. Despite the stigma that sex ed introduces children to sex
(a natural part of life they’re going to see, hear, talk about, and
experience eventually anyway), such programs may be the only information
an adolescent receives about a major event in their physiological (and psychological)
development. Everyone should be armed with factual information about
pain, bloating, mood swings, fertility, and cancer, among others.
Adolescents
go through major changes, and sometimes they can lead to life-altering
shifts. Menstruation should not be a mystical “welcome to womanhood”
surprise. Pregnancy should not be a mystical “you’ll feel better once
the baby comes” experience. Menopause should not be dismissed as the end
of a woman’s worth or hysteria.
Just this year (2023), Washington, DC became the first education jurisdiction in the United States to have specific menstrual health education standards. The. First. Welcome to the 21st century.
Til death are you dismissed
It’s not just the young who are ignored. Last year, a clinician at the MayoClinic stepped up to start working on menopause awareness.
Not only should women going through “the change” know what to expect
and what needs a doctor’s keen eye, there are treatments to make the
transition easier and help adjust risk. This is important not just for
comfort, but for health and quality of life as the hormones that cause
menstruation and menopause have varying associations with cancer. Birth
control also plays a role in this risk, with newer versions
(progesterone-based) offering protection against uterine cancer but
potentially increasing breast cancer. Genetics likely plays a role,
which means research is needed. But we’ve traditionally struggled to
have female cohorts in studies, now we want them to focus on female-only
disorders?! Yes, it’s going to be an uphill battle.
The North American Menopause Society can be a starting point for anyone looking for a doctor or treatment for their hormonal transition.
Sex ed is necessary
We
need sex ed — the children need it. Right now, schools are the best way
to reach a large swath of the population at the right age to ensure
that puberty and its ramifications don’t surprise anyone. But I’d
suggest classes in communities for adults as well. Maybe at hospitals,
like the classes for expecting parents, only it’s basic anatomy and
hygiene. “Human Body 101”. We all have a body, even as children. We need
to learn how to live with it. Why it’s so shameful to recognize that is
beyond me.
If
you’re looking for more information, I highly recommend the books
written by OB/GYN Dr. Jen Gunter, particularly The Vagina Bible and
Menopause Manifesto.
Also see the statistics on the harm of abstinence-only education at the Guttmacher Institute and the School of Public Health at Columbia