Let’s Talk Contraception: Do Birth Control Pills Cause Blood Clots?

Alarming ads urge you to call a lawyer if you’ve been “injured” taking certain birth control products, such as Yaz, Yasmin, or NuvaRing. These injuries include venous thromboembolisms (VTEs), heart attacks, and strokes. It’s frightening to wonder if you are endangering your health by taking a pill to prevent pregnancy or treat dysmenorrhea (painful cramps).

Should you stop taking your pills? What is a VTE and why should you worry? VTE is a blood clot that usually starts in your leg, but may break loose and travel to your heart or brain and cause a heart attack or stroke. It can be life-threatening, so it is a serious side effect to be concerned about. All birth control pills may increase your risk for a VTE, but it has always been considered so small that most women can safely take the pill. About 3 to 9 women in 10,000 who use birth control pills for more than one year may have a VTE compared to 1 in 5 women out of 10,000 who are not pregnant and not on the pill.


Birth control pills are considered very safe for the majority of women, but all medications carry some risk of adverse effects.


When oral birth control pills were first developed, they contained much higher doses of estrogens and progestins — types of hormones — especially estrogen. It was also noticed that there was a higher risk for developing a blood clot while using birth control pills than in nonpregnant women who didn’t take the pill. It was thought that the high dose of estrogen was responsible for this risk. So, with continuing research and development, eventually the dose of estrogen was decreased to the lower level used today to minimize the chance of a clot. The type of estrogen in pills today is almost exclusively ethinyl estradiol. Continue reading

The Feminine Mystique in Retrospect: An Interview With Stephanie Coontz, Part 1

Award-winning author Stephanie Coontz has published a long list of books and articles about the history of family and marriage. She has written about the evolution of those two institutions from prehistory to today, in works that have been widely praised for their intelligence, wit, and insight. In her most recent book, A Strange Stirring: The Feminine Mystique and American Women at the Dawn of the 1960s (Basic Books, 2012), Coontz takes us back 50 years to a breakthrough that changed the role of women in American households.


“Equal marriages require more negotiation than unequal ones.”


In 1963 it was clear that a revolution was beginning. After its approval by the FDA at the beginning of the decade, 2.3 million American women were using the birth control pill, the oral contraceptive that Planned Parenthood founder Margaret Sanger had been instrumental in pioneering. And on February 19, 1963, 50 years ago today, Betty Friedan published The Feminine Mystique, a book that sold millions of copies in its first three years. It quickly became the object of both derision and acclaim for awakening women to aspirations beyond what discrimination and prejudice had long defined for them. If oral contraceptives were the breakthrough in medicine that finally enabled women to plan their reproductive lives around their educational and career goals, Friedan’s landmark book was the breakthrough in consciousness that gave many the resolve to do it.

Friedan was a magazine writer whose experience surveying women at a college reunion was the spark that drove her to uncover “the problem that has no name.” She was referring to the dissatisfaction and depression she found widespread among housewives, not just at the reunion but in many other encounters she had with them as a writer. Convinced that it would help married women — and their marriages — if they sought their own identities outside of the home, Friedan synthesized a wealth of research to make her case in The Feminine Mystique. Stephanie Coontz’s A Strange Stirring is a social history of The Feminine Mystique that takes readers from an era of far-reaching sex discrimination in the early 1960s when Friedan made her breakthrough, to the contemporary era when many of Friedan’s appeals have been realized but new challenges hinder equality. Continue reading