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.

Save Our Sisterhood: Reflecting on Single-Sex Education Ten Years Later

By Sarah Handley-Cousins

Ten years ago, on October 2, 2004, Wells College, a tiny, women’s liberal arts college in rural New York State, announced its decision to become coed. Frustrated and angry, many Wells Women — myself included — protested by holding a sit-in at the main academic building in hopes of compelling the college board of trustees to reverse its decision. We refused to leave. We slept in our classrooms; we chanted and sang; we lined up from one end of the building to the other, arm-in-arm, our mouths gagged with black fabric to symbolize how we had been silenced by the Wells administration.

Sunday Morning Medicine

Adventures in the Archives: The Dangers of Legal Abortion

An apple with sex signs on a pile of books in front of a blackboard, with "sex education" written on the blackboard

Is Pop Culture Replacing Sex Education?

Sunday Morning Medicine

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.

Adventures in the Archives: Tales from the Crypt(ic) Rules of Archive Etiquette

Sunday Morning Medicine

Positively Negative: Love, Pregnancy, and Science’s Surprising Victory over HIV

By Lara Freidenfelds

What would you do if you desperately wanted to have a baby, and your spouse had HIV? In the mid-1990s, the introduction of highly-effective HIV drug regimens turned HIV from a death sentence into a chronic condition. People with HIV and their life partners could begin to imagine creating families and living to see their children grow up. But it was not until 2014 that researchers and policy-makers approved a prophylactic regimen that effectively protects against HIV-transmission even without condom use. (It still is not officially condoned for family-building purposes, but some physicians are willing to prescribe it for that purpose.) For almost two decades, HIV-discordant couples faced a special kind of infertility: it was childlessness caused by the threat of illness, by fear, and by a traumatized, cautious public health and medical community that could not move beyond its initial message, that “only condoms prevent HIV transmission.”

A new e-book, Positively Negative: Love, Pregnancy, and Science’s Surprising Victory over HIV, takes us into the lives of two couples who lived this history.