1.
Abstinence – This method has 100 % efficacy in preventing the sperm from meeting the egg. If you understand this mile-marker to be the point at which life begins, this is an appropriate form of contraception. If birth control is for a non-married female, the typical response is, “That just is not possible”. I submit that it IS possible; it may not be convenient or preferred but it IS possible.
2.
Barrier methods – This method has a high rate of efficacy (not 100 %) in preventing the sperm from meeting the egg. Again if sperm-meets-egg is the point at which you understand life to begin, this too is an appropriate form of birth control.
3.
Hormones – there has been some misunderstanding on this topic. ALL hormone contraception medications (pills, shots, patches) function in a similar manner. The only difference with regard to how they function as contraceptives is in what proportion they exhibit these characteristics. Hormone medications function as follows:
a. Prevent ovulation – this prevents the sperm from meeting the egg
b. Prevent implantation – this happens after fertilization. If you understand life to begin when a sperm meets an egg, you must consider this mechanism of action (MOA) to be a chemical abortion.
c. Prevent travel of the egg to the uterus for implantation.
d. Prevent travel of the sperm to the egg..
4.
Surgery – This method is usually very efficacious in preventing the sperm from meeting the egg.
One reason that I am posting this topic is because of a conversation I had last fall with a colleague. We discussed the beginning of life and discovered that we both had very convincing information for calling fertilization (sperm meets egg) the most appropriate marker for the beginning of life. We then turned the conversation to how we practice our professions. After discussing the various MOAs we decided that we had a difficult decision to make. Do we hold to our current understanding of biology and science, calling the beginning of life fertilization? Or do we change our understanding for the sole purpose of making our practices less controversial and more convenient. My friend decided that refusing a patient hormone birth control in clinic or elsewhere would create more problems than it is worth. She said it was just the most convenient item available with such high rates of efficacy.
I agree with this last statement. I take issue with her blatant Intellectual Dishonesty. My colleague still holds that life begins at fertilization and human life is above all other to be most treasured and protected. She is, however, transparently hypocritical when she continues to champion hormone contraception as an appropriate method of birth control.
I hope this posting will spark conversation on this topic and that as we all become more enlightened on any issue we will not hide behind the statement, “my religion prevents me from doing this” but instead focus on obtaining the best possible information and then standing for your own position regardless of convenience.
If you have a difference of opinion on the marker for the beginning of life and are able to successfully use your argument in defending the use of hormonal contraception I urge you to speak up!
I propose that if one says they have a stance on an issue, maintain that stance and function against that stance they are Intellectually Dishonest.