Summary:

The text explores the experiences of a nurse practitioner in an inner city OB-GYN (Obstetrics & Gynecology) clinic and four of her women patients, from a fifteen-year-old homeless pregnant child to a mature woman struggling with cancer. Another of her patients is pregnant and drug addicted; a fourth suffers from pains that come from buried memories of sexual abuse. The stories of all four patients weave in and out of the narrator's own stories about herself, her own health and illness experiences, her own respectful appreciation of the female body.

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This is a wonderful compendium of women’s writings on menopause with mixed genres: poetry, short fiction, essay. Many contributors are well known (Ursula K. LeGuin, Marge Piercy, Lucille Clifton); many are unknown and unpublished. Section heads include "The M Word," "These Fevered Days," "Sweet Insanity," "Pandora’s Box," "Meeting the Tiger," "Indian Summer," and "Journey of Transformation."

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Forty-something, a surgeon’s wife, Mrs. Sheila Redden of Ireland arrives in Paris en route to the south of France for a second honeymoon. She has booked the same hotel room as the first honeymoon. Her husband, Kevin, is delayed by his surgical obligations, and promises to join her, but she knows that he is not keen on the trip.

While in Paris she meets Tom, an American at least ten years younger who follows her to the south. They begin a love affair that overwhelms her with its emotional and sexual power. Kevin stays home, at her urging, but he becomes suspicious and uses a fake illness in their teenage son in an attempt to lure her back. Then he flies to the resort to confront her. His brutal manner convinces Sheila to leave him.

Tom wants her to return with him to Vermont. She consults a priest for advice. In desperation Kevin appeals to Sheila’s brother, also a physician. They medicalize her love for Tom as a symptom of early menopause and try to bring her home. Allowing Tom (and the reader) to believe she will go with him, she finally decides for a job in London and solitude in modest rented rooms.

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The italicized sentence under the title of this New Yorker essay summarizes it well: "Wanted: Highly accomplished young women willing to undergo risky, painful medical procedure for very large sums." Mead traces the phenomenon of women selling their eggs through the experience of Cindy Schiller, a 26-year-old law student who was "donating" her eggs for the third time.

In addition to Schiller's observations, the article is full of information about the clinical dimensions of egg donation--the donor shuts down her ovaries so that none of her eggs ripen and none of her follicles develop, followed by injections of follicle-stimulating hormones, followed by eggs that are "sucked out, one by one," and whisked away to be fertilized in a petri dish. Most of the article addresses the legal and ethical dimensions of egg donation, the hopes and expectations of those seeking donors, and the new-found marketing strategies of the American fertility industry.

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Among animals only humans have difficulty giving birth. While other primates deliver their babies with little fuss, women experience painful labor and childbirth. The explanation for this discrepancy lies in the size of the human head at birth. As hominids evolved ever larger and larger brains, the fetal head had to increase in size at birth. Eventually the head almost outstripped the female pelvis's ability to expand enough to allow it through the birth canal. This delicate balance between fetus and pelvis accounts for human fetal and maternal morbidity and mortality.

As a response to the growing threat of childbirth, human females evolved away from estrus (i.e. sexual receptivity only when ovulating) to the menstrual cycle and continuous sexual receptivity. The mysterious moon-related cycle led women to formulate the concept of "time" and make the connection between sex and pregnancy. It also allowed them to refuse sex when they were ovulating.

Women then taught time consciousness to men, and men used their growing self-consciousness to begin to establish control over nature (and women). The sense of being-in-time led inevitably to awareness of mortality. This, in turn, stimulated humans to create gods and religion in order to ward off death anxiety.

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Martin Nanther is a member of the British House of Lords, having inherited his title from his great-grandfather, Henry. Physician to Queen Victoria, Henry specialized in hemophilia, the disease that Her Majesty was known to have passed to her son, Leopold, and other descendants. While the House of Lords considers a Bill to abolish hereditary peerage and Martin's much younger, second wife is obsessed with becoming pregnant, he escapes into his slow research for a biography of Henry

His patient genealogical investigations uncover deaths in infancy of several young boys in his own family, and Martin soon realizes that hemophilia (rather than the family's legendary tuberculosis) is the cause. Was that irony merely a coincidence? Or was hemophilia in his own lineage the impetus for his grandfather's research and position in life? And why was the disease hushed? Was it possible that his grandfather deliberately sought a bride with the trait in order to investigate it in his own progeny?

Martin soon finds himself wondering if this well-respected, medical man actually committed murder, or was he merely waylaid by unexpected love? Without giving too much away, suffice it to say that the answers prove so surprising and so disturbing, that Martin decides to abandon the biography of his ancestor, even as he learns that his inherited peerage has been revoked and that his next child will soon be born.

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Wordsworth describes his respect for an elderly female friend. Her wrinkles, grey hair, white cheeks, and bent head bring to mind a snowdrop. Like her, the delicate flower that blossoms on snow-covered mountains is a child of winter that prompts thoughts of gentle demise. Aging and death are compared to the moon growing brighter as night grows darker. Old age refines people into something more pure and exquisite.

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The narrative voice of this short poem familiarizes her period, giving it life affectionately as "girl," but a girl who never appeared without trouble, "splendid in your red dress." Yet even with the trouble (pain? unexpected appearances?), she now thinks differently as the "girl" begins to leave. The voice calls forth images of huddled grandmothers who, after the "hussy has gone," sit holding her picture, sighing, "wasn't she beautiful?" The poem expresses the ambivalence many women feel toward menstruation--the lived experience of pain, bloating, and inconvenience, contrasted with its earthy, rich, symbolic nature.

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In this simple 21 line poem, the writer speaks to her uterus, which has served her well throughout life, "patient / as a sock." Now, they want to cut it out. Where, the writer asks, where can I go without you? And "where can you go / without me"?

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In this short essay on the status of post-menopausal women, Le Guin examines the special status of older, experienced women who have lived through the trials and tribulations of the advent of sexuality, childbearing, and the end of the reproductive period. The author speaks to the special knowledge and wisdom acquired through these experiences and finally suggests that the most telling and viable representative of the human race on earth is the crone, who has known so much of what it means to be human. Le Guin would nominate such a crone for the space venture to the fourth planet of Altair in order to help the Altairians to "learn from an exemplary person the nature of the race."

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