Example Paper
Birth Control Pills:
A Safe Choice for Womem
Gabriela Zurikova
Gabriela_Zurikova@student.sk
IEP 060 – Academic Writing Skills
Anne Whitaker
Research Paper
August 30, 2004
Birth Control Pills 22
Janka (24) bought a pregnancy test and now is waiting for the results, which makes
her nervous. One second may change her whole life, and she could become the mother of an
unwanted child. To avoid this stressful situation, it was only necessary to have used a 43-
year-old method of birth control – the birth control pill – once a day. It has been taken by
approximately 80% of American women today (Okie, 2002), and its effectiveness is over
99% if used correctly (Planned Parenthood, 2003). However, some women still fear that
taking the birth control pill could harm their health. In fact, the pill’s composition provides
advantages to women, including prevention of ovarian cancer. There is also no connection
between the pill and breast cancer, and its usage is possible while breastfeeding too. Although
there are a few disadvantages to its use, the birth control pill is safe for women.
Birth control pills contain nothing harmful to women’s health. This oral contraception
is divided into two groups. First are combination pills including estrogen and progestin
(synthetic progesterone), and second are progestin-only-pills. Women’s ovaries produce both
estrogen and progesterone (Planned Parenthood, 2003). The pill thus contains the same
hormones that women’s bodies already have. According to the National Cancer Institute
(2003), estrogen is a hormone which makes the uterus more active when a women’s body
becomes sexually mature. It also makes the endometrium (the uterus walls) thicker at the
beginning of the menstrual cycle. Then, the endometrium is ready to accept a fertilized egg
with the help of progesterone, which is made in the second part of the menstrual cycle. The
pill, however, gives women the right amount of these hormones so that they cannot get
pregnant. Planned Parenthood (2003) explained that estrogen in combination pills stops the
ovaries from producing eggs, while progestin-only pills “thicken cervical mucus” to stop the
fertilization of eggs (Basics section, para. 2). These supplemental hormones “fool the body
into acting as if it's pregnant” (Alice! Health Promotion Program, 1998). They do not damage
the body; they just make it act in a different way. So, the contents of this oral contraceptive
Birth Control Pills 23
may be seen as safe.
Another point is that taking the birth control pill has benefits for females’ health. Not
just young 18-year-old girls, but also 30-year-old women use the pill to avoid unwanted
pregnancies. In addition, the pill can improve the condition of their skin. As Dr. Marjorie
Greenfield (2004a), an Associate Professor of Obstetrics and Gynecology, reported,
compared with non-pill users, users of the birth control pill have fewer problems with acne
and “excess” hair on the face and body. She even pointed out that pill users are less likely to
have ovarian cysts and anemia. So the hormones in the pill provide a variety of benefits
beyond contraception. Moreover, women often have painful menstruation at the beginning of
their cycles, and the birth control pill can be a solution. Planned Parenthood (2003) noted that
women have lighter menstruations and do not suffer from such terrible stomach cramps when
they use the pill. That means that the pill helps girls and women enjoy their lives, go out with
friends, or exercise instead of staying in bed because of pain. In summary, these examples
show that the birth control pill can have a beneficial influence on women’s health and lives.
Despite these advantages of using the contraceptive pill, there is a myth that its use
causes ovarian cancer. However, research shows that the deaths of females from this cancer
are not connected with the birth control pill at all; on the contrary, the pill is successful in
fighting against it. The effect of the birth control pill on the ovary is interesting. Scientists
from the Duke Comprehensive Cancer Center found that progestin from the pill led to
“increased cell turnover in the ovarian epithelium, indicating that progestin might lower
ovarian cancer risk by activating cancer-preventative molecular pathways in the ovary” (as
cited in “Oral contraceptives,” 2002). With higher cell turnover in the ovary, cells that may
become cancerous are destroyed earlier and faster, due to the effects of progestin from the
birth control pill. In fact, another study at Duke showed that women who took a pill with
more progestin had a lower risk of ovarian cancer than women who took a pill with more
Birth Control Pills 24
estrogen; however, all women who took any birth control pill had a lower risk of ovarian
cancer than other women (as cited in “Oral contraceptives,” 2002). So the pill, especially the
progestine-only one, has been effective in fighting against ovarian cancer. According to Dr.
Greenfield (2004a), the effectiveness of the pill is so great that some doctors now advise
women to take the pill for five years just because of its benefits in preventing ovarian cancer.
From this, it seems that the birth control pill neither increases the danger of cancer of the
ovaries nor damages their functioning, so the myth should be forgotten. In actuality, the
longer women use this form of birth control, the bigger the protection against ovarian cancer
they have. The Centers for Disease Control and Prevention and Harvard Medical School
studies found that women who used the pill for one year had a 10-12% less chance of getting
ovarian cancer, while women decrease the risk of getting the cancer by 50% if they use the
pill for no less than five years. This protection lasts even after women stop using the pill (as
cited in National Cancer Institute, 2003). Thus, continued use of the pill is not a bad decision
because it can help to prevent cancer for a long time in the future. So, especially women
whose mothers or grandmothers had ovarian cancer are protecting themselves in the right
way by taking the birth control pill.
Another claim is that the birth control pill may cause breast cancer, which is a
blunder. The truth is that not only 20- to 30-year-old women, but also women in their 40s,
50s and 60s do not have a higher chance of getting breast cancer just because they used oral
contraceptives. This was shown by a study in The New England Journal of Medicine called
the Women's Contraceptive and Reproductive Experience study. Of 9,200 women between
35 and 64, half of whom had had a breast cancer diagnosis, women who had used the pill did
not have increased breast cancer risk (as cited in National Cancer Institute, 2003). So,
especially older women, who are at greater risk of getting breast cancer because of their age,
do not have to be afraid that taking the pill could lead to breast cancer. There is also another
Birth Control Pills 25
significant fact about women with a history of breast cancer in their families. The same
Women’s Contraceptive and Reproductive Experience study showed that women with breast
cancer in their families did not have a higher risk of cancer if they took the pill (as cited in
Okie, 2002). So, women who had breast cancer in the past are free to use the pill as well as
healthy women. They could also use the pill for two, five, or ten years without worrying
because, as Okie (2002) pointed out, the study indicated no higher risk of breast cancer due to
time of usage, or even race or weight. Almost all women can safely use the pill for weeks,
months or years. In conclusion, there is no clear connection between breast cancer and using
the birth control pill.
It is also remarkable that it is possible to use the pill during lactation. Women
breastfeeding their infants also need to use birth control to avoid pregnancies, and hormonal
oral contraceptives, especially the progestin-only-pill, are one of the safe options. According
to the web site of well-known pediatrician Dr. William Sears (n.d.), in comparison with the
combination pill, the progestin-only pill is better to use because it does not contain estrogen,
which could reduce the amount of mother’s milk. But his most important point is that the pill
does not affect the child’s health at all. This means that women do not have to stop either
taking the pill or breastfeeding their babies. Furthermore, the combination oral contraceptive
is also approved for use by breastfeeding women. Dr. Greenfield (2004b) confirmed that the
combination pill may be used when the milk is well produced, which is six months after birth.
When the mother’s body is accustomed to breastfeeding, therefore, it is possible and safe to
use both kinds of oral contraceptive without worrying about the baby or mother’s health. In
short, the birth control pill could be used during lactation with no danger to the child.
Although the use of oral contraception has all these benefits, there are also a few
disadvantages. For instance, Planned Parenthood (2003) reported that women taking the pill
for the first time may have terrible headaches and feel sick. They may experience bleeding
Birth Control Pills 26
during the month as well. These are typical side effects of oral contraceptives, but they
usually disappear in three months. It seems that the additional progestin and estrogen cause
those changes, but as women’s bodies adjust, the bad effects soon vanish. Plus, if the effects
do not disappear, a doctor can help women to choose another kind of birth control pill.
However, Okie (2002) named one group in danger while taking birth control pills: smokers
over 35. This combination is risky because these women have a higher risk of heart attacks.
Here it is important to note that smoking is the bad habit which endangers women, not the
pill. In general, oral contraceptives benefit women's health and well-being much more than
they hurt.
Using the birth control pill is a safe solution to avoiding unwanted pregnancies. It
contains hormones which do not confuse the systems of women’s bodies and bring health
benefits into their lives. The pill has been successful in the prevention of ovarian cancer;
moreover, there is little danger connected with breast cancer. Taking the birth control pill is
also safe for women breastfeeding their babies. On the other hand, there could be a few minor
negative side effects and there are risk groups who should be careful. Oral contraceptives
overall, though, should not be seen as a symbol of jeopardy, but a symbol of women’s choice.
Birth Control Pills 27
References
Alice! Health Promotion Program. (1998, July 14). How do birth control pills work?
Retrieved August 20, 2004, from Health Services at Columbia University Web site:
http://www.goaskalice.columbia.edu/0663.html
Greenfield, M. (2004a, August 18). Myths and truths about birth control pills. Retrieved
August 20, 2004, from Dr. Spock Web site: http://www.drspock.com/article
/0,1510,5324,00.html
Greenfield, M. (2004b, August 19). Postpartum birth control options. Retrieved August 20,
2004, from Dr. Spock Web site: http://www.drspock.com/article/0,1510,5696,00.html
National Cancer Institute. (2003, November 3). Cancer facts: Oral contraceptives and cancer
risk [fact sheet] . Retrieved August 15, 2004, from http://cis.nci.nih.gov/fact
/3_13.htm
Okie, S. (2002, June 27). Study: Birth control pills not linked to breast cancer. The
Washington Post, p. A1. Retrieved from National Newspapers database.
Oral contraceptives with higher levels of progestin protect against ovarian cancer, study
suggests. (2002, January 2). Science Daily. Retrieved from http://www.sciencedaily
.com/releases/2002/01/020102074449.htm
Planned Parenthood. (2003, November). You and the pill. Retrieved August 15, 2004, from
http://www.plannedparenthood.org/bc/YOU_AND_PILL.HTM
Sears, W. (n.d.). Oral contraceptives while breastfeeding. Retrieved August 15, 2004, from
http://www.askdrsears.com/html/2/T028700.asp
28
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