
Originally Posted by
giddyboy
The purpose of this article is to point out that there is disagreement among sincere pro-life physicians, including members of the APP, over the answer to this question: do oral contraception cause abortion?
Here's Randy Alcorn's reply that totally demolishes the so-called "disagreement among pro-lifers" that our resident master at deception has been peddling.
A Condensation of Does the Birth Control Pill Cause Abortions? by Randy Alcorn
http://www.epm.org/artman2/publish/p...bortions.shtml
Statement by Twenty Prolife Physicians
Five months after the original printing of my booklet, in January 1998 a statement was issued opposing the idea that the Pill can cause abortions. According to a January 30, 1998, email sent me by one of its circulators, the statement "is a collaborative effort by several very active prolife OB-GYN specialists, and screened through about twenty additional OB-GYN specialists."
The statement is titled "Birth Control Pills: Contraceptive or Abortifacient?" Those wishing to read it in its entirety, which I recommend, can find it at our web page, at http://www.epm.org/doctors.html. I have posted it there because while I disagree with its major premise and various statements in it, I believe it deserves a hearing.
The title is misleading, in that it implies there are only two possible ways to look at the Pill: always a contraceptive or always an abortifacient. In fact, I know of no one who believes it is always an abortifacient. There are only those who believe it is always a contraceptive and never an abortifacient, and those who believe it is usually a contraceptive and sometimes an abortifacient.
The paper opens with this statement:
Currently the claim that hormonal contraceptives [birth control pills, implants (Norplant), injectables (Depo-Provera)] include an abortifacient mechanism of action is being widely disseminated in the prolife community. This theory is emerging with the assumed status of "scientific fact," and is causing significant confusion among both lay and medical prolife people. With this confusion in the ranks comes a significant weakening of both our credibility with the general public and our effectiveness against the tide of elective abortion.
The assertion that the presentation of research and medical opinions causes "confusion" is interesting. Does it cause confusion, or does it bring to light pertinent information in an already existing state of confusion? Would we be better off to uncritically embrace what we have always believed than to face evidence that may challenge it?
Is our credibility and effectiveness weakened through presenting evidence that indicates the Pill can cause abortions? Or is it simply our duty to discover and share the truth regardless of whether it is well-received by the general public or the Christian community?
The physicians' statement's major thesis is this: The idea that the Pill causes a hostile endometrium is a myth.
Over time, the descriptive term "hostile endometrium" progressed to be an unchallenged assumption, then to be quasi-scientific fact, and now, for some in the prolife community, to be a proof text. And all with no demonstrated scientific validation.
When I showed this to one professor of family medicine he replied, "This is an amazing claim." What's so amazing is it requires that every physician who has directly observed the dramatic Pill-induced changes in the endometrium, and every textbook that refers to these changes, has been wrong all along in believing what appears to be obvious: that when the zygote attaches itself to the endometrium its chances of survival are greater if what it attaches to is thick and rich in nutrients and oxygen than if it is not.
This is akin to announcing to a group of farmers that all these years they have been wrong to believe the myth that rich fertilized soil is more likely to foster and maintain plant life than thin eroded soil.
It could be argued that if anything may cause prolifers to lose credibility, at least with those familiar with what the Pill does to the endometrium, it is to claim the Pill does nothing to make implantation less likely.
The authors defend their position this way:
[The blastocyst] has an invasive nature, with the demonstrated ability to invade, find a blood supply, and successfully implant on various kinds of tissue, whether "hostile," or even entirely "foreign" to its usual environment-decidualized (thinned) endometrium, tubal epithelium (lining), ovarian epithelium (covering), cervical epithelium (lining), even peritoneum (abdominal lining cells).... The presumption that implantation of a blastocyst is thwarted by "hostile endometrium" is contradicted by the "pill pregnancies" we as physicians see.
This argument misses the point, since the question is not whether the zygote sometimes implants in the wrong place. Of course it does. The question, rather, is whether the newly conceived child's chances of survival are greater when it implants in the right place (endometrium) that is thick and rich and full of nutrients than in one which lacks these qualities because of the Pill. To point out a blastocyst is capable of implanting in a fallopian tube or a thinned endometrium is akin to pointing to a seed that begins to grow on asphalt or springs up on the hard dry path. Yes, the seed is thereby shown to have an invasive nature. But surely no one believes its chances of survival are as great on asphalt as in cultivated fertilized soil.
According to the statement signed by the twenty physicians, "The entire 'abortifacient' presumption, therefore, depends on 'hostile endometrium.'"
In fact, one need not embrace the term "hostile endometrium" to believe the Pill can cause abortions. It does not take a hostile or even an inhospitable endometrium to account for an increase in abortions. It only takes a less hospitable endometrium. Even if they feel "hostile" is an overstatement, can anyone seriously argue that the Pill-transformed endometrium is not less hospitable to implantation than the endometrium at its rich thick nutrient-laden peak in a normal cycle uninfluenced by the Pill?
One medical school professor told me that until reading this statement he had never heard, in his decades in the field, anyone deny the radical changes in the endometrium caused by the Pill and the obvious implications this has for reducing the likelihood of implantation. According to this physician, the fact that secular sources embrace this reality and only prolife Christians are now rejecting it (in light of the recent attention on the Pill's connection to abortions) suggests they may be swayed by vested interests in the legitimacy of the Pill.
The paper states "there are no scientific studies that we are aware of which substantiate this presumption [that the diminished endometrium is less conducive to implantation]." But it doesn't cite any studies, or other evidence, that suggest otherwise.
In fact, surprisingly, though this statement is five-pages long it contains not a single reference to any source that backs up any of its claims. If observation and common sense have led people in medicine to a particular conclusion over decades, should their conclusion be rejected out of hand without citing specific research indicating it to be incorrect?
On which side does the burden of proof fall-the one that claims the radically diminished endometrium inhibits implantation or the one that claims it doesn't?
The most potentially significant point made in the paper is this:
The ectopic rate in the USA is about 1% of all pregnancies. Since an ectopic pregnancy involves a pre-implantation blastocyst, both the "on pill conception" and normal "non pill conception" ectopic rate should be the same-about l% (unaffected by whether the endometrium is "hostile" or "friendly.") Ectopic pregnancies in women on hormonal contraception (except for the minipill) are practically unreported. This would suggest conception on these agents is quite rare. If there are millions of "on-pill conceptions" yearly, producing millions of abortions, (as some "BC pill is abortifacient" groups allege), we would expect to see a huge increase in ectopics in women on hormonal birth control. We don't. Rather, as noted above, this is a rare occurrence.
The premise of this statement is right on target. It is exactly the premise proposed by Dr. Larimore, which I've already presented. While the statement's premise is correct, its account of the data, unfortunately, is not. The studies pointed to by Dr. Larimore, cited earlier, clearly demonstrate the statement is incorrect when it claims ectopic pregnancies in women on hormonal contraception are "practically unreported" and "rare."
In fact, "a huge increase in ectopics" is exactly what we do see-an increase that five major studies put between 70% and 1390%. Ironically, when we remove the statement's incorrect data about the ectopic pregnancy rate and plug in the correct data, the statement supports the very thing it attempts to refute. It suggests the Pill may indeed cause early abortions, possibly a very large number of them.