Let's talk about birth control pills...

Pope Francis’ appointed Prefect of the Congregation for Divine Worship, Cardinal Sarah…of course he’s a man…don’t be unsettled by his gender-confusing name meaning “princess”…recently offered remarks at a National Catholic Prayer Breakfast in Washington, D.C.  The Cardinal delivered a message of woe and bad news, precisely what one might…not…expect from a representative of the gospel’s “good news.”  Ironically, Cardinal Cross-Namer / Princess / Sarah fears, among other things in the US, transgender people.  His list of fearful miseries is so long, I’m impressed he muscled courage to enter my country at all.  His message might be summarized as “gloom, despair and agony on thee.”

His remarks actually aligned with Pope Francis’ bleak outlook on families expressed in Amoris Laetitia, Chapter 2.  I won’t offer too many comments on that document because it truly will require an entire blog article devoted to the topic.  But in that document and Sarah’s comments, in addition to painting families as experiencing numerous miseries, both guys felt qualified to practice medicine without a license, a felony crime in my and many other states.  By that I mean both men disparage, belittle and mock women’s reproductive health.  Sarah outright demonized it and cited it as an example of Satan attacking families.

Paragraph 42 of Amoris Laetitia, “…the  decline  in  population,  due  to  a  mentality  against  having  children  and  promoted by the world politics of  reproductive health, creates not only a situation in which the relationship  between  generations  is  no  longer  ensured but also the danger that, over time, this decline  will  lead  to  economic  impoverishment  and a loss of  hope in the future.”

In this Year of Mercy, Pope Francis doesn't go as far as Sarah's equating it with outright evil.  Francis merely attributes reproductive health as the culprit for economic poverty and losing all hope.  Wow, that is one whopper statement and condemnation which unfortunately is not supported by facts.  The actual facts indicate poverty tends to align directly with cultures having limited or restricted access to birth control...such as those in Cardinal Sarah's beloved homeland continent of Africa, or Francis' homeland continent of South America.

In Cardinal Sarah’s remarks he positioned “…your beginning to accept contraception within healthcare programs” as an example of “demonic” attacks by Satan and overall general erosion of God in America.  How God, an omnipotent, omnipresent being, is eroded escapes me but Cardinal Sarah is quite convinced.

Maybe these guys have the same exemplary grasp of human female biology as the seminarian I mentioned in my last blog article who was convinced that birth control pills abort conceived babies instead of preventing conception. In the interest of educating the clergy, I will spend some time overviewing medical uses for the hormone therapy drugs commonly called “birth control pills.”  If you read this and feel your favorite church hierarchy member would benefit by the education, please forward it to him with my blessing.

O.K. Pope Francis, Cardinal Sarah and all other clergymen severely lacking understanding of female reproductive health, lend me your attention for a few moments.  Sisters of the Poor and other self-righteous religious organizations trying to prevent your employees from accessing these medications, please pay attention too.

First, the hormones in birth control pills are estrogen and progestin.  They are naturally found in the female body.  They are not the anti-Christ.  They are not evil.  They are not going to end civilization. 

The use of these hormones in some medications prevents ovaries from releasing an egg.  A consequence of no egg is there is nothing to fertilize.  However, there are many medical reasons to suppress ovulation. 

Second, surveys have found more than half of the women who use these medications do so for reasons unrelated to contraception.

Third, and this is especially in here for the likes of the Little Sisters of the Poor who sued the US government in an effort to block their employees from having insurance coverage for these medications, insurance covers drugs that are on the formulary.  They don’t give a crap for what reason the medication is prescribed.  If the drug isn’t on the formulary, it’s not covered – case closed.  So, my dear bishop who repeatedly says that women with the following conditions would have their medication covered, you are incorrect.  I can provide you with a copy of the letter my daughter who suffers one of these conditions received from Ascension Healthcare, her employer.  It plainly tells her that her evil (my editorial addition) medication is not covered.  As an aside, the “tsk, tsk, tsk, you bad girl” is actually only implied in the letter.

Here’s a quick list of non birth control reasons to prescribe estrogen and/or progestin http://www.webmd.com/sex/birth-control/features/other-reasons-to-take-the-pill

1. 10% of women suffer menorrhagia (heavy bleeding) leading to severe anemia in cases such as mine.  Since the guys reading don’t have menstrual periods, let me describe what I mean by “heavy bleeding.”  Think of soaking to the point of overflowing multiple large sanitary pads in an hour.  In some cases, that’s actually multiple Depends adult diaper garments soaked in an hour.  Now go re-read the first part of this paragraph.  10% of women, that’s one in every ten women of menstruating age suffer this.  These medications dramatically reduce menstrual bleeding.  This is not prescribing medication for some sad little hangnail but for a debilitating condition.
2. 90% of women suffer painful to debilitating menstrual cramps.  Yes, you read that correctly, 90% - nine out of ten women.  The degree to which they experience pain varies but for many women, the pain is debilitating. When the pain is debilitating, these medications often provide great relief.
3. 60% of women who suffer migraines do so associated with the hormonal swing of their menstrual cycle.  This is also debilitating.  In smoothing out the hormonal fluctuations, these medications can be tremendously helpful  controlling the condition.
4. 10-15% of women suffer Endometriosis.  This is where the endometrium (uterine lining) grows in places other than the uterus.  It damages reproductive organs and scars sometimes to the point of causing infertility.  It can be excruciatingly painful.  For example, a young lady very close to me used to vomit every day, not every day of her period, EVERY DAY OF HER LIFE from the pain.  Have you ever experienced such pain on a daily basis?  Can you really be so cruel as to expect women to live in that kind of pain without relief when medication is readily available to treat it?  By the way, this same young woman, before hormone therapy, used to bleed rectally, from her breasts, from her nose and even once from the pores of her hands.  This bizarre bleeding is perhaps not always debilitating but it does make socializing difficult.  By the way, women with endometriosis take “birth control pills” so that they can conceive children in addition to relieving debilitating pain.
5. These medications treat polycystic ovarian syndrome (PCOS), a hormone imbalance that causes irregular periods, ovarian cysts (which can be extremely painful), and infertility.  Women with PCOS also take “birth control pills” so that they might be able to conceive.
6. These medications dramatically reduce risks for some kinds of cancers – ones for which there are not yet good screening tests
7. Sometimes these medications are prescribed for severe hormone imbalance associated with pre-menstrual syndrome.

I try to live by a few mottos: a) Assume positive intent and b) seek first to understand.  By this I mean I try to assume that people generally do things with a good intention in mind.  And when something seems awry, before drawing conclusions, I try to understand by gathering the facts, talking to people directly involved, and consulting experts.  Why, in the case of hormone therapy, do hierarchy members and religious zealots instead a) assume negative intent and b) ignore facts and/or never bother trying to understand them?

Keep in mind, any medication is a tool and tools can be applied for positive or negative outcomes.  For example, a person can use a hammer to bludgeon someone but a person can also use it to build a home for a homeless person.  Don't condemn the tool outright.  After all, most women using birth control pills are doing it for controlling a medical condition - a positive thing even in the eyes of the clergy.  So, the default view should be with its most common usage...controlling medical conditions.  Instead the hierarchy dismisses the tool as "evil" due to associating the tool only with what it perceives are negative applications of the tool.  Should I await your lobbying for outlawing hammers, too?

In the interest of living by my motto, I assume that Pope Francis and Cardinal Sarah have good intentions and I have tried multiple times to engage in dialogue to understand why the hierarchy comes to such strange conclusions about women without speaking to them.  And so, any clergyman who would like to discuss this topic in sincerity, please contact me.  My daughter who is a doctor is happy to sit with us to discuss female reproductive health.  This is not a pawn topic in world politics as Francis suggests in Amoris Laetitia.  It is something that impacts women every day.  They suffer physical pain beyond some people's imagination and it is wrong to heap psychological pain upon that with fact-free religious edicts trumpeted from high atop Mt. Morality, a land primarily inhabited by single men.