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Case 40
Published in Andrew Solomon, Julia Anstey, Liora Wittner, Priti Dutta, Clinical Cases, 2021
Andrew Solomon, Julia Anstey, Liora Wittner, Priti Dutta
The basic options available to any patient areIntrauterine contraceptives (long-acting reversible contraception)Copper-containing intrauterine contraceptive device (copper coil)Levonorgestrel releasing intrauterine system (e.g. Mirena® or Jaydess®)Progestogen-only contraceptionImplantDepot injectionProgestogen-only pillCombined hormonal contraceptionCombined oral pillTransdermal patchesVaginal rings
The Reproductive Body
Published in Roger Cooter, John Pickstone, Medicine in the Twentieth Century, 2020
The numerous agencies set up in the 1950s to tackle the impending population crisis began to encourage women to use the pill. In many Third World countries, concern over high rates of reproduction took precedence over other health-related issues, such as water- and air-borne infections. In the developed world, doctors’ reluctance to be associated with contraception was broken down. In 1974 for example, the British National Health Service assumed responsibility for providing contraceptive services to women irrespective of marital status. Hormonal contraception became the most popular method of preventing pregnancy. Provided free at the point of delivery, it was available only on a doctor’s prescription.
Vascular Disease and Dissection in Pregnancy
Published in Afshan B. Hameed, Diana S. Wolfe, Cardio-Obstetrics, 2020
The presumed pathophysiologic association of female sex hormones with SCAD has led to concerns about hormonal contraception and hormone replacement therapy in women following SCAD. Avoiding hormonal contraception may be reasonable if other reliable options exist [9,29].
Media Review: The Business of Birth Control
Published in Women's Reproductive Health, 2023
This documentary could have benefited from a more balanced presentation of contraception experiences. For example, hearing from those who have positive experiences of hormonal contraception, or those who have found hormonal contraception enables them to engage with the world by providing effective management of their endometriosis or adenomyosis. By including a more balanced mix of contributors, the (intended?) message of bodily autonomy may not have been so diluted. “Hormonal contraception” and “birth control pill” are used somewhat interchangeably, which is a little confusing at times, given the variety available. Perhaps in trying to cover such a large topic, the promised focus on business also gets a little lost. But it’s for a good cause: to provoke the viewer to think about something that often flies under the radar, both in the medical world and in general society. Why is hormonal contraception pushed so hard? Why aren’t high school students given fundamental information about how fertility works? Why are hormonal contraception users consistently underinformed about possible side effects when receiving their contraception prescription from their doctor? The hysterical woman trope is alluded to occasionally, but does not receive much airtime.
Lactic acid, citric acid, and potassium bitartrate non-hormonal prescription vaginal pH modulator (VPM) gel for the prevention of pregnancy
Published in Expert Review of Clinical Pharmacology, 2022
The current rate of unintended pregnancy, 45% of all pregnancies, is unacceptably high; the addition of new contraceptive methods with various mechanisms of action and available in different formulations has great potential to improve this rate. The majority of effective contraceptive options available in the U.S. contain hormones. While offering highly effective contraception, many women have concerns about using hormonal contraception and desire to avoid previously-experienced or perceived side effects. Additionally, many women have contraindications to use of hormonal contraception due to medical history or smoking. Non-hormonal reversible methods are limited to the copper intrauterine device (IUD), barrier methods, and spermicides. The copper IUD, although highly effective and long-acting, can worsen heavy menstrual bleeding and dysmenorrhea, and requires a clinician for insertion in the uterus, a procedure that is associated with discomfort and which is considered by some to be invasive. Spermicides and barrier methods, while easily accessible over-the-counter and typically requiring little advanced planning, have a higher failure rate, while the increased risk of HIV transmission further limits use of spermicides. Some methods may be difficult to find, such as the female condom or sponge. Other methods such as the IUD, and the conventional fitted and Caya diaphragms and cervical cap require a doctor’s visit and advance planning prior to use.
The influence of hormonal contraception on depression and female sexuality: a narrative review of the literature
Published in Gynecological Endocrinology, 2022
Laura Buggio, Giussy Barbara, Federica Facchin, Laura Ghezzi, Dhouha Dridi, Paolo Vercellini
At least initially, there were few concerns about the potential adverse effects of COCs on sexuality; actually, the worry was quite the opposite. In 1966, the U.S. News and World Report magazine published an article about hormonal contraception, entitled “Can its availability to all women of childbearing age lead to sexual anarchy?” [78]. Concerns about the manifestation of COCs-associated adverse effects on female sexuality have emerged only in the last decades, as a consequence of the publication of several studies showing an association between the use of hormonal contraception and the presence of female sexual dysfunctions [4,79–83]. In addition, sexual dysfunctions related to hormonal contraception represent an important reason for interrupting COCs [84]. Therefore, increasing our knowledge of the mechanisms underlying these specific associations is crucial to promote optimal use of hormonal contraception.