Sex Selection

Are there ever times you feel a little – uncomfortable – with a woman’s reason for having an abortion? We’re not all Saints of Non-judgment, though some of us may strive to be. (Err…maybe some of us don’t…)

Last week, a recent immigrant from an Asian country (I won’t say which) came to our clinic for an abortion. I was the abortion counselor that day. She was in her second trimester and wanted to know if we could figure out the sex of the fetus. This isn’t a completely strange question, but I don’t get asked that often.

Because she was less than 18 weeks and because we don’t perform diagnostic ultrasounds, I explained we wouldn’t be able to identify the sex. I let her know that usually diagnostic ultrasounds to determine the sex are done between 18-22 weeks and that if she had a physician/midwife, she could schedule an ultrasound with them at that time (as it is standard practice).

She wasn’t willing to wait at least another month to have an abortion. You know the drill: she’d have to travel out of state; the cost would be much higher; she’d have to spend time away from home; someone would have to watch her small daughter while she left the area (and explain why she needed a babysitter); and her husband would have to get a lot of time off work.

We don’t ask patients why they want to have an abortion. Really, it’s none of our business. Still, lots of women offer their reasons when we ask if they’re sure of their decision, if they have support, etc.

The woman from last week calmly offered she didn’t want to have a girl.

Look, I’m about as pro-choice as they come. As long as it is a patient’s own decision to have an abortion, I’m cool with it regardless of the circumstances or gestation. I’ll admit though, it took me a slight second to register what the patient was telling me. My brain hitched.

I nodded at her and she explained herself, though she didn’t owe me any explanation at all.

In her country (like in many), girls do not have as many opportunities as boys and are considered a burden. She and her family plan to go back to their country soon and they wouldn’t be able to afford another girl (it costs a lot of money to have girls marry/dowries).

There’s been some national controversy about this (like, in May); even the pro-choicers didn’t want to really talk about sex selection abortion occurring. The reality is, though: it does. It’s not very common in our country, and I’ve never heard anyone – except someone who is from an Asian country – even mention it, at work. And I’ve been doing abortion work a long time.

The concept seems very foreign to us; but, is it really? Globally, there is underlying sexism that drives the devaluation of women. It happens here, too. Please, how many people have raised their hands saying women in this country don’t deserve to be paid equally to men? (Rolling eyes.)

It was a good reminder for me that we’re here to support women, in whatever it is they want, and trust that they know what they need for themselves, even if we may not understand it. We don’t need to understand. We just need to be there.

What's love got to do with it?

"Sex is painful, but I'm fine."
"He said he'd pull out, but I guess he didn't."
"I don't think I've ever orgasmed."
"I don't really enjoy sex, but I just get through it because that's part of being a woman."
"I told him I was pretty sure I was ovulating, but he didn't listen."
"I have to put the medication IN my vagina?! Which hole is that?"
"He doesn't think it's important to use birth control."

I don't think that a lot of abortion clients are having particularly good sex. At all. I've heard all of the above statements from women I've counseled and my co-workers and I have had meetings about expanding birth control discussions to include questions about sexual side effects since so many women seen hesitant to bring those up if they even recognize them in the first place.

Our clients aren't dumb, and I'm not blaming them for the lack of sexual empowerment I've seen from working at the clinic. But they live in a society that values male sexual satisfaction to the extent that Viagra is lauded as a discovery tantamount to the Polio vaccine (vaccine/autism debate notwithstanding). They live in a society that only refers to vaginas as "down there," and limits related dialog to freshness, which brings right back to the obsession with male sexuality. We all know the axiom that if men could get pregnant, abortion would be a sacrament," and I bet you that if a man experienced pain during sex, a full-scale, multimillion dollar investigation wold be launched.

And that male-centric sexual society is the one that values the cuuuute little baybee fetus and refuses to even acknowledge the enormous amount of women's rights involved in the need for choice and the need for abortion. And sex is about communication and bonding and mutual pleasure (usually about these things. I know it's not 1956.), so if the sex complaints above are any indication, of course the couple is in no position to bring a baby into the relationship. And I'm so glad there's a choice available, but that choice sure doesn't exist in a vacuum. (No pun intended.)

Nth Degrees of Abortion

Sex has changed since working at the clinic. So have meals, long stares, idle thought, light conversations about happy things. I can have anything have to do with abortion. I do not have to try. I do not need six degrees.

I would imagine things will begin to change in Washington. Someone will be willing to listen. If I could talk to the president about anything, I'd talk to him about abortion. Basically sacred, an instrument all its own. Let it be. We who wish the best for the women having them, who never ever fall short of empathy--let us dwell in it. Let us usher the women having them. Let us make it beautiful and right. Better for them and for health care and motherhood and the earth and spirituality and arts and publishing and advocacy and counseling and families and babies and local farmers and birds and christmas carols and...

Sign what needs to be signed. Veto what needs to be vetoed. Call me if you have any questions. Have your friends call me. Give them my number. Pleazzzzzesss.

The time to share has come. The outlook is good. Beyond the vow to protect confidentiality. The gross resistance. The heartbreak that leaves you sobbing, coping in unfamiliar patterns, laughing at things others will not get and feeling so sweet and so wicked. There is a woman, a patient, who deserves a dignified solution to her medical plight. A story. A mother. A daughter. A really good reason to have an abortion.