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Speaker 1: Welcome to stuff Mom Never told You from how stupp

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Speaker 1: works dot com. Hello, and welcome to the podcast. I'm

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Speaker 1: Kristen and I'm Caroline. And today we're talking about larking.

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Speaker 1: Lark Yes, not to be confused with lark ing. Um,

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Speaker 1: let's go larking. We're talking about long acting reversible contraception

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Speaker 1: ing to make larking work, right right right? Yeah? And

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Speaker 1: you and I have been historically evangelists for our larks.

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Speaker 1: Our I U D s are intrauterine devices, which I

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Speaker 1: so often accidentally call either I E D S or

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Speaker 1: U T I S, both of which get a look. Uh. Dude.

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Speaker 1: Roommate when his girlfriend was getting an I U D

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Speaker 1: texted me to say that she was getting an EYE

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Speaker 1: E D and I laughed, and I laughed and I said,

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Speaker 1: I think you mean I U D And he said,

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Speaker 1: I think you're wrong. I think she's getting an I

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Speaker 1: E D. I really hope not. It's not going to

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Speaker 1: go well. If it is uh intermittent explosive device they

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Speaker 1: stand for. You could argue that it would prevent pregnancy.

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Speaker 1: That that is true, that that's one way to go

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Speaker 1: about it. Um, But I D s are not the

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Speaker 1: only thing we're going to talk about in the first

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Speaker 1: half of the podcast. Because i u d s are

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Speaker 1: not the only form of a long acting, reversible contraception,

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Speaker 1: we've also got to talk about the implant uh and

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Speaker 1: io d s and birth control implants are considered really

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Speaker 1: the guild standard of birth control. And this is according

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Speaker 1: to both the American College of Obstetricians and Gynecologists as

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Speaker 1: well as the American Academy of Pediatrics. So doctor people,

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Speaker 1: doctor people in the know, doctor people in the note

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Speaker 1: for human people's of all ages, right exactly. And it

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Speaker 1: turns out, according to these doctor people in the know,

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Speaker 1: that both i u d s and implants are just

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Speaker 1: as effective as sterilization. But of course they are reversible

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Speaker 1: and not invasive. I mean, one could argue that it

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Speaker 1: does hurt to get an i u D sometimes depending um,

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Speaker 1: but they're recommended as first line contraceptives. And since two

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Speaker 1: thousand two, i u D use among American women has quadrupled,

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Speaker 1: and anecdotally I've noticed in the past maybe two or

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Speaker 1: so years, UM, similar to the mainstreaming of menstruation, kind

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Speaker 1: of the mainstreaming of i u d s, everybody's talking

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Speaker 1: about i u d s mainstreaming of menstruation. Is that

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Speaker 1: what everybody on Twitter is talking about when they do

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Speaker 1: hashtag M S M Don't I wish? Don't we wish? Uh? Yeah,

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Speaker 1: it turns out that ten to of US women who

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Speaker 1: are on birth control use i U d s, which

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Speaker 1: is up massively from just about one and a half

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Speaker 1: percent in two thousand two. And it is worth noting

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Speaker 1: side note that of gynecologists who use contraceptives use i

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Speaker 1: U d s. According to Vox and over at the

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Speaker 1: Gootmaker Institute, we learned that, uh, just one point three

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Speaker 1: percent of American women who use birth control use the implant.

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Speaker 1: So how do these magical devices and contraceptive potions work? Well, Okay,

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Speaker 1: you go out during a supermoon and you you howl

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Speaker 1: uh into the phone to your gynecologist and make an appointment,

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Speaker 1: uh to get one of these devices which work extremely well. Um. Now,

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Speaker 1: a lot of people say, oh, surely they're not that

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Speaker 1: different in their effectiveness from the pill. But you've got

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Speaker 1: to keep in mind that we are all imperfect people.

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Speaker 1: And when we use the pill or the new ver

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Speaker 1: ring or the patch with typical use as opposed to

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Speaker 1: perfect use, Uh, those three things have a nine percent

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Speaker 1: failure right right, and the birth control shot has a

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Speaker 1: six percent failure rate. In other words, that's how many

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Speaker 1: people will still get pregnant despite using those methods. So

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Speaker 1: with that in mind, let's hop into how i U

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Speaker 1: D s work. So there are two main types of

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Speaker 1: i U D s. First up, we've got the original,

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Speaker 1: the old copper i U D brand named Paraguard. It

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Speaker 1: can last for up to twelve years. Twelve years, and

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Speaker 1: this to me is the one that does seem like

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Speaker 1: magic because there are no hormones involved. They just in

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Speaker 1: certain this t shaped little piece of copper into your uterus.

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Speaker 1: But what happens is it essentially bathes our uterine linings

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Speaker 1: in copper ions that create and I'm not exaggerating here,

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Speaker 1: it really creates a sperm killing force field. Um, although

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Speaker 1: you can't expect heavier periods, But in exchange for that

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Speaker 1: that force field creates just a point eight percent failure rate.

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Speaker 1: I am hoping that it also has like that movie

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Speaker 1: magic sound effect when you have like some kind of

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Speaker 1: force field of wom are those the sperm running into

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Speaker 1: the force field, Yeah for sure and bumping their little

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Speaker 1: heads and being like never mind, guys, let's get out

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Speaker 1: of here. This also reminds me of those uh you

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Speaker 1: know those metal bracelets that people wear that are sold

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Speaker 1: like in the back of magazines. Yeah, but those don't

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Speaker 1: do anything. I don't think that those create sperm force field.

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Speaker 1: So a pareguard copper i u D can last you

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Speaker 1: three presidential terms. I don't know why I would say

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Speaker 1: anything like that, but I'm just saying three presidential terms,

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Speaker 1: yeah to Trump and one Pence. Dear God, I think

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Speaker 1: my uterus just actually withered up and uh and died.

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Speaker 1: Next up, we have the hormonal i u d s,

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Speaker 1: same type of device, T shaped, T shaped, little little

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Speaker 1: piece of plastic that goes into your uterus. Brand names

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Speaker 1: include the Marina, which I have so do I. It

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Speaker 1: lasts five years. There's also on the market now sky Law,

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Speaker 1: which last three years. And I just learned there are

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Speaker 1: two others called the Liletta and Kylina. Yeah, and y'all,

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Speaker 1: Kylina is spelled k y l e e n A.

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Speaker 1: And I'm just saying that Kylie Jenner is really missing

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Speaker 1: a branding opportunity here. Um. So, with these hormonal i

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Speaker 1: u d s, they use a hormonal called lavana. Gestule

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Speaker 1: that thickens your cervical mucus, which is really the first

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Speaker 1: offense as sperm travel through the cervix on their way

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Speaker 1: to the uterus, so they're like, okay, let's try they

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Speaker 1: get things up, slow it down. And on top of that,

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Speaker 1: it thins out the uterine lining, which makes it super

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Speaker 1: hard for the sperm to travel to and uh, should

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Speaker 1: fertilization happened for implanting too, then uh two then happen.

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Speaker 1: And with those, unlike the copper I U D, you

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Speaker 1: can expect lighter or in my case t M I

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Speaker 1: alert no periods. Yeah. I have actually had both of these,

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Speaker 1: so I can speak to both of them. I started

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Speaker 1: out with the Skyla. I was instructed or advised to

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Speaker 1: get the Skyla because I uh am teensy tiny inside

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Speaker 1: and also have never given birth, and my gynecologist was like,

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Speaker 1: the smaller one might be better for you. Uh. So

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Speaker 1: I had that for three years and I still got

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Speaker 1: a monthly period, but it was very very light, very light. Uh.

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Speaker 1: Now that I have the Marina, I no longer get

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Speaker 1: a monthly period, which is awesome. I still do get

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Speaker 1: PMS symptoms, my boobs get real big and sore. Uh

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Speaker 1: hashtag humble brag that's right. But yeah, but no period,

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Speaker 1: It's awesome. And what's fabulous is you can really depend

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Speaker 1: on these products. Uh. The Marina has a failure rate

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Speaker 1: of just point two percent and the Skyla failure rate

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Speaker 1: is just point four percent. Now, let's quickly, though, take

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Speaker 1: a myth busting detour to clear up a little bit

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Speaker 1: of misinformation actually a lot of bit of misinformation that's

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Speaker 1: out there about i u d s. Because this is

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Speaker 1: something anecdotally that I've run into in conversations with more

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Speaker 1: conservative friends of mine in particular, and that I have

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Speaker 1: a feeling a lot of listeners might have seen or

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Speaker 1: heard or might just be worried about. Uh. I u

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Speaker 1: d s are not aborti factions, um and and this

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Speaker 1: was something that came up in that hobby Lobby birth

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Speaker 1: control h case that went to the Supreme Court. Uh.

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Speaker 1: I u d s were one of the things that

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Speaker 1: the hobby Lot Hobby Lobby founders did not want to

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Speaker 1: cover because of the misinformation the fallacy that i u

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Speaker 1: d s are essentially little little abortion machines inside of us. Yeah,

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Speaker 1: let's get something straight real quick. So pregnancy is when

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Speaker 1: a fertilized egg is implanted, right, But contraceptives prevent fertilization

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Speaker 1: of an egg from happening, or they prevent the implantation

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Speaker 1: of a fertilized egg, which therefore prevents pregnancy. And it

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Speaker 1: turns out, and we talked about this on a long

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Speaker 1: ago EPI sode, the copper i u d s are

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Speaker 1: actually a fabulous emergency contraceptive even when used up to

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Speaker 1: five days after intercourse. Those copper i u d s

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Speaker 1: can prevent fertilization and possibly implantation, but they do not

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Speaker 1: disrupt implantation. Therefore, there is a difference there. There is

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Speaker 1: a line between preventing a pregnancy and disrupting a pregnancy. So,

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Speaker 1: like Kristen said, the idea that an i U D,

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Speaker 1: whether it's hormonal or copper, can lead to abortion is

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Speaker 1: again a complete fallacy. Yeah, and this information too is

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Speaker 1: coming from the American College of Obstetricians and Gynecologists. Were

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Speaker 1: not just We're not just reciting n SNBC headlines here,

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Speaker 1: folks hashtag ms and I don't know, I'm trying to

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Speaker 1: do a call back. Uh, So that's the situation with

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Speaker 1: i U d s. We also got to shout out

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Speaker 1: the implants. The brand names are implant On and next

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Speaker 1: plan On, and implants are really what they sound like.

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Speaker 1: They are thin, plastic match sticks sized progestin dispensers essentially,

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Speaker 1: uh and progestine is a synthetic form of the hormone progesterone,

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Speaker 1: and these little match sticks are implanted in your upper arm.

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Speaker 1: They last up to four years, and they work by

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Speaker 1: stopping ovulation and again thinning that cervical mucus. Yeah, and

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Speaker 1: so when you use an implant, you can expect spotting

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Speaker 1: in the first six months or a year, um, but

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Speaker 1: one out of three women who have the implants stop

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Speaker 1: having a period altogether. And you know, as we've gone along,

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Speaker 1: the failure rate has dropped and dropped and dropped to

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Speaker 1: the point where now if you get an implant, the

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Speaker 1: failure rate is just point oh five cent, which is fantastic. Yeah.

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Speaker 1: I mean, it was a while back, and I forget

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Speaker 1: what exactly it was about I U d s that

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Speaker 1: you and I were raving about, as we do on

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Speaker 1: social media, and there were a few people who helpfully

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Speaker 1: piped up saying, hey, hey, I E d s are

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Speaker 1: actually not the most effective, because in fact, it's implants um,

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Speaker 1: which I'm even after all the research we've done for

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Speaker 1: this episode, I've walked away still not quite clear on

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Speaker 1: why implants are as rare as they still are today.

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Speaker 1: Um So if anyone has any intel on that, please

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Speaker 1: give us a shout. And all of this might sound

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Speaker 1: too good to be true, right, I mean we're just

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Speaker 1: putting these like little match dicks and little T shaped

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Speaker 1: what's not inside our bodies and our youths are on lockdown? Yeah,

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Speaker 1: I mean, yeah, that is that is the delightful truth. Yeah,

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Speaker 1: it's really not too good to be true, which warms

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Speaker 1: my freaking heart because so often, I like, we talk

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Speaker 1: about things that are But um, we're gonna cite some

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Speaker 1: research coming out of Colorado that would be fabulous to

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Speaker 1: send to people in your family who perhaps might have

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Speaker 1: quibbles with either birth control itself for contraception um and

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Speaker 1: providing it to teens, or the issue of having birth

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Speaker 1: control and contraceptives paid for. And we're gonna have all

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Speaker 1: of these sources over at stuff I never told you

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Speaker 1: dot com on our source post for this episode, so

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Speaker 1: you can, you know, send those links onto your family.

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Speaker 1: So what happened in Colorado is a number of years back,

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Speaker 1: they received a substantial private grant to fund a program

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Speaker 1: which they launched offering low income teens and young women

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Speaker 1: free i u d s. And what happened is that

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Speaker 1: due to this program, between two thousand nine and Colorado's

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Speaker 1: teen pregnancy rate dropped forty percent. And also this is

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Speaker 1: important to underline for conservative family members as well and

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Speaker 1: people who are opposed to abortion in general. In addition

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Speaker 1: to the teen pregnancy rate dropping literally plummeting, the abortion

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Speaker 1: rate also dropped forty two And in addition to that,

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Speaker 1: people who are not too keen on taxpayer dollars going

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Speaker 1: to subsidize single motherhood, food stamp enrollment also dropped by

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Speaker 1: around between two thousand and ten and uh, and that's

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Speaker 1: just looking at the teen pregnancy rate. Pretty much the

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Speaker 1: same thing happened for single women under twenty five who

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Speaker 1: hadn't completed high school who also qualified for this free

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Speaker 1: i u D program. Um and money wise, do you

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Speaker 1: understand the impact back onto taxpayers? Each dollar a state

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Speaker 1: health department spends on long acting birth control i u

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Speaker 1: d s or implants translates to five dollars and eighty

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Speaker 1: five cents of Medicaid savings and Medicaid covers seventy of

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Speaker 1: team births. And these are a lot of percentages and

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Speaker 1: numbers that I've all tossed out, UM, but t L

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Speaker 1: d R. These i U D s literally changed these

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Speaker 1: young women's lives because the highest team pregnancy rates were

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Speaker 1: in the lowest income communities, as is often the case,

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Speaker 1: not just in Colorado but across the United States. And

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Speaker 1: the New York Times talked to one woman in particular,

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Speaker 1: UM who I believe she was one of the women

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Speaker 1: who was under twenty five and hadn't completed high school,

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Speaker 1: and she talked about how do to be able to

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Speaker 1: set and forget this contraception. It allowed her to really

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Speaker 1: set up the life that she wanted for herself, you know,

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Speaker 1: coming out of very disenfranchise circumstances. So Colorado has been

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Speaker 1: a standout example, UM of the power of these long acting,

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Speaker 1: reversible contraceptives. Because by the way, that drop in team

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Speaker 1: pregnancy rate is far and away faster than any other

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Speaker 1: states drop in teen pregnancies sounds great. I mean, how

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Speaker 1: could anyone not support this because people get squeamish when

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Speaker 1: it comes to young women and the government subsidizing birth control. UM.

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Speaker 1: Republicans often aren't fans of it. So yeah, and so

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Speaker 1: this is according to an article about this from Colorado

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Speaker 1: and PR station. Uh. Despite the success of this program,

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Speaker 1: when that private grant money began to run out, the

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Speaker 1: state's GOP ended up blocking a bill to pay for

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Speaker 1: the program with tax money. But they were able to

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Speaker 1: push through two point five million dollars in the state

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Speaker 1: budget for it. Yeah. And I'm just curious to know

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Speaker 1: from the foundation that delivered that first substantial grant that

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Speaker 1: got the program off the ground, if it's possible that

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Speaker 1: this can happen in other places. Um. But again, this

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Speaker 1: is just a real world example of how these things

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Speaker 1: can really work and not just work for you know,

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Speaker 1: college educated, employed, middle class white ladies like you and me, Caroline. Um,

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Speaker 1: but y'all, it's not all candy and roses. I don't

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Speaker 1: don't actually know that any of it is candy and roses,

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Speaker 1: although you your I D doesn't get you roses, No,

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Speaker 1: just carnations. Um. But as a lot of people listening,

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Speaker 1: who are probably yelling at their phone or however they're

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Speaker 1: listening to this podcast right now, all is not perfect

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Speaker 1: when it comes to I U D s and implants

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Speaker 1: Because every body is different, and we're gonna get into

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Speaker 1: some of those not so fun facts when we come

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Speaker 1: right back from a quick break. Yeah, okay, so you

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Speaker 1: might imagine that when you are inserting something, inserting birth

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Speaker 1: control into your body, whether it is an iu D

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Speaker 1: into your uterus or an implant into your arm, it's

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Speaker 1: not the same as just popping a birth control pill

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Speaker 1: or wearing a patch. These things can hurt. Uh, But

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Speaker 1: we've got to get you the rundown right of what

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Speaker 1: happens when you're getting them. So when it comes to

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Speaker 1: an implant, Uh, you get an area on your upper

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Speaker 1: arm numbed, and then the insertion is basically like getting

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Speaker 1: a really big shot, she says, casually, pretending as though

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Speaker 1: she does not pass out when she gets shots. Um.

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Speaker 1: And the insertion, though, is generally faster and anecdotally a

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Speaker 1: little less painful than getting it removed, because getting it

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Speaker 1: removed involves an incision to remove it from underneath your skin. Now,

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Speaker 1: that's pretty straightforward. Uh. And it's not that I U

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Speaker 1: D insertion and removal is not straightforward. There's just several

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Speaker 1: more steps when it comes to an i U D. Yeah,

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Speaker 1: because instead of putting it in your arm. You gotta

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Speaker 1: get all the way up to your ute. So and yes,

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Speaker 1: you is my preferred term for uterus, because why not.

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Speaker 1: So the way that I U d s get inside

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Speaker 1: of us is unfortunately, it wouldn't be cool if we

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Speaker 1: could like swallow of them and they're just like, uh no,

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Speaker 1: I'm in your uterus. Nope, that's not how our bodies work.

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Speaker 1: So gynecologists, well, first you gotta go. You gotta get

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Speaker 1: in the stirrups. All right, So you're in the stirrups.

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Speaker 1: You're on a horse. You're on a horse. You gotta

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Speaker 1: find some stables. No, really, you're in the gynecologist room.

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Speaker 1: You're in your stirrups. And the gynecologist is going to

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Speaker 1: use something called a tenaculum clamp to straighten your cervical canal.

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Speaker 1: And they describe the discomfort with this as a pinch. Yeah,

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Speaker 1: Caroline is laughing because, um it, it's quite a pinch. Okay,

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Speaker 1: it's it's quite a pinch. Um think about think about

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Speaker 1: a pap smear. They're not comfortable. Now double or triple

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Speaker 1: a pap smear. You're getting close. So after they straighten

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Speaker 1: your cervical canal, they do something called sounding the uterus,

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Speaker 1: which is a term brand new now to Caroline and me,

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Speaker 1: and sounding the ute is our new battle cry. Imagine

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Speaker 1: me with a conk shell, but it's actually a uterus.

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Speaker 1: Whenever you want to gather nasty women everywhere if you

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Speaker 1: sound the ute. Actually sounding the uterus, though, is when

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Speaker 1: the doctor inserts a straw sized rod into the uterus

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Speaker 1: to measure its size and angle. And this is really

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Speaker 1: good because they got to figure out the right size

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Speaker 1: for the right sized i U D and the right

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Speaker 1: place to put it so it stays in place, etcetera, etcetera. Um.

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Speaker 1: So so that's how sounding the uterus works, not to

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Speaker 1: be confused with our battle cry of sounding the ute. Okay, well,

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Speaker 1: uh so then your doctor will remove the measuring rod

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Speaker 1: and pop in another rod that actually contains the iu D.

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Speaker 1: Christens making a face, girl, I know, Um it's because

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Speaker 1: of pop in. I think just just popping in. Hey, hey,

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Speaker 1: just popping in, just popping in with I'm Skyla or Kylina.

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Speaker 1: Can't talk right now? Okay, no, because I'm screaming. Um,

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Speaker 1: we're scaring people. We'll give you the low down here

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Speaker 1: in just a second. But so that that second rod

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Speaker 1: comes on up and it has the I U D

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Speaker 1: in it, and the DOC positions it in your cervix,

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Speaker 1: sticks it in there, and it's hanging out like the

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Speaker 1: kitten in the hanging their poster in in the bottom

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Speaker 1: of your uterus, right at your servis just but it

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Speaker 1: does not feel like claws or inside inside of you

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Speaker 1: do once it's in there, no, no, no, and and

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Speaker 1: it it does, it does hurt there. There is a

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Speaker 1: lucky minority, um, for whom this procedure feels like nothing

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Speaker 1: more than a pap smear followed by some minstrel cramps up.

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Speaker 1: My friend Samantha is one of those people. She uh

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Speaker 1: literally went running the same day, went back to work. Yeah, Christians,

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Speaker 1: make it a face, dude, I know. Um, Samantha has

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Speaker 1: always had incredibly severe menstrual cramps. She is used to

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Speaker 1: a higher degree of pain than that with which I

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Speaker 1: was accustomed, and so I warned her about the horrific

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Speaker 1: pain that I went through, and she proceeded to make

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Speaker 1: fun of me, probably for about the next year or so. Um.

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Speaker 1: For the middle group of people, Uh, it's a moderately painful, Yeah,

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Speaker 1: moderately painful process. That's most of us. For most people.

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Speaker 1: It's going to be moderately painful. For the rest of us,

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Speaker 1: including your friend Caroline Irvin. Here, it is severely painful. UM.

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Speaker 1: I I absolutely don't want to discourage anyone from getting

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Speaker 1: this procedure done. I think it's important to have really

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Speaker 1: effective birth control, and I U d s are incredibly effective,

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Speaker 1: as we have already laid out for you. UM. That

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Speaker 1: being said, I was not one of the lucky ones

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Speaker 1: who had low to moderate pain. I was one of

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Speaker 1: the ones who literally tasted color. UM. I developed apparently

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Speaker 1: circumstantial synesthesia during the procedure. It hurts so badly I

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Speaker 1: threw up. I almost passed out. I made the bad

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Speaker 1: mistake of taking no pain medicine, not even like a

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Speaker 1: tailean all um, and it it was. It was a nightmare.

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Speaker 1: But the thing is, like they give you the night

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Speaker 1: before you take UH medicine that dilates your cervix so

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Speaker 1: that your service is open so they can more easily

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Speaker 1: stick the I D in. Then ideally you will take

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Speaker 1: some type of pain medication and if you are highly,

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00:24:31,760 --> 00:24:35,199
Speaker 1: highly anxious or scared, they might prescribe you like a

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Speaker 1: low dose of valium or something along those lines. UM.

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Speaker 1: I will say, and I think this is important to

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Speaker 1: say because I just told this to a friend and

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Speaker 1: colleague the other day, and this is what convinced her

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Speaker 1: after all this time of being afraid to go get

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Speaker 1: this procedure done. When I went to have my Skyla

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Speaker 1: removed so that I could get my marina, the removal

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Speaker 1: felt like nothing. I mean it did. It felt like

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Speaker 1: a p smear. It was uncomfortable, but not bad. In

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Speaker 1: the insertion of the marina was a little bit more

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Speaker 1: uncomfortable than a pap smear, but I wasn't I didn't

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Speaker 1: taste color. We'll just say that it was. It was

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Speaker 1: really fine. And I don't know if that's because my

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Speaker 1: cervix was like, oh, hey, you, we've seen your kind

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Speaker 1: here before um, or if maybe my child and all

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Speaker 1: was really kicking in that day, But I think it's

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Speaker 1: important to acknowledge that, yes, this can be a very

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Speaker 1: painful procedure. It is very helpful to have someone a partner,

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Speaker 1: a friend, a parent, someone go with you in case

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Speaker 1: you do need to be driven home. But I just

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Speaker 1: really want to hammer home that I don't want you

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Speaker 1: to avoid this procedure just because your pal Caroline throughout

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Speaker 1: the first time. Yeah. And and if you're nervous about

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Speaker 1: pain and have a low pain tolerance, just tell your

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Speaker 1: doctor and uh, they'll prescribe you something. And if anything,

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00:25:56,359 --> 00:25:59,440
Speaker 1: definitely take the they're going to prescribe you. Probably regardless

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00:25:59,560 --> 00:26:03,280
Speaker 1: like the horse pill, I'd be profen um. So just

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00:26:03,320 --> 00:26:05,480
Speaker 1: take that. And even if you don't have someone who

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00:26:05,480 --> 00:26:09,399
Speaker 1: can drive you, Uh, I survived both times driving myself,

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00:26:10,119 --> 00:26:12,920
Speaker 1: so we can do it. Because also the great thing

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00:26:13,040 --> 00:26:17,680
Speaker 1: is it is discomfort form. I mean the rest of

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00:26:17,680 --> 00:26:20,280
Speaker 1: the day you're crampy. Um. But then you have birth

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00:26:20,320 --> 00:26:23,040
Speaker 1: control for five years if you have the marina, which

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Speaker 1: is a presidential term plus a year, yes, which is good,

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00:26:28,200 --> 00:26:31,720
Speaker 1: which is good to know. I think, uh my marina

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Speaker 1: right now. I'm on my second one and it should

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Speaker 1: last me right up through uh the end of Trump.

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Speaker 1: So happy for that. Um. We also don't need to

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Speaker 1: talk about possible side effects after you you get this

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00:26:47,119 --> 00:26:50,120
Speaker 1: thing implanted, whether it's the i U D or the

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00:26:50,160 --> 00:26:55,160
Speaker 1: implant um. And this info is coming from Planned Parenthood

401
00:26:55,280 --> 00:27:00,119
Speaker 1: Box and again the American College of Obstetricians and Kynecologists.

402
00:27:00,440 --> 00:27:04,680
Speaker 1: So typically with i U D s, the main side

403
00:27:04,720 --> 00:27:08,159
Speaker 1: effects you're gonna have are some unpredictable menstrual spotting and

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00:27:08,200 --> 00:27:13,520
Speaker 1: bleeding at first. UM, I experienced this. I'll just leave

405
00:27:13,520 --> 00:27:18,920
Speaker 1: it at that. UM, you may also experience headaches, nausea, depression,

406
00:27:19,119 --> 00:27:23,720
Speaker 1: and breast tenderness. UH. Speaking to the depression aspects, I

407
00:27:23,920 --> 00:27:26,680
Speaker 1: u d s were implicated in a recent study that

408
00:27:26,720 --> 00:27:32,480
Speaker 1: went viral about birth control and female mental health, and

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00:27:32,840 --> 00:27:39,199
Speaker 1: UH it was particularly like strongly correlated UM to women

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00:27:39,240 --> 00:27:43,800
Speaker 1: getting iu d s and then UH later getting on antidepressants. Again,

411
00:27:43,840 --> 00:27:46,960
Speaker 1: there's some correlation causation issue there, but just something to

412
00:27:47,000 --> 00:27:51,320
Speaker 1: keep in mind if you struggle with mental health that

413
00:27:51,400 --> 00:27:53,840
Speaker 1: it's just something again to just talk to your doctor about. Right.

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00:27:53,880 --> 00:27:57,760
Speaker 1: And again, personal experience. Obviously my experience is not everyone's.

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00:27:57,880 --> 00:28:01,280
Speaker 1: But UM, I had been on the pill specifically yas

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00:28:01,359 --> 00:28:04,840
Speaker 1: or yasmin for years, about a decade before I went

417
00:28:04,880 --> 00:28:08,960
Speaker 1: on an iu D and I never had never, never

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Speaker 1: had PMS with the pill, and I now on an

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00:28:12,160 --> 00:28:14,600
Speaker 1: I E D, I do get PMS. And that's again

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00:28:14,680 --> 00:28:16,520
Speaker 1: that's not going to be the same for everyone, but

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Speaker 1: I noticed that that was something that changed for me.

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Speaker 1: So things on an iu D versus the pill versus

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00:28:22,560 --> 00:28:25,480
Speaker 1: no birth control whatsoever, they're not necessarily going to be

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00:28:25,520 --> 00:28:29,919
Speaker 1: the same, and with implants, the major side effects sided

425
00:28:30,080 --> 00:28:34,400
Speaker 1: include change in sex drive. You might see a discoloring

426
00:28:34,520 --> 00:28:37,679
Speaker 1: or scarring of the skin over the implant site. You

427
00:28:37,720 --> 00:28:41,320
Speaker 1: may also experience headache, infections, or pain in the arm,

428
00:28:41,360 --> 00:28:45,720
Speaker 1: although that's very rare, UH, nausea, sore breasts, weight gain.

429
00:28:45,960 --> 00:28:48,520
Speaker 1: I mean, honestly, these are side effects that you see

430
00:28:48,560 --> 00:28:53,320
Speaker 1: with a lot of hormonal birth controls UM. And there

431
00:28:53,320 --> 00:28:56,520
Speaker 1: are some worst case scenarios though that I know, some

432
00:28:56,560 --> 00:28:59,240
Speaker 1: stuff Mom never told you listeners have experienced because you

433
00:28:59,280 --> 00:29:03,440
Speaker 1: all have told us about them, specifically i U D

434
00:29:03,600 --> 00:29:07,880
Speaker 1: expulsion and this is probably the most common uh scary

435
00:29:07,920 --> 00:29:10,480
Speaker 1: story that you hear when you're, you know, talking to

436
00:29:10,800 --> 00:29:15,120
Speaker 1: two friends about i u D s because for about

437
00:29:15,200 --> 00:29:18,320
Speaker 1: three to five percent of people who get them in

438
00:29:18,360 --> 00:29:25,560
Speaker 1: the first year, your uterus might be like, now, girl, Kylie,

439
00:29:26,120 --> 00:29:29,080
Speaker 1: go back to to Cabo. UM. You know they don't

440
00:29:29,080 --> 00:29:31,680
Speaker 1: live in Cabo Calabasas, scalabas Is. I know that, and

441
00:29:31,720 --> 00:29:35,440
Speaker 1: I'm ashamed of that, UM, but that's likely because the

442
00:29:35,480 --> 00:29:40,160
Speaker 1: gynecologists didn't insert it correctly. UM. If you're concerned about this, though,

443
00:29:40,240 --> 00:29:44,480
Speaker 1: watch out for cramping UM because that that might be

444
00:29:44,520 --> 00:29:49,400
Speaker 1: a sign that your your uterus is not happy, and

445
00:29:49,440 --> 00:29:54,680
Speaker 1: they're also in much rarer cases perforations that can happen um.

446
00:29:54,720 --> 00:29:57,480
Speaker 1: Your i U D can actually puncture your uterine wall,

447
00:29:57,840 --> 00:30:02,560
Speaker 1: which could potentially harm your bladder intestine and if left untreated,

448
00:30:02,920 --> 00:30:06,840
Speaker 1: might lead to hemorrhaging and sepsis. But that sounds awful,

449
00:30:06,880 --> 00:30:11,760
Speaker 1: It is awful, take heart, it is very very very rare. UM.

450
00:30:11,800 --> 00:30:16,480
Speaker 1: It is about point one percent expulsion rate chance with that,

451
00:30:17,400 --> 00:30:21,640
Speaker 1: and these are just more even more reason to make

452
00:30:21,680 --> 00:30:24,840
Speaker 1: sure that you stick to your follow up appointment. Usually

453
00:30:24,920 --> 00:30:27,560
Speaker 1: your gynecologist will request that you come in about a

454
00:30:27,600 --> 00:30:31,320
Speaker 1: month after the fact to just make sure that everything

455
00:30:31,480 --> 00:30:34,360
Speaker 1: is where he or she left it. Basically, that's how

456
00:30:34,400 --> 00:30:38,880
Speaker 1: my doctor put it. UM. Another worst case scenario involves

457
00:30:39,080 --> 00:30:43,320
Speaker 1: a slightly elevated risk of pelvic inflammatory disease in the

458
00:30:43,360 --> 00:30:45,600
Speaker 1: first twenty days after you get your i U D

459
00:30:45,760 --> 00:30:50,320
Speaker 1: inserted um and when it comes to implants, incorrect insertion

460
00:30:50,440 --> 00:30:54,840
Speaker 1: can cause discomfort and in effectiveness. And in the very

461
00:30:55,040 --> 00:30:58,720
Speaker 1: very very super rare case of pregnancy with one of

462
00:30:58,720 --> 00:31:03,320
Speaker 1: these long acting reversible contraceptives, you do have an elevated

463
00:31:03,400 --> 00:31:06,280
Speaker 1: risk of ectopic pregnancy. When I put the call out

464
00:31:06,320 --> 00:31:08,600
Speaker 1: on Twitter to let people know that we were going

465
00:31:08,720 --> 00:31:10,600
Speaker 1: to be talking about this and they were welcome to

466
00:31:10,640 --> 00:31:13,360
Speaker 1: send us their questions or concerns. We did have one

467
00:31:13,400 --> 00:31:17,080
Speaker 1: listener who said, yes, I was one of those people

468
00:31:17,440 --> 00:31:20,920
Speaker 1: who had to endure an ectopic pregnancy. Uh So the

469
00:31:21,040 --> 00:31:24,360
Speaker 1: risk is there, and again it is very small. Uh

470
00:31:24,400 --> 00:31:28,440
Speaker 1: Now in terms of who shouldn't get one of these,

471
00:31:28,960 --> 00:31:31,960
Speaker 1: especially for I U d S, people with untreated S

472
00:31:32,000 --> 00:31:39,400
Speaker 1: t I S, uh no, because insertion can promote pelvic infection. Also,

473
00:31:39,680 --> 00:31:41,920
Speaker 1: a good kind ecologist is probably going to make sure

474
00:31:41,960 --> 00:31:46,200
Speaker 1: that you're tested before going anywhere near insertion. Speaking of

475
00:31:46,240 --> 00:31:49,480
Speaker 1: pelvic infection, not surprisingly, if you have a recent history

476
00:31:49,480 --> 00:31:52,480
Speaker 1: with those not going to be a good idea. People

477
00:31:52,480 --> 00:31:55,880
Speaker 1: with untreated cervical or uterine cancers, and with the implants,

478
00:31:56,360 --> 00:32:00,400
Speaker 1: people with breast cancer are advised against getting them. And

479
00:32:00,880 --> 00:32:05,040
Speaker 1: speaking of S T I S, it is worth emphasizing

480
00:32:05,640 --> 00:32:11,240
Speaker 1: that even though uh it, these these wonderful things dramatically

481
00:32:11,240 --> 00:32:13,840
Speaker 1: reduce our chances of getting pregnant, they do nothing to

482
00:32:13,920 --> 00:32:18,880
Speaker 1: reduce your chance of contracting S T I. So you know,

483
00:32:19,560 --> 00:32:22,320
Speaker 1: don't throw away your condoms folks. And we should also

484
00:32:22,400 --> 00:32:25,560
Speaker 1: mention UH when it comes to having sex with I

485
00:32:25,760 --> 00:32:28,400
Speaker 1: U d s that UH at the bottom of these

486
00:32:28,560 --> 00:32:32,120
Speaker 1: little T shaped devices, there are some strings that hang down,

487
00:32:32,160 --> 00:32:37,400
Speaker 1: just a little tiny strings UM. And if your sexual partners,

488
00:32:37,520 --> 00:32:41,960
Speaker 1: like I think I can feel the string, that's probably okay.

489
00:32:41,960 --> 00:32:47,360
Speaker 1: It's it's not terribly surprising, especially for a digital penetration UM.

490
00:32:47,440 --> 00:32:51,360
Speaker 1: But you might also want to monitor your string because

491
00:32:51,520 --> 00:32:53,800
Speaker 1: if you can't feel them at all, because you can

492
00:32:53,840 --> 00:33:00,000
Speaker 1: actually UM yourself uh reach up and and probably feel them.

493
00:33:00,000 --> 00:33:01,520
Speaker 1: And if you can't feel them at all after the

494
00:33:01,560 --> 00:33:03,320
Speaker 1: first few months, you might just want to call your

495
00:33:03,320 --> 00:33:05,520
Speaker 1: doctor to see if you need to come in, just

496
00:33:05,560 --> 00:33:08,560
Speaker 1: to ensure that it hasn't been knocked out of place

497
00:33:08,720 --> 00:33:11,720
Speaker 1: or that it's been UM expelled. I've actually called my

498
00:33:11,800 --> 00:33:16,440
Speaker 1: doctor before UM because a partner way back when was

499
00:33:17,040 --> 00:33:20,840
Speaker 1: concerned about feeling the strings UM and it was fun.

500
00:33:20,920 --> 00:33:22,640
Speaker 1: It was really fine. You know, just always pick up

501
00:33:22,640 --> 00:33:29,080
Speaker 1: a call, pick up the call and phone your nurse practitioner. Perfect.

502
00:33:29,560 --> 00:33:32,640
Speaker 1: So now we know what these things are today and

503
00:33:32,680 --> 00:33:37,200
Speaker 1: how they work and how effective they are, it's time

504
00:33:37,240 --> 00:33:41,080
Speaker 1: to get into the more fascinating story of how they

505
00:33:41,280 --> 00:33:44,000
Speaker 1: came to be. And we're going to do that when

506
00:33:44,040 --> 00:33:58,880
Speaker 1: we come right back from a quick break and as

507
00:33:58,920 --> 00:34:02,800
Speaker 1: we get into uh this history of the i u

508
00:34:02,920 --> 00:34:05,640
Speaker 1: D specifically, we want to go ahead and give a

509
00:34:05,640 --> 00:34:11,359
Speaker 1: shout out to Chicaco Takashita, whose dissertation Negotiating Acceptability of

510
00:34:11,400 --> 00:34:15,200
Speaker 1: the i U D Contraceptive Technology, Women's Bodies and Reproductive

511
00:34:15,239 --> 00:34:19,319
Speaker 1: Politics UH is a major source. It's a very well

512
00:34:19,360 --> 00:34:21,520
Speaker 1: as you might imagine, it's very in depth dissertation. Does

513
00:34:21,560 --> 00:34:23,480
Speaker 1: not even need to be said, it's full of chucks.

514
00:34:23,680 --> 00:34:27,600
Speaker 1: It's chock full of great information. Good job, um. But

515
00:34:27,719 --> 00:34:30,799
Speaker 1: basically i u d s have been around for a

516
00:34:30,880 --> 00:34:33,880
Speaker 1: really long time. But as we kind of touched on

517
00:34:33,920 --> 00:34:36,760
Speaker 1: at the top of the podcast, American women are really

518
00:34:36,840 --> 00:34:40,960
Speaker 1: just now coming around to it. It's much more common

519
00:34:41,160 --> 00:34:45,160
Speaker 1: overseas in Europe than it is here, and a lot

520
00:34:45,200 --> 00:34:49,640
Speaker 1: of that has to do with some horror stories that

521
00:34:49,840 --> 00:34:53,839
Speaker 1: we have and some terrible things that we endured in

522
00:34:53,880 --> 00:35:00,000
Speaker 1: the nineteen seventies thanks to this thing called the Delcon shield. Um,

523
00:35:00,080 --> 00:35:03,359
Speaker 1: you also have issues in the way, hurdles like insurance

524
00:35:03,440 --> 00:35:06,600
Speaker 1: not covering this device, which can be four dollars or more,

525
00:35:07,000 --> 00:35:09,320
Speaker 1: and just general lack of awareness. I mean, I spoke

526
00:35:09,360 --> 00:35:11,279
Speaker 1: with some friends after I got my i U D

527
00:35:11,360 --> 00:35:15,640
Speaker 1: inserted who were still under the impression that i U

528
00:35:15,719 --> 00:35:18,480
Speaker 1: D s were as dangerous as the Delcon shield was

529
00:35:18,880 --> 00:35:21,600
Speaker 1: back mid century. And so we will get to that.

530
00:35:21,719 --> 00:35:25,320
Speaker 1: But let's take a trip down I U D memory

531
00:35:25,400 --> 00:35:31,120
Speaker 1: lane first. Yeah. So, uh, just important to note Europeans,

532
00:35:31,120 --> 00:35:33,719
Speaker 1: by no means the first folks to figure out that

533
00:35:33,719 --> 00:35:38,480
Speaker 1: that putting a physical barrier between your vaginal canal and

534
00:35:38,520 --> 00:35:44,160
Speaker 1: your uterus can prevent pregnancy. Since ancient civilization. We have

535
00:35:44,480 --> 00:35:48,600
Speaker 1: used pessaries, we have used cervical caps, we have used

536
00:35:48,640 --> 00:35:52,400
Speaker 1: all sorts of of things similar to i U D

537
00:35:52,680 --> 00:35:56,040
Speaker 1: s um with with a similar kind of strategy in

538
00:35:56,160 --> 00:36:02,800
Speaker 1: mind of really blocking the sperm from reaching damn eggs. Uh.

539
00:36:02,840 --> 00:36:06,840
Speaker 1: But in the late nineteen twenties, even though a doctor

540
00:36:06,880 --> 00:36:10,319
Speaker 1: in Japan ten rae Ota was doing the exact same

541
00:36:10,360 --> 00:36:13,280
Speaker 1: kind of research and development at the exact same time,

542
00:36:13,960 --> 00:36:17,560
Speaker 1: German Ernst Graffenberg, he of G spot fame. Yeah, I

543
00:36:17,560 --> 00:36:19,960
Speaker 1: always forget that, even though we talked about him extensively

544
00:36:20,120 --> 00:36:24,720
Speaker 1: in our claracy episode. Well Ernst. Uh So, doctor Ernst

545
00:36:24,920 --> 00:36:28,319
Speaker 1: is a doctor g cited as the inventor of the

546
00:36:28,400 --> 00:36:32,000
Speaker 1: modern i U D UM and his was a small

547
00:36:32,239 --> 00:36:36,440
Speaker 1: ring made of silkworm gut and coiled silver that was

548
00:36:36,520 --> 00:36:42,040
Speaker 1: inserted into the uterus. And the cultural climate in Germany

549
00:36:42,440 --> 00:36:49,640
Speaker 1: was perfect for Graffenburg to get his proto i U

550
00:36:49,760 --> 00:36:52,840
Speaker 1: D on the map because a sex reform movement was

551
00:36:52,880 --> 00:36:58,960
Speaker 1: afoot and he presented as a male doctor his device

552
00:36:59,080 --> 00:37:07,680
Speaker 1: as scientia fick hashtag credibility. But they weren't very effective,

553
00:37:08,800 --> 00:37:11,520
Speaker 1: uh and they cost a lot of infections. Um. Turns

554
00:37:11,560 --> 00:37:16,120
Speaker 1: out silkworm gut not perfect um. And once we get

555
00:37:16,160 --> 00:37:21,360
Speaker 1: into the nineteen sixties, uh, interest in i U D

556
00:37:21,560 --> 00:37:24,719
Speaker 1: s is reignited thanks to the Population Council, which had

557
00:37:24,760 --> 00:37:28,319
Speaker 1: been established in nineteen fifty two. Um, and they do

558
00:37:28,400 --> 00:37:30,759
Speaker 1: remain the number one developer of i U D and

559
00:37:31,040 --> 00:37:36,319
Speaker 1: Lark technology. They were actually initially looking for a pregnancy

560
00:37:36,440 --> 00:37:43,200
Speaker 1: vaccine and considered the pill too expensive and user dependent.

561
00:37:43,600 --> 00:37:46,200
Speaker 1: But there are layers there to that idea of it

562
00:37:46,239 --> 00:37:50,440
Speaker 1: being too user dependent. Yeah. So essentially, what's happening m

563
00:37:50,719 --> 00:37:55,279
Speaker 1: are mostly a lot of white dudes making a lot

564
00:37:55,320 --> 00:37:59,080
Speaker 1: of classes and racist assumptions about how poor women, especially

565
00:37:59,280 --> 00:38:01,360
Speaker 1: women of color, both in the United States and in

566
00:38:01,400 --> 00:38:06,480
Speaker 1: developing countries simply cannot be trusted with their own reproductive health.

567
00:38:07,040 --> 00:38:10,920
Speaker 1: So they are more fans of the set it and

568
00:38:11,000 --> 00:38:14,520
Speaker 1: forget it type of contraception. UM and I didn't do

569
00:38:14,640 --> 00:38:19,760
Speaker 1: much deep digging on the Population Council, but in general

570
00:38:19,840 --> 00:38:22,319
Speaker 1: they I mean, their name kind of says it all.

571
00:38:22,400 --> 00:38:26,359
Speaker 1: Really they are I want to say, an NGO still

572
00:38:26,400 --> 00:38:33,600
Speaker 1: around UM whose mission is population control, you know, and

573
00:38:34,040 --> 00:38:41,000
Speaker 1: especially focusing in on developing countries and low income areas. Uh.

574
00:38:41,000 --> 00:38:44,239
Speaker 1: This does start to intersect, especially around this time UM

575
00:38:44,320 --> 00:38:48,839
Speaker 1: with EU genesis philosophy UM and again just a lot

576
00:38:48,880 --> 00:38:53,040
Speaker 1: of classism and racism. But nonetheless they were the pioneers,

577
00:38:53,080 --> 00:38:56,880
Speaker 1: the scientific pioneers of the i u D. And in

578
00:38:56,960 --> 00:39:01,040
Speaker 1: nineteen sixty two they hosted the first Inner National Conference

579
00:39:01,320 --> 00:39:04,320
Speaker 1: on the i u D. But they had great swag

580
00:39:05,040 --> 00:39:10,799
Speaker 1: bags of this world. Gut, how do I get through? Well,

581
00:39:10,920 --> 00:39:13,960
Speaker 1: what's on the bottom. It's just cigars, because it's just

582
00:39:14,000 --> 00:39:16,920
Speaker 1: all it's all dudes. Really, I mean, like in this

583
00:39:17,000 --> 00:39:20,799
Speaker 1: paper at least, I only read about dudes doing this

584
00:39:20,960 --> 00:39:24,520
Speaker 1: scientific research. And that's like another little question mark in

585
00:39:24,560 --> 00:39:29,640
Speaker 1: my brain of you know, what what is what is

586
00:39:29,680 --> 00:39:33,680
Speaker 1: really what is really the intent? But anyway, we'll get

587
00:39:33,719 --> 00:39:36,799
Speaker 1: we'll get into the more feminist lens that people have

588
00:39:36,880 --> 00:39:40,759
Speaker 1: looked at this R and D through in just a second. Yeah,

589
00:39:40,760 --> 00:39:44,560
Speaker 1: but a question mark was one was not one of

590
00:39:44,640 --> 00:39:47,080
Speaker 1: the shapes of early i U d s, but there

591
00:39:47,080 --> 00:39:53,400
Speaker 1: were several others. Early i U d s were rings, bows, loops, coils.

592
00:39:53,600 --> 00:39:56,319
Speaker 1: All of these different shapes were patented. Uh. And you

593
00:39:56,400 --> 00:39:59,880
Speaker 1: even had this crazy straw looking thing. Uh, this loop

594
00:40:00,160 --> 00:40:03,360
Speaker 1: that became the go to. Yeah, the lip is loop

595
00:40:04,400 --> 00:40:07,880
Speaker 1: became the what they thought was going to be the

596
00:40:07,960 --> 00:40:13,760
Speaker 1: key to population control in developing nations in particular. And listeners,

597
00:40:13,800 --> 00:40:18,279
Speaker 1: imagine your head how the I U D today is

598
00:40:19,880 --> 00:40:23,960
Speaker 1: very small and it's t shaped. The lip is loop.

599
00:40:24,760 --> 00:40:27,480
Speaker 1: It's just this zig zag back and forth and back

600
00:40:27,520 --> 00:40:30,719
Speaker 1: and forth that looks It's really there to confuse the

601
00:40:30,760 --> 00:40:33,399
Speaker 1: sperm more than anything, I think, So it just looks.

602
00:40:33,400 --> 00:40:38,880
Speaker 1: It looks incredibly painful. Um. But uh and I'm so

603
00:40:39,000 --> 00:40:43,640
Speaker 1: glad that it is not the current design. In nine though,

604
00:40:44,280 --> 00:40:50,080
Speaker 1: Population Council affiliated Chilean scientist Jack Zipper, who has the

605
00:40:50,080 --> 00:40:53,000
Speaker 1: best name of this podcast so far, Jack the Zipper,

606
00:40:53,200 --> 00:40:57,480
Speaker 1: Jack the Zipper Hold. Jack the Zipper discovers the anti

607
00:40:57,560 --> 00:41:01,200
Speaker 1: fertility effects of copper. He was doing some research on

608
00:41:01,200 --> 00:41:06,239
Speaker 1: fertility in rabbits and realizes this, this copper is a

609
00:41:06,280 --> 00:41:11,719
Speaker 1: really effective contraceptive. Hello proto pareguard copper I U d W.

610
00:41:12,800 --> 00:41:17,160
Speaker 1: That's the force field again, the sperm force field. UM.

611
00:41:17,200 --> 00:41:21,040
Speaker 1: But when you hit the nineteen seventies and eighties, there's

612
00:41:21,080 --> 00:41:24,000
Speaker 1: a bit of a drop off, UM, because of the

613
00:41:24,200 --> 00:41:28,919
Speaker 1: nightmare that was the dell Con Shield disaster. So this

614
00:41:29,080 --> 00:41:33,600
Speaker 1: scary looking thing which can look like a cartoon I

615
00:41:33,920 --> 00:41:38,439
Speaker 1: with eyelashes. It can also look like a bacterium or

616
00:41:38,520 --> 00:41:41,120
Speaker 1: some kind of fishing lure, depending on which way you

617
00:41:41,200 --> 00:41:46,840
Speaker 1: hold it. UM. It was used by nearly three million women,

618
00:41:47,600 --> 00:41:51,080
Speaker 1: and not only did it sometimes fail to prevent pregnancy,

619
00:41:51,400 --> 00:41:55,040
Speaker 1: but it injured about two hundred thousand women. It caused

620
00:41:55,080 --> 00:42:00,400
Speaker 1: in fertility, and fifteen women died fifteen women eyed in

621
00:42:00,440 --> 00:42:04,400
Speaker 1: the process of miscarriage because of this Dalkon shield. And

622
00:42:04,400 --> 00:42:06,759
Speaker 1: the thing is I had known about the dal Con

623
00:42:06,800 --> 00:42:10,000
Speaker 1: shield by name for years, but researching for this episode

624
00:42:10,040 --> 00:42:13,960
Speaker 1: was the first time I actually saw it. And seeing

625
00:42:14,000 --> 00:42:17,680
Speaker 1: is believing, y'all google dal Con shield d A L

626
00:42:18,080 --> 00:42:23,880
Speaker 1: K O N, because how it just it just looks

627
00:42:24,000 --> 00:42:26,359
Speaker 1: very It just looks very painful because there are these

628
00:42:26,360 --> 00:42:29,680
Speaker 1: little like protrusions off of it, and it just looks

629
00:42:29,719 --> 00:42:33,640
Speaker 1: like it would cut you up. Um. But surprisingly, it

630
00:42:33,760 --> 00:42:38,560
Speaker 1: wasn't this frightening looking evil eye design that caused all

631
00:42:38,560 --> 00:42:44,359
Speaker 1: the problems, but likelier the thread that served as just

632
00:42:45,480 --> 00:42:50,520
Speaker 1: bacterial infection canal um instigating all of these pelvic infections

633
00:42:50,520 --> 00:42:55,800
Speaker 1: that lead to so many problems as a result. Especially

634
00:42:55,840 --> 00:42:59,919
Speaker 1: in the eighties, as the company that released the dalco

635
00:43:00,000 --> 00:43:03,960
Speaker 1: On Shield was just flooded with lawsuits, insurance companies just

636
00:43:04,080 --> 00:43:07,560
Speaker 1: moonwalk away. They're like, nope, we are out of the

637
00:43:07,600 --> 00:43:15,359
Speaker 1: i U D game. But that's the US. Yeah. Um. Overseas,

638
00:43:15,680 --> 00:43:19,600
Speaker 1: same game was not happening. China, for instance, in nineteen

639
00:43:19,640 --> 00:43:23,400
Speaker 1: seventy nine establishes its one child policy, So basically the

640
00:43:23,719 --> 00:43:26,560
Speaker 1: propaganda and the policies that are being pushed were like, hey,

641
00:43:26,640 --> 00:43:29,000
Speaker 1: you've had one child, go with an i U D. Oh,

642
00:43:29,000 --> 00:43:35,120
Speaker 1: hey you've had to be sterilized. So that's that right, Um.

643
00:43:35,160 --> 00:43:37,200
Speaker 1: But there was you know, as all of this delco

644
00:43:37,239 --> 00:43:41,480
Speaker 1: On shield nightmare was happening in the US, UM, China

645
00:43:41,560 --> 00:43:45,840
Speaker 1: was definitely on the forefront of developing the i U D,

646
00:43:46,320 --> 00:43:51,160
Speaker 1: which in nineteen seventy nine when the program was kicked off.

647
00:43:51,280 --> 00:43:54,560
Speaker 1: They had gone to the Population Council and had been like, Hey,

648
00:43:54,560 --> 00:43:57,520
Speaker 1: what are y'all working on? We need something? Oh yeah,

649
00:43:57,520 --> 00:44:00,319
Speaker 1: this i U D thing. So it was fascinating see

650
00:44:00,320 --> 00:44:06,120
Speaker 1: how all of this globally is starting to weave together. UM.

651
00:44:06,280 --> 00:44:10,320
Speaker 1: Back to the United States. After a couple of years

652
00:44:10,320 --> 00:44:12,600
Speaker 1: where i u d s were nowhere to be found

653
00:44:13,120 --> 00:44:15,800
Speaker 1: in the US, the Pareguard the copper i U D

654
00:44:16,680 --> 00:44:21,200
Speaker 1: was made available to American uterus is once again UM

655
00:44:21,280 --> 00:44:24,799
Speaker 1: and in the nineties the Marina which Caroline and I

656
00:44:24,880 --> 00:44:29,640
Speaker 1: have was developed in Europe and became super popular quite quickly.

657
00:44:29,880 --> 00:44:33,560
Speaker 1: UM of French women on birth control today, for instance,

658
00:44:33,960 --> 00:44:38,440
Speaker 1: use i U D sent of Norwegian women on birth control,

659
00:44:38,719 --> 00:44:41,160
Speaker 1: use i U D s all of us To say

660
00:44:41,200 --> 00:44:44,840
Speaker 1: that I U D use in the US UM at

661
00:44:44,880 --> 00:44:48,160
Speaker 1: what ten eleven percent right now is still so much

662
00:44:48,200 --> 00:44:51,920
Speaker 1: lower than U USE abroad? Well yeah, and I mean

663
00:44:52,080 --> 00:44:54,600
Speaker 1: the FDA was watching for about a decade what was

664
00:44:54,640 --> 00:44:57,200
Speaker 1: happening in Europe, essentially making sure that there was not

665
00:44:57,239 --> 00:45:01,120
Speaker 1: going to be another del con Shield nightmare of death

666
00:45:01,200 --> 00:45:07,560
Speaker 1: and injury and unexpected pregnancy. And so I was actually

667
00:45:07,680 --> 00:45:12,640
Speaker 1: ignorant of that fact that the Marina and it's like

668
00:45:12,880 --> 00:45:16,880
Speaker 1: weren't even available until the new millennium. I kind of

669
00:45:16,880 --> 00:45:20,319
Speaker 1: just I had thought that they had been around for

670
00:45:20,440 --> 00:45:22,160
Speaker 1: and they have been around for longer, but I mean

671
00:45:22,440 --> 00:45:25,439
Speaker 1: available especially with insurance. Yeah, I mean, and and for

672
00:45:25,480 --> 00:45:28,960
Speaker 1: a while too. Even when they were made available again, um,

673
00:45:29,200 --> 00:45:32,200
Speaker 1: most doctors wouldn't allow women who had been pregnant before

674
00:45:32,760 --> 00:45:36,880
Speaker 1: to use them. Um. They were all sorts of concerns. Understandably,

675
00:45:37,080 --> 00:45:40,200
Speaker 1: you know, because fifteen women died hello, um, but there

676
00:45:40,200 --> 00:45:44,960
Speaker 1: were a lot of concerns around whether they were truly safe. Um.

677
00:45:45,000 --> 00:45:48,120
Speaker 1: And it turns out yes they are. Um. But interestingly,

678
00:45:48,160 --> 00:45:50,560
Speaker 1: as we learned from a Time magazine piece, when the

679
00:45:50,600 --> 00:45:54,200
Speaker 1: Marina was first marketed in the US, it was targeted

680
00:45:54,400 --> 00:45:58,520
Speaker 1: at moms, basically being like, we know, y'all don't have

681
00:45:58,600 --> 00:46:01,279
Speaker 1: time to take a pill every day. You're busy with

682
00:46:01,320 --> 00:46:04,640
Speaker 1: your kids. Well yeah, I mean, there is that side

683
00:46:04,680 --> 00:46:07,120
Speaker 1: of it of like, you don't have time to worry

684
00:46:07,160 --> 00:46:09,439
Speaker 1: about your birth control. But there's also the side of like,

685
00:46:09,600 --> 00:46:13,840
Speaker 1: we are specifically marketing to moms over single women. We

686
00:46:13,920 --> 00:46:19,400
Speaker 1: don't want to promote uh, this birth control to single

687
00:46:19,440 --> 00:46:23,440
Speaker 1: women and have people just willing nillly ditch condoms for instance,

688
00:46:23,520 --> 00:46:26,440
Speaker 1: or think that they can just have unproductive sex forever,

689
00:46:26,760 --> 00:46:31,200
Speaker 1: unproductive set unproductive sex. Yeah, as then not having kids sex.

690
00:46:32,400 --> 00:46:34,920
Speaker 1: But that's the case today, I mean, thankfully, like people

691
00:46:34,920 --> 00:46:37,320
Speaker 1: are people are all about I E. D S. And

692
00:46:37,360 --> 00:46:40,399
Speaker 1: I wonder if that is at all correlated to like

693
00:46:41,080 --> 00:46:46,800
Speaker 1: the growing population of female O, B G Y N s. Um.

694
00:46:47,040 --> 00:46:51,520
Speaker 1: Just just a thought. If anyone knows, let me know. Um.

695
00:46:51,640 --> 00:46:56,640
Speaker 1: So what's not to love about all of this technology? Well,

696
00:46:56,760 --> 00:47:02,319
Speaker 1: there are some feminist scholars who haven'tterpreted their development and use,

697
00:47:02,400 --> 00:47:06,960
Speaker 1: particularly as it relates to the Population Council and their

698
00:47:06,960 --> 00:47:13,440
Speaker 1: implementation in developing countries and promotion among poor women in particular,

699
00:47:13,920 --> 00:47:19,080
Speaker 1: as coercive and even violent. Yeah, we read a lot

700
00:47:19,160 --> 00:47:24,400
Speaker 1: in the dissertation about sort of this history of forcing

701
00:47:24,520 --> 00:47:28,760
Speaker 1: women to be either sterilized or to have some type

702
00:47:28,760 --> 00:47:34,400
Speaker 1: of contraceptive to limit expanding families. Whereas here in the

703
00:47:34,400 --> 00:47:36,080
Speaker 1: West we tend to view it as a way to

704
00:47:36,200 --> 00:47:40,800
Speaker 1: control our lives. Uh. In a lot of countries, regions

705
00:47:40,880 --> 00:47:45,880
Speaker 1: like Indonesia or India, UM, it's viewed more as almost

706
00:47:46,040 --> 00:47:50,720
Speaker 1: punishment as a way to control women well, China, hello.

707
00:47:50,840 --> 00:47:54,239
Speaker 1: I mean that's like state propaganda right there. I mean, um,

708
00:47:54,400 --> 00:47:57,560
Speaker 1: they refer to it as state imposed fertility control, where

709
00:47:57,760 --> 00:48:03,200
Speaker 1: it's not you know, white women like jumping up fists

710
00:48:03,239 --> 00:48:06,440
Speaker 1: in the air choosing our choice, but rather the government

711
00:48:06,520 --> 00:48:09,520
Speaker 1: choosing your choice for you. And again going back to

712
00:48:09,600 --> 00:48:13,640
Speaker 1: those you know, classist and racist elements of you know,

713
00:48:13,719 --> 00:48:16,160
Speaker 1: let us let us choose on your behalf this set

714
00:48:16,200 --> 00:48:19,520
Speaker 1: and forget it kind of thing, because you probably don't

715
00:48:19,520 --> 00:48:24,759
Speaker 1: have the wherewithal to do for yourself. Um. So, And

716
00:48:24,760 --> 00:48:29,439
Speaker 1: and this was an area, these these biopolitics, feminist biopolitics

717
00:48:29,520 --> 00:48:33,239
Speaker 1: or something that I hadn't read before. And um, I'm

718
00:48:33,239 --> 00:48:37,120
Speaker 1: curious to read more about also because a lot of

719
00:48:37,160 --> 00:48:42,480
Speaker 1: that information, um and that perspective was coming out more

720
00:48:42,560 --> 00:48:46,120
Speaker 1: in the late nineties early two thousands. And I'm curious

721
00:48:46,160 --> 00:48:50,600
Speaker 1: to know whether there is still a similar sentiment now

722
00:48:50,640 --> 00:48:53,879
Speaker 1: that i U D s are more common and more affordable,

723
00:48:54,320 --> 00:48:57,440
Speaker 1: um in in the US in particular, But there are

724
00:48:57,480 --> 00:49:02,080
Speaker 1: also still a lot of barriers to you, especially in

725
00:49:02,520 --> 00:49:06,120
Speaker 1: developing countries, even though it is recommended by the World

726
00:49:06,200 --> 00:49:11,319
Speaker 1: Health Organization, because increasing i U D use could be

727
00:49:11,320 --> 00:49:15,000
Speaker 1: a major boon to maternal health and of course managed

728
00:49:15,280 --> 00:49:23,040
Speaker 1: population control UM. Still, as of according to NPR, of

729
00:49:23,040 --> 00:49:27,359
Speaker 1: women in developing nations have unmet family planning needs right

730
00:49:27,440 --> 00:49:31,600
Speaker 1: and so many of them more than get pregnant UM

731
00:49:31,680 --> 00:49:36,440
Speaker 1: within two years of having the previous child, the important

732
00:49:36,480 --> 00:49:39,520
Speaker 1: aspect of that stat being and many do not want

733
00:49:39,560 --> 00:49:42,240
Speaker 1: to Many want to wait, and the World Health Organization

734
00:49:42,280 --> 00:49:47,839
Speaker 1: does urge people in general to wait UH to I guess,

735
00:49:47,920 --> 00:49:50,320
Speaker 1: let their bodies recover essentially, especially if you've had a

736
00:49:50,320 --> 00:49:54,359
Speaker 1: traumatic childbirth UM. But some of the hurdles that people

737
00:49:54,360 --> 00:49:58,280
Speaker 1: are up against are things like menstrual taboos and very

738
00:49:58,480 --> 00:50:03,880
Speaker 1: real aeralization fears because we do have this history globally

739
00:50:04,440 --> 00:50:09,520
Speaker 1: UM of forcing women, particularly women of color, to be sterilized.

740
00:50:09,880 --> 00:50:12,560
Speaker 1: And Jill Philipovic a couple of years ago wrote a

741
00:50:12,680 --> 00:50:18,200
Speaker 1: terrific in depth piece for Cosmopolitan about the situation of,

742
00:50:19,000 --> 00:50:22,880
Speaker 1: or the challenge really of getting i u D access

743
00:50:22,920 --> 00:50:27,400
Speaker 1: to women in rural India because they tend to opt

744
00:50:27,600 --> 00:50:31,120
Speaker 1: for the pill over the paraguard. When it comes to

745
00:50:31,600 --> 00:50:34,600
Speaker 1: uh i u D s being sent, you know through

746
00:50:34,719 --> 00:50:38,200
Speaker 1: nonprofits and NGOs, it's usually going to be the copper

747
00:50:38,239 --> 00:50:41,320
Speaker 1: iu D because it is much cheaper than the hormonal

748
00:50:41,400 --> 00:50:46,319
Speaker 1: version as you might imagine, UM. And in these areas

749
00:50:46,960 --> 00:50:50,799
Speaker 1: the pill has chosen because with the paraguard, remember that

750
00:50:51,320 --> 00:50:56,120
Speaker 1: one of the major side effects is heavier periods, and

751
00:50:56,360 --> 00:50:59,680
Speaker 1: if you are in a developing area, you might also

752
00:50:59,719 --> 00:51:03,640
Speaker 1: ally have entrenched me menstrual taboos. But also I mean,

753
00:51:04,160 --> 00:51:06,759
Speaker 1: if you're on your period because of it, you can't

754
00:51:06,760 --> 00:51:09,399
Speaker 1: do anything really, I mean, it like puts you out

755
00:51:09,440 --> 00:51:12,839
Speaker 1: of commission and they literally cannot afford to do that,

756
00:51:13,960 --> 00:51:17,600
Speaker 1: right exactly. And you've also got the issue of the

757
00:51:17,800 --> 00:51:22,920
Speaker 1: difficulty of insertion um even right after childbirth. And you know,

758
00:51:22,960 --> 00:51:25,480
Speaker 1: another benefit of course of the paaraguard is it can

759
00:51:25,520 --> 00:51:29,120
Speaker 1: remain in for so much longer. So there there isn't

760
00:51:29,160 --> 00:51:32,320
Speaker 1: the every three years or every five years. Even there's

761
00:51:32,320 --> 00:51:35,120
Speaker 1: that nice ten to twelve years stretch where you can

762
00:51:35,200 --> 00:51:37,880
Speaker 1: just I mean, you can just set it and forget it.

763
00:51:37,920 --> 00:51:42,239
Speaker 1: Not to sound globe, um, but there have there have

764
00:51:42,360 --> 00:51:45,680
Speaker 1: been developments. UM. There is this new easy to use

765
00:51:45,760 --> 00:51:48,879
Speaker 1: quote unquote i U D insert or developed by Population

766
00:51:48,960 --> 00:51:53,279
Speaker 1: Services International, which I feel like these names need to

767
00:51:53,320 --> 00:51:56,960
Speaker 1: be improved. Doesn't Population Services International sound like something out

768
00:51:57,000 --> 00:52:00,279
Speaker 1: of nineteen four I think they're related to the the

769
00:52:00,280 --> 00:52:03,920
Speaker 1: old school population council. Well, all right then, um, but

770
00:52:04,080 --> 00:52:07,960
Speaker 1: this new inserter could make i u D S more

771
00:52:08,000 --> 00:52:11,400
Speaker 1: accessible and on top of that lower the chances of

772
00:52:11,440 --> 00:52:15,399
Speaker 1: getting i u D related infections. Um, the expulsion rates

773
00:52:15,440 --> 00:52:18,719
Speaker 1: are still comparable to those in the US right now. Yeah,

774
00:52:18,840 --> 00:52:22,279
Speaker 1: and those easy to use inserters are super important in

775
00:52:23,200 --> 00:52:26,640
Speaker 1: those areas where you aren't going to have just you know,

776
00:52:26,719 --> 00:52:32,360
Speaker 1: a buffet of trained obstetricians and perfectly sterilized areas and

777
00:52:32,440 --> 00:52:39,279
Speaker 1: instruments to use. Um. And apparently the existing inserter that

778
00:52:39,480 --> 00:52:42,399
Speaker 1: tends to come with a marina or paraguard is really

779
00:52:42,440 --> 00:52:44,239
Speaker 1: flimsy and kind of hard to use if you don't

780
00:52:44,320 --> 00:52:46,440
Speaker 1: really know what you're doing. Yeah, it's not as long

781
00:52:46,560 --> 00:52:49,480
Speaker 1: as as would be ideal. And they mentioned I think

782
00:52:49,480 --> 00:52:54,320
Speaker 1: this was still from Philip iis article right. She she mentions, how, um,

783
00:52:54,520 --> 00:52:58,880
Speaker 1: right now in the study, when i u D s

784
00:52:58,880 --> 00:53:03,000
Speaker 1: are inserted with these these new inserters that have been developed, Um,

785
00:53:03,080 --> 00:53:06,680
Speaker 1: the doctors leave the strings long still after childbirth and

786
00:53:06,719 --> 00:53:09,239
Speaker 1: want you to come back like a week or two later.

787
00:53:09,520 --> 00:53:13,319
Speaker 1: But even that is still a barrier to overcome. Researchers

788
00:53:13,360 --> 00:53:15,920
Speaker 1: and developers still want to get it down to know

789
00:53:16,280 --> 00:53:20,200
Speaker 1: we just we do just set it and forget it,

790
00:53:20,280 --> 00:53:22,560
Speaker 1: and that we do insert it and you go back

791
00:53:22,560 --> 00:53:24,800
Speaker 1: to your life, You go back to your village or wherever,

792
00:53:24,840 --> 00:53:26,560
Speaker 1: and you don't have to worry about coming back to

793
00:53:26,560 --> 00:53:29,640
Speaker 1: find a healthcare provider to trim those i u D strings.

794
00:53:29,800 --> 00:53:34,280
Speaker 1: And most often that does happen uh right after childbirth.

795
00:53:34,360 --> 00:53:37,320
Speaker 1: You know, they come in to have the baby and UH,

796
00:53:37,320 --> 00:53:38,920
Speaker 1: like a lot of women choose to then get a

797
00:53:38,960 --> 00:53:42,520
Speaker 1: tubal ligation for instance, UM, you can then get an

798
00:53:42,520 --> 00:53:48,400
Speaker 1: IUD inserted. UM. But here in the US even there's

799
00:53:48,440 --> 00:53:51,040
Speaker 1: still some mistrust around i u D s of course

800
00:53:51,080 --> 00:53:54,960
Speaker 1: their horror stories UM because of you know, people we

801
00:53:55,040 --> 00:53:57,080
Speaker 1: might know or have heard about who have had to

802
00:53:57,120 --> 00:54:03,800
Speaker 1: deal with those very painful expulsion or even rare perforations. UM.

803
00:54:03,840 --> 00:54:10,480
Speaker 1: And since though the election of Trump and even more

804
00:54:10,520 --> 00:54:15,719
Speaker 1: troubling lye uh former Indiana Governor Mike Pence as Vice president,

805
00:54:16,840 --> 00:54:21,600
Speaker 1: i U D searches have skyrocketed, skyrocketed, my friends, I

806
00:54:21,600 --> 00:54:24,319
Speaker 1: am not that is not hyperbole. You can see it.

807
00:54:24,520 --> 00:54:27,800
Speaker 1: You can see it in the Google UM. Because people

808
00:54:27,840 --> 00:54:30,319
Speaker 1: are worried about the repeal of the Affordable Care Act

809
00:54:30,440 --> 00:54:34,839
Speaker 1: and the possible repeal of Roe v Wade and out

810
00:54:34,840 --> 00:54:37,640
Speaker 1: of pocket hormonal I U D s can run you

811
00:54:37,719 --> 00:54:42,480
Speaker 1: eight hundred dollars um. So, there have been a lot

812
00:54:42,520 --> 00:54:46,920
Speaker 1: of women ever since that happened, ever since November nine,

813
00:54:47,080 --> 00:54:51,120
Speaker 1: who have said get an I U D. Yeah. Well,

814
00:54:51,160 --> 00:54:54,120
Speaker 1: I mean I posted the question on Facebook of how

815
00:54:54,160 --> 00:54:57,640
Speaker 1: many of you out there are thinking about this, are

816
00:54:57,680 --> 00:54:59,600
Speaker 1: in line or on the phone with your doctor to

817
00:55:00,000 --> 00:55:03,920
Speaker 1: at your contraceptives of whatever kind taken care of? And

818
00:55:04,000 --> 00:55:06,920
Speaker 1: I mean the response was overwhelming from women of all

819
00:55:06,960 --> 00:55:10,000
Speaker 1: ages and background saying I'm on the phone with my doctor,

820
00:55:10,120 --> 00:55:13,280
Speaker 1: I'm calling I'm going to plan parenthood. One woman literally

821
00:55:13,320 --> 00:55:16,920
Speaker 1: responded from her doctor's waiting room saying that she was

822
00:55:16,960 --> 00:55:20,040
Speaker 1: getting it taken care of. Yeah, so, I mean this,

823
00:55:20,040 --> 00:55:24,280
Speaker 1: this conversation is more relevant than ever before. Um and

824
00:55:25,000 --> 00:55:28,600
Speaker 1: even though we were only able to offer just a

825
00:55:28,640 --> 00:55:33,879
Speaker 1: tiny snapshot of a more global perspective, uh, it does

826
00:55:33,920 --> 00:55:39,120
Speaker 1: go to show how again, reproductive rights are very intersectional

827
00:55:39,200 --> 00:55:44,520
Speaker 1: issue and affect different people and in such different ways,

828
00:55:44,560 --> 00:55:49,120
Speaker 1: in the same way as birth control does. Um So

829
00:55:50,120 --> 00:55:55,360
Speaker 1: perspectives that you can share insights, questions, send them to

830
00:55:55,560 --> 00:55:58,320
Speaker 1: us mom staff at how stuff works dot com. Is

831
00:55:58,360 --> 00:56:01,400
Speaker 1: our email address. You can we Doesn't Mom Stuff podcast.

832
00:56:01,640 --> 00:56:06,880
Speaker 1: You can directly tweet and follow me at Kristen Conger

833
00:56:07,800 --> 00:56:12,000
Speaker 1: and me Caroline Irvin at the Caroline Irv And we've

834
00:56:12,040 --> 00:56:21,560
Speaker 1: got a couple of messages to share with you right now. Well, actually,

835
00:56:21,600 --> 00:56:23,919
Speaker 1: to be honest, we just have one letter to read,

836
00:56:24,040 --> 00:56:28,000
Speaker 1: and it's from Allison. So Allison saw on social media

837
00:56:28,560 --> 00:56:31,080
Speaker 1: that Kristen and I were gearing up to do an

838
00:56:31,080 --> 00:56:34,040
Speaker 1: episode on i U D s and she, a fellow

839
00:56:34,200 --> 00:56:38,200
Speaker 1: I D evangelists, had to write in. She says, I'm

840
00:56:38,239 --> 00:56:40,960
Speaker 1: not a medical professional or i U D. Salesperson. However,

841
00:56:41,040 --> 00:56:43,600
Speaker 1: I am the owner of one set of lady parts,

842
00:56:44,520 --> 00:56:48,480
Speaker 1: my lady parts. Allison writes, when I started college, I

843
00:56:48,560 --> 00:56:52,000
Speaker 1: was prescribed the pill for a regular minsie since back

844
00:56:52,040 --> 00:56:53,880
Speaker 1: in my day you couldn't get it covered if it

845
00:56:53,920 --> 00:56:56,560
Speaker 1: was just for stopping babies. And to make a long

846
00:56:56,600 --> 00:56:59,759
Speaker 1: story short, the hormonal birth control really made me sick,

847
00:57:00,320 --> 00:57:04,200
Speaker 1: serious depression, weight gain, mood swings, oh and debilitating cramps.

848
00:57:05,040 --> 00:57:07,480
Speaker 1: One time, I remember handing my roommate my car keys

849
00:57:07,640 --> 00:57:09,920
Speaker 1: while I curled up on my floor after class, telling

850
00:57:09,960 --> 00:57:12,120
Speaker 1: her to just take the car where she needed to go.

851
00:57:12,200 --> 00:57:15,000
Speaker 1: I can't sit up. I took it four more years

852
00:57:15,080 --> 00:57:17,400
Speaker 1: because I don't know doctors are smarter than me. I

853
00:57:17,480 --> 00:57:21,720
Speaker 1: was not living my empowered truth. Eventually, I chewed hormonal

854
00:57:21,760 --> 00:57:24,920
Speaker 1: birth control altogether because my side effects were so bad.

855
00:57:25,160 --> 00:57:27,520
Speaker 1: But I met an Englishman in two thousand nine and

856
00:57:27,560 --> 00:57:30,720
Speaker 1: I needed to get birth control stats. After talking to

857
00:57:30,800 --> 00:57:33,400
Speaker 1: my amazing lady O B g y N, who sets

858
00:57:33,400 --> 00:57:36,240
Speaker 1: my heart alight, and doing a little research, I told

859
00:57:36,240 --> 00:57:38,400
Speaker 1: her I wanted to try the i u D even

860
00:57:38,400 --> 00:57:41,120
Speaker 1: though I am nella Paris. I wanted to try the

861
00:57:41,160 --> 00:57:44,200
Speaker 1: iu D for a variety of reasons, but most importantly,

862
00:57:44,680 --> 00:57:48,120
Speaker 1: I wanted something effective, easy to use, and easy to reverse.

863
00:57:48,760 --> 00:57:52,720
Speaker 1: Oh that and it was covered by my insurance. Only

864
00:57:52,760 --> 00:57:56,320
Speaker 1: my regular appointment copay would apply. This was before the

865
00:57:56,440 --> 00:57:59,800
Speaker 1: legislation for covering birth control was passed, so my d

866
00:58:00,040 --> 00:58:01,840
Speaker 1: her and I talked about it, and because I had

867
00:58:01,840 --> 00:58:04,880
Speaker 1: a bad reaction to hormonal birth control, she recommended doing

868
00:58:04,880 --> 00:58:07,560
Speaker 1: the peaguard the copper i D. We giggled when she

869
00:58:07,600 --> 00:58:09,440
Speaker 1: said that she liked that one because she likes to

870
00:58:09,480 --> 00:58:12,000
Speaker 1: imagine the heads of the sperm popping off when met

871
00:58:12,040 --> 00:58:16,200
Speaker 1: with the inhospitable uterine environment. The copper creates. Did I

872
00:58:16,240 --> 00:58:18,439
Speaker 1: mention she sets my heart a light because she does.

873
00:58:18,880 --> 00:58:20,880
Speaker 1: We talked about how it would work, that it would

874
00:58:20,920 --> 00:58:22,960
Speaker 1: be good for ten years, and if I wanted to

875
00:58:23,000 --> 00:58:25,240
Speaker 1: take it out, she could do that any time, just

876
00:58:25,360 --> 00:58:28,480
Speaker 1: come in. When I've told friends about the insertion process,

877
00:58:28,480 --> 00:58:31,120
Speaker 1: I've described it like sticking a straw in your huha

878
00:58:31,200 --> 00:58:33,600
Speaker 1: then shooting a dart into your uterus. But it didn't

879
00:58:33,600 --> 00:58:36,000
Speaker 1: really hurt. I did have cramping, and at ten to

880
00:58:36,080 --> 00:58:38,680
Speaker 1: regret that I only took four hundred milligrams of ivy

881
00:58:38,720 --> 00:58:42,120
Speaker 1: proof in the weirdest thing was I got dizzy uh

882
00:58:42,120 --> 00:58:43,880
Speaker 1: and the nurse brought me an apple juice box that

883
00:58:43,920 --> 00:58:45,400
Speaker 1: they kept there for the kids and let me lie

884
00:58:45,400 --> 00:58:48,120
Speaker 1: down for ten minutes. I advocated the i U D

885
00:58:48,240 --> 00:58:50,760
Speaker 1: to my best girlfriend. After she had two children fourteen

886
00:58:50,800 --> 00:58:54,040
Speaker 1: months apart her, she and her husband decided their family

887
00:58:54,120 --> 00:58:56,800
Speaker 1: was complete, at least for now. She wanted to know

888
00:58:56,840 --> 00:58:58,720
Speaker 1: about my experience, and she talked to her O B

889
00:58:58,840 --> 00:59:02,200
Speaker 1: G y N and decided Marino was for her. I

890
00:59:02,200 --> 00:59:04,080
Speaker 1: will pretty much talk to anyone about my I E

891
00:59:04,200 --> 00:59:06,720
Speaker 1: D if they ask, and have called out I U

892
00:59:06,800 --> 00:59:09,200
Speaker 1: D deniers for just being lying liars like those who

893
00:59:09,280 --> 00:59:13,040
Speaker 1: say it's an abortifacient. Anyway, Englishman and I got hitched

894
00:59:13,040 --> 00:59:17,000
Speaker 1: in and I have four more years of effective, safe

895
00:59:17,040 --> 00:59:19,640
Speaker 1: and fabulous birth control that I can decide at any

896
00:59:19,640 --> 00:59:22,280
Speaker 1: time to keep or take out having children. It's not

897
00:59:22,360 --> 00:59:24,720
Speaker 1: something we want to do maybe ever, And that is

898
00:59:24,760 --> 00:59:26,840
Speaker 1: cool with my PAA guard because she's just in their

899
00:59:26,880 --> 00:59:30,520
Speaker 1: chilling popping the heads off sperm. Thank you so much

900
00:59:30,600 --> 00:59:32,600
Speaker 1: for listening to my story time. I've listened to you

901
00:59:32,640 --> 00:59:35,000
Speaker 1: both for a few years and appreciate so much your

902
00:59:35,040 --> 00:59:37,960
Speaker 1: candor and the important topics you discuss. Please let me

903
00:59:38,000 --> 00:59:40,960
Speaker 1: know if you have any questions I can answer. And

904
00:59:41,120 --> 00:59:44,920
Speaker 1: Allison signs her letter unicorns and empowerment and what a

905
00:59:44,960 --> 00:59:49,040
Speaker 1: fabulous way to end a letter. Thank you so much, Allison,

906
00:59:49,800 --> 00:59:52,840
Speaker 1: and thanks to everyone who's written into us. Mom Stuff

907
00:59:52,880 --> 00:59:56,640
Speaker 1: at how stuff works dot com is our email address.

908
00:59:56,680 --> 01:00:01,040
Speaker 1: And speaking of email, y'all, in light of the post

909
01:00:01,080 --> 01:00:06,200
Speaker 1: election hot mess happening, I've started a little tiny letter,

910
01:00:06,280 --> 01:00:09,560
Speaker 1: A little tiny letter how redundant is that If you'd

911
01:00:09,560 --> 01:00:11,840
Speaker 1: like to check it out and subscribe, it's called the

912
01:00:11,920 --> 01:00:16,760
Speaker 1: Do Better Digest, and you can subscribe at tiny letter

913
01:00:17,120 --> 01:00:21,800
Speaker 1: dot com slash Kristen which is c R I S

914
01:00:22,200 --> 01:00:26,200
Speaker 1: T e N and Rolling, so all of our social

915
01:00:26,240 --> 01:00:29,480
Speaker 1: media as well as all of our blogs, videos, and

916
01:00:29,600 --> 01:00:33,400
Speaker 1: stuff mom Never Told You podcasts with our sources so

917
01:00:33,480 --> 01:00:36,920
Speaker 1: you can learn even more about birth control and reproductive rights.

918
01:00:37,080 --> 01:00:40,439
Speaker 1: Head on over to stuff Mom Never Told You dot

919
01:00:40,440 --> 01:00:47,320
Speaker 1: com for more on this and thousands of other topics.

920
01:00:47,560 --> 01:00:56,600
Speaker 1: Is it how stuff Works dot com