The Vagina Bible: The Vulva and the Vagina — Separating the Myth from the Medicine

June 17th, 2020

Note: this book is currently free to rent if you have Amazon Prime.

Since reading The Vagina Bible, there have been several instances in which I wanted to recommend it to other women who asked had questions or expressed ignorance about how their body works. I’m sure it’s a combination of me spending time in different online communities these days, but I have been consistently reminded how very little that women — and others with vaginas — know about their bodies. We certainly need a resource like The Vagina Bible aims to be.

Let me start by addressing the misnomer, and it’s one that this book’s author, OBGYN Jen Gunter, explains herself. In her disclaimer, Dr. Gunter tackles the common misuse of the word “vagina” to mean vulva and not just the internal organ. The Vagina Bible is about both, but the good doctor uses the word that is commonly used to refer to both when naming the book.

The other thing that I think needs addressing regards to this book is whether it’s cis-normative. Right off the bat, Dr. Gunter discusses the woman patients she’s treated over her 30+ years in the field. If a reader were, for example, a trans man with a vagina, they might think that this book has nothing for them or find the tone exclusionary. It’s unfortunate because The Vagina Bible does have information that applies to trans folks, not just those men who may have a vagina but also trans women who have a vagina. There are sections in the book that apply explicitly to these situations, yet readers don’t know that until the third chapter when Jen first mentions the word “trans.” It strikes me that including mention of this in the introduction would be such an easy fix.

As a resource, The Vagina Bible can be read straight through like I did. You could also simply use the ToC or index to navigate to the section that pertains to the subject in question. In this way, The Vagina Bible is like a reference. However, the reader might miss some information in The Vagina Bible that is quite interesting if they approach the book in this manner. I do suggest at least glancing over the more preliminary information, such as the anatomy lessons. I was pleasantly surprised at how much I learned just a few pages in (eccrine glands and melanin in the vulva), and the lessons continued.

I’ve already mentioned the chapter for our trans friends, and its information was mostly new to me. Dr. Gunter follows this with a section on sexual pleasure and education, which I wish explicitly used the phrase “responsive desire,” and more than once i thought she was a bit reductivist when discussingtopics. For example, she states that FE comes from the bladder and is, therefore, urine but does not discuss the differences in how the body processes the fluids. Similarly, she does not mention that one of the reasons that spermicide is bad is because of how toxic it is to the delicate mucus membranes, a shocking oversight in my opinion. Although The Vagina Bible is not intended to be a book about pregnancy, Dr. Gunter does include some basic information at the end of the first section.

Readers looking for practical advice might skip right to the second section, which focuses on maintenance and issues such as exams, yeast infections, underwear, Kegels and lube. The author tackles wipes and their potential to cause irritation in a chapter in the third section, which also includes information on cleansing, grooming, and moisturizing. Jen relies not just on her experience as a doctor but also as a woman, especially in this section.

She continues to bash myths as she moves on to discuss the menstrual cycle, products, and the risk of Toxic Shock Syndrome before moving on to a section on menopause that I no doubt might find more useful in a few years but that does paint The Vagina Bible as a useful resource for people with vaginas no matter their age.

I found the information about biofilms and how they interact with IUDs interesting as a person who has had three of them now. The facts that Dr. Gunter presents in the chapter on contraception exemplify just how easy it is to miss out on information related to sex or be actively misinformed. After discussing how various medicines and chemicals affect the vaginal ecosystem, Jen moves on to cosmetic procedures. It is here where she outright dismisses the possibilities of the “O” Shot in just a few paragraphs, and I’ve seen criticisms of the author/book from other medical professionals in response to this.

I think that this highlights one of my main issues with The Vagina Bible. While Dr. Gunter has decades of experience as a doctor and even more as a woman, she’s more than a bit dismissive about some topics. The tone she uses can be offputting, and this is coming from a sex-positive feminist who generally agrees with her position on many things. I would never say that there is any place where feminism doesn’t belong, but I can imagine that there are some people who would better receive this book and its much-needed content if Dr. Gunter would soften her tone occasionally and allow room for new research and ambiguity rather than doubling down on her opinions, which are not always lenient when it comes to men.

With a few caveats, I would still recommend The Vagina Bible as a resource until someone else puts together a book that’s even more comprehensive and updated. This is especially true regarding the conditions and symptoms sections, which provide information that can help people advocate for themselves medically. This can be so difficult, and even more so when things aren’t working quite right.

For anyone who is wary about the tone used in this book, I might suggest looking up topics only as needed, which brings me to my final point.

Rest assured that while the information in The Vagina Bible might seem encyclopedia, it’s not nearly as big of a tome as it appears. The font is huge! It really makes this book bigger than it has to be at 400-some pages.

 


2 Comments to “The Vagina Bible: The Vulva and the Vagina — Separating the Myth from the Medicine”

  • Trix says:

    While I admire a lot of what Gunter is trying to do, I’m a little relieved that someone else doesn’t think this book is completely infallible. The blanket statements about BV really bothered me (virgins *can* and do get it since it’s not an STI, and how can she be so sure lesbians can’t get it when fingers and toys, like penises, can introduce bacteria?), making me wonder what else could be wrong. I understand science lovers not wanting to be on Team Goop in the great jade egg debate, but that doesn’t make the doctor superhuman…

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