HORMONAL BIRTH CONTROL
Possible Post-fertilization Effects of Hormonal Birth
Control
CMDA holds firmly that God is the Creator of life, that life begins
at fertilization, and that all human life is of infinite value. We
support measures to protect life from its earliest beginnings.
CMDA recognizes that there are differing viewpoints among Christians
regarding the broad issue of birth control and the use of
contraceptives. The issue at hand, however, is whether or not hormonal
birth control methods have post-fertilization effects (i.e., cause
abortion). CMDA has consulted many experts in the field of reproduction
who have reviewed the scientific literature. While there are data that
cause concern, our current scientific knowledge does not establish a
definitive causal link between the routine use of hormonal birth control
and abortion. However, neither are there data to deny a
post-fertilization effect.
Because this issue cannot be resolved with our current understanding,
CMDA calls upon researchers to further investigate the mechanisms of
action of hormonal birth control. Additionally, because the possibility
of abortive effects cannot be ruled out, prescribers of hormonal birth
control should consider informing patients of this potential factor.
We recognize the difficulties of providing informed consent while
handicapped by lack of definitive information. However, counseling of
patients may simply involve asking if they have concerns about potential
post-fertilization effects of these methods of birth control. In cases
where concern exists, an explanation may follow that includes the known
mechanisms of action (e.g., inhibition of ovulation and decreased sperm
penetration), as well as the concern about the unanswered question of
whether hormones negatively effect the very early stages of life.
CMDA respects and defends the right of our colleagues to refuse to
prescribe hormonal birth control when they do so with the concern of a
post-fertilization effect.
We recognize that scientific reasoning is not the only factor that
influences opinions about the use of hormonal birth control. But, while
additional investigation is needed, current knowledge does not confirm
or refute conclusions that routine use of hormonal birth control causes
abortion. CMDA will continue to monitor new developments.
A Trustee Statement