kamz:
my cousins wife ( they are Catholic) is on the pill under doctors orders to try to clear up her endometreosis so they can have some kind of time line or remission when she has a small window of oppurtunity to get pregnant, that is the only reason they are using it, oddly, to help them get pregnant, weird.
PLEASE tell your cousin that she needs to talk to an NFP only doctor if she can find one…she can look for them on the One More Soul website
www.omsoul.org ] .
There are alternative treatments for endometreosis that do not subject her body to more damage from the BCP. This kind of treatment is common, but out-dated, so please urge your cousin to look for alternative care. Below I have posted a portion of an email I received from an Ob-Gyn who for 17 years had only prescribed the Birth Control Pill - an Oral Conraceptive - twice, and yet still treated thousands of women…it can be done.
I asked her in an email once to list some alternative treatments that would work from some of the “medical” uses of the Birth Control Pill. Note her comments about the abortifacient aspect of the pill at the end…
…here is a short rundown of alternatives to OCs (
oral contraceptives) for “all things gynecological”
FIRST MAKE THE DIAGNOSIS: What
is being treated. This
has been echoed by all the clinicians on the list and
is critical.
- Progesterone used cooperatively for cases where there is
anovulation or ovulatory dysfunction (short PPP, LPD,
premenstrual or postmenstrual bleeding, midcycle spotting more
than one day, and any anovulatory bleeding)
- Glucophage for PCOD (polycystic ovarian dysfuntion): corrects the basic metabolic dysfunction.
3. Appropriate testing and diagnosis for pelvic
pain/dysmenorrhea (usually diagnostic laparoscopy with excision of endometriosis) with or without interruption of the Uterosacral ligaments for pain relief.
- Progesterone for persistant Corpus Luteum cysts
- Adequate doses of NSAIDS (ie Naprosyn, 550 mg every 8 hrs for the first 2-3 days of menses) beginning just before the
onset of menses for both heavy flow and cramps. Ca and Mg may be helpful here too. If max doses taken round the clock are ineffective, laparoscopy is indicated.
- B6, Evening Primrose Oil, Progesterone, Ca, Mg++, Aldactone 100 mg bid, exercise, healthy diet, etc etc for PMS Sx. depending on the symptoms present. Progesterone for “menstrual” or hormonally mediated migraines
- Cancer Prevention: Pregnancy and Childbirth with prolonged
Lactational Amenorrhea (Ovarian suppression is ovarian
suppression whether it is because you are pregnant/lactating or on OCs!) And remember Dr Stanford’s comment that OVERALL risk is the important but difficult to quantify number and OCs may increase the risk of breast cancer while decreasing the risk of ovarian/endometrial cancer.
This is only a partial list. Of interest and along the same
lines, is a very recent article showing an increase in ovarian
cysts both after sterilization and while women were taking low
dose OCs. This is a turnaround from what previous literature
had shown with the higher doses of OCs. With these alternatives, one can manage almost problem or condition
without using OCs.
However, as has also been stated, we must be careful
of being “more Catholic than the Pope” and remember that H. vitae specifically addresses just such uses and states OCs may be justifiably used if the contraceptive effect is tolerated and not willed directly (H.vitae, paragraph 15). Often women in this situation are infertile or unmarried and abstinant anyway but in the case of a married couple, I will add my two cents worth: There is no research or published data to suggest
that a couple can identify a breakthrough ovulation by charting the CM (
cervical mucus) while on OCs, even if some anecdotal evidence exists. I don’t think we know how the hormones in the OCs effect the CM except to say they probably dry it up. Also, there may be a continuous discharge caused by an ectropion present due to the OC use. Having said that, I would probably still advise a couple to keep a chart and avoid intercourse if signs of fertility occur…more as a statement about their sincerity about not willing the contraceptive effect than as a tried and proven way to prevent
a “post-fertilization effect”.