I'm going to talk about my period. I may use words like gynecologist, uterus, or ovaries. As a woman, these are all routine things I deal with that I'm not allowed to talk about. TMI the world tells me. I'm over it. The more I see and experience of the world, the more I think it needs to know. My grandmother is fainting up in heaven. Or at least giving me her hard, disapproving stare with pursed lips.
In 2016, I was diagnosed with Premenstrual Dysphoric Disorder or PMDD. It started when I was crossing the street to my car after work one day. Not quite a hallucination, but also not just my imagination. I saw a car hit me in the cross walk and all the graphic details of my injuries. It hadn't actually happened. I crossed the street safely, stopped to shake my head and slow my pulse and then continued home wondering what on earth had just happened. About a week later, in the shower, I glanced at my razor and before I knew what was happening I saw it in my hand while I cut my wrists. I wasn't actually holding my razor or cutting my wrists. Concern began to form about my overactive imagination and why it had turned so violent. The tipping point came a few days later. I woke up to a perfectly normal day with a persistant, never fading urge in my head to go get my razor and follow through. It was oppressive. Like an intruder in my brain trying to drown out the part of me screaming not to do it. I had a devil and an angel warring from each shoulder. I went to work and a few hours later, while washing my hands in the bathroom I had an even more graphic vision of my wrists, cut and pouring blood into the sink in front of me. I walked back to my office, willing myself to take deep breaths and call my therapist. I was sitting in her office within the hour. The next morning my primary care physician returned my call saying to stop whatever I was doing and drive to his office. I did. So began two, maybe three of the worst months of my life. No one could tell me exactly what was happening. My anxiety medication was switched twice. I started seeing a psychiatrist who never really listened to me and just kept raising my doses. I saw an optometrist who told me to get off all depression and anxiety medication. No one had real answers. I was never alone at my own request. I slept on my parent's couch. My dad drove me to work in the morning and picked me up at 5. I vividly remember Labor Day. Dad was running errands and I was in the car feeling the very worst I'd felt. I had called the psychiatrist on call that morning and he had told me I would be fine and to come in after the holiday. We ate Sonic for lunch and when I finished I asked Dad to take me to the ER an put me under a psych hold. I'll never forget the pain he reflected back at me. He asked the whole way if I was sure. He didn't think that was the solution but he didn't know what else to do either. I was so scared of what my head was telling me to do and so tired of fighting against it. Halfway to the hospital it was as if a switch flipped. I still felt terrible, but the intensity stopped. The oppressiveness began to subside. I could almost come up for air. I told Dad to go home and I've never seen him make a u-turn so fast.
So what happened? When I got home I realized my period had just started. The lightbulb went off in my head. I opened up a period tracker I'd been using on my phone. For the past several months I was pretty sure that based on some recent mood swings I could identify within about 5 minutes or so exactly when I started ovulating. The tracker had confirmed this. I had always had heavy, painful periods with bad PMS I inherited from my mother and her mother so I saw this as curious rather than completely abnormal. As I scrolled through the data I had logged on my phone I saw another pattern. The worst of my suicidal thoughts and visions were starting two weeks before my period and were less intense the two weeks after it started. After explaining all this to the nurse at my OBGYN, the doctor walked in, sat down, and said "Laura, you have PMDD. I'm going to put you on birth control and you can't say no this time." I had always resisted because I hated the pill when I was on it briefly in college to try and control my periods. My OBGYN explained that for reasons still unknown to the medical community, my reproductive system was overdosing me on estrogen, which effected my brain chemistry and caused all the symptoms I was experiencing. My period was actually trying to kill me. In addition to being generally out of control. I continued to ask why questions to which the response was "There's very little research and we don't know." I turned to the internet where I found fewer answers and a support group for other women, some of which had hysterectomies when nothing else worked and still live with symptoms. I was one of the lucky ones. After a few unsuccessful tries with pills, I ended up on the birth control shot which essentially counteracts the estrogen overdose with a huge dose of progesterone. It effectively shuts down my reproductive system. Not at all ideal. But I survive outside of a padded room.
Statistics say that 1 in 20 women deal with PMDD in one way or another, however, most doctors think the numbers are actually higher. There are many women who do not even feel comfortable discussing symptoms with their doctor and are undiagnosed. They don't know what causes it, but it seems to be more prevalent in women with a family history of heavy periods and/or pre-existing mental illness such as anxiety or depression. I can check both of those boxes. The BBC says that while most women can manage symptoms 5-8% of cases in the UK have been fatal. The broad range of symptoms and responses to treatment make it particularly hard to figure out and there is very little money to fund additional research. As a result, much of what is currently known about PMDD is merely anecdotal.
Why am I oversharing? Because the shrouded TMI world of women's health seems to have created some misunderstandings. Not all women are on birth control to prevent a pregnancy. I'm not sexually active. I am on birth control so that I can go to work, live on my own, and be a contributing member of society. Women's health is as complicated and nuanced as any other kind of health. Not all women asking for an abortion are unwed pregnant teenagers. Some of them are grieving unviable pregnancies that pose a risk to their own health. Some of them wanted that baby more than anything. Yes. I went there.
I am lucky that I was able to make decisions on how to treat my PMDD solely based on the advice of my doctor and my own research. Today, the Supreme Court told state governments that they were free to have a say in medical decisions made by women and their doctors across the country. Justice Clarence Thomas has even suggested revisiting the decisions that will effect a woman's ability to choose birth control. Justice Thomas is not a doctor. Our lawmakers are not doctors. The average voter is not a doctor. Activists have been manipulating the issues for years to pull one side further right and the other further left. We have gone to such extremes that the reasonable middle has disappeared. We have been told that depending on what side we stand on, we are either a murderer or an uneducated fundamentalist. But you and I both know that people are more than one label. Many, particularly in faith communities, are uncomfortable with gray areas. Everything needs a right and a wrong and we need to stand on the right side. If only life were that easy. I believe in life at conception and the sanctity of that life. I also believe in a woman's right to make her own decisions based on her circumstances, the advice of her doctor and her own research. You may wonder how I think I can possibly stand on both sides? Because I believe in a God who is bigger than the limits we place on Him. I believe in a God who loves the mother as much as he loves the unborn baby. A God who's grace is infinite. And a God who stands in the hard, ambiguous, contradictory places that I don't understand. It is not my job to understand. It is my job to be compassionate. I prefer to think of it as a bridge in the middle.
I saw a comic today that said the following - (@dinosandcomics)
"Be kind. Everyone is fighting their own battles."
"Why would I be kind? I will be brutal and relentless and ride into battle by their side."
No one's story is what you think it is. There is so much you do not see under the surface. Instead of judging our individual battles and the decisions we each make, what would the world look like if we put down our gavels and walked in each other's shoes? What if we recognized that this world is broken daily by each and everyone of us? What if we lifted up the person next to us in the fray rather than stepping on them? What if, instead of seeing faults and failings, we saw pain and need. It's not easy. It's not popular. It is heart rending, back breaking work. I believe it's the work we have been put on this earth to do. Please know, if we see each other out there, I am as confused and broken as you are. Save your kindness and ride with me into battle. Brutal and relentless for each other.



