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Are Periods Just an 'Option' for Those on the Pill?

Experts Argue the Merits of Ending Monthly Ritual
WebMD Health News

March 9, 2000 (Washington) - Imagine a world without PMS, without tampons, without cramps. Aside from cutting into comedians' repertoire, this may strike many as a pleasant scenario, and it can easily be achieved by using birth control pills to suppress menstrual periods, a reproductive health researcher tells WebMD. But another expert cautions against trying to fool Mother Nature for too long.

"Having you period is not an immutable part of being a woman, and any woman whose [periods] are a problem should be given this option," Charlotte Ellertson, PhD, tells WebMD. Ellertson is the lead author of an essay on the topic in the March 11 issue of the British medical journal Lancet. She directs reproductive health work in Latin America and the Caribbean for the Population Council, a global organization, and is based in Mexico City.

Birth control pills are designed to prevent pregnancy by preventing release of the woman's egg through controlled doses of hormones, typically a combination of estrogen and progesterone. Most pills are taken for 21 days, followed by seven days of no pills or pills with no active ingredients. During those seven days the woman has a period.

Before their monthly periods, many women complain of bloating, weight gain, food cravings, and mood swings that can constitute premenstrual syndrome (PMS). Other woman suffer from painful cramping and heavy bleeding during their period, and many would just as soon stop their monthly bleeding altogether, Ellertson says.

"Health professionals and women ought to view menstruation as they would any other naturally occurring, but frequently undesirable, condition," write Ellertson and her co-author, Sarah L. Thomas. "This means providing those women who want it safe and effective means to eliminate their menstrual cycles, contributing to happier, less encumbered lives and helping women individually and society as a whole."

She believes there are no ill effects from doing this, and she contends it can work with all pills on the market today. Ellertson also criticizes doctors, whom she says have known for years known about this "option" to rid women of their periods, for failing to pass this information along to their patients.

Ellertson says there's no reason to assume that monthly periods are "natural" or "normal." She notes that women today have more periods than did their foremothers for various reasons.

As such, Ellertson maintains that the medical value of menstruation is largely unstudied and unproven. "It is unclear how many periods women need to have per year or per lifetime," she says. Ellertson disagrees with the belief that the monthly shedding of the uterine lining, which is what forms the menstrual discharge, is necessary in women who are already taking the hormones. She says that women who are on the pill are already having "artificial" periods induced by the hormones in their medication.

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