Pregnancy Is Bad for Women’s Health

By Ginny Engholm

Our sentimentalizing of pregnancy, combined with our faith in modern medicine, have contributed to a backlash against birth control, encouraging us to see pregnancy as low risk and to lose sight of its dangers and perils. Contraceptives — and legal access to them — continue to be a source of controversy, political wrangling, and ideological posturing because the political and cultural discussion surrounding them focuses on issues of personal choice and sexual mores rather than questions of health. The recent Supreme Court decision regarding Hobby Lobby reflects this view of birth control as a matter of religious conviction and personal choice rather than reproductive health. If pregnancy is so natural, so low risk for women, then preventing pregnancy is not a medical issue, but rather a personal decision. Even efforts to argue that women use birth control for other health reasons, such as treating PMS or endometriosis, miss the point that limiting, preventing, and spacing pregnancies are medical reasons to use birth control. The backlash against contraceptives stems, in part, from our current misguided view of pregnancy as a low risk medical event for women. The problem with this view is that pregnancy is dangerous, and medical science has a long history of revealing its risks and perils for women.

PrEP, The Pill, and the Fear of Promiscuity.

By Ian Lekus

The first I learned of PrEP, or pre-exposure prophylaxis, came from the signs and postcards around Fenway Health, Boston’s LGBT community health center. Those advertisements appeared as Fenway served as one of two U.S. research sites for PrEP, in advance of the U.S. Food and Drug Administration approving Truvada in July 2012 as the first drug deemed safe and effective for reducing the risk of HIV transmission.[1] As I started learning more, I quickly discovered how its advocates frequently compare PrEP to oral contraceptives. One PrEP researcher I consulted with early on in my investigations explicitly drew the parallel to her decision to use the Pill a few years earlier. Some of the similarities jump out immediately: for example, like oral contraceptives, PrEP — a pill taken daily to prevent HIV infection — separates prevention from the act of sexual intercourse itself.