Thursday, October 24, 2013

Age Limit for Birth Control? (Medical Justice Project)


Age Limit for Birth Control?

            The main topic that has been discussed recently, regarding new legislation to have an age limit for birth control, is mostly referring to emergency contraception, like Plan B One-Step – also known as the morning after pill.  Plan B is an emergency contraception pill that can prevent pregnancy after unprotected sex.   The pill is one dose (only one pill) and contains 1.5 milligrams of levonorgestrel.  Levonorgestrel is also used in many daily birth control pills; however, these pills contain a lower dosage.  The effect of Plan B depends on how soon you take it.  If taken within 24 hours the pill is 95% effective, and if taken within 72 hours the pill is 89% effective. 
            Plan B is not an “abortion pill.”  It is different from RU-486, which is an abortion pill.  Plan B will not cause a miscarriage or an abortion if taken.  Plan B does not stop development of a fetus once the fertilized egg implants in the uterus, so this pill will not work if someone is already pregnant.  Plan B was made as a backup plan though – hence the name “Plan B.”  The pill was made for emergencies only and is not recommended for people to use as their main form of birth control. 
            There has also been much talk about what age women should be to use this type of emergency contraception.  This is a big issue for people on both sides of the aisle and would affect millions of Americans.  In June this year, the U.S. Department of Justice stopped the appeal of a recent U.S. District Court ruling requiring expanded over-the-counter access to emergency contraception products without an age restriction.  Many medical organizations stand behind their support of the Court’s ruling, citing scientific evidence in support of the safety of emergency contraception for women of all ages.  The FDA has stated that it will allow the sale of one-pill versions of emergency contraception without age restriction, starting with the most common form, Plan B One-Step.
The AAP (The American Academy of Pediatrics) President, Thomas K. McInerny, MD, stated, “For pediatricians, the science has always been clear: emergency contraception is a safe, effective tool to prevent unintended pregnancy in adolescents of any reproductive age.”  Another group that has been advocating for birth control at any age is Planned Parenthood.  After the Department of Justice stopped the appeal in June - therefore allowing girls of all ages to purchase emergency contraception – the President of Planned Parenthood, Cecile Richards had this to say, “Age barriers to emergency contraception are not supported by science, and they should be eliminated.” Another group, the National Women’s Liberation, had this to say about the decision, “NWL demands full control over the decision to have children. We want free and full access to all forms of birth control, including contraception and abortion.”
There are people on both sides of the issue though.  According to Dr. Jennifer Landa, a hormone specialist and chief medical officer for BodyLogicMD, making emergency contraception available for young girls is sending the wrong message about pregnancy prevention and safe sex.  She says, “Overall, it shows a lack of caution if you ask me.  Of course the prevention of unwanted pregnancy is a good thing.  The problem is it encourages women to be more cavalier and not use more reliable birth control we’d like them to be using, including barrier methods that protect against sexually transmitted diseases.”  Dr. Manny Alvarez agrees with Dr. Landa and states, “This is a dangerous precedent. So you’re going to allow a 13-year-old child to be able to buy what once was a prescription regulated medication over the counter without any kind of restriction, any kind of parental advice.  How is a child at the age of 13 going to be able to understand indication, usage and potential side effects?”
Overall, this is a very important issue because of the number of people it affects.  Additionally, it can be looked at through the eyes science or religion, which can cause people to have his or her unique views.  With any decision the government makes, there will be people who agree with it, and people who disagree.  

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