Emergency Contraception (EC)
Information: Part 2: Concerns,
misinformation, & recent developments
This topic is a continuation from Part 1
Concerns about EC by the pro-life movement and religious conservatives:
In an undated essay, Canadian Physicians for
Life (CPFL) express concern about the use of EC. Their Statement of
Principle defines human personhood as beginning at conception. They apparently reject medical evidence that shows that EC is purely a contraceptive. They
regard EC as a potential abortifacient because they believe that it can sometimes prevents the
implantation of a fertilized ovum in the uterus.
Some of their concerns:
||Referring to the Morning After Pill (MAP)
as emergency contraception hides the fact that it is an abortifacient.
But it is only an abortifacient according to their definition of "pregnancy"
and then only if one rejects medical research that indicates that it is extremely unlikely or impossible for EC to interrupt the implantation process.
||"Plan B" -- one of the type of EC -- contains a multiple-dose of
conventional contraception medication, CPFL is concerned about side
effects and health risks to the woman, particularly if she takes them
repeatedly. A recent study in Pennsylvania shows that very few women, if
any, use EC repeatedly as a contraceptive. The nausea symptoms would make it very unlikely that a woman would use EC in this way.
||They are concerned about the effects that
a high dose of contraceptives will have on a pre-embryo which has
implanted itself in the lining of the womb. Studies have indicated that no negative effects occur.
||They are concerned about increased use of
EC. They cite an 83.5% increase in "EC clients" at Planned Parenthood The
interval over which this increase occurred is not stated. Other groups look on
the increase in the use of EC favorably, because it prevents unwanted
pregnancies, about 40% of which are terminated by abortion. 1
Many conservative religious groups strongly promote and value celibacy outside of
marriage. They assert that the availability of EC will cause some unmarried couples to
become more comfortable with the use of condoms as their prime birth control method,
because EC would be available as a backup in the event that the condom breaks. Thus, unmarried couples might be more likely
to become sexually active. Without such a backup contraceptive technique, some
couples might be so frightened about the possibility of pregnancy that they might decide
Some conservative religious groups also point out that young people are often not
prepared with contraceptives when they first decide to become sexually active. If
not available, then the possibility of pregnancy might have a chilling effect on their
desire for sexual intercourse.
Other groups have pointed out that fear has historically been shown to be an ineffective way
of reducing sexual activity.
Some conservatives are concerned that teens
will be able to obtain EC and still keep their sexual activity secret from
Misinformation on the Internet:
With the increase in use of EC, misinformation and disinformation seems to be
||2006-MAR-22: The Catholic News Agency published an article
about a statement by some doctors in the College of Medicine in Peru.
Although the medical definition of the word "pregnancy" states that it
begins at implantation, these doctors define pregnancy as beginning at
conception. They also reject medical research and believe that EC can prevent the blastocyst
(the fertilized ovum) from implanting in the womb. Thus they believe that EC can act as an
abortifacient under some circumstances. They refer to studies:
"that relate use of the [morning-after pill] with ectopic
pregnancies, which can lead to the death of the mother. In all of the
scientific studies, it has been shown that the rate of side effects is
between 25-35%. Therefore it cannot be said that it is harmless."
Most readers would probably interpret this statement as implying that
ectopic pregnancies occur in about 30% of the time that EC is used. In
reality, the side effects to which they appear to be
referring are nausea and vomiting, which are at least partly controlled by
Gravol -- a medication that is often given along with EC. 2
||2006-JUN-12: The Catholic News Agency published an article about
the use of EC in the Galicia region of northern Spain. Some doctors are
concerned that some young women are taking EC as many as seven times a month to
prevent pregnancy. The article states that "The morning-after pill is
equivalent to 25 regular birth control pills and its frequent use can seriously
affect a woman’s health." 3 This is not accurate. According to the Feminist Women's Health Center, a
morning-after pill is equivalent to from 2 to 5 of one color of pills of all of
the common birth control pills; the exact number depends on the brand. The only
known exception is for a very weak pill, Ovrette, of which 20 are
equivalent to an EC pill. 3
One problem with publishing incorrect information of this sort is that young
women will become needlessly concerned about their health if they take EC. But a
more serious result may be that some women will incorrectly associate 25 of
their birth control pills with one EC pill, and end up taking a massive
overdose. We are not medical experts, but it is possible that If this action
were repeated often enough, over a sufficiently long time, their health could be
We sent a form to the Catholic News Agency asking that they print
a prominent retraction on their web site. We also sent an Email to LifeSite.net who provide a link to the article.
As expected, there was no response to either.
Future developments in EC:
||Research: Studies are underway to determine:
||Simplified dispensing: “Collaborative drug therapy agreement” programs are underway or being
developed in some states. These allow pharmacists to dispense EC without a
prescription, under the direction of a
||Restrictions on availability: The Roman Catholic church is now the
largest private health care provider in the U.S. They have achieved this
status recently through mergers with secular hospitals. Such mergers immediately restrict
or eliminate fetal tissue research, in vitro
fertilization, and women's access to reproductive health care, including
birth control counseling. They generally do not allow the use of EC. Frequently, some will not
even refer clients to
places that will provide these services. This has led to "parking lot
dispensing" where employees of the hospital secretly meet women in the parking lot or
at some neutral location on or near hospital grounds, and covertly give out pills. The
percentage of hospitals which are operated by the Roman Catholic church appears to be
increasing. This seriously restricts the availability of EC in some areas. This
is expected to continue to increase in the future. 6
Increases in availability:
Initially, EC medication required a doctor's prescription. This presented problems because physicians are not often readily available after hours and on weekends. Speed is of the essence for ECs.
In late 2011, an FDA panel supported a policy of allowing broader over-the-counter access to emergency contraceptives for women under the age of 17. This decision was supported by the FDA Commissioner Margaret Hamburg on 2011-DEC-06. However, Health and Human Services Secretary Kathleen Sebelius too the very unusually step of overruling both the Commissioner and expert panel by keeping non-prescription access only to women 17 years-of-age and older. This is an important decision, because the average age at which youths become sexually active is 16. Making emergency contraceptive more difficult to obtain will increase unwanted pregnancies of which 40% are terminated by abortion. Sibelius issued a statement on DEC-07 saying:
"It is commonly understood that there are significant cognitive and behavioral differences between older adolescent girls and the youngest girls of reproductive age, which I believe are relevant to making this determination as to non-prescription availability of this product for all ages."
NARAL Pro-Choice America said in a statement:
"We expected this kind of action from the Bush administration, so it’s doubly disheartening and unacceptable that this administration chose to follow this path."
Rep. Henry Waxman (D-CA) said:
"I think it’s very unfortunate the secretary made the decision that she did. The FDA is a scientific agency, and they gave her their recommendation based on the science, and I think she should have followed it." 8
Legislation in some western states
now allow pharmacists to dispense EC to customers, along with an
information sheet. "Earlier this year, more than 60
medical, public health and women's groups signed a petition urging the
US Food and Drug Administration (FDA) to switch emergency contraception
pills to nonprescription status." 7 A FDA
panel recommended this step to the FDA which has since been approved for women 17 years-of-age or older with identification for some forms of EC, and removed age restrictions on other ECs. However, "ella" still requires a prescription.
Some Republican Congress members had threatened to cut the FDA's budget if the agency allows women under the age of 17 to obtain the drug without a prescription.
The following information sources were used to prepare and update the above
essay. Many of these URLs are no longer accessible.
- "The Morning After Pill (MAP)," Canadian Physicians for Life,
undated, at: http://www.physiciansforlife.ca/
- "Peruvian doctors reject
morning-after pill, calling it an illegal abortifacient," Catholic News
Agency, 2006-MAR-22, at: http://www.catholicnewsagency.com/
- A "Provider Attitudes towards ECPs" survey was at: http://www.path.org/
- Emergency contraception website, at: http://ec.princeton.edu/
- Christine Dinsmore, "Women's Health: A casualty of hospital merger
mania," MS magazine, 1998-JUL/AUG
- Julie Severens Lyons, "Law makes morning-after pill available without
prescription: PHARMACIES WILL BE ABLE TO DISPENSE EMERGENCY CONTRACEPTIVES,"
The Mercury News, 2001-OCT-16, was at: http://www0.mercurycenter.com/
- "California to sell morning-after pill Jan 1," Japan Today,
was at: http://www.japantoday.com/e/
- Sam Baker, "Sebelius overrules FDA, blocks access to morning-after pill," The Hill, 2011-DEC-07, at: http://thehill.com/
- "Emergency Contraception (also known as The
"Morning After" Pill or "Plan B")," Feminist Women's Health Center, at: http://www.fwhc.org/
Copyright © 1999 to 2014, by Ontario Consultants on
Originally published on 1999-JAN-13
Latest update: 2014-MAR-21
Author: B.A. Robinson