More on Birth Control

A lot of the information below is adult in nature and somewhat personal. Read at your own risk.

MSN [via WaPo] finally picked up on a story that's been heating up the blogs for about two weeks.

Does Bush proposal threaten access to the pill?

A Bush administration proposal aimed at protecting health-care workers who object to abortion, and to birth-control methods they consider tantamount to abortion, has escalated a bitter debate over the balance between religious freedom and patients' rights.

The Department of Health and Human Services is reviewing a draft regulation that would deny federal funding to any hospital, clinic, health plan or other entity that does not accommodate employees who want to opt out of participating in care that runs counter to their personal convictions, including providing birth-control pills, IUDs and the Plan B emergency contraceptive.

Conservative groups, abortion opponents and some members of Congress are welcoming the initiative as necessary to safeguard doctors, nurses and other health workers who, they say, are increasingly facing discrimination because of their beliefs or are being coerced into delivering services they find repugnant.

Its a long article. But you should probably read the whole thing.

The most controversial section defines abortion as "any of the various procedures -- including the prescription, dispensing and administration of any drug or the performance of any procedure or any other action -- that results in the termination of life of a human being in utero between conception and natural birth, whether before or after implantation."

That definition would include most forms of hormonal birth control and the IUD, which most major medical groups believe do not constitute abortion because they primarily affect ovulation or fertilization and not an embryo once it has implanted in the womb.

Again, this is somewhat dishonest. BC and I have never been friends. I don't like introducing strange hormones into my body and I had a severe emotional / mental reaction the first 3 -4 months that I was on the pill. So, take what I'm about to say from that.

"Most major medical groups" don't consider hormonal birth control an abortion because they don't consider a fertilized egg the start of life, and probably because our body naturally miscarries so many of these eggs on it's own.

But hormonal birth control does not stop the fertilization of an egg. What it stops is the ability of said fertilized egg to attach the wall of the uterus. So, a fertlized egg seeking a home, would be "aborted" or "miscarried" during the next cycle.

Now, the percentage that this happens naturally is pretty high. Contrary to what they tell us in high school, getting pregnant is actually rather difficult. And the older you get the harder it gets. And it all greatly depends on your genetics.

But to say that they don't think it's abortion because it mainly affects ovulation or fertilization is ... well true and not true. Because the hormones stop you from getting pregnant by not allowing a fertilized egg to attach and grow, and it forces ovulation every month. Which is why so many women go on the pill in order to regulate and ease their monthly courses. But it does destroy a fertilized eggs chance at life. That's just a fact.

It all goes back to definition of human life.

That having been said ... these are my personal opinions and they in no way should be the law of the land. In fact, I think that this plan by the Administration seems very similar to the "Fairness Doctrine" for radio. And if you're not familiar with that ... well listen to talk radio sometime or read the link.

Forcing employers to hire people based on their beliefs is just another kind of descrimination. And a backdoor regulation that defines abortion is not going to do anything other than upset a very powerful contingent of our populace.

Birth control has it's place in the world. I get fuzzy on abortion because I hate it so much. And I know there are those that think the answer to one is the other ... but sometimes I just wish people didn't and wouldn't treat sex like an extracuricular activity and saw it as something sacred, loving and who's purpose and end goal is in the birth of a child. That's the organic way of things.

Comments

Anonymous said…
Oral contraceptives prevent ovulation. That is how they work. They also make it harder for sperm to get through the uterus. But it's a myth that the primary function is to prevent fertilized eggs from implanting.

So when most major medical groups complain that hormonal birth control should not be considered an abortificant, it is not a debate about whether a fertilized egg marks the start of life. It instead is an acknowledgment that the function of the pill is to prevent there ever being a fertilized egg.

It is most definitely not a fact that BC "destroys a fertilized egg's chance at life."
BellsforStacy said…
My doctor advised that fertilization occurs and that what birth control prevents is the attaching of the cell to the wall.

This may depend on whether or not you're taking a progestrone based pill or not ... and it could wildly depend on the quality of my doctor I suppose. Which in and of itself is a bit disconcerting ...

But ... if it is possible to create and have a fertilized egg on birth control (which it is) than birth control does destroy it's chance to grow.

And I don't think the pill should be considered an abortificant, but I do understand where some people come from when they say they don't like it or have objections to it.
Anonymous said…
Even the progestrone-only pills (don't you love the term POP?) don't work by inhibiting implantation. The really low-dose ones only inhibit ovulation about 50% of the time, but their other mechanism is preventing sperm from getting into or through the uterus. Even then, preventing fertilization from occuring is the function.

But the myth that pills prevent the implantation of fertilized eggs persists, and sadly, it appears that it persists in the medical profession if your doctor told you this. Seems all the more reason to fight this proposed regulation, if people's objections to the pill are based on such a major misconception (pun intended!) of how it works.

I fear, though, that some people would still oppose birth control even after they learn the truth about what it does.
BellsforStacy said…
Well, from what I've seen on the internet just now (hello IT guy!) it does prevent a fertilized egg from attaching, if the egg should become fertilized.

I think it's okay that people oppose birth control. They don't have to take it. I don't think it's okay that they impose their will on others. But that same thought goes both ways. But that really expands the argument to include sex ed in school, teenage access to health care / contraceptives. Different post perhaps.
eichak said…
In a quick internet search I found this information on WEBMD. I realize that this may not be the most respected and scholarly information source, however, it was quick and available.
HC (the pill, the patch, and the vaginal ring) all contain a small amount of synthetic estrogen and progestin hormones. These hormones work to inhibit the body's natural cyclical hormones to prevent pregnancy. Pregnancy is prevented by a combination of factors. The HC usually stops the body from releasing an egg from the ovary. HC also changes the cervical mucus to make it difficult for the sperm to find an egg. HC can also prevent pregnancy by making the lining of the womb inhospitable for implantation.

A new option for the HC is extended-cycle pill use; the first one approved is called Seasonale. Seasonale contains the same hormones as in other birth control pills, but they are taken in a longer cycle to reduce the number of yearly menstrual periods from 13 periods a year to only four periods a year. Therefore, women menstruate only once each season.

Seasonale contains the same combination of two hormones commonly used in other hormonal contraceptives, and are in low doses taken continuously for 12 weeks followed by 1 week of inactive pills which causes a menstrual cycle.
What Are Mini Pills?

These are pills that contain only one hormone (progestin). They do not contain estrogen and may be prescribed in women who are breastfeeding or in women who experience nausea with estrogen.
How Do Mini Pills Work?

Mini pills work by thickening the cervical mucus so the sperm cannot reach the egg. The hormone in the pills also changes the lining of the uterus, so that implantation of a fertilized egg is much less likely to occur. In some cases, mini pills stop ovulation (the release of an egg). A pill is taken every day.
Anonymous said…
The medical community is not at all in agreement about whether either form of pill actually affects implantation. Some say the research supports that conclusion; some dispute that conclusion. Regardless, in either form, it's at best the third mechanism and only comes into play in a tiny fraction of cases. It just seems absurd to me that anyone would take that remote possibility that a fertilized egg would be expelled and turn that into a claim that all hormonal BC is therefore abortificant.

But the bottom line is that we agree that a pharmacist who opposes BC shouldn't get to control whether I have access to it.

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