{"id":23239,"date":"2025-08-26T08:00:13","date_gmt":"2025-08-26T13:00:13","guid":{"rendered":"https:\/\/naturalwomanhood.org\/?p=23239"},"modified":"2025-11-21T09:50:45","modified_gmt":"2025-11-21T15:50:45","slug":"%d1%8d%d0%bc%d0%be%d1%86%d0%b8%d0%be%d0%bd%d0%b0%d0%bb%d1%8c%d0%bd%d0%b0%d1%8f-%d0%b8-%d0%be%d0%b1%d1%89%d0%b5%d1%81%d1%82%d0%b2%d0%b5%d0%bd%d0%bd%d0%b0%d1%8f-%d1%86%d0%b5%d0%bd%d0%b0-%d0%b3%d0%b8","status":"publish","type":"post","link":"https:\/\/naturalwomanhood.org\/ru\/the-emotional-and-societal-cost-of-gynecologys-birth-control-fixation\/","title":{"rendered":"\u0418\u043d\u0434\u0438\u0432\u0438\u0434\u0443\u0430\u043b\u044c\u043d\u0430\u044f \u0438 \u043e\u0431\u0449\u0435\u0441\u0442\u0432\u0435\u043d\u043d\u0430\u044f \u0446\u0435\u043d\u0430 \u0444\u0438\u043a\u0441\u0430\u0446\u0438\u0438 \u0433\u0438\u043d\u0435\u043a\u043e\u043b\u043e\u0433\u0438\u0438 \u043d\u0430 \u043a\u043e\u043d\u0442\u0440\u043e\u043b\u0435 \u0440\u043e\u0436\u0434\u0430\u0435\u043c\u043e\u0441\u0442\u0438"},"content":{"rendered":"\n

<\/p>\n\n\n\n

Kate Downey describes period \u201cdeath cramps\u201d on her podcast, Cramped<\/em><\/a>, as a pain that radiates down your back and legs, makes standing difficult, and fills your body with so much pain (actually, prostaglandins) that you vomit. You emerge sweating, shaking, wondering what just happened, with your plans for the day erased.<\/p>\n\n\n\n

I\u2019ve had those kinds of periods before, and if you have too, I\u2019m so sorry. Perhaps you have your own \u201cdeath cramps\u201d story, or perhaps you\u2019ve experienced a different, equally disturbing menstrual-related disorder like PCOS<\/a>, PMS, or PMDD<\/a>. Or perhaps you\u2019ve experienced hardship from a different health concern that disproportionately affects women. For example, 78% of people with an autoimmune disease<\/a> are women [1]. Furthermore, women are twice as likely to experience mental health<\/a> issues like anxiety, depression, and PTSD<\/a>. And while each of the diseases that women face come with their own distinct brand of suffering, part of that suffering stems from a lack of research<\/a> and understanding that stands in the way of receiving proper care. <\/p>\n\n\n\n

While each of the diseases that women face come with their own distinct brand of suffering, part of that suffering stems from a lack of research and understanding that stands in the way of receiving proper care. <\/p><\/blockquote><\/figure>\n\n\n\n

In Kate Downey\u2019s case, the only long-term treatment offered for her debilitating dysmenorrhea (the clinical term for painful periods) was hormonal birth control, which decreased the frequency of her pain, but did not make the problem go away. Without a diagnosis, she was stuck for years until she decided to find answers\u2013no matter the cost<\/a>. And while painful periods and endometriosis don\u2019t always go hand-in-hand<\/a>, it probably doesn\u2019t come as a big surprise that Kate Downey\u2019s journey led to an excision surgery<\/a> to remove the endometriosis lesions that had been causing so much suffering. And while Downey finally received a solution after decades<\/a> of pain, she finds herself exploring new questions: why did she have to suffer for so long without treatment, and how has this shaped her as a person?<\/p>\n\n\n\n

And since Downey\u2019s story of decades of undiagnosed and untreated pain isn\u2019t unique, what are our own answers to these questions?<\/p>\n\n\n\n

A system that stops asking questions<\/span><\/h2>\n\n\n\n

Birth control is often treated as the only tool in what should be a full toolbox for treating reproductive and endocrine disorders. And while there\u2019s not one simple reason for this, at the heart of the issue is the fact that it\u2019s faster and easier to prescribe than to investigate. Longer appointments mean doctors see fewer patients, earning less. I once interned at a practice where patients praised the doctor for listening deeply\u2014yet behind the scenes, he struggled to pay his staff. And entering into a journey of medical investigation with a patient can be emotionally taxing<\/a> as well as time-intensive.<\/p>\n\n\n\n

Furthermore, doctors may lack training or resources to start this journey in the first place. We know a minority of doctors recommend<\/a> fertility awareness methods to their patients, let alone have the training and expertise to interpret menstrual cycle charts and recommend tailored solutions. And these solutions can be hard to provide. Another doctor I shadowed was trained in NaProTechnology<\/a>, but she had to inform her patient with severe endometriosis symptoms that the nearest excision specialist she knew of practiced 400 miles away. Granted, this was over 10 years ago, but the specialized care offered by Restorative Reproductive Medicine-trained healthcare professionals<\/a> can still be hard to find, especially in smaller towns. Without a better solution to offer, doctors may deflect, offering superficial treatment like hormonal birth control.<\/p>\n\n\n\n

Cards stacked against women<\/span><\/h2>\n\n\n\n

Unfortunately, these explanations don\u2019t even account for factors like the \u201cgender pain gap<\/a>\u201d or the tendency for women\u2019s reports of pain to be questioned or dismissed [2]. One example of this, published in the Journal of the American Heart Association<\/em><\/a>, found that women who visited an emergency room for chest pain had to wait longer to be seen and were less likely to be admitted to the hospital than men with similar symptoms [3]. Another example is one of the many stories published by the Autoimmune Association<\/a>, in which Lilly Stairs recounts being sent away by the ER multiple times because \u201c[n]ot one person believed [her] pain was legitimate but rather attention or drug seeking behavior\u201d before a test finally revealed bleeding ulcers in her small intestine. <\/p>\n\n\n\n

When biases against taking women seriously in general are coupled with biases against menstruation<\/a>, care becomes even more difficult to access. The stigma<\/a> around talking about periods, the belief that intense period pain is normal<\/a>, and a fear of being dismissed as dramatic or weak can make it difficult to push for care related to menstrual disorders. There\u2019s also a view that debilitating menstrual disorders like endometriosis don\u2019t qualify as a \u201creal\u201d disability or chronic illness, especially since birth control can sometimes lessen symptoms. <\/p>\n\n\n\n

In a particularly maddening article published in the May-June 2024 edition of Women\u2019s Health Issues<\/em><\/a>, the authors found that women with severe endometriosis symptoms seeking disability status for supplemental income encountered obstacles like not having \u201cobjective evidence\u201d for their endometriosis, and that \u201ccourts expected claimants to use treatments such as contraception or hysterectomy<\/a> without addressing the risks of such treatments or the fact that they might have been counter to claimants\u2019 needs and preferences.\u201d Courts also used the cyclic nature of menstrual disorders to dismiss appeals, stating of one claimant: \u201c[a]ll of her physicians during this period indicated that her pain, although severe, was intermittent in nature.\u201d [4] <\/p>\n\n\n\n

Women learn to distrust the medical system<\/span><\/h2>\n\n\n\n

In recounting her hit-or-miss experiences with emergency rooms, Kate Downey recounts, \u201cIf I\u2019ve had this experience over and over and over again of seeking help when I really need it, not receiving the help, but paying the cost of the physical effort, the money that I don\u2019t have, the emotional cost, and I don\u2019t leave any better off than I was when I went in… why would I keep doing that? But also, what other option do I have?\u201d Asking for help and not receiving it\u2014especially after dealing with the emotional and financial costs\u2014can make women less likely to seek care in the future. <\/p>\n\n\n\n

Asking for help and not receiving it\u2014especially after dealing with the emotional and financial costs\u2014can make women less likely to seek care in the future. <\/p><\/blockquote><\/figure>\n\n\n\n

When I told my own doctor I had severe dysmenorrhea but wasn\u2019t interested in birth control, I was told, \u201cCome back when you\u2019re ready for birth control; in the meantime, consider taking an ibuprofen.\u201d So, I never brought it up again. And while changing practitioners can help, it\u2019s not always an easy process, and some women may experience a lack of trust in medicine in general, and look to alternative options or delay treatment for medical conditions altogether.<\/p>\n\n\n\n

… and worse, distrust themselves<\/span><\/h2>\n\n\n\n

When doctors respond to pain with \u201cthat\u2019s normal\u201d or \u201care you sure?\u201d, it isn\u2019t just frustrating\u2014it\u2019s medical gaslighting<\/a>. <\/p>\n\n\n\n

At first, it hurts; it sends the message \u201cyou don\u2019t matter and I don\u2019t believe you.\u201d But, eventually, this message may start to sink in. As Downey pointed out in her podcast, \u201cHaving your reality denied by someone that you trust, that you depend on, over and over and over again, has ripple effects that go way beyond medical care.\u201d Women themselves may start to wonder, \u201cmaybe they\u2019re right, maybe this is all in my head<\/a>.\u201d They may make a habit of not listening to their bodies, questioning their experiences, and wondering if they are simply being oversensitive to what everyone insists is \u201cno big deal.\u201d<\/p>\n\n\n\n

Downey goes on to propose that trusting your gut and being able to consider a problem from intuition are valuable skills that medical gaslighting can cripple. She describes \u201cAnd if we take it beyond the medical, I’ve been in a dating situation where I could feel something was off, something wasn\u2019t adding up […] I didn’t have facts to back up my feelings, so I ignored them for over a year. Thankfully, I parted ways with this person, but I learned years later they had repeated the pattern of behavior […] and, eventually it escalated\u2014they assaulted someone. I don\u2019t think it\u2019s accurate to draw a completely<\/em> straight line from having your period pain dismissed to ending up in a potentially harmful relationship, but there\u2019s not no<\/em> connection.\u201d Her chilling story touches on the issue of sexual assault and harassments, another field where women\u2019s experiences are often questioned and met with \u201care you sure?\u201d instead of sympathy and help. The biases that affect women\u2019s medical treatment options are not contained to health care, and may actually help reinforce others, by ultimately calling into question the overall trustworthiness and dignity of women.<\/p>\n\n\n\n

The biases that affect women\u2019s medical treatment options are not contained to health care, and may actually help reinforce others, by ultimately calling into question the overall trustworthiness and dignity of women.<\/p><\/blockquote><\/figure>\n\n\n\n

Hoping for a better standard of care<\/span><\/h2>\n\n\n\n

When women are prescribed birth control as a cure without actually being cured, there are consequences. Feeling like no help is possible leads to hopelessness, and the experience of being sent away without answers can lead to feelings of isolation. Women may think, Am I the only person going through this? If millions of women had the same problem as me, surely there would be a better solution by now<\/em>. Or maybe there\u2019s just something wrong with me, and I can\u2019t handle the same pain everyone else feels<\/em>. Birth control as a catch-all solution erodes faith in medicine, silences suffering, and facilitates a societal pattern of not taking women seriously.<\/p>\n\n\n\n

Birth control as a catch-all solution erodes faith in medicine, silences suffering, and facilitates a societal pattern of not taking women seriously.<\/p><\/blockquote><\/figure>\n\n\n\n

Fertility awareness and cycle charting don\u2019t just offer alternatives\u2014they offer knowledge. And knowledge is power: the power to name symptoms, to reject dismissal, and to demand better care. It\u2019s the first step in building a medical system that takes women seriously. <\/p>\n\n\n\n

<\/p>\n\n\n\n

Resources: <\/span><\/h4>\n\n\n\n[1] Fairweather D, Rose NR. Women and autoimmune diseases. Emerg Infect Dis. 2004 Nov;10(11):2005-11. doi: 10.3201\/eid1011.040367. PMID: 15550215; PMCID: PMC3328995.<\/p>\n\n\n\n[2] eClinicalMedicine. Gendered pain: a call for recognition and health equity. EClinicalMedicine. 2024 Mar 7;69:102558. doi: 10.1016\/j.eclinm.2024.102558. PMID: 38486682; PMCID: PMC10937548.<\/p>\n\n\n\n[3] Banco D, Chang J, Talmor N, Wadhera P, Mukhopadhyay A, Lu X, Dong S, Lu Y, Betensky RA, Blecker S, Safdar B, Reynolds HR. Sex and Race Differences in the Evaluation and Treatment of Young Adults Presenting to the Emergency Department With Chest Pain. J Am Heart Assoc. 2022 May 17;11(10):e024199. doi: 10.1161\/JAHA.121.024199. Epub 2022 May 4. PMID: 35506534; PMCID: PMC9238573.<\/p>\n\n\n\n[4] Endometriosis and Disability: Analysis of Federal Court Appeals of Social Security Disability Insurance and Supplemental Security Income Claims by Individuals Suffering From Endometriosis Cromeens, Martha Grace et al. Women’s Health Issues, Volume 34, Issue 3, 221 – 231<\/p>\n","protected":false},"excerpt":{"rendered":"\u0417\u0430 \u044d\u0442\u043e \u0440\u0430\u0441\u043f\u043b\u0430\u0447\u0438\u0432\u0430\u044e\u0442\u0441\u044f \u0436\u0435\u043d\u0449\u0438\u043d\u044b.","protected":false},"author":98,"featured_media":23242,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_kad_blocks_custom_css":"","_kad_blocks_head_custom_js":"","_kad_blocks_body_custom_js":"","_kad_blocks_footer_custom_js":"","csco_singular_sidebar":"","csco_page_header_type":"","csco_page_load_nextpost":"","csco_post_video_location":[],"csco_post_video_url":"","csco_post_video_bg_start_time":0,"csco_post_video_bg_end_time":0,"footnotes":""},"categories":[5260,5181],"tags":[4342,6496],"class_list":{"0":"post-23239","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-general-health-risks","8":"category-reproductive-and-menstrual-disorders","9":"tag-birth-control","10":"tag-gynecology","11":"cs-entry","12":"cs-video-wrap"},"acf":[],"yoast_head":"\nDoes birth control help with cramps and other issues? - Natural Womanhood<\/title>\n<meta name=\"description\" content=\"Birth control is often the only tool offered to help with cramps and other issues. 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