Caplis claimed birth control “fails at an alarmingly high rate” despite stats showing its efficacy

August 30, 2007

After discussing the recent revelation that Denver Broncos running back Travis Henry “has fathered nine children by nine women,” 630 KHOW-AM co-host Craig Silverman on his August 27 broadcast asked, “Hasn’t anybody heard of birth control?” Echoing recent comments in Colorado media by an anti-abortion activist, co-host Dan Caplis responded, “Well, hey, hasn’t everybody heard that birth control fails at an alarmingly high rate?” Later in The Caplis & Silverman Show broadcast, Caplis repeated the statement, saying that “birth control does fail, and it fails at an alarmingly high rate.” In fact, the three most popular forms of contraception — oral contraceptives, sterilization, and male condoms — have failure rates ranging from 0.15 to 15 percent for the first year of “typical use,” and from 0.1 to 2 percent for the first year of “perfect use,” according to the medical reference book Contraceptive Technology: Nineteenth Revised Edition (Ardent Media, 2007).

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Silverman took issue with Caplis’ first claim, saying, “I don’t think that birth control fails all that often, especially if you take multiple forms of birth control,” and “I’m not buying birth control failure.” But Caplis then simply repeated his earlier remark, stating, “I’m not suggesting that birth control failed in any or all of these instances that … gave rise to the birth of these nine kids, but what I am saying — and it … was a point that’s just never discussed publicly — birth control does fail, and it fails at an alarmingly high rate.”

Caplis did not name any specific forms of birth control, but according to the National Center for Health Statistics’ (NCHS) 2005 report “Fertility, Family Planning, and Reproductive Health of U.S. Women: Data from the 2002 National Survey of Family Growth ,” the most popular contraceptive methods practiced in the United States among women ages 15 to 44 in 2002 were the pill (19 percent), female sterilization (16.7 percent), male sterilization (5.7 percent), and condoms (11.1 percent). Lesser-used forms of birth control included the injection Depo-Provera (3.3 percent), withdrawal during intercourse (2.5 percent), intra-uterine devices (IUDs) (1.3 percent), periodic abstinence — both “calendar rhythm” and “natural family planning” — (0.9 percent), patches (0.8 percent), and diaphragms (0.2 percent). Another 38.1 percent of women reported either abstaining from sex or not using contraceptives.

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Daily Editor’s Picks: Cosmetic surgery for all, the college birth control squeeze and the continued search for answers to autism.

August 18, 2007

Give me a facelift. . .NOW! * Parents of autistic children wonder, how did this happen? * Little pills, big prices * A rural doctor gets a miracle * Who does meth–and why

***

Give me a facelift. . .NOW!

Who is the real face of plastic surgery? (New York Times)

It may be tough to make the rent and the car payment each month, but financial tight spots apparently fail to faze Americans who long for plastic surgery and embrace instant gratification. No longer the domain of the wealthy, even middle-class folks are quite comfortable borrowing for breast augmentation or liposuction.

***

Parents of autistic children wonder, how did this happen?

Under Suspicion (Boston Globe)

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Genes and environmental factors may blend to increase the risk of autism. Much of the research so far has been on genetic ties, but scientists are beginning to search for possible environmental triggers beyond the largely debunked link to thimerosal in children’s vaccines. Some studies are asking parents of children with autism detailed questions in the search for clues.

***

Little pills, big prices

The high price of campus birth control (Time Magazine)

A federal law that went into effect in January has had the odd impact of causing the price of birth control pills to skyrocket in college campus health centers. Some experts worry students will stop using the most effective methods of birth control.

***

A rural doctor gets a miracle

The Doctor’s Office: An unexpected birth upends a doctor’s day (Wall Street Journal)

Doctors in rural areas don’t always have access to most sophisticated treatment. And sometimes the hospital helicopter is grounded. As this story shows, sometimes–with a hope and a prayer–things work out anyway.

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15 minutes with an obstetrician/gynecologist

August 15, 2007

Getting pregnant, being pregnant and trying not to get pregnant can stir up a lot of worries for women and those who love them. A trusted obstetrician/gynecologist, who is trained to deal with women’s health and health during pregnancy, can alleviate fears. Consetta Cheatam, an ob/gyn who practices at St. Mary’s Hospital in Passaic, answers some common questions. Interview by Betsy Querna.

What are my chances of getting pregnant if I don’t use any birth control?

Every individual may vary depend on independent fertility factors but on average 85 percent of women who have sex for a year without contraception will get pregnant, according to the American College of Obstetricians and Gynecologists.

What is Plan B and how can I get it?

Plan B is a form of emergency birth control and most effective if taken within 72 hours of having sex to prevent an accidental pregnancy. Plan B is sold over the counter in many pharmacies for women older than 16 or can be obtained via prescription from your doctor.

I don’t like taking the pill or using condoms. What are my other birth control options?

Condoms are the only birth control method providing some protection against sexually transmitted diseases, or STDs. If birth control is the only concern, some options include:

1. Intrauterine devices (IUDs) are a semi-permanent form of birth control and provide seven to 10 years of protection. The failure rate is between 1 and 3 in 1,000 devices.

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2. Diaphragms are latex cups which are placed vaginally and require correct sizing by a health professional. They fail about 20 percent of the time.

3. Cervical caps are a soft cup-shape latex device that fits over the cervix, a part of the vagina. They also require correct sizing by a health professional and fail about 20 percent of the time.

4. Sponges are soft circular polyurethane devices that contains nonoxynol-9, a spermicide. Their failure rate is between 14-28 percent.

5. Spermicides are chemical barriers in the form of foam, cream, jelly, film, suppositories or tablets. Used alone, they can fail up to 50 percent of the time, so are better used with another method.

6. NuvaRing, a ring that fits inside the vagina containing hormonal birth control medication that is absorbed. The failure rate is the same as with oral birth control methods, about 1 to 2 percent of the time.

7. Injections such as Lunelle or Depo-Provera require injection every one to three months, and fail less than 1 percent of the time.

8. Tubal ligation or “having your tubes tied” is a permanent form of birth control requiring the clipping and tying of a woman’s fallopian tubes during surgery. The failure rate is less than 1 percent and varies depending on technique used.

9. A vasectomy is the cutting or burning of the vas deferens, the tube in men that transports the sperm to the fluid, in surgery. It is permanent. The failure rate is less than 1 percent

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Stray-cat birth control not considered viable

August 7, 2007

A co-worker just had a stray cat deliver kittens on her back deck, which got us talking about pet contraceptives. Why is it that nobody has come up with some kind of food you could feed to stray cats that would make them unable to conceive? I think I’ve heard of this used to control raccoon populations.
— P.P., Green, Ohio

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A You’re thinking of the rabies-vaccine-laced raccoon bait, said Ken McCort, an animal behavior consultant in Doylestown, Ohio.
“The problem with cats is they come in heat at least once a month from late spring to late fall, and there’s no slow-release chemical that would do that. It’s not like it can’t be developed, but the drug companies will not think it’s viable to do it.”
Ideally, strays should be altered, but if that’s not possible, at least neuter the males, he said. They still would mate with the females, but the females wouldn’t have kittens.

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The Most Eagerly Anticipated Hollywood Blockbuster of the Year: Birth Control for Pigeons

August 2, 2007

Along with cockroaches, pigeons — known by the kind-hearted as rock doves, and by normal folks as rats with wings — have flourished in urban environments, outwitting efforts at eradication with beady-eyed equanimity.

But they may finally have met their match in Hollywood, where residents frustrated at an “unmanageable” poop problem have arrived at an ingenious solution: spiking pigeon feeders with contraceptives.

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The birth control product, called OvoControl P, contains a chemical called nicarbazin which keps pigeon eggs from hatching. It’s even met with the approval of PETA and the Humane Society, who figure contraception is kinder than electrocution or poison.

The group leading the initiative, the Argyle Civic Association, say theirs the first such program in the nation. Other communities are no doubt waiting with bated breath to see what happens. It could be the best thing to come out of Hollywood in years.

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Conceptus says FDA OKs new version of birth control system

July 26, 2007

July 25 (Reuters) - Conceptus Inc. (CPTS.O: Quote, Profile, Research) said it received U.S. regulatory approval for the latest version of Essure, its permanent birth control system for women.

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The company said the new product incorporates changes to the delivery system that reduce the number of steps a physician is required to perform during placement of the device. (Reporting by Aniruddha Basu in Bangalore)

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Sea rise, Iran, Atty Gen testimony, QOD and Afternoon Snark

July 25, 2007

American, British and Iranian security forces decide to hold a contest to see which is fastest at locating and apprehending a suspect.
A bunny is set loose in a forest, and the Americans go first, with their infrared goggles and helicopters. They produce the rabbit in eight hours. The Brits go next, with hounds and carrots, emerging six hours later, rabbit in hand. Then in go the Iranians, who return an hour later with a badly beaten and bruised bear, walking on its hind paws, its front paws raised in surrender.
“Hold on,” say the Brits, “That’s not a rabbit.”
“Yes, I am,” sobs the bear. “They’re right, I swear. I am a bunny!”
This is a joke Iranians tell, and while it may not be funny, it’s quite telling: After decades of dealing with a corrupt justice system – the shah’s and the mullahs’ – no one believes the “confessions” the government broadcasts as evidence against those it apprehends. The confessions of two Iranian-Americans, Middle East scholar Haleh Esfandiari and urban planning consultant Kaian Tajbakhsh are unlikely to sway public opinion (always privately held in Iran), that their statements, cobbled together from choppy footage, don’t amount to a confession of guilt. Two other Iranian-Americans, journalist Parnaz Azima and peace activist Ali Shakeri are also being held.
It is hoped that, in its upcoming talks with Iran, the U.S. will make smart, tactful strides, while realizing that the abhorrent way Esfandiari and Tajbakhsh have been treated is a daily reality for millions of Iranians. Only diplomacy, not war, can improve our relationship with Iran and perhaps indirectly affect positive change there. Meddling with the country’s internal affairs and bullying it on the international scene will have disastrous consequences.

Yesterday Joe Copeland met with the sponsors of a new report on Puget Sound sea rise and some of the potential impacts to wildlife. Email: joecopeland@seattlepi.com

We’re also writing, as planned, about today’s testimony by Atty Gen Alberto Gonzales. And the House is preparing contempt of Congress proceedings against the White House. We’ll be commenting on the news as it develops.
D. Parvaz is writing this editorial. Email: dparvaz@seattlepi.com

Reader comments

The editorial about access to birth control stirred this dissent (more comments here) from cherishdestiny:

I’m just befuddled by the recent series of opinion pieces about medical access. We’re supposed to guarantee kids access to whatever, then we’re supposed to guarantee college kids (who’ve some how or another managed to arrange tuition and other fees well into the tens of thousands per year while not finding a way to purchase insurance or at least their own birth control) access to free or dirt cheap birth control (btw, why so much talk specifically to birth control - wouldn’t access to antibiotics and other meds necessary for basic/maintenance care be more important than something optional like birth control pills?) yet once the person turns 18 (or slightly older if they’ve been in foster care of manage to go to college) they’re totally on their own for health care access? The logic is starting to get baffling.

Besides, wouldn’t it actually be better if said college kids used the already provided condoms? Yeah, they’re annoying, but they do protect against the various STD’s that are so often common problems on campuses. Birth control pills only protect against pregnancy - and only if the user actually follows all the instructions (like taking the pill at the same time every day and not depending on the pill while taking any of many antibiotics).

Monday’s editorial about the Sonics and Storm reflects the divide in the Emerald City. Some are keen on saving the basketball teams — others don’t want to spend another green nickel. Editorial here, comments here.

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Face Reality says:

Let Bennett and his self serving cronies go already, and take their toys with ‘em.

The “sooner” they go the sooner the they’ll be forgotten, replaced by some other form of mindless sports or other form of entertainment for the masses.

Undoubtedly to some other community stupid enough to subsidize billionaires with their hard earned tax dollars, for sports palaces that the average wage earned can’t afford to attend.

Think we’ve practiced enough of that stupidity here.

On the other hand, Sabon counters:

I have no clue why the anti-sports - anti-Sonics people live in Seattle. If you want to live in a city without sports or anything else connect to civic pride there are LOTS of cities in the country where they feel exactly like you. Feel free to move yourselves to those small town places. Don’t let the door hit you in the rear. BELIEVE me, we won’t miss you at all.

As for Bennett, I agree that this whole thing has been a HUGE mess. Of course it started with the cursed Wally Walker and how he and the then Sonic owners blew yet another decision making process with horribly bad timing and moronic thinking.

Bennett has been lots better but still doesn’t deserve a grade better than maybe C+ when he needs an A to get –anything– done is this mixed up and confused city that screwed up the monorail and many other things back lack of leadership and not much better thinking or planning than Wally Walker.

As for Bennett, why can’t Key Arena work? The seating area/basketball court is great. I FULLY agree that the rest of the building needs a lot of help. So how about saving hundreds of millions of dollars and rebuild the building outside of the seating area/court? That would make the most sense despite the exciting idea of creating a world class complex that happens to have basketball as just one of the events that happens there. Sorry but Seattle has too many things going on right now. (See bridges around the area)

Question of the Day:

Should the House charge White House officials with contempt of Congress related to the US attorney firings? Or should the Senate censure, or impeach, the Atty Gen if he refuses to answer their questions? Or, turn it around, should the president stick to his guns?

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Birth control made more available to women who are already pregnant. Go figure.

July 21, 2007

It’s reported today that teenage mothers and young fathers will be given “more access to birth control” to try and prevent “further pregnancies”. This new government proposal also suggests that the young mothers should stay with their parents, and that fathers should be made to “feel more welcome when they ask for help”. The Metro goes on to prove how this proposal is needed as it lists of statistics like “One-fifth of teenage pregnancies involve girls who are already mothers” and that babies born to teenage mothers have a “60% higher rates of infant mortality”.

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Hey, Government! Here’s a thought: if you would have educated these couples on sex, and given them access to birth control BEFORE, they wouldn’t be pregnant, would they? And why is it that young women should be encouraged to connect with their parents AFTER there’s a child involved?! Seems a bit too little too late…

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Ortho Evra Birth Control Patch: Injuries and Lawsuits

July 17, 2007

Hundreds of women who were seriously injured by the Ortho Evra birth control patch have filed lawsuits alleging the patch’s makers are responsible for their pain. Many of the women suffered strokes and blood clots after using the patch for short time spans.

At least two women died from blood clots that developed after using the patch. In most cases, the women were healthy prior to using the patch with no known factors that would have heightened their risk of developing blood clots or other serious disorders.

Some of the women who filed lawsuits claim that the Patch has not been properly tested for serious side effects and they include the credibility of a chief researcher after it was learned that he faked data in earlier scientific studies that he conducted on other products. According to the New York Post, “Dr. Andrew Friedman admitted to fabricating 80 percent of patient data and altering files in three studies of hormonal drugs for women.” Although Friedman was not involved in the clinical trials for the Ortho Evra patch he later became part of the research team on the device’s links to blood clots.

So far, hundreds of lawsuits have been filed regarding the patch. Since it has yet to be recalled it is likely that many more lawsuits will be filed in the future. Here is a history of some of the lawsuits filed so far.

• December 2006: A wrongful death lawsuit is filed against Ortho-McNeil alleging the Ortho Evra patch was responsible for the death of a 26-year-old woman. The woman began using the patch in April 2003 and died of a pulmonary embolism in June 2003. The victim’s mother filed the lawsuit, arguing that the public was misled about the risks of using the patch, including “pulmonary embolism, stroke, deep vein thrombosis and blood clots.”

• November 2006: A lawsuit is filed on behalf of 43 women who developed blood clots after using the patch.

• October 2006: A woman filed a lawsuit in federal court arguing that the Ortho Evra patch was responsible for her deep vein thrombosis, which occurred one month after she began using the patch. Deep vein thrombosis can be fatal and is characterized by blood clots in a vein, usually in the leg, that can break off and move to the lungs. The plaintiff claims that she now takes daily anti-clotting medications and seeks compensatory damages and future medical expenses. According to the lawsuit, Ortho-McNeil failed to properly test the patch and mislead consumers by stating that the risks associated with the patch were the same as the risks associated with other methods of birth control.

• July 2005: Ten women filed a lawsuit against the makers of the Ortho Evra birth patch, alleging that the patch is “defectively designed” and “unreasonably dangerous.” The women claim that the patch caused them to suffer strokes and blood clots.

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• December 2005: More Ortho Evra lawsuits are filed, claiming that women suffered serious injuries as a result of using the birth control patch. In one case, a 23-year-old required two heart surgeries to repair a massive blockage of her right pulmonary artery. She had been on Ortho Evra for nine months. Another woman died of clots in her right and left pulmonary arteries after using the patch for 11 months. One of the plaintiffs said she now has a 10-inch blood clot in her brain after using the patch for only three months. The woman suffered two strokes and now experiences frequent migraine headaches. In an interview with CNN, the woman said, “I don’t want any other women to have to go through what I’m going through.”

• October 2004: A man from Austin, Texas filed a lawsuit alleging that his wife suffered a stroke after using the patch for only twelve days.

Problems with the Ortho Evra birth control patch became public after the death of an 18-year-old college student who collapsed on a subway platform. The young woman died an hour later and her death was attributed to a pulmonary embolism caused by the Ortho Evra patch. Since then, hundreds of lawsuits have been filed against Ortho-McNeil and its parent company, Johnson & Johnson, alleging the companies are responsible for the death and injuries of birth control patch users.

Despite the arguments by the makers of the patch that the risk of serious injury is the same as that of other contraceptive devices, at least one study found the patch comes with double the risk of blood clots than the birth-control pill. Furthermore, a study reported by the Associated Press also found a higher risk of blood clots for women who use the patch.

If you have been seriously injured after using the Ortho Evra birth control patch, contact a lawyer to discuss your options.

More lawsuits will likely be filed against Ortho-McNeil. Check back with Lawyers and Settlements for updates on this story.

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UN agency provides Vietnam with birth control aid

July 11, 2007

The United Nations Population Fund will provide Vietnam with US$1.45 million in birth control supplies to aid the country’s family planning strategy for the 2006-08 period.

An agreement to the effect was signed between the fund (UNFPA) and the Viet Nam Committee for Population, Family and Children in Ha Noi, on July 11.

The package will include 500,000 intra-uterine devices(IUDs), 500,000 bottles of intravenous contraception and more than 4 million packets of oral contraceptive pills that are worth a combined $1.3 million. The remainder of the funding will be used for public awareness campaigns.

Vietnam is experiencing a new baby boom with some 1.6 million infants born each year to its youthful population. The boom is expected to put pressure on infrastructure in the densely populated country.

The number of newborn babies in 2007 is expected to be exceptionally high because most Vietnamese consider the Golden Pig year to be a lucky one. The number of babies born in the first quarter of 2007 was 5.5 per cent higher than the same period last year.

Vietnam’s population is already one of the youngest in Asia, with some 54 percent of the population under age 30 and 26 percent under age 15.

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The number of Vietnamese women of child-bearing age increased 12.5 percent from 21.5 million people in 1989 to 24.2 million in 2005. The figure is expected to be 27 million people by 2020.

The government’s General Statistics Office predicts that the country’s population will exceed 100 million people by 2024, with the population density reaching 335 people per square kilometer.

Vietnam now has a population of more than 84 million people, ranking 13th in the world. The country’s population density is 252 people per square kilometer, nearly double that of China.

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