Is the 'biological clock' just one big scam?
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NPR
4.7 • 9.2K Ratings
🗓️ 15 May 2026
⏱️ 21 minutes
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Summary
What about barren? Inhospitable? Geriatric? These are all words women over the age of 35 have heard in doctor's offices for decades to describe their reproductive health as they explore options for childbirth. The terminology has been changing, but for some, not quickly enough. When the culture is pushing for more humane ways to talk about women's bodies, how long will it take modern medicine to catch up? Brittany talks with Rachel E. Gross, author of Vagina Obscura: An Anatomical Voyage to understand what the use of these words reveal about our cultural expectations of pregnant people.
Want more on the culture of women’s health? Check out these episodes:
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Transcript
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| 0:00.0 | So just to start with, can you run through a few outdated terms you come across in women's |
| 0:10.4 | reproductive terminology, like for example, geriatric pregnancy, vaginal atrophy, ovarian failure? |
| 0:16.5 | Could you run through some outdated terms? |
| 0:20.4 | Oh, Lord, how outdated are we talking? |
| 0:23.0 | Hostile uterus is still used a lot. |
| 0:25.8 | It means that the sperm and egg is not able to merge. |
| 0:28.9 | I've heard senile uterus use, which is really outdated. |
| 0:32.6 | I've heard from a doctor that her own uterus was just called old. |
| 0:37.8 | But I do think it has to do with the conditions that make it easier for an egg to implant. |
| 0:42.2 | If it looks like that's not going to be easy, they call it barren, old, hostile, senile. |
| 0:49.7 | Not all these terms are used today, obviously. |
| 0:53.1 | I don't know about you, but by the time I hit my 20s, |
| 0:56.6 | my reproductive health became a topic of conversation, whether I'd have kids, when I might have |
| 1:03.0 | them, and how I had to make these decisions soon, before nature made the decision for me. So like, |
| 1:09.1 | instead of talking about my eggs, like a natural part of me that |
| 1:12.4 | changed over time, just like any other part of my body. They felt like an impending failure that I had |
| 1:18.7 | to account for. And to be frank, it feels like that's the way we talk about a lot of women's reproductive |
| 1:24.2 | functions. I mean, maybe you're familiar with the term geriatric pregnancy. |
| 1:29.3 | It's a term used to describe pregnancy in people over the age of 35. Now, the medical community |
| 1:34.5 | has made some strides to encourage providers and patients to phase out the term, noting the increase |
| 1:39.8 | in the age of first-time mothers and generally how damaging it can be to patients who are, |
| 1:44.8 | for all intents and purposes, still relatively young. |
... |
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