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Menstruation

Menstruation is the shedding and discharging of the uterine lining. Menstruation occurs after a woman ovulâtes and if she does not become pregnant. The time during which menstruation occurs is referred to as menses. Although many refer to the discharge during menstruation as “menstrual blood,” the more accurate term is menstrual fluid, because it contains not only blood but also mucus, bits of the uterine lining, and cells from the vaginal lining. The first time a girl experiences menstruation is called menarche. The cessation of menstruation is menopause.

Menstruation is a biological phenomenon that, throughout history, has been conceptualized in ways that reinforce the gender norms and roles of the time. Menstruation has long been tied to the philosophical tradition of the distinction between the mind (or consciousness or soul) and the body, which started with Plato and is still a recurring cultural trope to this day. Generally, the mind has been both the privileged term in the binary and associated with men, masculinity, and culture. The body, on the other hand, has been associated with women, femininity, and nature. Within this framework, menstruation has often figured as a sign of women's association with the body and nature, reaffirming women as the “inferior sex.” Such gendering extends into the medicalization of the entire menstrual cycle. The normal bodily function of menstruation has become a pathology to be managed by medical professionals, who are predominantly male. This framing encourages women to turn to professionals rather than to get to know their own bodies. Menstruation has also become a large consumer market, encouraging women to empower themselves through consumption and using fear and shame to sell medications and hygiene products.

Despite the strength of these cultural conceptualizations, women throughout history have refuted understandings of menstruation as an indication of inferiority or pathology and embraced it as a sign of women's power to give life, a source of wisdom, a reason to listen to and know their bodies, an equalizer among women, and a connection between generations. The variety of opposing meanings that have been attached to menstruation, both synchronically and diachronically, render it a rich site for understanding how gender is constructed in society.

Shifting Medical/Ideological Understandings of Menstruation

Early explanations of menstruation were closely related to these mind/body, male/female, and culture/nature hierarchies. The philosopher Aristotle believed that menstruation was a sign of female inferiority. His position reflected a broad belief that women naturally lacked the heat needed to produce semen and thus could only produce menstrual blood, an inferior substance. Around the same time, Hippocrates described menstruation as beneficial to women because it seemed to bring relief from the headaches, swelling, and nervousness that women suffered. Pythagoras, in the 6th century BCE, conjectured that women naturally had more blood than men, the model for health and normality, and thus menstruation was the elimination of this extra, unneeded blood. The lst-century CE Roman naturalist Pliny believed that menstrual blood was a dangerous form of pollution and should be avoided. In the 2nd century CE, Galen claimed that women's extra blood was due to their idleness rather than nature. Menstruation was seen as a means of cleansing the body, a view that still persists in society to this day, and became the theoretical foundation for therapeutic bloodletting. In this way, menstruation shaped the way in which medicine was practiced. Admittedly, these views of menstruation hold negative connotations. However, they also imply that women are powerful and, in some cases, that men envied women's abilities to menstruate and to bear children.

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