Dr. Prescribed birth control. Is it a sin?

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According to every resource I can find: medline, medical-dictionary, Tabers, PDR, Merck, my AH A&P text and my PM A&P text, my Endo text, and just “fun with Google,” as I’ve been saying all along, progestins are hormones that act like progesterone, and progesterone is a progestin. The term “progesterone” is used to describe the naturally occuring hormone produced by the corpus luteum, OR any variety of synthetic progestationals–synonymous with progestins etc. Yes, I was wrong about MPA, but that was due to garbled (IMO) text in the Merck. However, MPA IS the active component of Depo-provera. To my understanding, it’s not contraceptive when ingested because of low bioavailability, ihibiting high enough serum levels etc…(for longer technical explanation describing primary and secondary metabolites, but I think I got the gist) but is extremely effective parenterally.

ALSO: I’ve looked up the directions for over 20 combo and progesterone-only OCs, and the only instructions I find are for 1st Sunday (no more than 6 days after the first day) or 1st day starts. Some have both instructions, some specify it must be started on the first day, but NONE have any “quickstart” or “whenever start” instructions indicated for regulation of cycle or contraception. Some DO have dosing differentiation when used for other therapies, but they are being used to stop abnormal uterine bleeding, and in high, frequent doses etc. I didn’t Google for that info, if there’s newer OCs out there that have such instructions, they’re not in my PDR. 58th ed…(2004) so a little outdated, but not that far back…not 14 years!

And regardless of the wording used in various books, if “the pill” is started when it should be, then it should arrest endometrium preparation at mid-proliferation, allowing it to repair, but not become ideal for implantation, and because of this, certain intergins do not form in the same abundance, theoretically making it more difficult for an embryo to implant. HOWEVER, apparently they do at a rate of up to 8% depending on the hormonal method used, progesterone-only being the least effective. So nothing is thinning out anything. The endometrium never GETS thick when one is properly using hormone BC.

Since abortifacient means: induces abortion, I don’t see how the secondary side-effect, of a medication that is essential whenever estrogens are taken therapeutically–the failure of the endometrium to properly prepare for embrionic implantation. It’s not CAUSING an embryo to expell. It’s not destroying an embryo. It’s merely keeping the endometrium thinner (which by the way is one of the biggest reasons it HELPS). I mean, THAT is the desired effect (for the most part) in treating women who are experiencing long, painful, heavy menses. And, for those who mentioned “other” hormone therapies…like what? Estrogens and progesterones that don’t come in a OC package? Even the ones that aren’t considered contraceptive are contraindicated during pregnancy, or in women who are trying, or could become pregnant.

Also: Fish are so biologically asimilar to humans well…that study just sounds silly to me. Besides, there’s no lack of warnings and contraindications etc. put out by the manufacturers of hormonal BCs. Trust me, I just read through 20-something descriptions. I don’t think methadone has that many warnings!

And with that, apparently HE decides who’s going to conceive a child regardless of what she does to prohibit conception. 😉
 
progesterone is a progestin.
I agree that progesterone is a progestin, but (synthetic) progestins are not progesterone. There are experts who use the terms interchangeable and others who do not (Dr. Lee may be a recognized name or Dr. Hilgers). Progesterone and progestins have different biologic activities. For example, progesterone has progestinic activity and anti-androgenic activity and NO estrogenic or androgenic acitivity. Many progestins has progestinic activity but may also have estrogenic and/or androgenic activities. At this time, all but one of the progestins used in combination OCs are derived from testosterone.
but NONE have any “quickstart” or “whenever start” instructions indicated for regulation of cycle or contraception
I get hits.
Yes, rather than traditional approaches of starting OCs during the menstrual period or on the first Sunday, with Quick Start (or Quickstart) the woman takes her first pill on the actual day of her first visit. Some places such as the Columbia-Presbyterian Clinics in New York even employ an approach where women take the first pill immediately under “direct observation”. The rationale for Quick Start is to improve acceptability and use by eliminating the time period women would be waiting for their menstrual periods
infoforhealth.org/pearls/2002/09-30.shtml
I can’t open PDFs.
csun.edu//downloads/InfoCardPDF/Quick starting the Pill.pdf

medicine.wustl.edu/~obgyn/pag//STARTING HORMONAL CONTRACEPTIVES.pdf

This method is even in clinical trials.
clinicaltrials.gov/show/NCT00068848

You just need the right resource. Since this is an off-label instruction, physicians would use sources specific to he subject.
These instructions are in Contraceptive Technology and the other books I mentioned.
And regardless of the wording used in various books, if “the pill” is started when it should be, then it should arrest endometrium preparation at mid-proliferation, allowing it to repair, but not become ideal for implantation, and because of this, certain intergins do not form in the same abundance, theoretically making it more difficult for an embryo to implant. HOWEVER, apparently they do at a rate of up to 8% depending on the hormonal method used, progesterone-only being the least effective. So nothing is thinning out anything. The endometrium never GETS thick when one is properly using hormone BC
Ok, but this doesn’t change the fact that the hormones IN THE PILLS change the lining of the uterus. You can’t just stop at the suppression of the GnRHs and ovarian hormones but you have to consider the the entire woman. So, lets say that a woman has a breakthrough ovulation. This would mean endogenous estrogen and progesterone stimulating the reproductive tract; however, the exognous hormones would be exerting their effect. Why would the women’s health experts and family planning experts cite the progestin changing the lining of the uterus as a mechanism of action if it isn’t ? Why would they note that if an ovulation occurs the progestin in the pill protects a woman by altering the lining of the uterus?
Since abortifacient means: induces abortion, I don’t see how the secondary side-effect, of a medication that is essential whenever estrogens are taken therapeutically–the failure of the endometrium to properly prepare for embrionic implantation. It’s not CAUSING an embryo to expell. It’s not destroying an embryo. It’s merely keeping the endometrium thinner (which by the way is one of the biggest reasons it HELPS). I
yes, abortifacient means it induces an abortion. An abortion means the termination of a pregnancy. A pregnancy begins at conception.

Maybe these will help:
vitalsignsministries.org/vsmnewabort.html
all.org/brthcnt.htm
catholicnewsagency.com/new.php?n=3031
Estrogens and progesterones that don’t come in a OC package
Yes! And progesterone (natural) can be used in a variety of women’s health concerns.
 
For me it is not an issue so much of the morality as that has been discussed much. However, I think it is more an issue of health. Today we know, through the work of the CMA and the Pual VI Institute, that there are many serious health risks associated with taking even Low Hormone Pills. This is why I believe that the prudent course is to try to find another solution if possible - hence the recommendation to contact the Paul VI Institute.
Are there sliding fee services or any financial help for those who do not have finances to cover costs? I will research it but thought someone may know the answer off the top of their head. I am in the PPVI program and have an idea of the costs of the blood work, meds, surgeries, etc. specific to NaPro. I wonder about the population of women who fall through the cracks in our health care system because of no insurance or financial means to pay for services. Or those with medicaid, which no doctors are accepting. The only access to care may be a clinic and yes hormonal contraceptives to treat symptoms (which should only be done after the underlying condition is known) . And there are those women who swear the pill, shot, or whatever is the only thing that helped. So, if hormonal contraception is “the option” for a particular woman, there is no definitive teaching on abstaining or not? Correct? Or am I confused?
 
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astegallrnc:
Are there sliding fee services or any financial help for those who do not have finances to cover costs? I will research it but thought someone may know the answer off the top of their head. I am in the PPVI program and have an idea of the costs of the blood work, meds, surgeries, etc. specific to NaPro. I wonder about the population of women who fall through the cracks in our health care system because of no insurance or financial means to pay for services. Or those with medicaid, which no doctors are accepting. The only access to care may be a clinic and yes hormonal contraceptives to treat symptoms (which should only be done after the underlying condition is known) . And there are those women who swear the pill, shot, or whatever is the only thing that helped. So, if hormonal contraception is “the option” for a particular woman, there is no definitive teaching on abstaining or not? Correct? Or am I confused?
You are correct. As I said earlier I think it is important to determine ones options before assuming that using “the pill” is the right action.
 
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