The prescribing labels for the most commonly prescribed birth control pills in America acknowledge blood clots, stroke, cancer associations, depression, and suppressed sexual desire. They admit that the long-term effects of current formulations "remain to be determined." They reveal that fundamental pharmacological parameters were never measured for some products, and that clinical trials of roughly a thousand women lasting one year serve as the safety basis for decades of continuous use. What these labels do not contain is any investigation into the effects of these drugs on the adolescent brain, on partner selection, on relationship satisfaction, or on the experience of discontinuation after years of use. The information is printed in small type on thin paper, folded inside the box. Most women never read it. Most doctors never walk through it. The Birth Control Deception reads it — across the pill, Depo-Provera, NuvaRing, hormonal and copper IUDs, subdermal implants, the Dalkon Shield, and breast implants — drawing from the manufacturers' own documents, published studies, court records, and internal files to show what the companies know and women are never told.

The book is approximately 84,000 words and collects twelve original essays, two book summaries, a compilation of reader testimonies, and an essay on fertility awareness, with a new introduction and three appendices: a set of questions to bring to any appointment where a hormonal prescription is on the table, a reorganisation of the manufacturers' own label admissions into what they acknowledge, what they admit they don't know, and what was never studied, and a quick-start guide to the symptothermal method of fertility awareness — which matches the pill's effectiveness at 99.4% with correct use and costs nothing beyond a thermometer.

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