From the Doctor: Bad experiences with birth control methods creates “pick your own poison” attitude Confidential to my red ink cor respondent: We all have both life-supporting and life-destroying urges and im pulses within us. If we learn to di rect these forces well, the difficul ties that our lives present to us are easily overcome and our lives be come challenging and satisfying. Often, however, we hinder our own progress either by turning our imagination against ourselves or by running away from those chal lenges which, if overcome, enrich our lives and ourselves. Many times we will fall into patterns of thought and behavior that are de structive to us and to others. When this happens a knowledge able and empathetic counselor can be of tremendous benefit. Let me urge you to come talk with me about your life and the choices you are making. Dr. Terry Copperman Dear Dr. Copperman: Your article in Friday’s Emerald was very interesting and although I can’t speak for all women, I can tell you why I am afraid erf birth world’s w softest fattest Bread Sticks FREE (with any1 ‘ '* LaCucina dinner)i| o They especially , compliment Tortellini * a meal A chcfse fiI!«*ala«l. S4.00 ^ ^Just goes to show you can be int and soft and still be loved! A & ear the International Motel t on Gateway St at Beltline »\ Open til midnight daily ; ^Sun til 10 p m. 726-1844 o 1 A control pills, and why I distrust doctors on the subject. When I first became sexually active I got a diaphragm as it wouldn't make any changes in my body functions. I had always bee, healthy and I didn’t want to do any thing that would be potentially harmful. Even though I used the diaphragm faithfully and properly, I was consumed with anxiety every month wondering if my period would come. It always did, but after a year, I decided to trade in the monthly anxiety and lack of spontaniety that usually accom panies sex for the effectiveness and, what I hoped would be peace of mind of the pills. I only took them (Norinyl 1+50) for five months and finally quit when I couldn't stand the depression and irritability I felt. After I stopped the pills, I didn't have a period for five months. The first two I was sure I was pregnant, though three tests were negative. Finally, I went to have an examina tion and the doctor, who obviously disapproved of my actions at age 19, told me my period would come "someday." Being quite terrified of becoming pregnant, I abstained for the five months until I could at least have a monthly period to hope for. Another year of the diaphragm followed and again the same inconveniences finally prompted me to try something else. This time the IUD. So I had a Copper 7 inserted and miracle of miracles, there was no worry or depression. After a year and a half, I became preg nant, one of the lucky two per cent. The IUD was still in me, but fortunately came right out with the abortion. I was 12 weeks preg nant. I was out of school by now, working, with health insurance, so the abortion only cost me about $100 instead of $400. What was left to do but take the piH? Anything was better than be coming pregnant before I wanted to again. This time, the doctor (an understanding, busy type) pre scribed a lower dosage, hoping to avoid the side effects I described Instead, I had break-through bleeding which left me anemic, and I had a transfusion (five pints) before they did a D & C to stop the bleeding. What to do now? The doctor said he would give me whatever I wanted He sort of favored the diaphragm. I went back on Norinyl because I had spent too long in the hospital. The abortion had been difficult for me because my boyfriend, deep down, didn’t really approve, although he openly never questioned my decision. I felt pretty weak and run down and I didn't want to face the worry of pregnancy that I can't seem to avoid with the diaphragm Now that I am back in school the ex pense of an abortion would be al most prohibitive. I am not so depressed or irrita ble as I was last time — I have decided it wasn't all the fault of the pills. I try to watch for depression myself to stop it before it gets very far Usually I feel very emotional for a few days near my period but that used to happen occasionally anyway. So I don’t worry. My boy friexxl would prefer it if I stopped taking the pills. He thinks I would be happier Still I'm not ready to give up the security. Okay. So I’m afraid of pills be cause they make changes in me I can see. (I assume that when I stop I will not have a period for awhile). I am afraid of other methods be cause they are not completely ef fective. I distrust doctors because, although I have met sympathetic ones, most of them have the at titude that it is all the woman's gamble anyway. Pick your own poison. There is some truth to this — you can’t argue with biological facts. However, I resent the fact that there is no nationwide inten sive program to find a better method of birth control and that abortions are so highly priced. I have the feeling that if I can get through the next few years without becoming pregnant, then have a few healthy children, then become sterilized — all this without doing some damage to myself, I will be very fortunate. It's easy tor a woman to view the whole situation as partisan — especially when so many doctors and legislators are men — it seems to come out man versus woman. Becoming pregnant and having an abortion is not like having an appendectomy, not in this society A 22-year old self-supporting woman couldn't have an abortion in California last summer without tying to her employer about why she would miss a day at work; one of her closest friends was religi ously opposed to the operation, and the man whom she loved (and lived with), although he knew they couldn’t afford a child, and al though he knew they were shortly moving to Portland so he could attend graduate school, still coundn't feel completely right about the abortion, and I, who it was all happening to, was forced to justify my very definite decision I strongly believe in abortion, but I was forced to think of things I never thought would bother me I couldn't feel completely impartial about the fetus. I wondered what sex it was It was real for a few months in a way an appendix could never be I think the basic problem women have with birth control is that they are so alone. Anyway you decide, there are consequences you have to deal with and sometimes you don't know the consequences until they happen This makes it somewhat difficult to be content and secure in one's choice of method. I sup pose that sometimes extreme un certainty could lead women to have unprotected sex — I worry far too much to take that kind of a chance, but I am sure there are plenty of people who don't. I am glad you are interested in finding out why women have so many problems with birth control I hope that you find out and that the knowledge will make you a better doctor Personally, I believe that the problem will exist until it is re defined as society's problem, not women's. Then I believe better methods of prevention will be / found and the stigma and cost of abortion will be substantially re duced Thanks for listening P.S. My father had his gall blad der removed after several bouts with gallstones Your article was the first mention I have heard of any connection with this type of problem and birth control pills Thanks for the info, but do you see what I mean? A Woman Dear Woman Thank you for your letter which was both eloquent and moving Al though I have a number of com ments from a medical point of view, such as the relatively low effectiveness of IUD s and the ex cellent effectiveness of any two barrier methods used simultane ously, I will save these for a future article I would like, however, to make a few general comments The first is that contraception is the respon sibility of both partners Secondly, the act of sexual intercourse, as with any other act of living, in volves nsks and responsibilities, both to yourself and to others. When you drive a car you incur significant nsks and you assume significant respnsibilities. You team to fulfill those responsibilities automatically after you have learned how to drive safely, and when you reach that point, the ini tial tension and anxiety as sociated with your early driving experiences disappear You ac cept the risks but you don’t un necessarily increase them by driv ing with bad brakes or when you are drunk When you have intercourse one of your responsibilities is to pro tect your body and your future family from an unwanted preg nancy Other than abstinence there is no perfect method of birth control nor will there ever be Most of the current available (Continued on Page 15) EMU Culturalj Forum presents Margaret Sloan Founding \ W ' o" >r) . • Ms. Magazine FREE S 3 ■* A Speaking on: Racism and Sexism in America Thursday March 10 r 167 EMU 2:00 pm ' m