dangers of birth control

Can a Man Weigh in on The Pill?

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After many months of intense research, I firmly believe the birth control pill stinks, but who am I to say? I’m not an M.D. or a PhD. Even worse, I’m not a woman.

At the risk of being counter-cultural, I’d like to be completely transparent. I’m a bald, middle-aged, Catholic, white man from Texas. Clearly, I’m not allowed to have an opinion on The Pill, but I do. And, I’m passionate about it!

Now that I’ve given you every label you could possibly need to dismiss what I’m about to share, I plead with you to hear me out. My passion for this subject is not driven by a moral or political agenda. I have no deep-seated desire to tell women what they should or shouldn’t do. In fact, I have only one agenda – to expose the very real dangers of hormonal contraceptives.

I’m telling you who I am up front because we live in a culture of extremes. We’ve lost the art of moderation. It seems we are all either Conservative or Liberal; Pro- or Anti-; Us or Them… Defined by extremes, there is no middle ground. Regardless of which side we’re on, when someone offers a different perspective, we assume they are ‘one of them.’

I never dreamed I would be a women’s health activist, but that’s what I’ve become. I’m not even sure that label can stick to me, but I’m eager to wear it, even if I have to clip it on with safety pins.

My Distaste for The Pill

My distaste for The Pill predated any religion or spirituality in my life. For that matter, it also predated being bald, middle-aged, and Texan.

My wife and I were young and deeply in love. Somehow, that fact came up in a discussion with her doctor. She had gone in with allergies, but came out with The Pill. That was fine by us. We hated condoms, and this sounded like the perfect solution. The doctor didn’t mention any side effects, and since it had been on the market for decades, she never thought to question its safety.

On about the fourth month, a little pamphlet fell out as she opened the package. I picked it up, and started reading. I was horrified. “Honey, did the doctor mention any of these side effects to you?”

“What side effects?”

We sifted through the complicated text, and discussed some of the warnings — breast and cervical cancer, strokes, and heart disease. They were especially disconcerting given her family history. She asked whether the doctor would have given it to her if he thought it was dangerous.

Ultimately, it was a long, thoughtful conversation that ended with me saying, “I can’t tell you what to do, but for me, if taking this pill means I get to spend even one less day with you at the end of our lives, it’s not worth it.”

It surprised me how much relief that statement brought her. The pills had apparently been making her feel crazy, and she decided to stop taking them immediately. Beyond my wife, my attitude about The Pill was indifferent. I never thought to ask my sisters if they had read the pamphlet, or if their doctors had warned them. It didn’t seem like my place.

Was it my place? Am I even allowed to talk about that with women beyond my wife? Where do my rights and responsibilities end?

Years passed. Then, a series of events brought me in contact with information that left me a little smarter than the average bear… at least where The Pill is concerned. When you’re privy to information that you know most women haven’t been told about The Pill, does your responsibility change? I think it does. I have sisters and nieces who suffered consequences because I didn’t discuss The Pill with them sooner. I believe anyone who learns the truth about The Pill should act on the urge to shout the news, and drown out the silence of the doctors.

My Focus on The Pill

As a writer and media producer, it was work that first inspired my pill quest. Writing requires a natural curiosity. Whether I’m developing a documentary or creating a marketing piece for a corporate client, I’m always looking for an interesting story.

A medical project early last year brought me in contact with one of the world’s leading authorities on a certain disease (I will be more specific about the disease in future posts). I sat in on a meeting as this revered doctor spoke to a group of young specialists about the basics of the disease.

He said, “We’ve known from the beginning that estrogen plays a key role… because 75- to 80-percent of diagnoses are women, and we know the role estrogen plays in a woman’s immune system.” He explained how environmental estrogens get into our system, and mimic natural estrogen.

My ‘interesting story’ radar went off even though it had nothing to do with the project at hand. I pulled out my phone. A quick Google search revealed that the incidence of this disease began climbing rapidly in the early 70’s.

I benefited from limited knowledge. All I knew of the disease was a time frame, and what triggered it – chemicals mimicking natural estrogen. The only example I could think of was birth control pills. Based on what the good doctor had said, I assumed the connection must be well known in the medical community, but was surprised I had never heard about it.

I struck up a conversation with him after the meeting, and asked exactly what role The Pill had played in all of this. He replied, “None at all.”

I was dumbfounded. “That seems impossible.” I wasn’t doubting him. In fact, I completely believed him, regardless how impossible it seemed. After all, he was the world-renowned authority.

He doubled down, “There hasn’t been any evidence linking The Pill to [the disease].”

The conversation continued for a while, but didn’t advance. It concluded with him saying, “Certainly, there are more questions than answers. And more research needs to be done.”

I walked away feeling confused – as if he had waved his hand and said, “These aren’t the droids you’re looking for.”

That Nagging Feeling

I was still thinking about the encounter when I got back to my hotel room that evening. I pulled out my computer and did a search for the disease, plus “oral contraceptives.” Among the top results was an article about a new study that found women who take The Pill are 50% more likely to have this disease than nonusers.

I wondered whether the doctor had been unaware of this study. The question didn’t linger long. He was quoted halfway through the article. In black-and-white, the world-renowned authority told women they shouldn’t stop taking The Pill because of this study, and that they needed to weigh the benefits against a very small increased risk of developing the disease.

Had he lied to me? At best, he had certainly obfuscated the facts. Maybe he just thought it would be too deep for a simpleton, and it was easier to say that no connection existed.

During the next few weeks, I continued my search, and found several studies over the past 50 years that had linked The Pill to this disease. And for each study, it seemed there were always leading authorities who were eager to say the benefits still outweighed the risks. This was a pattern I observed frequently as I broadened my search to include other ailments.

Questions About The Pill

Those early searches left me with two burning questions that drove me to dig deeper:

  • Are doctors being forthright with women about hormonal contraceptives so that they can make truly informed decisions?
  • Why is the medical community always eager to downplay studies that find risks associated with birth control pills?

Answers to the second question tend to dance around the political landscape. So, for the purposes of my posts on Hormones Matter, I will focus more on the answers to the first question. However, I do think it’s important to lay a little more foundation to explain how I formed my opinions.

In my next post, I will tell you how a feminist, a crusty old reporter, and a 102-year old man fueled my continued interest.

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In the Name of The Pill

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In the Name of The Pill*

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The FDA approved The Pill despite it not being proven safe. Today, it has been linked to everything from blood clots and cancer to lupus and Crohn’s disease — and still has not been proven safe.
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Last updated on October 21, 2023 at 9:38 pm – Image source: Amazon Affiliate Program. All statements without guarantee.

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The High Cost of Bad Birth Control: Yasmin and Yaz Lawsuit News

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As the debate over birth control rages, an often ignored aspect of the debate is safety. Some feminist groups contend that we can’t talk about the dangers of certain oral contraceptives or other hormonal birth control methods lest we give ammunition to the anti-birth control crowd.

“If you’ve seen on TV somebody crying that their daughter died taking birth control pills, and you’re a mom, you may not remember the (particular) birth control pill,” said Diana Zuckerman, president of the National Research Center for Women & Families. “You’ll just say you can’t be on it to your daughter.”

That sentiment couldn’t be more wrongheaded. Of course, we should be talking about the safety of birth control. Indeed, we should shouting at the top of our lungs about the dangers of some oral contraceptives and many medications in general. What good is it to have access to birth control, only to be killed or chronically injured from those pills? Death and grievous injury would seem to defeat the purpose of the entire reproductive rights movement.

We Need Safer Birth Control Options

As we’ve reported previously Yasmin, Yaz and other drospirenone based oral contraceptives (generics Syeda, Ocella, Zarah, Loryna,Gianvi, Safyral and Beyaz) appear decidedly unsafe. No amount of marketing will overcome the safety issues.

As of April, there were over 11,000 lawsuits pending with 14,000 plaintiffs. By October of this year, Bayer, the makers of the Yasmin line of birth control, has agreed to pay $750 million to settle the first 3400 lawsuits. With only 7600 more lawsuits to go, this might be one of the most expensive drugs to date.

The Dangers of Drospirenone

Several large studies (here, here, here) have found that women taking drospirenone based oral contraceptives have a two- to threefold increase in deep vein thrombosis and pulmonary embolism compared to other contraceptives. Bayer contests those results with several company sponsored studies that indicate no such risk. Recent reports of withholding data, question Bayer’s assertions.

AdverseEvents.com, a website that tracks all medication side-effects both from FDA and patient reporting, shows that the Yasmin line of oral contraceptives carry with them a range of very serious side effects, including death.

Adverse events associated with Yasmin

Yasmin, Yaz and Pulmonary Embolism

Notice the number and percentage of deaths, life threatening conditions and hospitalizations compared to other potent and in some cases, already recalled medications.

Pulmary Embolism for Yasmin, Yaz and other Medications

Yasmin, Yaz and Deep Vein Thrombosis

Deep vein thromobisis and Yaz, Yasmin

Why are These Products Still on the Market?

Money.

The Yasmin line of birth control is one of Bayer’s most lucrative product lines with over 4 million women taking these pills monthly. Even with the negative publicity surrounding for these products, revenue for the Yasmin line of products neared 1.1 billion for the first nine months of 2012. After 11 years on the market, total revenue for these products was likely well over $10 billion. If the company pays out $1-2 billion in claims, but makes $10-15 billion, the cost-benefit ratio is skewed in favor of maintaining their market presence. The fines become just another cost of doing business.

What about the FDA?

The FDA relies heavily on some 50 advisory committees to review drug safety. Many of these experts have strong ties to industry. Reports of conflicts of interest abound. In the case of drospirenone, early reports are claiming the decision making was indeed skewed by industry sponsored experts.

At least four and possibly six experts on the panel convened to review the dangers of drosperinone, had financial ties to Bayer.  Subsequently, efforts to remove the Yasmin products from the market failed by four votes: 15-11. Instead the panel voted to increase warnings on the labels of these drugs.

Worse yet, unsealed court documents from lawsuits in Illinois indicate the possibility that Bayer knew of the increased dangers associated with the Yasmin products, as early as 2004 and withheld (and continues to withhold) that data from the FDA. According to reporters at Pharmalot and a report by David Kessler, a former FDA commissioner and current advocate for many of the legal cases:

“For instance, in a draft of the August 2004 white paper, Bayer employees wrote: “Compared to the three other (oral contraceptives), Yasmin has a several fold increase in the reporting rates for (deep vein thrombosis), (pulmonary embolism) and confirmed VTEs…When considering only serious AEs, the reporting rate for Yasmin was 10 fold higher than that with the other products which were very similar in magnitude.” Bayer employees argued in a revised draft that “spontaneous reporting data do signal a difference in the VTE rates for Yasmin and other OC users.”

Who to Trust

It is no longer reasonable for patients to blindly assume an FDA approved medication is safe or right for us (Vioxx, for example). Even research in major medical journals is suspect, with publication bias and outright fraud. Medical decision making is not for the faint of heart.

Luckily data are available online and though still convoluted, there is a degree of information availability never before possible. If you look, you can find the information needed to make a decision on almost any medication. We like and trust the data from Adverse Events. Their sole purpose is to expose and make accessible to the public the risks associated with medication.

Moving Forward

Demand better.  We’ve long since moved away from the age of innocence where medications are concerned. Before deciding on the appropriate birth control method for you or your daughter, do the research, ask the questions and make an informed decision.