Klaus Hanna, Cortés Manuel E
Linacre Q. 2015 Aug;82(3):283-300. doi: 10.1179/2050854915Y.0000000009.
Governments and society have accepted and enthusiastically promoted contraception, especially contraceptive steroid hormones, as the means of assuring optimal timing and number of births, an undoubted health benefit, but they seldom advert to their limitations and side effects. This article reviews the literature on the psychological, social, and spiritual impact of contraceptive steroid use. While the widespread use of contraceptive steroid hormones has expanded life style and career choices for many women, their impact on the women's well-being, emotions, social relationships, and spirituality is seldom mentioned by advocates, and negative effects are often downplayed. When mentioned at all, depression and hypoactive sexual desire are usually treated symptomatically rather than discontinuing their most frequent pharmacological cause, the contraceptive. The rising incidence of premarital sex and cohabitation and decreased marriage rates parallel the use of contraceptive steroids as does decreased church attendance and/or reduced acceptance of Church teaching among Catholics. Lay summary: While there is wide, societal acceptance of hormonal contraceptives to space births, their physical side effects are often downplayed and their impact on emotions and life styles are largely unexamined. Coincidental to the use of "the pill" there has been an increase in depression, low sexual desire, "hook-ups," cohabitation, delay of marriage and childbearing, and among Catholics, decreased church attendance and reduced religious practice. Fertility is not a disease. Birth spacing can be achieved by natural means, and the many undesirable effects of contraception avoided.
政府和社会已经接受并积极推广避孕措施，尤其是甾体激素避孕药，将其作为确保生育时机最佳化和生育数量适宜的手段，这无疑对健康有益，但人们很少提及它们的局限性和副作用。本文回顾了关于使用甾体激素避孕药对心理、社会和精神影响的文献。虽然甾体激素避孕药的广泛使用为许多女性拓展了生活方式和职业选择，但倡导者很少提及它们对女性幸福感、情绪、社会关系和精神层面的影响，而且负面影响往往被淡化。即便有所提及，通常也只是对症治疗抑郁和性欲减退症状，而不是停用最常见的药物诱因——避孕药。婚前性行为和同居发生率的上升以及结婚率的下降与甾体激素避孕药的使用情况相似，天主教徒中去教堂做礼拜的人数减少和/或对教会教义的接受度降低也与之相似。简要总结：虽然社会广泛接受激素避孕来控制生育间隔，但它们的身体副作用常常被淡化，其对情绪和生活方式的影响在很大程度上未得到审视。与使用“避孕药”同时出现的是，抑郁症、性欲低下、“一夜情”、同居、结婚和生育延迟现象增多，在天主教徒中，去教堂做礼拜的人数减少，宗教活动也减少。生育能力不是一种疾病。生育间隔可以通过自然方式实现，而且可以避免避孕带来的许多不良影响。
