Grace Gathu’s life has been nothing short of what the Oxford dictionary describes as the meaning of her first name. She leaves deposits of charm everywhere she sets foot. The last 8 years have been strenuous, yet her flair remains. Endometriosis has dealt her some serious blows, but she looks forward to hitting the big 3.0 and working towards fulfilling all her dreams.
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2002:
I can still hear my classmates chuckle. It is not quite the happy occasion for me. I have soiled my dress. I have to tie my sweater round my waist to conceal the red patch. It is so embarrassing. I am 11 years old and my menses are making me feel like a 30 year old woman. I don’t feel normal.
2011:
“Are you sure you have not aborted?”
I was at home the first time I passed out from the pain. I just remember I was walking up the stairs when I blacked out. When I came to, I was in a car with my folks and brother. Their faces were lined with worry. I was in so much pain, like someone was scrapping off my insides with a rake. Whoever it was was not taking any breaks. They kept on scrapping till we got to the hospital, and even then, they were unrelenting. I could not sit still. When I was not seated with my knees touching my chin and my arms wrapped around my legs, I was lying on the cold hard floor, if only to quell the raging fire in my belly.
So it really caught me by surprise when one of the nurses asked the abortion question so blatantly.
Numerous tests later, nothing conclusive was found to be the cause of my torment. There were no fibroids. I was given very strong pain killers to manage the pain. Henceforth, I always had anxiety and panic attacks every time I sensed my periods were around the corner. I knew what that meant, inexplicable pain and discomfort. Nausea. Helplessness. Bloating.
I am too young to have this…
Months later, in a room at the Aga Khan Hospital in Nairobi, a doctor finally told me that I had endometriosis, a chronic condition that occurs when endometrial cell tissue (the cells that grow and shed as part of your menstrual cycle), builds up in places other than your uterus. When these cells try to exit your body with the rest of your endometrial tissue, they swell and become inflamed.
I recall him trying to explain what that meant, but I was not exactly present. I was too young for this! Why me? Why do I have to go through this pain? Then I heard him say it was incurable. What? This agony for the rest of my life? I was in denial. My mother who was with me, was at a loss too. No one from either side of the family had this condition.
The doctor advised that I start hormonal therapy immediately, that is, taking birth control drugs to manage the condition. Mother would hear none of that. I wondered if I was hearing her right. Here was a chance to ease the agony, and she wouldn’t let me have it? She insisted that we look for another solution. I continued taking pain killers, hoping that this other solution would be found before this pain killed me.
The hormones in the birth control pills cause the uterus lining to become thinner, causing periods to become shorter and lighter, thus reducing endometriosis symptoms. Hormonal treatment does not cure endometriosis, but it may help with controlling pain by stopping your periods and preventing endometriosis from getting worse.
It was when I bled everyday for 90 days that I realized how much trouble I was in. In hindsight, I had a similar experience back in primary school where I bled for 30 days. I was told that there was no cause for alarm, my body was just adjusting to the new function. I was an adult now, my body had had enough time to adjust, yet here I was.
Acting on a friend’s recommendation, I traveled about 65 kilometers from Nairobi to Kijabe Hospital to meet a doctor who could walk with me to find out what works best for the ‘my’ endometriosis. Dr. Catherine Chen was God-sent. She began treatment immediately. However, drugs that worked instantly for her other patients backfired on me. I would pass huge clots and as you can imagine by now, the pain was not child’s play. I had developed severe acidity from the drugs administred by previous doctors. I would get endometriosis leg pain, a radiating warm pain that spreads throughout the legs. It gets worse just before my period or afterwards.
My feet also swell during my periods
If I had a shilling for every time someone congratulated me and asked me how far along I was! The bloating makes me look pregnant. I have learnt not to take offense (Ok, sometimes I want to strangle them). I just smile and say, “I am not pregnant.”
One of the most challenging things for an endo warrior is finding a doctor who won’t tell you things like, “Si tuliamua unazaa ndio hii shida iishe?” yet childbirth isn’t a cure for endometriosis. One who is sensitive and gives you the best treatment. We finally figured out what works for me. The meds like Dienogest also sold under the brand name Natazia, control the excessive bleeding. Dr. Chen prescribed these especially because I wasn’t ready to consider invasive surgical measures.
I used to be wary of surgery. The risks that come with insertion of this instrument and that…what if they tamper with my womb? I have heard stories. I want to have children. Dr. Chen recommended surgery, but never insisted. She listened to my fears. She said that before I decide to go under the knife, my body, mind and soul have to be aligned. No conflict. I think I am ready now. I am willing to risk it if only for some reprieve.
Humans are generally nice, but there is a breed forgets that kindness is a virtue.
A boss once told me that she did not understand why I was being so dramatic yet she is also a woman like me and gets cramps during her periods. She asked why I was faking pain. Elsewhere, I was fired because my endometriosis was making me miss work. I was using up all my sick off days and eating into leave days. They wrote underperfomance on the dismissal letter.
As an ambitious career woman, it hurt to hear and go through all this. I wondered if I would ever find a workplace that would not punish me for something beyond my control. What do you know? I am quite happy at my current workplace. I work in human resources and I hope to help create a space that is kind to everyone, especially women with chronic conditions.
There is still work to be done to normalize reproductive health discussions in homes and workplaces. It doesn’t help that topics such as menstrual health are deemed taboo in many Kenyan spaces.
PRESENT DAY:
Some days are good, others, not so much…
Many are the times I have been too frail or discouraged to pray. I would tell God that since He created me, He could chose how I died and if this was it, then He should make it quick instead of having me suffer pointless pain. It is very easy to fall into the pit of depression if you do not have a proper support system.
I see the tears on my mother’s eyes sometimes, wishing she could take away the pain. My father has asked aloud, severally, “Is there no cure for this, my daughter?” On days when I want to give up, my sister encourages me not to, “Just take one more pill.” My brother just wants to see me smile and hear my laughter. My family has been a great pillar of strength.
As beautiful and reassuring as this is, it hasn’t cushioned me from heartache. Men have taken off when they witness what it is like to live with endometriosis. It suddenly dawns on them what it means to be a caregiver. I don’t blame them, it is a huge ask. I am always upfront with them from the onset. I talk about having children – or not, extreme mood swings, insomnia and how a possible lifetime of that looks like. I really have to salute the men who stand by their women, especially in marriage. I see them and my hope is renewed; there is a man out there for me.
I have learnt to put people at arms length. It is hard to be vulnerable about such an intimate part of me with everyone. I try to be there for my friends when I can, scheduling meets as far from my cycle as possible so I can be okay for them – doesn’t always work though. I have lost many friends. Fortunately, I have had some solid friendships for years now. They speak life when I am admitted in hospital.
I got admitted while visiting a sick friend. Attacks are unpredictable.
A key part of being female to me includes a strong surrounding female support system, giving and receiving. I strive to be as kind and supportive to all the females in my life as I can, because I receive a lot of comfort and love in return. Having a strong group fueled by love and affirmation is incredibly important. We should stop tearing each other down, comparing menses and all. We are all unique and our expressions matter.
All said and done, there is no refuge but in God. He has given me strength. If it were not for the people He put in my life, I would be long gone. I still don’t have all the answers to my questions but I have seen Him come through in my pain.
Being Woman is…
I wish I had more tangible and concrete ways to describe what it means to me, because for the most part it just feels like something special. There is something about the way women connect with mankind, connect with the world, that is so deep and kind of cosmic and I love that.
More stories on the #BeingWoman series here.