1. Dr. Strangepills, or How I Learned to Stop Worrying and Love the Barrier Contraceptive Geoff Bell Geoff Bell Andrew Bragg Andrew Bragg Christopher Brannon Christopher Brannon Lauren Postma Lauren Postma Jason Richards Jason Richards

2. Cervical Cancer A number of studies have reported a strong association between cervical cancer and long- term use of oral contraception (OC). A number of studies have reported a strong association between cervical cancer and long- term use of oral contraception (OC). The risk is highest (up to four times the risk of nonusers) in women infected with human papillomavirus (HPV) who have taken OCs for ten years or more. The risk is highest (up to four times the risk of nonusers) in women infected with human papillomavirus (HPV) who have taken OCs for ten years or more. Women who are not infected with HPV have no significantly higher risk. Women who are not infected with HPV have no significantly higher risk. The reasons for this risk from OC use are not entirely clear. The reasons for this risk from OC use are not entirely clear.

3. HPV is bad, mmm kay Although OC use may increase the risk of cervical cancer, human papillomavirus (HPV) is recognized as the major cause of this disease. Approximately 14 types of HPV have been identified as having the potential to cause cancer, and HPVs have been found in 99 percent of cervical cancer biopsy specimens worldwide. Although OC use may increase the risk of cervical cancer, human papillomavirus (HPV) is recognized as the major cause of this disease. Approximately 14 types of HPV have been identified as having the potential to cause cancer, and HPVs have been found in 99 percent of cervical cancer biopsy specimens worldwide.

4. Significance to Optimal Health Certain types of female contraception increase estrogen levels which has been linked with increasing chance of cancer.

5. What if not addressed?  It has been suggested that oral contraceptives have hormones that might facilitate the entry of the Human Papillomavirus into the genetic makeup of the cervical cells.  HPV is recognized as the major cause of cervical cancer.

6. Women who use OC’s  Women who use oral contraceptives are less likely to use other contraceptives such as condoms or diaphragms which in turn lessens the protection against STDs, including HPV.

7. Impact?  If this problem is not addressed there will be more cases of cervical cancer and also more cases of HPV.

8. Possible Solutions  for women to maintain hormone balance and heal their cervix, they should use natural progesterone cream supplementation.  Use an aloe vera or acidophilus douche before bed (avoid commercial douches).  Take a good quality multiple vitamin. This supplement contains the required amount of folic acid necessary to help you with cervical problems.

9. More solutions…  Take vitamin A, 10,000 IU, orally daily and topically on the cervix. (Have fun with that)  The basis of the natural treatment program is this - the womens clinic has found that the majority of women will find permanent relief from symptoms through an approach that combines medical-grade nutritional supplements, omega-3 supplements, over-the- counter bioidentical progesterone and some dietary and lifestyle changes.

10. And then…there were more possible solutions  IUDs  Condoms  Abstinence (heh)

11. And the (possible) winner is.. Oral contraceptives aka the pill are usually used by women who are in monogamous relationships due to the fact that it doesn’t protect against STDs. In keeping with the fact that we are looking for a solution similar to the clients needs I chose the IUD as the best possible solution.

12. IUDs! An Intrauterine Device (IUD) is a small object that is inserted through the cervix and placed in the uterus to prevent pregnancy. IUDs are 99.2-99.9% effective as birth control. IUD’s can be removed by a doctor at any time, Copper IUD needs to be changed only every 10 years; progesterone IUD needs changed yearly

13. The copper IUD is about 99%, and the progesterone IUD is about 97%, effective for preventing pregnancy, and it starts working right away. It has a low risk for side effects, and doesn’t take away from the enjoyment of sex for the user or her partner. It requires no attention except for monthly checks for the string at the time of each menstrual period. Fertility returns immediately upon removal in most cases. Also it’s more convenient, because there is no need to remember to take a pill everyday, and it can be used while breast-feeding.

14. Summary ( What have we learned today?) Cancer of the cervix uteri is the third most frequent cancer in women worldwide. Cancer of the cervix uteri is the third most frequent cancer in women worldwide. A woman who currently takes oral contraceptives runs a higher risk of developing cancer of the cervix, compared to a woman who has never taken oral contraceptives A woman who currently takes oral contraceptives runs a higher risk of developing cancer of the cervix, compared to a woman who has never taken oral contraceptives Women using OC for 5 years + have three fold increase in risk Women using OC for 5 years + have three fold increase in risk

15. There will be a quiz after the presentation. Raised risk goes back to normal levels ten years after the woman stops using OC Raised risk goes back to normal levels ten years after the woman stops using OC The longer a woman has been taking oral contraceptives the higher is her risk of developing invasive cervical cancer The longer a woman has been taking oral contraceptives the higher is her risk of developing invasive cervical cancer Human Papillomavirus (HPV) strongly linked to the cause of cervical cancer by OC’s – considered necessary cause of cervical cancer Human Papillomavirus (HPV) strongly linked to the cause of cervical cancer by OC’s – considered necessary cause of cervical cancer

16. Final Thoughts Women need to use other types of contraceptives as well in order to reduce risk of HPV Women need to use other types of contraceptives as well in order to reduce risk of HPV HPVs are a group of more than 70 types of viruses, some of which are known risk factors for cervical cancer. Compared to non-OC users, women who use OCs may be less likely to use barrier methods of contraception (such as condoms)” HPVs are a group of more than 70 types of viruses, some of which are known risk factors for cervical cancer. Compared to non-OC users, women who use OCs may be less likely to use barrier methods of contraception (such as condoms)” Women need to be mindful of what they are taking and how long they are taking OC’s Women need to be mindful of what they are taking and how long they are taking OC’s Women need to keep a close eye! Yearly Pap tests will monitor cervix for possible cellular changes. Women need to keep a close eye! Yearly Pap tests will monitor cervix for possible cellular changes.

17. Sources http://www.cancer.gov/cancertopics/factsheet/Risk/oral-contraceptives#4 http://www.cancer.gov/cancertopics/factsheet/risk/HPV http://www.cancer.org/docroot/CRI/content/CRI_2_4_2X_What_are_the_ risk_factors_for_cervical_cancer_8.asp http://www.oralcontraceptives.com/about_types.asp http://www.oralcontraceptives.com/about_benefits.asp http://www.safemenopausesolutions.com/cervical-cancer-signs.html http://www.fwhc.org/birth-control/iudinfo.htm http://familydoctor.org/online/famdocen/home/women/contraceptive/31 9.html http://www.mjbovo.com/Contracept/IUD.htm