MONTVILLE,
N.J., March 23 /PRNewswire/ -- A new national survey of 400
women between the ages of 25 - 49, conducted by International
Communications Research (ICR),(1) reveals widespread
misconceptions about female sterilization, the most widely
used birth control method among women ages 35 -- 44 and among
married and formerly married women in the U.S.(2) Despite the
prevalence of female sterilization in the U.S., only one
percent of the women surveyed cite sterilization as a leading
form of birth control.(1a) In addition, among sterilized women
who participated in the survey, close to 60 percent report
their doctors did not offer any long-term contraceptive
alternatives to sterilization.(1b)
"There
is an alarming lack of awareness about the highly effective
and reversible long-term contraceptives now available to
women," said Raquel Arias, M.D., associate professor,
Department of Obstetrics and Gynecology, Keck School of
Medicine, University of Southern California. "For
instance the survey found nearly 70 percent of women are
unaware of a reversible contraceptive option that is as
effective as sterilization and is easily removed.(1c) That
alternative is Mirena, an intrauterine system which is safe,
long acting and is as, or more, effective than sterilization
in preventing pregnancy for up to five years -- without the
permanence or risks of surgery."
Almost
half of all women surveyed would or might consider trying a
long-term contraceptive that is as, or more, effective than
sterilization.(1d) However, as the survey indicates, these
women are not learning about all of their contraceptive
options. This is a concern since the same survey shows 26
percent of women would or might consider sterilization in the
future, yet they may not be informed about all of their
options.(1e)
Unlike
many of the women in the survey, Britt Huss, a mother of three
from Denville, New Jersey, did learn about all of her
contraceptive options when she first considered sterilization.
"After I had my third child, my doctor suggested Mirena
because it is long-term birth control that I can remove at any
time," said Britt, who uses Mirena. "I'm not sure
whether we'll want more children down the road, but I wanted
to have the ability to leave my options open."
According
to the ICR survey, one in six women who were sterilized
wish, at times, that they had left their options open,
too.(1f) Three-quarters of these women regret their decision
because they want to have a baby after all, might want a baby
in the future or got remarried and want a baby with their new
partner.(1g)
The
Truth About Reversal
While
reversal may be possible in some instances, female
sterilization is considered to be a permanent method of birth
control by organizations such as Planned Parenthood. Reversal
requires complicated surgery and future pregnancies cannot be
guaranteed. In addition, a number of women may not be able to
pursue reversal surgery because they do not have enough of
their fallopian tubes left in their reproductive tract as a
result of certain sterilization procedures. What's more,
reversal surgery is costly and is not always covered by
insurance.(3)
"Many
women are not aware that the success rate of reversing
sterilization is unpredictable," said Dr. Arias.
"While women cannot control what life changes may occur
over time -- unexpected divorces and second marriages -- they
can keep some control of their fertility. Because of the
finality of the procedure, women who undergo sterilization
should assume they are relinquishing that control."
The
Reality of Regret
Indeed,
relationships and marriage can be unpredictable -- 43 percent
of first marriages end in separation or divorce within 15
years, according to the National Center for Health
Statistics.(4) There are approximately 12.3 million women in
the U.S. who are divorced,(5) and many of them may eventually
remarry and may want to have more children. In fact, according
to the Centers for Disease Control and Prevention, 54 percent
of divorced women remarry within five years of the divorce and
75 percent remarry within 10 years of the divorce.(6)
Remarried women or women in new, committed relationships may
wish to have children with their new significant other. For
those women who have undergone sterilization, however, having
more children may be a considerable challenge or impossible.
According
to research, a variety of factors affect a woman's likelihood
to regret sterilization. Among women who had tubal
sterilization, risk factors for regret include young age,
black race, less education or a husband or partner advocating
sterilization.(7) Data collected in 1999 by the United States
Collaborative Review of Sterilization (CREST), an analysis of
11,232 women ages 18 -- 44 who had tubal sterilization,
uncovered that 20.3 percent of women who were sterilized
before the age of 30 expressed regret.(8) The CREST study also
found that women who were sterilized at a young age had a
higher chance of requesting information about reversal,
regardless of their number of living children.(9) Furthermore,
women who reported substantial conflict with their husbands or
partners before tubal sterilization were more than three times
as likely to regret their decision and more than five times as
likely to request a reversal than women who did not report
such conflict, according to an analysis of a subset of women
in the CREST study.(10)
"To
reduce the risk of regret, women who are considering
sterilization should speak with a healthcare provider for
counseling and to learn about alternative long-term
contraceptive options," said Dr. Arias.
About
Mirena
Mirena
gives women the ability to control their fertility by
providing up to five years of hassle-free birth control that
is up to 99.9 percent effective (as, or more, effective than
sterilization) -- without the permanence or cost of
sterilization surgery. In addition to providing effective
contraception, Mirena also offers additional therapeutic
benefits including a significant reduction of monthly
menstrual bleeding. In fact, after one year of use, Mirena
results in a 90 percent reduction in menstrual bleeding for
the vast majority of users and approximately 20 percent of
women using Mirena have no bleeding at all. Mirena is
appropriate for women who have had at least one child, are in
a stable, single-partner sexual relationship, and who are
looking for effective, long-term, reversible contraception
that is hassle-free.
Mirena
can be easily removed by a doctor at any time a woman chooses.
Studies show the chances of getting pregnant after
discontinuing Mirena use are the same as for women who have
not been using any method of birth control. For further
details and full prescribing information, please visit http://www.longtermbirthcontrol.com.
About
Berlex, Inc.
Committed
to addressing unmet medical needs, Berlex develops and markets
diagnostic imaging agents, treatments in the areas of female
health care and dermatology, as well as specialized
therapeutics for life-threatening and disabling diseases in
the fields of the central nervous and cardiovascular systems,
oncology, and gastroenterology. Berlex has business operations
in New Jersey, California and Washington. For more
information, please visit http://www.berlex.com.
Certain
statements in this press release that are neither reported
financial results nor other historical information are
forward-looking statements, including but not limited to,
statements that are predictions of or indicate future events,
trends, plans or objectives. Undue reliance should not be
placed on such statements because, by their nature, they are
subject to known and unknown risks and uncertainties and can
be affected by other factors that could cause actual results
and Berlex's plans and objectives to differ materially from
those expressed or implied in the forward-looking statements.
Berlex, Inc. undertakes no obligation to update publicly or
revise any of these forward-looking statements, whether to
reflect new information or future events or circumstances or
otherwise.
* The survey, conducted by International Communications Research (ICR)
based out of Media, Pennsylvania, polled approximately 400 women ages
25 to 49 years in the United States. The random-sample survey was
conducted via telephone from January 14-25, 2005.
(1) (1a,b,c,d,e,f,g) International Communications Research (ICR) study
conducted from January 14-25, 2005 using approximately 400 women
between the ages of 25 and 49 years in the United States.
(2) Mosher, William D.,Ph.D; Martinez, Gladys M., Ph.D; Chandra, Anjani,
Ph.D; Abma, Joyce C., Ph.D; Willson, Stephanie J., Ph.D. Use of
Contraception and Use of Family Planning Services in the United
States: 1982-2002; Advance Data From Vital and Health Statistics;
number 350; December 10, 2004
(3) http://www.plannedparenthood.org/pp2/portal/medicalinfo/birthcontrol/
pub-tubal-sterilization.xml#1096372855599::-3433870888775950819
(4) National Survey of Family Growth, a nationally representative sample
of women age 15 to 44 in 1995. Bramlett, Matthew and William Mosher.
First marriage dissolution, divorce, and remarriage: United States,"
Advance Data From Vital and Health Statistics; No.323. Hyattsville
MD: National Center for Health Statistics: 21
(5) US Census Bureau. Marital Status by Sex, Unmarried-Partner
Households, and Grandparents as Caregivers, 2000
(6) Centers for Disease Control and Prevention; National Center for
Health Statistics, Vital Health Statistics. Cohabitation, Marriage,
Divorce, and Remarriage in the United States. Series 23, Number 22,
July 2002, page 22
(7) Jamieson DJ, Kaufman SC, Costello C, et al. A comparison of women's
regret after vasectomy versus tubal sterilization. Obstet Gynecol
2002; 99:1,073-1,079.
(8) Hillis SD, Marchbanks PA, Tylor LR, et al. Poststerilization regret:
findings from the United States Collaborative Review of
Sterilization. Obstet Gynecol 1999; 93:889-895.
(9) Schmidt JE, Hillis SD, Marchbanks PA, et al. Requesting information
about and obtaining reversal after tubal sterilization: findings from
the U.S. Collaborative Review of Sterilization. Fertil Steril 2000;
74:892-898.
(10) Jamieson DJ, Kaufman SC, Costello C, et al. A comparison of women's
regret after vasectomy versus tubal sterilization. Obstet Gynecol
2002; 99:1,073-1,079.