Welcome to the fifth installment of our series chronicling the history of the birth control pill. In the previous installment, Margaret Sanger and Katharine McCormick envisioned and bankrolled the development of the birth control pill. Now it had to be tested in large-scale trials.
John Rock, Gregory Pincus, and Min-Chueh Chang had collaborated in the Pill’s development; now it was time to conduct clinical trials. The first study observed 60 women, some of whom were infertility patients while others were nurses. These small trials involved daily temperature readings, vaginal smears, and urine samples, as well as monthly endometrial biopsies. Although the initial results seemed promising, the sample size was small and few of the subjects complied with the protocol.
More test subjects were needed. At this point, historians’ accounts differ. Elaine Tyler May claims that, unable to locate an acceptable pool of volunteers, the researchers tested the Pill on subjects who could not give their consent, such as psychiatric patients. According to Bernard Asbell, however, Rock was scrupulous when it came to informed consent, despite it not being a legal requirement — or even much of a concept at all at this time in history.
Willing participants notwithstanding, conducting such trials in the United States posed a challenge, due to laws against contraception. So the first large-scale clinical trials were conducted in Puerto Rico in 1956. Puerto Rico was densely populated and there was a high demand for alternatives to permanent sterilization, which was widespread on the island due to funding from a wealthy eugenicist named Clarence Gamble, who advocated sterilization for the world’s poor. The clinical trials in Puerto Rico were conducted by Drs. Edris Rice-Wray and Adaline Sattherthwaite; the brand of birth control pill tested was named Enovid. Volunteers were so easy to come by that some clinics had waiting lists. Continue reading →
Becoming a mother is a wondrous event. It is also a lifelong commitment to another special human being, your child. To provide your new baby with the best start in life, taking care of yourself in your childbearing years is essential. When you think that half of all pregnancies in the United States each year are unintended, it’s very important to follow a healthy lifestyle every day to ensure a good pregnancy and a good start for your baby.
The United States does not fare as well as many other industrialized countries when it comes to the health of its newborns. Preterm births and low birth-weight babies are often the result of unhealthy pregnancies and a lack of prenatal care. New information and research has given us lots of good information about what is important to do before and during your pregnancy to increase your chances of having a healthy baby. Having a plan about when you want to start a family and what you intend to do to get yourself in the best health possible is a good start. This is called preconception health care, and it can make a big difference in the well-being of you and your baby.
At Planned Parenthood Arizona, you can see us for preconception health checkups. In addition to pregnancy planning services and fertility awareness education, we provide other services that can help you be in the best health possible before you conceive. We offer physical exams as part of our general health care services. You also might be interested in STD screening, to ensure that you receive treatment before you become pregnant. Additionally, we offer smoking cessation, to help you quit smoking for a tobacco-free pregnancy.
Here are some guidelines for ensuring your preconception health:
Plan when you want to have a family and space your pregnancies. Be sure you are ready for the responsibility and expense of a child. If it’s not your first child, wait 18 to 24 months before having an additional child to allow your body to recover and prepare for another pregnancy. Continue reading →
What is Title X (Title 10)? And why should I care?
The short answer: Title X may mean that some people qualify for free or reduced-cost family planning services, which could impact their ability to meaningfully access health care. In a time of rising health care costs and precarious employment, that is no small thing.
The longer explanation: Title X is a federal family planning program that was enacted in 1970. For anyone keeping historical tabs, this means that Republican President Richard Nixon signed this piece of legislation into action. According to the U.S. Department of Health and Human Services Office of Population Affairs, “The Title X program is designed to provide access to contraceptive services, supplies and information to all who want and need them. By law, priority is given to persons from low-income families.” While there are other federally funded health care sources for people with low incomes, Title X remains the only source dedicated specifically to family planning services.
In Arizona, the Arizona Family Health Partnership uses Title X funds to provide services to approximately 40,000 people each year. Most of these people have incomes at or below the federal poverty line and may not otherwise have access to health care. Four Arizona Planned Parenthood health centers receive Title X funds through the Arizona Family Health Partnership to provide reduced cost sexual and reproductive health care. Continue reading →
I remember sitting in the exam room, fidgeting with my paper gown and nervously explaining to the doctor that my boyfriend and I had come very close to having sex already, and I would please like to be on birth control pills when it actually happened.
“Sure,” he said, swinging open the stirrups. “Just as soon a we do a pelvic exam.”
I didn’t want one. I really didn’t want one.
While it’s common for health care providers in the United States to require or routinely perform a pelvic examination — with or without a Pap test — prior to prescribing hormonal birth control, several health organizations state that a pelvic exam isn’t necessary in order to be safely prescribed hormonal contraceptive pills, patches, shots, or rings. For instance, the American College of Obstetricians and Gynecologists advises, “A pelvic exam is not needed to get most forms of birth control from a health care provider except for the intrauterine device (IUD), diaphragm, and cervical cap.” In such cases, HOPE (Hormonal Option without Pelvic Exam) may be an appropriate alternative. Continue reading →
Birth control pills usually contain progestin and estrogen, which are both sex hormones. Progestin-only birth control pills (POPs) are sometimes called the mini-pill because they don’t contain estrogen. If you are concerned about taking estrogens because you have high blood pressure, migraines, heart disease, or a history of blood clots, but still would like to take an oral contraceptive, this may be an option for you. It is also a good choice if you are a new mother and breastfeeding.
POPs are used in the same way as other birth control pills. They come in packs of 28 pills. You take one pill at the same time each day and after the last pill in the pack is taken, you start a new pack the next day; there is no skipping days. Because there is a slightly greater risk of becoming pregnant on progestin-only pills, you must be very careful to take each pill at the same time each day and never miss a day. If your period is late and you missed one or more pills or took them late, you may need to take a pregnancy test.
The effects of POPs are easily reversible and after stopping these pills your chances of getting pregnant should not be delayed. Continue reading →
Oral contraceptives (birth control pills) have been around for decades, and many are now available as generics. In general, generics cost less than brand-name medications. Despite saving money, some users question whether generic birth control pills are as “good” as brand-name pills. To confuse the situation, new brand-name birth control pills have been developed that specifically claim other benefits in addition to protection from pregnancy, such as treatment of acne. The cost of these brand-name pills is much higher. To understand the generic vs. brand-name debate, it is first important to understand how drugs are developed.
House Bill 2625 is back! People in Arizona are standing up to lawmakers who are out of touch and over-reaching when it comes to women’s health. And we are asking for your help again to contact legislators about HB2625, which will prevent women from accessing birth control. At the federal level, there’s already a provision that allows religious employers to opt out of providing birth control, but that’s not good enough for Arizona’s anti-women’s-health legislators.
HB2625 requires women to prove that they are not using birth control for contraceptive purposes before their employers will cover it. The original bill was so bad — even the far-right Center for Arizona Policy couldn’t get it passed — and the new changes don’t make the bill any better. Allowing religious schools, hospitals, and service organizations to opt out of coverage only increases the ability of more organizations to discriminate against women and families who are working hard to make ends meet. We need you contact our legislators to tell them that HB2625 is a threat to women’s health and is unacceptable.
Discriminatory language in HB2625 still allows employers to fire women who use birth control to prevent pregnancy, even if they pay on their own. Birth control is a part of women’s care. The Institute of Medicine recommended that birth control be included as a preventive health care benefit, because it is fundamental to improving women’s health and the health of their families. It saves lives, helps prevent unintended pregnancies, improves the outcomes for children, and reduces abortion. Continue reading →
Hormonal birth control has an incredible history that stretches back almost a century, when Margaret Sanger wrote of her dream of a “magic pill” in 1912. In the ensuing decades, scientists were busy piecing together the complex system of the body’s “chemical messengers,” hormones, and when they learned how to synthesize them in the ’40s, Sanger’s dream was but a few steps away from being fulfilled. Three engaging accounts of the Pill’s development – The Pill: A Biography of the Drug That Changed the World by Bernard Asbell (1995), America and the Pill: A History of Promise, Peril, and Liberation by Elaine Tyler May (2010), and Jungle Laboratories: Mexican Peasants, National Projects, and the Making of the Pill by Gabriela Soto Laveaga (2009) – contain some overlap, while offering different perspectives.
Today is the 40th anniversary of Eisenstadt v. Baird!
This was an incredibly important Supreme Court decision.
Our rights to contraception are not only shaky at times, but also not long established. When people think of celebrities like Marlon Wayans, Cameron Diaz, or Maya Rudolph, old age is probably not what comes to mind. However, what they have in common is that they were each born in 1972, the year the U.S. Supreme Court decided the case Eisenstadt v. Baird, a landmark decision that guaranteed unmarried couples the same access to birth control as married couples. Today marks the 40th anniversary of this court victory for reproductive rights activist Bill Baird, and for the reproductive freedoms he defended in the U.S. Supreme Court.
“The most merciful thing that a large family does to one of its infant members is to kill it.” Margaret Sanger, Women and the New Race (Eugenics Publ. Co., 1920, 1923)
At least since the days of the Wild West, Tucson has seen some of history’s most infamous characters. These days, the city celebrates this past with events such as Dillinger Days, which commemorates John Dillinger’s apprehension and arrest in downtown Tucson. Some controversial figures didn’t merely pass through town but instead made Tucson their home, including the namesake of the Margaret Sanger Health Center and inductee into the Arizona Women’s Hall of Fame: Margaret Sanger.
In the 1930s, when Sanger first came to Tucson, the town was known for its healthful climate – a reputation that drew Sanger here early in the decade when her son, Stuart, was suffering from an ear infection. “Arizona was so unlike any place I had been before; you either had to be enthralled by it or hate and dread it,” Sanger wrote in her autobiography. “But I knew there was a delight in the cool nights and the translucent, sunny days with a lovely tang in the air.” The following spring, her son in better health, “we packed our bags once more in the little car and drove away, looking back regretfully at the indescribable Catalinas, on which light and clouds played in never-ending change of pattern.”
Hormonal birth control has an incredible history that stretches back almost a century, when Margaret Sanger wrote of her dream of a “magic pill” in 1912. In the ensuing decades, scientists were busy piecing together the complex system of the body’s “chemical messengers,” hormones, and when they learned how to synthesize them in the ’40s, Sanger’s dream was but a few steps away from being fulfilled. Three engaging accounts of the Pill’s development – The Pill: A Biography of the Drug That Changed the World by Bernard Asbell (1995), America and the Pill: A History of Promise, Peril, and Liberation by Elaine Tyler May (2010), and Jungle Laboratories: Mexican Peasants, National Projects, and the Making of the Pill by Gabriela Soto Laveaga (2009) – contain some overlap, while offering different perspectives.
