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Routine Contraception

Karl Kautsky, M.D.
JAMA. 1961;175(8):730. doi:10.1001/jama.1961.03040080086030.
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To the Editor:—  In Medical World News Aug. 26, 1960, is notice of a project of the Planned Parenthood Federation to use Enovid tablets as a "routinely" taken contraceptive. As former chief of the Municipal Premarital and Marital Guidance Clinic of Vienna (1921-1934), I take exception, not to the purpose, but, to this method of hormonal contraception. The persistent ingestion of progestin-like hormones works by suppression of ovulation. This might be harmless if used for a short while, but much caution should be taken if used for a long time.Most females in German concentration camps lost their menstrual periods, sometimes for years; usually immediately after their detainment, as a reaction to the fear caused by the Nazi terror.1 After their release from these camps most of the younger inmates started ovulating and menstruating again, and later became pregnant; but there was a startling after effect, as work by


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