migraine birth control

Don’t Minimize the Small Changes With Birth Control

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When I discuss risks and side effects with birth control advocates, one of the most common things they like to tell me is that no drug is one hundred percent safe. This statement has been something of a mantra for propagandists since the very inception of The Pill.

The problem is that The Pill isn’t like any other drug, and it shouldn’t be held to the same standard. Although we’ve been programmed to look at birth control through a certain lens for over 60 years, it’s time we shift our perspective and reconsider things based on a few very important facts.

The Pill was the first (and only) drug created to be taken by the healthy. It is the only drug designed to interfere with a natural process rather than treat an illness. And, it is expected to be taken chronically for many years, although it was originally promoted as something that would only be taken for a couple of years to help space out children.

If anything, the standards for a drug like this should be much more stringent than the norm. Unfortunately, the safety protocols have been non-existent. As I detailed extensively in my book, hormonal birth control was pushed through the FDA without ever having been proven safe.

A Tradition of Mitigation

In those early years, many leading doctors expressed apprehension about changes they were witnessing in the bodies of birth control patients. One of the primary concerns centered on changes they were seeing in the breast tissue of these young women. Doctors warned that this could lead to a tragic rise in breast cancer cases.

The drug companies responded by turning it into a marketing ploy, telling women that The Pill would make their breasts fuller. Meanwhile, the incidence of breast cancer did, in fact, increase dramatically. In 1970, at the time of the Nelson Pill Hearings, one in every 20 women was diagnosed with breast cancer. Today, it’s one in every eight women.

The prophetic warnings have been all but forgotten. Many women continue to notice their breasts feeling tender or fuller when they start birth control, but very few think about what the long term consequences of these changes may actually be.

I wrote more about breast cancer and birth control at these links.

What a Headache

Migraines represent a less subtle but equally mitigated early-warning sign of potential bigger problems to come. Once again, doctors in the early days of The Pill recognized that young women with migraines and severe headaches were at a much higher risk of suffering blood clots, strokes, and pulmonary emboli.

Consequently, the common recommendation was that women should avoid the synthetic steroids in hormonal birth control, if they had a family history of migraines. Take note – not only a personal history, but even a family history of migraines was enough to make most doctors shy away from prescribing birth control.

Today, the narrative has flipped. Recognizing that there is a relationship between hormones and headaches, some doctors have taken up the dangerous practice of actually prescribing birth control to “treat” migraines.

Birth Control Changes Everything

Whenever a woman tells me she hasn’t had any issues with her birth control, I can’t help but wonder how low she set the bar. After all, we have a history of downplaying birth control side effects. Doctors continue programming women to think that their concerns are “no big deal.” Consequently, when a woman contemplates whether she has had any side effects, she probably isn’t taking fuller breasts into account. If she has headaches, she is convinced they are nothing to worry about. And, she’s definitely not paying attention to things like dry skin, vision changes, weight gain, anxiety, gastro problems, or issues with her thyroid.

Of course, I am speaking in broad terms. Some women pay very close attention to these changes. The problem is that every woman should be. We need to educate women to watch for these details because they all indicate that things are changing at a cellular level.

I am not saying that every woman who experiences a “mild” side effect will suffer a major crisis later, but it is worth considering what these cellular changes might lead to down the road.

I know the study will never be done, but it would be fascinating to see what correlations might exist between mild versus more severe side effects.

Moodiness and Anxiety

I doubt there is any side effect where the crossover from mild to severe is more fluid than with changes to brain chemistry. One of the most common complaints of birth control users is mood and personality changes. Doctors typically respond by prescribing a second drug, such as Xanax, to treat the new anxiety rather than wrestle with what caused these changes and what it could mean for the future.

There is no shortage of severe brain-related consequences linked to birth control. The most obvious include depression and suicide, and in fact, a recent large scale study found that women taking birth control are 70% more likely to experience depression, and three times more likely to commit suicide. Those are problems that often arise soon enough after starting birth control that women recognize the connection. And unfortunately, they are problems that can linger long after she’s stopped taking the synthetic hormones.

Other problems are not as easy to connect because they take longer to manifest. Though the correlation is still being debated, at least one major study found that women taking birth control are 50% more likely to develop a particular kind of brain tumor, known as a glioma. Those who take it for more than 5 years increase their risk by 90%.

More Cancers To Count

Unfortunately, the cancer risks tied to birth control don’t end with the brain and breasts. Separate studies have also linked birth control use to cervical cancer and even skin cancer.

One study found that women who take birth control for less than five years increase their risk of cervical cancer by 10%, but after five years, that increase jumps to 60%. The hormones in birth control thicken the cervical mucus and leave women more susceptible to the HPV virus. Cellular changes that may seem hardly noticeable or relatively insignificant when you start The Pill.

What about dry sky – or even clearer skin? Is it possible they could lead to negative consequences in the long run? Well, the fact is, in either case, cellular changes are taking place in your skin. Who knows whether this means you could be more susceptible to skin cancer down the road, but we do know that birth control has been linked to a higher incidence of skin cancer.

The Weighting Is the Hardest Part

Think of other “mild” side effects and how they correspond to more significant side effects. Things like weight gain and changes in cholesterol or blood pressure are often dismissed as mere inconveniences, but what impact might they have on future issues like diabetes, heart disease, or gallbladder disease?

Could feeling gassy or bloated today have any connection to future issues like IBS, Crohn’s disease, or ulcerative colitis?

Would changes in vision today seem more worrisome when considered in light of future glaucoma? What about joint aches and pains once you consider the link to lupus, Sjogren’s syndrome, and other connective tissue disorders?

Would you be more worried about fatigue, dry skin, constipation, and hair loss if you looked at it through the lens of thyroid disease?

Preaching Informed Consent

We simply are not doing enough to inform women of the potential side effects of birth control before they begin taking it. Once they take it and start to experience problems, we aren’t educating them on what those changes could mean in the long run. Rather, doctors frequently tell them to give their bodies time to adjust, even when the existing side effects could lead to deadly consequences.

A medical system that mitigates and dismisses practically any complication this side of death is clearly not focused on women’s health as much as it is profits.

I encounter women on an almost daily basis who tell me they are giving up on birth control. They say they wish they had been warned about the side effects. The women who have told me this were experiencing everything from having their gallbladder removed, to recovering from a stroke, to undergoing chemotherapy for breast cancer.

We think differently when we are younger. Who knows if women really would say no to The Pill if someone gave them the facts. And honestly, that doesn’t matter. What does matter is that they deserve to be told. They deserve the opportunity to make an INFORMED decision.

In short, women who choose to use birth control with synthetic steroids should walk into that decision with their eyes every bit as wide open as anyone who still chooses to smoke cigarettes.

#1
In the Name of The Pill

37 customer reviews

In the Name of The Pill*

by Mike Gaskins

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.
This book explores the medical and historical disconnects that brought us to this point.




 Price: $ 17.95

Buy now at Amazon*

Price incl. VAT., Excl. Shipping

Last updated on October 21, 2023 at 9:38 pm – Image source: Amazon Affiliate Program. All statements without guarantee.

We Need Your Help

More people than ever are reading Hormones Matter, a testament to the need for independent voices in health and medicine. We are not funded and accept limited advertising. Unlike many health sites, we don’t force you to purchase a subscription. We believe health information should be open to all. If you read Hormones Matter, like it, please help support it. Contribute now.

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Photo by danilo.alvesd on Unsplash.

Migraines and Birth Control: A Neglected Stop Sign

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No sooner had we landed than my phone began to convulse with a cacophony of bells and chimes. Most of the notifications were last minute details about the live broadcast that brought me to town. In one voice message, a coworker informed me that the producer cancelled our pre-production dinner meeting because of her migraines. He added, “When she eats certain breads, it triggers her headaches.”

This happened early in my research on hormonal contraceptives, but I had read enough to know that birth control could cause migraines, and women with migraines were at a higher risk for strokes. I also knew that doctors at the Nelson Pill Hearings testified that birth control pills affect the way a woman’s body metabolizes carbohydrates in myriad ways. I had no idea what the mechanism of action could be, but at that moment I would have bet my children’s milk money that our producer was on hormonal birth control, and I intended to ask her about it.

This was my client’s client. I wondered if it was safe to broach the subject of birth control with her, but I knew the answer before I could even fully form the question in my head. I wouldn’t be able to forgive myself if she ever had a stroke, and I hadn’t warned her.

The next morning she felt better and showed up for the load-in. When no one else was around, I asked some questions about her headaches, ending with, “I’m curious, did you start getting migraines after you began birth control?”

When you ask a question like that, you know there’s a better than zero chance the reaction could be negative. Thankfully, not even a glimmer of disapproval flashed in her eyes as she replied, “Oh no, I took The Pill for a long time before I had my first migraine.”

I said, “That’s still after you started.”

She laughed it off as a silly question. However, after sleeping on it, she approached me the next morning, “You know, you may be onto something. I hadn’t thought about it, but my migraine symptoms did get a lot worse when I switched birth control brands.”

Connect the Dots: Birth Control and Migraines

The correlation between birth control and migraines has been known for decades, as has their connection to an increased risk of stroke. However, two hurdles probably play a key role in preventing patients and their physicians from making the connection in the real world today – those being familiarity and latency.

Many side effects of hormonal birth control occur as extremely common ailments, such as breast cancer, strokes, and migraines. Not coincidentally, they’ve grown even more common in direct correlation to the introduction and prevalence of hormonal contraceptives. Paradoxically, they’ve become so familiar and so unremarkable that doctors rarely look for the primary culprit that causes the migraines. Essentially, they can’t see the tree for the forest.

Some side effects, such as migraines or depression, can happen almost instantaneously. (Even so, doctors frequently miss the connection.) However, it usually takes some time for the symptoms to precipitate. This latency can hinder even the most astute physician from considering hormonal contraceptives as the likely cause of problems. I’m being generous in my phrasing. In reality, I can’t help but wonder what role fear of litigation plays in this ‘blindness.’

Ultimately, why they overlook the correlation to birth control is less important than the consequences it creates, which include dramatic under-reporting of complications. In 1970 while discussing strokes at the Nelson Pill Hearings, Senator Gaylord Nelson expressed this prescient concern:

Every time the issue has been discussed here concerning the increased incidence of this disorder or that disorder, they always end up saying, “but the statistical sample is so small that there is room for error, and we can only make sort of an educated guess.”… I am just concerned with the fact that the reporting of these side effects and their effect on the cause of death may not be related to the pill at all. (Monopoly Subcommittee, page 6419)

Dr. Herbert Ratner added his perspective (Monopoly Subcommittee, page 6743), “For the first time in medicine’s history, the drug industry has placed at our disposal a powerful, disease-producing chemical for use in the healthy rather than the sick.” [my emphasis] Yet, forty-five years later, we still have no national registry, no way of tracking patients on birth control so that scientists can conduct comprehensive etiological studies that would connect the dots and precisely reveal the consequences of hormonal contraceptives. In fact, our healthcare reporting system is so fractured we can’t even put our finger on an accurate estimate of how many women take hormonal birth control. Estimates from trusted sources range from 11 million to 18 million.

The Pill, Migraines, and Strokes

The University of Virginia student health services published a document on their website outlining the definitive link between migraines and strokes. Beyond warning that the “increased risk of stroke is amplified by the use of estrogen-containing birth control methods,” the doctors who prepared the document boldly state,

it is strongly recommended that women with a personal or family history of migraine headaches should select non-estrogen methods of contraception. [Their emphasis]

This information should be part of every ‘informed consent’ conversation before a doctor writes the first birth control script. Not to mention the many other complications that need to be discussed. This kind of warning should be the norm. Unfortunately, it’s the exception.

Strokes Redefined

It took only three generations of users for hormonal contraceptives to redefine our perception of strokes. A young women starting on The Pill today may not even realize that when her great grandmother began birth control, strokes were considered an old person’s disease.

But, strokes aren’t just for grandparents anymore. A recent article in the Washington Post leads off with this troubling statement about strokes in young people:

In a study released Wednesday in the Journal of the American Heart Association, researchers found that between 2000 and 2010, hospitalizations for ischemic stroke, the most common type, dropped nearly 20 percent overall – but among people ages 25 to 44, there was a sharp 44 percent increase in the rate.

There are a couple of other interesting facts later in the article – or rather, one interesting fact, and another made interesting by its glaring omission. The first comes from a description of the study:

The data analyzed includes information on 8 million hospital stays and came from the Nationwide Inpatient Sample, the largest publicly available database in the United States on these patients.

In stressing the importance of a large database, the author underscores the necessity for a national registry to track patients so that important lines can be drawn. Of course, the second part is that the lines actually need to be drawn. Amazingly, here’s what the Post article says about what might have contributed to the increase:

Doctors attribute the apparent rise in strokes among younger adults to the same lifestyle risk factors traditionally found in older patients, such as obesity, diabetes and high blood pressure.

It isn’t until much later in the article that they include:

Each year significantly more women die from stroke than from breast cancer — and yet many women think of stroke as a man’s disease. According to a 2015 national survey, only 11 percent of the 1000 women surveyed could identify female-specific stroke risk factors, like migraine headaches with aura, hormone-replacement therapy, oral contraception and pregnancy, particularly in the final month and postpartum.

Talk about burying the lede. Maybe women would stand a better chance of identifying these factors if journalists dared include them in the “lifestyle risk factors” mentioned previously.

Testimony Without Equivocation

The science linking birth control pills to strokes hasn’t changed. As far as I can tell, no one has disputed the correlation since The Lancet first published Dr. Victor Wynn’s study in 1966.

Pay attention to this excerpt from Dr. Alan Guttmacher’s testimony at the Nelson Pill Hearings. Dr. Guttmacher was the founding president of Planned Parenthood/World Population, and was arguably the staunchest proponent of The Pill ever to live:

We know the facts about thromboembolism. I think this is pretty uncontested. We know the facts about development of high blood pressure in a certain small proportion of patients. We know the fact that certain patients get depressed on the pill. These are the facts we are all privy to. (Monopoly Subcommittee, page 6615)

Earlier in the hearings, Dr. J. Edwin Wood explained the phenomenon that caused healthy young women to develop strokes:

One of the major contributing causes of thrombosis in veins appears to be that of reduced velocity of flow of blood in the veins or relative stagnation or stasis of flow in the veins…

Studies of women taking oral contraceptive agents have led to the clear-cut finding of dilatation of the veins of the extremities – other veins as well perhaps but they have not been studied. These dilated veins carry the same amount of blood as before but since they are wider in diameter the blood flows more slowly.

The net effect of this series of events is a slowing of the blood flow during oral contraceptive therapy. This finding is distinctly abnormal and is not observed in any other circumstance in young women except during pregnancy or in the presence of varicose veins. (Monopoly Subcommittee, page 6157-6158)

The facts about hormonal contraceptives and strokes were well known in 1970, yet they somehow seem to have escaped the curriculum in today’s medical schools. It may be uncomfortable but if you know a woman who suffers migraines, don’t hesitate to ask her if she’s on hormonal contraceptives. Then, please share the facts about migraines and birth control.

#1
In the Name of The Pill

37 customer reviews

In the Name of The Pill*

by Mike Gaskins

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.
This book explores the medical and historical disconnects that brought us to this point.




 Price: $ 17.95

Buy now at Amazon*

Price incl. VAT., Excl. Shipping

Last updated on October 21, 2023 at 9:38 pm – Image source: Amazon Affiliate Program. All statements without guarantee.

We Need Your Help

More people than ever are reading Hormones Matter, a testament to the need for independent voices in health and medicine. We are not funded and accept limited advertising. Unlike many health sites, we don’t force you to purchase a subscription. We believe health information should be open to all. If you read Hormones Matter, like it, please help support it. Contribute now.

Yes, I would like to support Hormones Matter. 

This article was first published on November  21, 2016.

Image by Ingrid from Pixabay.

 

 

Brain Grenade: Hormonal Contraceptives, Migraine and Stroke

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On Sunday, April 14, 2013 I woke up with a headache.

This wasn’t unusual for me; I had battled chronic headaches and occasional migraines for over ten years. I had tried almost every available solution, but never found relief.

This headache was worse than normal, but since I had already made plans with my dad to hike the Manitou Springs Incline that day, I resorted to my usual option; suck it up, smile, and push through the pain. I got to my dad’s house and he could see in my eyes that my headache was getting worse. He offered up the option to go to Barnes & Noble, get a latte at Starbucks and look through travel magazines instead. I conceded because I was in pain, and also because this was another one of my favorite ways to spend time with him.

While flipping through pages of Conde Nast’s Traveler magazine with a chai tea latte in my hand, I felt a pain that I will not soon forget strike through my right eye and up through my skull. It felt like a white hot bolt of lightning electrocuting my brain.

For Harry Potter fans out there, my Voldemort was close.

Hunched over in pain and grasping my head, my dad rushed me over to the nearest chair. The excruciating pain subsided, but left me really scared. That had never happened before. I told him that I needed to go home and find some migraine medication to take before it got worse. He offered to drive me home, but being as stubborn as I am, I told him I’d be fine driving myself. There were a few times on the drive back that my vision was altered, but that’s not something I wanted to admit to anyone, even myself.

Thinking it was just a severe migraine, I took a prescription migraine medication called Frova, crawled into bed and switched on Netflix…waiting for it to pass.

It never did. It only got worse…

I called in sick to work the next day and continued lying in bed with inadequate pain killers and trashy TV. I didn’t tell anyone about my lightning bolt pain or altered vision because I didn’t want to admit it was worse than my typical migraines. However, that afternoon the pain was so bad that I decided to go to the ER.

The ER staff put me in a dark room with a warm blanket and a lot of narcotics. That usually does the trick. Morphine and anti-nausea injections are the go-to solution for migraines. Adequately doped up, my mom and stepdad took me back home so the morphine hibernation could kick in and knock me — and my migraine — out cold.

Hours of drugged and dreamless sleep passed, and I woke up only to increased pain and foggy consciousness, coupled with dehydration and weakness from skipping meals.

Without any resistance or say in the matter, my parents took me back to the ER the next day. The doctors decided that a CT scan was the next step in figuring out my pain. I barely remember getting off my hospital bed and onto the CT table for the scan.

In addition to the CT scan and more narcotics, they also injected the base of my skull with a numbing agent like Novocain. Let me tell you, no matter how drugged and doped up you are from days of a steady stream of narcotics, hearing a needle and its contents being injected into the base of your skull right next to your ear, will wake you up with a searing certainty.

Back home I went, praying that this drug slumber would finally do the trick. Three more days passed without any relief; the pain didn’t let up, no matter how much medication my body consumed. Eventually, I couldn’t even keep food or water down without instantly getting sick. I couldn’t stand up without holding onto a wall or piece of furniture.

My worried parents called their primary care physician and explained the situation. I got an appointment with her that day and walked into her office like a brainless zombie. At that point, being a brainless zombie sounded quite appealing. The doctor asked my mom a few questions while I looked blankly at the wall. She scheduled an emergency MRI and within one hour, I was wearing an ugly medical gown lying inside a noisy, confining white tube as a machine snapped a picture of my brain.

We went back home and not long after I got settled on the couch with some of my mom’s chicken noodle soup, I received a call from the Radiologist telling me that I had a Cerebral Sinus Venous Thrombosis. (Say that five times fast!) It was located in my sagital sinus. In layman’s terms, I had a blood clot in my brain.

{A blood clot in my brain}

I was instructed to get up immediately and go directly to the hospital in downtown Colorado Springs. The radiologist already called and they were expecting me. Funny to think that I had reservations at a hospital. I had to go to the hospital downtown because that’s where the best brain surgeons in the city were. “Just in case something ‘bad’ were to happen,” the nurse said, matter-of-factly.

Despite that dramatic comment and the reality-shifting diagnosis, I was very calm. I thanked her, hung up and looked at my parents, explaining what I had just heard. I was relieved that I finally had an answer to what was causing this pain. My unrelenting lightning bolt brain pain might be coming to an end!

Everything started moving very quickly. My parents mobilized with military-like precision…feeding the dog, calling my grandparents, texting my brother, packing an overnight bag for me, wrapping me in a blanket and putting me in the car.

We got to the ER and I walked directly into a room they had waiting for me. VIP status baby! 😉 A very handsome blonde doctor came in and explained that I needed to have another MRI with contrast this time so they could see the blood clot in more detail. This meant that I needed to get a special dye injected in my veins so they could see exactly where the clot was located.

A hot male nurse came in to the room and stuck a toothpick-sized needle in the biggest vein in the crease of my right arm. Of course McDreamy & McSteamy had to be my doctor and nurse while I looked like a brainless zombie with unwashed hair, zero makeup and hairy legs.

But I guess life isn’t an episode of Grey’s Anatomy.

I was wheeled up to a room on the fourth floor of the hospital, where I was greeted by a sweet RN who hooked up a large bag of fluid to the IV tube in my right arm and told me that I would be on a heavy dose of Heparin, a blood thinning medication that would help reduce the size of the clot in my head.

As I was slowly adjusting to the sterile smell of my hospital room, the beeping machines connected to my bed, and the strange reality of being in the hospital, a doctor came in to explain what was happening.

Based on my age (I had turned 28 two months prior), coupled with the fact that I was a physically fit, non-smoker, the only viable reason why I was sitting in this room with a clot in my head was because of the birth control that I was currently taking. This was happening because I switched my birth control method almost four months prior from the oral contraceptive, Yaz, to the vaginal ring, Nuvaring.

And the reason why I switched four months earlier? I heard commercials on TV about women who were hurt using Yaz/Yasmin and how they could be eligible for compensation in class-action lawsuits. I did NOT want to be one of those women, so I thought I was being smart and safe.

Oh the irony…

I had to immediately remove the Nuvaring and was told by my doctor I would never again be allowed to use hormonal contraceptive methods again. My future pregnancies may even be high-risk and I would have to be heavily monitored and put on a blood thinner called Lovenox once I got pregnant. She told me that I would have to stay in the hospital for five more days while they pumped a high-dose of Heparin through my veins to prevent further clotting or a possible stroke. I would then go on an oral blood thinner named Coumadin for six months once I got out of the hospital to further shrink the clot. No surgery would be needed, thank God.

The next five days were filled with the highs of family and friends visiting, sending flowers and showing love, the lows of self-pity, frustration and cabin fever, as well as the strange experiences that naturally occur from staying in a hospital room for that long.

One of strangest had to be sleeping on a bed that was meant for someone who was more at risk for bed sores than I was. The bed was constantly shifting my weight around by filling with air in different places. It was like an air mattress pump would come on every few minutes, making it practically impossible to sleep. Once I did finally go to sleep (with the help of Ambien) a nurse would come in and wake me up every four hours to check my blood levels. I would hide from the bright lights underneath my blanket while she poked my fingertips and squeezed blood into vials.

Showering was a whole other story. My room didn’t have a shower, so my nurse told me I could use one that was down the hall. I rolled my IV stand down the hallway, only to find basically a broom closet with an RV-sized shower in it. I had to hold my right arm out of the shower because my IV couldn’t get wet. All I wanted to do was shave my legs, but razors were a definitely no-no with blood as thin as mine.

While the list of repercussions of being on Nuvaring for less than four months continued to grow, so did my gratitude for finding this clot when I did.

I know many women were not as lucky as I was and suffered through strokes and long-term health defeats. Some women even tragically lost their lives.

I made it through the following six months with as much grace as I could muster. But there definitely were times when I was annoyed that I had to wear an ugly medical alert bracelet in case of emergencies, that I was covered in bruises from my blood being so thin, and that I had to go to the Coumadin clinic every week to get my finger pricked to check my blood levels. I felt defeated and ashamed as my body awkwardly readjusted to getting off hormonal birth control by gaining weight and breaking out in acne that I thought I had happily left back in 8th grade. Even now, I still get worried and anxious when thinking about what I’ll have to go through once I get pregnant.

But even with all of that, I count my lucky stars that this is in the past, that I’m healthy and happy, and that I can share my story.

I want women to think through their options, know the risks of Yaz, Nuvaring, and other forms of hormonal contraceptives, and realize there are other ways of taking care of themselves and their family.

Real Risk Study: Birth Control and Blood Clots

This story is one of a series about women who have developed blood clots while using hormonal contraception. These articles are part of the Real Risk Study: Birth Control and Blood Clots, a research project to help women gauge their actual risk with hormonal birth control. For more information, or to participate click here.