Monday Matter: Therapy with my macho Latino dad, a new giveaway and the Yeah Yeah Yeahs

Your weekly Foreign Bodies roundup

Every Monday, we’ll send readers of immigrant mental health newsletter Foreign Bodies a story (or six) we recently inhaled and adored. This is also a chance to do some housekeeping and give shout-outs and all that jazz. Our Monday Matter roundups are available for both free and paying subscribers.

First things first

A little housekeeping

Enter to win Mira Jacob’s bestselling graphic memoir, Good Talk!

Our last giveaway of 2019 is officially live! I’ll be sending one reader a hardcover copy of Indian American author Mira Jacob’s Good Talk, a bestselling intimate graphic memoir about honest conversations in an interracial family. The winner will receive their holiday gift within the month, packaged with a personalized note from Mira herself. Entries accepted through Friday, Dec. 20 at 11:59 p.m. EST.

Enter to win

Did you see our 2019 books-we-loved post?

Our first lil’ Substack thread was so lovely—thanks to all who participated! Look out for your bookshelf recs in future Monday Matters. If you haven’t participated yet:

Ch-ch-check it out


Hey, free sign-ups…

Less than one month left until our grant money runs out and we’re fully dependent on readers like you. Your subscriptions help ensure I can devote my time and energy to Foreign Bodies as a freelance writer—and they determine whether I’ll be able to pay the volunteers who’ve been part of this for months.

To be transparent: As of this writing, I’m about 60 annual subscribers short of my December goal, which would allow me to pay my two copy editors for 4-5 hours of work in January. They’re not asking to be paid and have volunteered their time out of love. But they’re both womxn journalists of color and I understand the struggle all too well. Become a patron?

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Resource(s) of the week

Something helpful and interesting and cool

  • City of Asylum Pittsburgh: Grassroots organization that provides short- and long-term sanctuary to persecuted literary writers through writing residencies. Similar programs available in Las Vegas, Nevada and Ithaca, New York.

  • Treat Your Future Self: A self-care workbook (whaaaat!) by Katie Hawkins-Gaar of My Sweet Dumb Brain 🌱🧠

Read this!

Stories we’re loving

  • Karen O of the Yeah Yeah Yeahs Taught Me to Break Free from the Model Minority Myth (Vivian Lee, Catapult): Lee grew up in a Southern California suburb where the minority majority was Asian American. She and her friends were taught to be courteous, to never draw attention to themselves and to strive for that protective coat of whiteness, Lee writes for Catapult. Then she came across a Pitchfork review of the Yeah Yeah Yeahs, a punk rock band with a spunky frontrunner who looked just like her.

  • Here's What Happened When My Macho Latino Dad Agreed To Go To Therapy With Me (Lauren David, HuffPost): “He needed me to need him and look up to him in the same way I once had. I needed him to trust me, to let me spread my wings and do things my own way… Deep down, I was sure it was useless to say, but I couldn’t help myself. I felt like I had nothing to lose.” A beautiful first-person essay I wish my own immigrant dad, one who also loves to say he’s “too old to change,” would read.

  • Exile Poems (Tuhin Das, The Offing): A poetry translation from Bengali by Arunava Sinha. “I planted you, starfruit tree/How are you today?/Have the books on the shelves/Been swept away by dust already?/Have my favourite cats forgotten me?/Will I never see them again?” </3

  • I Was ‘Too Much’ for Boarding School. But I Had the Garcia Sisters. (Vanessa Mártir, New York Times): “Growing up, I’d read the ‘Sweet Valley High’ series, Encyclopedia Brown mysteries and all the Judy Blume books,” writes Mártir. Then an English professor handed her a new book. Her eyes stopped at the writer’s name, Julia Alvarez. “That’s a Spanish name,” she thought. Reading books by Latina writers taught this novelist her people’s stories were worthy of being told.

In the news

Relevant news coverage that doesn’t really fall under our larger mission to de-stigmatize through personal storytelling, but is still essential reading for anyone who wants to stay up-to-date on immigrant/refugee/mental health.

+1

One sorta unrelated news story on my mind

  • Blood and Soil in Narendra Modi’s India (The New Yorker, Dexter Filkins): Follow along as Filkins joins India’s no-nonsense investigative reporter Rana Ayyub into Kashmir—India’s only Muslim-majority state—to spotlight just how the narrative of the world’s largest democracy, including much of its press, is being controlled by Indian Prime Minister Narendra Modi and his Hindu-nationalist, anti-Muslim bigotry. “Even from a moving car,” Filkins writes, “it was clear that the reality in Kashmir veered starkly from the picture in the mainstream Indian press.” Soldiers and machine guns; lifeless streets. Schools closed, prayers banned. “I’m not leaving,” says Ayyub, a Muslim from Mumbai. “I have to stay. I’m going to write all this down and tell everyone what happened.”


Bookshelf

Books and essays I’m currently reading (plus reader-recommended works!)

  • Book I’m gifting to a beloved friend for Christmas and will never stop praising: On Earth We’re Briefly Gorgeous by Ocean Vuong. This debut novel from Vuong, who I had the pleasure of hearing speak (and subsequently sobbing in front of) a few months ago, is perhaps my favorite read of 2019. Formatted as a letter from a son to a Vietnamese mother who cannot read, it bears witness to “the fraught yet undeniable love between a single mother and her son” and a “brutally honest exploration of race, class, and masculinity.” (Penguin Random House)

  • Reader rec from Farah Mohammed, who is currently helping copyedit and fact-check our Monday Matters: Mind Fixers by historian Anne Harrington. The book details “the history of psychiatry’s quest to understand the biological basis of mental illness and asks where we need to go from here.” (W. W. Norton & Company)

Remember, we always have tons of wonderful stories and resources available at foreignbodies.net.

Read something interesting? Share!

Love to see it

Shout-outs, thank-yous and more

Below, a must-watch from Carter Fellows director (and friend) Kari Cobham’s recent TEDxPortofSpain Talk on the language we use around mental illness. The words you hear and use shape your perception. They can lift or break someone in a moment. But what if we changed the way we talk about mental health? Watch the powerful talk here.


Blushing, Elly Belle and Samira Sadeque! Thank you for spreading the word! <3


Thanks so much to John Lombard for his #GivingTuesday donation to Foreign Bodies. Your contribution (and tweet) made my day.

Help support Foreign Bodies!

This right here is why Foreign Bodies exists. A sanctuary for unapologetic, immigrant-centered storytelling that helps us feel a little less alone and a lot more understood. Much love to Carter Fellow Myriam Vidal Valero.

Lol @ Khaled Beydoun.

OK, that’s it for now.

Did you absolutely hate this? Open to criticism and suggestions. See ya later!

Love,
Fiza

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Enter to win 'Good Talk' by Mira Jacob, an intimate graphic 'memoir in conversations'

A little thank you for being a Foreign Bodies subscriber

PSA: This is the final giveaway for free sign-ups. Come Jan. 1, 2020, our giveaways will be open to paying subscribers only. Please—if you haven’t yet—subscribe and help keep Foreign Bodies alive!

For our holiday szn giveaway, I’ll be sending one reader a hardcover copy of Indian American author Mira Jacob’s Good Talk, a bestselling intimate graphic memoir about honest conversations in an interracial family. The winner will receive their gift within the month, packaged with a personalized note from Mira herself. Entries accepted through Friday, Dec. 20 at 11:59 p.m. EST.

Enter to win

About the prize

If you’re even just a little #online, you’ve probably already heard the booming praise for Mira Jacob’s Good Talk.

In this series of “honest but not always conclusive conversations with various family members,” as The Atlantic’s Myles Poydras put it, we get an intimate glimpse of what it’s like being a person of color in the United States of America.

The illustrated memoir kicks off in 2014 when Mira’s biracial 6-year-old, Z, gets curious about his obsession with all things Michael Jackson. Who taught him to dance? Is that how people really walk on the moon? What is a LaToya? Was he brown or white?

Years later, Mira allows us into the car where she has a searing conversation with husband Jed about her MAGA-spouting in-laws. “So we’re just supposed to pretend them supporting a racist is normal?” she asks. “They don’t think he’s racist,” Jed says.

“The book lives up to its title, and reading these searching, often hilarious tête-à-têtes — with her parents and brother, confidantes and strangers, employers and exes — is as effortless as eavesdropping on a crosstown bus.”

Ed Park, The New York Times

Preview of Good Talk below:

Enter to win

About Foreign Bodies giveaways

Whenever I read a book I fall in love with, I’m driven to give everyone around me a sprinkle of the magic. That means you too. These little surprise giveaways are my special way of thanking you for joining the Foreign Bodies family. I hope the books and collections I send your way make you feel a little more at home, or perhaps inspire you to learn a bit more about the myriad voices out there, voices we don’t get the privilege of hearing as often as we could.

Giveaway rules

Entrants must be free or paying readers of the Foreign Bodies Newsletter and must have a valid U.S. mailing address. You may only enter once and must use the email address affiliated with your account. Each entry will be assigned a number and winner(s) will be chosen using the Randomness integer generator. Paying subscriber entries will count twice. Winner(s) will be notified via email and your gift will come personally packaged in the mail.

Come January 2020, giveaways will remain a perk for paying subscribers only. While funding from The Carter Center helped build this newsletter, we need your help sustaining it. 

If you have any additional questions or concerns, please email 4nbodies@gmail.com.

Recommend a book!

Have a favorite immigrant-written book, collection of essays or poetry or what-have-you? Stories that made you feel understood? Stories about immigrant or refugee experiences, about mental illness? Send your recommendationsespecially if it’s your own work. And check out the wealth of books and essays we already have up on foreignbodies.net!

Talk soon.

Love,
Fiza

Hey Foreign Bodies, what have you been reading this year?

‘Tis the season for book awards and best-of lists! What have you read and loved in 2019? Any immigrant, refugee or mental health works you’d recommend for fellow Foreign Bodies subscribers? Other unrelated books you can’t stop thinking about? Tell us in the comments!

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Monday Matter: A Little Fear, Jasmine Fingers and a giveaway winner

Your weekly Foreign Bodies roundup

Every Monday, we’ll send Foreign Bodies readers a story (or six) we recently read and adored. This is also a chance to do some housekeeping and give shout-outs and all that jazz. Our Monday Matter roundups are available for both free and paying subscribers.

First things first

A little housekeeping

We have a giveaway winner!

Congratulations to Hannah Bae of New York for winning a copy of Nigerian-American Bassey Ikpi’s memoir, I’m Telling The Truth But I’m Lying. Hannah is a writer and freelance journalist who's passionate about breaking the stigma against mental illness and (we didn’t force her to type this) she’s also a big fan of Fiza and Foreign Bodies! ;-) Getting your package all ready to send out this week, Hannah!

Recommend a giveaway book

ICYMI: Issue 12 on hairless beauty standards and PCOS is out

Haaaaave you read it yet?

I wish it was just the razor bumps and cuts from shaving I had to endure. The simplicity of a blade gliding and slicing was not an option for me, I was often reminded. Use a razor, and the hair will grow back ten times thicker. Use a razor, and your skin will be as prickly as a man’s beard. Who will want to touch you?

Read

Still not a paying subscriber?

As of this writing, there are only 30ish days left until our grant money runs out and we’re fully funded by readers like you, meaning the bulk of our work will only be accessible to patrons. Consider upgrading your account?

Subscribe for $3/mo or $33/yr

Give more for $4.95/mo or $54.45/yr

If you're a student, or if you find the cost in any way prohibitiveemail me and we’ll figure something out.

Some other ways to support us: One-time donations or a little word-of-mouth love.

Share Foreign Bodies

Read this!

Stories we’re loving

  • Can You Please Say Something in Khelobedu? (Catapult, Keletso Mopai): "I didn’t know my mother-tongue wasn’t considered an 'official' language in my country until I started going to school. Flipping through the school curriculum and not finding myself." A stunning essay about mourning the loss of a South African tongue.

  • Jasmine Fingers (Guernica, Lubna Safi): “In Damascus, I have amnesia,” writes Safi. “In the Arabic poetic tradition, a poet who expresses grief over separation from a homeland—who writes home into verse out of longing—writes a ritha’ al-mudun, a city-elegy.” Omg, y’all.

  • Column One: A family learns to tell a new kind of Thanksgiving story (LA Times, Esmeralda Bermudez): “If we couldn’t begin telling our children this nation’s story, how could we ever speak to them about our personal histories?” Bermudez, who hails from El Salvador, writes narrative stories about Latinx lives for the LA Times. Not only is this personal essay a must-read, the accompanying artwork by Anthony Russo is just beautiful.

  • A Little Fear (The Margins, Chime Lama): Two Tibetan-American poems worth your time. A piece of the magic: “I escaped from the shrine to the heat of the kitchen –/Scurrying aunts and silverware trays./Ama la, I know I have to serve the tea. Please don’t scold me;/My identity is unstable.”

In the news

Relevant news coverage that doesn’t really fall under our larger mission to de-stigmatize through personal storytelling, but is still essential reading for anyone who wants to stay up-to-date on immigrant/refugee mental health.

Bookshelf

Books and essays I’m currently reading (plus reader-recommended works!)

  • Finally starting: My Time Among the Whites: Notes from an Unfinished Education, a collection of essays from Cuban-American professor Jennine Capó Crucet about “how she came to see her exclusion from aspects of the theoretical American Dream, despite her family’s attempts to fit in with white American culture—beginning with their ill-fated plan to name her after the winner of the Miss America pageant.” Met Crucet at the AJC Decatur Book Fest a few months ago and have been eager to make time for this one since.

  • Reader rec from Cassandra Lee: Chinese Cinderella by Adeline Yen Mah. A true account of the author’s childhood, growing up as “an unloved daughter” in 1940s China.

Remember, we always have tons of wonderful stories and resources available at foreignbodies.net.

Read something interesting? Share!

Love to see it

Shout-outs, thank-yous and more

A huge thank-you to my dear friend Puja Shah for opening up her heart and sharing a very personal story about PCOS for the latest issue of Foreign Bodies. If you haven’t read it yet, please do.

Read Issue 12

Congrats to supporter (and giveaway winner!) Hannah Bae for being nominated for a Pushcart Prize! Read her radically honest essay about how caring for children helped her reckon with her own experience as a survivor of domestic violence here.

This is cool. There’s a new independent journal examining the Partition, the 1947 division of British India into the Union of India and the Dominion of Pakistan that left 15 million displaced and more than one million dead. Browse the first Partition Studies Quarterly issue here.

Every single time Esmeralda Bermudez posts about her work at the LA Times, a shelter puppy finds a home.

Some Issue 12 love from readers Naheed and Nousheen <3

OK, that’s it for now.

Did you absolutely hate this? Open to criticism and suggestions. See ya later!

Love,
Fiza

Share

Issue 12: Upper lip, too?

On hairless beauty standards, PCOS in Indian womxn and the mental health connection

Foreign Bodies is a mental well-being newsletter for immigrants and refugees with a mission to de-stigmatize vulnerability through storytelling. Our issues are free for the public until 2020, when our grant money runs out and we will become fully funded by readers like you. We need your support to do this.


It all started in third grade.

During recess on one warm April day, some boy I was crushing on pointed out dark, thick hairs sprouting from the follicles polka-dotting my pale legs as I swung from the swings. His eyes moved from limb to limb, accompanied by comments about my arms, my eyebrow (singular) and, finally, the damn upper lip.

Others in our group joined in with a cackle or two, and the white girls in class kindly pointed out how light and nearly invisible their own body hairs were, how unlucky I must feel to not be blonde.

You have no idea, I remember thinking.

I went home crying to mama that day, and thus began my foray into the tortuous world of hair removal.

I wish it was just the razor bumps and cuts from shaving I had to endure. The simplicity of a blade gliding and slicing was not an option for me, I was often reminded. Use a razor, and the hair will grow back ten times thicker. Use a razor, and your skin will be as prickly as a man’s beard. Who will want to touch you?

That year, I began the weekly threading appointments, quietly nodding “Yes” to every beautician’s “Upper lip, too?” For the longer limbs and more private areas, I turned to dripping hot wax. The physical pain of ripping away my hairs was only secondary to how it felt being overexposed and vulnerable, nearly naked on a table in the back room of a corner salon at an age I was only beginning to find a relationship with my own body.

The smelly Nair and Sally Hansen creams that promised painless ease never did work on my stubborn threads. The burning hair lightening bleach from Jolen made me feel less-than, and I could feel my skin getting more irritable. The painful, never-ending zap-zap-zap of evil lasers seemed to hyper-discriminate against my dark hair and fair skin (and emptying bank account) no matter how many buckets of numbing cream I purchased.

The practice of removing female body hair can be traced all the way back to cave-people, who used flint blades, shells and other sharp objects to get rid of hair to prevent frostbite or parasite infestation.

Ancient Egyptians used copper razors and homemade pastes. Unlike the Egyptians, who promoted hairlessness in all people, Romans reserved the trait as a uniquely feminine ideal, and men were free to wear their natural body and facial hair however they liked.

Across Europe, a womxn’s hairlessness eventually became a symbol of status. (We’ve all seen the eyebrow-less Elizabethan portraits, right?)

But according to the Women’s Museum of California, “the modern era of hair removal may have been encouraged by Charles Darwin’s 1871 book, Descent of Man, through the popularization of his theories of natural selection.”

Darwinist interpretation might suggest “homo sapiens have less body hair than his/her antecedents because less hairy mates were more sexually attractive.” Thus, “body hair became a question of competitive selection.”

Within 30 years of the book’s publishing, upper- and middle class white American womxn began associating smooth skin with a desirable femininity. In 1915, Gillette advertisements encouraged womxn to remove any “unsightly” and “objectionable hair,” especially if that hair grew in places like—gasp—the underarms! By 1964, as hemlines rose, 98% of white American womxn were regularly shaving.

“In a remarkably short time, body hair became disgusting to middle-class American women, its removal a way to separate oneself from cruder people, lower class and immigrant,” Rebecca M. Herzig wrote in her book, Plucked: A History of Hair Removal.

In the ‘60s, doctors even began prescribing hormonal drugs with dangerous side effects to combat stubborn excess facial and body hair (or hirsutism) in womxn, drugs now primarily reserved for individuals transitioning from male to female.

“It’s not a coincidence that the pressure for women to modify their body hair has risen in tandem with their liberties,” Nadine Ajaka wrote for The Atlantic in 2017. According to Herzig, Ajaka wrote, “the effect of this hairlessness norm is to ‘produce feelings of inadequacy and vulnerability, the sense that women’s bodies are problematic the way they naturally are.’”

Hair removal might just be one of the biggest self-care lies we’ve adopted as womxn, she argued. “It keeps us in an impossible loop, one in which we are constantly in pursuit of velvety limbs and the moral virtue of cleanliness.”

For those of us with darker skin, with thicker hair or wider hips, the feminine western beauty ideal is already pretty much unattainable. Add stubborn excess facial or body hair and, well, you get the point.

While western conventions of beauty have undoubtedly influenced the global standard (hi, colonization), let’s consider the ways certain cultures make living with excess hair all the more complicated or shameful for womxn—cultures where her objective worth is still deeply rooted in feminine prowess and fertility.

I’m going to introduce you to a dear friend of mine now. Puja Shah and I have known each other for about a decade (maybe longer?) and have been close since college. She’s one of those people you meet once and want to meet again, always oozing genuine love for the people in her life and for the work she does.

At 16, Puja received a diagnosis to explain the excess hair and irregular periods she was experiencing: polycystic ovary syndrome. PCOS is one of the most common hormonal disorders among womxn, affecting 1 in 10 of those within childbearing age.

According to the Mayo Clinic, the exact cause of the condition is unknown, but several factors play a role: too much insulin, genetics, high levels of androgen.

If you have PCOS, you may experience severe acne, male-pattern baldness and enlarged ovaries that fail to function regularly. It can put you at higher risk of infertility, Type 2 diabetes, miscarriage, metabolic syndrome, sleep apnea and a slew of mental illnesses, including depression, anxiety and eating disorders.

Anyone with ovaries and uteruses, no matter their ethnic background, is at risk during reproductive age. But the way PCOS manifests physically (its phenotypic expression) can indeed vary across ethnicities and geographies.

For example, research shows a strikingly high prevalence of PCOS-related hirsutism among womxn of South Asian, Middle Eastern or Mediterranean origin.¹

Puja is a born-and-bred Georgian and her family comes from Gujarat, India. While she’s learned to master the balancing act of her Indian roots and western upbringing, she admits it wasn’t easy to appease the harsh beauty standards of both cultures, especially with PCOS.

When her endocrinologist suggested birth control at 16—a customary treatment option for PCOS management—Puja’s mom was adamantly against the idea. Stigma against contraceptive use is fairly common in Asian American communities, even if the patient isn’t sexually active. It’s the mere possibility of sex, the mere taboo of discussing sexual health at all.

So her doctor recommended the next best course of action: a change in diet and exercise coupled with Metformin, a medication used to lower blood sugar and improve insulin sensitivity. I’ve used it myself when I was pre-diabetic and dealing with my own metabolic syndrome.

As the years went by, Puja’s periods became so irregular that she often had to learn to induce them. She’d skip out on trips and pool parties and anything that required her to leave the house because she never knew when the induced period would arrive, or just how intense it might be.

“I was honestly just really, really devastated,” Puja says. “I didn’t really know why this was happening or what exactly was going on. There wasn’t much research or support out there at the time.”

It didn’t help that the subject was rarely addressed in family settings. To this day, Puja’s dad has no idea.

The irregular periods are certainly still cumbersome. But 12 years later, it’s the hirsutism that gets to Puja most.

“It’s definitely influenced my confidence and self-esteem,” she says. “Hair is always on my mind.”

When she takes photos with friends, she asks to see the final shot before anyone uploads it. Then she scans the image to see if there are any visible hairs sprouting from her chin or upper lip.

Sometimes Puja will skip out on big events or hangouts with friends because she just doesn’t want to go through the pain of waxing her upper lip for a couple of hours of fun.

Recently, she met up with a male friend after getting her eyebrows threaded, leaving her brows and forehead lit up in a reddish hue. When her friend commented on the redness, Puja let him know that, you know, threading hurts!

“Couldn’t be that bad,” he replied. So she drove him to get his own eyebrows threaded for the first time.

He left the beautician’s chair in tears.

But it’s not just the pain of hair removal (and lack of understanding) that bothers Puja. For her and for many with metabolic syndromes (myself included) any type of hair removal tends to give way to even thicker, more stubborn replacements. And the more you shave or wax or laser, the more the skin gets exacerbated and discolored.

That’s influenced the type of clothes Puja feels comfortable wearing, too. Sleeveless tops and dresses expose the discoloration under her shaved underarms. A bikini feels out of the question.

If you know Puja, you know she’s the biggest, warmest cuddlebug around and she loves to hug, kiss, hold her friends’ hands. It’s hardly surprising that her primary love language is touch.

Still, she says, she hates being touched.

“It’s weird, I know. And I definitely think that’s stemmed from insecurity,” she says. “I don’t want people to touch me and feel the hair on my body.”

It makes her self-conscious about being intimate with someone, too. “What if they wonder why I’m discolored? Or think I’m not clean?”

The hair and discoloration have also affected her relationship with her mom, who constantly reminds her to get rid of the fuzz before a trip to the temple, to a wedding, to any family gathering. The repetitive reminders have added a lot of anger and resentment toward a culture that rarely speaks aloud about womxn’s health but unquestionably promotes hairless, fair and velvety skin as the sole face of beauty.

Even when Puja’s mom says she’s “just joking around,” it gets to her.

“Because of the comments, I don’t lay on her or let her touch my face,” she says.

But Puja recognizes how different her mom’s upbringing had been, how the culture shock of leaving a country for an alien world may have complicated the way she shows her love. She may not always have the right words, but Puja’s mom is constantly on the lookout for new herbal supplements and vitamins that might ease her daughter’s symptoms, and that means a helluva lot to Puja.

Fostering a close friend group has also been critical through all this, she says. At least half of her friends have PCOS or some kind of metabolic syndrome, and they’re actually willing to talk about it.

“We’ll help each other out, you know,” she says. “We’ll share what works and what doesn’t.” Sure, PCOS symptoms and treatment effectiveness vary by individual, but it’s just good to openly talk about a subject that’s still so hush-hush at home, she says.

Puja’s also found support in Facebook and Instagram groups for others diagnosed with PCOS. She attended a conference for PCOS awareness and met people who were dealing with the same sh*t. Being part of these cohorts helped her feel a little more understood. And it’s been key to her gaining confidence over the years.

“If you had asked me to talk about this five years ago, I would have said no,” Puja says. But now, “I've kind of grown and accepted that, you know, it is what it is. All I can do is maintain what I can. I'm not gonna let it stop me from doing whatever I want.”

Looking ahead, Puja (a total science nerd) is optimistic about the research emerging around PCOS symptom management, considering the condition has had a long history of limited funding.

But if you’re reading this and dealing with metabolic syndrome or hirsutism and all the psychological distress associated with the conditions, some advice from Puja:

  • Connect with others who can relate, whether that’s through a support group, online, or friends willing to chat.

  • While Puja wasn’t diagnosed with a mental illness, she recommends everyone get screened for common mental disorders. If your social anxiety, self-esteem or body dysmorphia is affecting your daily life or keeping you from enjoying yourself, please consider counseling.

  • Know you’re not alone. Just in the U.S., between 5% to 10% of women of childbearing age (~5 million) have PCOS. And yet, less than 50% are properly diagnosed, leaving millions of womxn living with PCOS undiagnosed.

  • Don’t take your anger out on loved ones (or your endocrinologist!) Frustrated with her new normal, Puja ended up avoiding her endocrinologist for a while and resenting her when she was just trying to help.

Want to get in touch with Puja?

The mental health and well-being connection

To what degree PCOS influences your individual mental health and well-being depends on so. many. factors. Do you already have a history of mental illness in your own life or in your family? Which PCOS symptoms are most personally troublesome for you? Is it the excessive facial hair, the weight gain, the irregular periods, the infertility? Some interesting research:

  • In general: Infertility = higher scores of depression. Obesity = higher anxiety scores. But PCOS patients with oligomenorrhea-hirsutism (infrequent menstrual periods + excess hair) are “overall more affected in terms of physical functioning, physical role function, pain, social functioning, emotional role function, and emotional well-being.”²

  • For Iranian and Sri Lankan womxn, hirsutism tends to be the most psychologically distressing PCOS symptom. “Not only is hirsutism itself a major concern for womxn diagnosed with PCOS, but the time and energy spent at concealing it aggravates the distress further.”³

  • A study on American, German and Australian womxn with PCOS found that obesity was the most distressing PCOS symptom, whereas body hair was the least of their concerns.⁴

Because this issue is dedicated to #hairhairhair let’s focus on why hirsutism—whether it’s a symptom of PCOS, another medical condition or simply due to genetics—might be especially burdensome to psychological well-being.

“Despite the fact that the syndrome, from my perspective as a physician, may give rise to other serious conditions such as high blood pressure, cardio-vascular diseases, high lipid levels in the bloodstream, diabetes, difficulties conceiving and overweight, women with polycystic ovary syndrome rate the excess hair as the second most difficult thing to live with. Second to difficulties conceiving.”

— Dr. Maria Palmetun Ekbäck, a physician and researcher with Sweden’s Örebro University

Those with unwanted hair due to hirsutism often feel self-conscious, and plan their lives according to how well they can hide their bodies, Ekbäck says. Because of this, they might avoid close physical contact, or make themselves seem unapproachable.

The more unwanted excess hair growth a patient experiences, she adds, the more potential for social anxiety and depression. And statistically, womxn living with PCOS who tend to experience anxiety or depression seldom seek psychiatric help for their hirsutism symptoms because they’re embarrassed.

"As doctors, looking at the whole picture, we most likely often view the hair growth as trivial,” she said. “But if these women are to find the strength to cope, follow dietary and exercise advice, and go under medication, there must be a sense of empowerment in the way that they are approached and treated by healthcare staff. We need to provide adequate information and lift the stigma brought about by this condition.”

Research shows South Asian womxn with PCOS disproportionately experience more severe hirsutism and infertility⁵. Research also shows multiple countries in South Asia, including Pakistan and India, are among the worst for women⁶ based on violence and lack of health services. Research also shows South Asians, who are more likely to exhibit depressive symptoms and are at higher risk of suicide⁷ compared to the general U.S. population, are among the least likely demographic to seek psychiatric help, and that includes migrants.⁸

Find a doctor or specialist

Get support: Online groups

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Get involved: Events and advocacy

For clinicians

From PCOSAA: The Crisis Text Line serves anyone, in any type of crisis, providing access to free, 24/7 support and information. Text PCOS to 741741 from anywhere in the United States or UK, 24/7. We will text about whatever is a crisis to you - addiction, anxiety, assault, bullying, depression, eating disorders, self-harm, and suicide.

Recommend a resource

The Casualties of Women's War on Body Hair (Nadine Ajaka, The Atlantic). “I’m sure there was a time when I was not hairy, but I can’t remember it,” writes Ajaka. “I recall inspecting the black hairs on my legs with serious fascination; my mother would use sticky sugar to rip them out from their stubborn roots. ‘Beauty requires strength,’ she would say.” Read here.

The Syndrome That Made Me Question My Femininity (Mariana Viera, ZORA). “She just needs to scrub harder when she showers,” Mariana’s aunt lovingly said when she was just 10. As she reached teen-dom, Mariana’s mom let her replace meals with Slim Fast shakes to combat the weight gain. In the bathroom mirror, she began noticing the discoloration along her neck, “the most stubborn dirt I had ever encountered.” Read here.

6 Women On Living With Polycystic Ovary Syndrome (Jacqueline Kilikita, Refinery29). Priya, 33, admits she’s slathered herself in skin lightening cream and even slept with the harmful hydroquinone on her face overnight. Twenty-six-year-old Rachel is primarily concerned about infertility. But what’s frustrating is the pity from others. “I shouldn’t be made to feel that I’m broken.” Read here.

Brown Girls and Hair by Neamah Hussein. “Body hair and the ordeal of dealing with it is a big part of my life... and I find that hilarious.” This “cathartic tragicomedy on body hair” will leave you laugh-crying for days. Watch here.

Issue 13, out on New Year’s Eve, will mark one year since we launched! We want to hear from you. What have you loved or disliked about Foreign Bodies? Do you have a favorite issue? Is there something you want us to do differently in 2020?

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And remember, our grant money runs out at the end of December. That means in 2020, we will be fully funded by readers like you. We really need your support to continue this work.

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- Fiza

P.S. A very special thanks to Puja for being a stellar friend and for sharing her story. And don’t forget: The giveaway for Bassey Ikpi’s powerful memoir, I’m Telling the Truth But I’m Lying, ends TONIGHT!


Sources

  1. Lo JC, et al. (2006). Epidemiology and adverse cardiovascular risk profile of diagnosed polycystic ovary syndrome. DOI: 10.1210/jc.2005-2430.

  2. Acmaz G, et al. (2013). Level of anxiety, depression, self-esteem, social anxiety, and quality of life among the women with polycystic ovary syndrome. DOI: 10.1155/2013/851815.

  3. Khomami M, et al. (2015). Of PCOS Symptoms, Hirsutism Has the Most Significant Impact on the Quality of Life of Iranian Women. DOI: 10.1371/journal.pone.0123608.

  4. Thomson RL, et al. (2010). Lifestyle management improves quality of life and depression in overweight and obese women with polycystic ovary syndrome. DOI: 10.1016/j.fertnstert.2009.11.001.

  5. Mehta J, et al. (2013). Phenotypic expression of polycystic ovary syndrome in South Asian women. DOI: 10.1097/OGX.0b013e318280a30f

  6. The World’s Worst Places to be a Woman. (n.d.)

  7. Sohrabji, Sunita. (2013). Suicide Amongst Indian Americans: We’re Stressed, Depressed, But Who’s Listening?

  8. Elias, Priya-Alika. (2015). The Silence About Mental Health in South Asian Culture Is Dangerous.


Foreign Bodies is an email newsletter dedicated to the unique experiences of immigrants and refugees as they relate to coping with mental illness and wellness. It’s written and curated by Atlanta-based writer Fiza Pirani with copyediting and fact-checking help from Boston-based journalist Hanaa’ Tameez. Want to contribute your time or share your own #ForeignBodies story? Fill out this form and be sure to say hi on Twitter @4nbodies or Facebook. Special shout-out to Carter Fellow and friend Rory Linnane for the adorable animated logo!


If you're thinking about suicide or worried about someone who might be, call the National Suicide Prevention Lifeline at 1-800-273-TALK (8255) or text 741741 to connect to a crisis counselor. You can also find a wealth of culture- or language-specific recommended resources on our site, foreignbodies.net.

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