19 Reasons Why: COVID19 & Contraception

Contraception & COVID19

Consistently Observed Phenomena Reflect Reality

…and the reality is that men with COVID19 are more likely to become severely ill, require intensive care, and die than COVID19+ women (Chakravarty et al., 2020; Conti et al., 2020; Di Stadio et al., 2020; Jin et al., 2020; Nascimento et al., 2020; Richardson et al., 2020; Wang et al., 2020; Wenham et al., 2020; Zhao et al., 2020; Zijian et al., 2020).

1β. Contraception

Costeira et al., 2020: Women between 18–45 taking oral contraception had a lower rate of predicted COVID-19 (based on symptomatology) & lower rates of hospitalization, & a lower frequency of symptoms. Among women between 25–30, those taking contraception were less likely to be COVID-19 positive.

Estrogen Patch Experiment

A clinical trial that is due for completion on November 15th is investigating if an estrogen patch can reduce COVID19 severity in men.

(ClinicalTrials.gov Identifier: NCT04359329)

Why women ≥ 55 years of age?

Menstrual Status and Sex Hormones (Ding et al., 2020, p. 3–4):
“…obvious differences existed in nonmenopausal females and age-matched males… fewer nonmenopausal females suffered severe COVID-19 disease” & ‘they were more likely to survive.’ Moreover, nonmenopausal women “showed a definite protective effect” as they ‘were less likely to be hospitalized & they were “discharged earlier than patients in menopause.”

Contraception & Vitamin D

A study of Danish women found that contraceptive use was positively associated with Vitamin-D levels (Moller et al., 2013).

Lesbians & Bisexual women have higher rates of teen pregnancy than straight women

Given the potentially protective effects of contraception, health providers should strive to redress ongoing inequities in gay and bisexual women’s access to & delivery of reproductive health services.

Cautionary Note on Contraception for Women at Risk of Venous Thromboembolism (VTE)

(Paraphrasing & quoting several articles; see references below)
→ ‘Coagulation hyperactivation in symptomatic COVID-19 severe patients may have an increased risk of VTE when in use of estrogens (Pires et al., 2020).

Sex Gender & COVID Project Data (October 19th)

References

Canonico, M., Oger, E., Plu-Bureau, G., Conard, J., Meyer, G., Lévesque, H., … & Scarabin, P. Y. (2007). CLINICAL PERSPECTIVE. Circulation, 115(7), 840–845.

Outtakes

“Female patients are able to achieve viral clearance significantly earlier than males” (White & Kirby, 2020).

Mattson, 2019

Gender Socialization & Women’s Vitamin D Deficiency

- Asia: Male Gaze → women’s desire to have whiter skin → avoid sunlight → women more likely to buy parasols → parasols & umbrellas depicted as a woman’s accessory for centuries (Sangster, 1855) → 1623 painting by Sir Anthony van Dyck of Marchesa Grimaldi with her parasol.

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Dr. Jarryd Willis PhD

Dr. Jarryd Willis PhD

I'm passionate about making a tangible difference in the lives of others, & that's something I have the opportunity to do a professor & researcher.