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Posted by john on July 6th, 2007 — in Alesse Top News
Say goodbye to “that time of the month” and hello to “that time of the season.”
An oral contraceptive designed to give you only four menstrual periods a year instead of the usual 13 will be hitting Canadian pharmacy shelves by the end of the year.
On Thursday, Health Canada approved Seasonale, the first extended-cycle birth control to come to Canada.
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Taken as a 91-day regimen — 84 active tablets with hormones followed by seven inactive tablets, during which time a woman would have her period — Seasonale will appeal to busy women who don’t want to deal with the inconveniences of a monthly period and to women who have severe premenstrual syndrome.
But is taking birth control pills continuously safe?
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It is, says Dr. Melissa Mirosh, a staff obstetrician and gynecologist at High River General Hospital and a contributor to the Society of Obstetricians and Gynecologists of Canada guidelines on extended and continuous-use contraception.
In fact, Mirosh says that for the past 40 years doctors have been telling women to take birth control pills back-to-back to eliminate periods and therefore avoid severe menstrual symptoms such as migraines and abdominal cramping.
“Honestly, this is just the re-packaging of a product that’s already there,” she says. “But what’s exciting is the concept that it’s OK to not have your period every month while you’re on the pill.”
Mirosh says it’s a myth that women need to have a period every 30 days.
“The only reason for menses in a typical cycle is to shed that tissue that was there in order to have a pregnancy. When you’re on a birth control product, it prevents that lining from growing in the first place, so there’s nothing to shed.”
She says that women on traditional birth control don’t have a true menstrual period. More accurately, they have a “hormone withdrawal bleed.”
Seasonale is suitable for women who are candidates for regular birth control pill use. When it hits the market sometime near the end of 2007, one 91-pill packet will be similar in cost to three months’ worth of other birth control pills, about $50.
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Posted by john on July 2nd, 2007 — in Alesse Top News
The FDA just approved a new birth control pill that stops a woman’s period. Are there health risks associated with suppressing the normal menstruation process?
The recent FDA approval of a continuous-use birth control pill to minimize periods did draw attention this spring. Oral contraceptives have been used for more than 40 years and are considered safe for most women.
Minimizing menstrual bleeding doesn’t harm health. In some cases, continuous-use birth control pills will benefit a woman’s health. Continuous-use birth control pills can help improve symptoms of cycle-related headaches, premenstrual syndrome and endometriosis, a painful disorder of the reproductive system. These conditions can be debilitating.
Continuous-use birth control pills also can be used for convenient menstrual timing. Some studies have shown that only one-third of women would prefer monthly periods, the remaining two- thirds are divided between a preference for quarterly periods and no periods at all.
The idea of manipulating menstrual cycles is not new. Last year, the FDA approved a birth control regimen designed to result in four periods a year. For years, doctors have taught women to minimize periods using typical estrogen-progestin pills.
Traditionally, women take birth control pills with a combination of progestin and estrogen for 21 days. For the next seven days, women take placebo pills without hormones. During that week, menstruation starts and the accumulated uterine lining comes out as menstrual flow. When women skip the placebo pills and begin the next round of progestin-estrogen pills, the menstrual period doesn’t occur. The consistent hormone levels prevent the need to shed the uterine lining. Many women can successfully and safely eliminate bleeding for months or even years.
Some women may experience spotting or breakthrough bleeding after starting any oral contraceptives, whether in the traditional monthly fashion or continuously. This is not a cause for alarm or a reason to stop the pills. A health care provider can tell women how to handle this bleeding should it occur.
Over the years, birth control pill side effects have been minimized without loss of effectiveness with decreasing hormone doses. While all birth control pills are considered safe, they aren’t entirely risk-free nor are they appropriate for everyone. Several health conditions may rule out birth control pills as an appropriate option for some women.
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Before starting any birth control regimen, each woman needs to discuss her health history with a health care provider. For optimal effectiveness and safety, the pills need to be taken exactly as directed. — Dr. Petra Casey, M.D., Obstetrics and Gynecology, Mayo Clinic, Rochester.
READERS: An increase in the number of trips to the bathroom — day or night — is a signal it’s time to see a physician. Frequent urination often indicates an underlying medical condition. With proper diagnosis and treatment, it’s possible to return to normal urinary habits.
Here are some of the common causes of frequent urination:
• Urinary tract infections: Symptoms of a bacterial infection of the bladder or the urethra (the tube through which urine flows out of the body) can include frequency, burning with urination, foul-smelling urine, fever and pelvic pain.
• Side effect of medication: Diuretics and other medications can increase urinary frequency.
• Age-related changes: Weakening of the bladder, urethra and pelvic floor muscles many reduce the amount of the urine the bladder can store and your ability to hold or properly eliminate urine.
• Prostate problems: For men, an enlarged or infected prostate can lead to urgency and frequent urination, especially at night.
• Bladder problems: Frequent or urgent urination can be an early sign of bladder cancer. Bladder stones or bladder inflammation can cause frequent or painful urination.
• Diabetes: High sugar draw water into the bloodstream which must then be excreted through the kidneys, increasing the need to urinate.
• Kidney disease: Diseases that impair renal function may affect the ability to concentrate urine, increasing the amount of urine produced.
• Congestive heart failure: A weak heart can’t pump blood efficiently, causing fluids to build up. The kidneys produce large amounts of urine as they eliminate excess fluids.
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Posted by john on June 30th, 2007 — in Alesse Top News
SAO PAULO, Brazil — Brazil’s government has added “morning after” pills to its newly expanded birth control program in hopes of helping poor people reduce unwanted pregnancies and dangerous illegal abortions.
Health Minister Jose Gomes Temporao announced the addition a month after President Luiz Inacio Lula da Silva said the government would provide cheap birth control pills at 10,000 drug stores across Latin America’s biggest country.
Speaking at a round-table discussion Monday sponsored by the Folha de S. Paulo newspaper, Temporao called the morning-after pill “an important tool for the prevention of unwanted pregnancies that will definitely be part of our strategy” to help Brazil’s poor have the same access to birth control as its rich elite.
The Health Ministry said he attended, but would not immediately confirm his remarks.
Brazil already distributes 254 million free condoms a year, many as part of an anti-AIDS program that makes a special effort just before each year’s Carnival celebrations. Brazil also has handed out the morning-after pill and regular contraceptives at government pharmacies for years.
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The newly expanded program offers regular contraceptives at commercial drug stores for sale at just $2.40 for a year’s supply. Temporao didn’t say whether the morning-after pills would be subsidized or entirely free. Previously, the government said it would distribute 50 million packages of regular birth control pills, each with a month’s supply, by year’s end.
Morning-after pills have high doses of the same drugs found in many regular birth-control pills, and can lower the risk of pregnancy by up to 89 percent if taken within 72 hours of unprotected sex.
Ana Lucia Cavalcanti, who heads women’s programs for Sao Paulo, knew of no other Latin American nations that supply free or subsidized morning-after pills. She called on the government to launch education programs so poor women understand how to use them.
Brazil is the world’s largest Roman Catholic nation, and the church has vehemently opposed any expansion of birth control. Brazilian Archbishop Orlando Brandes, who represents the church on this issue, was unavailable for comment Tuesday, his office said.
Temporao also has lobbied for a national referendum to legalize abortion up to the 12th week of pregnancy. Brazil now allows abortions only when women have been raped or their lives are in danger, and polls show Brazilians overwhelmingly oppose changes.
Women’s rights groups estimate 800,000 illegal abortions happen in Brazil each year, and about 4,000 women die from the back-office procedures annually. Abortions are the fourth leading cause of maternal death in Brazil after hypertension, hemorrhages and infections.
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Posted by john on June 25th, 2007 — in Alesse Top News
Dutch Doctors call for contraceptive to be removed from the market
A report from the Copenhagen Post reveals that Denmark’s leading birth control pill has been alleged to be the cause of the deaths of two women.
Yasmin, also available in the United States, is a third generation, low dose oral contraceptive pill
So far, Dutch authorities have recorded 40 cases of venous thrombosis among women using the drug, as well as the deaths of two women aged 24 and 17.
Oral contraceptives, as well as the birth control patch, have been associated with venous thrombosis, a serious and potentially deadly condition.
The Dutch Medicines Agency (DKMA) denied that Yasmin was any more dangerous than other oral contraceptives, but the “other” drugs are probably third generation as well. Third generation oral contraceptives have come under fire in the United States recently with the group Public Citizen calling for their removal from the market.
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However, on their website, the DKMA does warn of increased blood clots among users of oral contraceptives:
Yasmin’s summary of product characteristics specifies that the risk of blood clots is higher during the first year when a woman is taking contraceptive pills. In addition, it appears that in one year there are 20-40 blood clots for every 100,000 women taking contraceptive pills. By comparison, in one year there are 5-10 blood clots for every 100,000 women who are not taking contraceptive pills. Consequently, there is an increased risk of blood clots in women taking contraceptive pills.
Just like the FDA, the DKMA seems to be satisfied with a few women dying each year from use of oral contraceptives. I wonder how many patients are actually warned of this increased risk?
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Posted by john on June 23rd, 2007 — in Alesse Top News
WASHINGTON — The House voted narrowly Thursday to reverse a ban on contraception aid to groups overseas that also offer abortions, challenging a pillar of President Bush’s foreign-aid policy.
If the proposal passes the Senate, Bush is likely to veto it swiftly and be upheld by conservative lawmakers, who say no assistance should be given to organizations that promote or offer abortions.
The measure, approved 223-201, is intended by the new Democratic majority to crack open debate on a policy it says is failing. Initiated by President Reagan in 1984 at a population conference in Mexico City, the policy bars any assistance to organizations abroad that perform or promote abortion as a method of family planning.
Democrats said an unintended consequence is an alarming shortage of contraceptives, particularly in poor rural areas. The bill would help “reduce unintended and high-risk pregnancies and abortions … and save the lives of mothers,” said Rep. Nita Lowey, D-N.Y., who chairs the House appropriations panel that oversees the foreign-aid budget.
The House voted to attach the measure to a $34.2 billion bill that pays for State Department operations and foreign aid in 2008.
Stem-cell provision inserted into bill
Members of Congress who want taxpayer dollars spent on embryonic-stem-cell research answered President Bush’s veto by advancing a spending bill Thursday that includes permission to do just that.
The Senate Appropriations Committee’s 26-3 vote was the first of what is expected to be several waves of Democrat-driven efforts to reverse the effect of Bush’s veto a day earlier.
The committee approved a must-pass bill for the Labor and Health and Human Services departments that includes permission to use federal funding for embryonic-
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stem-cell lines derived after Bush in 2001 banned taxpayer dollars from being used on such studies.
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CIA to open secret files next week
The CIA will declassify hundreds of pages of long-secret records detailing some of the intelligence agency’s worst illegal abuses, the “family jewels” documenting 25 years of overseas assassination attempts, domestic spying, kidnapping and infiltration of leftist groups from the 1950s to the 1970s, CIA Director Michael Hayden said Thursday.
The documents, to be released next week, also include accounts of break-ins and theft, the agency’s opening of private mail to and from China and the Soviet Union, wiretaps and surveillance of journalists, and a series of tests on U.S. civilians, including the use of drugs. “Most of it is unflattering, but it is CIA’s history,” Hayden said.
The documents have been sought for decades by historians, journalists and conspiracy theorists.
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Posted by john on June 17th, 2007 — in Alesse Top News
Arizona could save tens of millions of dollars a year by providing more birth-control services to lower-income women, public-health experts say.
That’s one of the primary reactions the experts had to last week’s news that taxpayers are now paying for slightly more than half of all the state’s births, at a cost of about $223 million last year.
Arizona offers birth control to low-income women only after they give birth, and then for only two years.
Instead of costing the state more, increasing the availability of the Arizona Health Care Cost Containment System’s family-planning benefits could save money in the end, the experts say.
That’s in part because the federal government pays $9 for every $1 the state spends on family planning services offered through AHCCCS.
In addition, studies have shown that for every $1 states spend on family planning services, they save $3 on prenatal care for mothers and babies.
And experts point to a 2002 report from the Centers for Disease Control and Prevention that showed regardless of women’s income levels, 49 percent of all pregnancies in this country are unplanned or unwanted; and of those, about half will end in abortion.
Conservative groups say they would oppose an expansion of family planning under AHCCCS.
“It borders on ‘Because these women are poor, they shouldn’t be having babies,’ ” said Cathi Herrod, president of the Center for Arizona Policy. “That’s a fairly strong judgmental statement to be making.”
But family-planning advocates say that’s not at all their intent.
“Family planning promotes the health of mothers. It promotes the health of babies. Families do better when their children are spaced and planned,” said Charlotte Harrison, executive director of the Arizona Family Planning Council.
“Nobody is trying to dictate how many kids people should have. This is to give people choices, because women who can’t plan their pregnancies can plan very little else in their lives.”
Family-planning services are critical in states like Arizona, with high percentages of uninsured and low-income residents, said Alina Salganicoff, director of women’s health policy at Kaiser Family Foundation, a national health research group.
“This is a service these women value a lot. Many times it’s their only access to health care,” Salganicoff said.
Stephanie Hamilton of Tucson, whose third child was born May 2, agreed on the need to expand family-planning services to more women.
Hamilton stopped working last year after she and her husband, a schoolteacher, decided their two incomes would not cover the costs of child care and health insurance for their growing family. By quitting her job as a church youth director, Hamilton and the couple’s two sons qualified for AHCCCS.
Throughout her third pregnancy — her first covered by AHCCCS — Hamilton received information about AHCCCS’ family-planning services. She is not sure yet whether she will use the benefit or go back on her husband’s insurance.
“If we didn’t have insurance available to us, absolutely I would take them up on it,” Hamilton said of AHCCCS’ birth-control benefit. Expanding the benefit, she said, is “a great idea. I think the more you can make those services available, it’s better for everybody.”
AHCCCS is the state’s version of Medicaid. The federal program, started in 1965, is based on a state and federal cost-share formula. In 1972, Medicaid began paying for family-planning services, partly in response to governors of Southern states alarmed about their high rates of infant mortality.
In 1982, Arizona became the last state to join the Medicaid program — without any provision for family planning. Advocates were preparing to file suit against the state when the Legislature added the benefit, about two years later.
Medicaid’s special 9-to-1 matching rate for family-planning services is meant as a strong incentive to the states.
AHCCCS spends less than $2 million a year in state money on family-planning services, said spokeswoman Rainey Daye Holloway. About 8,700 women were enrolled in the program last month, at a cost of about $17 each, for a one-month state expenditure of about $14,800, Holloway said. To that, Medicaid added $148,000, she said.
In contrast, AHCCCS spends, on average, about $4,200 for each pregnancy and birth it covers. That translated to $223 million for the more than 53,000 births AHCCCS covered last year — about 52 percent of the babies born in Arizona.
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Over the past 12 years, Arizona became one of 26 states to expand their family planning benefits. But Arizona is one of six states that chose the narrowest expansion allowed by Medicaid: If a woman loses her AHCCCS eligibility after her baby is born, AHCCCS will continue to cover birth control and related services for up to two years after she gives birth.
Most of the 26 states adopted the broadest expansion of basic family planning benefits allowed by Medicaid, providing family planning services to any woman up to a certain income level, regardless of whether they qualify for their state Medicaid program as a whole.
Under that type of expansion, Alabama saved more than $19 million and New Mexico saved more than $6.5 million in 2001; and California saved more than $76 million the year before, according to a recent study by the Kaiser Foundation and the Alan Guttmacher Institute.
Claire D. Brindis, a nationally respected health policy expert with the University of California-San Francisco, has extensively studied the impact of that state’s family-planning program, which serves more than 1.5 million women.
“Our evaluation has demonstrated that the availability of reproductive health services has helped to avert over 205,000 unintended pregnancies in one year,” Brindis said.
“People think if we make it too easy for people to use these services, they will abuse them,” Brindis said. “But then, who is paying the price? We’re going to pay a lot more for food stamps, health care, child care — there’s a whole domino effect if we don’t provide this kind of care.”
Some conservative leaders say they strongly oppose spending more AHCCCS money on birth control.
“I think we need to teach more abstinence, and for those who think that’s unrealistic, I certainly disagree with that,” said Sen. Robert Blendu, R-Litchfield Park. “Abstinence programs work. We just live in a culture that’s getting more and more promiscuous. If you’re going to bring children into the world, you ought to be able to take care of them.”
Conservatives seem more willing to spend more AHCCCS money on prenatal care.
The Arizona Catholic Conference, the influential lobbying group for the dioceses of Tucson, Phoenix and Gallup, N.M., has “strongly supported” expanding prenatal care under AHCCCS, said Ron Johnson, executive director.
A Senate Republican plan to do that is included in the state budget expected to be approved this week. It would raise the AHCCCS income limit for most pregnant women from 133 percent of poverty level, or about $27,000 a year for a family of four, to 150 percent of federal poverty level, or $30,000 a year for a family of four.
The Catholic Church opposes the use of contraceptives, and the conference would oppose any effort to expand AHCCCS’ family-planning service, Johnson said Friday.
Despite the Catholic ban on contraception, about 64 percent of her state’s family planning clients are Hispanic women, Brindis said.
“Latinas are a heterogenous group. We are not one group with one set of ideas,” said Rachel Chánes, a vice president of Planned Parenthood of Southern Arizona.
“I see more and more Latinas coming to our clinics” for birth control and abortions, she said. “I do think the Catholic Church to some degree plays a role in their decision-making, but I don’t think it’s as big a role as is being projected in the media.”
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Posted by john on June 13th, 2007 — in Alesse Top News
HOUSTON, Jun 12, 2007 (The Daily Cougar, U-WIRE via COMTEX) — In the world of health insurance, people are sorted into two categories: The insured and uninsured.
However, to be insured means being put into two more categories: male and female. As statistics show, there are more women than there are men. In fact, according to the United States Census Bureau Web site, a majority of the Lone Star State’s citizens are women.
Even though the ratio of women to men varies by only a slight margin, the percentage of items covered by health insurance companies seems to be in favor of men.
For example, when a male patient goes to his doctor for impotence, he will more than likely be prescribed Viagra. After the doctor’s visit, the male patient goes to his local pharmacy to have his prescription filled. The pharmacist informs him that his Viagra prescription is covered by his health insurance, cutting the cost for the patient by far more than half.
Behind the man in line is a young woman who is there to fill her prescription for birth control. She too went to the doctor that day, but her reason was for contraception.
The pharmacist hands the card back to the young woman. Her prescription isn’t covered under her insurance, like most, and she will have to pay between $20 and $50 to get her contraceptive.
It is not enough that the young woman has to incur doctor’s fees along with the cost of contraception; it is also unjust that most other women’s health related issues are not covered as well, such as most tests done for cervical cancer.
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If the woman has had these complications prior to enrollment for health care benefits, then some health insurance companies will not cover the procedures needed to treat or test for symptom-related problems due to cervical cancer.
Women are paying twice, if not three times more per month or year in medical expenses compared to men.
The only form of contraception covered by health insurance companies is a hysterectomy, which is the complete removal of a woman’s uterus.
The situation raises some important questions: Why is contraception such a burden on women? Why do women have to pay such outrageous amounts of money just to remain healthy or cautious? And why are health insurance companies more willing to pay for Viagra and not the pill?
It’s simple. Viagra represents an increase of procreation, which is the opposite of the pill — pro-life versus pro-choice.
The underlying tone of this debate could be considered far-fetched, but, considering that our government consists mostly of men, this concept really isn’t that outrageous. Women have equal rights, but they cannot choose for themselves what is right for their bodies and medical issues.
Women are not trying to end or demolish procreation, but at the same time, they are not trying to give birth to a child they may not be able to properly care for.
Everyone needs to be equal on all levels. A person’s health and their ability to pay for health care is all that matters, and should be the main focus of health insurance companies.
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Posted by john on June 10th, 2007 — in Alesse Top News
Sao Paulo, June 06: Supermodel Gisele Bundchen stepped into the debate over birth control and sexual behavior in Brazil on Tuesday, saying Church opposition to condom use was ridiculous and women should have the right to choose on abortion.
Many young women in Brazil, the world’s largest Roman Catholic country, where debate over sexual issues has intensified around a visit by Pope Benedict last month, idolize Gisele.
The Pope stressed the Church’s firm opposition to abortion and contraception and railed against sex outside of marriage.
The Brazilian beauty, one of the world’s top models, told a local newspaper in an interview that when the Church made its laws centuries ago, women were expected to be virgins.
“Today no one is a virgin when they get married … show me someone who’s a virgin!” she said.
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Asked about abortion, she said a woman should have the right to choose what is best for her. “If she thinks she doesn’t have the money or the emotional condition to raise a child, why should she give birth?”
Gisele, who had just arrived from New York to take part in Rio de Janeiro’s Fashion Week, also defended condom use. “It’s ridiculous to ban contraceptives — you only have to think of the diseases that are transmitted without them. I think it should be compulsory to use a contraceptive.”
The Brazilian government has clashed with the church over anti AIDS programs in which it distributes millions of free condoms and Health Minister Jose Temporao has called for a national referendum on abortion.
Other Brazilian celebrities have fallen foul of the Vatican over sex issues. Singer Daniela Mercury was banned from performing at a Vatican Christmas concert in 2005 because she took part in a campaign promoting condom use to prevent AIDS.
She denied rumors she was pregnant. “Of course I want to have a family in the future. But not at this moment.
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Posted by john on June 5th, 2007 — in Alesse Top News
The new owners of a pharmacy in Montana have decided to not sell birth control drugs in their store. The decision has angered abortion advocates and brings up questions about whether pharmacies and pharmacists should have the ability to opt out of dispensing drugs that may cause abortions or assisted suicides.
Snyder Pharmacy has been a staple of Great Falls for over four decades but when the Anderson and Depner families purchased the store from its longtime owner, the pro-life Catholic families made a policy change.
They decided not to stock or sell birth control drugs because they believe the pills cause abortions.
Stuart Anderson, a pharmacist who co-owns the drug store, wrote about the policy in a letter to customers.
“Snyder Drug has decided to no longer carry oral contraceptives,” the letter said. “We will be happy to transfer your oral contraceptive prescription to another pharmacy of your choice in a timely manner.”
The letter indicated that by the end of May Snyder would no longer stock any birth control drugs.
A woman who received the letter complained to Planned Parenthood of Montana and it is launching a petition campaign against the drug store.
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“Snyder’s decision is out of line with Montana values and out of line with mainstream America,” Stacey Anderson, PPM’s director of public affairs, claimed in an email to LifeNews.com.
Anderson alleged that the families are lying about the abortifacient nature of the drug and said, “It is dangerous for women and a disservice to our community to spread false information about FDA-approved birth control that is used for both medical reasons and family planning purposes.”
The families told the Billings Gazette they are surprised by some of the negative responses they’ve received. Other people have applauded the decision.
“We’re flabbergasted at the attention we’ve gotten, including some comments by people who aren’t our customers that are downright malicious,” Kurt Depner said. “We’re just a small business making the types of decisions that business owners make every day.”
According to the newspaper, the Rev. Jay Peterson, administrator of the Catholic Church’s Great Falls-Billings Diocese, applauded the couples “for acting on their moral convictions and standing up for their Catholic beliefs in the sanctity of human life.”
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Posted by john on June 2nd, 2007 — in Alesse Top News
Oregon Governor Ted Kulongoski (D) signed a bill on Wednesday that will strengthen protections for women’s reproductive health. The new law, effective on January 1, 2008 requires private health insurers to cover birth control prescriptions and also requires hospitals to provide sexual assault survivors with emergency contraceptives.
The bill was introduced to the Oregon legislature in the early 1990s, but Republicans have blocked its passage in the House since then. The Democrats gained control of the House in November 2006 and, with a majority in the Senate, recently passed the legislation.
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“This fight is fundamentally about women being able to make the best health care decisions for themselves and their families,” Governor Kulongoski said at the signing ceremony. “Today, with the signing of this bill into law, we continue our ongoing work to expand personal freedom and offer women full equality in our society.”
This bill comes during a time when birth control prices at college health clinics and clinics serving low-income women across the US are skyrocketing due to a change in the Medicaid rules under the federal Deficit Reduction Act of 2005 that is just going into effect.
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