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Susan Kim

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Birth Control, Water, And Women

Posted: 12/10/09 11:10 AM ET

In this week's New York Times, Andrew Sullivan reported on the highly disturbing fact that in the past five years, more than a fifth of the country's 54,700 water treatment systems have violated major provisions of the Safe Drinking Water Act, with no follow-up fines or punishment by either the state or the EPA. Thanks in large part to a decade of nearly nonexistent enforcement, tens of millions of men, women and children now routinely drink, bathe in and cook with tap water laced with illegal levels of contaminants (not just bacteria, parasites and viruses, but known carcinogens like arsenic, uranium, radium, and tetrachloroethylene). Nice, huh? Even at a time when we as a country can't agree on a fundamental right to health care, is there anyone who doesn't believe in the right to free, potable water that won't potentially kill you?

Having just co-written a book about menstruation, I'm reminded of yet another lovely variation on the water pollution theme, one that's directly related to women's health and the choices we make as consumers. In recent years, there have been increasing reports about "intersex" animals that live in or near the water: male alligators with undersize penises, male fish that produce eggs as well as sperm, male sea birds with female traits. If you've been wondering about the dying-off of wild salmon populations in the Pacific northwest, look no further; increasingly, scientists are laying the blame on estrogen. Certain pesticides and compounds (the kinds commonly found in many cleaning agents, skincare products, and plastics) can mimic the actions of the potent female hormone; and these pollutants are routinely dumped, drained, washed off and released into our waterways every day in vast quantities. Even incredibly small traces of these compounds can induce partial sex changes in salmon, changes that ultimately affect the number of females born and eventually the overall population.

Obviously, much of this pollution occurs as a result of routine manufacturing and commercial farming. Yet we can't ignore the fact that another potent source of estrogen pollution in our water comes from our love of the Pill - next to condoms, the most popular form of birth control in the United States. More than 100 million women worldwide currently rely on the Pill for its relative effectiveness, its convenience, and the fact that it reduces one's period to a highly manageable and predictable monthly event. The unseemly downside, however, is that together, Pill users excrete vast amounts of leftover synthetic estrogen every day. The estrogen isn't completely broken down during sewage treatment; what's more, some scientists believe it may even be reactivated by bacteria during the process. Vast amounts of estrogen then go surging into rivers and streams, affecting every animal that lives there and accumulating in their bodies... including those of the fish we eat.

You can also add to the mix the new "menstrual suppression" drugs that are currently being marketed to young women, mostly through the re-branding menstruation as an annoyance to be contained or even eliminated outright (i.e. why let your monthly blood interfere with that hot date or your yoga class?). Menstrual suppression drugs are pretty much birth control pills in a new wrapper, only minus the placebo week that gives Pill-users that paltry week of phony flow; and if they catch on, they too will add to the excessive load of estrogen being pumped into our rivers, streams and lakes.

So how much of an immediate health risk is any of this? Unfortunately, it's hard to tell; so many diseases like cancer often take years to develop and it can be difficult to identify the smoking gun. Yet one thing is clear: breast and other cancer rates have risen over the past 30 years, and research indicates they may well be tied to pollutants like those found in our drinking water. Knowing that the pill you pop may well end up the estrogen-laced water you drink shouldn't be the only factor to take into account when making choices about birth control; but it's nevertheless one well worth considering.

 
In this week's New York Times, Andrew Sullivan reported on the highly disturbing fact that in the past five years, more than a fifth of the country's 54,700 water treatment systems have violated major...
In this week's New York Times, Andrew Sullivan reported on the highly disturbing fact that in the past five years, more than a fifth of the country's 54,700 water treatment systems have violated major...
 
 
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HUFFPOST SUPER USER
MorganT
09:35 PM on 12/12/2009
I read an article like this from the vatican. It said that birth control was responsible for pollution and the extinction of many animals. I agree that we need to perhaps worry about all of these chemicals and try to have clean, carcinogen free water, but maybe instead of looking into the pill and women taking it, why don't we look at the pharmaceutical companies that make the pill and make a huge profit off of it.
01:21 AM on 12/14/2009
"...but maybe instead of looking into the pill and women taking it, why don't we look at the pharmaceutical companies that make the pill and make a huge profit off of it."

To what end, may I ask? They also make the hundreds of other drugs that millions of people take every day that end up in the water supply via the toilet or sink...they're not just making money off birth control pills. We are a highly over-medicated society: heart drugs, weight loss drugs, acne drugs, diabetic drugs, male-enhancement drugs, dozens of different antibiotics...they're all doing harm when inadvertently ingested by people who drink water.

Btw, I wouldn't put too much stock in anything the Vatican says about birth control...we all know they have an ulterior motive of wiping out ALL birth control methods because it's against their religion and NOT because they have altruistic thoughts of saving the environment.
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Tulka2
Solidarity. Courage. Humor.
11:52 PM on 12/11/2009
This is a terrible development. Look at the statistics of human babies being born with indeterminate genitalia. It's happening to humans too.
11:23 PM on 12/11/2009
What about the nuvaring? Does that have an impact? Or is it just the pill?
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alieninvader
12:14 AM on 12/12/2009
Yes. It has the same hormones.
06:00 PM on 12/11/2009
Looking at the NYT article that she references... it was noting that the EPA is trying to get this under control and is working on a revamping of the Clean Water Act. This might be a good place to talk about hormonal contamination in groundwater. Barbara Boxer is one of the legislators working on it.

It was also reported that the EPA was reluctant to require fines because the municipalities were often already strapped for cash. As a person that lives on a small township well, I know something of these communities. Thanks to the America Recovery Act we were able to re-pipe our small town and reduce the copper levels in the water. There was no other way for our water district to be able to afford it.

The EPA is having the same problem as the FDA, not enough people available to make sure the rules are being followed. Not enough people to monitor the problems.
05:49 PM on 12/11/2009
This is an issue with the pill, other chemicals that mimic estrogen and HRT therapy. I have also read about vitamins and other drugs we take invading the groundwater and affecting fish and other animals.

I think she doesn't give many ideas for getting rid of the issue because it is very widespread. It's not like we can stop urinating.

Better water treatment methods? Monitoring of water treatment effluent for hormonal contamination?

Of course if we aren't looking for heavy metals and carcinogen in our potable water, how can we expect the EPA to look into excess vitamins, hormones and Lipitor?
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01:29 PM on 12/11/2009
I agree that this article left me with lots of questions and no outlet to look into them. I feel like the conclusion is missing. Also, are these birth control hormones excreted by women ONLY on the pill? What about women on other forms; Nuvaring, Othro Evra, the Depo shot, etc? If you are informing us about birth control choices more information is NECESSARY here!
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alieninvader
07:27 PM on 12/11/2009
I'm sure it applies to all hormonal birth control.
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Tulka2
Solidarity. Courage. Humor.
11:50 PM on 12/11/2009
Yes.
08:36 AM on 12/11/2009
Your article describes a problem, but not any solutions. What do you advocate?
12:26 PM on 12/11/2009
I can chime in ...... barrier methods of birth control, timing, spermicides and IUD's. There have been great developments in devices and thermometers. And there is no harm in women and men understanding human physiology as well as consciousness around the matter.
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texastrixie
I invented the internet.
01:34 PM on 12/11/2009
Also, a realization by health insurance companies that permanent sterization is not something that is "elective" for society. By banning elective surgical sterilzation in many (Catholic) hospitals, and from some (Greedy) health care plans, we force women to use birth control long after they have completed their families.
02:46 PM on 12/11/2009
"timing" methods are totally unreliable, as many women can never know for sure when they ovulate. Barrier methods and spermicides are not very reliable either, and leave the woman at an increased risk for infection (especially UTI's). A copper IUD would be an alternative to the pill, this potential environmental problem should not be used as an excuse to promote unreliable methods of birth control.
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avicenna
05:43 AM on 12/11/2009
Have the differences between endogenous ovarian hormone (i.e estrogen and progesterone) metabolism and secretion and oral contraceptives been compared? Are the metabolites different? I know that there is great variation in urinary estrogen and progesterone metabolites found in premenopausal women not taking the pill (and during the follicular phase estrogen levels can be sky rocket high in some women). The effect of intersex organisms are more likely due to the deleterious levels of xenoestrogens (such as bisphenol A) and other endocrine disruptors (like pthalates) that we use in virtually all consumables and industrial byproducts.
11:28 PM on 12/11/2009
And is this happening in Europe, where there is equal use of birth control but less use of things like processed foods, factory farms which affect the water supply, and environmentally harmful industries?
02:01 AM on 12/14/2009
Great points! :)) I'm also curious if the relatively recent fixation we as a society seems to have with soy products may also be contributing to this problem. Soy, even fermented, is known to contain isoflavones (in fact, a big selling point with the soy industry) which unfortunately causes endocrine disruption (but they didn't want us to know that). They also contain phytoestrogen, a plant-based substance that mimics estrogen. Hmmmmm... and people eat this stuff EVERY day as their main source of protein; when ya eat, drink and cr*p estrogen, no wonder we're it in the water supply!
02:11 AM on 12/14/2009
Oops...that last sentence s/b "...no wonder we're finding it in the water supply!" :)