A WOMAN AND HER DOCTOR, THE NEW PARTNERSHIP
Women can be their own health protectors without suffering through life-threatening scares like the one Karen survived, but with knowledge. It's time to remove the blinders from both sides of this partnership. Women are no longer Victorian maidens and doctors don't have to examine them under covers anymore. It isn't necessary for gynecologists to be as remote as historian Carl N. Degler, author of Af Odds, tells us they were in the 1800s: "Most physicians, throughout the nineteenth century, in order to avoid any charges of impropriety, bent over backwards not to appear too familiar. As a result, lights were dim during the examination, and the examination and delivery were by touch only; if instruments were used they had to be manipulated under covers! One male writer even pointed out proudly, in justification of modesty, that one of the greatest male obstetricians had been blind!" Dr. Fielding, with his impaired mental vision, acted like a man of the last century.
You probably won't find any blind obstetricians in delivery rooms today, but you may run into a lack of communication between a woman and her doctor, and that in itself is a kind of blindness that leading physicians are trying to cure. The best doctors are now realizing that they can only give women the most complete medical care if women are well-informed. A smart doctor won't automatically fit a woman with an IUD if she wants birth control; instead he'll explain all the different forms of contraception and together, they'll decide what suits her needs. An informed woman will want to feel in control of her body, will take time to listen to the latest findings, and will become one half of a better health collaboration.
Of course, the idea of a woman's having a command of herself is relatively new in America. When a woman talked about taking "control of her body" in the nineteenth century, she meant that she said "no" to her husband once in a while when he wanted sexual intimacy and she didn't. In older, European societies, women were bolder sooner. They were more conscious of their sexual options, the intricacies of their bodies, and their health. Openness between a woman and her doctor happened many years ago. In fact, not just women, but men and women were encouraged to learn more about medicine from their European doctors.
During the first half of this century, birth-control-champion Margaret Sanger let people know that sexual pleasure and procreation could be separated, and American men and women began to grasp their physical choices. The women's movement, which began in the late sixties, spawned important books like Our Bodies, Ourselves in the early seventies, and women began to understand their right to be outspoken. They also enjoyed a deeper comprehension of their bodies and their power. But equality in the doctor's office still hadn't happened.
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Women's Health
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GETTING PREGNANT: CERVICAL MUCUS
Cervical mucus is a secretion triggered by the hormone estrogen. It's important for conception because it keeps sperm alive, protecting them from vaginal acidity and carrying them to the fallopian tube for fertilization with an egg.
During a menstrual cycle the ovaries produce varying amounts of estrogen, so cervical mucus ranges in amount, consistency, color, and fertile quality. The changes in mucus usually follow this pattern:
Infertile
Dry or Light Moisture
For three to five days after menstruation, a small amount of mucus (if any) appears. It's clear or slightly white, and it dries immediately when touched. Overall, you feel dry.
Sticky or Gummy
During the following two to three days, the mucus feels sticky and it resists a little or crumbles when rubbed between your fingertips. Its color ranges from clear to white. You still feel dry.
Fertile
Creamy, Milky, Lotion-like
During the next two to four days, more mucus appears, and it's wet. It may look thick and creamy or like lotion. It may form peaks on your fingertips when pulled apart, or it may be thinner and milky. It's white or yellow. You feel wet.
Egg White-lute
For the next one to five days, the mucus looks and feels like egg white. It's slippery and very stretchy. It's clear or iridescent. You feel extremely wet and are approaching ovulation.
Infertile
Dry, Moist, or Sticky
At this time, a drop in estrogen and a surge of progesterone following ovulation change the mucus. It can be dry, moist, or sticky and remains so until you menstruate and the pattern begins again. Any mucus dries quickly when it's touched. Its color ranges from clear to white. You feel dry.
Charting your cervical mucus for a few months helps you recognize your body's patterns and determine when you're about to ovulate.
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WOMENS HEALTH
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