In defense of the sanctimonious women's studies set || First feminist blog on the internet

More Reasons to Love the Pill

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And not just because it brought us a great Loretta Lynn song: A new study suggests that the birth control pill can decrease your risk of ovarian cancer.

According to the study, a woman’s ovarian cancer risk is cut by 20 percent for every five years she is on the pill. Researchers tracked women who had never taken the pill to those who had taken it for more than 15 years. They found that even 30 years after women had stopped taking the pill, they still had about a 15 percent reduced risk of getting ovarian cancer, compared to women who had never taken oral contraceptives.

The experts estimated that use of the pill so far has prevented about 200,000 cases of ovarian cancer and 100,000 deaths from the disease. Based on current levels of oral contraceptive usage, they guessed that 30,000 cases could be avoided every year.

Not bad.

Of course, the pill also has some side-effects that women should be aware of, but the ones that are the most over-hyped also tend to decrease once you stop using it:

While the pill protects against ovarian cancer, it slightly increases the chances of breast and cervical cancer. But those risks disappear after women stop taking oral contraceptives. And the pill also provides long-term protection against endometrial cancer, which affects the lining of the uterus.

The Pill isn’t for everyone, and a lot of women’s bodies don’t tolerate hormonal contraception. But for a lot of women, it’s a life-saver (quite literally).

One thing that bugs me about these studies is that they always focus on “the pill” as the end-all be-all of contraception. While it makes sense that they would focus on hormonal contraception, I wonder if the findings are limited to birth control pills, or if they extend to things like the NuvaRing. As a Ring enthusiast myself — and as someone who just went back on birth control after a five-month hormone-free stint — I’m curious as to whether or not my birth control has any anti-cancer benefits (I do know that it doesn’t make me irritable, doesn’t decrease my sex drive, doesn’t make me gain weight, doesn’t make me moody, is easy to use, is affordable with my insurance, gives me lighter periods and makes my boobs bigger, so I’m not complaining, but I’d love to add “decreases my risk of cancer” to the list).

Of course, I’d also love it if there were better non-hormonal birth control options out there, but none of the ones I’ve found would work for me. I definitely don’t want my tubes tied because, although right now I don’t think giving birth is in the cards for me (I like the idea of having kids, but I’d prefer to adopt), I am the kind of person who might change my mind. Natural Family Planning isn’t going to work, because (a) I’m too lazy and too busy to keep track of my cycle in great detail, and (b) I want to have sex when I want to have sex, and the idea of abstaining on certain days does not appeal to me. I also don’t want to deal with the fear that I might fuck up the whole cycle-tracking thing; nothing is going to kill my interest in sex like the running “You could be pregnant” chorus in the back of my mind. Condoms are great, and they are also a regular and required part of my birth control, but I don’t want to rely solely on them. IUDs make me nervous given their history and their potential for making you permanently infertile (a potential that I know is very, very small, but it still makes me nervous), plus a lot of doctors won’t insert one if you tell her that you may want to have children some day. Diaphragms and cervical caps seem like a lot of effort and are just not gonna happen for me. So for now I’m good with the NuvaRing, but I’m hoping that something user-friendly, safe and non-hormonal hits the market before I hit menopause. I am not, however, counting on it.

What do you all use for birth control? Do you like it? Any ideas of the health benefits, despite the “staying un-pregnant” aspect? And men, these questions apply to you, too — What do you use? If you have a female partner, what does she use? Does she like it? (And if you have no idea what the answers to these questions are, perhaps it’s time to talk to your partner and find out).


44 thoughts on More Reasons to Love the Pill

  1. I just read about that in the Metro today, and it was a front page article, so that was really cool. Between the HPV vaccine and my Seasonique, I’m glad I’ve got access to these great, cancer-reduicing tools.

    Seasonique is amazing, getting my period only 4 times a month is one of the most liberating things for me. Before BC, I got the worst, heaviest, most painful cramps that I could only ease with about 4 extra strength Naproxen pills (without which I’d spend the day in tears, vomiting profusely). And while they made my cramps somewhat livable, I still had the most intense hot flashes, awful acne, headaches, bloating, constipation, breast tenderness you name it. These days, I still get a bit of acne, muted stabs of pain every now and again (that only lasts a few hours) and one or two bouts of hot flashes, but nothing that keeps me bedridden.

  2. Well, NOW I rely on the fact that I am post-menopausal, but back in the day, I used the pill primarily. For a while I used a diaphragm (I was nursing and didn’t want the extra hormones in my milk), later I used an IUD and when we finally decided we really didn’t want any more children I had a tubal. I never had any problem with any of the methods, no pregnancy scares they all worked just fine. They all had their ups and their downs.

  3. I, also, am a NuvaRing enthusiast. It did make me gain some weight, however I try not worry about seeing as its 100x better than being pregnant. Other than the weight issue I love my ring, and so does my partner. I had also wondered about the cancer reducing benefits of it. I suppose the fact that the ring has been available for a much shorter time than the pill means that long term studies are not viable yet, but it would be nice if they could tell us whether or not the hormone acts in the same way.

  4. i have the mirena iud (after having a baby), i have had it for about 6 months. the initial bleeding sucked. but i’ve had one period since then and it was no cramps and super light (panty liners only). before the baby and iud my period was 7-8 days of serious bleeding with cramps that made me want to stay in bed, and much crankiness. this is my first experience with hormonal birth control, and i have been pleasantly surprised at how simple/low-maintenance/problem-free it’s been. i don’t really know if it has health benefits, besides not letting me be pregnant (though that is a big one!).

  5. I had my tubes tied about a dozen years ago, and I just started the pill about two weeks ago to deal with perimenopause. I wrote here, for Blog for Choice Day, about how we stigmatize the pill because it allows women to have Teh Sex, and thereby deny ourselves the health benefits.

    I gotta say, in 3 weeks on the pill, I’ve gone from really truly afraid I was losing my mind, and panicking, to being almost back to my old self.

  6. I use the birth control pill – Minestrin, which is a low dose one. I like that it’s 99% effective and that it makes my periods light to non-existent. I don’t like that it makes my boobs really, really sore for two weeks of the month (by the day before my period it hurts just to take my bra off). I have breast tenderness before my period when I’m not on the pill too, but not nearly as bad. It also may or may not have made me gain weight (I gained a bunch of weight after I went on it, lost some after I went off it, and gained it back after I went on it again but there are a lot of other factors involved so it’s hard to say how much the pill contributed. In any case, I’d rather be fat than have an unwanted pregnancy). I’m thinking of trying the Nuvaring though, in hopes that the lower hormone dose will help with the breast tenderness.

  7. Diaphragms and cervical caps seem like a lot of effort

    Have your partner put it in. Not only is it simpler (for you), but it changes the whole birth control thing from a nuisance to a part of the game. Try it. With the right partner it can be quite a lot of fun.

    My birth control methods include condoms and diaphragm with spermicide (I favor the latter for the reasons mentioned above). If I have an accidental pregnancy, I’ll use abortion as a backup.

  8. Saw this last night on NBC and was tickled- been off and on BCP for 20 years with no adverse effects at all.

  9. I use the non-hormonal IUD and LOVE it (I mean REALLY REALLY FUCKING LOVE IT). It’s not good if you have really heavy or painful periods–it will make them a bit worse. I never had that problem, and wanted NO hormones—I really hated the pill, but now I’m psyched I was on it for 6 years! It did make my periods heavier for the first 6 months, but things are back to normal now. I’m pretty sure most doctors are quite comfortable with putting one in if you want to have children in the future, as your fertility returns pronto after removal. They are hesitant to put one in if you are not in a monogomous relationship, because if you get certain STI’s (chlamidia, gonorhea, not herpes or hpv) your risk of getting bad pelvic inflammatory disease is higher (that will fuck up your fertility). However, more liberal doctors will put one in, but tell you to be more careful, and get tested for STIs a couple times a year—if you catch the infection, it’s not as big a deal. Some also aren’t as likely to put one in if you’ve never been pregnant before, as you are more likely to expel it. I thought they sounded really scary and horrible for years too. But I really couldn’t deal with any other BC. I’m pretty sure that IUDs reduce your risk of endometrial cancer, and have no increased risk of any other cancer. Honestly, the bad history of IUDs have NOTHING to do with the IUDs out today. THey are completely different products. That said, they still aren’t for everybody. Of all the hormonal BC, nuvaring worked best for me.

  10. Oh, and a lot of these types of studies are being conducted with other (hormonal) BC methods, and are ongoing. I have several friends who get the ring for free because they are part of these studies at the local university.

  11. I got my Mirena IUD a couple months ago (24 at the time, childfree) and I ADORE it. My periods were horrific before the pill, a little less hemorrhaging from my uterus on the pill, and really nice on the IUD with potential to disappear completely. I don’t have to think about it and it’s as effective as a tubal without as much possibility for the “oops, I forgot!” or “I forgot to wait after taking antibiotics” human error.

    The IUD is definitely not offered nearly as much as it should be as an option for birth control. I had side effects on the pill that were getting intolerable after 6 years but it’s all my doctor would offer me. I discovered the LJ community iud_divas and realized it was my perfect solution. Aforementioned doctor is no longer my gyno since she wouldn’t even consider the IUD for me and I got my Mirena at Planned Parenthood no problem.

  12. I have the Mirena IUD. It took some convincing to get my doctor to do it–usually, they only give it to women who have had babies already. What I like is that a) it’s second only to sterilization in terms of effectiveness, 2) it’s the lowest hormone dose you can get in any hormonal birth control and 3) it’s 5 years of protection without me having to think about it at all.

    The insertion was painful, and I had lots of spotting for the first couple of months. Since then, though, I’ve basically not had a period. Little bits of cramps now and then, or the occasional bit of spotting (every few months, for about a day). It’s great.

  13. I went on the pill when I was 18 and have never gone off, so I don’t really know what my periods would be like without it. They were reasonably regular and tolerable as a teen, when I wasn’t on anything, but I would get breast tenderness and pimples (my skin was otherwise pretty clear, for a teenager) for the duration and wicked pelvic floor cramps and mood swings for the first day.

    I use OrthoTri-Cyclen now and have for the past four or five years. I get migraines, but not with any noticeably greater frequency than before I was on any sort of hormonal birth control. My breasts got a little bigger, but that’s about it. I’d dearly love to not have to deal with the monthly bleeds, but I can’t really afford any of the no-period or fewer-period pills right now. That having been said, it’s just because of the (light, predictable) bleeding and not being able to have sex (blood squicks the husband out)–I haven’t had breakouts, breast tenderness, mood swings, or cramping since about six months after starting the pill.

    I didn’t know of any across-the-board health benefits except for the lowered chances of endometrial/uterine cancer when I started. The clinic I went to was more concerned with making sure that I understood the risks and side-effects I might experience than relaying any non-fertility control benefits. They mentioned that it could help with period-related anemia, ovarian cysts, and endometriosis, but none of those were problems for me.

    Once I’m done with kids, I plan to switch to an IUD until menopause kicks in. I’ll go for a hormonal one if it turns out not having the hormones makes things worse and a non-hormonal one if there’s no difference between how I feel when I’m on them and how I feel when I’m off them.

  14. I use the ring too and am hoping the anti-cancer properties apply! I’m pretty happy with the ring– I had a week of misery at first (depression, headaches, leg pains…) but it’s been about 7 months of feeling normal, now. Still, I wish to god there’d be advances in non-hormonal birth control. I have a few friends who can NOT tolerate it, and even I’m annoyed that its my best option. I would be willing to deal with a diaphram or cervical cap, except that you have to use spermicide with them unless you want to greatly reduce their effectiveness–and I cannot tolerate spermicides. They leave me in GREAT PAIN, something I discovered is very common–I have friends who thought they were allergic to latex and couldn’t use condoms because people don’t talk enough about the fact that something that destroys sperm probably isn’t so great for the tissue in your vagina either. Patrick Califia has a great essay about nonoxyl-9 in speaking sex to power but I digress…

  15. I got an e-mail the other day, pretty much one of those hormonal BC horror stories of a woman who died of a blood clot due to her BC. Perfectly sound warning eh? “Check health risks before getting onto any BC’. Nope, the crux the message was, “Girls, BC is EEEB1L!”

    Anyways. I started off on Tri-cyclen (standard BC here for most girls… one trip I went on, EVERY SINGLE GIRL ON THE TRIP except for one was on Tri-cyclen. The other was on the Shot) but it made me bloody nauseous everytime I started a new pack. So now I’m on the NuvaRing, and never been happier. My period are light and regular.

    Having regular periods with less cramps was my main reason for getting on BC. Before BC, tracking my period was hell since it never could make up its mind when to come and using period trackers totally didn’t make me feel better (some days my cycle was 19 days, some days it was 32). Being on the Pill helped marginally, but as I mentioned, nausea. So the Ring is awesome for me. It sucks that in the event I go back to Malaysia, I won’t be able to get it.

  16. I’m with AJ — Seasonale/Seasonique whatever (it’s generic). LOVE it. I’ve been so happy since I’ve gone on it. My other birth control pills worked just fine, but I really hate having my period and only having it 4 times a year makes me so very happy. Less money on pads, tampons and sponges, more sex, less discomfort . . . I couldn’t recommend it more (for women who have positive reactions to the pill, decent insurance and don’t like their period).

    What terrifies me is someday having to go off the pill . . . you know, the over 35 thing. Before I was on it, my periods were all over the place and very heavy and very painful. Since I’ve been on BC straight for the past 6 years, I have no idea what my natural period would be like now, but I also don’t want to have to find out. Of course, the question of whether or not I should stop is over a decade off. But that is the #1 benefit from the pill for me (other than not being pregnant) — lighter, shorter and less painful periods.

  17. Condoms only since I went off the pill about six months ago. I was on at least three different kinds, with mixed success. I get awful, painful periods and the pill helped when I was a teenager but stopped doing much good once I hit 21.

    I went off it when I moved away from the UK and it wasn’t free any more. Once I had to start paying for it, I realised I didn’t actually want to be on it at all. Plus I had to take a course of medication that rendered it ineffective. Returning to condoms, I just really liked the simplicity of them.

    Of course, they aren’t ideal either and I’ve started looking into NFP, since a pregnancy, while not something we’re actively trying for, wouldn’t be unwelcome now that our financial situation is much more stable. Ideally we’d have bought a house first but… what the hell. I haven’t seen any perfect houses but I’ve been seeing some really freaking cute babies.

  18. Oh, and I tried to switch to Lybrel, but instead of getting rid of my period, I basically had a non-stop one, albeit light. But opposite of the intended effect and the sexual benefits of having no period were completely lost. It was just too low dose, which I should have realized might be an issue since lower dose pills gave me problems when I was younger. I’m able to get down to the dose that gave me trouble in college, but I can’t go less than that.

    I’m on Ortho Tri Cyclen. I love it. Being in a monogamous, tested relationship, it’s my sole form of birth control. Condoms are no big deal by any stretch, but I like the spontaneity that comes when you can go without. But don’t believe those lies about how they decrease sensation—Dan Savage made a good point on his podcast about how, whenever condoms break, people don’t notice because they can’t feel the difference. But what I don’t like about them is that if you’re doing much besides a quick roll in the hay (nothing against those, of course), you end up littering the room with condoms.

  19. I’ve never been able to use the pill successfully (I have a 22-day cycle and thus can’t use a low-dose pill, but when I use a high-dose one, it’s just extra misery since it gives me 6 extra days of PMS). I’m a condom queen, thanks to my university and their pushing of condoms (and making them fun) during the late 80s, long before I’d actually had sex.

    But even though I use condoms consistently, my BC is a tubal. It sure as hell made my sex life better, what with the having to rely on condoms only since I couldn’t use the pill, and IUDs aren’t always easy to come by when you’re single with no kids and under 30.

    Mind you, I’d love to stop my period just because of the 22-day thing. Maybe Mirena will get me through the 5-10 years I’m looking at before menopause. (I’m trying to remember how old I was when tampons stopped magically appearing in the cabinet, which would have been the sign that my mother didn’t need them anymore. I’m thinking I was in college, which would have meant that Mom was around 50.)

  20. I was on ortho Novum for 15 yrs before I had my twins. I had the types of periods that basically would put me in bed every month. I was 11 when I started, and by the time I was 12, it was apparent that they were devastating to me, and they were between 32 and 36 days. So mom took me to the doctor over the bloating, pain so bad I couldn’t walk, and heavy bleeding. The mood swings that would make me look like some Maniac out to kill someone. He put me on the highest dose at first to see the difference, and WOW..

    I was actually able to go to school, and not be a detriment to myself or anyone else. The difference was like night and day. hehe

    So yeah 15 yrs I was on them. Then I got 2 blood clots in my legs, and the doctor said to switch pills, and put me on the Tetracycline kind.. (the same as above, but I can’t spell it) That made me even worse then the previous pills, and he said stop taking them.

    Then I made an appointment with another Gyn and she suggested the Depo provera shot. I was leery on trying it, but I did.. It was a nightmare, that shot was suppose to only last for about 3 months.

    1. Migraine suffers are NOT recommended to take this shot. (and it’s not listed on the included information sheet). I had a migraine that started within 30 minutes of being given the shot. (I couldn’t leave the office for an hour after the shot)..

    So I was right there when they saw me pass out. I was given a bunch of tests, including the MRI for my brain.. Yeah omg that migraine was horrible.

    It lasted for 3 solid weeks, and I was put in the hospital for 3 days for dehydration (vomiting) and anemia (bleeding)

    2. The end result of this particular BC method, induced an 18 month sterility. No period, no eggs ect (I have that particular problem for 3 days or so before I start I will feel my egg pop and the pain is nearly unbearable for 3 days! I hate it).. So when it wasn’t there for 18 months I seriously wondered if I was ever going to be able to have kids..

    The doc tried me on Tetracycline once again to induce a period, it worked quite nicely (and then two more clots in my legs) and I had to go off of it permanently. So I can’t have hormonal BC any more.

    With in a month of being off these pills I suddenly found myself pregnant with Twins. 🙂 Yeah..

    After the birth of the twins, my doc and I talked about it, and I managed to convince her that NO, I do NOT want to have kids (particularly twins, tripplets or quads, which is in my family, my grandmother had 8 sets of twins, I do NOT want that many, if I could have been garanteed 1 child, it wouldn’t have been so bad, but no, I double ovulate, both sides, or one side but I always put out two eggs) And then those eggs are most likely to split. So I got a Tubal, and while it’s given me a confidence that I won’t get pregnant, I really HATE the pain associated with my period.

    I am premenapausal at 36, and I have hot flashes, horrible periods, where I just want to die for the pain. Where before, the eggs popping and traveling the tubes would be over in 3 days, for nearly 5 to 6 yrs after the tubal, I would spend a good two weeks in pain feeling those eggs just SIT there, and I wouldn’t recommend a tubal to ANYONE who feels their eggs pop. No, just No, the pain is bad enough, muchless to have them sit there until the body reabsorbs them. It wasn’t until a few years ago, that I stopped ovulating, and even then that lasted too long.

    Interestingly, I gained weight when I stopped the pill, and my breasts don’t usually hurt anymore. The only thing I wish I could do, would be to simulate the harmones I felt while I was pregnant, I was focused, I was able to sit down and finish everything I started.

    Now I can’t.

    I did want another child, 1. But since It wasn’t garanteed that I could have just a singleton, I figured I be better off adopting then attempting another pregnancy.

    Hope this helps. or what you asked for.

    Non hormonal would be awesome if they could come up with one.

  21. I’ve done Ortho Novum, Try Cyclen, one of the low-dose pills and now have a Mirena IUD. The pills always worked well for me, but I love the Mirena. My period is practically non-existent, and there’s no need to do anything about it until 2012. The insertion sucked – I had to be dialated, and it hurt like hell for the rest of the day, and bled for about three days, plus the first period hurt more than usual. Since then, it’s been smooth sailing.

  22. Have your partner put it in. Not only is it simpler (for you), but it changes the whole birth control thing from a nuisance to a part of the game. Try it. With the right partner it can be quite a lot of fun.

    My birth control methods include condoms and diaphragm with spermicide (I favor the latter for the reasons mentioned above). If I have an accidental pregnancy, I’ll use abortion as a backup.

    Dianne, I hear ya, but I’m also allergic to spermicide. This is going to be totally TMI, but the one time I used a spermicide condom, my entire vulva swelled up like a balloon and I couldn’t have sex for two weeks — my vagina was literally swollen shut (gross, I know, but there it is). I know diaphragms/cervical caps are much more effective with spermicide, and that just is NOT an option for me.

    That said, thanks for the advice! And I do love the idea of making birth control part of foreplay. That’s already how I feel about condoms, so adding other methods to the list is always good.

  23. I used four different kinds of pills over five years or so, and had varying issues. The last was a really rare bizarre ear thing that I just couldn’t live with, at which point I gave up on hormonal BC. I now have the non-hormone IUD, Paraguard. I got it at a Planned Parenthood, from a doctor who inserts them all the time (and was super-awesome). There was absolutely no concern about the fact that I haven’t had kids, or that I might want to in the future. The problematic ones from the past really, really aren’t the same thing as the ones they use now; my doctor talked about what a shame it was that that really curtailed the use of IUDs in the US. They’re in extremely wide use elsewhere in the world.

    Pros–I don’t have to think about it again for years, it’s extremely effective, no hormones = no making my ears drive me insane. Cons–insertion hurt. A lot. Cramping was pretty bad for the next couple weeks. Now, about six months later, I still get much heavier periods with more cramping than I did before. But then, given that my periods before were almost nonexistent, this isn’t so bad.

  24. I deeply and passionately love the progesterone only birth control pill (taken continuously).

    You don’t have to get a period unless you happen to feel like it, and after having migraines/bloating/crabbiness on half a dozen different estrogen/progesterone pills, I had ZERO side effects on the progesterone only pills.

  25. I was off and on Ortho Tri-Cyclen for years (approx ages 15-26), then finally went off it last year. Well, lo and behold, my sex drive went through the damn roof, which made using condoms completely worth it. My periods got a little heavier, but they’ve always been 2-3 days of heavy bleeding and then nothing. I tried to do the generic Seasonale, but I just ended up with a 4-week period, which means nobody’s happy in our home.

    But because I didn’t want to get pregnant for a good long time (if ever), I got the Mirena IUD last May. I have multiple friends who have been able to get IUDs from their doctors even though they haven’t had kids but were in long-term relationships, and I got one with ease from Planned Parenthood. Insertion was a right bitch, and the most painful thing I’ve had to do (I had to go to the regional clinic to have it done, and almost passed out).

    But on the glorious, glorious plus side, my sex drive is still high, I don’t get periods, I don’t have to remember to take my pill (which I was awful at), and it’s really cost-effective for the 5-6 years it’s in. I do get more painful cramps (randomly, where my right leg meets my torso), but a hot pad and an Aleve clear them up.

    I wouldn’t have wanted to try to get an IUD from a traditional doctor/gynocologist, because every friend I know who did said it was an uphill battle, especially when they insisted that they DIDN’T want kids, and the doctors kept saying “are you SURE?”, like if they were asked enough, the maternal instict would burst through and they’d be saved. So yet again, all props and praise to Planned Parenthood.

  26. I’ve used the Yasmin pill for just over a year and it’s worked very well for me. I’ve had no negative side-effects and it’s given me clear skin!

  27. I take a generic triphasic hormonal pill; don’t know what brand name it’s a sub for. I’ve been on it almost constantly, with one 9-month long break, since I was 15. No complaints! I sometimes think about trying the Nuvaring, since i would have to worry about taking the pill every morning, or while traveling, etc., but since I know this one doesn’t give me physical problems, why risk it with new chemicals?

  28. No birth control for the last 10 years because it appears the two us combined can’t so much produce a pregnancy (hence the adopted child). Before that the pill, various formulations, for about 10 years and before THAT the diaphragm. I was married before AIDS became an issue so never used condoms. One formulation of the pill gave me atypical migraines, luckily the ones without the headache, just the visual symptoms. Other than that, no problems.

    Cara, you don’t have to stop the pill at 35 unless you smoke.

    OB/gyn docs in the US pay some of the highest malpractice insurance costs of any field. They have been told by their insurers and their lawyers that the best way to reduce their liability is to emphasize the risk of every procedure and prescription so no one can say “you never told me that!”. It’s bad advice; the only proven way to reduce your risk is to develop good communication skills and maintain positive relationships with your patients. But the system is broken, and the proposed fixes – tort reform – wouldn’t really help.

  29. I’ve been on the pill since 14 (23 now) and loved it all the time. I recently went off the pill to conceive (and haven’t had a period yet, though) and my sex drive skyrocketed and I now have lubrication. I used to think I didn’t lubricate due to sudafed, but no it was the pill. It makes me sad that something that made my life bearable (extreme cramps and bad acne) also lessened my sex life just a little bit. 🙁

  30. Ortho-Evra low-dose pill for me.

    I would like, though, some articles that help me feel less guilty for taking the pill. I’m currently abstinent (for personal reasons, not b/c I think I will be smote from above due to fornication), but I have pretty much been on the pill constantly since I was 18. Off the pill, I breakout, have mood swings, spend at least one day in bed with cramps (or spend any non-work hours basically incapacitated) and I also get crazily depressed. The depression is the biggest factor.

    I would LOVE to not take hormonal BC, and I feel guilty taking it sometimes b/c I have gone so long without the negative mood swings of my period that I sometimes feel like they werent that bad. Then I go off the pill for a month or two and get horrible acne and cry at cat food commercials.

    I hear from a lot of people that “they don’t want to fill their body with hormones” and sometimes it comes off a little better-than-thou. Shit, I don’t like hormones. I know my sex drive has been altered and I can tell my sense of smell is different. I really hate looking ahead and seeing years of filling my body with chemicals. But at 26, I don’t want to show up for work crying, with acne like a 14 year old, worried that I will bleed through my pantsuit. And I guess I have a little feminist healing to do b/c it still makes me feel guilty that I take it sometimes.

    *sigh*

  31. IUDs make me nervous given their history and their potential for making you permanently infertile (a potential that I know is very, very small, but it still makes me nervous), plus a lot of doctors won’t insert one if you tell her that you may want to have children some day.

    I was also nervous re:the IUD before I talked to an ob/gyn. I was sick of the pill. Being on the mini pill (because I couldn’t take combination pills) meant taking the pill at the exact same time each day (plus minus 2 hours) and using condoms because I worried about the effectiveness. At the same time, the mini pill handy side effect of stopping my periods for months at a time wore off. I didn’t want to go on depo (bone density side effects), and the sponge seemed to cause bladder infections. I wanted something I didn’t have to think about, very effective, and hopefully lighter/absent periods (hormonal IUD). But I’m in the same boat- I may want to have kids someday.

    So, yeah, the hormonal IUD seemed to be the best choice for me, but what would the ob/gyn say?

    In the 13 years of inserting the devices, she’d never had a patient get an infection from insertion. Its a very small risk. We talked about the symptoms of infection, just in case. It was not a problem that I had no kids, or wanted them in the future- though upon removal, it may take a year to ovulate. Expulsion- the rate is higher for women who have not had children, though its most likely to happen in the first three months ( I used condoms for the first 6 weeks after insertion, until the doctor said everything was fine at the follow up appointment). We also talked about STIs, getting tested ASAP if I suspected/thought my partner had cheated or if I’d had unprotected sex with someone else.

    Insertion was painful. I had spotting off and on for the next two months. And now I kick myself for not getting it sooner. No period cramps, when it shows up. More lubrication. Higher sex drive. I wonder why I didn’t do this sooner. (Seriously, I’m a total IUD convert. I have seen the light.)

  32. I tried hormonal BC. Triphasic: All the symptoms of early pregnancy. Sex drive is suppressed due to falling asleep constantly and a lowgrade miserable nausea and an upswing in migraines. Progesterone-only: No symptoms, screwing like rabbits….however, about two months later, my periods stopped and I started getting nauseated in the kitchen again. So not so much on the working, there, for me.

    The tubal was the best thing I’ve done in that regard. Just the stopping worrying is huge, and that’s let us both relax.

    but I have evil, wicked periods. I added a symptom with each pregnancy, carried to term or not. I got pregnant seven times. We joke that we tied my tubes before I added “homicidal rage attacks”. But I can count on two days in bed a month, and feeling pretty crappy and unable to lift for about nine days. And the shits. And the gain a size and have bruising on your breasts from the swelling thing. (I always do. A ring around the bottom third of the breasts.) And it exacerbates the other illnesses I have.

    Current coping mechanism is a muscle relaxant. I got it for my back, but it turned out to cut cramps from a level eight to nine of pacing and weeping with pain to a “I don’t wanna do anything but lay in the chair and watch TV, blah” level of five. Works for me. I take it every six hours for about two days, and then the cramps settle down unless I lift something heavy or walk or stand too long.

    The thing that actually puts me in bed is less the cramps than the debilitating fatigue.

  33. I’ve been various Ortho pills pretty much solidly since I was 19, and I’m 32 now. I had a few breaks of a month or two when I moved and had to find a new doc or clinic. On Tri-Cyclen Lo now. Seems to work for me. No major side effects (although maybe my libido is a bit lower?).

    I’m in a permanent relationship, and we have no desire for kids, so we occasionally discuss him getting the snip. Part of me would like to go off the pill, but I wonder if my periods would go as catty-wampus as they were pre-pill (I had the maybe-19, maybe-33 day cycles mentioned above), and/or if my skin would go koo-koo.

    So I’m cruising along as-is. I’ve considered an IUD, but the pain of insertion sounds nightmarish, and I understand I can’t use my Diva Cup with it (although I guess I wouldn’t need it?). Really, if there’s going to be a change, it’s time for the Mister to do his part.

  34. I’ve had the non-hormonal IUD (Paragard) for about a year and a half, and I’m a big fan. I had really shitty cramps for a while when I first got it, but it’s definitely been worth it.

    I wish I could use the pill, especially because it cuts the risk of ovarian cancer so much, and my cramps were a lot easier to deal with when I was on it, but I have vulvar vestibulitis, one of the presentations of vulvodynia. No one really knows what causes it, but what little evidence there is suggests that hormonal birth control is a potential risk factor.

  35. I’m back on the pill after a year on the nuva ring- I loved it except for the fact that my periods lasted like a week and I have really bad heavy, painful periods. I recently switched to Yaz and so far I really like it, it cut the length of my period about in half.

  36. I was on the combined pill for six years until I started questioning my gender and decided female hormones were just confusing the process. These days, I just rely on condoms: a) they don’t hurt my self-image as a guy and b) I need to use them against diseases anyway, so why look any further? I do sometimes wonder if my subconscious is looking for an excuse to get pregnant again though, because every time I try to think of a contraceptive that doesn’t rely on remembering to use it at the moment of having sex I draw a blank.

  37. I’ve been on the pill almost continuously since I was 18. It’s one of the first things I did when I got to college. I’ve been on tri-phasals and the low dose pills, with very few side effects. And none of them have affected my fertility in the slightest. In almost 15 years, and two planned pregnancies, I’ve never had a period off the pill. I was pregnant withing 3 weeks of going off, both times. It’s a little freaky.

    Right now I’m on Yaz.I like it, and my period is only 1 day with mild cramping and very light bleeding. We don’t use condoms unless I’m on antibiotics or something, as I’ve never had any problems while on the pill, and even with my hyper fertility, I haven’t had any oops moments. In the event of an oops, abortion will be my backup.

    But I really, really want the Mirena IUD. My doc brought it up at my appointment last summer and it sounds just wonderful. My insurance won’t cover it, but I’ll probably do it anyway this summer. I’m definitely done with having kids and I really like the idea of few/no periods. Plus, everyone I know who has one absolutely loves it.

  38. I was on the pill (Mircette, then generic Alesse) for about four years with no problems, but after I started my current job I didn’t have a regular enough schedule to take a pill at the same time every day, so after a month or two attempt at quitting hormonal BC (verdict: too neurotic I switched to the NuvaRing. I LOVE it to death. I wish I had switched to it sooner. I converted two of my coworkers to it, as well. My only problem with it (I’ve been using it about 6 months) is that it doesn’t keep my migraines away with the same consistency as the pill; so I’ve been getting one every month-ish where on the pill I’d only get three or so a year.

  39. I’m on the mini-pill, progestin-only. I also wish all these studies about “the pill” would include data about the mini-pill, because otherwise I never know whether the benefits/risks come from the estrogen or progestin in the pills. I love the mini-pill, though, because it’s reduced my debilitating PMS/PMDD about 80 percent, and my periods are light and rarely require more than a pantiliner. They’re a bit unpredictable in their timing, but that’s a small price to pay.

    I still use condoms as well, because when I went on the mini-pill my gynecologist warned me about five times that it wasn’t as effective as the combination pill. However, all the websites I’ve found say that it’s as effective as the combination pill when you take it at the same time every day, which I do, with the help of an alarm on my cell phone. And I have a friend who’s on the same brand of mini-pill and doesn’t use condoms with her fiancee, and she’s never had a pregnancy scare. So maybe I’m just being paranoid by continuing to use condoms with my boyfriend, but the thought of being pregnant at this point in my life fills me with terror, so I’d rather be safe than sorry.

  40. “Natural Family Planning isn’t going to work, because…”
    From what I remember from sex ed in school, we were told NFP was not even a means of BC. Is it generally considered to be an option in the U.S.?

    My girlfriend and I have been using condoms, which have worked almost perfectly so far. We’re both a little bit scared of using hormonal BC, because it seems it affects everyone differently. The semi-permanent kinds of BC, like IUD, does seem like a tempting alternative though.
    I only wish that oral BC for men would hit the shelves already. They’ve been talking about it for ages, and the side effects seems milder than those for oral BC for women.

    “And if you have no idea what the answers to these questions are, perhaps it’s time to talk to your partner and find out”
    If only that was nothing more than irony. The attitude that it’s a girl’s responsibility to worry about BC because she’s the one capable of getting pregnant is pretty fucked up, but still common.

    I don’t know if I’ve ever commented on Feministe before, so let me just say now that it’s an awesome blog!

  41. “From what I remember from sex ed in school, we were told NFP was not even a means of BC. Is it generally considered to be an option in the U.S.?”

    The Rhythm Method Classic is usually only considered an option for folks who feel a religious obligation not to try too hard to avoid pregnancy. There’s a much, much more reliable (but more labor intensive) method of tracking ovulation that’s sometimes used by women who are sensitive to hormonal BC or women who are actively trying to conceive.

    “I only wish that oral BC for men would hit the shelves already. They’ve been talking about it for ages, and the side effects seems milder than those for oral BC for women.”

    You might want to hold out for an intravas device, if semi-permanent is a bonus. It doesn’t rely on hormones, should last a lifetime, is completely reversible, and any doc who can do a regular vasectomy should be able to both insert and remove it.

  42. I’ll side with all the fans of the Pill, particularly Ortho Tricyclen Lo. I’ve tried several types of pill, and with one exception (Allesse) they were all fabulous and fairly comparable. I’m wondering a bit about the data on pills increasing or reducing risks for reproducting cancers though. I’ve heard from doctors on both sides of the fence– that prolonged use of the pill can both increase and reduce your risk of ovarian, cervical, and breast cancer. As my mother died at a very early age from ovarian cancer, I’m hoping like hell that my 10+ years of pill time will do me some good.

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