A
astegallrnc
Guest
I posted links to articles discussing this so that no one would be misled. I find it silly to copy and paste when I can post a link though I do this when time permits or if IMO it is necessary. This is what I posted: no direct evidence exists demonstrating this prevents implantation in ovulatory pill cycles. There is little information on the lining of the endometrium in ovulatory pill cycles. Here are some articles discussing the debate: Hormone Contraceptives Controversies and Clarifications****Birth Control Pill: Abortifacient and Contraceptivepolycarp.org/how_does_the_pill_work.htmWhy I disagreed with you is because in one of your posts you simply stated “there is no direct evidence that OCP’s have an abortifacient effect” without being clear that there has never been a study designed to determine this.
This statement taken by itself is misleading. There is a difference between saying 1) a direct cause has been thoroughly studied, and there is no evidence and saying 2) it has never been studied, thus there is no evidence.
Yes, that is correct and why the pill is a potential abortifacient. It is misleading to state the “pill is an abortifacient” as an absolute fact. All I did was insert the word potential, mentioned why it is a potential “The changes in the endometrium may prevent implantation”, and provided links for others consideration. Even the package insert states “other alterations include changes in the cervical mucus (which increase the difficulty of sperm entry into the uterus) and the endometrium (which reduce the likelihood of implantation)”. The pill reduces “the likelihood of implantation”. The insert does not state it absolutlely will prevent it.In this case, a direct cause has never been studied.
No one disagreed with you. BTW, I have read studies that report the pill is 99% effective in preventing ovulation. Yes, I have read the studies on break-through ovulations.With the indirect evidence we have that OCP’s have abortifacient action–that OCP’s do not suppress ovulation 100%, that OCP’s cause the endometrial lining to thin, and that thinning of the endometrial lining can prevent implantation–we as healthcare providers have the duty to tell our patients what we know, not what we don’t know.
I never diagreed with this. In fact, I stated “[T]he changes in the endometrium may prevent implantation. I understand the the changes in the endometrium are well documented…” I also understand that ovulatory post-pill cycles have insufficient luteal phases per charting patters (NFPers are familiar with this info), so IMO there is strong evidence supporting the pill “prevents” implantation. However, I understand the other side of the argument and prefer to avoid debates on “there is not proof the pill is an abortifacient”.We both agree that there is indirect evidence that OCP’s could prevent implantation. This is what the drug companies report as well.
Honestly, I don’t see this as a disagreement but whatever.
God bless y’all!