WTF Fun Fact 13539 – Male Menstruation in Egypt

While male menstruation sounds like an anomaly, accounts from Egypt painted a curious picture.

During the Napoleonic campaigns in the early 19th century, French soldiers noted a peculiar condition among the local Egyptian men: many reported blood in their urine, leading to the label “the land of the menstruating men.”

Deciphering Male Menstruation

The actual cause behind this perplexing phenomenon is a parasitic disease named schistosomiasis. It originates from Schistosoma worms.

When freshwater snails infected with these parasites release larvae, those larvae can penetrate the skin of humans who come into contact with the water.

Once the larvae invade a human host, they mature into adult worms that live in the blood vessels. The female worms lay eggs, some of which the body excretes through urine or feces, and some remain in the body.

It’s these eggs that can cause inflammation, tissue damage, and bleeding when they lodge in the bladder or intestine.

The presence of blood in urine, or hematuria, became a characteristic symptom among many Egyptian men. This sign of schistosomiasis was the source of the “male menstruation” confusion.

The disease not only caused physical distress but also carried a significant cultural and psychological burden given the societal perceptions of the symptoms.

French Soldiers and Schistosomiasis

In the late 18th century, under the leadership of Napoleon Bonaparte, French ambitions extended beyond Europe, aiming to challenge the British Empire’s growing dominance.

The French campaign in Egypt, which began in 1798, was a strategic endeavor to disrupt British trade routes to India and spread revolutionary ideals. Napoleon, with an army of approximately 35,000 soldiers, invaded Egypt, capturing Alexandria and later Cairo.

This expedition was not purely military; it also included scholars and scientists who studied the ancient and contemporary culture of Egypt. Their presence led to significant discoveries, including the famed Rosetta Stone.

However, while the campaign had initial successes, it faced challenges, such as an encounter with schistosomiasis.

While the local Egyptians bore the “menstruating men” moniker, the French soldiers were not immune. Many who waded in the Nile for bathing or other activities also contracted the disease. However, the term likely stuck more with the Egyptians due to pre-existing observations.

Unraveling the Mystery of Menstruating Men

It took some time before medical professionals connected the dots. The visible blood in urine, a clear symptom of a severe schistosomiasis infection, was initially misunderstood. (However, both men and women suffered from this symptom.)

Eventually, with advancements in medical knowledge and further studies in parasitology, the real nature of the disease became apparent. Scientists and doctors recognized that the “male menstruation” was actually a manifestation of schistosomiasis.

Modern medicine offers effective treatments for schistosomiasis, primarily using the drug praziquantel. Efforts to control the disease also focus on reducing the population of infected snails and improving sanitation to prevent contamination of freshwater sources. Education campaigns aim to reduce human contact with infested water.

Today, the disease remains endemic in many parts of Africa, including Egypt, but global health initiatives strive to reduce its impact.

Recognizing the history and myths surrounding schistosomiasis can help in understanding its cultural implications and the importance of continued efforts to combat it.

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Source: “History of schistosomiasis (bilharziasis) in humans: from Egyptian medical papyri to molecular biology on mummies” — Pathogens and Global Health

WTF Fun Fact 13270 – Maggot Therapy

Maggot therapy involves using disinfected fly larvae (maggots) to help remove damaged tissue from wounds. And while it may sound gross, it’s making a comeback in mainstream medicine.

What is maggot therapy?

Maggot therapy, also known as maggot debridement therapy (MDT), is a medical treatment that uses live maggots to clean and heal wounds in humans. Granted, it sounds like an unpleasant approach to wound care. But it actually has a long and fascinating history dating back centuries. For example, maggots were used by the Mayans and other Native Americans.

In the early 19th century, a French surgeon named Jules-Francois Germain found that maggots could clean wounds more effectively than traditional methods like cauterization. Their use could also help avoid amputation.

In and out of style

Throughout the 19th century, doctors and surgeons used the technique to treat a variety of conditions like ulcers, abscesses, and gangrene. But despite its effectiveness, maggot therapy fell out of favor in the mid-20th century. This is partly due to the development of antibiotics. Those are far easier to convince someone to take!

However, in the 1980s, antibiotic resistance became a huge problem thanks to the overuse of antibiotics. This helped revive the interest in using maggots in medicine. Scientists even developed new techniques for sterilizing and breeding maggots so they would pose less risk. This also helps patients see them as lab-created entities rather than something you’d find in a dumpster.

Today, maggot therapy is recognized as a safe and effective treatment for a variety of wounds. It’s used for treating diabetic foot ulcers, venous stasis ulcers, and pressure ulcers.

Maggots today

While still relatively rare, doctors do use maggots in hospitals today. They’re carefully applied to wounds in a special dressing so they can feed on the dead tissue and secrete enzymes to kill bacteria and promote healing. When the maggots are removed after several days, a wound is cleaned and dressed and ready to let the body take over the healing.

Maggots might sound gross, but they’re a cost-effective treatment option. They are also particularly helpful for patients who have not responded well to other forms of wound care. As a result, this therapy is gaining increasing recognition as a valuable tool in the treatment of chronic wounds.

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Source: “Entomological Medicine: How One Scientist is Working to Bring Maggot Therapy Into Wider Use” — Entomology Today