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Marcia Reynolds

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Who Decides What It Means to Be a Woman?

Posted: 07/08/10 10:00 AM ET

From enraged to sad and everything in between -- that's how I felt when I read an article about Maria New, a New York endocrinologist recommending the steroid dexamethasone to her pregnant clients to ensure their daughters are feminine.

Although she and her colleagues claim they are trying to stop a congenital condition, the papers they write indicate they are also making sure girls are not subject to "behavioral masculinization." As her colleague psychologist Heino F. L. Meyter-Bahlburg said, their treatment will ensure girls have an interest in "getting married and performing the traditional childcare/housewife role."

Whether their quotes are taken out of context or these doctors are actually looking to create Stepford Wives, what gives these people the right to define what it means to be a woman?

And let's put aside that their treatment has not been approved by the FDA and could easily cause other disorders in the babies of mothers who took dexamethasone throughout their pregnancies. Haven't we learned from the DES and Thalidomide tragedies that giving drugs to pregnant women without decades of testing is dangerous?

In another study that came out last week, we see that the rate of women who end their childbearing years without having children is increasing. The study doesn't take into account how many women are choosing to adopt instead, so I question the interpretation of these results. For example, the study reports that more than a third of Americans rate this trend as bad for society.

The fact that women might choose different paths other than having their own babies, and that relationships can be healthy whether or not couples have children, doesn't mean society is crumbling. The study also cites the fact that women with advanced degrees are having more children than they did 10 years ago, so the argument that babies only come from poor, uneducated mothers doesn't hold water.

We are not experiencing an abandonment of female values that must be reversed. On the contrary, we are experiencing a raising of consciousness where all humans, men and women, are free to choose a life based on their passions--whatever that might be.

Will some childless women regret the choices they made when they were younger? Yes, as well will women with children and men who never followed their dreams. Hindsight brings both wisdom and sorrow. Too much time spent wallowing in hindsight keeps us from appreciating the good in the lives we have led.

I wish I could put a stop to the people repressing girls under the guise of returning to traditional values. Why should girls who want to be physically strong, pursue demanding careers or even choose to express her feminine traits of nurturing and compassion in another way than having children be made to feel like misfits? We are not living in a democracy if we cannot freely choose how to live our lives as women.

I am opinionated on this issue due to my own history. When I was told I had to have a hysterectomy at the age of 22, I didn't have a chance to explore the effect this would have on my life before I was hit with the barrage of sympathy for my pitiful fate. Every doctor and nurse I faced told me they were sorry for my horrendous loss. One nurse said, "It is so sad you won't ever be a whole woman."

I did experience a loss of body parts and a possible future, but it wasn't the loss of my life. I still had many wonderful possibilities ahead of me that could include raising a family or not. I have since spent three decades teaching adults how to be good leaders and coaching people to have satisfying as well as successful lives. I never lost my feminine values or my chance to nurture others. I have been accused of having a masculine drive. Maybe we should also be asking the question, "What does it mean to be a man?"

It is a time of transformation. Many women are experiencing the fog of confusion as they seek to discover who they are, what their purpose is and what life decisions they should make. There is always a fog when we walk down the path of change. Do we walk through the uncertainty or revert to the past in fear? I think that both men and women should hold on to each other as we keep moving forward. The voices that stand for freedom need to be heard if we are to stop the acts that confine us.

Marcia Reynolds, PsyD is speaks on leadership and emotional intelligence for audiences around the world. Her book, Wander Woman: How High-Achieving Women Find Contentment and Direction is for any smart, strong, goal-driven woman walking through the wonderful fog of change in their lives.

 
 
 

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From enraged to sad and everything in between -- that's how I felt when I read an article about Maria New, a New York endocrinologist recommending the steroid dexamethasone to her pregnant clients to ...
From enraged to sad and everything in between -- that's how I felt when I read an article about Maria New, a New York endocrinologist recommending the steroid dexamethasone to her pregnant clients to ...
 
 
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HUFFPOST SUPER USER
katmeyster
Proud practical progressive atheist
01:31 AM on 07/11/2010
I'm not sure if I had the choice, I would choose being a woman again. Not because I don't enjoy being with men, or not because I don't enjoy having maternal feelings (even though I am one of those who chose not to have children), and not because I don't like being female in general. It's just that I do feel controlled by the dominant gender. I know that men have rigid societal rules as well, but they run the world and determine laws and social values that control my life. I don't want to have to be called a bitch for expressing real concerns, and I don't want to be called aggressive for attempting to do exactly what men do, and I don't want to be a second-class citizen that makes less money and works harder. Its just inherently unfair to be a woman (or any minority). And feminizing girls? I'm not surprised in the least. Read the Handmaid's Tale or the Stepford Wives.
08:59 PM on 07/09/2010
I was under the impression it is men who decide what it means to be a woman. Men decide how the media portrays us. Men decide how much we're paid. Men decide how much work physical work they have to do in a relationship and how much women are responsible for. Men dress up as women to mock us. Men are convinced they decide what happens to our bodies. This is not what the liber ation movement was all about. No amount of female hormones will solve this problem.
07:30 AM on 07/09/2010
You are merely reprinting and spreading misinformation about dexamethasone treatment from other stories. Dex treatment is used to prevent genital ambiguity in girls with CAH. While there are concerns about the safety of the treatment itself and impact on learning, and sociability among healthcare professionals and people affected by CAH, this issue of changing brain chemistry is not a focus. In fact, the authors of the original bioethics report took quotes completely out of context to make it about brain feminization and prevention of homosexuality (which dex doesn't) in order to get publicity for themselves. They have made no attempts to reach out to those affected by CAH--the prospective mothers who take the dex--only the press. It is very telling about their motives.
11:47 PM on 07/08/2010
Who decides what it means to be a woman? Apparently Sarah Palin does.
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10:15 PM on 07/08/2010
Very thought provoking article...women have historically been 'too much' or 'not enough' of something, and this sounds like the medical expression of that nonsense.
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HUFFPOST SUPER USER
godwithin
05:50 PM on 07/08/2010
"getting married and performing the traditional childcare/housewife role." For singletons there is no cure, we are merry, compassionate, caring folks :)
09:00 PM on 07/09/2010
My mother always said any man with a wife has a slave.
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HUFFPOST SUPER USER
avicenna
04:00 PM on 07/08/2010
I believe you are referring to a condition called congenital adrenal hyperplasia which is usually caused by a mutation in a key enzyme in steroidal metabolism. Girls end up being exposed to high levels of androgens (male hormones) in this case and end up with hypervirilization of their sex organs. There are a few studies that suggest this DMSO given prenatally may be able to prevent this from occurring - which may prevent surgery to fix the genital organs. I'm not sure whether that is the same thing as the medical community defining femininity - especially if one is cognizant of the combined psychological and physical stress CAH can have on an individual.
10:43 AM on 07/09/2010
Thank you for pointing this out.
In fact, by merely taking the medications to treat CAH itself (a glucocorticoid like the dex used in prenatal treatment) and keep the child alive, continued masculinization of the brain is prevented, especially in the early years when the brain is still developing. Would this practice also be offensive to the authors? Is the goal of the authors and critics of dex to avoid all impact of androgens on the brain even at the cost of the child's life?
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HUFFPOST BLOGGER
Marcia Reynolds
Executive coach
11:52 PM on 07/09/2010
The question is not the use of the drug but the abuse. Maybe I reacted too strongly, but I have been misdiagnosed more than once and I am know of real abuses of medication on the market, both approved and not yet approved. My intent was not to downplay the effects of CAH, but to question the presented motives of the doctor...and then to take it out to a larger conversation that has been going on for decades about the role and definition of being a woman.
03:51 PM on 07/08/2010
anti-choice?
02:59 PM on 07/08/2010
I had a funny reaction here, because the instant I saw the article title I thought "I sure hope the women in pop culture don't get to decide" ....then I realized that sadly they kind of do since so many drones follow them.
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HUFFPOST BLOGGER
Marcia Reynolds
Executive coach
11:46 PM on 07/09/2010
Sounds like a topic for another post!
01:09 PM on 07/08/2010
It saddens me that an intelligent woman would recommend this type of therapy for our daughters. Isn't it about time we evolve to accepting ourselves - the good, the bad and the ugly and love ourselves (and our daughters) for who we/they are?

Thank you for all that you do, Marcia. Your words have helped me a lot.
11:02 AM on 07/08/2010
The idea of feminizing our daughters with drugs is disgusting. Labels, even obvious and necessary labels can be restrictive at times. People want to put everything and everyone into neat little boxes. Very few of us naturally fit these boxes very well.
09:39 AM on 07/08/2010
Thank you for this article, which underscores the need to reexamine the FDA, which is the figure head and power base of the Western medical model. Corticosteroids potentiate the production of estrogen, a class of hormones to which we are already overexposed. Doctors have great difficulty with the "big picture", often not looking past the narrow confines of the particular factor they're trying to affect. Shame on Dr. New.

I hope you will share more of your story regarding hysterectomy, the deep endocrinological and musculoskeletal effects of which permanently alter a woman's quality of life.

Moonspinner,
wholewoman.com
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HUFFPOST BLOGGER
Marcia Reynolds
Executive coach
06:56 PM on 07/08/2010
Actually, I have nothing to compare in my life now to what it would have been if I did not have the surgery (which we now know wasn't necessary). I have lived an active, rich life and continue to do so. I can't say that I have physically or mentally lost quality of life due to my hysterectomy. However, I have always made healthy eating and exercise important, and became more rigid about my healthy disciplines in the last ten years so maybe I am strong enough not to notice the loss.
10:48 AM on 07/09/2010
It is offensive to me as a woman with CAH to equate a hysterectomy to my experience living with CAH. There is no comparison of the endocrine effects. I have had to live my whole life with a life-threatening endocrine disorder and the effects of being born with genital ambiguity.