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How often should you check in with your doctor about your contraceptive pill?
How often should you check in with your doctor about your contraceptive pill?

ABC News

time09-07-2025

  • Health
  • ABC News

How often should you check in with your doctor about your contraceptive pill?

Stephanie Jenkins was 18 years old when she was prescribed a hormonal contraception tablet to help her with acne. The now-32-year-old from Kabi Kabi land on the Sunshine Coast took the same medication for a decade before she started experiencing debilitating migraines. "They were aura migraines, so disturbances in vision, light sensitivity, I couldn't see out of my right eye properly," she says. After having her symptoms dismissed by a GP, Stephanie saw another doctor through an online prescription renewal service. "As soon as I told her all of the symptoms and how often it had been occurring … she just point blank said, 'you immediately need to cease [the pill you are on]'," she says. The doctor told Stephanie the migraines were an indicator of an 'oestrogen overload', a side-effect of the pill which heightens the risk of stroke. "I didn't even know it was because of the pill, I just thought it was related to my period. "You just get put on it, you take it … set and forget." Dr Phoebe Holdenson Kimura says generally, GP's should conduct a yearly review for repeat prescriptions. The lecturer at the University of Sydney's General Practice Clinical School says the key message is that taking hormonal contraception should not be "a set-and-forget process". "Finding out when it was started, what it was started for is important," Dr Holdenson Kimura says. "So, recognising many women take the combined contraceptive pill for contraception, but it also can be used for acne as well as for the management of heavy menstrual bleeding or painful periods. She says doctors should also be checking risk factors with patients, including if they have had lifestyle changes or had medical issues such as migraines, deep vein thrombosis, a pulmonary embolism, high blood pressure, or have liver disease. Dr Eveline Mu is a research fellow at Monash University's HER Centre in Naarm/Melbourne and says there needs to be greater awareness at GP-patient consultations of the risks of depressive disorders. She has been studying the neurological impacts of hormonal contraceptive medication on women's moods. "We've found that there are certain types of common hormone contraception that will be worse for women who are susceptible to mood disorders or who have mood disorders," Dr Mu says. "Fluctuation or any differences in the oestrogen level can impact a lot of other neurotransmitters like serotonin or dopamine which are linked to mood and involved in emotion processing as well." Dr Pav Nanayakkara, a minimally invasive gynaecological surgeon from Jean Hailes for Women's Health, says along with a yearly consult there are other life milestones that should prompt a contraceptive medication check-in. "Any sort of significant life change — so pregnancy, around the time of perimenopause, any diagnosed medical conditions, any lifestyle changes," she says. "Because lifestyle factors can change as we age, we might have different requirements, or we might develop medical conditions." Research conducted by the Jean Hailes for Women's Health shows that just over half of the 3,537 women it surveyed last year, aged 18 to 50 years, didn't know about the full range of contraceptive medications available to them. "This finding was even more significant in the 40-to-50-year age group," Dr Nanayakkara says. "[These women] are then often giving advice to their daughters and may not necessarily know about all of the options." Stephanie says her mother took the pill, so it seemed like the right thing to do at the time. "It was the only thing that was offered to me as an acne treatment which seems wild to me because now I'm more educated," she says. Stephanie says she now tracks her menstrual cycle and uses other contraceptive methods. Dr Holdenson Kimura says it is also important to get advice from your doctor and not social media. "I'm having a lot more women coming in saying 'I want to talk about going off the pill' or, 'I've made the decision to go off the pill because I'm curious to know what it feels like'," she says. "I think that's fine … but equally it is important to be having those conversations [with their GP] about what to consider. "Especially if the pill's been managing heavy periods or painful periods and women want to come off it then we really need to look at what are the other options to help you with that." This is general information only. For detailed personal advice, you should see a qualified medical practitioner who knows your medical history.

The LA Times published an op-ed warning of AI's dangers. It also published its AI tool's reply
The LA Times published an op-ed warning of AI's dangers. It also published its AI tool's reply

The Guardian

time04-03-2025

  • The Guardian

The LA Times published an op-ed warning of AI's dangers. It also published its AI tool's reply

Beneath a recent Los Angeles Times opinion piece about the dangers of artificial intelligence, there is now an AI-generated response about how AI will make storytelling more democratic. 'Some in the film world have met the arrival of generative AI tools with open arms. We and others see it as something deeply troubling on the horizon,' the co-directors of the Archival Producers Alliance, Rachel Antell, Stephanie Jenkins and Jennifer Petrucelli, wrote on 1 March. Published over the Academy Awards weekend, their comment piece focused on the specific dangers of AI-generated footage within documentary film, and the possibility that unregulated use of AI could shatter viewers' 'faith in the veracity of visuals'. On Monday, the Los Angeles Times's just-debuted AI tool, 'Insight', labeled this argument as politically 'center-left' and provided four 'different views on the topic' underneath. These new AI-generated responses, which are not reviewed by Los Angeles Times journalists before they are published, are designed to provide 'voice and perspective from all sides,' the paper's billionaire owner, Dr Patrick Soon-Shiong, wrote on X on Monday. 'No more echo chamber.' Now, a published criticism of AI on the LA Times's website is followed by an artificially generated defense of AI – in this case, a lengthy one, running more than 150 words. Responding to the human writers, the AI tool argued not only that AI 'democratizes historical storytelling', but also that 'technological advancements can coexist with safeguards' and that 'regulation risks stifling innovation'. 'Proponents argue AI's potential for artistic expression and education outweighs its misuse risks, provided users maintain critical awareness,' the generated text reads. Antell, Jenkins and Petrucell declined to comment on the AI response to their opinion piece. The 'different views' on LA Times opinion pieces are AI-generated in partnership with Perplexity, an AI company, according to the LA Times, while the 'viewpoint analysis' of the piece as 'Left, Center Left, Center, Center Right or Right' is generated in partnership with Particle News, the Los Angeles Times said. While Soon-Shiong argued on Monday that the AI-generated content beneath Los Angeles Times's opinion pieces 'supports our journalistic mission and will help readers navigate the issues facing this nation', the union that represents his paper's journalists take a different view. While the paper's journalists support efforts to improve news literacy and to distinguish news from opinion, 'we don't think this approach – AI-generated analysis unvetted by editorial staff – will do much to enhance trust in the media,' Matt Hamilton, the vice-chair of LA Times Guild, said in a statement on Monday. 'Quite the contrary, this tool risks further eroding confidence in the news.' The AI tool is only providing its extra commentary on a range of opinion pieces, not on the paper's news reporting, the Los Angeles Times said. Most of the time, of course, the newspaper's AI tool will not provide an AI's response to arguments about artificial intelligence. Instead, as in several recent opinion pieces, the AI 'Insights' button provides pro-Trump responses to opinion pieces critical of Donald Trump.

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