oral contraceptives - Page 4

I’m Sexy and I Know It, Sometimes – Sexual Attraction Chemistry

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Have you, or possibly your partner, ever wondered if there really was a link between your menstrual cycle and sexual attraction? Perhaps you have noticed that during certain times of the month something is not quite right and whatever it is, it seems to affect your ability to concentrate. Scientists have as well.

Evolution, the Menstrual Cycle, and Sexual Attraction

Since the dawn of humankind, women have been programmed to think and act in such a way that helps us find the perfect mate with the best genes to make the best babies; survival of the fittest. However, the conditions and interactions are not as clear-cut today as they were during caveman times. Women are educated and have careers. We work hard and we play harder. In other words, we might be too busy to think of finding a man and having children, at least on a conscious level.

Researchers have found that reproductive hormones are still at play when it comes to how we feel about certain situations, view the world, and interact with others. During the week before ovulation, women have improved memory, perhaps to signify the right time to find “The One,” but also to help you make better decisions and navigate your environment. Near ovulation, women may have a heightened sense of smell, possibly to sniff out potential toxins. Additionally, several studies have shown that women who are in the fertile window tend to dress and feel more attractive as compared to other times in their cycles. A major drawback to this process is that some women may be highly sensitive to to the cyclic rise and fall of their hormones and experience negative mood symptoms, increased food cravings, and susceptibility to stress, particularly during the premenstrual phase.

Oral Contraceptives and Sexual Attraction

What about the pill? Oral contraceptives (OCs) contain synthetic hormones that may also affect women’s social behavior and psychological functioning. In my own research, I have found that women who are on the pill show greater attraction toward current and potential mates across all phases of the cycle. Naturally, this could be due to the simple fact that women using OCs expect to have more sex than those who are not. However, we also found that an increase in androgens, a side effect of the pill, was significantly related to this increase in attraction.

Because of our genetic make-up, women must go through regular shifts in their cognitive abilities, moods, and behavior. In other words, we think, feel, and react differently based on what our hormones are doing. This may translate to women’s approach to relationships, sexual arousal, and motivation to seek out mates. But also, it affects how we work, talk to friends, and deal with our problems.

Does this mean women should plan their activities accordingly? That may be a tad extreme, but maybe it will help both men and women understand why sometimes we are just not in the mood.

Women’s Hormones: An Intellectual and Ethical Cul de Sac

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Menopause is barreling down with a ferocity that is difficult to ignore. Like many women my age, I’ve had my share of health challenges and, until recently, blindly trusted the pharmaceutical industry to fix all that ailed me. Health by chemistry was a great thing; oral contraceptives, a fabulous invention, allergy meds – ditto, pain killers – wonderful, and on, and on. Take a pill and feel better, isn’t that what we all want? But I, like so many women, have lost faith in pharmaceuticals. It’s not because the science isn’t cool, it is, in every area of pharmacology, except women’s hormone therapies. Here, intellectual curiosity and innovation have been replaced by status quo. Little has changed in this area of hormones and health in 60 years.

Hormones, Hormones, Everywhere and No Innovation in Sight

Since their inception, hormone replacement therapies (HRT) and oral contraceptives have dominated women’s health, immediately moving from seemingly narrow applications when first introduced to the almost mythical status as cure-alls for any female and many general health ailments. The history of both these pills is strikingly inglorious and utterly dumbfounding. Just on general principle, why would anyone believe any medication could be so widely beneficial for so many apparently disparate conditions? It is physiologically impossible.

For HRT especially, if one believes the marketing, the pills provide a veritable fountain of youth. Where is the science? But believe we did, and generations of women may now be paying the consequences.

From the very first estrogens synthesized and marketed to women everywhere (diethylstilbestrol- DES), through today’s HRTs and OCs, profit appears to override health concerns. Even in the 1930’s and 1940s before these drugs came to market, the carcinogenic risks were well known, and yet, they garnered FDA approval and were sold to millions, upon millions of women.

Synthetic Hormones

I have personal experience only with the often ignored side effects of oral contraceptives, as I have yet to reach the age of menopause. In my 20s, while on the presumable high estrogen dose of oral contraceptives that were common then, I had intense bouts of vertigo that would develop even when lying down and ever increasing blood pressure. After years of expensive testing could find no neurological cause for the vertigo and after repeated prescriptions to lower my blood pressure, I stopped taking the pill. I had enough. The vertigo stopped fairly soon thereafter and the blood pressure returned to normal. Over those several years, there was not a single physician that suggested I stop taking the pill, indeed I was prescribed more and more meds to counter the apparently unknown side effects of oral contraceptives and it was recommended I see a shrink because the vertigo had to be psychosomatic.

I look back at that time and I wonder how many other women suffered similar circumstances. What is this propensity to prescribe and continue prescribing medications in the face of apparent ill effects? Why are we ignoring, even at the patient level, the possibility that some meds may not work for some women (or men). The statistics bear this out, but there seems to be a natural inclination to minimize these risks. This is compounded of course, by intense marketing.

As I approach this menopausal stage, I again will be faced with yet another hormone-issue for which the choices are bad and worse. We know from the Women’s Health Initiative (WHI) in 2002, that HRT is not the panacea it was marketed to be and the risks associated with this medication are not benign.

Over a one year period, for every 10,000 women taking and estrogen plus progestin, the risk of developing these conditions increases by:

• Heart disease: 7 additional cases
• Breast cancer: 8 additional cases
• Stroke: 8 additional cases
• Blood clots: 18 additional cases

For estrogen only:

• Stroke: 12 additional cases
• Blood Clots: 6 additional cases

Consider however, the millions of women who will take or have taken HRT for years. As of 2010, over eight million women in the US alone take HRT, and will likely do so for at least a couple years. In this light, the increased risk of disease looks a lot scarier.

• Heart disease: 5600 new cases per year; 28,000 in five years
• Breast cancer: 6,400 new cases per year; 32,000 in five years
• Stroke: 6,400 new cases per year; 32,000 in five years
• Blood clots: 14,400 new cases per year; 72,000 in five years

When the WHI was published, some 17 million women in the US had been taking HRT for many, many years, even decades. That’s 13,600 new cases of breast cancer per year, 68,000 in five years! Despite these data, and the thousands of lawsuits that followed, HRT is still one of the most frequently prescribed medications worldwide. I think we can do better.

Statistics from the Mayo Clinic

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