Science trumps politics on emergency contraceptionBMJ 2013; 346 doi: https://doi.org/10.1136/bmj.f2217 (Published 09 April 2013) Cite this as: BMJ 2013;346:f2217
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Editor, BMJ re: Science trumps politics on emergency contraception"
BMJ 2013; 346 by Douglas Kamerow. Even a cursory search of PubMed for Emergency contraception shows that levonorgestrel, misoprostol and ulipristol are viewed as innocuous by its many advocates, but a further search shows that
1. women and adolescents frequently do not use the medications even when they know about their availability and/or can obtain them without cost, (Cameron ST, Gordon R, Glasier A Contraception. 2012 Oct;86(4):366-9. doi: 10.1016/j.contraception.2012.02.018. Epub 2012 Mar 28.) or use EC’s instead of ordinary contraception.(Weaver MA,Raymond EG, Baecher L Obstet Gynecol. 2009 January; 113(1): 107–116.
2. Chlamydia and HPV alone can be found in nearly 50% of adolescents, not to mention the many other STI’s..
Physicians need to consider not only the objective nature of any drug that is prescribed, but also what effect providing it will have on the patient. In this case the predictable effect will be an increase in unprotected sexual relations with multiple partners, based on risk compensation, and an increase in sexually transmitted infections. There will also be an increase in depression and anxiety reactions which follow on the teen’s perception of being seen by partners and self as a sexual object. Prevention of teen pregnancy is laudable, but just handing out morning after pills is not the way to go about it.
Fertility is not a disease. Suppressing it for the sake of avoiding conception while engaging in the act that brings it about is a double message which delays the integration of one’s sexuality with one’s procreative capacity needed to become an adult. .We have found that teaching teens to understand and value their sexuality and fertility via fertility awareness has led to demonstrable support for primary and secondary abstinence, obviating premarital pregnancy and STI’s.(Cabezon C, Vigil P et al J Adolesc Health (2005),36:64-69.)
Competing interests: No competing interests