This week we celebrate the 50th anniversary of one of the greatest inventions to emancipate women: oral contraceptives. While automatic washing machines and dishwashers were terrific inventions, the pill beats technological timesavers hands down.
My mother was a practicing Catholic at the time of the pill’s introduction and never partook of its advantages, however risky at the time – the early versions of the pill were much stronger than necessary and were blamed for some health problems in later years. She subsequently gave birth to four more children. Eventually, she figured out some way of stifling her fertility, but not until after her eighth child. Would high levels of synthetic hormones be more dangerous than raising eight kids? I submit not. I also suspect I would have suffered a similar fate were it not for the incredibly reliable Demulen 35 available to me 20 years later.
My own history with contraceptives is a story of both success and failure of astronomical odds-defying. Nevertheless, without the pill, I’d be living in a shoe.
I first went on the pill in the early 80s, after two pregnancies in two years. My second pregnancy was the result of a failed barrier method; my first the result of a quotidian error called “drunk sex”. I remember the pill was expensive back then, about $20 a pack, but I was able to get a discount based on a sliding scale at the clinic in Columbus that catered to college students. Being on the pill required an annual health exam, which was fine with me and well worth it.
I changed brands and levels of estradiol three times in the course of seventeen years. I briefly went off the pill when I turned 35 because I was still a smoker, and switched to the Seinfeld-made-famous “Sponge,” which has since been taken off the market. I can see why. It failed me, and probably millions of others. Unplanned Baby #3 was born fifteen years after Unplanned Baby #2. Back to the pill I ran!
In my late 30s, my then health care professional recommended I switch from Demulen 1/35 to Loestrin 1/20, reducing the estradiol to 20 mcg. She said it would help with peri-menopausal symptoms as well, although I had none at the time. Statistically, women over 35 are less fertile than their younger counterparts, and this level of estradiol is (usually) effective. Ha ha ha! my ovaries laughed at that wimpy level, and I got pregnant within two weeks of actually “testing” its efficacy. And no, I didn’t forget to take it on schedule. I actually felt horribly guilty and shocked, because I had several friends who were desperately trying to get pregnant: taking their temperature every day, standing on their heads, eating food that would allegedly boost their fertility, yet rolling craps. Me? My uterus should be in the Smithsonian.
Needless to say, after that little surprise, I decided that more radical measures were required. Even the pill had let me down. I could no more rely on any manmade chemical contraceptives, or subject myself to implants, injections, patches, rings, and IUDs than I could expect my outrageous fertility to suddenly diminish. Considering my track record, I feared I’d be one of the 1% of women who still get pregnant after sterilization. (Happily, no.) I vividly recall the doctor who was about to perform the surgery the day after I delivered Unplanned Baby #4 asking me if I was “absolutely sure” I wanted him to proceed. I looked up at him and laughed, “Doc! I have two kids in college and a newborn! Please! I beg you! Shut this down!”