I was 21 when I learned my uterus isn’t fully mine to control. No this isn’t about abortion, it’s not a political stance, nor is it here to suggest you should feel one way or another. It’s an epiphany about the medical control of bodies, and how this control of bodies is affecting lives.

When I was 21 one of my close friends wanted to have her uterus removed. She had lived 24 years of her life with awfully painful periods, constant cists, and always with the knowledge that she never wanted to have kids. Sometimes I wonder if she could have taken sick days, instead of puking in the bathroom of our restaurant from the pain, if it would have affected her decision. But our society does not see periods the way she experienced them unfortunately, and she was ready for this. She wanted her uterus out, she had her reasons, and she was prepared to live with her decision. And then she went to her doctor.
Her gynecologist told her she would not remove it, nor refer her to someone who would. The excuses ranged from a variety of things like, “you’re too young you’ll want kids eventually” to “you have a healthy uterus it would be unethical to remove”. I remember when she told me this, she said something along the lines of “what does a healthy uterus even mean”.
A throw away comment stemming from disappointment. But the one that stuck. What does it mean? And why does a doctor get to determine it? Surely after years of pain she knew the status of her own uterus. Surely after chronic cists she could determine its health. But in one appointment a doctor who she trusted determined their decision over her body’s health was the law.
This isn’t about whether it is right for a 24-year-old person to remove their uterus. This is about the medicalization and invalidation that she experienced that day, that most bodies have. As people with uteruses we get told there is more to the story. That our uterus is a being of its own and that our conceptions of our body do not outweigh the science. She was in pain, she felt unhealthy, she wanted something for her body, but the medical world invalidated her pain told her she was healthy and sent her home with an effective slap on the wrist for trying.

I’m 23 now. She is 26, with a uterus still. And I wonder how she feels about it. Sometimes I still wonder how I feel about it. How far would the unhealth have to go, why does it have to go anywhere? How old is old enough? Why was this decision not hers to make but a doctors to dictate.
Her doctor made the argument that she had the ideal uterus because of medicalization of body parts. I sometimes wonder if that came from an idealization of her body with a uterus. Was it not the uterus that was ideal, but the idea that as a female the ideal is having a uterus?
I can’t answer these questions. I won’t even try. But I will use it as a reminder that maybe medicalization isn’t always made for the people in the bodies, but the bodies themselves. A reminder that the ideal medical body is not always the one we have, and sometimes not the one we want.
Somehow I managed to not see yours when I published my blog. So I find it interesting we chose similar topics. I am a very similar boat to your friend. I suffer from painful periods and also do not want kids. And a hundred percent I had times when I feel like my feeling and thoughts on my own body do not matter. Now I have had those moments on relatively minor illnesses. With those, I am not sure if they were “just” bad doctors or if my gender (female) factored in. However, those moments were extremely rare. When I finally admitted I had a malfunctioning uterus that completely changed. Everyone and I do mean everyone knew I was going on birth control. Well everyone except me. The worst part was how often people would dismiss any reasons I had for not going on birth control. It is my body and I have to live with it. And yet no one respected that fact when it came to my uterus. Trying to get help for menstrual problems is a long hard road. It takes a massive toll emotionally and physically. I do hope your friend found at least some relief from the pain. And that they are in a much better place mentally and physically.