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The Cycle: Confronting the Pain of Periods and PMDD Hardcover – February 27, 2024
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A groundbreaking exploration of a debilitating disorder that’s underdiagnosed and misunderstood.
Most days, Shalene Gupta was the person she’d always aspired to be. She was hardworking, excelled at work, and had a long-term boyfriend who she desperately loved.
Then, every month like clockwork, it all came crashing down in fits of rage and inconsolable sorrow. Work became meaningless, and she struggled to get through the day. The lows were subterranean.
After years of struggling to get an answer from doctors, Shalene learned she was one of millions who live with premenstrual dysphoric disorder (PMDD), a severe form of PMS. The physical and mental effects of this disorder are undeniable, but for decades some doctors didn’t even consider PMDD a real condition. How could so many people be suffering at the hands of a chronic condition that doesn’t even exist?
The Cycle uncovers a hidden epidemic, delivering the definitive portrait of a widespread chronic illness most people haven’t even heard of. From a historical overview of feminist debates, to on-the-ground interviews and a searing critique of menstrual stigma, Shalene Gupta lays out how disregard for this disorder has left too many people scrambling for appropriate healthcare. Deeply researched, movingly intimate, and refreshingly hopeful, this book is essential reading for any curious reader, especially those navigating a world ill-equipped to support their health.
- Print length240 pages
- LanguageEnglish
- PublisherFlatiron Books
- Publication dateFebruary 27, 2024
- Dimensions5.62 x 0.88 x 8.56 inches
- ISBN-101250882893
- ISBN-13978-1250882899
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Editorial Reviews
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"Shalene Gupta deftly blends her own personal experiences with a meticulously researched history of how the medical establishment has understood (or failed to understand) PMDD through the years. An unflinching exploration of the stigma surrounding periods and mental health, and how we need far more support, research, and treatment options for conditions like PMDD that affect both."
― Karen Tang, MD, MPH, author of It's Not Hysteria
"As someone who also suffers from PMDD, I found that Gupta offers crucial information on this too often misunderstood and misdiagnosed medical condition. The Cycle reaffirms how critical it is to believe women and center the stories of women of color. Her book gives us permission to talk about having PMDD and the pain in our lives."
― Anushay Hossain, author of The Pain Gap
“A brilliant, deeply researched book about living with premenstrual dysphoric disorder (PMDD) ― something that too often is experienced as a shaming, quiet, and personal mystery in a society that is uncomfortable discussing periods or validating their significant medical and mental health impact. Gupta combines memoir and research flawlessly so that readers understand the profound personal impact of PMDD as well as the financial, interpersonal, and societal consequences. This is a critical addition to books about medical issues that are too often under-researched, undiagnosed, and stigmatizing to those who are suffering.”
―Michelle Bowdler, author of Is Rape a Crime?
About the Author
Product details
- Publisher : Flatiron Books (February 27, 2024)
- Language : English
- Hardcover : 240 pages
- ISBN-10 : 1250882893
- ISBN-13 : 978-1250882899
- Item Weight : 1 pounds
- Dimensions : 5.62 x 0.88 x 8.56 inches
- Best Sellers Rank: #335,503 in Books (See Top 100 in Books)
- #200 in Obstetrics & Gynecology (Books)
- #963 in Women in History
- #1,185 in General Women's Health
- Customer Reviews:
About the author
Shalene Gupta is a reporter whose work has appeared in The Atlantic, ESPN, Fortune, Fast Company, and Harvard Business Review among other places. She has a BA in creative writing and psychology from Johns Hopkins University and an MS from Columbia Journalism School.
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Reviewed in the United States on February 28, 2024
Reviewed in the United States on February 28, 2024
For context, PMDD is the abbreviation for Premenstrual Dysphoric Disorder, which basically means that those with this disorder experience severe levels of what might be considered more common PMS symptoms. For me, it’s extreme depression right before every period & cramps so bad that I used to have to call out of work or stay home from school. Not terrible overall, but incredibly disruptive when it’s happening 12 times a year every year since I was 12 years old. But there’s really not enough known about PMDD & The Cycle aims to clear away at least some of the fog through historical context, what few medical/scientific studies exist, & various personal anecdotes from her own life & from many others. This is why I picked up the book - it was purely personal interest because most days I don’t feel like I know enough about the disorder & how it might impact myself & my life.
While I can’t relate to every experience shared in “The Cycle,” there were so many validating moments that I often had to pause my reading to process & cry. In Gupta’s own words, “…what is unnamed is frequently unknown.” And being able to name an experience, to be able to finally describe what it is that you’re experiencing is so incredibly liberating. While I received my diagnosis a few years ago, I still had many “OMG” moments while reading this book. I feel seen & validated. So often I feel lost in my diagnoses of PMDD & ADHD that I question what part is actually me & what part of me is just a fluctuation of hormones or brain chemicals.
Like with much in the medical world when it comes to disorders primarily associated with women, there isn’t a lot known about it. But Gupta shares comprehensive information based on what IS available currently. And Gupta’s vulnerability lets the reader be vulnerable themselves & that’s a true gift. While the book doesn’t necessarily provide answers (because some answers just don’t exist yet), it does provide a sense of self-understanding & comfort.
Thank you to NetGalley & Flatiron Books for providing a digital advanced copy of this book. All thoughts & opinions expressed are my own.
1. From the very first sentence Shalene grips you. "It is 3:00 AM in the early spring of 2020 and I am carving starts into my leg with a butcher's knife." I mean, come on. This is as real and honest and vulnerable as it gets. I meant to just skim a few pages when the book arrived but I ended up knee deep because I couldn't put it down.
2. The cycle metaphor. I didn't realize when I first read the title that it had so many layered meanings, and when I read Shalene's explanation in the intro I just teared up with the power and creativity of it.
3. I loved how Shalene described each interviewee. I felt like I didn't just know about their illness, but them as whole, complex people. She did such a beautiful job telling their stories.
4. It's so darkly funny. There is nothing better than talking about suicide or cutting or throwing a desk and then making a joke about it. How else we would survive it all?
5. Just the way Shalene's story is interwoven into her research is so smart and not at all boring. This work is so important and she's made it accessible to the people who really need it.
Whether you suffer from PMDD or simply have a uterus and want validation in how the medical system treats us, do yourself a favor and buy this book. You'll be better equipped to deal with the system and I promise you'll feel less alone.