Summary:

The conflicting experiences of puberty for girls is the subject of this poem. A girl's bodily self awareness coincides with society's devaluation of a girl's sexuality. The conflicts between innocence, dirtiness, sexuality, and learning "to love yourself again" constitute the complexity of coming of age for young women.

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The narrator of this poem describes all the kinds of things that disrupt your life when you experience PMS (premenstrual syndrome): impatience, dissatisfaction, irritability, temper, feeling overwhelmed. You notice that others avoid you, your doctor tries to treat your symptoms, and everyone sympathizes with those around you for how difficult you are making their lives. In the end, though, how does a woman know that her PMS-related perceptions aren’t really the accurate ones, that her temporary unhappiness isn’t really justified, or that her everyday comforts aren’t illusions?

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Fausto-Sterling is a biologist who challenges various experiments meant to prove the biological bases of sexual difference. The first chapter is a brief introduction describing the interdependence of modern social structure and biology. Chapter Two is called "A Question of Genius: Are Men Really Smarter Than Women?" She is partly concerned here with arguments that women are simply less intelligent than men. More interestingly, she takes on scientists who claim that women have a different sort of intelligence than men (more verbal than visual or spatial). Such claims, argues Fausto-Sterling, simply provide a rationale for sexism in education and employment. Fausto-Sterling questions both the techniques used in the experiments meant to prove these differences and the scientists' objectivity.

Chapter Three, "Of Genes and Gender," similarly critiques theories that suggest humans are totally controlled by genetic information. Particularly, she argues that the binary genetic sex model under which biology works is not nearly as obvious or secure as it seems. The author also points out that studies of "sexual development" are almost always about men. This chapter contains discussions of medical views of menstruation and menopause. The author ridicules positions that see menstruation as a disease or sick-time.

Chapter Four moves the discussion to testosterone, arguing against the equation of testosterone with aggressivity and natural superiority. Chapter Six takes on socio-biology.

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Narrated in the style of an "advice" manual, this is the chronicle of a woman who undergoes a hysterectomy and removal of her ovaries. The tone is sardonic. The story begins with the office visit in which the doctor delivers the news and reassures her that she is too "intelligent and sophisticated" to associate her womanhood with her reproductive organs. The physician attempts to persuade the narrator to have her ovaries removed--preventive medicine against the possibility of ovarian cancer--and she finally agrees while groggy from pre-operative anaesthesia. Nothing has prepared her for the emotional and physical lability she experiences after surgery. Even her sexual relationship with her husband is changed.

As she returns for post-operative check-ups, she becomes increasingly conscious of the indignities of the office visit and physical examination: "it strikes [her] that this maximum-efficiency set-up [three cubicles with naked, waiting women] might serve equally well for a brothel and perhaps already does." She feels that she has made a terrible mistake in allowing the doctor to have talked her into anything and that as a male, "there is nothing he can tell you about how you feel, for the simple reason that he does not know."

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The setting is Germany in the late 1920s. Rosalie, the central character, is a "sociable," cheerful 50 year old widow who lives with her adult unmarried daughter and her adolescent son. Her manner is youthful but "her health had been affected by certain critical organic phenomena of her time of life." Rosalie is keenly aware of all that menopause implies: the loss of sexual allure and of a (biologic) purpose in life. She feels "superannuated."

Along comes a young man, well-built, who is the American-born tutor for her son. She is overwhelmed by physical attraction for him, becoming infatuated, much to the disapproval of her repressed, cerebral daughter. She feels young and attractive once more, believing that her heightened state of sensuality has resulted in the resumption of what appears to be menstrual bleeding.

Planning to declare her love to the tutor, Rosalie arranges a family excursion to the Rhine castle where the black swans swim. In the decaying alcoves of the castle, she does so; the pair will rendezvous that night. The rendezvous never takes place; Rosalie has hemorrhaged. She is found to have a large, metastatic uterine tumor.

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For forty years, James Langstaff (1825-1889) practiced medicine in a small town near Toronto. He witnessed the advent of anesthesia, antisepsis, new drug remedies, germ theory, and public health. Chapters are devoted to his management of surgery, obstetrics, and diseases, especially in women and children, his finances, and his role and that of his suffragist wife in the political and social fabric of their community. A reformer and temperance advocate, Langstaff was quick to adopt medical innovations, but slow to abandon familiar practices.

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What occurs when a young woman begins to menstruate and has had no preparation for it by her mother or anyone else? Toni Cade Bambara's fictive account illustrates how a normal event in the female life cycle is transformed by an uninformed child into a terrifying event. Rae Ann, whose mother died years ago, has been raised by her strict grandmother, a woman not inclined to talk about matters relating to sex.

While such ignorance seems unlikely in today's television society, the poignant and compelling story provides a useful introduction to discussion about crucial questions associated with growth and development and family behavior. Especially strong is Bambara's graphic portrayal of the physicality of menstruation and how an unprepared adolescent might respond; every female reader winces with understanding for behavior that is both humorous and full of pathos.

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