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Women's Health: Then and Now

The book Our Bodies, Ourselves first made its mark during the women's movement in the 1970s, but how far has women's health come since then?

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If you're a woman, you probably have some association with the groundbreaking book Our Bodies, Ourselves -- whether you found it on your mother's bookshelf as a preteen and gleefully drank up the "dirty" information within its pages or whether, as a grown woman, you turned to it for the kind of honest advice you couldn't find anywhere else.

First published at the height of the women's movement in 1973 (think burning bras, Gloria Steinem, and the Roe v. Wade ruling), the book has since gone through many incarnations. With the newest edition just out, the time seems ripe for comparing the 21st century woman with her predecessors. How has women's health care changed in the past three decades -- and how do women view themselves -- their health, their bodies, and their sexuality -- now vs. then?

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Just the fact that we take for granted the notion of "women's health" is a huge difference, says Judy Norsigian, one of the original authors of the book and executive director of the Boston Women's Health Book Collective. "There used to be this massive, gaping hole," she says. "There was nothing at all about women's health and sexuality that was in lay language, and even college-educated women were totally ignorant about their bodies."

These days, medical research is routinely done on women, whereas it wasn't three decades ago. And there are many more female physicians.

In the 1970s, your ob-gyn was almost certainly a man (98% were), and while male doctors can be wonderful, the whole attitude tended to be very paternal.

"Women simply did what their doctors told them to," says Nancy Church, MD, an ob-gyn in Chicago and a board member of the American Medical Women's Association. "These days, based on what I see in my practice, they feel much more empowered -- which is partly due to all the information available on the Internet and is also an aftereffect of the women's movement. Women think of their doctors as partners in their care, and they expect to have more control over what's done to their bodies."

Hysterectomies, for example, used to be done as a cure-all for all kinds of ailments, from bleeding to cancer, or even as a form of birth control. "All a surgeon needed to say in the old days was 'you need one' and that was it," Church tells WebMD. "Today, a woman is likely to challenge that recommendation and ask what the alternatives are."

The same is true of childbirth to some extent, though Norsigian says this natural process has become overmedicalized and that the midwifery model needs to be an option for more women, especially those outside of urban areas.

Unfortunately, not all women have reaped the benefits of the women's movement, like the undereducated and uninsured. "We have all this information to offer, but we're not getting it to everybody," says Valerie Weber, MD, director of internal medicine at Geisinger Health System in Danville, Pa. Lower-income women are not getting the care and screening that they need, she says. "I've had women come in who have never had a Pap smear."

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