Saturday, December 27, 2014

The Sociology and Science of Methods of Temporary Birth Control

by Dr. Margaret Aranda
Full, expanded version can be seen on Hormones Matter
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Women Helping Women!


******** If you want to have sex and use oral contraceptives, DON'T SMOKE! *******


So you are all big and grown-up now, and you have a boyfriend who makes your heart race every time he walks into the room. You've talked with him and you have both decided to have sex; but first, you asked him/her the following, because you are smart and you want to live a long life: 

1. How many sexual partners have you had? Sociology may tell you that he is a) still a virgin; 2) has had over 200 sexual partners; or 3) under 10.

2. Have any of them came back to him to tell him they had syphilis or any sexual disease? Sociology usually dictates that people like to be liars and not be truly honest with past partners. Or, sociology could say that a person who caught a sexual disease is perfectly happy to tell you, so that it hurts you and is just spiteful. Scientifically, MDs can determine the truth.

3. When was the last time he was tested for HIV? For chlamydia? And you?
     You both need to be checked via blood samples. This is straight Science.

4. You need to tell him the number of sex partners you have had, whether any partners later told you that they were infected with a disease, AND whether you took the proper medications for the prescribed length of time.
You owe this to Society so that diseases are not further spread.

5. Because of your concern over sexual diseases, you must tell your "almost new" partner that you would like him to use a condom until all the blood tests are back and you can both re-evaluate the situation. Nothing personal, it's just straight science. You are just being smart.(In the meantime, you may want to get a copper IUD placed, or talk to him about what contraceptive to use, since he is the reason you are using it. If he does not want to be part of this discussion, that's a RED FLAG that you won't be able to share your problems or life's problems with him as a caring partner. 

6. You never have sex with random people, or one-night stands with a guy that you just met that day. N-E-V-E-R. That is straight Sociology AND straight Science. And we care about you. So don't do it.

7. I think your sweet face would look uhm..different... with Hepatitis A cold sores around your mouth when it's sunny and you are stressed; let alone what your outer vagina and labia would look like with Herpes sores; or what your rectum would look like with Genital Warts from Herpes Papilloma Virus that someone else gave you when you had one night in your whole life that you went out on a drinking binge. Really. You need to have more self-esteem than that! You're so young! You're so beautiful! We're not going to let you throw yourself to the keep your wits about you, stop the horniness from escalating, and saying, "NO" is a great contraceptive without side effects. Pair up. Don't even walk to your car alone, my dear. 
You are just too precious.


1. ORAL CONTRACEPTIVES: The woman stays on a rigid regimen (i.e., same time, every day) needed to "work" at preventing pregnancy. Serious side effects: if you are obese and smoke, puts you at danger of a pulmonary embolus and immediate death.  The blood settles in your lower legs or pelvis, dislodges when you sneeze, goes to your heart and then to your lungs, and you can't breathe through a blood clot in your lungs. You die unless they crack your chest opened, put you on bypass, and get the clot out. You just can't breathe.

2. PROGESTIN-ONLY PILL: Like the regular Pill, it is taken at the same time every day. it does not contain estrogen; it only contains progestin. Ask your doctor, but the manufacturer thinks it is ok to use while breastfeeding. Your doctor will decide when to start, depending on how much breastmilk your baby is taking. Side Effects: can occur with allergy to progestins, aspirin, tartrazine, Tegretol, phenobarbital, phenytoin, and rifampin. Tell your MD if you have ever had: breast lumps or cancer, vaginal bleeding between periods, liver disease, diabetes. SERIOUS Side Effects: Smoking cigarettes increases the chance of heart attacks and strokes. DO NOT SMOKE if you take this med. Headache, dizziness, breast pain, bleeding for a long time, menstrual periods that just stop, and severe pain in the stomach.

3. THE NuvaRing: Higher likelihood of pregnancy, because the Ring sometimes slips, and offers no protection against sexual diseases. Serious side effects: (i.e., of the NuvaRing) include stroke, heart attack, or blood clots. The manufacturer advises NOT to use it if you are over age 35 and smoke cigarettes, because you have a higher risk of blood clots that can be fatal. It's not for women with high blood pressure on meds. It's not for women with diabetes and end-organ damage of the kidneys, eyes, blood vessel, or neuropathy. It is not for women with vaginal bleeding, liver disease, certain migraines. The Most Common Side Effects: vaginal irritation, headaches, migraines, increased weight, discharge or discomfort from the vagina, pain, discomfort, or tenderness from the breasts, menstrual and/or abdominal pain, acne, mood swings, depression, and decreased sexual drive (i.e., What? Seems like the risks are not worth the benefits to me, but you go talk to your own doctor AND get a second opinion). This list just seems to go on and on.

(In my book, Archives of the Vagina: A Journey through Time, I espouse chastity until marriage. Here is a great example of how messed up a young woman's body can get when she tries to protect herself from getting pregnant; but go ahead and read on ~ there's more. Personally, you'd better put a ring on my finger and be committed to me before I ruin my body or brain for you, and/or separate myself from my relationship with Christ).

4. The IUD, or Intrauterine Device: Over 99% effective, and it stays in. No protection from sexual diseases. Some babies have been born with a T-shaped indentation on their forehead, the back of the head, or other places. More on the copper IUD later. And always use it with SPERMICIDE.

6. THE PATCH: This method of contraceptive delivers hormones through the skin, and measures 5 x 5 cm. It contains the same mixture of hormones as the combined pill, and works the same way (i.e., by preventing ovulation). When used correctly, lasts for one week and is 99% effective. It's 3 weeks on, then 1 week off. May alleviate painful or heavy bleeding periods. Side Effects: It may increase blood pressure, leading to headaches or migraines. May lead to blood clots if you are over 35 years of age, smoke, and are overweight. NOT to be used if you are pregnant, breastfeeding, or taking medicines like antibiotics, St. John's Wort, epilepsy meds, Tuberculosis meds, or HIV meds. Talk to your doctor. HEALTH BENEFITS: The patch may protect against ovarian cancer, uterine cancer, and colon cancer. 

6. THE PROGESTIN-ONLY INJECTION: Must be taken on schedule, same time/day each month. If no mistakes made with injection timing, pregnancy rate is 1%.  But since we are human and we must expect variability, the expected pregnancy rate is 3%, or 3 in 100 women. It stops the release of eggs from the ovaries. This injection lasts 2-3 months (e.g., DMPA = 3 mo; NET-EN = 2 mo), and is safe after 6 weeks of birth to use while breastfeeding. Stopping it may take a longer time to get your period back. Does not protect against HIV. Contraindications: Breastfeeding a baby less than 6 weeks old; uncontrolled high blood pressure; rare diseases you discuss with your doctor; seizure medicines or rifampin for tuberculosis. Tell your doctor before you get a prescription. Side Effects: Variable periods, or no periods; headaches, migraines, dizziness, and gain weight.  HEALTH BENEFITS: Helps prevent cancer of the uterus lining; helps prevent uterine fibroids; may protect against pelvic inflammatory disease (PID); can prevent iron deficiency anemia from blood loss; reduces pain and irregular bleeding from uterine fibroids. 

7. DIAPHRAGM WITH SPERMICIDE: The diaphragm is shaped like a dome, covering the cervix so the spermies don't get in the uterus. It has a flexible ring around it so you can grab onto it with your fingers. Meant to be used with SPERMICIDE, together you have a sperm barrier and a sperm killer. You put it in no more than 2 hrs before sex (squatting helps), and take it out at least 6 hrs after having sex. More sex? Add more SPERMICIDE each time.
Success rate is 84 - 94 % effective, and the failure rate goes up if you and your partner have sex over 3x/week. Your size is determined by your doctor. RISKS: It is not proven to reduct the risk of HIV or AIDS.

8. CERVICAL CAP WITH SPERMICIDE: Not a good choice for women who have already had a vaginal delivery. The cervical cap is a soft latex or silicone cup with a rim, that sits around the cevix and like the diaphragm, it is fitted by size via a doctor visit. FemCap is one name of a cervical cap. You coat the inside of the cap with SPERMICIDE, and then put in the cap through your vagina, to cover the cervix. It has to stay in for at least 48 hrs to make sure it kills any spermies. Success rate is 17 - 23% effective, so better not use this method unless it is okay if you get pregnant (because you might). No need to put in more SPERMICIDE if you have sex again. RISKS: Some women may have latex allergy and anaphylaxis, requiring emergency medical treatment. Rarely, it may cause toxic shock syndrome. 

9. MALE CONDOM: AKA a "rubber," (and who can't laugh at that?), it is a thin membrane made of latex, plastic, or animal (?really? Yes.) membrane that is rolled over an erect penis. You can't really "get it on," literally, if the penis is soft. So for our elder gentlemen, they may need a little 'help' with getting the penis 'hard' first, before the condom is rolled on. The condom is supposed to get caught in a little bag-like thing at the end of the condom, preventing spermies from entering the vagina at all. SUGGESTION: Use vaginal spermicide at the same time. They come in different sizes, shapes, colors, flavors, thickness, and lubrication. Also, studies show that if a condom is placed 'in a hurry,' it is more likely to rip or tear. So, take your time. And Ladies, always protect yourself.

10. FEMALE CONDOM: The female condom protects against pregnancy by forming a barrier, and may not work 'as well' as the male condom in preventing sexual infections. The condom goes inside the vagina and at each end, there is a ring. The inner ring is closed, and sits at the cervix; the outer ring is opened and sits at the outer vulva of the vagina. The FEMALE CONDOM is 72 - 85% effective in practical use, but if used properly every single time, female condoms are 95% effective. 

11. COPPER IUD: The copper IUD is a T-shaped plastic rod that remains in the uterus, releasing copper. Copper acts as a spermicide, being over 99% effective. The copper IUD lasts 10-12 years and can be used during breastfeeding. Upon insertion, you may have heavy periods or cramps. SERIOUS RISKS: UPON placement include: fever, chills, belly pain. If you have a home pregnancy test positive, or have symptoms of pregnancy, call your doctor immediately.

12. PROGESTIN-ONLY IUD: Also known as Mirena, it is a progestin-only IUD that can remain in place for up to 5 years. It prevents sperm from reaching or fertilizing an egg. It releases levonorgestrel into the uterus, thickening mucous secretions and thereby preventing pregnancy. It is estrogen-free.
USES: Besides uses for contraception, it may help treat heavy periods. 

Progestin-only contraceptives are suggested to be used by Lopez, et al, from analyzing the Cochrane Database System Review on a June 24, 2014 publication that was retrospective, yet looking for a relationship between progestin use and bone fractures. Archives of the Vagina: A Journey through Time devotes a Chapter to Fractures, as I have witnessed all too many elderly women laying on my OR table for falling and sustaining a fracture. We must, as a country, dispel the notion that older women need to end up in a nursing home because they can't go home with no one to care for them after their hip fracture. 

For patients with Lupus, Cravioto studied various methods of contraception in 162 patients. Their findings showed that with counseling and proper training, oral contraceptives and IUDs were proper methods for women with lupus. The Progestin-only Pill was found to be inferior in this population.

The moral of the story? Yes, you may be old enough to have "your freedom" and make your own choices and do "whatever you want." But...and never forget this...Each Choice has its own Consequences.

You make your bed, you lay in it. You have sorrow and you want forgiveness, go to your parents. You will find that your mother has been praying for you every single day. Now go.

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Dr. Margaret Aranda's Books:

No More Tears en Espanol
Face Book Page: Stepping from the Edge
Little Missy Two-Shoes Likes to go to School
From Menarche to Menopause: A Journey through Time

To Order Dr. Aranda's books, please click here:











10. Lopez, et al.  2014 Jun 24;6:CD006033. doi:       10.1002/14651858.CD006033.pub5.

11.10. Cravioto, et al. Side effects unrelated to disease activity and acceptability of highly effective contraceptive methods in women with systemic lupus erythematosus: a randomized, clinical trial.  2014 Aug;90(2):147-53. doi: 10.1016/j.contraception.2014.04.001. Epub 2014 Apr 13.

Thursday, December 11, 2014

ESSURE: Stupid and Stupider

by Margaret Aranda, M.D.

Essure(R) Fallopian Coils are discussed in the Women's Book (,com/
Archives of the Vagina: A Journey through Time)

Special note: This is an Editorial. The terms "Stupid," "Stupider," and "Stupidest" are not directed at the patient. They are directed at Bayer(R), who simply needs to get it through their heads that their product is causing harm. (Bet they're selling as many coils possible now, especially to Third World countries, because they know their time will come...and EssureR) will be in the trash. Then there won't be any doctors who can deal with Essure removal or complications, especially in Third World Countries. Doctors, how can you be so stupid to violate a patient's body in exchange for bloody money?)

                                             STUPID AND STUPIDER

        Essure (R) fallopian tube coils were first approved in the United States by the FDA through Expedited Review on November 4, 2002. Hailed as a non-toxic method of "permanent"* birth control, women gleefully signed up to get this coil inserted via confirmation by hysteroscopy, or to undergo the usual surgical procedure, bilateral tubal ligation (BTL). * = an FDA video shows an FDA Panel female repeatedly saying that "permanent means one year." Components of the coil are shown in Illustration I.

                 Illustration 1. The Essure(R) coil by Bayer(R). The outer surface is coated with nickel*,      and there are two ends. The inner coil is filled with polyester fibers (PET) inside the coils and sits inside the Fallopian tube. The outer anchoring coils are comprised of a super-elastic retinol and stick out into the uterus. If needed, the manufacturer says that two coils can be placed in one tube, to ensure complete fibrosis and blockage of sperm.  
* = although reportedly not required, there is supposed to be a nickel allergy warning on the box.

Illustration 2. Essure Placement by Hysteroscopy, 1898.  Manufactured by Bayer AG's subsidiary, Conceptus. Essure(R) nickel coils are questionably advertised as a "nonsurgical" procedure. Let's not be stupid, or stupider to think that the coils will prevent pregnancy without complications, because now we KNOW the pregnancy rate is 23%.

Here are several definitions from different sources; I have highlighted the referrals to "insertion", "surgical" or "surgery" or "operative" or "operation":

1. Definition: 
a. Wikipedia: "the inspection of the uterine cavity by endoscopy (STUPID)with access through the cervix. It allows for the diagnosis of intrauterine pathology and serves as a method for surgical (STUPID)intervention (operative hysteroscopy)." (Stupid)

2. Is Hysteroscopy a Surgical Procedure or Not? The UK House of Commons Hansard Debates 19 Dec (pt 0003):
a.   ..."hysteroscopy without anesthetic"... to a woman "diagnosed with uterine cancer"..."contacted me because the process of diagnosis, rather than the cancer itself, caused her the most distressing and painful experience of her life" (Stupider)

b. ...Debbie said, “I was in absolute agony. (Stupider) The consultant who performed my procedure knew I was in pain but carried on regardless. (Stupider) A nurse had to push me back down on the bed as I stiffened like a board. (Stupider) She had to hold me there and had hold of my hands too as I was trying to reach down and stop the procedure. (Stupider) All I could think of was that if I made the consultant stop, I would have to come back and endure the whole thing again.(Stupider)  This procedure, without anaesthesia, is barbaric. ((STUPIDEST) It is absolute torture. (STUPIDESTIt needs to be stopped. (STUPIDEST) At the very least, the patient should be informed that it could be extremely painful and have options explained and open for her. That way, she can make an informed decision as to whether to go ahead without anaesthesia.” (STUPIDEST)

c.  "I was given no options (for anesthetic)(sic). (Stupider) I have complained to the PALS department and to be quite honest I am not happy with their reply. (STUPID) At one point she mentioned that the hospital gets more money for the procedure to be done as an  outpatient! (Stupider)  Is this what is boils down to? Money? Disgusting!" (STUPIDEST, but isn't that true?)
  d.    “the procedure was still very uncomfortable and painful. (Stupider) I have to say that I think offering a hysteroscopy without any form of anaesthetic is barbaric.” (Stupider)

e.   .."I felt so undignified…(Stupider) I have never felt such pain. (Stupider) I felt like my whole abdomen had been blown up, the pressure was so intense, then sharp prodding pains, I had tears in my eyes, the nurse did come and hold my hand. (Stupider) I just looked at the ceiling and held my breath, praying for it to be over." (Stupider)

When he’d done, the doctor asked ‘did you find that a bit painful?’. (STUPIDEST) I replied ‘no it was excruciating’, he just remarked that most women are fine with it (STUPIDEST) but perhaps I had a low pain threshold (STUPIDEST) and that if I were to need further treatment I would need a General Anaesthetic as I was sensitive. (STUPIDEST) I was quite gob smacked and in so much pain I didn’t really reply. I struggled to my car and drove home, I was in agony for days. I felt almost like I’d been violated, like a piece of meat, but thought perhaps it was just me, perhaps I was being a wuss. It wasn’t till I spoke to other ladies that I discovered it needn’t have been this way. My treatment on a whole I feel was done very wrongly, cutting corners and saving money, at my expense. 

The hysteroscopy should not have been done this way, it’s almost inhumane.” (STUPIDEST)


                                                     A Special Note from Sarah Salem- Robinson

The Morcellator device that routinely minces uterine tissue, during a hysterectomy or myomectomy, to be removed through small keyhole incisions has been dangerously peddled to women by their " trusted" GYNs as a cosmetically pleasing option. Many GYNs pushing the benefits of small scars and a shorter recovery onto women do not bother to inform women of the DEADLY 1:350 cancer spreading risks. Nor do they bother to advise women that an abdominal hysterectomy that would excise their uterus intact, would assure a very good chance of a complete cure should they encounter a hidden cancer like a deadly sarcoma. 

As a result, in the last 2 decades hundreds to thousands of unsuspecting women have unfortunately and unnecessarily horribly suffered till their death, leaving their children and family members irreversibly devastated with grief and sorrow.

As one victim of morcellation (of many with upstaged sarcoma) and also a Physician Assistant specializing in the OB/GYN profession for eleven years, I find it criminal that use of this horrid faulty oncologic device that seeds cancer has grown in popularity within the GYN community for over two decades despite the multiple medical journals explicitly siting the deadly dangers. There are currently 600,000 hysterectomies performed in the US yearly, with 40% due to fibroids. Use of the Morcellator on these women would amount to 2 women each day that would be given a death sentence. 

The oncological faulty Morcellator device was advanced into the GYN surgical field through FDA's 510K medical device quick approval. Deadly harm and suffering has already ensued; we can't turn the clock around for many women who have already paid with their lives. But what we can do, with your help is put an end this medical nightmare. We have made some strides: on April 17th the FDA discouraged use of the morcellator, Johnson and Johnson as the largest manufacturer removed the device off surgical shelves and a couple of east coast insurers have refused to pay for the procedure. But we need the support of our Congressman, Senators and President because we the public are up against powerful corporations and GYN societies which wish to continue this travesty against women. These powerful entities are siding with "profits" rather than the patient. 

Please join us on the side on best healthcare practices for women to ask for a finite ban on the Morcellator by the FDA and the revamping of their faulty 510K to assure that another medical atrocity does not recur in the future. 

That's why I signed a petition to The United States House of Representatives, The United States Senate, and President Barack Obama, which says:

"1. Ban the faulty Power Morcellator , a surgical device, that spreads a deadly hidden cancer masquerading as a common fibroid. 

2. Revise the FDA's 510K clearance process, that fast tracks approval of medical devices without clinical trials"

Will you sign the petition too? Click here to add your name:

~ ~  ~  ~  ~  ~  ~  ~  ~  ~  ~  ~  ~  ~  ~ ~  ~  ~  ~  ~  ~  ~  ~  ~  ~  ~  ~  ~  ~  ~  ~  ~  ~

Since 2013, controversy over the Essure(R) coil escalates as women were having miscarriages, migration of the coils, breakage of the coils, and some were getting pregnant. Some women complained of such adverse side effects as requiring a hysterectomy, requiring fallopian tube removal, perforation of a hole in the uterus, the colon (which carries E.Coli), and the question of deaths by Essure(R) coil needs further investigation. In October 2014, a physician committed suicide reportedly due to his placement of 3 Essure coils in a patient, who complained of pain for 2 years and had filed a medical malpractice legal case.

Essure continues to claim that these women with these kinds of complaints 
just do not exist (STUPIDEST)
and that their product is safe (STUPIDEST)

~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ 
HEY!!!!!! HEY!!!!!!
Two burning questions come to my mind: 

1.  "Is the earth really round, or is it flat?" (STUPIDEST)
2.   "Did we really land on the moon, or was that just a set & stage that was propped?"

Wednesday, December 10, 2014

What Others are Saying About it: Archives of the Vagina by Dr Aranda

What Others are Saying: 
Archives of the Vagina: A Journey through Time
by Dr. Margaret Aranda
By a woman physician (me), for all girls and women. This is my gift to you and your fathers and husbands. The men need to run out and buy our tampons, don't they? Put up with our PMS and then our Menopause? Do they get MAN-o-pause too? This Reference Book was borne out of my 8 years of disability and bed-ridden status, which God used to inspire me to put this gigantic work together for you. Please note all the nationally-known people who kindly had a word to say about the book.

What's an 'Archive?' According to yahoo, it is "a place or collection containing records, documents, or other materials of historical interest." Wikipedia says an archive is a "an accumulation of historical records, or the physical place they are located..." In simple terms, it's a library in a book. For you.

And people ask, Why did you use the word, "Vagina?" Because it is not a bad word. I want our daughters to be able to start their periods knowing that it is coming from shedding of the uterine lining, and passing through the cervix into the vagina. I want to know if my daughter can't get a tampon in. My mother and my grandmother weren't there for me, because the times were different. Well, the times have changed...and mothers just want things to be better than they were for themselves when they were growing up. That's all. It's a huge step. The Executive Talk would include the fact that menstruation does not last forever, and women go through Menopause (so that doesn't surprise us, either).

Name of the book again? Archives of the Vagina: A Journey through Time
Order through your local library: ISBN#: 978-1-62854-116-8

                         ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ 

"What Others are Saying" about Archives of the Vagina
A Journey through Time
A List of People and Opinions at Book's Beginning:

Nancy Mills and The Spirited Woman
Wayne Connell, Founder and President, Invisible Disabilities Association (IDA)
Sayed H. Rohani, Novelist and Playwright
Walter E. Jacobson, MD, Psychiatrist, Speaker, and Author of "Forgive to Win"
Zoran K. Basich, Esq.; Nursing Home Solutions; Elder Law Attorney
Dr. Eve Agee, Best Selling Author of The Uterine Companion
     International Book Awards Winner
Hitesh Kakkad, Founder and President,
      Invisible Neurological Disorders Illness Association (INDIA)
Heidi McNulty, D.O., Physician, and Owner,
Shamsah Amersi, MD
      Fellow, American College of Obstetricians & Gynecologists
Susie Hadas, Inventor of Coldfront, Founder & CEO, Personally Cool, Inc.
Madeleine Shaw, Co-Founder & Creative Director, Lunapads and Pads4Girls

Foreword by Jeffrey P. Leake, M.D.

Archives of the Vagina: A Journey through Time

     My "first talk" wasn't actually a "talk" talk. I was thirteen years old, and my mother handed me a red hardcover book. The Red Book. I was told to turn to say, the seventh chapter. Okay, basic anatomy. The vagina was depicted in a large color illustration of the uterus and fallopian tubes, and there was a small illustration of the penis.
     No preamble, no introduction, no warning. Initially it was pretty boring. A couple was sitting on the couch. They made it clear that it was a married couple. They made a big deal about that part. Horrified, my eyes widened as the penis was inserted into the vagina. What? I had to read it over again. How did that happen so fast? Wait! How did that happen so fast? How could that happen with their clothes on? I read it again. They definitely still had their clothes on.

Next Post: List of Chapters (done, as promised)
Next Post: List of Appendices
Read Chapter One for FREE Above; Find the TAB that Reads "Archives Chapter 1"
for Archives of the Vagina: A Journey through Time, Chapter One

WITHDRAWAL OF OPIOIDS AND PAIN MANAGEMENT WITHOUT OPIOIDS By Dr Forest Tennant   We are pleased to share information from Dr. Forest Ten...