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Ask Andy: Birth Control

Posted by Emily Farris

 

We here at Scanner are in no way medical professionals. So why in the world would we seek medical advice from others who are? Instead, we like to ask our friends what's up. That's right, we asked a boy who has no medical training whatsoever to break down female birth control for us, because that's how we roll. Okay, really, we are always interested in getting different perspectives on things and when Andy started opining about birth control one night, we thought it would make for an interesting post. But you know, before taking any of this advice in pill or shot or patch or plastic form, consult a medical professional first, please and thank you.

Hello Readers. While I'm new to this blogging thing, I've had a slew of relationships, and like most people I hate condoms and eschew them whenever I get into a long-term relationship. Needless to say, I've learned a bit about birth control in my 31 years. And over a beer, while helping Scanner Emily pack up her shit for a long move (and somewhat relentlessly hitting on her [Ed note: I liked it]), I got into a discussion about my own preferences in birth control devices. Out of said conversation came the idea to post these preferences, just to see if any of you agree or disagree. I preface these by saying that if you aren't in a mutually exclusive thang, and you aren't wearing a condom when you have sex with any one of your anonymous partners, well that's just fucking retarded. But if you are, read on.

The Pill
First, which pill? There seem to be a million now, with cute names like Yazz and shit like that. But my experience has been uniform with the pill, which is to say I've learned to expect the unexpected. Some women are entirely unaffected; some turn into a post-apocalyptic fascist state. And speaking of Yazz and mood alterations, don't trust commercials, ever. The good folks at Bayer and their DTC (direct to consumer) marketers have made a point of suggesting that their pill reduces PMS symptoms (remember the conservatively dressed, thin women kicking words like "irritability" while listening to a vomitously chick-pop version of Quiet Riot's "We're Not Gonna Take It?"). Well, the FDA made them pull the ads for BLATANTLY LYING TO AMERICA. The drug was approved for mildly alleviating some symptoms associated with Premenstrual Dysphoric Disorder (PMDD), classified as a psychological disorder whose side effects include "severe depression" and "extreme, persistent anger." PMDD is a serious condition affecting only 2-10% of menstruating women; PMS is very, very common. My friends think I get it sometimes, and I have a penis. Anyhow, by the time the ad was pulled, millions of women had already seen it and gone to their doctor thinking that Yazz would get rid of their PMS. Hell, I tried to get a prescription for it; those chicks in the commercial looked so empowered, kicking things in pant suits. 

So be careful; the truth of the matter is, PMS is a fact of life for many women, and nothing to be ashamed of or try to hide from. In my house growing up, it meant that for two days a month I was to bring my mother and sister a box of chocolate, head to my bedroom, and shut the fuck up. And I was a kid; if I can figure that shit out at age 8, the men in your life can certainly do the same. So according to me and the FDA, don't take birth control pills to alleviate the symptoms of PMS; in my experience you're replacing one hormonally charged mood swing with another. Instead, take birth control pills because you want to have unprotected sex all the time (in a monogamous relationship), occasionally in weird positions, with a guy whose penis you enjoy. That said, from our side, the pill is easy. You're the one who has to take it, and remember to take it. We rarely see you take it, and being men, are not going to remind you to take it, and so it requires a significant amount of responsibility on your part, and trust on ours. This can create the kind of Oedipal relationship the Freudians would have a field day with.

The Diaphragm
No hormones involved, I can understand how women would certainly want that.  However, this stupid little rubber thing ruined my last long term relationship, and has for countless others completely removed all spontenaiety from the sexual act.  No more pulling over on the side of a highway in the afternoon to nail each other by a road median; no more throwing each other into stairwells during parties, or quickies in restaurant bathroom stalls. Even in the comforts of your own bedroom, sex suddenly requires forethought, and putting something obtrusive and jelly filled inside you. Yeah, yeah, a real loving relationship is about more than sex, right.  But if you can't accept that sex is a big part of it, then why are you going on birth control in the first place?

Wow, that was cathartic. Moving on...

The Nuva Ring
This thing is wonderful; that is, until you need to use your vagina. The "small, unobtrusive plastic ring" is indeed obtrusive; when I'm inside a vagina, I like to be the only one inside it. Two's a crowd. Still, it makes for an interesting game of "Operation," trying to hook your finger or tongue around the thing and pull it out without taking her out of the moment. If accomplished, it can be removed for upwards of 3 hours, no harm done. So you have plenty of time to get back into it, if your skills at Operaton are not quite acute.

Depo-Provera
This is the creepiest form of birth control ever. My college girlfriend used it. Psychologically, I didn't notice any changes, but then again, she was always batshit crazy anyway. Physiolgically, you get a shot, once every three months, and then your body literally stops menstruating. The lining of your uterus becomes an unfriendly place for egg cells, your cervical mucus thickens (which is a strange phenomenon for those of us who enjoy going down on a woman first thing in the morning), you lose bone density, and overall, your body simply stops having a period.  If you can deal with that, I say go for it; it is by far the most convenient form for women who, like me, are prone to forgetting things. But if you hate needles, or you see something weirdly unnatural about not menstruating anymore, well, I'd say go with something else.

The Patch
You put a patch somewhere on your body, and it delivers your hormones for you throughout the month. The hormone level is slightly below that of the pill, but higher than the Nuva Ring, so you get somewhere in between on the emotional effects. It also looks like you're trying to quit smoking if you go to the beach, but hey, that's noble enough these days. And one time it got caught in the bed sheets and tore off, which ruined a perfectly good moment. But apart from those small issues, I'd say this one is the winner.

Please feel free to respond with any of your own birth control tales, or to mention any of the ones I might have missed. For example, I didn't mention the IUD—never had a girlfriend who used one, and honestly, I don't really have an opinion about it. —Andy


+ DIGG + DEL.ICIO.US + REDDIT

Comments

Sarah said:

Interesting to see things from another view point.

I was on depo for years. Years.... they don't really recommend that anymore. I never saw any side-effects until the last year or so I was on it, then I was bat-shit crazy for a week before my next shot.

Now I'm on the pill, much easier on me, except for the whole remembering to take it thing...

March 6, 2009 3:59 PM

caryatis said:

On the IUD: it's clearly the best. First of all, because you get it, go back for a follow-up appointment, check that it's hasn't come dislodged, and forget about it. No remembering to take a pill every day and buy more every month. No special preparation needed before sex.

It's expensive at first, but it lasts you for up to ten years, and over that time it's a lot cheaper than any other method. If you get the non-hormonal version, you don't have to worry about all the side effects (risk of blood clots, etc.) and the ick factor of pumping massive quantites of pregnancy hormones into your body.

Some doctors are reluctant to give unmarried women an IUD, but they can be convinced, at least in my experience. It can be hard to insert in a woman who hasn't had a child. It also, I've read, slightly increases the risk of miscarriage later on, if the woman becomes pregnant.

I think it's deplorable that the only form of non-hormonal birth control that's around 98% effective is so little known.

March 6, 2009 4:10 PM

idnany said:

good ol pull n pray!

March 6, 2009 5:16 PM

Rzep said:

Apparently you can take birth control pills by putting them into your vagina. Less nausea that way. An endocrinologist and women's health activist doctor told me so. However I'd still be paranoid about it not working.

March 6, 2009 5:30 PM

missdoc said:

Please note that the IUD discussion above is inaccurate. The hormone (progestin) containing IUD - Mirena - does not contain any estrogen, which is the component of combined birth control pills that can increase the risk of blood clots. In fact it's one of the great choices for women who can't take estrogen for such reasons. The main difference is that the classic (copper containing) IUD is less effective and usually results in heavier periods and more menstrual cramps, whereas the progestin IUD is more effective, reduces menstrual flow, and reduces menstrual cramps. A great choice for many women.

March 6, 2009 8:10 PM

missdoc said:

Please note that the IUD discussion above is inaccurate. The hormone (progestin) containing IUD - Mirena - does not contain any estrogen, which is the component of combined birth control pills that can increase the risk of blood clots. In fact it's one of the great choices for women who can't take estrogen for such reasons. The main difference is that the classic (copper containing) IUD is less effective and usually results in heavier periods and more menstrual cramps, whereas the progestin IUD is more effective, reduces menstrual flow, and reduces menstrual cramps. A great choice for many women.

March 6, 2009 8:10 PM

Becky said:

I've never used the patch personally, and I've had a couple friends who were big fans, but there have been a lot of horror stories about it and the levels of hormones it can actually give women -- including a piece here on Hooksexup!

hooksexup.com/.../rough-patch-this-contraceptive-device-sickened-thousands-of-women-i-was-one-of-them

So I'd be a bit slow to call it the best option. It's all personal, obviously -- I've been happy with the pill for years, and the only side effects I get are lessened cramping and slightly bigger boobs.

March 7, 2009 12:31 AM

Julia (not) said:

Damn, but my skin was so great when I was on Yaz.

March 7, 2009 12:49 AM

this_is_an_art said:

During our 31 year marriage, except when we were having the 2 kids, I pulled on a condom each time. (I prefer the polyethylene type.) I think that she may have tried pills once for some number of months, but she didn't like the side effects. I didn't mind the condoms, but now post menopause, we regularly have glorious "unprotected" sex. It was worth the wait.

Cheers

March 7, 2009 1:10 AM

Susie said:

The IUC (Mirena) is the best.  Mild discomfort for a week after insertion, but then lighter periods, and no other side effects.  It is only good for 5 years though and needs to be removed by the doctor.  This is good though because it then requires actual thought and planning if you decide you want to have another baby - not just deciding to stop the other forms of bc during a weak "I saw a cute baby and want another one" moment.

March 7, 2009 2:46 PM

violet said:

I've been on Nuvaring for two years, and of the hundreds of chiseled male models I've bedded in that time, I've had zero complaints. I don't even think most people notice it. Actually, Nuvaring is one of the best things to happen to my 20s. It doesn't make me nauseated like the pill did, and I'm now a B cup. Yay.

March 7, 2009 4:44 PM

dragondawn42o said:

"We're Not Gonna Take It" was Twisted Sister, not Quiet Riot.

March 8, 2009 5:10 AM

DaniB said:

I came to the same conclusion Andy did, about six years or so ago.  I was too flakey for the pill (I actually lost the whole pack more than once) and while Depo didn't make me any crazier than I already was, I had ZERO sex drive (maybe even negative sex drive) while I was on it, which defeated the purpose.  

But the patch!  I almost always remember it, and my mood swings and cramps were reduced.  But it's fucking expensive.

That said, my parents had a bunch of kids, almost all by accident. (They thought about having another one once and I got a sister.)  So, I use a condom every time, too.  

March 8, 2009 7:34 AM

balthazarrr said:

This is the holy grail of contraception for me.  en.wikipedia.org/.../Reversible_inhibition_of_sperm_under_guidance  How long is this going to have to be tested before it is sold?  Every generation of the pill and it's ilk never had to wait this long.  

March 9, 2009 1:27 PM

sarenya said:

I'm on Nuvaring and my bf says he can't feel it and I haven't experienced any side effects from it. With my erratic schedule I couldn't remember to take the pill

March 9, 2009 6:42 PM

NotFunny said:

Seriously, the state of birth control is in a sorry state. "Nearly a third of women who start a new type of birth control stop within a year, according to one recent study." (NYTimes article of August 2008). Half the pregnancies in the United States are unplanned. [Something is wrong here.] Forty percent of pregnancies among women ages 40 and older are unintended, and 56% of those pregnancies end in abortion.

Really, we need to make birth control a public health priority. It is 2009. And also, it is high time that men and women understand their own fertility. yes, that means that no matter WHAT her age, (read that again--no matter her age) until a woman has gone for and entire year without one menstrual period, she must consider herself fertile. Sorry to bring everyone down, but jeez.

March 10, 2009 7:55 PM

permial said:

What ever happened to good old fashioned oral sex?  Like Mother Love told the guys in the 70's, don't be in a hurry, bring a lunch!  In other words for you cretin's out there, if you make her feel good, she'll make you feel good....

March 11, 2009 6:34 PM

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About Emily Farris

Emily Farris writes about culture and food for numerous publications and websites you've probably never heard of, including her own blog eefers. Her first cookbook, "Casserole Crazy: Hot Stuff for Your Oven" was published in 2008. Emily recently escaped New York and now lives in a ridiculously large apartment in Kansas City, MO with her cat, but just one... so far.

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about the blogger

Emily Farris writes about culture and food for numerous publications and websites you've probably never heard of, including her own blog eefers. Her first cookbook, Casserole Crazy: Hot Stuff for Your Oven was published in 2008. Emily recently escaped New York and now lives in a ridiculously large apartment in Kansas City, MO with her cat, but just one... so far.

Brian Fairbanks is a filmmaker living in the wilds of Brooklyn. He previously wrote for the Hartford Courant and Gawker. He won the Williamsburg Spelling Bee once. He loves cats, women with guns, and burning books.

Colleen Kane has been an editor at BUST and Playgirl magazines and has written for the endangered species of dead-tree magazines like SPIN and Plenty, as well as Radar Online and other websites. She lives in exile in Baton Rouge with her fiance, two dogs, and her former cat. Read her personal blogs at ColleenKane.com.

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