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Arvigo® Therapy for women's health

8/27/2018

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I'm always on the lookout for alternative therapies to improve menstrual cycle health. So many women turn to powerful artificial hormones such as oral contraceptives for symptoms such as irregular periods, period pain, and even hormonal regulation. While therapies such as the Pill may mask symptoms temporarily, they do nothing to address the root cause of women's symptoms or balance a women's own hormones. 
I've long been aware of a unique kind of abdominal massage called Arvigo® Therapy, but practitioners with this kind of specialized training are few and far between. So I was delighted to discover that a homebirth midwife in my area is a certified Arvigo® practioner! She graciously agreed to an interview so that all of us could learn more about this fascinating modality and how it can benefit cycle health, fertility, and childbearing.
Anja Farin, CPM, ICBLC, Certified Arvigo PractionerAnja Farin, CPM, IBCLC, Certified Arvigo Practioner
Rebecca Menning: Hi Anja! Thanks for chatting with me. Would you mind introducing yourself and telling us a bit about what you do?

Anja Farin: I'm Anja Farin, Certified Professional Midwife, International Board Certified Lactation Consultant, Certified Arvigo® Practitioner with Advanced Training. I’ve been involved in birth and breastfeeding support since 1996, doing independent childbirth classes and doula work, and then eventually becoming a midwife in 2010.

RM: What is Arvigo® Therapy?

AF: Arvigo® Therapy is a type of Maya Abdominal Therapy that has been codified and taught by Dr. Rosita Arvigo, a napropathic doctor who trained with indigenous healers in Belize including midwives and herbal doctors. It works the abdomen as well as back, hips and sacrum to improve flows of blood, lymph and nervous system messages into the abdominal and pelvic regions. It is beneficial for digestive issues,
menstrual issues, preparation for pregnancy, fertility, pregnancy and postpartum recovery. Several other treatment types including herbal remedies from the Rainforest, vaginal steaming, castor oil packs and use of a supportive wrap called a faja may also be included in Arvigo® treatments.

RM: What drew you Arvigo® and what has your training been like?
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AF: As a midwife, I had one pretty challenging year with a lot of difficult births, and I started looking for additional training to see if there was something that I could do to help laboring clients have an easier birth. As I read more about Rosita and her adventures as well as the treatment, I began to see how useful it could be for any pregnancy, and especially for postpartum recovery.

My training has been four separate workshops, all of which required traveling. The first class in the series is Self-Care, and I really think it’s a brilliant way to start teaching a healing modality to practitioners. So often, we don’t practice what we preach, and we give and give until we burn out. It’s been great to have this frequent reminder to take care of myself, too.

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Never be confused about a late period again

6/27/2018

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Never be confused about a late period again
If you are currently committed to avoiding or postponing pregnancy, you’re probably familiar with the sense of satisfaction or even relief that accompanies the appearance of your period every month.  The arrival of menstruation is almost a sure sign that you are indeed not pregnant, and that your chosen method of family planning is working well for you. But if you’ve ever had a late period while avoiding pregnancy, you’ve probably wondered, “Could I be pregnant? What happened? Should I be worried?” You might even spend money on a plethora of pregnancy tests from the drug store, relieved that they all read negative but all the more confused as days go by and your period doesn’t show up. What on earth is going on?

You can’t always avoid a late period, but you can avoid feeling confused or concerned about it. How you may ask?

First, a little Cycle 101. The menstrual cycle consists of several phases. The follicular phase, which is pre-ovulation (the release of an egg from an ovary), the fertile window (the time around ovulation when conditions are right for conception), and the luteal phase (the post-ovulatory part of your cycle.) While the length of the follicular phase can vary, the luteal phase is generally stable. A healthy luteal phase is between 12-16 days long - you can count on it being nearly the same length every cycle. Once you ovulate, the luteal phase begins, as well as the countdown to your period. 

​With this in mind, there are really only two reasons why your period might be 'late'.
1. You’re pregnant. Depending on where you and your partner fall on the ‘trying to conceive/trying to avoid’ continuum, you may have mixed feelings about this. But if you had intercourse or genital contact during the fertile window, and you confirm ovulation, then there is a chance you've conceived. After spending roughly a week traveling from the fallopian tube to the uterus and then embedding in your uterine lining, your baby will start producing HCG hormone. Once your body registers this hormone, your normal cyclical activity is put on hold, and your next period doesn't come. So if your luteal phase is longer than normal, that's a true 'late period' and you can take a pregnancy test.
2.  Ovulation didn’t happen, or was delayed. ​
However, if you didn’t ovulate, you may be watching the calendar expecting your period to arrive, but your body hasn’t even started the two week countdown yet. No ovulation, no luteal phase, no period. So your period appears ‘late’, but it’s actually ovulation that is late. 

 It's a myth that all women ovulate on day 14 of their cycles all of the time - a little variation is perfectly normal. Beyond that, ovulation can be significantly delayed or even prevented for any number of reasons: stress, illness, sudden weight loss or weight gain, hormone imbalance, etc. 
Why is my period late?
So how can you know if and when you ovulate? How do you know if your long cycle is due to pregnancy or delayed ovulation?
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A simple way to track ovulation is to practice fertility charting, or natural family planning.​ This is more involved than simply keeping track of your period dates - fertility charting involves observing and recording your physical signs of fertility, which provide information about your hormones throughout your cycle. These signs can show you when your body is preparing to ovulate, and confirm when ovulation has passed. By keeping a fertility chart, you can know for certain if ovulation has happened and when you should begin the lookout for your period.

By charting, you'll know if your period is truly 'late' (and that you're having a long luteal phase indicating possible pregnancy), or if the delay is simply the result of the timing of ovulation. You'll also be able decide whether or not to avoid intercourse during your potentially fertile window, thus avoiding pregnancy naturally and worry free!  Learning to chart your fertility signs is a fascinating process that not only gives you valuable insight into the workings of your body, but also a sense of empowerment and confidence that you understand your own reproductive health and can make informed choices about when to engage in sexual activity.

​Are you interested in learning more? Send me a message, browse this website, visit the Facebook page, or take a natural family planning course from me!
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Making the Most of Menarche

4/4/2018

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In cultures around the world, menarche (men-AR-kee), or the first menstruation, is a special time in a girl’s life. Signaling her entrance into adulthood, a girl’s first period is often seen as a rite of passage and worthy of celebration. In most western cultures, though we gladly engage in bridal showers, baby showers, birthday parties, baptism celebrations, and more, menarche usually goes quietly unnoticed. For some girls, rather than being a moment of pride and excitement, her first period is accompanied by embarrassment or trepidation.
Mother and daughter
As a mother myself, I’ve been giving more and more thought to how I want to convey this important life transition to my children. I don’t have a specific plan yet (plenty of time for that!), but I do know that I don’t want to let this moment pass for my daughters without acknowledgement. There are several reasons for this. I believe period positivity can be the beginning of body literacy, giving a girl both a healthy perspective on her body’s development and a sense of the preciousness of her femininity and sexuality. If our girls learn from day one that periods are a beautiful and functional part of how God designed them, they will be encouraged to be proactive in their healthcare, vocal about their questions and concerns, and better equipped to demand that their bodies be respected by others.

So celebrating the onset of menstruation, which will be a major part of a woman’s life for decades, is a worthy goal. But how to go about doing it?
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Menarche rituals will look different for every family and every individual, so don’t constrain yourself to one set idea. Be creative. Ask friends, peruse forums, and explore a variety of options. Here are just a few ideas that I’ve come across:
  • Create a special period kit and present it to your daughter, perhaps including soothing herbal tea, a heating pad, feminine hygiene products and a cute carrying bag, a journal, a favorite music cd, etc.
  • Buy a bouquet of flowers
  • Take her on a date to her favorite restaurant and ask her about her fears, hopes, and dreams for the future
  • Pray together, buy a devotional book or personalized Bible
  • Buy or make her a unique piece of jewelry to mark the occasion
  • Invite her closest friends over for a celebratory sleepover
  • ​Go on a mini mother/daughter retreat at a nearby hotel and pamper yourselves

 As you consider what to use for your daughter (or niece, sister, granddaughter, goddaughter, etc), here are some general guidelines that may be helpful to keep in mind:

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5 Tips for Accurate Charting

2/22/2018

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​(Oringinally written for SymptoPro.org)
​So you’ve taken a big step in awareness of your cycle and hormonal health to make the decision to begin charting. Congratulations! Whether you’ve taken a SymptoPro class, learned a different natural family planning or Fertility Awareness Based Method (FABM), or have simply been scouring the web, accurate charting is a must. That is, making sure what’s written on your chart actually reflects your daily fertility signs.
So how do you ensure that your charts are accurate? I’m glad you asked.
Here are 5 Tips for Accurate Charting to help you get the most out of your experience with fertility awareness.

1. Take your temperature at the same time, in the same way, every morning.
If you’ve chosen to observe your basal body temperature, or morning resting temperature, consistency is key. Erratic temperature taking practices can make it difficult (if not impossible) to detect the tell-tale temperature shift that serves as confirmation that ovulation has occurred. 
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To avoid confusion, make sure to take your temperature at the same time every day, preferably before 7:30am and after at least one hour of uninterrupted sleep. It’s also important that this is a true resting temperature. This means taking your temperature while still in bed, before rising, drinking water, brushing teeth, etc. The more accurate your temperature taking routine, the more accurate your chart will be.
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1. Don’t skip cervical mucus observations​
It’s vital not to miss any mucus observations. Sometimes fertile quality mucus may only appear once or twice a day. In this case, missing observations could create inaccuracies in your chart, potentially causing you to mislabel your fertile window.
For observing mucus on toilet tissue, make sure to check before and after every single time you use the bathroom. For observing mucus by vaginal sensation, make sure you are paying attention and noticing sensation throughout the day. At the end of the day, record on your chart the most fertile sign that you observed. Don’t save it until tomorrow thinking you’ll remember later!

Just like with temperature, make mucus observations in the same way every day. For example, if you learned a method that teaches tissue observations, do these diligently. If your method calls for internal observations, stick with those. Don’t mix and match observational styles – this creates inconsistencies in your chart that are confusing to interpret.
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Note: The same principals apply to the optional cervical observation. If you choose to observe your cervix (checking for openness, softness, height, mucus, etc), make sure you do it daily. This is a subjective and comparative sign; if you’re missing days, you may be left feeling really confused about what you’re feeling and causing yourself unnecessary stress.

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3 reasons why you should chart your menstrual cycle and how to start

1/13/2018

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(Originally written for LiveWell Collective)
With all the cute planners, digital calendars, and fancy phone apps available, keeping track of your period is easier than ever. Whether you write little dots on your wall calendar or record it in your phone, many of us want to remember when our last period started.

But there is so much more knowledge to be gained than simply keeping track of when you bleed. I’m referring to the practice known as ‘cycle charting’. Have you ever heard of it? Cycle charting is simply observing and recording your body’s signs of fertility, which include cervical fluid, basal body temperature, vaginal sensation, and cervical position.

By doing this, you can create a visual chart mapping the various hormonal phases and events in your cycle, such as the pre-ovulatory estrogen build up, the tell-tale high progesterone phase that dominates the second half of your cycle, and of course, menstruation itself. Learning to chart is a fascinating process that often sets a woman on a journey of self-discovery.
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Besides being simply interesting, cycle charting actually has practical applications as well. Here are my three favorites.
​1. Cycle charting promotes body literacy.
Cycle charting will probably teach you more about your body than you ever knew before. For example, did you know that you can only get pregnant about 6 days each cycle? Did you know that your cycle can be divided into distinct phases? Or that your cervix changes shape and position throughout your cycle?  Or that you don’t need to pee on a stick to know when you ovulate? Not only does charting give you a deeper understanding of how your body works physically, but it can also help you to discover how your cycle effects your relationships and emotional experiences on a day to day basis.

2. Cycle charting can be used to plan your family.
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As I mentioned before, pregnancy is only possible during a short handful of days each cycle. Your fertile window is determined by hormonal and physiological conditions being just right for conception to occur, along with the timely presence of sperm and an egg. Your body has observable signs of fertility that allow you to accurately determine when the fertile window begins and ends. This knowledge can be used to practice natural family planning, or NFP. Not to be confused with the outdated Rhythm Method, which relies on counting days and knowledge of past cycles guess at the timing of the fertile window, NFP relies on real-time physical observations so you can identify the fertile window as soon as it starts, whether your periods come regularly or not. You can simply avoid intercourse during the fertile time, resulting in a 99.4% effective way to avoid pregnancy. This can mean freedom from the risks and side effects of the Pill and other forms of birth control. This is a game changer!
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As you can imagine, this same skill set can be used to maximize your chances at conceiving. Not only does cycle charting allow you to accurately identify the best days for conception, but it also helps you asses if you have optimal fertility.

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What are fertility signs and why are they reliable?

11/8/2017

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A simple description of natural family planning (NFP) is using knowledge of a woman's cyclical fertility to avoid or achieve pregnancy. The fertile window is determined by observing physical signs of fertility. ​Not terribly complicated, right? But what exactly are these fertility signs, and why can we trust them? Can a woman really tell if she's fertile simply by observing her body?
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Fertility signs are physical biomarkers that reveal where a woman is in her menstrual cycle. Because the fertile window only occurs once per cycle, knowing when that window occurs is vital if a couple wishes to avoid pregnancy naturally (by abstaining during the fertile time), or if they are trying to conceive. Most fertility signs can be observed by the woman herself with no medical tests or specialized equipment. The signs commonly used in most  methods of natural family planning  are:
  • Basal body temperature: A woman's resting or waking temperature, taken with a thermometer first thing in the morning
  • Cervical mucus or cervical fluid: ​A special mucus produced by the cervix that is vital for fertility, acting to keep healthy sperm alive and filter out abnormal sperm, among other things.
  • Cervical position: ​Subtle changes in the position and texture of the cervix itself
  • Secondary signs: ​​​Breast tenderness, intermenstrual pain, and mood are interesting signs to note, though not reliable enough to be used alone to practice NFP.

Why fertility signs are trustworthy

The reason that fertility signs can be relied upon to detect a woman's brief fertile window is this: fertility signs are direct reflections of hormonal activity. Since women's sex hormones fluctuate in a very particular manner throughout the stages of her cycle, her fertility signs will show exactly what her body is doing.
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For example, a woman's basal body temperature will rise slightly in response to the hormone progesterone. ​Fertile quality cervical mucus is produced by the cervix according to a woman's estrogen levels. To a woman trained in fertility awareness, the presence of these signs is unmistakable and their timing tells the story of what her hormones are doing. Even though the moment of ovulation (the once-per-cycle release of an egg from an ovary) can't be detected without ultrasound, the hormonal events surrounding ovulation can be clearly observed through fertility signs. Because of this, a woman who uses NFP can confidently determine when her fertility begins and ends in any given cycle. 
The implications of this are widespread. As previously mentioned, the ability to determine when she is and isn't fertile gives a woman incredible control and flexibility in her family planning. Pregnancy can be avoided with no pills, devices, or barriers. A couple can also optimally time lovemaking for achieving pregnancy.

​But beyond family planning. learning to understand her fertility signs can help a woman to understand and monitor her health. Knowing her usual pattern of healthy cervical fluid will allow the woman to be the first to know if she has some kind of cervical or vaginal abnormality. Fertility charts, records of daily fertility signs, can reveal hormonal imbalances or other health issues.  Learning fertility awareness can truly enable women to be active participants in their own healthcare.  

Fertility signs are reliable, physical reflections of the day by day hormonal story of your cycle. Would you like to know more about how natural family planning works and why it's effective? Read some frequently asked questions or contact me!
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Getting reacquainted with your period

8/3/2017

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As a natural family planning instructor and fertility educator,  I'm not shy about praising the virtues of women's natural cycles. What I don't often discuss is those times in our lives where our normal, cyclical fertility may be suspended for a time. This could perhaps be from the use of artificial hormonal medication, from illness or over exercise, or for happier reasons such as pregnancy and breastfeeding. As much as a monthly cycle is the biological norm for women, these times without our periods can be a normal part of the feminine experience as well.
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If you have experienced times of non-cycling, you may be familiar with the mixed emotions that accompany the return of your periods and fertility. Even a mature woman can feel like a teenage girl as she tries to get accustomed to having periods again. While this time can be unsettling, disorienting and distracting, it can also be exciting, rejuvenating, and grounding! Let's talk about some practical ways to gently reacquaint yourself with your period.

​As your period returns, this can be an excellent time to evaluate your lifestyle and self-care routine. ​Are you happy with your old menstrual care products, or would you like to try something new? Are you consuming energy-giving, nourishing foods? Have you found a regular form of exercise that is fun and inspiring?  Our period can act as our monthly health report. If it quickly becomes painful, too heavy or light, irregular, or difficult to manage, it might be a good time to assess what you can change about your lifestyle to support healthy periods and overall well-being.
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This is also the perfect time to learn more about your cycle and practice fertility awareness.​ ​Remember, your cycle is everything that happens from the start of one period to the start of the next. The cycle is an intricate interplay of biological processes that affects us both physically and emotionally. Do you know about the different phases of the cycle and how they affect you? Do you know when your fertile window begins and ends? Do you know what your fertility signs are and how to chart them? There has never been a better time to learn than right now!

​Finally, let this be a time of leaning in and engaging with others. ​Our feminine biology is something that connects us to other women. Remember puberty? Though it has its awkward moments, puberty is often a time when girls chat about their bodies and their feelings, share stories, and support each other in the reality of becoming women. I would love to see adults do this too!  Whether we are living with regular cycles, no cycles, pregnancy, infertility, perimenopause, we can use our uniquely feminine  experiences to draw us into deeper community and authentic relationships.

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​And if you have questions about the female cycle, or you want to know how to begin evaluating if you are living a cycle-supporting lifestyle, you came to the right place.  I would love to hear from you! Email me at wellspringfertility@gmail.com, contact me through this form, or join the Wellspring NFP and More Facebook group.
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4 ways to stay in love this summer

7/7/2017

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Originally written for the Guiding Star Project.

Last night at quarter after nine in the evening, there was still light outside my window. As usual, summer has fully arrived almost without me realizing it! I don’t know about you, but this summer is a particularly busy season for my family. We’re juggling selling one house, buying another, moving, keeping up with growing little ones, new job responsibilities, traveling, weddings, graduation parties, and lots of time with family. Does this sound like your summer too? While this is all wonderful and exciting, it can also be rather draining. My husband and I are feeling a bit frazzled and distracted these days. Romance is often on the back burner, and it can be hard to stay connected. Thankfully, there are ways to work on staying in love! Here are some ideas for nurturing your relationship with your spouse this summer:
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1. Small gestures have big impact
Between long hot work days, crowded family reunions and kids’ baseball games, it’s easy to lose track of each other and disconnect physically. If you’re hosting houseguests or traveling, you may not have much alone time for days or weeks at a time. In these moments, eye contact, holding hands, and stolen kisses serve as powerful reminders that you are there for each other and still interested. Never underestimate how grounding (and sexy!) a meaningful glance can be.

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The importance of the observational routine

6/2/2017

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As a seasoned natural family planning (NFP) user, I must admit that at times I get sloppy. I know my body and my fertility signs very well, and I often know what I'm going to see on a given day of my cycle. Because of this, it's tempting to take shortcuts in my observational routine; that is, the way that I observe my body's signs of fertility. But having a solid observational routine is the fundamental skill that ensures effectiveness of natural family planning, so no matter how comfortable you are with the method, it's important to stay on top of this! Think about it; your observations are what sets NFP apart from the Rhythm Method. The Rhythm Method is a way of predicting your fertile window based on the length of your past cycles, but it does you no good if you have irregular cycles, are breastfeeding, perimenopause, or post-Pill. If you aren't diligently watching your body's symptoms of fertility, then your guesswork leaves you vulnerable to the occasional early or delayed ovulation. So how do you prevent this? 

Here are the hallmarks of a good observation routine:

1. Consistency.
You are aware of your vaginal sensation throughout the day, and you are checking for cervical mucus on your toilet paper before and after each time you use the bathroom.  This is key, as sometimes you'll only observe mucus once or twice a day, so it's easily missed if you aren't consistent! If you have trouble remembering, try creative ideas like leaving your chart in the bathroom or putting a bright sticker on your underwear! Eventually it becomes such a habit that you'll make your observations almost without thinking. 

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Menstrual Hygiene Day: why it's important and how you can help

5/13/2017

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In honor of Menstrual Hygiene Day on May 28th, I've asked my dear friend Emily Burnett​ to share her heart behind bringing education, empowerment, and practical menstrual hygiene solutions to girls in need.

Before I moved overseas, I don't remember giving thought to how women in developing countries manage their menstrual cycles. Buying tampons and pads seemed like a basic necessity, a non-negotiable, never given a second thought. I hadn't the slightest idea that, for millions of women and girls around the world, sanitary products are often an unaffordable luxury or altogether inaccessible.
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With my host family in Cote d'Ivoire
But at twenty-one years old, I moved from Wisconsin to Cote d’Ivoire and my worldview began to change. I joined an organization called Journey Corps and moved into a host family in a small Ivorian village. There were always at least twelve people under our roof: dad, mom, their three little boys, five teenage nieces, a couple of nephews, and me. The girls became my dearest companions and cultural guides. Over the course of eight months, they taught me the way of life for young, unmarried women in Cote d’Ivoire, a life so different from my own.

Before long I noticed that my sisters didn’t buy sanitary products. Pads were available at some of the little wood-framed shops, but my sisters couldn’t afford them. In fact very few women at all could afford them. So instead they used old cloths, mattress foam, leaves, or straw. These materials led to infections and were ineffective during times of heavy flow, so the girls sometimes skipped school a couple days each month. Their school also wasn’t equipped with clean, private facilities or running water, making it even more difficult for girls to go to class during their periods. Three of my sisters failed their final exams and did not advance to the next grade. Thankfully they had a supportive family who encouraged them to try again. But it was a continuous struggle to keep up with their coursework. After eight months with my host family, I had the chance to travel to a handful of other countries in West Africa, where I heard the same story again and again. It was humbling to acknowledge that my experience of managing menstruation, one that didn’t interrupt my normal life or cause serious health issues, was unimaginable for so many women and girls. I couldn’t ignore this reality.

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2017
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