TresSugar

Sponges, Chastity Belts and Douches, Oh My!

TresSugar — Sun, 01 Nov 2009 02:00:00 -0800

From the early-Egyptian contraceptive sponge to the horrifying Lysol douche of the Great Depression - man and womankind has been trying to find ways to keep from getting preggers for quite a while. Check out some of these devices below and go to Newsweek if you're interested in learning more about the history of birth control.

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Some Doctors Object to the Pill on Moral Grounds

TresSugar — Tue, 27 Oct 2009 12:00:00 -0700

In the very first episode of Mad Men, Peggy Olson goes to the gynecologist seeking a prescription for the pill. Watching the scene, I cringed as the doctor grills Peggy about why she would want the contraceptive pills if she were not married. He says: "As a doctor we'd like to think that putting a woman in this situation isn't going to turn her into some sort of strumpet." Although he gave her the prescription, he tells Peggy he will take her off the medicine if she "abuses" it.

If you're thinking: thank goodness I don't live in the 1960s when doctors were allowed to pass judgment on our sex lives, think again! A recent USA Today story explains how doctors are using conscience clauses to object to the pill as well as to abortion. One doctor in San Antonio told the paper that the pill would not protect her patient from the "emotional trauma from multiple partners" or sexually transmitted diseases. She said: "I could not ethically give that type of medication to a single woman." Wow. This modern doctor goes even further than the one featured on Mad Men!

The Bush administration enacted an ambitious conscience clause that says that hospitals receiving federal money cannot refuse to hire nurses or doctors who morally object to abortion or even certain forms of birth control. These regulations, which could limit access to contraception for women who rely on public clinics or those who live in rural areas, have yet to be rolled back by President Obama as promised. What do you think about doctors who withhold contraception from women because of moral objections?

Are Occasional Breaks From the Pill Necessary?

FitSugar — Tue, 27 Oct 2009 05:50:05 -0700

Almost every woman I know has been on the pill at some point in her life, and many of us started when we were under 20 years old. It has many health benefits, such as preventing unwanted pregnancies, decreasing the risk of ovarian cancer, and alleviating PMS symptoms. The one big negative about the pill is that statistics show being on it for longer than 10 years puts you at a higher risk for breast cancer. Women may also be worried that taking hormones for so long may affect their chances of having a baby in the future. So does it make sense to take regular vacations from the pill to give your body some hormone-free time?

To find out if this is a good idea, read more.

While it's common to think that taking occasional breaks from the pill is beneficial for your body, it's actually not necessary. It's a myth that may have started a while back, since the very first birth control pills contained high doses of hormones. Today's pills contain a much lower amount so they're completely safe to take for years at a time. Doctors actually think it's healthier for your body to remain on the pill. The fluctuations in hormones can have a negative effect on your body, both physically and emotionally. Plus, all the symptoms you experienced when you first started the pill such as moodiness, sore breasts, or yeast infections may show up again.

What about your fertility? You may be worried that staying on the pill continuously for many years will make it harder to get pregnant when you decide to start a family. There's no evidence that being on the pill has any effect on a woman's future ability to conceive - it merely prevents pregnancy while a woman is on it. In fact, regularly going on and off the pill may increase your chances of having an unplanned pregnancy since your protection isn't consistent.

Most importantly, if you've been on the pill forever, you'll be happy to know that as soon as you go off it your risk for developing breast cancer begins to go back to normal over time. If you're worried about your risk, or the whole idea of putting hormones in your body doesn't sit well with you, talk to your doctor about hormone-free alternatives such as the ParaGard IUC. A permanent vacation from the pill might be the better option, as opposed to a break.

Condoms vs. the Pill: Which Do You Prefer?

TresSugar — Tue, 20 Oct 2009 13:00:00 -0700

When it comes to preferred methods of contraception among women, condoms have now caught up to the contraceptive pill in the UK. According to a new survey, condoms and the pill are equally popular among women, and those who said they preferred condoms cited its ability to protect against STDs. Of course I'm sure many cautious women use both methods, and with all the other contraception options out there, maybe you use neither! But if you had to choose between the condom and the pill, which do you prefer?

Skip the Pill: Some Young Women Want to Be Sterilized

TresSugar — Thu, 15 Oct 2009 14:00:00 -0700

Kerry Balley, 24, is regular woman who knows she never wants to have kids. In today's Daily Mail, Kerry reveals that she plans to be sterilized before her upcoming wedding. She writes:

I can't bear the thought of being tied down, a dependable mother and stable. I admire women who do it, but I've come to terms with the fact that it's just not who I am and I would be completely hopeless at it, not to mention resentful. It's not really a decision I've made, I just know.

There is debate about whether women of a certain age, like Kerry, should be denied permanent sterilization. While some argue that healthcare providers should not help a younger woman do something irreversible that she might later regret, others, like the International Planed Parenthood Federation, say that each woman, regardless of age, should be able to decide whether or not she wants children.

Do you think there should be a minimum age requirement for irreversible procedures like sterilization?

Next Up For Male Contraception: Reversible Hormone Injections

TresSugar — Mon, 05 Oct 2009 10:00:00 -0700

When it comes to birth control options, women have the pill, the patch, the ring, the diaphragm, IUDs . . . the list goes on and on. Men have the condom. Scientist are working on more convenient ways for men to take charge of birth control, and now couples in Europe are being recruited to test a new form of male contraception: reversible hormone injections.

Men would get the injections every two months, causing their sperm count to drop to levels that make conception nearly impossible. The effects would be fully reversible.

Do you think men will get on board with this? Would you still use contraception yourself, even if your partner received these injections?

What Do You Use For Birth Control?

FitSugar — Mon, 28 Sep 2009 04:30:19 -0700

It might seem like I have ~~sex~~ birth control on the brain. Last week I asked you about your experience or lack thereof with the female condom. Although it's most often talked about in intimate settings, birth control is in the news.

Concerns are being raised about the safety of the Yaz birth control pill, the top selling pill in the US, according to the New York Times. Women taking Yaz might have a higher chance of developing blood clots compared to other birth control pills, a claim that drug maker Bayer disputes. Investigation is ongoing, as are 74 lawsuits charging that Yaz and Yasmin, a similar product by Bayer, created health problems in women taking these pills. The lawsuits are tricky business though, since warnings about clots are presented in the pharmaceuticals' literature. Bayer strongly stands behind its product.

These new fears about the most commonly used contraceptive pill in America emphasize that avoiding pregnancy can be a difficult task, sometimes with medical consequences. I am curious about you . . .

Study Says Women Delaying Pregnancy Due to Economy

LilSugar — Fri, 25 Sep 2009 07:00:23 -0700

What baby boom? Just because some news reports suggest that women are cutting back on their birth control due to budgetary restraints doesn't mean they're trying to get pregnant. A new study shows that ladies are putting off pregnancy as a result of the recession. According to the non-profit Guttmacher Institute, 44 percent of working-class women are delaying bringing children into their lives, with 31 percent conceiving later than planned and 28 percent having fewer children than planned. The study, which surveyed women between 18 and 34 with annual household incomes of less than $75,000, also found that 29 percent of respondents agreed with the statement, "With the economy the way it is, I am more careful than I used to be about using contraception every time I have sex."

Though the report surveyed a national representation of women, I'm still seeing babies and bellies everywhere. Do you agree with the findings or are you experiencing a boom around you?

Hump Day: I Don't Like Hormonal Birth Control, So Now What?

TresSugar — Wed, 02 Sep 2009 04:00:00 -0700

Welcome to Hump Day,TrèsSugar's sex advice column. Are you confused about sex? Do you have trouble having an orgasm? Is there something you'd like to try but you're worried it's too weird? Send your questions to TrèsSugar, and our friend Dr. Charlie Glickman from Good Vibrations will offer his sound advice!

Today's Question:

“I went to my OBGYN to ask about non-hormonal birth control. (The Pill basically ruined my sex drive.) She pushed the Pill and the Nuva Ring, and said that condoms have a 15 percent failure rate. I don’t like that she was pushing hormonal birth control. Is it possible for hormonal birth control to lower your desire, and if I don’t want to use it, what’s my best, and safest, bet?”

To hear Dr. Glickman's advice, read more

Unfortunately, yes, birth control pills can lower libido. There are at least a couple of reasons for that. First, the Pill inhibits the production of androgens by your ovaries, including testosterone. While ovaries don’t produce as much testosterone as testicles do, it’s still an important part of women’s sexual arousal. The Pill also seems to increase the production of sex-hormone binding globulin (SHBG). SHBG binds to testosterone, which further reduces the amount of it that you have available. On top of that, an article published in the 2006 Journal of Sexual Medicine found that some of these changes may last for quite a while after you stop taking the Pill. Some women report that the NuvaRing has similar effects, although others don’t have any change in their libidos and others actually have an increase in sex drive.

15 percent is a bit higher than many estimates for condom failure rates, but part of why it’s hard to pin down more precisely is that many of the reasons for condoms not working is user error. Here are some tips on reducing the odds of that happening. And since each brand of condom is a bit different, this page has lots of advice for finding the right one for you.

Even though condoms aren’t 100 percent effective at preventing pregnancy, they go a long way towards lowering your risk for sexually transmitted infections. But if your focus is on contraception rather than STI prevention, there are some other options. Intrauterine devices (IUDs) are a lot more effective and safer than is popularly believed. They are currently available with or without hormones, although it’s worth noting that the level of hormones that end up in your system is a lot lower than what you get from the Pill and the non-hormonal IUDs can cause heavier menstrual bleeding or cramps.

Unfortunately, most of the more effective forms of contraception either include some form of hormones or are irreversible. The only other way to avoid pregnancy is to keep sperm from coming into contact with the ovum. Obviously, condoms do that, but if you want other options, you might want to check out cervical caps which have about a 10 percent failure rate if you’ve never given birth vaginally and a 25 percent failure rate if you have. (You can reduce that with a spermicide.) You could also check out the vaginal contraceptive film, a strip of spermicide that you insert into the vagina where it melts and provides up to three hours of protection. It also turns out that withdrawal is more effective than was previously thought, with an 18 percent pregnancy rate. Since these other approaches are clearly less effective than implants, the Pill or other hormonal methods, a lot of people use more than one. Condoms plus cervical caps or condoms plus withdrawal improves your odds a lot.

I’d really like to see some other forms of birth control that don’t mess with women’s hormones; so many women report having all sorts of side effects. There are some gel products being developed that will (hopefully) be effective as both contraception and STI preventatives and at least some of them are working their way through clinical trials. So eventually, there will be something better for you but in the meantime, I hope this helps.

Did You Consider Permanent Birth Control While Pregnant?

LilSugar — Mon, 17 Aug 2009 08:00:18 -0700

When is enough, enough? For some women, the 40 weeks of pregnancy are plenty of time for them to decide whether or not they will continue to expand their family. At my last appointment, I was a bit shocked when the ob-gyn filling in for my doctor asked if I wanted my tubes tied. I thought he inquired since I'm expecting my third child, but he explained that I have to make the decision one month prior to delivery.

A friend who is expecting her second child was asked the same thing at her 32-week check-up. After discussing her scheduled C-section, her doctor asked her if she was considering a tubal ligation while she was in the operating room. He told her that if she was interested in the permanent birth control procedure, she couldn't decide on her way into the operating room. Though I think three will be my magic number, I don't like the idea of such a permanent procedure. However, 61 percent of lilsugar readers said they would consider the option. Did you make the decision while you were pregnant or after your children were born?