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Feminism: Sex and gender discussions

Roaccutane and contraception

29 replies

OverHereBitches · 11/11/2014 09:55

This will be long so bear with me...

For those who don't know, roaccutane is an acne medication which is very strong and can have horrible side effects, including depression and birth defects but there are plenty more. It is so strong and the side effects can be so bad that there are even many people who think it should be banned and are trying to do exactly that.

Understandably because of the birth defects you must not get pregnant while on it. The manufacturers highly recommend using contraception while on it and for one month afterwards and insist on pregnancy tests whilst on it.

Even though contraception isn't compulsory (I will get to that bit later), at least not in the UK or US, there are still a great number of dermatologists who insist it is and simply will not prescribe to anyone who isn't on contraception. It doesn't matter if you're not sexually active and have no intention to be because they "can't take your word for it" that you won't have sex (yet they have no problem taking your word for it and believing you when you say "yup, doc, I'm on the pill" Hmm). Nope, you must take contraception.

I can understand why. Really I do. You really do not want to get pregnant while on it, the birth defects are really horrible. But somehow I just can't help but think that it is fucking offensive that women have to have their hand held and be treated like children when it comes to pregnancy and babies. All medications involve an element of trust between doctor and patient but when it comes to women and their reproductive organs and their sex lives then they are too fucking stupid to be trusted and have to be guided and have their hand held all the way.

Also roaccutane obviously has side effects. Contraception can also have really bad side effects for some women too. I have known women who have suffered depression, mood swings, non stop bleeding, bad headaches to the point of being sick, etc whilst on the pill/injection/imlplant/whatever. So you then have to basically put up with the side effects of the roaccutane and the contraception. If you're not even sexually active them it just seems insane to me to do that and take unnecessary medication and put up with even more side effects.

Also I mentioned depression is a possible side effect of roaccutane and hormonal contraception. So in other words women would have to put up with double the risk of depression.

I'm aware that contraception isn't actually mandatory while on it (although the number of dermatologists who insist it is is just astounding) but it is so heavily reccomended that it might as well be.

In case anyone thinks I'm cracking up with that last point, it is certainly not compulsory in the UK or the US. I have no idea about other countries.

"Do all women have to enter the Pregnancy Prevention Programme?
Women who are not sexually active, or who are unable to become pregnant due to medical reasons, or who have been sterilised, may be excluded from the Pregnancy Prevention Programme."
-- The British Association of Dermatologists

And in the US where they have the ipledge program you're actually meant to choose two forms of contraception, a hormone method and a barrier method. However you are allowed to select abstinence as your first method of contraception and "nothing" as your second (and I have known people who have done exactly that).

"iPLEDGE guidelines suggest that abstinence is not advised, but is an acceptable option when chosen for religious, lifestyle, or medical reasons."
-- here

Yet of course there are some people who have been brainwashed to think that contraception is compulsory that anyone who has chosen to opt out of it and not taken it with the agreement of their doctor is "breaking the rules" Hmm.

I have heard the whole "you should take contraception just in case you are raped" but I don't even want to go into how fucking offensive that argument is. I have been raped before and it just smacks of victim blaming to me and I do find it fucking offensive. I guess these people just think all women should be on contraception all of the time "just in case" they are raped. Unless of course they're trying for a baby in which case they should be locked in a tower with access to their husband only Hmm.

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OP posts:
PuffinsAreFicticious · 11/11/2014 11:34

Yup, because trusting women is just too ridiculous, isn't it.

What with us all being lying snakes with tits and all.

If a doctor has informed a woman of the consequences of becoming pregnant while using roaccutane and the woman signs to say that she understands, then that is all that needs to happen.

If the woman becomes pregnant, there is the option of termination.

All sorted, no one is forced to take hormonal contraception against their wishes or inclination.

HeyheyheyGoodbye · 11/11/2014 10:13

I wasn't pressured to go on contraception when I was on Roaccutane. Maybe because I was already on anti-depressants so they didn't think it was worth the risk of messing with my hormones. But I know my consultant didn't force any female patients to take the pill so long as they signed something saying they understood they must rigorously avoid pregnancy.

I'm a bit torn on this issue. On the one hand I agree that it is annoying for female patients to face this pressure, but on the other hand, the doctors need to do everything they can to avoid further complications. Hmm.

Side note: Roaccutance completely changed my life and I would suffer the (admittedly awful) side-effects all over again if I had to. For me it was a miracle drug.

lougle · 11/11/2014 10:13

How depressed do you think a woman might be if their child is born with (preventable) disability because they feel pregnant while on the drug?

Thistledew · 11/11/2014 10:08

I think it is more to do with not getting sued than any notions about women's sexuality. It's about demonstrating that the doctors have done all they can to make sure that the likelihood of conception is kept as low as possible. Insisting that the woman takes contraception is a box that can be ticked in a far easier way than lecturing about abstinence, as people do get carried away, think they can rely on withdrawal/natural family planning etc.