Question:
Hello Dr. Konstance,
I've read some of your past responses to questions on the sexual health website, and I figured you'd be able to help me with my search. I'e long had issues with sexuality: fear of my own, fear of punishment from God. I was raised in a very religious environment, and I was always afraid of doing the wrong thing. I am 23 years old and have struggled with anxiety problems, for a while now, over sexuality mainly, so much so that I take medication on a daily basis. Some days can be really tough when my mind is obsessing and the only way to quell the anxiety is to think it out as I say. Part of my thinking it out involves a search for knowledge and truth. I've been trying for years to reconcile my sexual drives with my ingrained moral superego, trying to achieve a common ground between the two. Lately I've been worried about how I will act with regards to sex. I'm trying to figure out if I can use birth control in good conscience when the time comes. I fear the unintended negative consequences of birth control.
Below, for the next few pages (forgive me) are some things I've gleaned from the internet about this topic. After the next few pages of supporting information I have a few specific questions typed in bold. Any answers, insights, or information you may have about the information below are really appreciated. If you don't feel comfortable making statements on the ideas presented below, perhaps you could refer this message to someone with knowledge in this area. Sorry for bothering you with this long message; I finally got up the nerve to write it after a number of months. Thanks for your time.
Spermicide and increased risk of STD transmission
Health Canada: Spermicide that covers the condom facilitates STD transmission by weakening the immune system and creating genital lesions that facilitate the exchange of blood and fluids.
Allergic reactions
Health Canada: Allergic reactions to latex rubber can go so far as shock and death.
Latex rubber as a cancer-inducing substance
"Volatile organic compounds contained and released by latex rubber (of which the condom is made) are recognised cancer-inducing substances.
Ectopic pregnancy
STDs can lead to ectopic pregnancy, a situation where the conceived child, blocked by infection and/or scarring, implants outside the uterus and can lead to the rupture of abdominal organs if pregnancy is not detected in time 59 . Ectopic pregnancy causes some 13% of maternal deaths 60 , and it is on the increase in Canada 61 .
Spontaneous abortion
STDs can cause spontaneous abortion (stillbirth early in pregnancy) because the child cannot implant in the uterus due to infection and the scarring related to STDs 62 . Spontaneous abortion is on the rise in Canada 63 . [syphilis can cause fetal death or stillbirth]
STD infection and increased risk of AIDS transmission
"Ulcerous STDs (e.g. syphilis, herpes) as well as inflammatory STDs (e. g. gonococcic infection, Chlamydia), act as a transmission factor for HIV infection. The presence of these STDs increases the level of contagion of HIV-infected persons and increases HIV vulnerability on uninfected persons.
Cervical cap, cervical sponge, female condom all can result in ectopic pregnancy, uterine perforation, and bladder infection. These things can lead to miscarriage/abortion.
Health risks
Pages 6 to 10 of the Nuvaring -- medical descriptive paper (see note 1) describe in detail all of the health risks related to hormonal contraception: cervical and breast cancer; thrombosis; heart attack; osteoporosis; gallbladder disease; aneurism; embolism; phlebititus; hypertension; kidney and liver stones; kidney, urinary and vaginal infections; water retention, etc.). Other studies corroborate and explicitate these and other health risks 28, 29, 30, 31, 32, 33, 34, 35, 36, 37 . Some of these disease can lead to miscarriage.
Long term birth control pill usage can possibly cause abortion, according to reading I've done.
Q:A while back a friend of mine brought to my attention an item which you published on the possible link between condoms and cancer in women (WDDTY, vol 6 no 2). If this is true it must be the greatest medical scandal of all time. I would like to kn
A:The British "kite mark" is an assurance of quality control (ie, your condom is unlikely to break or leak). It does not necessarily ensure that your condom is free from harmful substances. Your GP should review articles published in the medical press recently which have concerned themselves with the process of moulding latex into things such as condoms and surgical gloves a process which involves the use of talc, cornstarch and other powders.
The truth is that no one knows what risks we may face because of the long term use of condoms. It has only been in the last few years, as condom use has increased due to the fear of sexually transmitted diseases, that it has become an issue.
Talc is used in the manufacture of latex goods both as a lubricant and to release the product from the mould used in its manufacture. The use of talc on surgical gloves was virtually eliminated early in the 1990s since there was evidence that it created inflammation and adhesions in some surgical patients (Arch Dermatol, 1994; 130: 48-53). Although some condom manufacturers still use talc as a dry lubricant, others use dry lubricants such as silicone and cornstarch.
The harmful effects of talc on human tissue were first recorded in the 1930s. Thirty years later there was a reported case of a woman who had a significant amount of talc in her peritoneal (abdominal) cavity talc which matched that found on the surface of her husband's condoms (Lancet, 1963; 1: 1295-6). The authors concluded that talc travelled up through the fallopian tubes and became implanted in the peritoneal cavity. They also predicted that talc might contribute to occlusion (blockage) and sterility.
A more ominous series of studies linked talc to ovarian cancer talc was observed in a number of ovarian and uterine tumours as well as in ovarian tissue (Lancet, 1979; 2: 349-51; J Ob Gyn Br Commonwealth, 1971; 78: 266-72) and it has since been confirmed that talc, either placed on the perineum (or on the surface of underwear, sanitary towels, diaphragms or condoms), can reach the ovaries via ascent through the fallopian tubes (Am J Epidem, 1989; 130-394; Ob Gyn, July 1992). There has been little attention paid to the possibility of damage to the male urogenital tract through regular condom use, although this also remains a distinct possibility.
In 1995, Dr Candace Sue Kaspar produced two reports on the possible adverse effects of talc in condoms (JAMA, 1995; 273: 846-7; JAMA 1995; 274: 1269-70). Many condom manufacturers were quick to get in touch with Dr Kaspar to point out that they no longer used talc or were phasing out its use.
Two interesting things emerged from these correspondences. First, under examination, many of these talc free condoms had other particles on them, such as vegetable starches, silica, mica and diatomaceous earth. One brand contained numerous lycopodium (club moss) spores. Spores of the club moss were used as absorbents in surgical glove donning powders earlier this century, but the practice was abandoned when it was shown that lycopodium caused granulomas (small fibrous growths) and peritoneal adhesions (the abdominal organs become inflamed and begin to stick together) (Arch Pathol, 1933; 16:326-31; J Cutan Pathol, 1988; 15: 120-3).
Moreover, as Kaspar and colleagues pointed out, lycopodium can be contaminated with talc, sulphur and/or gypsum. Lycopodium has not been linked with cancer, but is associated with inflammation of the soft tissues.
There are other problems with what is touted as the world's safest contraceptive device. Increasingly it is becoming associated with contact dermatitis in both men and women. In one study 24 per cent of those who regularly used condoms experienced local swelling and/or itching during intercourse (Contact Derm, 1989; 20: 360-4). There have also been reports of allergic reactions to talc substitutes, such as cornstarch, used in their production (Cutis, 1986; 38: 291-3).
In fact, cornstarch has been implicated in hypersensitivity reactions in patients whose surgeons use gloves dusted with it (Br J Surg, 1976; 63: 864-6) as well as granulomas in various organs throughout the body (Am J Surg, 1973; 125: 455-7; Surg Gyn Ob, 1974; 138: 385-8; Acta Pathol Microbial Scand, 1970; 64: 55-8; Am J Ob Gyn 1974; 118: 799-802).
In men, contact dermatitis from condom use is relatively easy to diagnose.
In women, diagnosis can be rather more difficult. Increased vaginal discharge, a burning sensation in the vagina, and itching in the vulva may all be present, yet when the woman comes to be examined by her practitioner these things may not be detectable by any laboratory investigation.
There are a few non rubber and non latex condoms on the market in the US, but none in the UK. Non rubber condoms such as Fourex Natural Lamb Skins (Schmidt, Sarasota, Florida) and Trojan Natural Lamb Skins (Young Drug Products, New York) are made of processed sheep intestine (caecum) and are, in themselves, hypoallergenic. However, they may contain a lubricant that includes perfume, preservative (Bronopol) and propylene glycol, which may cause allergic reactions in some individuals. These non rubber condoms can prevent transmission of sperm, but the FDA has ruled that they may be ineffective in preventing transmission of HIV.
Non latex synthetic condoms were first developed in 1992 in the US and made of Tactylon the same substance used to make some surgical gloves. They do protect against HIV and are well tolerated in individuals sensitive to rubber. A new polyurethane condom called Avanti is already on sale in America and is due to be launched in the UK next year. The female contraceptive "pouch" is also made of polyurethane.
Copyright © 1996 1996 What Doctors Don't Tell You (Volume 8, Issue 2)
Granulomas may form when cells of the immune system gather to respond to irritants or to defend the body against foreign substances in the liver. Inflammation can result. If it is widespread, the liver may malfunction. Rarely, fibrous tissue and portal hypertension develop.
Granulomas themselves typically cause no symptoms. The liver may enlarge slightly, and mild jaundice (a yellowish discoloration of the skin and the whites of the eyes) may develop. Other symptoms, if they develop, result from the disorder causing the granulomas. Granulomas caused by sarcoidosis may disappear spontaneously or persist for years with out causing any noticeable symptoms.
Condoms, especially the spermicidal variety, increase the risk of urinary tract infections in women. Some men and women find the latex irritating due to allergy, and spermicidal condoms can worsen the allergenic properties of the latex.
According to research, talc on condom can cause ovarian cancer, ovarian/uterine tumors, and uterine abnormalities which can all lead to miscarriage
My QUESTIONS:
Likelihood of cancer from condom?
Condom lubricant causing contraction of uterine wall and therefore miscarriage?
Are there other abortive mechanisms of the condom?
Abortifacient mechanism in the pill (preventing the embryo from implanting in the uterine wall), how often does this happen?
Latex and talc possibly carcinogenic, then get cancer which can cause miscarriage?
Are the two paragraphs below true or hold some degree of truth?
Spontaneous abortion: STDs can cause spontaneous abortion (stillbirth early in pregnancy) because the child cannot implant in the uterus due to infection and the scarring related to STDs 62 . Spontaneous abortion is on the rise in Canada 63 . [syphilis can cause fetal death or stillbirth]
Cervical cap, cervical sponge, female condom all can result in ectopic pregnancy, uterine perforation, and bladder infection.
These things can lead to miscarriage/abortion.
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