27/07/2019
In my midwifery programâs gynecological skills class we were required to give and receive two speculum exams per week on each otherâs bodies. On the suggestion of my doctor who was caring for my disc herniation/hypermobility injuries at the time, I requested an American With Disabilities Act exemption to receiving speculum exams weekly. To my surprise my hippie dippy midwifery school reacted horribly. They rejected my doctors notes, psychologist notes, and eventually required me to submit a pelvic floor assessment to demonstrate that I was disabled enough and worthy enough of not having to receive multiple speculum exams weekly (also side note: requiring a student to have something inserted into their va**na is r**e).
My school threaten to kick me out twice for not being a âteam playerâ and âbeing able to participate in the community.â It sucked tremendously. I kept fighting and eventually got my ADA plan, and as a result of this struggle future midwifery student classes were not required to give and receive exams on their own bodyâs and could have models instead.
My experience with speculums is pretty extreme, and as a I continually work to reimagine a relationship to this tool which was born out of experiments on enslaved women Anarcha, Betsy and Lucy and has freaked out, caused pain, and oppressed people with va**nas for a long time. Speculums are a tool I can use to see the cervix ~ which allows me to gather information and perform procedures like Pap smears and IUI.
How do I reimagine my relationship with speculums? In a few different ways
~First, I never during a gynecological exam on a traditional gyn table with stirrups, I do exams on a bed or a couch. This is the spot in my office where I do gyn exams
~I tell you how to pause and end the exam if youâre done. Doesnât matter if we completed the procedure or got the information weâre looking for, itâs your body and youâre in control
~By offering my clients the opportunity to insert the speculum themself and see their cervix with a mirror
Itâs possible to add control, agency, and empowerment to an uncomfortable procedure. Itâs possible to do better đ