‘Vagina Obscura’ shows how little is known about female biology

Vagina ObscuraRachel E. GrossW.W. Norton & Co., $30More than 2,000 years ago, Hi

Vagina Obscura
Rachel E. Gross
W.W. Norton & Co., $30

More than 2,000 years ago, Hippocrates, the Greek physician often considered the father of modern medicine, identified what came to be known as the clitoris, a “little pillar” of erectile tissue near the vagina’s entrance. Aristotle then noticed that the seemingly small structure was related to sexual pleasure.

Yet it wasn’t until 2005 that urologist Helen O’Connell uncovered that the “little pillar” was just the tip of the iceberg. The internal parts of the organ reach around the vagina and go into the pelvis, extending a network of nerves deeper than anatomists ever knew.

It took millennia to uncover the clitoris’s true extent because sexism has long stymied the study of female biology, science journalist Rachel E. Gross argues in her new book, Vagina Obscura. Esteemed men of science, from Charles Darwin to Sigmund Freud, viewed men as superior to women. To be male was to be the ideal standard. To be female was to be a stunted version of a human. The vagina, the ancient Greeks concluded, was merely a penis turned inside out, the ovaries simply interior testicles.

Because men mostly considered women’s bodies for their reproductive capabilities and interactions with penises, only recently have researchers begun to truly understand the full scope of female organs and tissues, Gross shows. That includes the basic biology of what “healthy” looks like in these parts of the body and their effects on the body as a whole.

Vagina Obscura itself was born out of Gross’ frustration at not understanding her own body in the wake of a vaginal infection. After antibiotics and antifungal treatments failed due to a misdiagnosis, her gynecologist prescribed another treatment. As Gross paraphrases, the doctor told her to “shove rat poison up my vagina.” The infection, it turned out, was bacterial vaginosis, a hard-to-treat, sometimes itchy and painful condition caused by an overgrowth of bacteria that normally reside in the vagina. (The rat poison was boric acid, which is also an antiseptic. “It’s basically rat poison,” the doctor said. “You’re going to see that on the internet, so I might as well tell you now.”)

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