Page 45 - Special Issue: Healthy Baby
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Fertility drugs like Clomid, which are often   fertilized egg toward the uterus in the event   A woman
          prescribed “like water”  when pregnancy is de-  that conception does occur;
                              2
          sired, hyperstimulate the ovaries to mature many    Preventing buildup of the uterine lining, and   who takes the
          more follicles than normal. In turn, the follicles   thereby inhibiting implantation of a fertilized   pill for two
          produce three to four times more estrogen than   egg in the event that one arrives in the uterus. 4  years before
          in pretreatment cycles.
              Are these pharmaceuticals dangerous to the     It’s worth noting that the mini-Pill, a pro-  she’s
          women who take them? To their offspring? Are  gestin-only pill, may not suppress ovulation or   twenty-five
          they changing the way we think about repro-  conception from occurring.              and before
                                                                           5,6
          ductive health? Are safer alternatives available     In the Breast Cancer Prevention Program,
          to those who seek to prevent pregnancy or to  Sam  Epstein,  MD,  writes,  “more  than  20   she’s carried a
          become pregnant?                          well-controlled studies have demonstrated the   pregnancy
              What can a woman do if she feels that her  clear risk of premenopausal breast cancer with   to term
          health has been compromised by taking the pill  the use of oral contraceptives. These estimates
          or a fertility drug?                      indicate that a young woman who uses oral   increases her
              I imagine that people take hormonal drugs  contraceptives has up to ten times the risk for   risk of breast
          for several reasons: it’s become normal to take  developing breast cancer as does a non-user,   cancer
          them; information about their hazards is usually  particularly if she uses the pill during her teens or
          posted in fine print; doctors (including alternative  early twenties; if she uses the pill for two years or   tenfold.
          practitioners) are typically not taught natural  more; if she uses the pill before her first full-term
          methods of family planning in medical school—  pregnancy; if she has a family history of breast
          and they cannot give clients what they don’t  cancer.” Thus, a woman who takes the pill for two
          know; and consumers frequently take prescrip-  years before she’s twenty-five and before she’s
          tion drugs and vitamins without researching their  carried a pregnancy to term increases her risk of
          effects—because “they worked for my neighbor.”  breast cancer tenfold.
              Advertising is another factor. Barr Laborato-     A study conducted by the World Health Orga-
          ries engaged in a multi-million dollar campaign  nization found that women who carry the human
          to promote Seasonale, their new oral contra-  papilloma virus (HPV) and who have taken the
          ceptive, which gives women “the convenience  pill for five to nine years are nearly three times
          of only four periods [sic] each year” with just  more likely as non-pill users to develop cervical
          “all of the warnings and contraindications . . .  cancer.  (HPV affects a third of all women in their
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          identical to any other oral contraceptive.” There  twenties.) Women with HPV who’ve taken the
          are currently sixteen million women on oral con-  pill for more than ten years are four times more
          traceptives in the U.S.; Barr Labs aims to secure  likely than non-users to develop the disease.
          90 percent of this market.                    Women who have a history of migraine head-
                                3
                                                    aches and who take combined oral contraceptives
          SOME PROBLEMS WITH                        are two to four times more likely to have a stroke
          HORMONAL CONTRACEPTIVES                   than women who have migraines and don’t take
              Oral contraceptives are made from artificial  the pill.
                                                           8
          steroids that mimic the effects of estrogen and     Women who use low-dose oral contraceptive
          progesterone. The pill works by:          pills have a two-fold increased risk of a fatal heart
                                                    attack compared to non-users.  Women who take
                                                                             9
            Suppressing the release of hormones that  oral contraceptives and smoke have a 12-fold
             trigger ovulation;                     increase in fatal heart attacks and a 3.1-fold
            Stimulating production of thick cervical mu-  increase in fatal brain hemorrhages.  Women
                                                                                    10
             cus, which prevents sperm survival and ability  who use the pill after the age of 45 have a 144
             to travel to a ripe egg in the fallopian tube in  percent greater risk of developing breast cancer
             the event that ovulation does occur;   than women who have never used it. 11
            Disrupting the ability of the cilia (whip-like     Because of blocked hormone production,
             cells that line the fallopian tube) to move a  women who take the pill have decreased sensi-

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