Display Time: Art, Disgust, and the Returns of the Crystal Palace
Disgust Response and the Menstrual Cycle: Empirical results
Transcript of Disgust Response and the Menstrual Cycle: Empirical results
1
Running head: DISGUST AND THE MENSTRUAL CYCLE
Disgust Response and the Menstrual Cycle
K. Rebecca Cooling
Australian Catholic University
Author note
Word Count: 4696
DISGUST AND THE MENSTRUAL CYCLE 2
This research paper acknowledges the concept and
hypothesis as the idea of Dr. Helen Aucote, and any future
publication of this work will include Dr. Aucote as first
author. Further, we acknowledge the assistance of Dr. Leah
Kaufmann in the programming of the GNAT part of the
questionnaire, and Dr. Xochitl De la Piedad Garcia’s
assistance in the use of the computer software programs
Inquisit and SPSS.
DISGUST AND THE MENSTRUAL CYCLE 3
Abstract
Disgust involves both automatic and conscious evaluative
processing, so using a combination of explicit and implicit
disgust measures, we sought to predict higher conception risk
by the measurement of the perceptions toward disgusting things
associated with sexual interaction in pre-menopausal females.
We hypothesised that disgust for the bodily fluids involved in
sexual interaction would be downgraded, and that disgust for
lower-genetic value reproductive mates would be upgraded
(Tybur, Lieberman, Kurzban, & DeScioli, 2013) to collectively
predict higher conception risk. Specifically, we measured
explicit disgust using the Three Domain Disgust Scale (TDDS;
Tybur, Lieberman, & Griskevicius, 2009), and implicit disgust
using a Go/No-Go Association Task (Nosek & Banaji, 2001).
Menstrual cycle position was defined using probability for
conception risk (Wilcox, Dunson, Weinberg, Trussell, & Baird,
2001) in an undergraduate university sample N = 50 females (M
= 24.1 years, SD = 6.65 years). Following forced-entry
regression analysis, hypothesised predictors were not
statistically significant in this sample; however, the Moral
Domain of the TDDS was a statistically significant correlate
with high conception risk t(44) = 2.437, p = .019, 2 =.17.
Finding was not consistent with previous menstrual cycle and
disgust studies, but adds to empirical data for moral disgust
and ovulatory shift hypothesis.
Keywords: menstrual cycle, disgust, three domain disgust scale,
GNAT, implicit measures, pathogen disgust, ovulatory shift
hypothesis, high conception risk
DISGUST AND THE MENSTRUAL CYCLE 4
Disgust response and the
menstrual cycle
Disgust represents a range of aversions experienced by
humans, perhaps more complex than distaste. Distaste is an
oral and facial reaction to a bitter flavour, evidenced in
other animals (Berridge, 2000; Curtis, 2012). Disgust is part
of the behavioural immune system (Prokop & Fancovicova, 2013;
Schaller, 2006), allowing discrimination between stimuli that
may inherently contain disease-causing pathogens or parasites
(Kelly, 2011). Ultimately, it is an emotion of withdrawal and
avoidance (Ekman, 2008). Despite this apparently
discriminating emotion, it must be allowed to downgrade,
somehow, for sexual reproduction to occur (Angyal, 1941; Tybur
et al., 2013). Perhaps not unsurprisingly, if sexual arousal
is present, the disgust response is weakened (Borg & de Jong,
2012; Stark et al., 2005; Stevenson, Case, & Oaten, 2009),
rendering bodily fluids – which would generally elicit extreme
disgust (Rozin & Fallon, 1987) – as less than harmful.
Defining disgust
Extreme disgust: for saliva, sweat, semen, and emissions
from the reproductive organs – capable of the transmission of
any number of microorganisms that may lead to disease. Disgust
has a typical physiologic profile, marked by the facial ‘gape’
expression, a slightly increased core body temperature,
lowered heart rate, and increased quantities of saliva with
specific constituents for protein retention and immune
reaction (Stevenson et al., 2012). It also has a number of
DISGUST AND THE MENSTRUAL CYCLE 5
locations in the brain, some of them disgust-specific
(Ciaramelli, Sperotto, Mattioli, & di Pellegrino, 2013).
Disgust is also gender-specific, with females generally
exhibiting more disgust than males (Al-Shawaf & Lewis, 2013;
Rohrmann, Hopp, & Quirin, 2008) although this may be dependent
on the type of disgusting stimuli (Tybur et al., 2009), or on
the context (Shidlovski & Hassin, 2011).
The context and the Ovulatory Shift Hypothesis (OSH)
DISGUST AND THE MENSTRUAL CYCLE 6
The specific context of this study is the way in which disgust
relates to the menstrual cycle, leading up to ovulation, in
female participants without any intervention from hormonal
contraceptives. For the purposes of this study, we define this
context in terms of conception risk, based on the probability
table formulated by Wilcox, Dunson, Weinberg, Trussell, and
Baird (2001). High conception risk (HCR) may be considered to
DISGUST AND THE MENSTRUAL CYCLE 7
be a number of days prior to ovulation, where the probability
of conception increases, reliant on the felicitous position of
the female oocyte in-transit through the fallopian tube. This
physiology is a result of hormonal and neuroendocrine
interaction within the female reproductive system (see Figure
1). The behavioural differences that occur coincidentally with
this female physiological change are collectively referred to
DISGUST AND THE MENSTRUAL CYCLE 8
as the ovulatory shift hypothesis . This hypothesis has been expanded
by a subsequent and ongoing body of literature (Beaulieu,
2007; Thornhill, Chapman, & Gangestead, 2013; Wallen & Rupp,
2010). The OSH outlines the various behaviours adopted both
unconsciously and consciously that increase the female’s
chances of obtaining the best possible reproductive mate
choice. This is facilitated by subtle changes of symmetry,
body movement, and sensory-system coordination, to assist in
reproductive mate choice (Aitken, Lyons, & Jonason, 2013;
Gangestead, Thornhill, & Garver-Apgar, 2010; Pfaus, 2009;
Pipitone & Gallup, 2008).
The current literature relating to the OSH also indicates
some evidence for a relationship between the menstrual cycle
and disgust. However, research into disgust is made more
complex due to the individual variability of items that elicit
disgust, and also by the various theories of disgust
classification – and subsequently, the techniques of
psychometric measurement. The three main empirical findings
that relate the menstrual cycle directly with a measurement of
disgust are laid out in Table 1.
Specific empirical relevance
Fleischman & Fessler (2011) hypothesised that the higher
progesterone levels of the latter part of the menstrual cycle
coincided with higher disgust sensitivity, and found empirical
support for this. At this stage of the menstrual cycle, the
body’s immune system is lowered through the action of
progesterone to prevent immune rejection of any newly
fertilised oocyte. Therefore, an increase in disgust
DISGUST AND THE MENSTRUAL CYCLE 9
propensity may prevent contact with objects or organisms that
may carry disease. Comparatively, in the earlier part of the
menstrual cycle (days 6-14), Shidlovski & Hassin (2011)’s
lower disgust response was found in higher-fertility
participants who had been primed with words relating to a goal
of motherhood. Participants in their study who were in the
latter part of the menstrual cycle showed higher disgust to
the same elicitors, even with the priming goal. Fessler &
Navarrete (2003) found higher disgust in females during the
early part of the menstrual cycle, but the findings were not
statistically significant. Despite these seemingly paradoxical
findings, the different disgust sensitivities can be
interpreted according to the different threats posed to the
individual (Curtis, 2012).
DISGUST AND THE MENSTRUAL CYCLE 10
Table 1
Disgust response and the menstrual cycle: the current
literature
Menstrual
stage
Disgus
t
outcom
e
Disgust
measure/s
Disgust
stimuli/s
Reference Significant
Statistics
Pre-
menstrual
Curtisa
images
with
Likert-
type
scale;
Revised
Padua OCDb
Photographs
of disgust
elicitors;
imagined
hypothetica
l
situations
of
contaminati
on
Fleischma
n &
Fessler,
2011
r (79) =
0.25, p
= 0.02
Fertile:
days 6-14;
Non-
fertile:
days 0-5
and 15-28
IAPSc
images
with 1-9
scale; 1 =
not at all
to 9 = to
a great
extent
Priming of
‘motherhood
’;
(IAPS)
babies with
runny
noses,
dirty
nappies.
Shidlovsk
i &
Hassin,
2011
t(36)=2.66,
p<.05,
2=.21
DISGUST AND THE MENSTRUAL CYCLE 11
High
conception
risk
DSd,
modified
Age-
disparity
sexual
intercourse
; incest.
Fessler &
Navarrete
, 2003
B=3.14,
F (1,307)
=1.01,
p >.05,
=.11,
Note. a Images rated for disgust intensity; (Curtis,
Aunger, & Rabie, 2004); b Revised Padua Obsessive-Compulsive
Inventory (Revised Padua OCD; Burns, Keortge, Formea, &
Sternberger, 1996); c International Affective Picture System
(IAPS); d Disgust Scale (DS); (Haidt, McCauley, & Rozin,
1994).
Disgust, automatic evaluation, and the avoidance reaction
Tybur, Lieberman, and Griskevicius (2009) used the
evolutionary model to define different disgust sensitivities
according to the various elicitors’ threat to survival.
Pathogen disgust refers both to actual and imagined stimuli
that may contain disease-causing microorganisms, indicated by
cues of texture and smell. Sexual disgust refers to aversions
for sexual interactions that do not contribute positively to
reproductive health, such as bestiality. Moral disgust refers
to socially undesirable actions that may threaten the
cohesiveness of the social group (Tybur et al., 2009). In
further describing disgust, Tybur et al. (2013) suggest that
there are many environmentally different situations requiring
discrimination between stimuli that have inherent survival
value (like food that is safe to eat or a desirable sexual
partner), and stimuli that represent inherent threat (such as
DISGUST AND THE MENSTRUAL CYCLE 12
rotting food or the sexual advances of an undesirable mate).
The authors further suggest that disgust activates a non-
conscious evaluative process, which leads to the palpable
feeling of disgust and the behavioural reactions of withdrawal
and avoidance (Tybur et al., 2013). This evaluation also may
take into account other information such as hunger or sexual
arousal. Together, these processes of evaluation and
discrimination stimulate the same bodily outcome of disgust,
if the threat is great enough. This means that there is one
reaction, and three domains of disgust elicitor, according to
the type of survival threat.
Disgust and mate selection
Tybur et al.’s (2009; 2013) model of disgust can be
applied to the female menstrual cycle, especially where this
pertains to the OSH, and to days of higher conception risk.
One example of this would be reactions toward incestuous
relationships, both between siblings who are genetically
related and those who grown up with extended cohabitation.
This is otherwise known as the Westermarck effect (Antfolk,
Karlsson, Backström, & Santtila, 2012). Indeed, a recent study
assessing females’ phone records found that females
communicate less with fathers during periods of high
conception risk, and the authors suggest females avoid
suboptimal sexual unions when they are more likely to conceive
(Lieberman, Pillsworth, & Haselton, 2011). Although not
directly related to disgust, this study does show a
behavioural phenomenon that includes non-conscious avoidance
DISGUST AND THE MENSTRUAL CYCLE 13
during HCR. Essentially, avoidance may be the social outcome
of the affect response, experienced more keenly during HCR.
Sexual motivation studies have found other instances of
the avoidance or approach phenomenon during HCR. Firstly, pre-
ovulatory females not only show an increased preference for
males with the scent of symmetry, a biomarker for health
(Thornhill et al., 2013), but they also show a lowered
olfactory threshold for the easier detection of specific
odours (Navarrete-Palacios et al., 2003). One example of this
is the odour that may be linked to Major Histocompatibility
Complex (MHC). MHC recognition in the body involves a set of
genes that play a major role in immune response. The joining
of male/female gametes in reproduction benefits from a pairing
of dissimilar MHC genotypes, as this results in heterozygous,
and therefore more robust-immunity offspring (Penn & Potts,
1999; Wedekind & Füri, 1997). MHC recognition and olfactory
preference was reversed in a study by Milinski and Wedekind
(2001), where females who were cycling normally showed a
statistically significant preference for MHC dissimilar
scents. Comparatively, those females who had hormonal
contraceptive intervention preferred scents from genetically
similar MHC markers. Thus, the days of HCR may evidence an
increased ability to perceive genetically diverse, healthy
prospective mates, greater disgust response toward their polar
opposites, and accordingly an activation of appropriate
avoidance or approach behaviours.
Dual systems theory
DISGUST AND THE MENSTRUAL CYCLE 14
To assist in the evaluation and solicitation of optimum
reproductive mates, and in withdrawal and avoidance of
genetically inferior ones via the digust response, females
also may benefit from greater attribution of verbal-memory,
and attentional resources during the HCR stage (Protopopescu
et al., 2008; Vogt, Lozo, Koster, & De Houwer, 2010,
respectively). This may be especially true where evaluation is
undertaken with limited conscious awareness (Roberts, Newell,
Simoes-Franklin, & Garavan, 2008). Such evaluations may
demonstrate dual systems theory (Macapagal, Janssen, Fridberg,
Finn, & Heiman, 2011). The first system is a pre-conscious,
intuitive information processing system, employed to make
quick decisions based on the most current sensory, emotive,
and motivational cues, such as sensations of disgust or sexual
arousal (Macapagal et al., 2011). This may then be assisted by
the second, more rational and deliberate system; which takes
into consideration past, present, and future consequences to
exercise cognitive control over decision-making (Macapagal et
al., 2011). The combination of these dual systems has
similarities to Tybur, Lieberman, Kurzban, and DeScioli's
(2013) theory regarding computational processes that assess
when to avoid substances that ordinarily elicit disgust, and
when to ignore the automatic affect-related avoidance –
especially where this means the difference between eating and
survival, or sexual intercourse and reproductive success.
These computational processes, or the dual decision-making
systems, are the target of our disgust research.
HCR and the menstrual cycle
DISGUST AND THE MENSTRUAL CYCLE 15
In sum, there are two poignant concepts that inform our
choices for the current study. Firstly, the two main aspects
of disgust that may relate to behavioural choices of approach
or avoidance during days of HCR: disease-related disgust
elicitors and whether sensitivity to these increases or
decreases; and sensitivity of the female’s disgust propensity
for suboptimum reproductive mates. Secondly, the two systems
of information processing that may relate to behavioural
choices during days of HCR: the pre-conscious evaluation
leading to more automated decision making; and the slower,
rational system that makes decisions based on the summation of
consequences.
To address the concept of behavioural choices regarding
disgust elicitors related to sexual interaction, we sought to
measure over the course of the menstrual cycle. This choice
was based on the finding that sexual arousal occurs more
readily prior to ovulation, and the increased proclivity for
sexual arousal during HCR may therefore interrupt the disgust
response (Duchaine, Cosmides, & Tooby, 2001; Haselton &
Gangestead, 2005). It was also based on the theory that
females carry the greater burden of nurture for any offspring
resulting from sexual interaction (Fessler & Navarrete, 2004).
If sexual interaction occurs with males who have lesser
genetic value (such as genetically related or compromised
individuals), any resultant offspring may be more costly in
terms of nurture, due to genetically-reduced health (Haig,
1999).
DISGUST AND THE MENSTRUAL CYCLE 16
To address the dual systems of information processing, we
selected two types of measures. Firstly, an explicit self-
report measure assessed disgust responses according to Tybur
et al.’s (2009) three domains: the Three Domain Disgust Scale
(TDDS), which has good reliability and validity (Olatunji et
al., 2012). Secondly, an implicit measure was chosen to asses
the automatic responses to disgust elicitors related to
pathogens and sexual behaviours; a Go/No-Go Association Task
(GNAT; Nosek & Banaji, 2001). The GNAT has been used in
previous studies relating to the understanding of implicit
motivations for sexual behaviour (Macapagal et al., 2011;
Roberts et al., 2008). The GNAT specific to our study was a
lexical evaluation task, relating sexual behaviours to an
evaluation of good or bad, and relating bodily fluids
associated with sexual interaction to an evaluation of good or
bad.
The hypothesis
Specifically, we hypothesised that in explicit
measurement, higher values in the Sexual Domain and lower
values in the Pathogen Domain would predict higher conception
risk. We further hypothesised that in implicit measurement, a
higher likelihood of an evaluation of ‘good’ for bodily
fluids, and ‘bad’ for sub-normal sexual behaviours would also
predict higher conception risk. This hypothesis was restricted
to females whose menstrual cycles were not influenced by
hormonal contraceptive methods, due to the evidence that
suggests the behavioural changes during the days of HCR are
DISGUST AND THE MENSTRUAL CYCLE 17
either absent, or reversed in women with hormonal
contraception (Alvergne & Lummaa, 2010; Roberts et al., 2008).
Method
Participants
In all, 114 (M = 24.1 years, SD = 6.65 years) females
from the undergraduate population at Australian Catholic
University (ACU) participated in the study, either in exchange
for course credit or for entry into a raffle to win one of six
$20iTunes giftcards. 64 participants were excluded from the
study due to their use of hormonal contraception, leaving a
total of 50 participants (M = 24.7 years, SD = 7.5 years).
Measures
Disgust measures were the Three Domain Disgust Scale
(TDDS), and a Go/No-Go Association Task (GNAT). The following
summary describes each part of the questionnaire in the order
the participant completed them, and the operationalisation of
each measure within the study.
Demographics. Participants were asked their age in years
and their current living arrangements.
The TDDS. (Tybur, Lieberman, & Griskevicius, 2009) The
TDDS is a 21-item questionnaire that requires responses based
on explicit feelings of disgust toward a variety of concepts.
It is scored according to the three domains of disgust as
theorised by Tybur et al. (2009); Pathogen Disgust, Sexual Disgust,
and Moral Disgust. Each domain has seven questions referring
directly to that domain, and the participant responds
according to a 6-point scale where 0 is Not at all disgusting and 6
DISGUST AND THE MENSTRUAL CYCLE 18
is Extremely disgusting. The measure takes one item,
consecutively, from each of the domains in order Moral, Sexual,
and Pathogen (See Appendix A). The Pathogen Disgust items measure
the participants’ feelings toward disgust elicitors that are
associated with disease-causing pathogens: bodily secretions,
feces, blood, and insects that are in close proximity with, or
are perceived to be associated with disease (e.g., “Stepping
on dog poo”; and “Seeing a cockroach run across the floor”).
The Sexual Disgust items measure the participants’ feelings
toward sexual acts; both those in the more widely understood
repertoire of human sexual expression, and those that may be
considered more extreme (e.g., “Bringing someone you just met
back to your room to have sex”; and “Performing oral sex”).
Moral Disgust items ask questions about the more abstract
notions of social interaction rules, such as “Stealing from a
neighbour”; and “Deceiving a friend”. Responses are scored to
give a total for each of the three domains.
Each of the items of the TDDS have been independently
analysed for psychometric reliability; both internal
consistency and external validity. Exploratory factor analysis
(principal components analysis, with oblique transformation;
and parallel analyses) produced a consistent model of three
components, which supported Tybur et al.’s (2009) division of
the items into three domains (Olatunji et al., 2012). The
reliability and validity analyses also showed the TDDS has
reasonable test-retest reliability and internal consistency
(Pathogen disgust domain r = .74, p < .01; = .81; Sexual
disgust domain r = .79, p < .01; = .86; Moral disgust domain
DISGUST AND THE MENSTRUAL CYCLE 19
r = .48, p < .01; = .91) and it shows a strong association
with a measure of contamination fear (when assessed for
convergent validity with the Padua Inventory Contamination
Fear subscale) and a non-significant correlation with a
measure for depression (when assessed for divergent validity,
using the Center for Epidemiological Studies – Depression
Scale; Olatunji et al., 2012).
The GNAT. (Nosek & Banaji, 2001). The GNAT used by this
study was a four-block semantic GNAT (see Table 2 and Appendix
B), assessing the implicit attitudes towards target categories
Bodily Fluids, and Sexual Behaviours, and target attributes of good
and bad. Specifically, one block pairs the target category
“BODILY FLUIDS” with the target attribute “GOOD”; another
block pairs “BODILY FLUIDS” with “BAD”; another block pairs
“SEXUAL BEHVIOURS” with “GOOD”; another block pairs “SEXUAL
BEHAVIOURS” with “BAD”. Each GNAT block had specific
instructions and a short practice session preceding it, and
then the categories and attributes were randomly selected so
any one of the four blocks may appear. The target words, and
the target category and attribute, were displayed on the
computer monitor the participant used to access the
questionnaire (see Figure 2, example on the left). The screen
was black, with white type for the words. The target category
and target attribute was displayed in uppercase type at the
top left and right of the screen (respectively), and the
stimulus was presented in lowercase type in the centre of the
screen. To respond, the participant pressed the space bar on
their computer’s keypad. The stimuli were presented for 900ms
DISGUST AND THE MENSTRUAL CYCLE 20
and the inter-stimulus interval (blank screen within the
stimulus area) was 100ms.
DISGUST AND THE MENSTRUAL CYCLE 21
Figure 2. Example of GNAT screen (left) and feedback to
participant’s incorrect or untimely response (right).
The participant could record a ‘Go’ response by the
pressing of the space bar within the set timeframe; and a ‘No-
Go’ response by doing nothing within the timeframe. If the
participant incorrectly responded, or did not respond quickly
enough, a red ‘X’ would appear in the stimulus area (see
Figure 2, example on the right). Signal detection and
subsequent data collection was based on the accuracy with
which the participant correctly responded: a ‘Go’ response
when the stimulus word was from the specific target category,
or from the specific target attribute; and a ‘No-Go’ response
(i.e., no key is pressed) when the stimulus word was not from
the target category or attribute lists, listed in Table 2. A
further 12 words were added as ‘distracter’ words.
DISGUST AND THE MENSTRUAL CYCLE 22
For example, if the target category was ‘BODILY FLUIDS’
and the target attribute was ‘GOOD’, and the stimulus word was
‘spit’, or ‘joy’, then the participant’s correct response
would be to press the space bar; a ‘Go’ response. If a
distracter word appeared, such as ‘vinegar’, or a word from
the BAD list, such as ‘regret’, then the participant’s correct
response would be to not press the space bar (i.e., no action
at all); a ‘No-Go’ response. Distracter words, or words from
the opposite attribute list, collectively become ‘noise’ and
needed to be discriminated by the participant from the
‘signal’ or target category word.
Table 2
Categories and attributes for the Bodily Fluids and Sexual Behaviours GNAT
DISGUST AND THE MENSTRUAL CYCLE 23
Categories Attribute
s
Target Distracte
r
Good Bad
Bodily
Fluids
Word
leng
th:
Shor
t
Long
spit oil joy bad
cum milk hug sad
sperm bleach good sick
sweat water bliss cramp
semen vinegar proud regret
saliva detergent amaze ugly
Sexual
Behaviou
rs
Word
leng
th:
Shor
t
Long
incest theft joy bad
bondage hiding hug sad
flashing fighting good sick
stripping grimace bliss cramp
S + M defamatio
n
proud regret
bestiality hibernati
ng
amaze ugly
DISGUST AND THE MENSTRUAL CYCLE 24
The GNAT is scored using the number of correct responses
for each block. Sensitivity to the target (accuracy), and the
participants’ timeliness in discrimination of the target from
the noise gives an indication of each participant’s evaluation
of the target as being good or bad. Each block gives a total
of 80 pairings of targets and stimulus, and a single attitude
score is calculated for each pairing: sexual behaviours/good;
sexual behaviours/bad; and bodily fluids/good; bodily
fluids/bad. The difference between these scores gives a value
of the strength of association of the target and the attitude
for each participant.
Menstrual Cycle Information. Participants were asked to
recall the beginning of their menstrual cycle, using a visual
calendar to assist in their recall (Fessler & Navarrete,
2003). Assessment of participants’ responses of number of days
since beginning menstruating was compared against a
conception-probability table formulated by Wilcox, Dunson,
Weinberg, Trussell, and Baird (2001). Using this table,
participants’ self-reported day in cycle was recoded to the
equivalent probability value (see Table 5 for sample
frequencies).
DISGUST AND THE MENSTRUAL CYCLE 25
Contraception. Contraception use tends to negate
participants’ inclusion in studies using menstrual cycles as a
variable, (Beaulieu, 2007; Fessler & Navarrete, 2003;
Fleischman & Fessler, 2011; Protopopescu et al., 2008),
because it eliminates the cycling of hormone levels, and
therefore may change behavioural variability associated with
HCR (Fleischman & Fessler, 2011). Participants needed to
select from a drop-down choice for oral contraceptives type,
and a second drop-down list to choose if the non-oral
contraceptive was a barrier, hormonal or combined method (See
Appendix C for questions in full).
Procedure
DISGUST AND THE MENSTRUAL CYCLE 26
The questionnaire was written using Inquisit 4.0.3
(Computer software; 2013); was hosted online by Millisecond,
and administrated by the ACU Sona Research Participation
System, following approval by the ACU Human Research Ethics
Committee. Once participants indicated their desire to take
part, the information letter gave full details of the study,
and of their rights as participants. It also informed them
their completed, submitted survey constituted their informed
consent. The questionnaire began with age and living
arrangement questions; then the 21 items of TDDS (Tybur et
al., 2009). The participants then completed the four-block
GNAT, which began with specific instructions on how to respond
to the on-screen stimuli (See Appendix B); and also
instructions and a trial at the commencement of each GNAT
block. At the conclusion of the last GNAT block, participants
were taken to the final part of the questionnaire to complete
details about the length of the previous two menstrual cycles,
and their contraceptive use. Sample size was set according to
the number of predictors (5) and was set at 90 to obtain a
medium effect size. With the lower than expected sample size
(N=50), the study had limited power to detect an effect.
Results
DISGUST AND THE MENSTRUAL CYCLE 27
Contrary to our hypothesis, the explicit measures of
Sexual Disgust and Pathogen Disgust, and the implicit measures
of good/bad evaluations of Bodily Fluids and Sexual
Behaviours, were not statistically significant predictors of
HCR, and only accounted for 14% of the variance R2 =.14 , F
(5, 44) = 1.49, p > .05, but showed a medium effect size; 2
=.17 (See Table 3). Further, the explicit measure of Moral
Disgust positively predicted conception risk. Descriptive
statistics are represented in Table 4, and the frequency
distribution of the conception risk of the sample is in Table
5. Results of evaluation of assumptions led to the
substitution (M+2SD) of one outlier (Case 6; MD = 17.21; R2 =
-0.003 after substitution). Assumptions of multicollinearity
were met; even though there was significant correlation
between the domains of the TDDS. This correlation was
attributed to its measurement of the same construct. Due to
issues of non-completion, there were some missing values in
the GNAT data, which was assumed to be missing completely at
random and represented less than 5% of the GNAT data. GNAT
data also showed a number of false alarms consistent with
higher-than-chance results (negative d-scores: 11.5% of SEXUAL
BEHAVIOURS/BAD; 7.8% of BODILY FLUIDS/BAD), suggesting that
this aspect of the measure may not have worked reliably in
this sample. Neither age, nor living arrangements, was found
to have a significant effect on regression outcome. Analysis
was conducted with available data, using SPSS 20.0 for Mac.
DISGUST AND THE MENSTRUAL CYCLE 28
Table 3
Multiple regression analysis of predictors for conception risk with associated
correlation statistics
Unstandardise
d
Coefficients
Standardis
ed
Coefficien
ts
t p r
B SEB
Constant.004 .020
.186 .85
3
Pathogen disgust.000 .001 -.023
-.12
6
.90
0
.141
Sexual disgust.000 .001 -.144
-.78
8
.43
5
.101
Moral disgust.002 .001 .442*
2.28
2*
.02
8
.331
*
Sexual behaviours
good/bad-.005 .007 -.098
-.66
0
.51
3
-.06
3
Bodily fluids
good/bad.002 .007 .062
.413 .68
2
.016
DISGUST AND THE MENSTRUAL CYCLE 29
Note: R2 = .144. * p <.05.
Table 4
Means and standard deviations of the predictors in the sample
Measure M SD
Three Domain Disgust
Scale ScoresPathogen domain total 26.76 6.32Sexual domain total 23.28 7.76Moral domain total 26.42 7.93
GNAT score differencesSexual behaviours:
Good - Bad
0.27 0.63
Bodily fluids: Good -
Bad
-0.12 0.68
N = 50
Table 5
Frequency distribution of conception risk probabilities for the current sample,
showing from lowest to highest probability of conception risk (Wilcox et al., 2001)
ProbabilityNo. of
Participants
%
.0000 4 7.7
.0010 1 1.9
.0020 1 1.9
.0040 2 3.8
.0070 1 1.9
.0080 1 1.9
.0090 5 9.6
.0100 5 9.6
.0110 3 5.8
.0130 1 1.9
DISGUST AND THE MENSTRUAL CYCLE 30
.0170 1 1.9
.0250 2 3.8
.0320 2 3.8
.0400 1 1.9
.0440 2 3.8
.0500 3 5.8
.0610 5 9.6
.0720 2 3.8
.0750 3 5.8
.0810 4 7.7
.0840 2 3.8
.0860 1 1.9
Discussion
The hypothesis for this study was that decreased disgust
for pathogenic elicitors, especially those bodily fluids
associated with sexual interaction, and increased disgust for
subnormal sexual behaviours should together predict higher
conception risk; which should be shown both in the explicit
and implicit measures of disgust. The data did not support the
hypothesis. However, in the explicit measure, a statistically
significant correlation was found between disgust for
elicitors from the Moral domain, and high conception risk
(HCR). Although unexpected, this finding may add support to
the research not only for the link between morality and
disgust, but also for the concept of moral disgust as a
separate construct from other emotions such as anger or fear
(Chapman & Anderson, 2013). Moral disgust has been linked with
sexual aversions – especially incestuous interaction – and
this has been shown to be more prevalent during HCR (Lieberman
et al., 2011). Indeed, the finding of increased moral disgust
DISGUST AND THE MENSTRUAL CYCLE 31
during HCR adds an interesting element to the ovulatory shift
hypothesis (OSH; Gangestead et al., 2005), and may be
explained by the increased desire to affiliate with social
groups (Schultheiss, Dargel, & Rohde, 2003). This means that
the proximity to peak fertility may foster a desire to align
oneself with social groups likely to provide positive support,
and to subscribe to their moral standards in case conception
and pregnancy occur. Tybur et al. (2013) acknowledge that
their specification of the Moral domain of disgust necessarily
involves interconnection with the other domains, (Pathogen and
Sexual), both in the use of the language to describe
elicitors, and in the similarity of facial-muscle involvement
and other physiology involved in the disgust reaction. The
finding of the explicit measure of this study adds further
detail to the research on disgust, and to the OSH.
Given the size of the sample, interpretation of the
results of the implicit measure must be taken with caution.
The ability of the GNAT to measure automatic evaluative
responses to a target is not in question (Mitchell, Nosek, &
Banaji, 2003) but the number of false alarms in the GNAT for
this study may indicate a measure of imprecision, and decrease
the internal reliability of the results. However, the results
indicate no association of HCR with the hypothesised targets:
neither associating the bodily fluids encountered with sexual
involvement with ‘good’ (and therefore low disgust response),
nor associating subnormal or deviant sexual interaction with
‘bad’ (and therefore high disgust response). This means that
on days of higher conception risk, females are no more likely
DISGUST AND THE MENSTRUAL CYCLE 32
to find the bodily fluids associated with sex as not
disgusting, and aberrant sexual behaviours as more disgusting,
than females on days of low conception risk.
More than half the participants were excluded from the
analysis due to their use of hormonal-intervention
contraception methods. This may represent an opportunity for
further analysis, in line with Peterson, Carmen, and Geher's
(2013) recent study on the correlation between mating
intelligence (the ability to coordinate successful
solicitation behaviours in order to obtain an optimum
reproductive mate) and the menstrual cycle. Their study found
that women on hormonal contraception evidenced no
statistically significant difference in the strength of the
effect between the menstrual cycle and mating intelligence,
compared to normally ovulating women. They suggest that
hormonal contraceptive intervention may only soften the
influence of menstrual cycle variability on mating
intelligence. Further, those females on hormonal contraception
in the sexual arousal and disgust study did not show
statistically different responses for levels of disgust
following the priming of sexual arousal (Borg & de Jong,
2012). The use of disgust-response data obtained from
participants with hormonal intervention may be efficacious for
future investigations.
Curtis’ (2012) latest summation of disgust is that it is
less specific and less complex than some theories suggest.
Curtis’ (2012) view is that rather than separating the emotion
into its various elicitor-based domains, focus could instead
DISGUST AND THE MENSTRUAL CYCLE 33
be on a threat for which disgust – and its typical avoidance
behaviour – is suited: avoidance for parasites; both the
microorganisms, and given the social nature of our species,
the social ones as well. In fact, Curtis (2012) emphasises
avoidance as being the main point of disgust, rather than the
multitude of types of elicitors. However, even if this is the
case, the puzzle still remains as to how humans are able to
allow sexual interaction, given that it includes the very real
possibility of transmitted parasitic opportunism.
In conclusion, the sample of this study has brought a
small measure of empirical knowledge to add to the body of
results in the measurement of disgust. In the sample of this
study, an empirical relationship between a decrease in disgust
for sexually-related bodily fluids and the time leading up to
ovulation was not found. Sexual aversion for suboptimum
reproductive mates during the days of higher conception risk
was also not shown in this sample, but has been suggested by
the data of previous research. The main finding of this study
was an increase in the propensity for moral disgust during
days of higher conception risk, and we suggest this may be due
to a female’s desire to subscribe to the norms of the social
groups they exist in, so as to promote and protect both their
own health, and that of any future offspring.
DISGUST AND THE MENSTRUAL CYCLE 34
References
Aitken, S. J., Lyons, M., & Jonason, P. K. (2013). Dads or
cads? Women’s strategic decisions in the mating game.
Personality and Individual Differences, 55, 118–122.
doi:10.1016/j.paid.2013.02.017
Al-Shawaf, L., & Lewis, D. M. G. (2013). Exposed intestines
and contaminated cooks: Sex, stress, and satiation
predict disgust sensitivity. Personality and Individual
Differences, 54, 698–702.
doi:http://dx.doi.org/10.1016/j.paid.2012.11.016
Alvergne, A., & Lummaa, V. (2010). Does the contraceptive pill
alter mate choice in humans? Trends in Ecology and Evolution,
25(3), 171–179. doi:10.1016/j.tree.2009.08.003
Angyal, A. (1941). Disgust and related aversions. Journal of
Abnormal and Social Psychology, 36, 393–412.
doi:10.1037/h0058254
Antfolk, J., Karlsson, M., Backström, A., & Santtila, P.
(2012). Disgust elicited by third-party incest: the roles
of biological relatedness, co-residence, and family
relationship. Evolution and Human Behavior, 33, 217–223.
doi:10.1016/j.evolhumbehav.2011.09.005
DISGUST AND THE MENSTRUAL CYCLE 35
Beaulieu, D. A. (2007). Avoiding costly mating mistakes:
Ovulatory shifts in personal mate value assessment.
Journal of Social and Personal Relationships, 24(3), 441–455.
doi:10.1177/0265407507077232
Berridge, K. C. (2000). Measuring hedonic impact in animals
and infants: Microstructure of affective taste reactivity
patterns. Neuroscience and Biobehavioural Reviews, 24, 173–198.
Borg, C., & de Jong, P. J. (2012). Feelings of disgust and
disgust-induced avoidance weaken following induced sexual
arousal in women. PLoS ONE, 7(9), 1–9.
doi:10.1371/journal.pone.0044111
Burns, G. L., Keortge, S. G., Formea, G. M., & Sternberger, L.
G. (1996). Revision of the Padua Inventory of obsessive
compulsive disorder symptoms: Distinctions between worry,
obsessions, and compulsions. Behaviour Research and Therapy,
34(2), 163–173.
Chapman, H. A., & Anderson, A. K. (2013). Things rank and
gross in nature: A review and synthesis of moral disgust.
Psychological Bulletin, 139(2), 300–327. doi:10.1037/a0030964
Ciaramelli, E., Sperotto, R. G., Mattioli, F., & di
Pellegrino, G. (2013). Damage to the ventromedial
DISGUST AND THE MENSTRUAL CYCLE 36
prefrontal cortex reduces interpersonal disgust. Scan, 8,
171–180. doi:10.1093/scan/nss087
Curtis, V. (2012). Encyclopedia of human behavior: Disgust. (V. S.
Ramachandran, Ed.) (2nd ed.). London, UK: London School
of Hygiene and Tropical Medicine. Retrieved from
http://dx.doi.org/10.1016/B978-0-12-375000-6.00134-8
Curtis, V., Aunger, R., & Rabie, T. (2004). Evidence that
disgust evolved to protect from risk of disease.
Proceedings of the Royal Biological Sciences Society, 271, 131–133.
Duchaine, B., Cosmides, L., & Tooby, J. (2001). Evolutionary
psychology and the brain. Current Opinion in Neurobiology,
11(2), 225–230. doi:10.1016/S0959-4388(00)00201-4
Ekman, P. (2008). An arguement for basic emotions. Cognition and
Emotion, 6(3-4), 169–200. doi:10.1080/02699939208411068
Fessler, D. M. T., & Navarrete, C. D. (2003). Domain-specific
variation in disgust sensitivity across the menstrual
cycle. Evolution and Human Behavior, 24. doi:10.1016/S1090-
5138(03)00054-0
Fessler, D. M. T., & Navarrete, C. D. (2004). Third-party
attitudes toward sibling incest evidence for
DISGUST AND THE MENSTRUAL CYCLE 37
Westermarck’s hypotheses. Evolution and Human Behavior, 25,
277–294. doi:10.1016/j.evolhumbehav.2004.05.004
Fleischman, D. S., & Fessler, D. M. T. (2011). Progesterone’s
effects on the psychology of disease avoidance: Support
for the compensatory behavioral phrophylaxis hypothesis.
Hormones and Behaviour, 59, 271–275.
doi:10.1016/j.yhbeh.2010.11.014
Gangestead, S. W., Thornhill, R., & Garver-Apgar, C. E.
(2005). Adaptations to ovulation: Implications for sexual
and social behaviour. Current Directions in Psychological Science,
14(6), 312–316.
Gangestead, S. W., Thornhill, R., & Garver-Apgar, C. E.
(2010). Fertility in the cycle predicts women’s interest
in sexual opportunism. Evolution and Human Behavior, 31, 400–
411. doi:10/1016/j.evolhum.behav.2010.05.003
Haidt, J., McCauley, C., & Rozin, P. (1994). Individual
differences in sensitivity to disgust: A scale sampling
seven domains of disgust elicitors. Personality and Individual
Differences, 16, 701–713.
Haig, D. (1999). Asymmetric relations: Internal conflicts and
the horror of incest. Evolution and Human Behavior, 20, 83–98.
DISGUST AND THE MENSTRUAL CYCLE 38
Haselton, M. G., & Gangestead, S. W. (2005). Conditional
expression of women’s desires and men’s mate guarding
across the ovulatory cycle. Hormones and Behaviour, 49, 509–
518. doi:10.1016/j.yhbeh.2005.10.006
Kelly, D. (2011). Yuck! The nature and moral significance of disgust.
London, UK: MIT Press.
Lieberman, D., Pillsworth, E. G., & Haselton, M. G. (2011).
Kin affiliation across the ovulatory cycle: Females avoid
fathers when fertile. Psychological Science, 22(1), 13–18.
doi:10.1177/0956797610390385
Macapagal, K. R., Janssen, E., Fridberg, D. J., Finn, P. R., &
Heiman, J. R. (2011). The effects of impulsivity, sexual
arousability, and abstract intellectual ability on mens’
and women’s Go/No-Go Task performance. Archives of Sexual
Behavior, 40, 995–1006. doi:10.1007/s10508-010-9676-2
Milinski, M., & Wedekind, C. (2001). Evidence for MHC-
correlated perfume preferences in humans. Behavioral Ecology,
12(2), 140–149. doi:10.1093/beheco/12.2.140
Mitchell, J. P., Nosek, B. A., & Banaji, M. R. (2003).
Contextual variations in implicit evaluation. Journal of
DISGUST AND THE MENSTRUAL CYCLE 39
Exprimental Psychology, 132, 455–469. doi:10.1037/0096-
3445.132.3.455
Navarrete-Palacios, E., Hudson, R., Reyes-Guerrero, G., &
Guevara-Guzman, R. (2003). Lower olfactory threshold
during the ovulatory phase of the menstrual cycle.
Biological Psychology, 63, 269–279. doi:10.1016/S0301-
0511(03)00076-0
Nosek, B. A., & Banaji, M. R. (2001). The Go/No-Go association
task. Social Cognition, 19(6), 625–664.
Olatunji, B. O., Adams, T., Ciesielski, B., David, B.,
Sarawgi, S., & Broman-Fulks, J. (2012). The three domains
of disgust scale: Factor structure, psychometric
properties, and conceptual limitations. Assessment, 19(2),
205–225. doi:10.1177/1073191111432881
Penn, D. J., & Potts, W. K. (1999). The evolution of mating
preferences and major histocompatibility complex genes.
The American Naturalist, 153(2), 145–164.
Peterson, A., Carmen, R., & Geher, G. (2013). Ovulating shifts
in mating intelligence. Journal of Social, Evolutionary, and Cultural
Psychology, 7(1), 66–75.
DISGUST AND THE MENSTRUAL CYCLE 40
Pfaus, J. G. (2009). What’s behind her smile? Hormones and
Behaviour, 55, 265–266. doi:10.1016/j.ybeh.2008.09.004
Pipitone, R. N., & Gallup, G. G. (2008). Women’s voice
attractiveness varies across the menstrual cycle. Evolution
and Human Behavior, 29, 268–274.
doi:10.1016/j.evolhumbehav.2008.02.001
Prokop, P., & Fancovicova, J. (2013). Self-protection versus
disease avoidance: The perceived physical condition is
associated with fear of predators in humans. Journal of
Individual Differences, 34(1), 15–23.
doi:10.1027/1614-0001/a000092
Protopopescu, X., Butler, T., Pan, H., Root, J., Altemus, M.,
Polanecsky, M., … Stern, E. (2008). Hippocampal
structural changes across the menstrual cycle.
Hippocampus, 18, 985–988. doi:10.1002/hipo.20468
Roberts, G. M., Newell, F., Simoes-Franklin, C., & Garavan, H.
(2008). Menstrual cycle phase modulates cognitive control
over male but not female stimuli. Brain Research, 12(24),
79–87. doi:10.1016/j.brainres.2008.05.061
Rohrmann, S., Hopp, H., & Quirin, M. (2008). Gender
differences in psychophysiological responses to disgust.
DISGUST AND THE MENSTRUAL CYCLE 41
Journal of Psychophysiology, 22(2), 65–75. doi:10.1027/0269-
8803.22.2.65
Rozin, P., & Fallon, A. E. (1987). A perspective on disgust.
Psychological Review, 94(1), 23–41.
Schaller, M. (2006). Parasites, behavioral defenses, and the
social psychological mechanisms through which cultures
are evoked. Psychological Inquiry, 17(2), 96–137.
doi:10.1207/s15327965pli1702_2
Schultheiss, O. C., Dargel, A., & Rohde, W. (2003). Implicit
motives and gonadal steroid hormones: Effects of
menstrual cycle phase, oral contraceptive use, and
relationship status. Hormones and Behaviour, 43, 293–301.
Shidlovski, D., & Hassin, R. R. (2011). When pooping babies
become more appealing: The effects of nonconscious goal
pursuit on experienced emotions. Psychological Science, 22,
1381–1385. doi:10.1177/0956797114417135
Stark, R., Schienle, A., Girod, C., Walter, B., Kirsch, P.,
Blecker, C., … Vaitl, D. (2005). Erotic and disgust-
inducing pictures - Differences in the hemodynamic
responses of the brain. Biological Physiology, 70, 19–29.
doi:10.1016/j.biopsycho.2004.11.014
DISGUST AND THE MENSTRUAL CYCLE 42
Stevenson, R. J., Case, T. I., & Oaten, M. J. (2009). Effect
of self-reported sexual arousal on responses to sex-
related and non-sex-related disgust cues. Archives of Sexual
Behavior, 40, 79–85. doi:10.1007/s10508-009-9529-z
Stevenson, R. J., Hodgson, D., Oaten, M. J., Moussavi, M.,
Langberg, R., Case, T. I., & Barouei, J. (2012). Disgust
elevates core body temperature and up-regulates certain
oral immune markers. Brain, Behavior, and Immunity, 26, 1160–
1168. doi:10.1016/j.bbi.2012.07.010
Thornhill, R., Chapman, J. F., & Gangestead, S. W. (2013).
Women’s references for men’s scents associated with
testosterone and cortisol levels: Patterns across the
ovulatory cycle. Evolution and Human Behavior, 34, 216–221.
doi:10.1016/j.evolhumbehav.2013.01.003
Tybur, J. M., Lieberman, D., & Griskevicius, V. (2009).
Microbes, mating, and morality: Individual differences in
three functional domains of disgust. Journal of Personality and
Social Psychology, 97(1), 103–122. doi:10.1037/a0015474
Tybur, J. M., Lieberman, D., Kurzban, R., & DeScioli, P.
(2013). Disgust: Evolved function and structure.
Psychological Review, 120(1), 65–84. doi:10.1037/a0030778
DISGUST AND THE MENSTRUAL CYCLE 43
Vogt, J., Lozo, L., Koster, E. H. W., & De Houwer, J. (2010).
On the role of goal relevance in emotional attention:
Disgust evokes early attention to cleanliness. Cognition
and Emotion, 25(3), 466–477.
doi:10.1080/02699931.2010.532613
Wallen, K., & Rupp, H. A. (2010). Women’s interest in visual
sexual stimuli varies with menstural ccle phase at first
exposure and predicts later interest. Hormones and
Behaviour, 57(2), 263–268. doi:10.1016/j.ybeh.2009.12.005
Wedekind, C., & Füri, S. (1997). Body odour preferences in men
and women: do they aim for specific MHC combinations or
simply heterozygosity? Proceedings of the Royal Biological Sciences
Society, 264(1387), 1471–1479. doi:10.1098/rspb.1997.0204
Widmaier, E. P., Raff, H., & Strang, K. T. (2006). Vander’s
human physiology: the mechanisms of body function (10th ed.). New
York, NY: McGraw-Hill.
Wilcox, A. J., Dunson, D. B., Weinberg, C. R., Trussell, J., &
Baird, D. D. (2001). Likelihood of conception with a
single act of intercourse: providing benchmark rates for
assessment of post-coital contraceptives. Contraception,
63, 211–215.
DISGUST AND THE MENSTRUAL CYCLE 45
APPENDIX A
The Three-Domain Disgust Scale
Tybur, Lieberman, & Griskevicius, (2009).
(Embedded within the Inquisit programming script for the
online questionnaire)
The following items describe a variety of concepts. Please
rate how disgusting you find the concepts described in the
items, where 0 means that you do not find the concept
disgusting at all and 6 means that you find the concept
extremely disgusting.
1. Shoplifting a candy bar from a convenience store
2. Hearing two strangers having sex
3. Stepping on dog poop
4. Stealing from a neighbor
5. Performing oral sex
6. Sitting next to someone who has red sores on their arm
7. A student cheating to get good grades
8. Watching a pornographic video
9. Shaking hands with a stranger who has sweaty palms
10. Deceiving a friend
11. Finding out that someone you don’t like has sexual
fantasies about you
12. Seeing some mold on old leftovers in your refrigerator
13. Forging someone’s signature on a legal document
15. Standing close to a person who has body odor
16. Cutting to the front of a line to purchase the last few
tickets to a show
DISGUST AND THE MENSTRUAL CYCLE 46
17. A stranger of the opposite sex intentionally rubbing your
thigh in an elevator
18. Seeing a cockroach run across the floor
19. Intentionally lying during a business transaction
20. Having anal sex with someone of the opposite sex
21. Accidentally touching a person’s bloody cut
DISGUST AND THE MENSTRUAL CYCLE 47
APPENDIX B
GNAT INSTRUCTIONS (embedded within Inquisit programming
script)
Description: The purpose of the GNAT task is to identify words
that appear briefly in the centre of the screen as targets or
not. The target categories are displayed in the top left and
right corners of the computer screen, throughout trial blocks.
For example, the target categories in this practice GNAT are
"FRUIT" and "GOOD" or "BAD". Thus, if the word that appears in
the centre of the screen is "BANANA" (a fruit) or "HAPPY" (a
good word), you should press the <SPACEBAR> as quickly as
possible. If, however, the word that appears in the centre of
the screen is "ANT", you should identify this word as
belonging to neither of the target categories, and make no
response. The target words belonging to each target category
are intended to be straightforward as in the above example.
INSTRUCTION AND EXAMPLE
A word will appear in the middle of the screen. You will then need to identify the word as a TARGET (i.e., it belongs to EITHER of the target labels named in the top left and right corners of the screen) or not. You will need to do this as quickly as possible.> If you decide the word is a target, press the SPACEBAR key. > If you decide the word is NOT a target, make NO RESPONSE andthe next word will appear (quickly).Example of target present and target absent trials
DISGUST AND THE MENSTRUAL CYCLE 48
NOTES
You will receive feedback if you make a mistake X = Incorrect.Trials are very short, so you need to respond AS QUICKLY AS POSSIBLE.If you are too slow, your response will not be scored as correct.There are 80 trials in a block, so if you make a mistake, try not to get distracted. Just keep trying to identify TARGET words.
APPENDIX C
Menstrual cycle and contraception information (embedded within
Inquisit programming script).
Think back to when you last had a period. Can you remember the
day that it started? That might have been a while ago –
perhaps you can think of the day that it finished, and then
count back to the date it started.
This might be a stretch for your memory, but now see if you
can think of the period before. Might you be able to make a
close-as-possible guess when it started – or perhaps when it
finished and count back the number of days to its start?
DISGUST AND THE MENSTRUAL CYCLE 49
When was the last time that you had sexual intercourse with
another person?
a) In the last 12 hours
b) Between 12 and 24 hours ago
c) 1 to 2 days ago
d) 3 to 7 days ago
e) More than a week ago
f) I have never had sex.
Are you currently on the Pill?
a) Yes, I am on a triphasic pill (three levels of hormone)
b) Yes, I am on a monophasic pill (single unchanged dose of
hormone)
c) Yes, I am on a pill but I don’t know what type
d) I am not on the pill.
Are you currently using any other form of contraceptive?
a) Yes, I have been fitted with an intra-uterine device that
contains a slow-release hormone (i.e., “Minera”)
b) Yes, I have had a hormone pellet inserted into the back
of my arm (i.e., “Implanon” or “Nexplanon”)
c) Yes, I get an injection every three months (i.e., “Dep-
Provera”)
d) Yes, I use a vaginal ring that releases hormones (i.e.,
“NuvaRing)
e) Yes, I put on a contraceptive hormone patch on my skin
(i.e., “OrthoEvra”)
f) Yes, I use barrier methods (i.e., condoms, female
diaphragm)
g) No.