In case you missed it during the eat-a-thon, football-a-thon, couch-sitting-a-thon that was Thanksgiving, last week I wrote about Mother Jones’ investigation of the efficacy of Plan B (aka emergency contraception aka The Morning After Pill) for women over 165 pounds. The European equivalent (chemically identical, branded differently) has recently added a warning that the pill loses potency for women over 165 pounds and is ineffective for women over 176 pounds.
I found this revelation to be extremely disturbing. Frankly, both the scientific details (i.e. why 176 pounds? Is this BMI related? Can I just take two pills instead?) and legal intricacies (i.e. What kind of testing does the FDA require? What is a legally acceptable fail rate? When are you required to disclose this information?) of this announcement are over my head.
From an ethical perspective, however, it seems clear to me that when 25% of women (and 50% of black women, FYI) take a pill that advertises itself as emergency contraception, they deserve to know that it is not designed to work for them. All contraception has a fail rate, duh, but this is bigger than that. Some people are trying to make this an issue about promiscuity, or the politics of obesity, but they’re missing a point. The drug is already out there, the women already take it, they are already over 165 pounds. None of those facts change, so the only question on the table is whether there should be a big sticker on the box that says, “Over 165 pounds? Please consult your doctor before taking Plan B.” As a sexually active woman over 176 pounds, I would really appreciate that.
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