Tag Archives: oral contraceptives

Book Club: Woman Rebel – The Margaret Sanger Story

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Now that comic books have become the source material for blockbuster movies, the oft-told story of the maligned and misunderstood superhero should be a familiar one, even to many who have never read a comic. Think Professor Xavier’s cohort in the X-Men movies or Christopher Nolan’s take on Batman. They’re extraordinary. They’re also flawed, often unable to shake the ghosts of an uneasy past. But their powers, not their shortcomings, are the reason they’re so maligned. No matter their good intentions, they challenge what is known and established, earning them fear and distrust.

Bagge’s graphic novel is a refreshing contribution to a medium that is often a guilty pleasure at best.

Given that trope, maybe it wasn’t such an odd idea to give the comic book treatment to the life of Margaret Sanger, the reproductive rights pioneer and founder of Planned Parenthood. Writer and illustrator Peter Bagge, a veteran of alternative comics, does just that in Woman Rebel: The Margaret Sanger Story (Drawn & Quarterly, 2013). The outcome is a graphic novel that doesn’t let exaggerated expressions, vivid colors, and terse speech bubbles derail an intelligent and sensitive retelling of Sanger’s life.

Comparing Sanger to a superhero might be hyperbole, but Sanger’s trailblazing work not only created the movement to advocate for birth control but also spurred the development of the oral contraceptive, or “the Pill.” She had the drive and the know-how to contribute to the movement as an author, editor, lecturer, and founder of a reproductive health clinic. Along the way, Sanger helped change the laws that stood in the way of reproductive freedom and bodily autonomy, while rubbing shoulders (and sometimes developing romances) with many luminaries of her time, from novelists to political agitators to wealthy industrialists. March is Women’s History Month, and this year’s theme is Celebrating Women of Character, Courage, and Commitment — a theme perfect for someone of Sanger’s stature. Sanger’s visionary efforts earned her many accolades — as well as a campaign of character assassination that has called her everything from a fascist to a proponent of genocide. Continue reading →

Let’s Talk Contraception: Birth Control Pills — Not Just for Preventing Pregnancy

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pillThere has been a lot of political posturing recently about whether the government should require health insurance to provide birth control without a co-pay as part of a preventive health care package. So many people, including politicians, can only “see” the contraceptive side, which is pretty important, by the way. Approximately 15.8 in 100,000 women in the United States die from pregnancy or pregnancy-related issues yearly, and that number has doubled in the past 25 years. We have one of the worst maternal death rates of all developed nations, right near the bottom of the list.

Birth control pills can be used to treat a variety of conditions, including painful periods, acne, endometriosis, and uterine fibroids.

But putting all that aside, let’s look at the how oral contraceptives pills (OCPs) are actually used in this country, and for what reasons besides contraception. You may argue that many birth control pills are only approved for contraception purposes by the Food and Drug Administration (FDA), so other uses are not valid. But many drugs that may have narrow conditions of approved use are often prescribed off-label by physicians when they have data and information about how effective they can be for other conditions where not much else works.

According to a 2011 study using data from the 2006–2008 National Survey for Family Growth, the Guttmacher Institute reported that 14 percent of all women using birth control pills — that’s 1.5 million women — use them for purposes other than preventing pregnancy. Granted, 86 percent of OCP users report using them for birth control. But over the years, these OCPs have helped many people as treatments for dysmenorrhea, menorrhagia, endometriosis, menstrual-related migraines, acne, uterine fibroids, and polycystic ovarian syndrome. Continue reading →

Pro-Choice Friday News Rundown

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  • ACA birth controlArizona anti-choicers claim to be pro-life but they’re beating the hell out of a dead horse. They are again trying to defund Planned Parenthood. In hilarious quotes news, some anti-choice lawyer goes, “Taxpayers should not be forced to subsidize the work of abortionists. Arizona should be free to enforce its public policy against the taxpayer funding of abortion and in favor of the best health care for women.” That deserves maximum LOLs. Taxpayers are forced to subsidize all kids of crap they’re not in favor of. Namely wars. You think I wanna pay for the dropping of drones? Hell no! But we don’t get to pick and choose what our taxes pay for and I have to suck it up — as do the rest of you clowns. Additionally, many of these “taxpayers” they’re alluding to are pro-choice. (AZ Central)
  • If you’ve been on birth control pills for a lengthy period of time, be sure to have your eyes checked regularly — just to be safe! (NYT)
  • New York Magazine has a lengthy but stellar piece with women sharing their abortion stories. Their stories are hopeful, wrenching, inspiring, heartfelt, and, most of all, real. (NY Mag)
  • Birth control has a profound effect on the global economy. (HuffPo)
  • There have been hundreds and hundreds of cases since Roe v. Wade depriving women of their right to decide the fate of their own bodies — including arrest, detention, and forced medical interventions. A fetus has more rights than I do. A fetus. Inside of my body. That needs me to live on. That isn’t born. That is technically my property. THAT IS INSIDE MY BODY!! Good to know. (Advocates for Pregnant Women)
  • The horror stories about Essure keep on coming! (LAist)
  • New Device to Protect Against Pregnancy, Herpes, and HIV Is Possible. (RH Reality Check)
  • Apparently a lot of women don’t know about the contraception mandate? *brings out megaphone* Attention, ladies — Birth control is now FREE under the ACA!! WOO HOO! #ThanksObama (CNBC)
  • Long-term contraception: Effective but not popular. (NBC News)

Let’s Talk Contraception: Can I Use Birth Control to Skip a Period?

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In 2003, the FDA approved Seasonale, an extended-cycle birth control pill. This pill, a combination of estrogen and progestin, is taken daily for 84 days followed by one week of inactive (placebo) pills, allowing a woman to have her period once every three months — four times per year.

Since that time, several other extended-cycle birth control pills have been marketed, including Lybrel, released in 2007, which offers women continuous contraception coverage with only one period per year.


Using birth control to skip periods doesn’t result in side effects quite this exaggerated.

Prior to Seasonale’s debut, certain types of birth control pills could be taken back to back, allowing users to have period-free weddings and honeymoons, or to treat certain conditions, such as endometriosis. But there was no consensus about how to use birth control pills this way, and no actual product marketed specifically for this type of use. Early studies on extended-cycle pills reported that users were highly satisfied using pills to have fewer periods — and wanted to continue using these pills to reduce periods after the study was completed.

Can skipping periods be beneficial or harmful? Is this a lifestyle choice that’s not “natural”? How many “normal” periods do you need in a lifetime? Continue reading →

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

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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 →

Endometriosis Treatment

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endo medsIt’s still March, so it’s still Endometriosis Awareness Month! Today we’ll be looking at endometriosis treatment questions and answers. If you missed the first two posts in this series, you can click to read more about an overview of endometriosis as well as info about diagnosing endometriosis.

Why are there so many treatment options? Which one is best?

There are so many options because there is no “magic bullet” option — that is, no single treatment that works best for everyone. The two main categories of treatment include medication and surgery, but each option has its own benefits and drawbacks. When deciding on the best option for a given individual, some helpful questions to consider might be:

  • Do I have any current health concerns that would render some treatments unsafe? What types of health risks are acceptable to me?
  • Am I currently trying to conceive, or will I be in the next six to 12 months? Will I ever want to be pregnant in the future?
  • Aside from significant health risks, what types of factors — side effects, treatment frequency or duration, cost — would make a treatment difficult for me? How long do I need this treatment to last before I can reevaluate?

For specific questions, your best bet is to check with your health care provider. Continue reading →

Let’s Talk Contraception: Depo-Provera Injections, Another Progestin-Only Option

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Progestin-only birth control pills (POPs), also called the mini-pill, are good options for those who cannot take estrogen. But for those who have lots of trouble remembering to take a pill every day at the same time, Depo-Provera shots may be the way to go. Depo-Provera is medroxyprogesterone, a hormone similar to progesterone. It is given as a shot in a doctor’s office or a health center such as Planned Parenthood, and lasts for three months to prevent pregnancy. Sometimes it is used to treat other conditions, like endometriosis.

One Depo-Provera shot lasts for three months.

The first shot is given five days after you start your period or, if you do not plan to breastfeed, in the first five days after giving birth. You must not be pregnant when you get the shot because its effects may damage the developing fetus. But it’s OK to use Depo-Provera when breastfeeding, as long as you wait six weeks after giving birth before getting the shot. It’s given in your buttock or upper arm. You need to use a backup method like a condom for seven days after getting your first shot. And if you miss getting your regular 12-week injection by only a few days, you may need to get a pregnancy test before getting your next shot.

While you are on Depo shots, your period may change. You may have spotting, bleeding, or even no bleeding. Fifty percent of people who have been on Depo-Provera for one year have no bleeding at all. After stopping the shots, menstrual bleeding returns. Also, after stopping the shots, it may take nine to 10 months to get pregnant. Continue reading →