A note from the Editor
Happy Valentine’s Day!
Gender + the City would like to send you a Valentine’s Day card this year…
It’s an amalgamation of our stories and perspectives, pains and pleasures, experiences and insights on the subject of the contraceptive pill. I’d like to thank all our lovely contributors for sharing so candidly.
To start off our hot V-day date with the pill, here’s my own contribution to our contraception collective:
I was on the pill for seven years; from the age I started having sex with my first boyfriend up until last year. I went on it because that’s what every girl did when they started having sex. For seven years I went to the doctors alone and picked up my prescription alone. I was weighed and questioned, the blood pressure armband squeezed tightly around my upper arm. My contraceptive world ticked along, invisible to eyes of my boyfriends who in total peace and serenity, came inside me.
I loved my little sugar-coated dose of Microgynon every day, it made me feel safe and protected. I trusted it. I never missed a day. Taking it became so much a part of my sense of self, that it seemed abnormal when I stopped consuming them (for one week of the month to have my period.)
It was only last year that confusion and concern began to invade my contraceptive bubble. In reality, I knew very little about the long term effects of my daily dose. What happens to your body when you stop taking it? What about if you want to come off, and then go back on again? Was I still too young to think about quitting? All of these questions simmered as I eyed my pill with suspicion.
There are over one million pill takers. And yes, the pill can have a damaging effect on the long term health of women and girls The pill is a Feminist issue, and men (the very men that fuck women on the pill all the time) are often ignorant of the emotional, mental and physical labour that we go through to avoid unplanned pregnancy. To be truly equal, shouldn’t both sexes share the load? What the hell happened to the infamous male pill?! We’ve been ‘five years’ away from male contraception for fifty years!
Then I began to get really pissed off. Do all these questions fall on deaf ears because contraception is still deemed a ‘women’s issue’, and therefore irrelevant, unimportant and underrepresented in scientific and medical research?
The pill just didn’t cut it for me anymore. I needed to go cold turkey.
As it turns out, the most useful advice on how to quit the pill came from sharing stories with my girlfriends. In a bar in Soho one night, a friend looked me straight in the eye and said ‘come off it, trust me, The Pill fucks you up, and then you can’t go back’. She continued gravely: ‘The side effects makes it feel like we still don’t really have a choice, it’s a lose/lose situation.’
The Pill was introduced in 1961 and yet in 2017, my friend echoed the same sentiment expressed by the first wave of Feminism. Their fight has become ours, and it’s clearly not over yet. Even worse, there’s a superpower cheeto out there who at the flick of a pen, seeks to reinforce the oppression female bodily autonomy.
I’ll admit, I’ve been off the pill for over a year now and I’m still a little confused about what’s going on in my body. Many of my original suspicions have continued to simmer, taking on new shapes and forms. Alarmingly, I lost a lot of weight in a pretty short amount of time and experienced painful period cramps and other weird PMS symptoms that I’d never had before. The worst was something I affectionately named ‘fart brain’, where for the first couple of days of my period, I basically feel like I’m on another planet! I can’t think straight and struggle to concentrate.
Through all of my frustrations and anxieties, my friends provided a listening ear. Talking to them helped me check in with myself, and eventually, realise how I really felt about the changes I was going through. I hope the stories to follow in this article are equally valuable, and can help you to find comfort in solidarity with our pill taking sisters.
 Side effects of the pill include: heart disease and stroke, depression, DVT, blood clots, migraines and an increased risk of cervical cancer to name a few.
The Contraceptive Saga: A Series of Limericks
There once was a young girl at school
with pills as her protective tool.
She didn’t know others,
but came to discover
an IUD was not as cruel.
Once she missed the pill and got stressed.
Plus side effects made her depressed.
A nurse gave advice:
“This copper device
will have all your problems addressed!”
Though she met the change with intrigue,
the coil gave her cramps and fatigue.
She squirted much blood,
proclaimed “It’s a dud!
A method for men is in need.”
But she hadn’t quite lost her will:
protection without getting ill.
She spoke to her doctor.
His answer did shock her:
“Not condoms nor coil? Try the pill!”
Tried condoms, an NFP app,
but these were refused by her chap.
Why should she feel sick
for the sake of his dick?!
She gave up and told him to fap.
My experience with the pill is by no means unique: the doctor told me so.
When I was 15 I went to the GP with my mum, because I had a few pimples on my chin, and (something called) period pains; but, I didn’t really have a period: I had an extremely long one once for a week when I was 13, I had to sit on towels, couldn’t go to school. What I hadn’t mentioned was that I heard at school, that it makes your boobs bigger, too, but that so-and-so got fat. It was a risk; but I was 15, and so foresight – what’s that?
The doctor said Microgynon would clear up my skin and give me regular, painless, bleeds. Sweet, whatever that means. So, I took the tiny pill for 3 weeks, stopped and had a bleed. But, most of the time I chose when I would have a period, sometimes I took it every day; periods are annoying, especially when you have to wear shorts for P.E, and you have to buy tampons because it’s “ew, gross” to wear pads.
After two and a half years of playing around with the pill, I was getting pretty depressed, and a bit fat – but I was also binging on sugar, and skipping meals because I didn’t know how to express myself: girl, age 17-18 years. I would just cry, and then eat a loaf of bread and 5 KitKat Chunkies.
The doctor’s told me to take Citalopram 20 (anti-depressants) and keep taking the pill to regulate my hormones. I didn’t feel good.
I stopped taking the pill after 3 years, and the anti-depressants after 5 days. I bled for 10 days. I haven’t bled since. I’m now 26.
The doctors keep telling me to take the pill, so that I can have a “normal” period.
Angelique is Film Editor for both The Rational, and On the Beat. You can follow her on Instagram @Angeliquejones_
I am 22 years old, I’ve tried four different types of contraception, and fingers crossed, I think I found my perfect match. I was put on Loestrin 20 at the age of fifteen because my periods hurt so badly that I was near to fainting. When I became sexually active, it made sense for me to go on Loestrin 30, deemed a ‘proper’ contraceptive pill. I took it for two years, but never trusted it enough not to use condoms at the same time. Really, it was more of a back-up. It’s funny that I took something with awful side-effects as a ‘back-up’.
I didn’t connect the dots until much later, but every time I stopped taking my pill, whether it was to have my period or I forgot (we’ve all been there!) I would feel extremely emotionally fragile for following week or so. I felt like I could cry at the drop of a hat. After this, I tried the contraceptive injection. Also, a no! The emotional side-effects were even worse than the pill, and I refused to accept the idea that I should stick with it for another three months because the side-effects ‘should’ tail off. It’s just not worth the risk.
Enter my knight in shining armour. I’m not talking about a man. In fact, men don’t even have an option for hormonal contraception, since development of the male injection was cut short. No, my knight is the IUS. Otherwise known as intra-uterine system, the hormonal coil, the Mirena, heaven in a contraceptive. That is, unless you’re unlucky to be on the receiving end of one of the major side-effects. Although these are rare, in some cases it can pierce your womb (I love being a woman!) Even my dream contraception hurts to get inserted – the cramps and contractions I experienced, I can only compare to what I imagine the pain of labour is (oh the irony).
My boyfriend at the time rubbed circles on my back with one hand and called a taxi to go home with the other. The pain lasted a few hours but since then, I’ve felt like I’m floating, with a peace of mind I never knew was possible.
After 8 years, I made the decision. My life was good; I’d overcome some really tough experiences and gone through plenty of counselling. But I still didn’t feel right.
I was 18 when I went on the combined pill and 24 when I came off it. I was 18 when I started to feel anxious and low. When I was 21 I was prescribed antidepressants. Was this a coincidence? I don’t know for sure, but I don’t think it was.
Before making my decision, I spoke to friends and researched the effects of the combined pill on mental health. Finally, I decided that it was time to stop taking it. I thought it would fix my mood swings – hell, I thought it might even ‘cure’ my depression.
When I first came off the pill it was wonderful. I felt like I was meeting my body and my natural rhythm for the first time! My body was doing what it was meant to be doing – not what it had been instructed to do by a little pill. My antidepressants reduced, I was getting closer and closer to being totally medication free for the first time in years.
It’s now been a year. My natural monthly rhythm lasted a couple of months, but now that my body has had time to adjust, problems that I never knew existed have revealed themselves.
When I came off the pill it was because thought it would ‘fix’ my mental health issues. It has helped, but coming off has also revealed a new knowledge of my body, an awareness that uncovered potential problems, problems otherwise discovered.
Drug in Greek is Pharmakon. This word refuses to define whether it means to cure or to poison. ‘Kon’, as if to cheat us of meaning.
Granting me my last resort for acne treatment in a little windowless office, some doctor put me on Yasmin. It was a flippant decision for him, and a hesitant one for me. I was living in Amsterdam at the time; my first time living abroad. Just outside the clinic, one of the beautiful and unsure canal rings was winding away and away, coiling together a paper cut-out city. It made me lose my way home.
Washed down somewhere, into my blood, silently. It’s an intoxicating idea. It is tiny and slight and light, barely detected by the tongue. Is this dangerous slightness the feeling of a womanhood?
I took it for the time it takes to grow a baby. At least that’s what I remember. Having ‘moderate’ acne, it felt as if I had a clinical diagnosis warning me of my constant uncertainty and wavering.
Is this a numbness? // Maybe it is hyper awareness. // How am I to ever know when I am feeling drug mood or my mood? // Then what is mine? // Is medically constructed good skin a contract; all moods suddenly mine? // What is more possible: absence or unusual movement of emotion? // And who is to say which out of frequency or size of spot, is the most destructive?
I couldn’t answer the questions. This medical exchange became a project, I realised, in a woman’s capability of tolerating what she thought and her own and others’ politics of health and superficiality.
Like many projects, this one ended. I now let the acne thrive, and I use nothing for it.
Freya is a regular contributor to GATC, you can read more of her recent writing here and here
Discussions on birth control are deeply political, revolving around reproductive rights, female autonomy, body politics and so on. Second-wave feminists in the 1960’s and 70’s argued that control over a woman’s own fertility was, in no uncertain terms, power. This was a power that gave women access to more control over if and when they wanted to have children. Margaret Sanger (founder of Planned Parenthood) stated in 1920 that a woman who relies on men for birth control, is a woman ‘exploited, driven and enslaved to his desires.’
However, a trend I have noticed with young women in their twenties now is a deep sense of resentment about their pill. Why should women have to risk blood clots, weight gain, mood swings, acne, loss of libido and more in order to enjoy sex and avoid pregnancy, when men get all the benefits without the side effects?
At 19, I experienced inconsolable mood swings due to the brand of my contraceptive pill. At 23, I was nearly hospitalised because of an infection caused by the copper coil. At these times I have to admit that I have felt it unfair that women shoulder the burden, the risk and the sole accountability of pregnancy-free sex.
Contraception is always going to be a multifaceted, emotive and complex discussion. President Trump is attempting to enable US employers to deny women insurance coverage that pays for their birth control. Whether you feel empowered or resentful, the issue is freedom of choice. The support, education and the availability of birth control one decides on more critical than ever before.
When I got a boyfriend, I knew it was time for me to get the pill. Oddly, I never considered any other option. At the time, I didn’t know anyone who was using the coil, or the implant. For me, it was this, or condoms, and condoms break, or we might run out. The pill was entirely up to me. That’s what I wanted.
I was slightly nervous when I waited in the Sexual Health clinic, but mostly I wasn’t. It seemed so easy. You just ask the doctor to prescribe you a contraceptive, as if ordering a pizza in a restaurant. You say what you want, they ask follow-up questions, like if you want added parmesan, or if you have multiple sexual partners, and then you wait a bit, and then they give it you. It’s very easy.
It’s been just as easy ever since. I know I’m lucky. I have plenty of friends who reacted badly to it, or who keep forgetting to take it. But for me, it works fine. I don’t forget it. And most importantly, it hasn’t completely fucked me up. I’m really lucky. I can have sex all the time, whenever I want. I’m never scared. I’m always protected.
And yet, I think I might stop taking it soon. Switch to something else.
That’s the thing about the contraceptive pill. It’s like social media stealing your data, or your GPS tracking your every move. Those sites are convenient, but something about them seems wrong. It’s the same feeling. You don’t get real periods. Your hormones aren’t working right. So many things about the running of your female body line up with your menstrual cycle. What about all of that?
It’s the same feeling Miss Clavel has in Madeline, you know?
“Something is not right”.
Follow Izabela’s film photography Tumblr and find her on Instagram @izabela_ks.
Illustrations by Anna Sudit