I came across Heavy Flow when it was “reviewed” by another blogger. Her review piqued my interest, but I didn’t feel as though I had enough information on the book. Still, I know it’s a topic that deserves to be talked about and taught with information and no shame. I was lucky enough that the publisher sent me a digital copy.

You may already be familiar with the author, Amanda Laird, if you’ve heard her podcast of the same name. She’s a registered holistic nutritionist, which is apparent throughout the book. I must admit that I was surprised to learn a medical doctor didn’t write this book. It may be a bit elitist of me, and I know that doctors aren’t infallible and that other medical professionals have important experience, but Ms. Laird only adds to this skepticism at times when she refers to a holistic approach.

Readers should beware that Heavy Flow relies heavily on Laird’s professional experience and a bit less so on medical research. So while much of what she says seems factually correct, there are times when it may be wiser to take her advice with a grain of salt, at least, until science and medicine have evidence to back it up.

That’s not to say that the book or Laird’s experience are without value. There are times when her experience provides unique insight into the menstrual cycle. When Laird talks about how diet can affect the menstrual cycle, her experience as a registered holistic nutritionist shows. This is a concept that I’ve never really heard discussed before, and I think it’s worth thinking about. It certainly encouraged me to rethink my relationship with certain foods.

Laird does rely on science and medicine in the first section of the book, wherein she introduces the reader to the biology of the menstrual cycle and goes well beyond what we may have learned in health class. Specifically, she describes the complex role that hormones play during the menstrual cycle and its phases. It’s often not represented as complicated as it is.

It is here that Laird introduces the idea of the menstrual cycle as a vital sign. My familiarity with the phrase is limited to TV shows, where they use vital signs to check if a person is alive or dead, so this usage expanded my definition. But it sometimes seems a bit heavy-handed, especially when considering how vital signs such as pulse, blood pressure, or breathing provide such immediate and actional information. Still, there isn’t a ton of consensus on just what counts as a vital sign: organizations recognize between four and eight vital signs. This lends some credence to Laird’s suggestion that the state of the menstrual cycle could be one.

One of the more helpful ideas that Laird presents to the reader is that of finding their own normal and tracking their cycle. The length of your menstrual cycle, for example, may not be the average. She discusses how birth control affects the menstrual cycle and while the “period” experienced by most people who take birth control is not really a period at all. This is something that is often overlooked. Laird also explains how life changes, such as pregnancy and menopause, can affect your cycle.

As she rounds out the biology section, Laird discusses unpleasant side effects of menstruation as well as outlining some abnormalities/conditions such as endometriosis and PCOS, which can impact menstrual cycle. She then takes the time to bust some myths and answer some crucial questions about the menstrual cycle, including:

• Why does my period mess with my skin?
• Do menstrual cycles sync up?
• Can you get pregnant on your period?
• What’s the deal with period poops?

You know, the sort of things we might have better knowledge about if we talked about periods less shamefully.

Laird’s good advice continues as she teaches readers how to advocate for themselves when dealing with doctors and read test results. In the second section. It is here where she recommends alternative medical professionals, and I had to roll my eyes a bit. However, the power of placebo is strong, and these approaches may be helpful.

The chapter about nutrition follows, and it includes helpful advice about topics such as reducing inflammation, which can be an issue at certain points of the menstrual cycle. There is an entire chapter dedicated to foods that support hormonal health, which includes information about vitamin deficiencies. However, I think it may be easy to overlook this chapter, especially if the reader simply wants to know more about how their cycle works and not change it. The author introduces readers to the concept or seed cycling or adding specific seeds to their diet during particular phases of their cycle. This was one of those sections that seemed a bit too “crunchie” for me, no pun intended.

However, the advice in the following chapter about stress and your cycle is important. I think most of us understand that stress can impact our cycle but not necessarily how. Heavy Flow continues in its goal to educate readers and empower them to make choices about how they view and deal with their cycles. Laird advises against endocrine-disrupting chemicals and makes suggestions for menstrual products, including the suggestion for using natural sea sponges to absorb menstrual blood. This was the first time I’d heard of that option; although, they seem relatively easy to buy. Again, this chapter jumps between alternative methods and those that are more traditional/accepted by science. Laird recommends getting enough sleep just pages before discussing vaginal steaming.

After spending the first two sections educating the reader, Laird dedicates the last to helping them embrace their cycles. The third section lacks in cohesion but makes up for it with information. The first chapter in this section revolves around working with your hormones rather than against them. As the book comes to its conclusion, Laird also has words for parents and people who may have to discuss periods with adolescents.

Laird leaves the reader with hopeful words about understanding and embracing their menstrual cycles to break the societal taboo about menstruation. Heavy Flow can certainly be part of those efforts. For most people, the information in these pages will expand their knowledge of menstruation and the menstrual cycle exponentially, even if some of the author’s words and experience teeter a bit too far to the alternative for my tastes.

And since I haven’t managed to work it into this post before now, Laird uses mostly inclusive language in Heavy Flow to acknowledge that not everyone with a menstrual cycle is a woman. In her introduction, she warns that she may use binary terminology in places when comparing the experience of men and women.

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