Let me share with you a female doctor and CEO's life hack: if you are not trying to 'make' a baby, you do NOT have to bleed every month. As doctors, we have seared into women's minds: you must have a period every month (if you are not on any medications). However, we now have the technology to safely and effectively "turn off" periods.
The idea of #PeriodsOptional first came to me when I was trying to get pregnant with my first child. Each month the uterus builds a rich blood filled lining to accept an embryo. But without an embryo, that lining gets shed, and the whole process starts over again. Basically, the only reason that we (those with uteri) bleed each month is because we didn't get pregnant. An average woman will begin her period at 12 years old, have two children in her lifetime, and remain fertile until the age of 50. That's approximately 35 years of incessant menstruation for no good reason.
Each time you build up that lining (endometrium) and slough it, you risk endometrial cancer. And each time you pop out an egg for that lining, you risk ovarian cancer. The only way to prevent ovarian cancer that we currently know of (short of taking out your ovaries) is to turn off the monthly egg-popping using birth control. Women who used birth control pills for 5 or more years have about a 50% lower risk of developing ovarian cancer compared to women who never used oral contraceptives.
Dr. Beverly Strassman, who studied the Dogon tribe in Mali, found that it might be "more natural" to have fewer periods. In the old days, we had about 100 periods in our lifetimes. Now, we have 350-400. Historically, we'd start periods at 16 (we now start at 12 years old), we'd have eight babies (we now have two on average), and we'd breastfeed for 20 months (we now do zero to six months at best).
Since the creation of the birth control pill, doctors have known that the one week withdrawal bleed (aka "period") is optional. Dr. John Rock, one of three co-founders of the birth control pill, was the one that pushed for a bleed one week out of four. It was to see if he could get the method through the Catholic Church. He said it was just to make the periods regular and thus Catholics could better utilize the rhythm method. He also thought that women would be more likely to accept the method if it was consistent with what they were used to. Thus since the beginning the birth control pill, women have been forced to bleed one week out of four. Needless to say, if I were one of the co-founders, I would have pushed for #NoPeriods or #PeriodsOptional.
Let's explore other benefits of skipping your monthly bleed:
- You save money – we use 12,000 feminine hygiene products in our lives.
- You save the planet from landfill.
- You decrease your risk of certain medical conditions – ovarian cancer, endometrial cancer, and anemia
- Certain diseases do better on stable hormonal levels – acne, PCOS, diabetes, seizure disorder, depression/psychological conditions.
- Increased productivity – the number one cause of missed work/school in a woman under the age of 25? Her periods.
Using birth control to skip periods:
- You can use the hormonal IUD, the implant, the shot, the ring, the patch and the pill. Note: You cannot use the patch for longer than 12 weeks in a row, because too much estrogen will build up in the blood.
- You do not have to use "special pills" that come in 84 or 91 days packs. You can use any pill and just skip the last week (if it is a four week pack) or go straight into the next pack (if it is a three week pack). Though if you are paying cash, those are sometimes cheaper.
- If you get breakthrough bleeding and have taken at least three weeks of active pills in a row, then you can stop the active pills for five days, have a bleed during that time, then restart on day six whether or not you are bleeding. This "cleans out the uterus" and allows you to start fresh.
- There are 40 different formulations of the birth control pill. So if one doesn't work for you, there are at least six other progestins and two levels of estrogen to play with.
- To skip the bleed on the pill, you want a progestin with higher progestational activity. Go to this chart that I created to review the options.
As the only female founded/led reproductive health company in the birth control delivery space, Pandia Health set out to make women's lives easier by sharing cutting edge, evidence-based women's healthcare. We commissioned a study of 1000 women ages 20-35 in the US to see what they knew about the topic. We found that:
- 66% of women had never been informed by a doctor that they could skip their periods safely.
- 46% have missed school because of periods.
- 58% would turn of their periods if they knew it could be done safely.
So make your uterus a happy uterus. A happy uterus is one that is not "crying" unnecessary bloody tears.
Women in the workplace have always experienced a certain degree of discrimination from male colleagues, and according to new studies, it appears that it is becoming even more difficult for women to get acclimated to modern day work environments, in wake of the #MeToo Movement.
In a recent study conducted by LeanIn.org, in partnership with SurveyMonkey, 60% of male managers confessed to feeling uncomfortable engaging in social situations with women in and outside of the workplace. This includes interactions such as mentorships, meetings, and basic work activities. This statistic comes as a shocking 32% rise from 2018.
What appears the be the crux of the matter is that men are afraid of being accused of sexual harassment. While it is impossible to discredit this fear as incidents of wrongful accusations have taken place, the extent to which it has burgeoned is unacceptable. The #MeToo movement was never a movement against men, but an empowering opportunity for women to speak up about their experiences as victims of sexual harassment. Not only were women supporting one another in sharing to the public that these incidents do occur, and are often swept under the rug, but offered men insight into behaviors and conversations that are typically deemed unwelcomed and unwarranted.
Restricting interaction with women in the workplace is not a solution, but a mere attempt at deflecting from the core issue. Resorting to isolation and exclusion relays the message that if men can't treat women how they want, then they rather not deal with them at all. Educating both men and women on what behaviors are unacceptable while also creating a work environment where men and women are held accountable for their actions would be the ideal scenario. However, the impact of denying women opportunities of mentorship and productive one-on-one meetings hinders growth within their careers and professional networks.
Women, particularly women of color, have always had far fewer opportunities for mentorship which makes it impossible to achieve growth within their careers without them. If women are given limited opportunities to network in and outside of a work environment, then men must limit those opportunities amongst each other, as well. At the most basic level, men should be approaching female colleagues as they would approach their male colleagues. Striving to achieve gender equality within the workplace is essential towards creating a safer environment.
While restricted communication and interaction may diminish the possibility of men being wrongfully accused of sexual harassment, it creates a hostile
environment that perpetuates women-shaming and victim-blaming. Creating distance between men and women only prompts women to believe that male colleagues who avoid them will look away from or entirely discredit sexual harassment they experience from other men in the workplace. This creates an unsafe working environment for both parties where the problem at hand is not solved, but overlooked.
According to LeanIn's study, only 85% of women said they feel safe on the job, a 5% drop from 2018. In the report, Jillesa Gebhardt wrote, "Media coverage that is intended to hold aggressors accountable also seems to create a sense of threat, and people don't seem to feel like aggressors are held accountable." Unfortunately, only 16% of workers believed that harassers holding high positions are held accountable for their actions which inevitably puts victims in difficult, and quite possibly dangerous, situations. 50% of workers also believe that there are more repercussions for the victims than harassers when speaking up.
In a research poll conducted by Edison Research in 2018, 30% of women agreed that their employers did not handle harassment situations properly while 53% percent of men agreed that they did. Often times, male harassers hold a significant amount of power within their careers that gives them a sense of security and freedom to go forward with sexual misconduct. This can be seen in cases such as that of Harvey Weinstein, Bill Cosby and R. Kelly. Men in power seemingly have little to no fear that they will face punishment for their actions.
Source-Alex Brandon, AP
Sheryl Sandberg, Facebook executive and founder of LeanIn.org., believes that in order for there to be positive changes within work environments, more women should be in higher positions. In an interview with CNBC's Julia Boorstin, Sandberg stated, "you know where the least sexual harassment is? Organizations that have more women in senior leadership roles. And so, we need to mentor women, we need to sponsor women, we need to have one-on-one conversations with them that get them promoted." Fortunately, the number of women in leadership positions are slowly increasing which means the prospect of gender equality and safer work environments are looking up.
Despite these concerning statistics, Sandberg does not believe that movements such as the Times Up and Me Too movements, have been responsible for the hardship women have been experiencing in the workplace. "I don't believe they've had negative implications. I believe they're overwhelmingly positive. Because half of women have been sexually harassed. But the thing is it is not enough. It is really important not to harass anyone. But that's pretty basic. We also need to not be ignored," she stated. While men may be feeling uncomfortable, putting an unrealistic amount of distance between themselves and female coworkers is more harmful to all parties than it is beneficial. Men cannot avoid working with women and vice versa. Creating such a hostile environment is also detrimental to any business as productivity and communication will significantly decrease.
The fear or being wrongfully accused of sexual harassment is a legitimate fear that deserves recognition and understanding. However, restricting interactions with women in the workplace is not a sensible solution as it can have negatively impact a woman's career. Companies are in need of proper training and resources to help both men and women understand what is appropriate workplace behavior. Refraining from physical interactions, commenting on physical appearance, making lewd or sexist jokes and inquiring about personal information are also beneficial steps towards respecting your colleagues' personal space. There is still much work to be done in order to create safe work environments, but with more and more women speaking up and taking on higher positions, women can feel safer and hopefully have less contributions to make to the #MeToo movement.