“What Do You Do if They Say ‘No’?”: Agency, Materiality, and Justice in Pelvic Exams

Abstract

ABSTRACT In this defining moments essay, I take up feminist new materialist and reproductive justice theories to explore communication, autonomy, consent, and in/justice in the context of pelvic exams. I use feminist new materialism and reproductive justice to illustrate the ways in which traditional medical education practices, histories of misogynoir, speculums, patient gowns, and more communicate and matter in pelvic exam teaching and practice. In so doing, I move between academic prose and short narratives drawn from my lived experiences as both a patient and a Gynecological Teaching Associate (a role in which I instruct medical students learning to perform pelvic exams). Ultimately, I argue that attending to influence of other-than-humans and adopting relational conceptions of agency can help health communication scholars and practitioners advance equity and justice in pelvic exams.