Menstrual concealment—“You can’t just play the woman card”
Keywords:
Menstrual suppression, military, menstrual concealment, menstrual stigmaAbstract
INTRODUCTION: This article explores women’s experiences of menstrual suppression within the New Zealand Army while seeking to understand the influence of military systems, culture and processes on those experiences. More specifically, it examines women’s desire for menstrual concealment and control over their chosen method of managing their menstruation.
METHODS: Data were collected using narrative interviews with 18 women currently serving in the New Zealand Army and nine key informants. Data were analysed using reflexive thematic analysis.
FINDINGS: Study participants described the convenience of not having their period in a military environment as their main reasoning for menstrual suppression. Whether supressing their period or not, women’s stories revealed their desire to fit in within the current military culture while also having control over their own body and decision-making. The decision on how they managed their menstruation was influenced by their peers, their rank, their environment, their past experiences and the information provided to them through briefings and visits with their medical provider.
CONCLUSION: The preliminary findings from this study suggests that within the military, women are not only expected to keep their feminine identity but also maintain body equivalence with men to ensure they are seen as equally operationally effective. Although women describe an expectation of menstrual concealment, women choose how they reach that expectation. A reproductive justice lens is used to argue that without addressing menstrual stigma and the military structures, women will continue to “choose” to conceal or supress their period as it is presented as the only appropriate choice.
References
Aotearoa New Zealand Association of Social Workers (ANZASW). (2019). Code of Ethics. https://www.anzasw. nz/public/150/files/Publications/Code-of-Ethics-Adopted- 30-Aug-2019.pdf
Acker, J. (2012). Gendered organizations and intersectionality: problems and possibilities. Equality, Diversity and Inclusion: An International Journal, 31(3), 214–224. https://doi.org/10.1108/02610151211209072
Beddoe, L. (2022). Reproductive justice, abortion rights and social work. Critical and Radical Social Work, 10(1), 7–22. https://doi.org/10.1332/204986021x16355170868404
Braun, V., & Clarke, V. (2019). To saturate or not to saturate? Questioning data saturation as a useful concept for thematic analysis and sample-size rationales. Qualitative Research in Sport, Exercise and Health, 13(2), 201-216. https://doi.org/10.1080/2159676X.2019.1704846
Braun, V., & Clarke, V. (2021). Thematic analysis: A practical guide. SAGE.
Braun, V., & Clarke, V. (2021). One size fits all? What counts as quality practice in (reflexive) thematic analysis? Qualitative Research in Psychology, 18(3), 328–352. https://doi.org/10.1080/14780887.2020.1769238
Brown, M. T. (2012). “A woman in the army is still a woman”: Representations of women in US military recruiting advertisements for the All-Volunteer Force. Journal of Women, Politics & Policy, 33(2), 151-175.
Chua, J. L. (2020). Bloody war: Menstruation, soldiering, and the “gender-integrated” United States military. Critical Military Studies, 1–20. https://doi.org/10.1080/23337486 .2020.1750260
Creswell, J. W. (2007). Qualitative inquiry and research design: Choosing among five approaches (2nd ed.). Sage Publications.
DeMaria, A. L., Sundstrom, B., Meier, S., & Wiseley, A. (2019). The myth of menstruation: How menstrual regulation and suppression impact contraceptive choice. BMC Women’s Health, 19(1). https://doi. org/10.1186/s12905-019-0827-x
Duggan, K. (2021, February 25). What is military readiness? Institute for Defense & Business. https://www.idb.org/ what-is-military-readiness/
Fleming, K. L., Sokoloff, A., & Raine, T. R. (2010). Attitudes and beliefs about the intrauterine device among teenagers and young women. Contraception, 82(2), 178–182.
Foucault, M. (1979). Discipline and punish: The birth of the prison. Vintage.
Freeman, E. (2019). Feminist theory and its use in qualitative research in education. Oxford Research Encyclopedias. https://doi.org/10.1093/ acrefore/9780190264093.013.1193
Goffman, E. (1963). Stigma: Notes on the management of spoiled identity. Simon & Schuster.
Gomez, A. M., Mann, E. S., & Torres, V. O. (2018). “It would have control over me instead of me having control”: Intrauterine devices and the meaning of reproductive freedom. Critical Public Health, 28(2), 190–200. https://doi.org/10.1080/09581596.2017.1343935
Hasson, K. A. (2016). Not a “real” period? Social and material constructions of menstruation. Gender and Society, 30(6), 958–983. http://www.jstor.org/stable/44280235
Jackson, T., & Falmagne, R. J. (2013). Women wearing white: Discourses of menstruation and the experience of menarche. Feminism & Psychology, 23(3), 379–398. https://doi.org/10.1177/0959353512473812
Joffe, C. E., & Reich, J. A. (2015). Reproduction and society: Interdisciplinary readings. Routledge.
Johnston-Robledo, I., & Chrisler, J. C. (2020). The menstrual mark: Menstruation as social stigma. In C. Bobel et al. (Eds.), The Palgrave handbook of critical menstruation studies (pp. 181–199). Palgrave Macmillan.
Kensinger, E. A., & Ford, J. H. (2019). Retrieval of emotional events from memory. Annual Review of Psychology, 71(1), 251–272. https://doi.org/10.1146/annurev-psych-010419-051123
King, S. (2020). Premenstrual syndrome (PMS) and the myth of the irrational female. In C. Bobel et al. (Eds.), The Palgrave handbook of critical menstruation studies (pp. 287–302). Palgrave Macmillan.
Kissling, E. A. (2013). Pills, periods, and postfeminism. Feminist Media Studies, 13(3), 490–504. https://doi.org/1 0.1080/14680777.2012.712373
Kissling, E. A. (2016). No justice, no pill/know (reproductive) justice, know the pill. Women’s Reproductive Health, 3(2), 109–112. https://doi.org/10.1080/23293691.2016.1196085
Koeberle, A. (2019). Militarized Patriarchal Institutionalization and Centering Women Military Members Experiences. [unpublished dissertation] California State University
Lane , R., Tarzi , E., Post , K., & Gauldin , E. (2018). Marine Corps organizational culture research project report to Personnel Studies and Oversight Office: Marines’ perspectives on various aspects of Marine Corps organizational culture. Center for Advanced Operational Culture Learning,
Lawrence-Wood, E., Kumar, S., Crompvoets, S., Fosh, B. G., Rahmanian, H., Jones, L., & Neuhaus, S. (2016). A systematic review of the impacts of active military service on sexual and reproductive health outcomes among servicewomen and female veterans of armed forces. Journal of Military and Veterans Health, 24(3), 34–55.
Lewis, P., Gaffney, R. J., & Wilson, N. J. (2017). A narrative review of acute care nurses’ experiences nursing patients with intellectual disability: Underprepared, communication barriers and ambiguity about the role of caregivers. Journal of Clinical Nursing, 26(11-12), 1473–1484. https://doi.org/10.1111/jocn.13512
Liddell, J. L. (2018). Reproductive justice and the social work profession: Common grounds and current trends. Affilia, 34(1), 99–115. https://doi. org/10.1177/0886109918803646
MacDonald, S. M. (2007). Leakey performances: The transformative potential of the menstrual leak. Women’s Studies in Communication, 30(3), 340–357. https://doi.or g/10.1080/07491409.2007.10162518
McKenzie-Mohr, S., & Lafrance, M. N. (2011). Telling stories without the words: “Tightrope talk” in women’s accounts of coming to live well after rape or depression. Feminism & Psychology, 21(1), 49–73. https://doi.org/10.1177/0959353510371367
Monteith, L. L., Bahraini, N. H., & Menefee, D. S. (2017). Perceived burdensomeness, thwarted belongingness, and fearlessness about death: Associations with suicidal ideation among female veterans exposed to military sexual trauma. Journal of Clinical Psychology, 73(12), 1655–1669. https://doi. org/10.1002/jclp.22462
Moore, A., Frohwirth, L. F., & Miller, E. (2010). Male reproductive control of women who have experienced intimate partner violence in the United States. Social Science & Medicine, 70(11), 1737–1744. https://doi.org/10.1016/j.socscimed.2010.02.009
Morison, T. (2021). Reproductive justice: A radical framework for researching sexual and reproductive issues in psychology. Social and Personality Psychology Compass, 15(6). https://doi.org/10.1111/spc3.12605
Murray-Orr, A., & Olson, M. (2007). Transforming narrative encounters. Canadian Journal of Education, 30(3), 819-838.
New Zealand Defence Force (NZDF). (2019). Combat ready. Te Ope Kātua o Aotearoa Defence Force. https://www. nzdf.mil.nz/nzdf/what-we-do/combat-ready/
Nicholson, A., Cameron, N., Cunnah, L., Milward, T., & Yeung, P. (2022). The approach to military social work in Aotearoa New Zealand. In Military social work around the globe (pp. 117–134). Springer.
Olson, M. M., Alhelou, N., Kavattur, P. S., Rountree, L., & Winkler, I. T. (2022). The persistent power of stigma: A critical review of policy initiatives to break the menstrual silence and advance menstrual literacy. PLOS Global Public Health, 2(7). https://doi.org/10.1371/journal.pgph.0000070
Oxley, T. (1998). Menstrual management: An exploratory study. Feminism & Psychology, 8(2), 185-191. https://doi.org/10.1177/095935359800800205
Phillips, A. K., & Lynn, A. B. (2021). Scoping review on menstrual suppression among U.S. military service members. Military Medicine. https://doi.org/10.1093/ milmed/usab200
Przybylo, E., & Fahs, B. (2020). Empowered bleeders and cranky menstruators: Menstrual positivity and the “liberated” era of new menstrual product advertisements. In C. Bobel et al. (Eds.), The Palgrave handbook of critical menstruation studies (pp. 375–394). Palgrave Macmillan.
Ricker, E. A., Goforth, C. W., Barrett, A. S., Deuster, P. A., & de la Motte, S. J. (2021). Female military officers report a desire for menstrual suppression during military training. Military Medicine, 186(Supplement_1), 775–783. https://doi.org/10.1093/milmed/usaa339
Ross, L., & Solinger, R. (2017). Reproductive justice: An introduction. University of California Press.
Ross, L. J. (2017). Reproductive justice as intersectional feminist activism. Souls, 19(3), 286–314. https://doi.org/1 0.1080/10999949.2017.1389634
Schwandt, T. A. (2001). Dictionary of qualitative inquiry. Sage.
Smith, B. J. (2017). Reproductive justice: A policy window for social work advocacy. Social Work, 62(3), 221–226. https://doi.org/10.1093/sw/swx015
Spies, E. L., Askelson, N. M., Gelman, E., & Losch, M. (2010). Young women’s knowledge, attitudes,
and behaviors related to long-acting reversible contraceptives. Women’s health issues, 20(6), 394-399.
Trego, L. L. (2007). Military women’s menstrual experiences and interest in menstrual suppression during deployment. Journal of Obstetric, Gynecologic & Neonatal Nursing, 36(4), 342–347. https://doi. org/10.1111/j.1552-6909.2007.00166.x
Watkins E. S. (2012). How the pill became a lifestyle drug: The pharmaceutical industry and birth control in the United States since 1960. American Journal of Public Health, 102(8), 1462–1472. https://doi.org/10.2105/ AJPH.2012.300706
Weigard, A., Loviska, A. M., & Beltz, A. M. (2021). Little evidence for sex or ovarian hormone influences on affective variability. Scientific Reports, 11(1), 20925. https://doi.org/10.1038/s41598-021-00143-7
Wood, J. (2020). (In)visible bleeding: The menstrual concealment imperative. Springer EBooks, 319–336. https://doi.org/10.1007/978-981-15-0614
Young, I. M. (2005). On female body experience: Throwing like a girl and other essays. Oxford.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Aotearoa New Zealand Association of Social Workers
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
By completing the online submission process, you confirm you accept this agreement. The following is the entire agreement between you and the Aotearoa New Zealand Association of Social Workers (ANZASW) and it may be modified only in writing.
You and any co-authors
If you are completing this agreement on behalf of co-authors, you confirm that you are acting on their behalf with their knowledge.
First publication
By submitting the work you are:
- granting the ANZASW the right of first publication of this work;
- confirming that the work is original; and
- confirming that the work has not been published in any other form.
Once published, you are free to use the final, accepted version in any way, as outlined below under Copyright.
Copyright
You assign copyright in the final, accepted version of your article to the ANZASW. You and any co-authors of the article retain the right to be identified as authors of the work.
The ANZASW will publish the final, accepted manuscript under a Creative Commons Attribution licence (CC BY 4.0). This licence allows anyone – including you – to share, copy, distribute, transmit, adapt and make commercial use of the work without needing additional permission, provided appropriate attribution is made to the original author or source.
A human-readable summary of the licence is available from http://creativecommons.org/licenses/by/4.0, which includes a link to the full licence text.
Under this licence you can use the final, published version of the article freely – such as depositing a copy in your institutional research repository, uploading a copy to your profile on an academic networking site or including it in a different publication, such as a collection of articles on a topic or in conference proceedings – provided that original publication in Aotearoa New Zealand Social Work is acknowledged.
This agreement has no effect on any pre-publication versions or elements, which remain entirely yours, and to which we claim no right.
Reviewers hold copyright in their own comments and should not be further copied in any way without their permission.
The copyright of others
If your article includes the copyright material of others (e.g. graphs, diagrams etc.), you confirm that your use either:
- falls within the limits of fair dealing for the purposes of criticism and review or fair use; OR
- that you have gained permission from the rights holder for publication in an open access journal.