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With logical thinking in mind a woman would still return to her ob/gyn for yearly or semiyearly exams if required, regardless of birth control access routes.

by | Nov 8, 2022 | Other | 0 comments

 

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Please Rebuttal
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There are numerous reasons as to why oral contraceptives should be available over the counter. Birth control pills have proven to be very safe in their near fifty years of existence. With clear box warnings as to the individuals who may be at higher risk when taking the pills, such as smokers increased risk of developing blood clots, it is clearly stated that those individuals should use caution or discuss with their healthcare provider before starting pills. An additional safety point is that oral birth control pills do not pose as much potential for danger as many other commonly found over the counter products. Many over the counter products have the potential to be dangerous or harmful with potential for abuse, and potential for adverse reactions, birth control pills chemically pose no additional danger compared to other over the counter oral treatment products. “The pill is safer than lots of medications that are already available over the counter. And research shows that people can correctly identify potential risk factors on their own, just as they do for pain or allergy medications.” (Mcdonald-Mosley) Those who smoke, have or have a history of hypertension, a history of blood clots, high cholesterol, or history of breast cancer all fall into high risk category users when considering the risk of developing blood clots or having another unfavorable reaction to the medication.
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In addition to the proven safety of oral contraceptives, there is actually little difference in continuation rates of those who obtain BCP through a prescription and those who obtain their BCP over the counter. “A study of nearly 1,000 OCP users (half of whom obtained their pills from an over-the-counter pharmacy in Mexico and half of whom obtained pills by prescription from a family planning clinic in El Paso, Texas) reported that at 9 months, 79.2% of the over-the-counter group and 74.9% of the prescription group had continued their pill use” (Isley, Allen) In this study the rate of continuation was actually slightly higher in the group of women obtaining their BCP over the counter as opposed to obtaining via prescription. Additionally when women are able to obtain multiple packs of oral contraceptive at a time, this can increase the likelihood of continuation thus supporting the over the counter availability argument. Additionally over the counter BCP are supported by WHO and already exist in over 100 countries, many consider this approach to be one that puts patient need over the benefit of insurance companies and providers from routine prescription refill appointments. The over the counter BCP access should not affect women’s rate of routine gynecological exams, as routine gynecological exams are encouraged for all women not just those using birth control. With logical thinking in mind a woman would still return to her OB/GYN for yearly or semiyearly exams if required, regardless of birth control access routes. Over the counter availability of oral contraceptives is the decision that will benefit women the most.

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