Blog of the Society for Menstrual Cycle Research

#EndometriosisAwarenessMonth: Weekend Links #1

March 5th, 2016 by Laura Wershler
Photo courtesy of Heather Guidone

Photo courtesy of Heather Guidone

Worldwide, and here at re:Cycling, March is #EndometriosisAwarenessMonth. To increase your knowledge of this insidious disease, read through this series of articles and personal stories, briefly quoted here, that were published by The Guardian last September.

 

Sep. 27, 2015, The GuardianWhat is endometriosis guide

Endometriosis is a condition in which tissue similar to the lining of the uterus (the endometrium) is found outside the uterus, most commonly in the pelvic cavity.

It can grow on organs including the ovaries, uterus, bowel and pelvic sidewall, causing inflammation and pain.

 

Sep. 27, 2015, Gabrielle Jackson, The Guardian, Endometriosis: 20 things every woman (and every doctor) should know

11. 
Endometriosis affects the immune system but it isn’t an autoimmune disease.

12. 
The severity of endometriosis doesn’t necessarily correlate with the amount of pain or other symptoms a women has.

 

Sep. 27, 2015, Gabrielle Jackson, The GuardianI’m not a hypochondriac. I have a disease. All these things that are wrong with me are real, they are endometriosis

I feel sad that this is the hardest story I’ve ever written and that I’m embarrassed that people will read it and know the intimate details of my life. But I’m also hopeful that a conversation has begun.

 

Sep. 27, 2015, Sarah Boseley, Jessica Glenza and Helen Davidson, The Guardian, Endometriosis: the hidden suffering of millions of women revealed

The lack of research and funding for a disease that affects so many women is “a major scandal”, said Lone Hummelshoj, who heads the World Endometriosis Research Foundation and the World Endometriosis Society. 

“Endometriosis affects women in the prime of their life. It is not a lifestyle disease. It is not a disease you get later in life. It attacks teens, young women when they should be out being active, working, having children, having sex – 50% of them are struggling with sex because it is too painful,” she said.

 

Sep.28, 2015,  The Guardian view on endometriosis: a silent source of unnecessary misery–Editorial

A disease that affects one in 10 women of childbearing age, that forces young girls to take days off school, older women to abandon careers and condemns others to childlessness should not be near-invisible. And yet endometriosis is rarely discussed, and when it is, it is often obscured by myths suggesting that women themselves are in some way to blame. Many are ashamed to admit to suffering, and often doctors seem ill-prepared to diagnose and treat the disease. It is a secret plague; yet it could afflict as many as 176 million women around the world.

 

Sep. 28, 2015, Hilary Mantel, The GuardianEndometriosis took my fertility, and part of my self

My own battle with the disorder seems to have occupied most of my life. Period pains were normal, I was told, and if I seemed to suffer more than most, it must be because I had a “low pain threshold”. At 19, I began actively seeking a diagnosis. I was 27 when I received it, and by that stage, major surgery was the only answer. Abruptly I lost my fertility and, in some ways, lost myself. Though I was told I was cured, the condition recurred, and drug treatment led to huge weight gain. Thyroid failure followed and the devastating chain of consequences pursues me to this day. Anything I have achieved has been in the teeth of the disease.

 

Sep. 28, 2015, The Guardian, ‘The pain is paralysing’: 30 women describe living with endometriosis

I’m a gynaecologist and I didn’t want to accept that I had it

It’s treated like some shameful secret

Endometriosis is ruining my marriage

Doctors who know how to treat it are few and far between

 

Sep. 28, 2015, Jessica Glenza, The GuardianEndometriosis often ignored as millions of American women suffer

Many patients and specialists contend that the lack of research funding and public knowledge of endometriosis is because of who and what it impacts: almost exclusively women, largely during menstruation. 

“I went 10 years, through 22 surgeries, before I got help,” said Heather C Guidone, the surgical program director at the Center for Endometriosis Care in Atlanta. Through those 10 years, and since hearing the stories of other patients, she said doctors often tell women, “‘Periods are supposed to hurt. It’s a woman’s lot in life to suffer.’”

 

Heavy media menstrual flow

February 16th, 2016 by David Linton

It seems we’ve reached a tipping point, as Malcolm Gladwell would put it, or perhaps a paradigm shift, as Thomas Kuhn might say, in the level of acceptance of menstrual cycle references in mainstream media. As re:Cycling demonstrated recently in the time line of coverage of the de-tax the period campaign that is ongoing around the world, there is an abundance of material on this topic alone.

Now, to add to the accumulation, consider another four references within a few days of each other in two major publications, The New York Times and New York magazine.

Jan. 25-Feb. 7, 2016, Rebecca Traister, New York Magazine, Smirking in the Boys’ Room

In an interview-based article about her new show, Full Frontal With Samantha Bee, the soon-to-be-late-night host casually mentioned that the stress of putting together the show had made her stop getting her period, “I guess I’m doing a good job of pushing the terror onto my innards.” This was in the context of the fact that she will be the first female host of a late-night comedy show.

Feb.8, 2016, Editorial, The New York Times, p. A-24, End the Tampon Tax

The editorial page of the most august newspaper in the U.S. took a position on the taxation debate under the headline “End the Tampon Tax.” The piece reviewed the history of the campaign with emphasis on the efforts of two members of the California State Assembly and cited President Obama’s support.  It then went on to endorse efforts in New York City to provide free tampons and pads in the schools and closed with the statement, “Getting rid of taxes on these products is an important first step toward making them affordable for all.”

Thinx_2016-02-15Feb. 8-21, 2016, Noreen Malone, New York Magazine, p.70, Panty Raid

The magazine gave six full pages of coverage to the controversy surrounding the advertising campaign for Think period underwear, including a full page picture of the company’s head, Miki Agrawal, modeling a pair of her Thinx Hi-Waist items.  The fuss surrounding the ads concerned whether it was acceptable to the advertising guidelines of the transportation agency to include mention of the period in ads carried on the trains and in the stations.  The restrictive response of the authorities was a boon to the company, as the lengthy coverage here and elsewhere in the New York media environment demonstrated.

Feb. 14 2016, Sharon Mesmer, The New York Times-Sunday Review, p.10, All Praise the Women of Menopause

The Sunday Times receives broader distribution and attention than the daily issues and is read widely read around the world, so it is noteworthy that nearly half a page was given to Sharon Mesmer’s essay. The piece takes a playful look at the fact that there are plenty of special rituals and ways of celebrating when girls begin to menstruate but nothing for women when they transition to becoming non-menstruators. Mesmer suggests some celebratory actions that might be taken, and though they are exaggerated and humorous, she makes an important point about how menopause is still a closeted phenomenon.

Clearly, we are likely to see more and more menstrual stories in the coming months.  And with all the attention being given to the fact that women are increasingly visible in the political area, it’s likely to be a mixed batch.

David Linton is an Emeritus Professor at Marymount Manhattan College. He is also Editor of the SMCR Newsletter and a member of the re: Cycling editorial board. His research focus is on media representations of the menstrual cycle as well as how women and men relate to one another around the presence of menstruation.

Donald Trump wasn’t the first to get in trouble over menstrual talk

December 10th, 2015 by David Linton

Much has been made of Donald Trump’s snarky remark about how the journalist Megan Kelly spoke to him at the Republican candidates’ debate on Aug. 6, 2015. And the news is dominated by stories about how social media are reshaping every aspect of our lives, not to mention the proliferation of web sites of various kinds that explore various aspects of the menstrual cycle and promote new and well-established products.

Nearly five years ago re:Cycling reported the story of how media hacking and news coverage converged in such a way as to besmirch the reputation of one of the most highly placed members of the British Monarchy–Charles, Prince of Wales–by disclosing a casual reference he made to a menstrual product. As we explore menstrual media references this month, it seems worthwhile to take another look at this story, originally published on this blog on Aug. 29, 2011:

Menstruation, Prince Charles and The Biggest Hacking Scandal

charles_tamponIn light of the recent scandals over the phone and email hacking practices of Rupert Murdoch’s newspaper editors and reporters it is surprising that there has been so little mention of the fact that the most scandalous, damaging and far reaching hacking story associated with Murdoch centered on menstruation.  The only thorough review of the links between the current story and the earlier one appears in a detailed piece in The Sun-Herald from Sydney, Australia, July 31, 2011.

I have previously written about the incident here and elsewhere, but in light of the current coverage it deserves a fresh look.

In brief: in 1989, a time before either cell phones or email were commonly available (hard to believe there was such a time!), a phone hacker recorded a phone sex exchange between Prince Charles and his then-lover, Camilla Parker-Bowles in which erotic mention was made of tampons.  Three years later the full transcript of the conversation was published in an Australian women’s magazine, New Idea, and a world-wide scandal ensued.

Now, nearly 20 years after the story broke, it is about to come back into play as further investigations proceed into the illegal hacking activities of the Murdoch media empire.  Perhaps we will finally learn how much was paid for a menstrual story that humiliated the Royal Family, who the hackers were, and who authorized its purchase and publication.

And, from a Menstrual Studies point of view, its longevity reflects the deep fascination that the menstrual cycle continues to hold for the general public.

David Linton is an Emeritus Professor at Marymount Manhattan College. He is also Editor of the SMCR Newsletter and a member of the re: Cycling editorial board. His research focus is on media representations of the menstrual cycle as well as how women and men relate to one another around the presence of menstruation.

Symptoms are Demeaning….and Feminine?

January 31st, 2014 by Heather Dillaway

According to a recent piece in The Times, a reputable English newspaper, symptoms are demeaning AND feminine. More specifically, the article reports on the prostate cancer experiences of Sir Michael Parkinson, or “Parky,” a famous British talkshow host. Parkinson reveals his harrowing experience of getting prostate cancer treatment and its “grueling” side-effects. While the treatments worked, they apparently produced menopause-like symptoms (hot flushes and weight gain) that reminded him of “how women feel when they are going through menopause.” Parkinson is quoted directly as saying, “In a sense you become a woman. I’m getting fitted for a bra next week!” The reporter goes on to say “he’s joking but he’s also deadly serious.” The “menopausal” symptoms that Parkinson had during his prostate cancer treatments are also described as “demeaning” in the same paragraph.

Parkinson is a major public figure in the UK, with significant media influence. I’m certain that this article was read by many as a result, and it makes me wonder about the far-reaching impact of the negative characterizations made about both women and bodily symptoms in this article. When I read this article, I find the equation of symptoms and femininity problematic, for lots of health conditions that produce bodily changes and sensations are not only experienced by women. Experiencing a hot flush or hot flash, while often attributed to menopause, is not menopause-specific all of the time. You can have hot flushes from exercising hard, from the flu, from medications that treat a range of diseases, or when you’re embarrassed. You can have weight gain at midlife (or any time of life for that matter) for a variety of reasons unrelated to menopause. Both the equation of women with symptoms and the definitions of symptoms as negative and “demeaning” show exactly how little progress we have made in eradicating gendered ideologies that harm us. Women are equated with their bodies and seen as lesser than men because of this equation. Men are supposed to be able to rise above their bodily functions, signs, and symptoms and live the life of the mind. Thus, when men experience a symptom they must rid themselves of it because, oh, the horror, they might be “like women” if they have to pay attention to their bodies at all. Research studies show quite often that women are ignored by doctors when they report a long list of symptoms and are not given the treatments they need to ease those symptoms as much as men are, because doctors learn to assume that women are just overreacting. Symptoms are not real if reported by women, studies suggest. Yet, when men experience symptoms and report them they are treated for them more often, especially when they report things such as pain. I interviewed a woman once who told me that “symptoms are always negative” and I wonder if that is partially because of the equation of symptoms with femininity and women’s bodies.

I am certain that it was difficult for Parkinson to undergo treatments for his prostate cancer. I also know that hot flushes and weight gain are never comfortable for people, especially when they seem uncontrollable. BUT, when we go on to support the characterization of symptoms as “what women feel” and then in the next breath say that those symptoms are “demeaning,” we head right into reifying gender ideologies that harm every single one of us. Men should be able to notice changes in their bodies without feeling “feminine.” We should recognize bodily symptoms as part of both health and illness that everyone experiences. And women should not have to be defined only by the fact that they go through certain reproductive transitions that include symptoms. I know Parkinson is perhaps from a generation that might still be holding tightly to gender ideologies that do not make much sense for the contemporary world, but I hold the reporter responsible for some of the characterizations made in this article, too. It is 2014, and aren’t we supposed to be more progressive than this? Because you experience a hot flush you should be fitted for a bra? In the YouTube video that appears along with this post, Parkinson himself admits “men are silly about their health.” I’ll say. But comments reported in the recent Times article go way past being silly.

Etiquette for menstruation

November 19th, 2013 by Holly Grigg-Spall

Photo courtesy of sweeteningthepill.com

Recently I was fortunate enough to be asked to lend an excerpt of my recently released book to the UK Sunday Times Style magazine. The mostly fashion-centric Style magazine is not really known for its edginess or risk-taking (except perhaps in the realm of shoe and make-up choices) and so I was happily surprised when the editor told me that the subject matter discussed in my book that she happened to find most interesting was, in fact, menstruation. I had expected her to want to focus on condoms perhaps, or just my personal story, but no, she was keenly interested in what I wrote about periods.

The argument I make in my book is that how we feel about hormonal birth control is inextricably linked to how we feel about menstruation. In a sense, many of the newer methods of hormonal birth control, as well as the newer uses (running packets of pills together, prescriptions for cramps or heavy bleeding) show an effort to get rid of the period completely, rather than just hide it away. I also discuss in the book, briefly, menstruation activism. However, I do defer to the far better work done by the likes of SMCR’s own Chris Bobel who writes on this topic with far more knowledge (not to mention wit).

You can read the feature in full here at my website (it’s otherwise behind an online pay wall and frankly I’m pleased to rob Rupert Murdoch of a few pounds by making it freely available).

In the end, the feature was not exactly an excerpt from my book – more so it was quotes from the book mixed with quotes from a long interview with the editor. Therefore I didn’t quite know what would be published in the magazine. The finished piece covered a range of controversial topics seen here at re:Cycling regularly – menstrual outing, reusable femcare products, the potential health benefits of ovulation…

If the high point of my career was getting the word “patriarchy” into the notoriously right-wing British tabloid The Daily Mail, I think I had another peak seeing this sentence in the Style (notorious for its high priced designer fashion spreads) – “This movement believes the act of stopping and hiding our periods with hormonal contraceptives and sanitary products is a mark of corporate ownership of our bodies.” I take great pride in also getting a discussion of menstrual extraction on to Style’s pages, and therefore onto the breakfast table of approximately one million British people – “an entire period’s worth of menstrual blood could be removed in a few hours instead of being experienced over days.” Well, if we can have Page 3, why not menstrual extraction?

The editor who did such a great job on this piece was Fleur Britten and in a funny twist of fate I realized, during our conversations, that in my first full time working position after college, at the publishing company Debrett’s in London, I worked as a production assistant on one of her books – Etiquette for Girls. At that time controversy surrounded Fleur’s section on the proper etiquette for one-night stands (I think it was something about getting out quickly, quietly, but leaving a nice handwritten note). So, it made me smile to see her skewer the etiquette of menstruation in the opening paragraph of this piece: “Many women are bored with having to take a whole handbag into the ladies rather than carry a tampon in their hand. Men say “I’m going to take a dump,” but we don’t say, “I’m just going to change my tampon.””

When I was carrying the proofs of Fleur’s book to the printers back some seven years ago, little did I know we would be conspiring to get the British public to say “I am menstruating” today over tea and toast.

Is PMS Overblown? That’s What Research Shows

October 24th, 2012 by Elizabeth Kissling

If PMS is a myth, then what on earth can we blame for all the lady-rage?

Photo by Flickr user dearbarbie // CC 2.0

You may have seen the article in The Star or The Globe and Mail or The Atlantic about the recently published research review by a team of medical researchers who assert that “clear evidence for a specific premenstrual phase-related mood occurring in the general population is lacking.” Judging from the headlines and the online comments, this proposition is surprisingly controversial–probably because the headlines were frequently misleading, suggesting the findings are much broader than they are. Some online commenters are especially angry, insulting the intelligence and methods of the researchers, proclaiming that of course hormones affect moods, as does menstrual pain, citing examples of their own or their wives’ experience.

But Sarah Romans, MB, M.D.; Rose Clarkson, M.D.; Gillian Einstein, Ph.D.; Michele Petrovic, BSc and Donna Stewart, M.D., DPsych–the five medical scholars who reviewed all the extant studies of PMS based on prospective data–did not claim in the now-infamous Gender Medicine review study that PMS does not exist, or that hormones do not affect emotion or mood. The variety of research methods used in other studies prevented them from conducting a meta-analysis–a statistical technique that allows researchers to pool results of several studies, thus suggesting greater impact–so the authors instead looked at such study characteristics as sample size, whether the data was collected prospectively or retrospectively (that is, at the time of occurrence or recalled from memory), whether participants knew menstruation was the focus of the study and whether the study looked at only negative aspects of the menstrual cycle. Although their initial database searches yielded 646 research articles dealing with the menstrual cycle, PMS, emotions, mood and related keywords, only 47 studies met their criteria of daily prospective data collection for at least one full cycle.

When the authors scrutinized these studies, they found that, taken together, there is no basis for the widespread assumption in the U.S. that all (or even most) menstruating women experience PMS. In fact, only seven studies found “the classic premenstrual pattern” with negative mood symptoms experienced in the premenstrual phase only. Eighteen studies found no negative mood associations with any phase of the menstrual cycle at all, while another 18 found negative moods premenstrually and during another phase of the menstrual cycle. In other words, the symptoms these women experienced were not exclusively premenstrual, making the label inaccurate. Four other studies found negative moods only in the non-premenstrual phase of the cycle.

So let’s be fair, angry online commenters (and careless journalists): The researchers aren’t telling you menstrual pain is all in your head, or that your very real period pain won’t affect your mood. Sarah Romans did tell James Hamblin of The Atlantic,

The idea that any emotionality in women can be firstly attributed to their reproductive function—we’re skeptical about that.

Rightly so–feminists have been saying this for decades. Feminist critiques of PMS as a construct point to both the ever-increasing medicalization of women’s lives and the dismissal of women’s emotions, especially anger, by attributing them to biology.

Part of what makes PMS difficult to study, and difficult to talk about, is the multiple meanings of the term. In the research literature, there are more than 150 symptoms–ranging from psychological, cognitive and neurological to physical and behavioral–attributed to PMS. There is no medical or scientific consensus on its definition or its etiology, which also means there is no consensus on its treatment.

In everyday language, its meaning is even more amorphous. Some women and girls use PMS to mean any kind of menstrual pain or discomfort, as well as premenstrual moodiness. Some men and boys, as well as some girls and women, use it to diminish a woman’s or girl’s emotions when they disagree with her, or want to dismiss her opinions, or are embarrassed by her feelings.

Even researchers are influenced by entrenched cultural meanings. Romans and her colleagues observed that none of the 47 studies analyzed variability in positive mood changes, which they attribute to biases of the researchers. Many women have reported anecdotally that they feel more energetic, more inspired or other positive feelings during their premenstrual phase, but this is seldom studied or regarded as a “syndrome.” Romans and colleagues note that most measures of menstrual mood changes only assess negative changes, so even if positive changes are occurring, researchers are missing them. They also cite research indicating that both women and men tend to attribute negative experiences to the menstrual cycle, especially the premenstrual phase, and positive experiences during the premenstrual phase to external sources.

Romans and her colleagues do not deny the existence of menstrual pain, or even the existence of PMS. What their study shows is that very few women experience cyclic negative mood changes associated with the premenstrual phase of their ovulatory cycle. PMS is not widespread, and the authors are careful to distinguish it from premenstrual dysphoric disorder (PMDD), which is rarer still. As Gillian Einstein, one of the researchers, told the Toronto Star, “We have a menstrual cycle and we have moods, but they don’t necessarily correlate.” She did not add, but I will, that it it is unfair and unreasonable to assume that every woman’s moods should be attributed to her menstrual cycle and to refuse to take her feelings seriously.

Cross-posted at Ms. blog.

Some Online Articles on Menopause ARE Worth Reading!

October 13th, 2011 by Heather Dillaway

I get Google Alerts on “menopause” every Wednesday because it’s important that I know about the new bits of information popping up about the topic I research most. Most of the time, though, I’m frustrated with the discussion of menopause online and don’t pay attention much to the alerts I get. Yet, amidst the endless biomedical debates about whether soy or other supplements and alternative therapies reduce hot flashes, whether hormone therapies (HT) are risky, and whether or not a male menopause exists, there ARE a few important things to notice in the online menopause world. For instance, a short article called “True or False: Test your menopause smarts” at SunHerald.com (a news sources for the “Biloxi-Gulfport and South Mississippi” region) represents what I see as a fairly positive contribution to the online readings on women’s health and, more specifically, menopause. For instance, in reviewing menopause the author proposes that:

1.       There ARE variations in women’s experiences, and that these variations are normal!

2.      Too often we see menopause as primarily negative, when there are positive things about menopause. Or, at the very least, women might be likely to feel indifferent about menopause.

3.      The menopause transition (perimenopause) can be a long-term process, and the author acknowledges that it could last as long as a decade or more. Women probably need to know this from the start!

4.      Hot flashes are normal despite being frustrating, and that it is likely that you might experience them.

5.      Women might not feel one particular way about sex during menopause – and no matter whether you feel good or bad about sex during menopause it’s probably okay (unless you personally would like it to be different, in which case there are probably things you can do to change your situation).

6.      The U.S. does not represent the best model for how to go through menopause (at least this is what the author infers). In fact, women in other countries may fair much better as they go through menopause, for a variety of reasons that the author does not get into.

7.      Recent breakthroughs in medical science might make women who are worried about having children get a blood test to see how long they have until perimenopause sets in (see my earlier blog post about this blood test last year!). The way in which the author wrote up this part of their article suggests to me that they can see the pros and cons of this blood test, which I like.

Many of my blog posts represent a critique of information out there for menopausal women, but I thought it might be nice to highlight a positive contribution to the online literature on women’s health. Despite my minor critiques of this article (e.g., the word “suffer” appears frequently, and there is a huge focus on sex over other topics, etc.), I think women should read this article. Which leads me to my main point in writing this blog post: there ARE some good things out there about menopause. Anyone else find a good example of positive health information lately?  :-)

Dads, Daughters, and Menarche

September 29th, 2011 by Elizabeth Kissling

Oh, Mr. Dad! Is that the best you can do?

Mr. Dad is a syndicated parenting advice column in my local paper, and the September 26 edition featured a query from a dad worried that his 11-year-old daughter may begin menstruating while her mom is deployed overseas (she just left, and she’ll be gone for a year).

Mr. Dad’s first bit of advice is for the squeamish father to find an adult woman to talk to his daughter about puberty:

Your first assignment is to find an adult woman to run point. This could be a relative, friend, or even one of the female spouses whose husband is deployed with your wife’s unit. She’ll be able to walk your daughter through the basics and give you a list of supplies you’ll want to have on hand.

To his credit, Mr. Dad doesn’t let Nervous Dad off the hook, and does advise that he learn about female puberty “just in case things don’t go exactly according to plan”. But I’d rather see more dads embrace the possibility that they may well be the one their daughter turns to at menarche, like this dad.

Heck, they could even up being the helpful, available next-door neighbor in a time of need, like ol’ Hank Hill, in this video clip.

Menstruation, Prince Charles and The Biggest Hacking Scandal

August 29th, 2011 by David Linton

In light of the recent scandals over the phone and email hacking practices of Rupert Murdoch’s newspaper editors and reporters it is surprising that there has been so little mention of the fact that the most scandalous, damaging and far reaching hacking story associated with Murdoch centered on menstruation.  The only thorough review of the links between the current story and the earlier one appears in a detailed piece in The Sun-Herald from Sydney, Australia, July 31, 2011.

I have previously written about the incident here and elsewhere, but in light of the current coverage it deserves a fresh look.

In brief: in 1989, a time before either cell phones or email were commonly available (hard to believe there was such a time!), a phone hacker recorded a phone sex exchange between Prince Charles and his then-lover, Camilla Parker-Bowles in which erotic mention was made of tampons.  Three years later the full transcript of the conversation was published in an Australian women’s magazine, New Idea, and a world-wide scandal ensued.

Now, nearly 20 years after the story broke, it is about to come back into play as further investigations proceed into the illegal hacking activities of the Murdoch media empire.  Perhaps we will finally learn how much was paid for a menstrual story that humiliated the Royal Family, who the hackers were, and who authorized its purchase and publication.

And, from a Menstrual Studies point of view, its longevity reflects the deep fascination that the menstrual cycle continues to hold for the general public.

Menopause in the funny pages

January 6th, 2011 by Elizabeth Kissling

Widely distributed U.S. comic strip “Zits” — the ongoing story of the life and times of 16-year-old Jeremy Duncan — began a storyline about menopause this week. Apparently, Jeremy’s mom has begun experiencing signs of perimenopause. So far, it’s not awful. The humor is based on the unpredictability of hot flashes and Jeremy’s apparent embarrassment at seeing his mother spontaneously remove her blouse.

© 2011 ZITS Partnership

© 2011 ZITS Partnership

It’s open to interpretation, of course, but so far (see yesterday’s strip), it seems to me that we’re invited to laugh at how easily the teenage boy is embarrassed, and to sympathize with the menopausal woman.

Readers should note that statements published in re: Cycling are those of individual authors and do not necessarily reflect the positions of the Society as a whole.