#40 - JRL 2008-77 - JRL Home
Moscow Times
April 16, 2008
Simply an Issue of Control
By Svetlana Osadchuk / Staff Writer
Sales statistics show that the sales of birth-control pills in Russia start
going up in May and remain higher than usual throughout the summer. Encouraged
by the warmth and sunlight and anticipated vacations, it seems that Russian
women want to be prepared for whatever may come their way.
The number of Russian women who use the pill as their primary form of birth
control remains low -- only between 3 and 13 percent, according to various
surveys. The corresponding figure in Europe is 52 percent.
"I hate pills. They make me fat and kill my libido," said Irina, a manager at
an IT company who declined to give her last name. Women discussing taking the
pill on Internet forums voiced similar complaints.
"When I start taking pills, I feel no desire for sex. So then why bother to
take them?" says a woman with the handle Netochka. Others found it next to
impossible to take them at the same time every day.
It would certainly be an overstatement to say that the pill helped facilitate
a sexual revolution in Russia the way it once did in the West. Intrauterine
devices (IUD), which appeared in the early 1980s, were much more "revolutionary"
in terms of introducing modern contraception to Russia.
From 1920 to 1936, abortion served as the primary form of birth control as
the government worked to free women from pregnancy and keep them in the work
force. After a dramatic decline in birth rates, however, abortions were
officially banned.
There are no reliable surveys of how people used birth control in the years
that followed the ban on abortions, although some older people remember using
uncomfortable, thick domestically produced condoms.
"It still remains a mystery how the population solved their contraceptive
problem after that time," said Vladimir Serov, Russia's chief gynecologist.
Abortions were reinstated in Russia in the 1960s and once again became a
major form of demographic control. Oral contraceptives were first introduced in
the late 1980s and initially were a cause for concern among Soviet medical
professionals. They first were prescribed only as a medication for gynecological
problems rather than as a contraceptive, because of some evidence that long-term
usage could cause cancer.
These fears were widely reported in the media and were encouraged by doctors
who were not interested in changes to their abortion service.
Today, however, Russian doctors are trying to convince women that the latest
generation of birth control pills is not only an easy form of contraception, but
can be good for their health.
They are fighting an uphill battle, as statistics from the Health and Social
Development Ministry show that more women still prefer to have an IUD -- about
30 percent of women use them as their primary form of birth control.
"But we all know that the main method of contraception in the country is
coitus interruptus," said Vera Prilepskaya, the chief specialist on
contraception in Russia, speaking at a conference on contraception in Moscow in
March.
Withdrawal is the only method demanding no advance preparation, she said.
Even with condoms, the simplest option, someone needs to have bought them first,
she said.
The continued popularity of this method of birth control may be the reason
that the most popular contraceptive pill sold in Russia is Postinor, a "morning
after" or emergency contraceptive pill, sold in the United States under the
trade name Plan B. Pharmacies in the United States require a prescription for
emergency contraception, but it can be bought over the counter in Russia.
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