Sally King, "Menstrual Myth Busting: The Case of the Hormonal Female" (Policy Press, 2025)
Apr 2, 2025
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Sally King, a medical sociologist and founder of menstrualmatters.com, dives into the misconceptions surrounding PMS and the historical myths linking women's behavior to hormonal changes. She critiques the stigma of being labeled 'hormonal' and urges a reassessment of menstrual education. King highlights how stereotypes, especially regarding race, influence perceptions of women's health. She calls for better understanding and communication about menstrual health, aiming to empower women and dispel damaging narratives in society and medicine.
Dr. Sally King critiques the portrayal of PMS, challenging sexist myths that conflate normal menstrual symptoms with psychological instability.
The podcast emphasizes the need for better education on menstrual health to empower women and enhance understanding in healthcare practices.
Deep dives
Challenging Common Assumptions About PMS
PMS is often misconceived as a universal experience among women, but it requires a deeper understanding of its implications. Research suggests that many widely accepted ideas about PMS are based on misconceptions, with symptoms frequently viewed through a lens that lacks scientific rigor. Dr. Sally King emphasizes that typical PMS symptoms exist on a spectrum, with benign menstrual changes often conflated with serious medical conditions. Reframing the narrative around PMS to separate normal physiological responses from pathological symptoms could alleviate misunderstandings and lead to better healthcare outcomes.
Educational Gaps in Menstrual Health
A significant issue in women's healthcare is the lack of comprehensive education surrounding the female reproductive system, both in schools and medical training. This educational void contributes to the perpetuation of societal myths about women's bodies, often leaving both practitioners and patients without a full understanding of menstrual health. Dr. Sally King's research highlights the need for curricula that include information about the menstrual cycle, its functions, and associated health challenges. Addressing these gaps could empower women to take charge of their health and lead to more informed discussions about their bodies.
Exploring Inflammation in the Menstrual Cycle
The menstrual cycle can be better understood as a series of inflammatory events rather than merely hormonal fluctuations. Dr. King points out that ovulation and menstruation involve physical processes that significantly engage the immune system and can lead to various symptoms often attributed to hormonal changes. Recognizing that inflammation plays a key role in these cyclical experiences clarifies the origins of pain, bloating, and mood swings typically reported during menstruation. This perspective encourages a more functional approach to managing symptoms instead of labeling them as merely hormonal.
Impacts of Gendered Language on Perception
The language used to describe menstruation often carries sexist undertones that can degrade women's experiences and reinforce harmful stereotypes. Dr. King describes how terms like 'hormonal' are misused as euphemisms for emotional instability, which dismisses the reality of women's bodily experiences. This language can have far-reaching implications, influencing societal perceptions and even medical understandings of women's health. Challenging these narratives is essential for removing stigma and ensuring that women receive the equitable care that considers their unique health needs.
In Menstrual Myth Busting: The Case of the Hormonal Female (Policy Press, 2025), Dr. Sally King interrogates the diagnostic label of premenstrual syndrome (PMS) to expose and challenge sexist assumptions within medical research and practice. She powerfully demonstrates how the concept of the ‘hormonal’ premenstrual woman is merely the latest iteration of the ‘hysterical’ female myth. By blaming the healthy reproductive body (first our wombs, now our hormones) for the female-prevalence of emotional distress and physical pain, gender myths appear to have trumped all empirical evidence to the contrary.
The book also provides a primer on menstrual physiology beyond hormones, and a short history of how hormonal metaphors came to dominate medical and popular discourses. The author calls for clinicians, researchers, educators and activists to help improve women’s health without unintentionally reproducing damaging stereotypes.
This interview was conducted by Dr. Miranda Melcher whose new book focuses on post-conflict military integration, understanding treaty negotiation and implementation in civil war contexts, with qualitative analysis of the Angolan and Mozambican civil wars. You can find Miranda’s episodes on New Books with Miranda Melcher, wherever you get your podcasts.