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WHY CAN'T WE LOVE THEM BOTH
by Dr. and Mrs. J.C. Willke
CHAPTER 35
CONTRACEPTION
Contraception can be divided into permanent and temporary.
What is permanent
contraception?
The only absolutely guaranteed, permanent contraception is
castration. That means removal of the testicles or of the ovaries. Then fertilization is
impossible.
Sterilization is usually considered permanent
contraception. Sterilization, commonly, is the cutting or ligating of the vas deferens
(sperm tubes) in the man and of the fallopian tubes in the woman. This is not absolute and
forever, as a small percentage of pregnancies occurs because of recannilization. About
100,000 women are sterilized each year in the U.S. In a 10-year study of 10,000 women,
there was a "failure" (i.e., a pregnancy) in one of fifty. One-third of these
pregnancies were in the tube. J. Trussell,
Sterilization Less Effective, Am. J. Ob/Gyn, May ’96
What types of contraception are temporary?
All of the other known types. These can be divided into mechanical,
which includes condoms, diaphragms and intra-uterine devices (IUD), and chemical
contraceptives, which include those taken internally and those applied externally.
Are drugs like RU 486, methotrexate and prostaglandin
contraceptives?
No, they are not. They do not prevent fertilization. They do cause
very early abortions. See Chapter 19 on early abortions for details.
How
effective are contraceptives in preventing pregnancy?
There are two measurements. Method effectiveness and
user effectiveness. Method effectiveness measures the number of times pregnancy occurs
when the method is used exactly the way it is supposed to be used. An example of this
would be to take a contraceptive pill, without fail, every single day for the 20 days
required in a particular month. If, in spite of this, she gets pregnant, that would be a
method failure. Let’s take a woman, however, who forgets to take one or perhaps two
pills during the month and then gets pregnant. This would be an example of user
effectiveness. Dr. Robert Hatcher of Emory University has created tables showing the
approximate number of pregnancies during their first year of use. He gives two rates: one
for the method when "used correctly and consistently," and the other as the
"average U.S. experience among 100 women who wanted no more children." One group
used the method exactly correctly every single time in the year. The other group was the
more realistic actual "average U.S. experience." There was a significant
difference. C. Kippley, The Art of Natural Family
Planning, Couple to Couple League, 1985, p. 18
But how often do contraceptives fail?
Planned Parenthood’s Alan Guttmacher Institute
reported on 10,000 women getting abortions. Of these, 57.5% said they were using a
contraceptive the month they became pregnant. In a similar study in 1987 the figure was
51.3%. The highest percent was in teenagers. S.
Henshaw, Fam. Plan. Perspect. Vol. 28, No. 4,
July/Aug. 1996
Why higher in teenage use?
Kippley’s results (above) are from experienced married couples
in the privacy of their own bedrooms. It is generally recognized that use by unmarried
teenagers is use by amateurs in less than private circumstances and carries a surprise
pregnancy rate across the board of twice that of married couples. So the Planned
Parenthood results are no surprise.
According to this, condoms have a high failure rate for pregnancy. How
effective are condoms in preventing AIDS?
Actually, they are not very effective at all. Undoubtedly because a
condom retains the bulk of the discharge of semen, the rate is cut down. To become
infected with any disease, two things are relevant in terms of the offending, invasive
agent. One is the presence of some of those viruses, or germs, itself. The other is the
quantity of that agent entering the body. If there are only a few bugs, the average human
will kill them off. If there’s a very heavy dose, the chance for an infection
succeeding is greater. Therefore, by cutting down on the volume of semen, a condom
certainly reduces the chance for AIDS. But AIDS viruses do get through the condom.
Why is this?
Sperm have a diameter of 50 microns. Naturally
occurring holes in the wall of a latex condom have a diameter of 1.0 microns. The HIV
retrovirus which causes AIDS has a diameter of 0.1 microns. In effect, this would be
comparing perhaps an ant crawling on a basketball. AIDS viruses swim freely through the
holes in the condom. That is a fact that should be widely publicized. C.M. Roland, Editor, Rubber Chemistry & Technology, Washington
Times, 4/22/92
Furthermore, a woman can only become pregnant for 2 to 4 days out of
a 30-day month. She can catch AIDS 30 days out of a 30-day month. In addition, pregnancy
only goes one way -AIDS can go both ways. He can infect her, but she can infect him.
How does "the
pill" work?
The combination pill has three functions. One is to thicken the
mucus plug at the opening of the cervix. This can act as a barrier mechanism to prevent
sperm entrance. The main function of the pill is to prevent ovulation.
If there is no egg, there can be no fertilization. A third function
is to harden the lining of the womb. If fertilization does occur, this can and, at times,
does prevent implantation at one week of life resulting in a micro-abortion at that time.
See Chapter 19 on early abortions for more details.
How
about chlamydia? Do contraceptives prevent catching it?
No, almost not at all. Non-barrier methods which allow skin contact
have no preventive action at all. In fact, women on the pill are more susceptible to
chlamydia than would be the case if she were not taking it.
The use of condoms, even if used properly every time, does not
prevent chlamydia, as there is still skin contact around the genital organs, and the
infection can spread through sweat and skin contact.
Chlamydia is perhaps the main cause for tubal pregnancies and for
blockage of the tube resulting in sterility.
Would a
Constitutional Amendment in the U.S. or a law in Canada or other nation outlawing
abortion also forbid the use of the contraceptive pill, the morning-after pill, or the
IUD?
No! Such a law or amendment would only forbid induced abortion. It
could not "reach" these drugs and devices. This is because of the legal effect
of dual action. If a drug or device has an illegal action, but also a legal action, it
cannot be outlawed or removed from the market. A good example is a butcher knife. This has
a legal function in your kitchen. It can also be used as a murder weapon. Because it has
both a legal and illegal function, its use cannot be forbidden.
The "pill," "morning-after pill," and IUD would
still have a legal action (contraception, temporary sterilization), even though the other
action (abortifacient) would now be illegal. Because of the legal action, the
anti-abortion law could not forbid the use of these medications.
The U.S. Food and Drug Administration already two
decades ago instructed all physicians who insert IUDs to warn women that its use may cause
pelvic inflammatory disease and to make their patients "thoroughly aware of this
increased risk and its possible interference with future fertility." 288 U.S. Food & Drug Administration Drug Bulletin, May-June
1978
What about natural
family planning?
This is not to be confused with the old (and not always effective)
calendar rhythm. Utilizing an intimate knowledge of the woman’s bodily functions such
as mucous production, body temperature, and other signs and symptoms, this method helps a
couple know when her fertile and nonfertile times of the month are. Without using any
pills or other artificial means, couples can plan their families by having intercourse
when she is (or is not) fertile. The abstinence time can be as brief as one week.
What about Norplant
and Depo Provera?
Both of these use a form of continuing dose of progesterone. Part of
the time they prevent ovulation. Part of the time they allow ovulation and fertilization,
but prevent implantation. Therefore, they function both as a contraceptive, at times, and
as an abortifacient at times.
Is Norplant safe?
In spite of intense advertising and universal
acclaim in the public media, the use of Norplant has dropped precipitously since its
introduction. The sales were 800 units a day in April ’94. Two years later they were
60 a day. AMA News, 3/1/96
There have been tens of thousands of lawsuits against its maker
because of alleged side effects. Will it stay on the market?
Remember, if "Birth Control" is taught to
your children in your school, these courses often will promote not just contraception, but
also abortion.
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