Thursday, January 27, 2011

It just doesn't work. For me.

It's pretty much a cliche. A friend of mine even has a joke about it. A girl who tells you she got pregnant on birth control is a liar. Because she was never on birth control.

Only, sometimes, she's not. I'm not.

I got pregnant on birth control. Twice.

The birth control pill is not foolproof. For all the things written about how the sexual revolution would never have occurred without access to easy contraceptive methods, I think it's high time that it's acknowledged that the birth control pill is not a goddamn silver bullet.

For starters, you have to take the pill every day, at the same time, to get those 95% effective rates. I suspect that's probably the source of the joke: telling a guy you're on the pill but neglecting to mention that you've forgotten to take it for the last three days.

However, the other issue is exactly what the pill does. The pill is not a condom or a spermicide or a diaphragm or an IUD. It does not physically prevent sperm from entering your uterus and possibly meeting a nice egg that it would be nice to settle down with. The pill messes with a woman's hormones, tricking the body into thinking that the woman is already pregnant, thus preventing a fertilized egg from implanting in the uterus and becoming a pregnancy.

Sidenote: this is the reason for Catholic condemnation of birth control. Morally speaking, the Church holds that a fertilized egg is life, since it contains all the genetic material. Stopping the egg from implanting in the uterus, thus causing the "life" that is the fertilized egg to be discarded, is tantamount to murder. While I find this position untenable in terms of actual living, it is a morally principled and logically sound position.

But it's universally acknowledged that most biology is not exact. Particularly when it comes to biochemistry, there is massive and statistically significant variation across the population. So trying to artificially alter that biochemistry is going to be a hit-and-miss proposition. Think anti-depressants: they don't work the same for everyone. Not even close.

Birth control pills are not much different.

I happen to be one of those people who's hormones fall waaaaay outside the norm. I should have known this, considering all the trouble I had getting through puberty and the ways in which my reproductive system still decides to punish me every month.

But I was a teenager and I bought into everything.

And I got pregnant at the ripe old age of 18. While I was on birth control. I had an abortion. And for those of you keeping score at home, my Catholic upbringing still asserts itself over that decision. I still sometimes cry for no particular reason and then realize I'm still processing a lifetime's worth of guilt and shame over having killed someone. But I do not doubt that it was the right decision, regardless. If I'd had that child, I'd still be married to an unmedicated, obsessive-compulsive control freak that liked to tell me I was worthless, didn't like me leaving the house, and had a penchant for trying to kill me. And there'd be a child in the household to worry about.

So, good decision. Even if it kills me now and again.

I put that experience out of my head. I told myself that I must not have been vigilant enough about taking my pill at exactly the same time every day. I set up a system with alarms and carrying extra packs of pills in all my purses and all manner of elaborate schema to ensure that it didn't happen again.

Well, I've got a two-and-a-half-year-old, so obviously that didn't work out as intended.

I love my daughter. I love her fiercely, dearly and unconditionally. But she was an accident, and I do wonder what my life would look like right now if I'd had the emotional wherewithal to go through a second abortion. Looking back, I think that her father wanted that, which may explain his current absence from our lives. No matter. No one should be forced to have a child they don't want, and men aren't an exception to that.

But these days, I put no stock in the pill. I don't even take it. I don't want to risk the temptation to fall back into the idea that I'm immune from pregnancy because I've got a silver bullet called Orthrotricyclen or Seasonique or what-have-you. Because obviously, it doesn't work for me.

8 comments:

  1. I love your strength. I love your honesty. Most of all, I love you.

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  2. I got pregnant with both of my children while on the pill. Now I'm on the IUD. My ob-gyn wasn't even phased both times I got pregnant. While I was like "HOW COULD THIS HAPPEN? I'M ON THE PILL!" She responded with a shrug and a, "It happens. We see it every day. It's not 100% effective."

    I figure if you're really really serious about not getting pregnant or impregnating someone, you'll use two forms of birth control. Men, that means you better wear a party hat.

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  3. It disturbs me how easily and completely the myth of the infallibility of birth control has seeped into the culture. As a friend of mine put it, there are droves of women that think taking the pill is akin to "putting their uterus in an iron safe."

    It would be farcical if it weren't so disturbing.

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  4. Oh, goodness. Do you have any idea what I'd give for a man that shoots blanks? OUTRAGEOUS things. ;)

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  5. The times I was on birth control it messed with my hormones and influenced my emotions tremendously-mostly in an unpleasant way. I'm sure I could receive tons of criticism for not being on the pill but it's just not worth it to me. It's surprising how people are so meddlesome on the subject too. They really like to judge a woman as "irresponsible" if they're not using it as if it were any of their biz.

    You know, I like feeling healthy and calm. The pill makes me feel anything but. If I'm meant to be a mother someday, it'll happen and I'll work with what comes up as a result. I stressed getting accidentally pregnant more when I was in my 20's but since that decade of my life is behind me, I'm not as freaked out by the prospect. I think about what I would teach my daughter if I had one-I would educate her on alternatives to birth control pills. There's so much out there! I suppose it's a blessing for the people for whom it works. But you're right, it blows for the people who trust it and don't know they shouldn't.

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  6. A hundred years ago, when I started the Pill, it was the size of a baby's fist and worked mostly by making you so bloated and such a bitch no one would come near you. So that was okay. I got pregnant later on the diaphragm and the IUD. Strictly speaking, the first pregnancy was a failure to use the diaphragm, but it looked powerful there on the edge of the tub. Things seem better now that I don't need it anymore, but I have no doubt there isn't a perfect solution out there.

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