VAGINA OBSCURA

Delving into the mysteries of a woman’s body.

A few years ago, when she was suffering from a recurring vaginal infection, journalist Gross, former digital science editor at Smithsonian, realized she knew very little about her own body, particularly her reproductive organs. Aiming to rectify that huge gap in her knowledge, she set out to investigate. Soon, though, she discovered that women’s bodies long have been seen as an enigma to scientists, physicians, and psychiatrists. Instead of producing a “fun and jaunty” book about the vagina, the author makes a lively debut with a fresh, informative examination of women’s entire reproductive system, melding medical history—beginning in Hippocrates’ Greece—with a wide range of interviews and biological sleuthing in research laboratories all over the world. Throughout history, Gross reports, medicine has privileged men’s bodies over women’s. “It was only in 1993,” she writes, “following the women’s health movement, that a federal mandate required researchers to include women and minorities in clinical research.” Even then, research focused mostly on fertility, excluding the many other health issues that women face. Women’s biology, though, has generated much recent scientific interest, which Gross conveys with enthusiasm and clarity through her conversations with gynecologists, bacteriologists, urologists, medical anthropologists, and surgeons. The author also talked with a host of women—some, for example, who were victims of genital cutting and some who have undergone reconstruction of that excision; women suffering from endometriosis and vaginal infections; women born with atypical genitalia who were surgically altered as infants; some undergoing hormone therapy and gender affirmation surgery to transition as women. In graphic detail, Gross explains the complex structure of the clitoris; the particular microbiome of the vagina; the biology of egg cells, ovaries, and the uterus. She also devotes a chapter to transgender women and the pioneering surgeons who treat them. Veve’s illustrations—more Salvador Dalí than Georgia O’Keeffe—impart a sense of disquieting wonder to Gross’ brisk reporting.

An eye-opening biological journey.