Talk:Birth control - Misplaced Pages

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Birth control has been listed as one of the Natural sciences good articles under the good article criteria. If you can improve it further, please do so. If it no longer meets these criteria, you can reassess it.

Article milestones
Date	Process	Result
September 19, 2012	Good article nominee	Listed
June 8, 2013	Good article reassessment	Delisted
September 6, 2013	Good article nominee	Listed

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A good review of male birth control

Mathew, V (2012 Nov). "Male contraception". Indian journal of endocrinology and metabolism. 16 (6): 910–7. PMID 23226635. {{cite journal}}: Check date values in: |date= (help); Unknown parameter |coauthors= ignored (|author= suggested) (help) Doc James (talk · contribs · email) (if I write on your page reply on mine) 06:10, 24 December 2012 (UTC)

Implantation

The main mechanism is NOT by interfering with implantation per the source used.Comprehensive gynecology expert consult, online and print (6th ed. ed.). Philadelphia, PA: Elsevier Mosby. p. 259. ISBN 9780323091312. {{cite book}}: |edition= has extra text (help) Thus reverted this edit Doc James (talk · contribs · email) (if I write on your page reply on mine) 04:21, 1 February 2013 (UTC)

Primary research

This article contains a fair bit of primary research. This will need to be addressed for it to keep its good article status IMO. Doc James (talk · contribs · email) (if I write on your page reply on mine) 06:48, 21 February 2013 (UTC)

About.com is also not a reliable source . Will nominate for GAR. Doc James (talk · contribs · email) (if I write on your page reply on mine) 14:01, 2 May 2013 (UTC)

This is also spam it appears. Doc James (talk · contribs · email) (if I write on your page reply on mine) 15:28, 2 May 2013 (UTC)

New paragraph

A paragraph was recently added... The practice of birth control is frequently related with the concept of abortion, but forced sterilization is another procedure that often came hand-in-hand with contraceptive practices. In the year 1973, in the state of Alabama, eleven girls were sterilized in a funded birth-control clinic where they fooled into legally receiving permission to perform the practice of sterilization. The young women were in search for a birth control procedure; however, their illiterate, African-American mother was under the belief that she was presented with the paper form of authorization for a birth control injection when in fact she held the release form consenting sterilization. In reality, she marked an "X" signifying the consent for her twelve and fourteen year old daughters to be sterilized and never have the ability to bare children again. Also, during this time in the United States, a number of gynecologists vowed that if legalization ever came, they would refuse to terminate any pregnancy unless the woman consented to simultaneous sterilization... To me this would be more appropriate for some eugenics type page or something to do with medical coersion. I'm not sure if this really belongs here. I haven't had much to do with this page so I thought I would comment about it here and see what others thought. Cap020570 (talk) 16:37, 7 May 2013 (UTC)

Agree and removed. THe ref is from 1973. We should be using stuff more recent and it is a little out of place. Doc James (talk · contribs · email) (if I write on your page reply on mine) 16:52, 7 May 2013 (UTC)

GA Reassessment

This discussion is transcluded from Talk:Birth control/GA2. The edit link for this section can be used to add comments to the reassessment.

There are a number of issues

Much content is unreferenced (for example the section on barrier contraception)
The one ref there is missing page numbers
A number of unreliable sources are used including "daily news" and this site

There is still a fair bit of work to do and would love to see other people jump in and help. Doc James (talk · contribs · email) (if I write on your page reply on mine) 03:48, 12 May 2013 (UTC)

Only other recent contributor has been blocked as a sock puppet :-( Doc James (talk · contribs · email) (if I write on your page reply on mine) 04:06, 12 May 2013 (UTC)

Found some close paraphrasing. This needs a rewrite. Doc James (talk · contribs · email) (if I write on your page reply on mine) 09:19, 20 May 2013 (UTC)

Could you elaborate? Kaldari (talk) 17:26, 7 June 2013 (UTC)

This for example . The table is word for word from the source in question. Doc James (talk · contribs · email) (if I write on your page reply on mine) 22:35, 9 July 2013 (UTC)

Should remove the portion that states some women regret their tubal ligation. It seems out of place in an article with such a well-written clinical tone to throw in an irrelevant sentence about a phenomenon as common as, "some people do regret making a lifelong irreversible decision", plus giving weight to women's regrets while neglecting to elaborate on men's regrets about their vasectomies is an error unbecoming of a good article. Ongepotchket (talk) 01:52, 3 June 2013 (UTC)

Yes let me look at it further. Doc James (talk · contribs · email) (if I write on your page reply on mine) 02:37, 3 June 2013 (UTC)

I disagree that that information is not clinically relevant. The fact that many people regret sterilization is a factor that patients would need to keep in mind when considering birth control options. I do agree that the information should be presented equally for men and women. The statistic that Doc James added could be elaborated on further, i.e. what is the age breakdown for men who regret vasectomies? OldFishHouse (talk) 21:11, 7 June 2013 (UTC)

Will delist until issues fixed. Doc James (talk · contribs · email) (if I write on your page reply on mine) 07:30, 8 June 2013 (UTC)

Sterilization

The section that deals with sterilization mentions the fact that a certain percentage of women end up regretting their decision to get a tubal ligation. This fact is interesting and important to the article. In the interest of completeness, does anyone have statistics on how many men regret their vasectomies? OldFishHouse (talk) 02:04, 22 May 2013 (UTC)

Yes good point will look. Doc James (talk · contribs · email) (if I write on your page reply on mine) 02:09, 22 May 2013 (UTC)

Okay found data for men. Doc James (talk · contribs · email) (if I write on your page reply on mine) 03:55, 3 June 2013 (UTC)

History section

I replaced this inaccurate statement:

Étienne-Émile Baulieu, of France, developed mifepristone, the first emergency contraceptive, in 1980.

with this accurate statement:

In 1980, Roussel Uclaf chemist Georges Teutsch synthesized the progesterone receptor antagonist mifepristone (RU-486); in 1982, endocrinologist Étienne-Émile Baulieu reported its successful use for medical abortion.

Mifepristone was not the first emergency contraceptive.
History of emergency contraceptives:

In the mid-1960s, Morris and van Wagenen in the U.S. and Haspels in the Netherlands began using oral high-dose estrogen (DES and ethinyl estradiol) for emergency contraception, which were approved in the U.S. and Netherlands in the 1970s.
In 1974, Yuzpe in Canada introduced his regimen of combination oral contraceptives for emergency contraception, which were marketed as Schering PC4 in Britain in 1984, and as Preven in the U.S. in 1998.
In 1976, Lippes in the U.S. reported the successful use of the copper IUD for emergency contraception.
In 1979, Gedeon Richter in Hungary introduced Postinor (0.75 mg levonorgestrel) for emergency contraception, which was introduced as NorLevo (outside the U.S.) and Plan B (in the U.S.) in 1999.
Around 2000, China approved mifepristone 10 mg and 25 mg for emergency contraception.
In 2009, ulipristal acetate was introduced for emergency contraception in Europe, then in the U.S. in 2010.

History of mifepristone:

In 1980, Georges Teutsch of Roussel Uclaf in France synthesized mifepristone.
In 1981, Étienne-Émile Baulieu of France arranged for a clinical trial by Walter Herrmann in Switzerland using mifepristone for medical abortion.
In 1982, Étienne-Émile Baulieu in France reported the successful use of mifepristone for medical abortion by Walter Herrmann in Switzerland.
In 1988, mifepristone 200 mg (accompanied by a prostaglandin) was approved in France and China for medical abortion.
Around 2000, China approved mifepristone 10 mg and 25 mg for emergency contraception.
In 2012, mifepristone 300 mg was approved in the U.S. as Korlym to treat endogenous Cushing's syndrome.

BC07 (talk) 06:37, 22 May 2013 (UTC)

It seems a little controversial as we have this ref . Thus changed it to simply state the company that came up with it to which all agree. Doc James (talk · contribs · email) (if I write on your page reply on mine) 09:46, 22 May 2013 (UTC)

The outdated, U.S.-centric, historically and scientifically inaccurate "RU 486 (Mifepristone)" article by an unidentified author in the 2001 Encyclopedia of Birth Control is not a good source. I replaced:

In 1980, mifepristone was created by the pharmaceutical company Roussel Uclaf and was subsequently shown to be useful to induce abortion in 1982.

with:

Medical abortion became an alternative to surgical abortion with the availability of prostaglandin analogs in 1970s and the availability of mifepristone in the 1980s.

A broader question is: Should a sentence about the introduction of an abortion method should be included in the "History" section of this article on "Birth control" and in the History of birth control article?
The content is already included in the Methods section of the Abortion article and in the Development of contemporary methods section of the History of abortion article.
Abortion was removed from the "Methods" section of this "Birth control" article on March 8, 2012 and mention of abortion was removed from the lead section of this "Birth control" article on September 5, 2012.
BC07 (talk) 21:54, 23 May 2013 (UTC)

Agree the new source is good. Mifepristone is also used as emergency contraception not just abortions thus why mentioned here. Doc James (talk · contribs · email) (if I write on your page reply on mine) 22:37, 23 May 2013 (UTC)

GA Review

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This review is transcluded from Talk:Birth control/GA3. The edit link for this section can be used to add comments to the review.

Reviewer: Hildabast (talk · contribs) 23:26, 12 July 2013 (UTC) I've started the process of reviewing this article. I've not been involved with this article previously. (talk) 23:26, 12 July 2013 (UTC)

The lists below are being added to incrementally as I go through the article. It is close to being ready, but there are some things that are needed first.

Things to address to be a GA

Needs a few sentences on birth-spacing, contraception after birth (including lactation)

We state "Birth control also improves child survival in the developing world by lengthening the time between pregnancies. In this population outcomes are worse when a mother gets pregnant within eighteen months of a previous delivery." already. We discuss breast feeding both with respect to how it decreases fertility and what birth control is safe "progestin-only pills may improve menstrual symptoms and can be used by breast-feeding women as they do not affect milk production." Will add some about contraception after birth. Doc James (talk · contribs · email) (if I write on your page reply on mine) 23:08, 13 July 2013 (UTC)

Looking at my notes about this, it came about because the phrase is used in the introduction, and then never again. This happened because I'd skimmed it, then did some searching within text. I thought it would save time, but I think it's going to waste your time instead. I should go through the whole thing carefully before making comments. Hildabast (talk) 21:57, 16 July 2013 (UTC)

The table in methods needs to be right as it will influence people's beliefs: many are listed as being worse with perfect use - it would be a good idea to check each number again too, since it looks as though something went wrong there.

I do not see any in the table that are listed as worse with perfect use? Can you clarify. Doc James (talk · contribs · email) (if I write on your page reply on mine) 23:08, 13 July 2013 (UTC)

Groan - it was me - I transcribed some backwards when cross-checking between table and text. Hildabast (talk) 21:57, 16 July 2013 (UTC)

Yes I rephrase a lot of stuff to avoid issues of plagiarism. Thus some of the terms are not entirely standard. Doc James (talk · contribs · email) (if I write on your page reply on mine) 03:44, 26 July 2013 (UTC)

Needs to refer to peri-menopausal issues: when birth control is no longer needed, menopause for women who've been on the pill for decades. Although this could wait for FA too. Shouldn't be held up over just this. — Preceding unsigned comment added by Hildabast (talk • contribs) 17:13, 13 July 2013 (UTC)

Added paragraph on special populations to the lead that addresses this. Doc James (talk · contribs · email) (if I write on your page reply on mine) 12:24, 14 July 2013 (UTC)

IUDs: I'll make additional specific remarks here, but a major problem is that it describes the North American situation only, in terms of what kind there are. The WP on intrauterine contraceptive devices down in the text shows there are other types and shapes, and the German WP has a good picture of the commonly used copper-gold T-shaped device with filament removal strings (that list bit is a translation of the description). That one is so widely used, it needs a mention and picture.

Have added the image here Doc James (talk · contribs · email) (if I write on your page reply on mine) 23:17, 13 July 2013 (UTC)

The WHO document just discusses the two general types. While there are three general types per here the inert form is hardly used anymore and thus IMO need not be mentioned in this overview article. All the copper and hormone IUDs are T shaped so the description given in this article would apply to the issue globally. Doc James (talk · contribs · email) (if I write on your page reply on mine) 13:00, 14 July 2013 (UTC)

No, sorry, that's wrong. If you look at the German WP page, or even the English WP, you'll see they talk about other types. Here's a Cochrane review of frameless (which isn't a T) versus framed (which is a T). Here are the various Gynefix IUDs in Belgium, and in Germany. Note there's also the multiload in those links (that just wasn't the subject of that review). Here's the Copper-7 and the multiload at a medical expo in Germany. I'm not sure if the companies that couldn't sell their copper-7s in the US went on to sell them internationally, but that would be normal, too. Here you can buy a German-manufactured multiload off Alibaba. I'm not saying that the T-shaped isn't the dominant one - only that it is not the only one. The IUD-specific WP pages make that clear too. Hildabast (talk) 21:57, 16 July 2013 (UTC)

Yes you are indeed correct. I have changed it to "usually small't"-shaped devices". THe less common shapes can be dealt with on the subpage. Doc James (talk · contribs · email) (if I write on your page reply on mine) 08:07, 17 July 2013 (UTC)

Consider including links to the 3 relevant WHO Reproductive Health Library instructional videos (laparoscopic tubes, vasectomy and IUD insertion).

IMO these videos would be best on the subpage dealing with the specific technique in question. Rather than within an overview article. Doc James (talk · contribs · email) (if I write on your page reply on mine) 22:55, 13 July 2013 (UTC)

Things that could be addressed now or in future to make it better than GA

The table in methods should be based on strong evidence, that can be updated as knowledge improves

Most of it is based on this textbook which is reffed in the heading of the table. We can switch it over to the MMWR which I have done mostly. Doc James (talk · contribs · email) (if I write on your page reply on mine) 23:04, 13 July 2013 (UTC)

GA Review 2

Firstly, I'd like to acknowledge that I've had no role in creating or editing this article. This is an important article and I'm glad to see that it's at a stage where GA is considered. LT90001 (talk) 03:36, 31 August 2013 (UTC)

General Comments

General Comments Done
I would like to make some general comments and then delve into specifics. This article is comprehensive and that is great, however it's very hard to follow because terminology regarding failure rates and pregnancy rates and first-year pregnancy rates and effectiveness are constantly interchanged. If one term could be agreed upon (for example "first-year pregnancy rates") and used throughout the article, this would make it much more readable. Good idea and change a bunch. Doc James (talk · contribs · email) (if I write on your page reply on mine) 11:18, 3 September 2013 (UTC) This claim is made several times: “Condoms have the additional benefit of preventing sexually transmitted infections.” In my understanding diseases such as pubic lice are often considered sexually transmitted, and not prevented by condoms. It might be more accurate to say that the majority of STDs are prevented. Removed duplication in the lead leaving the wording "help prevent" Doc James (talk · contribs · email) (if I write on your page reply on mine) 11:18, 3 September 2013 (UTC) This article alternates between 'birth control' and 'contraception' terminology. Yes we should only use contraception once in the lead but birth control otherwise as it is simplier. Doc James (talk · contribs · email) (if I write on your page reply on mine) 11:18, 3 September 2013 (UTC) Looks good. LT90001 (talk) 08:22, 5 September 2013 (UTC) "theoretical use" could be replaced with "best practice use" to standardise terminology when dealing with use in theory / vs. in practice. Were was this term used? Doc James (talk · contribs · email) (if I write on your page reply on mine) 11:18, 3 September 2013 (UTC) Oh, now it's disappeared! I was referring to the abstinence section, but now it's very clear. LT90001 (talk) 08:22, 5 September 2013 (UTC)

General Comments

Done

I would like to make some general comments and then delve into specifics.

This article is comprehensive and that is great, however it's very hard to follow because terminology regarding failure rates and pregnancy rates and first-year pregnancy rates and effectiveness are constantly interchanged. If one term could be agreed upon (for example "first-year pregnancy rates") and used throughout the article, this would make it much more readable.

Good idea and change a bunch. Doc James (talk · contribs · email) (if I write on your page reply on mine) 11:18, 3 September 2013 (UTC)

This claim is made several times: “Condoms have the additional benefit of preventing sexually transmitted infections.” In my understanding diseases such as pubic lice are often considered sexually transmitted, and not prevented by condoms. It might be more accurate to say that the majority of STDs are prevented.

Removed duplication in the lead leaving the wording "help prevent" Doc James (talk · contribs · email) (if I write on your page reply on mine) 11:18, 3 September 2013 (UTC)

This article alternates between 'birth control' and 'contraception' terminology.

Yes we should only use contraception once in the lead but birth control otherwise as it is simplier. Doc James (talk · contribs · email) (if I write on your page reply on mine) 11:18, 3 September 2013 (UTC)

Looks good. LT90001 (talk) 08:22, 5 September 2013 (UTC)

"theoretical use" could be replaced with "best practice use" to standardise terminology when dealing with use in theory / vs. in practice.

Were was this term used? Doc James (talk · contribs · email) (if I write on your page reply on mine) 11:18, 3 September 2013 (UTC)

Oh, now it's disappeared! I was referring to the abstinence section, but now it's very clear. LT90001 (talk) 08:22, 5 September 2013 (UTC)

Specifics

Lede

Lede Done
This statement "Contraceptive use in developing countries has decreased the number of maternal deaths by 40…" should move to the end of the lede, as there is additional information about the use and effectiveness of contraception there, and also the conventional structure is introduction -> methods/tools/procedures -> effectiveness /utility. Sure Doc James (talk · contribs · email) (if I write on your page reply on mine) 11:29, 3 September 2013 (UTC) "Some people regard sexual abstinence as birth control", "some people regard" could be removed. Removed "people" Doc James (talk · contribs · email) (if I write on your page reply on mine) 11:29, 3 September 2013 (UTC) Suggest: “In teenagers, pregnancies are at greater risk of poor outcomes (full stop). Comprehensive sex education and access to birth control decreases the rate of unwanted pregnancies in this age group.” Done Doc James (talk · contribs · email) (if I write on your page reply on mine) 11:29, 3 September 2013 (UTC) "After the delivery of a child (comma) a women (woman) who is not exclusively breast-feeding may become pregnant again as early as four to six weeks." Done. Doc James (talk · contribs · email) (if I write on your page reply on mine) 11:29, 3 September 2013 (UTC)

Lede

Done

This statement "Contraceptive use in developing countries has decreased the number of maternal deaths by 40…" should move to the end of the lede, as there is additional information about the use and effectiveness of contraception there, and also the conventional structure is introduction -> methods/tools/procedures -> effectiveness /utility.

Sure Doc James (talk · contribs · email) (if I write on your page reply on mine) 11:29, 3 September 2013 (UTC)

"Some people regard sexual abstinence as birth control", "some people regard" could be removed.

Removed "people" Doc James (talk · contribs · email) (if I write on your page reply on mine) 11:29, 3 September 2013 (UTC)

Suggest: “In teenagers, pregnancies are at greater risk of poor outcomes (full stop). Comprehensive sex education and access to birth control decreases the rate of unwanted pregnancies in this age group.”

Done Doc James (talk · contribs · email) (if I write on your page reply on mine) 11:29, 3 September 2013 (UTC)

"After the delivery of a child (comma) a women (woman) who is not exclusively breast-feeding may become pregnant again as early as four to six weeks."

Done. Doc James (talk · contribs · email) (if I write on your page reply on mine) 11:29, 3 September 2013 (UTC)

Methods

Methods Done
When referring to the effectiveness of a method of contraception, this is given in at least four places: lede, introduction to methods, the table, and the section itself. Perhaps some trimming of the lede and introduction to methods section could decrease the redundancy and possibility for confusion. No numbers are given in the lead (methods are only briefly compared to each other). The lead should also not contain anything that is not in the body of the text. We have the info summarized in a table. Will move some discussion from the lead of the methods section to the subsections. Doc James (talk · contribs · email) (if I write on your page reply on mine) 11:42, 3 September 2013 (UTC) "While all methods of contraception carry some risk, the risk is less than that of pregnancy." meaning of 'risk' is unclear. I thought pregnancy was an effective method of contraception? (against a second pregnancy) Clarified risk to "potential adverse effects" This is referring to stuff like blood clots and death. Doc James (talk · contribs · email) (if I write on your page reply on mine) 11:38, 3 September 2013 (UTC) Sentence "In those with specific health problems, certain forms of birth control may require further investigations. " should be moved to top of paragraph, as it gives some context to the paragraph's topic. Agree Doc James (talk · contribs · email) (if I write on your page reply on mine) 11:38, 3 September 2013 (UTC)

Methods

Done

When referring to the effectiveness of a method of contraception, this is given in at least four places: lede, introduction to methods, the table, and the section itself. Perhaps some trimming of the lede and introduction to methods section could decrease the redundancy and possibility for confusion.

No numbers are given in the lead (methods are only briefly compared to each other). The lead should also not contain anything that is not in the body of the text. We have the info summarized in a table. Will move some discussion from the lead of the methods section to the subsections. Doc James (talk · contribs · email) (if I write on your page reply on mine) 11:42, 3 September 2013 (UTC)

"While all methods of contraception carry some risk, the risk is less than that of pregnancy." meaning of 'risk' is unclear. I thought pregnancy was an effective method of contraception? (against a second pregnancy)

Clarified risk to "potential adverse effects" This is referring to stuff like blood clots and death. Doc James (talk · contribs · email) (if I write on your page reply on mine) 11:38, 3 September 2013 (UTC)

Sentence "In those with specific health problems, certain forms of birth control may require further investigations. " should be moved to top of paragraph, as it gives some context to the paragraph's topic.

Agree Doc James (talk · contribs · email) (if I write on your page reply on mine) 11:38, 3 September 2013 (UTC)

Hormonal

Hormonal Done
First para: formats -> forms. Done Doc James (talk · contribs · email) (if I write on your page reply on mine) 11:57, 3 September 2013 (UTC) do not -> neither (neither/nor) Done Doc James (talk · contribs · email) (if I write on your page reply on mine) 11:57, 3 September 2013 (UTC) "however, the risk is less than that associated with pregnancy" I don't think this is relevant in this article about contraception. When one looks at the risks of any medication one must compare it to a control group. The control group is not a non pregnant state but a potentially pregnant state. Thus the comparison to the risk that occur in pregnancy is key (pregnancy increase both the risk of blood clots and the risk of death in the mother). This refutes those who argue against birth control as it can cause blood clots. Doc James (talk · contribs · email) (if I write on your page reply on mine) 11:57, 3 September 2013 (UTC) Whether or not I agree with this point won't affect the article quality, so I'm willing to demur. LT90001 (talk) 07:55, 5 September 2013 (UTC) "not associated with an increased risk of blood clots" perhaps could be worded "whislt not increased with an increased risk of blood clots in veins, there is a slight increase in the risk of blood clots in arteries." As you do go on to state there is a risk of arterial thromboembolism. Clarified. Progestin only BC other than the injectable version may be used. Doc James (talk · contribs · email) (if I write on your page reply on mine) 11:57, 3 September 2013 (UTC) Yep, I note that this paragraph has changed and reads much clearer. LT90001 (talk) 07:55, 5 September 2013 (UTC)

Hormonal

Done

First para: formats -> forms.

Done Doc James (talk · contribs · email) (if I write on your page reply on mine) 11:57, 3 September 2013 (UTC)

do not -> neither (neither/nor)

Done Doc James (talk · contribs · email) (if I write on your page reply on mine) 11:57, 3 September 2013 (UTC)

"however, the risk is less than that associated with pregnancy" I don't think this is relevant in this article about contraception.

When one looks at the risks of any medication one must compare it to a control group. The control group is not a non pregnant state but a potentially pregnant state. Thus the comparison to the risk that occur in pregnancy is key (pregnancy increase both the risk of blood clots and the risk of death in the mother). This refutes those who argue against birth control as it can cause blood clots. Doc James (talk · contribs · email) (if I write on your page reply on mine) 11:57, 3 September 2013 (UTC)

Whether or not I agree with this point won't affect the article quality, so I'm willing to demur. LT90001 (talk) 07:55, 5 September 2013 (UTC)

"not associated with an increased risk of blood clots" perhaps could be worded "whislt not increased with an increased risk of blood clots in veins, there is a slight increase in the risk of blood clots in arteries." As you do go on to state there is a risk of arterial thromboembolism.

Clarified. Progestin only BC other than the injectable version may be used. Doc James (talk · contribs · email) (if I write on your page reply on mine) 11:57, 3 September 2013 (UTC)

Yep, I note that this paragraph has changed and reads much clearer. LT90001 (talk) 07:55, 5 September 2013 (UTC)

Barrier

Barrier Done
"Globally condoms" -> "globally, condoms" Done Doc James (talk · contribs · email) (if I write on your page reply on mine) 12:15, 3 September 2013 (UTC) "Male condoms and the diaphragm with spermicide have similar typical use first-year failure rates (15% and 16%, respectively), with perfect usage of the condom being more effective (2% first-year failure vs 6%). Condoms have the additional benefit of helping to prevent the spread of sexually transmitted infections such as HIV/AIDS." just to reiterate, this is where it starts to get confusing with pregnancy/failure rates first-year is and isn't mentioned, and also the STD prevention thing I mentioned above. Okay added "some STIs". Adjusted the working of the first bit. Doc James (talk · contribs · email) (if I write on your page reply on mine) 12:15, 3 September 2013 (UTC)

Barrier

Done

"Globally condoms" -> "globally, condoms"

Done Doc James (talk · contribs · email) (if I write on your page reply on mine) 12:15, 3 September 2013 (UTC)

"Male condoms and the diaphragm with spermicide have similar typical use first-year failure rates (15% and 16%, respectively), with perfect usage of the condom being more effective (2% first-year failure vs 6%). Condoms have the additional benefit of helping to prevent the spread of sexually transmitted infections such as HIV/AIDS." just to reiterate, this is where it starts to get confusing with pregnancy/failure rates first-year is and isn't mentioned, and also the STD prevention thing I mentioned above.

Okay added "some STIs". Adjusted the working of the first bit. Doc James (talk · contribs · email) (if I write on your page reply on mine) 12:15, 3 September 2013 (UTC)

IUDs

IUDs Done
First sentence "which is" is redundant You sure? Doc James (talk · contribs · email) (if I write on your page reply on mine) 12:23, 3 September 2013 (UTC) Statement "They are a form of long-acting reversible contraception, and the most effective type of reversible birth control." is confusing. In the table you state that implanon is the most effective (0.05%). In the text you state that the most effective methods are surgery (which you state is somewhat reversible) Surgery is not considered a reversible form of contraception. But agree and removed. Doc James (talk · contribs · email) (if I write on your page reply on mine) 12:23, 3 September 2013 (UTC) You state here "As of 2007, IUDs are the most widely used form of reversible contraception, with more than 180 million users worldwide. " but then state "The most common method in the developed world is condoms and oral contraceptives, while in Africa it is oral contraceptives and in Latin America and Asia it is sterilization" Sterilization is not deemed to be reversible and thus is out of the calculation. This leave the situation were in the developed world condoms and the pill are first and second followed by the IUD in third. In the developing world sterilization is first but out of the equation. Condoms are used in Africa but not so much elsewhere. Overall IUDs are the most common reversible method because 2.5 billion people live in India and China were usage is high. Thus globally in all countries the IUD is most. Can send you the table if you want. Doc James (talk · contribs · email) (if I write on your page reply on mine) 12:23, 3 September 2013 (UTC) How interesting! Would love to have a look. LT90001 (talk) 07:58, 5 September 2013 (UTC)

IUDs

Done

First sentence "which is" is redundant

You sure? Doc James (talk · contribs · email) (if I write on your page reply on mine) 12:23, 3 September 2013 (UTC)

Statement "They are a form of long-acting reversible contraception, and the most effective type of reversible birth control." is confusing. In the table you state that implanon is the most effective (0.05%). In the text you state that the most effective methods are surgery (which you state is somewhat reversible)

Surgery is not considered a reversible form of contraception. But agree and removed. Doc James (talk · contribs · email) (if I write on your page reply on mine) 12:23, 3 September 2013 (UTC)

You state here "As of 2007, IUDs are the most widely used form of reversible contraception, with more than 180 million users worldwide. " but then state "The most common method in the developed world is condoms and oral contraceptives, while in Africa it is oral contraceptives and in Latin America and Asia it is sterilization"

Sterilization is not deemed to be reversible and thus is out of the calculation.

This leave the situation were in the developed world condoms and the pill are first and second followed by the IUD in third. In the developing world sterilization is first but out of the equation. Condoms are used in Africa but not so much elsewhere. Overall IUDs are the most common reversible method because 2.5 billion people live in India and China were usage is high. Thus globally in all countries the IUD is most. Can send you the table if you want. Doc James (talk · contribs · email) (if I write on your page reply on mine) 12:23, 3 September 2013 (UTC)

How interesting! Would love to have a look. LT90001 (talk) 07:58, 5 September 2013 (UTC)

Sterilisation

Sterilisation Done
"Short term complications are less likely from a vasectomy than a tubal ligation. " does not provide any information about the likelihood or type of side-effects. Added details. Doc James (talk · contribs · email) (if I write on your page reply on mine) 10:58, 4 September 2013 (UTC) "Some women regret the decision: about 5% over 30 years old, and about 20% under 30 years old." no time period or definition for 'reget' is given. "Regret following sterilization in men is less common comma at less than 5% comma with risk factors including younger age, an unstable marriage, and young children or no children." perhaps could be written -> "Whilst men are less likely to regret sterilsation than women (<5%), younger men, those with young or no children, or men with an unstable marriage were more likely to regret the procedure."" The ref does not define a time period. The studies have looked at up to 28 years afterwords. http://www.ncbi.nlm.nih.gov/pubmed/16413851 Doc James (talk · contribs · email) (if I write on your page reply on mine) 10:58, 4 September 2013 (UTC) Doesn't read that well. Suggest: "This decision may cause regret in some men and women. Of women who over 30 years old who have undergone hysterectomy, about 5% regret their decision, as compared with 20% of women under 30 years old." and -> "In contrast, less than 5% of men are likely to regret sterilization. Men more likely to regret the sterilisation are younger, have young or no children, or have an unstable marriage. In one survey of men who had undergone vascetomy who have previously had children, 9% stated they would not have had any children if they were able to do it over again." LT90001 (talk) 08:20, 5 September 2013 (UTC) Changed the first bit. The 9% is of parents who have had children. Not necessarily those who have had a vasectomy. Doc James (talk · contribs · email) (if I write on your page reply on mine) 11:08, 5 September 2013 (UTC) "In one survey of those who have children, 9% stated they would not have children again if they were able to do it over again." Not sure what you mean here. In parents who have vascectomies, 9% wish they had it earlier? Of people who have kids 9% wish they hadn't. Clarified. Doc James (talk · contribs · email) (if I write on your page reply on mine) 10:58, 4 September 2013 (UTC) Hah, surprised it's that low! (said with a grain of salt) LT90001 (talk) 08:20, 5 September 2013 (UTC) "In women the desire for a reversal is often due to a change in spouse." due to -> associated with Changed. Doc James (talk · contribs · email) (if I write on your page reply on mine) 10:58, 4 September 2013 (UTC) " Rates of success in fathering another child are between 38 and 84%" (in one year or in total); being lower overall ("overall" is a tautology here) in those in which a greater time has passed from the original procedure. Lifetime. Adjusted the working. Doc James (talk · contribs · email) (if I write on your page reply on mine) 10:58, 4 September 2013 (UTC) "Sperm extraction followed by in vitro fertilization may also be an option in men." suggest move to article about vascectomy as this is a bit too much detail (birth control -> contraception -> sterilisation -> reversal of sterilisation -> strategies to mitigate). Just one sentence. This is separate from reversal. Doc James (talk · contribs · email) (if I write on your page reply on mine) 10:58, 4 September 2013 (UTC) Fair enough. LT90001 (talk) 08:20, 5 September 2013 (UTC)

Sterilisation

Done

"Short term complications are less likely from a vasectomy than a tubal ligation. " does not provide any information about the likelihood or type of side-effects.

Added details. Doc James (talk · contribs · email) (if I write on your page reply on mine) 10:58, 4 September 2013 (UTC)

"Some women regret the decision: about 5% over 30 years old, and about 20% under 30 years old." no time period or definition for 'reget' is given. "Regret following sterilization in men is less common comma at less than 5% comma with risk factors including younger age, an unstable marriage, and young children or no children." perhaps could be written -> "Whilst men are less likely to regret sterilsation than women (<5%), younger men, those with young or no children, or men with an unstable marriage were more likely to regret the procedure.""

The ref does not define a time period. The studies have looked at up to 28 years afterwords. http://www.ncbi.nlm.nih.gov/pubmed/16413851 Doc James (talk · contribs · email) (if I write on your page reply on mine) 10:58, 4 September 2013 (UTC)

Doesn't read that well. Suggest: "This decision may cause regret in some men and women. Of women who over 30 years old who have undergone hysterectomy, about 5% regret their decision, as compared with 20% of women under 30 years old." and -> "In contrast, less than 5% of men are likely to regret sterilization. Men more likely to regret the sterilisation are younger, have young or no children, or have an unstable marriage. In one survey of men who had undergone vascetomy who have previously had children, 9% stated they would not have had any children if they were able to do it over again." LT90001 (talk) 08:20, 5 September 2013 (UTC)

Changed the first bit. The 9% is of parents who have had children. Not necessarily those who have had a vasectomy. Doc James (talk · contribs · email) (if I write on your page reply on mine) 11:08, 5 September 2013 (UTC)

"In one survey of those who have children, 9% stated they would not have children again if they were able to do it over again." Not sure what you mean here. In parents who have vascectomies, 9% wish they had it earlier?

Of people who have kids 9% wish they hadn't. Clarified. Doc James (talk · contribs · email) (if I write on your page reply on mine) 10:58, 4 September 2013 (UTC)

Hah, surprised it's that low! (said with a grain of salt) LT90001 (talk) 08:20, 5 September 2013 (UTC)

"In women the desire for a reversal is often due to a change in spouse." due to -> associated with

Changed. Doc James (talk · contribs · email) (if I write on your page reply on mine) 10:58, 4 September 2013 (UTC)

" Rates of success in fathering another child are between 38 and 84%" (in one year or in total); being lower overall ("overall" is a tautology here) in those in which a greater time has passed from the original procedure.

Lifetime. Adjusted the working. Doc James (talk · contribs · email) (if I write on your page reply on mine) 10:58, 4 September 2013 (UTC)

"Sperm extraction followed by in vitro fertilization may also be an option in men." suggest move to article about vascectomy as this is a bit too much detail (birth control -> contraception -> sterilisation -> reversal of sterilisation -> strategies to mitigate).

Just one sentence. This is separate from reversal. Doc James (talk · contribs · email) (if I write on your page reply on mine) 10:58, 4 September 2013 (UTC)

Fair enough. LT90001 (talk) 08:20, 5 September 2013 (UTC)

Behavioural

Behavioural Done
Suggest move "The withdrawal method, ... however, is poor." to the part about withdrawal to ensure there is no duplication or minor contradiction (as there is now) Done Doc James (talk · contribs · email) (if I write on your page reply on mine) 11:28, 4 September 2013 (UTC) Suggest remove statement in Fertility awareness: "They are used by about 3.6% of couples. " No comparative % rates are provided in other methods regarding use. If retain, suggest add "worldwide" Added global. Doc James (talk · contribs · email) (if I write on your page reply on mine) 11:21, 5 September 2013 (UTC) "between 1 " -> "1%" Done Doc James (talk · contribs · email) (if I write on your page reply on mine) 11:28, 4 September 2013 (UTC) Abstinence "compared to" -> "as compared with" (sorry, little bit of a grammar stickler) Thanks and done Doc James (talk · contribs · email) (if I write on your page reply on mine) 11:28, 4 September 2013 (UTC) "Non-penetrative sex and oral sex are also sometimes considered contraception" I think the intended meaning is "Additionally, to some teenagers the meaning of 'sex' may not include non-penetrative or oral sex". If I read this sentence literally, some teenagers think that oral sex is a method of preventing pregnancy: that is, prior to coitus, will have oral sex as a method of preventing pregnancy. Clarified. Not entirely sure I understand. Doc James (talk · contribs · email) (if I write on your page reply on mine) 11:28, 4 September 2013 (UTC) I still feel this is unclear. Perhaps you could add 'deliberate' to highlight the unspoken part about the motivation for non-penetrative sex, eg. "Deliberate non-penetrative sex without vaginal sex, or deliberate oral sex without vaginal sex, are sometimes considered methods of birth control." LT90001 (talk) 08:13, 5 September 2013 (UTC) Sure Doc James (talk · contribs · email) (if I write on your page reply on mine) 11:21, 5 September 2013 (UTC) Lactation. statement "it is 98% effective in the six months following delivery. " is inconsistent, as you have used one year or lifetime as the cutoff for effectiveness in other sections of this article, so this stat can't be used comparatively. Yes this is one required exception. It is only effective for 6 months. It cannot be used up to a year. Doc James (talk · contribs · email) (if I write on your page reply on mine) 11:28, 4 September 2013 (UTC) Sentence "In those who are exclusively breastfeeding, about 10% begin having periods before three months and 20% before six months." seems to be superseded by the comments on effectiveness above it. Not sure what you mean? If one has a period it is no longer the LAM. Doc James (talk · contribs · email) (if I write on your page reply on mine) 11:28, 4 September 2013 (UTC) The lactation section reads quite clearly now. LT90001 (talk) 08:13, 5 September 2013 (UTC) Emergency. Another confusing stat: " 70% effective (pregnancy rate 2.2%) " So... the earlier readings about effectiveness are not the number of couples at one year who are not pregnant as compared with a couple having unprotected sex? With emergency contraception one is looking at a single sexual encounter and not a year as use. EC is not used for an entire year. Have adjusted the wording. Doc James (talk · contribs · email) (if I write on your page reply on mine) 11:28, 4 September 2013 (UTC) Yep, on reflection I think the confusing thing was that the pregnancy rate following a single sexual encounter is unstated, so I'm not quite sure what to make of the stated pregnancy rate. LT90001 (talk) 08:13, 5 September 2013 (UTC) Added that bit in. Doc James (talk · contribs · email) (if I write on your page reply on mine) 11:21, 5 September 2013 (UTC) "All methods have good safety and minimal side effects." suggest remove 'good safety', this is quite ambiguous Minimal side effects is enough agree. Doc James (talk · contribs · email) (if I write on your page reply on mine) 11:28, 4 September 2013 (UTC)

Behavioural

Done

Suggest move "The withdrawal method, ... however, is poor." to the part about withdrawal to ensure there is no duplication or minor contradiction (as there is now)

Done Doc James (talk · contribs · email) (if I write on your page reply on mine) 11:28, 4 September 2013 (UTC)

Suggest remove statement in Fertility awareness: "They are used by about 3.6% of couples. " No comparative % rates are provided in other methods regarding use. If retain, suggest add "worldwide"

Added global. Doc James (talk · contribs · email) (if I write on your page reply on mine) 11:21, 5 September 2013 (UTC)

"between 1 " -> "1%"

Done Doc James (talk · contribs · email) (if I write on your page reply on mine) 11:28, 4 September 2013 (UTC)

Abstinence "compared to" -> "as compared with" (sorry, little bit of a grammar stickler)

Thanks and done Doc James (talk · contribs · email) (if I write on your page reply on mine) 11:28, 4 September 2013 (UTC)

"Non-penetrative sex and oral sex are also sometimes considered contraception" I think the intended meaning is "Additionally, to some teenagers the meaning of 'sex' may not include non-penetrative or oral sex". If I read this sentence literally, some teenagers think that oral sex is a method of preventing pregnancy: that is, prior to coitus, will have oral sex as a method of preventing pregnancy.

Clarified. Not entirely sure I understand. Doc James (talk · contribs · email) (if I write on your page reply on mine) 11:28, 4 September 2013 (UTC)

I still feel this is unclear. Perhaps you could add 'deliberate' to highlight the unspoken part about the motivation for non-penetrative sex, eg. "Deliberate non-penetrative sex without vaginal sex, or deliberate oral sex without vaginal sex, are sometimes considered methods of birth control." LT90001 (talk) 08:13, 5 September 2013 (UTC)

Sure Doc James (talk · contribs · email) (if I write on your page reply on mine) 11:21, 5 September 2013 (UTC)

Lactation. statement "it is 98% effective in the six months following delivery. " is inconsistent, as you have used one year or lifetime as the cutoff for effectiveness in other sections of this article, so this stat can't be used comparatively.

Yes this is one required exception. It is only effective for 6 months. It cannot be used up to a year. Doc James (talk · contribs · email) (if I write on your page reply on mine) 11:28, 4 September 2013 (UTC)

Sentence "In those who are exclusively breastfeeding, about 10% begin having periods before three months and 20% before six months." seems to be superseded by the comments on effectiveness above it.

Not sure what you mean? If one has a period it is no longer the LAM. Doc James (talk · contribs · email) (if I write on your page reply on mine) 11:28, 4 September 2013 (UTC)

The lactation section reads quite clearly now. LT90001 (talk) 08:13, 5 September 2013 (UTC)

Emergency. Another confusing stat: " 70% effective (pregnancy rate 2.2%) " So... the earlier readings about effectiveness are not the number of couples at one year who are not pregnant as compared with a couple having unprotected sex?

With emergency contraception one is looking at a single sexual encounter and not a year as use. EC is not used for an entire year. Have adjusted the wording. Doc James (talk · contribs · email) (if I write on your page reply on mine) 11:28, 4 September 2013 (UTC)

Yep, on reflection I think the confusing thing was that the pregnancy rate following a single sexual encounter is unstated, so I'm not quite sure what to make of the stated pregnancy rate. LT90001 (talk) 08:13, 5 September 2013 (UTC)

Added that bit in. Doc James (talk · contribs · email) (if I write on your page reply on mine) 11:21, 5 September 2013 (UTC)

"All methods have good safety and minimal side effects." suggest remove 'good safety', this is quite ambiguous

Minimal side effects is enough agree. Doc James (talk · contribs · email) (if I write on your page reply on mine) 11:28, 4 September 2013 (UTC)

Effects.

Effects Done
"In the developing world (comma) birth control secondary to (due to) there being fewer dependent children and thus more women participating in the workforce. Done Doc James (talk · contribs · email) (if I write on your page reply on mine) 11:31, 4 September 2013 (UTC) "for a C-section as of 2012" -> Caesarean section (or inter-wiki link) Done Doc James (talk · contribs · email) (if I write on your page reply on mine) 11:31, 4 September 2013 (UTC)

Effects

Done

"In the developing world (comma) birth control secondary to (due to) there being fewer dependent children and thus more women participating in the workforce.

Done Doc James (talk · contribs · email) (if I write on your page reply on mine) 11:31, 4 September 2013 (UTC)

"for a C-section as of 2012" -> Caesarean section (or inter-wiki link)

Done Doc James (talk · contribs · email) (if I write on your page reply on mine) 11:31, 4 September 2013 (UTC)

Prevalence

Prevalence Done
Very interesting section. "Avoiding sex when fertile " could be reworded as "abstinence" in consideration of above sections Abstinence is a more complicated word. Prefer to keep words simpler for translation purposes among others. Doc James (talk · contribs · email) (if I write on your page reply on mine) 12:41, 3 September 2013 (UTC) Fair enough. LT90001 (talk) 07:45, 5 September 2013 (UTC)

Prevalence

Done

Very interesting section.

"Avoiding sex when fertile " could be reworded as "abstinence" in consideration of above sections

Abstinence is a more complicated word. Prefer to keep words simpler for translation purposes among others. Doc James (talk · contribs · email) (if I write on your page reply on mine) 12:41, 3 September 2013 (UTC)

- Fair enough. LT90001 (talk) 07:45, 5 September 2013 (UTC)

Society and culture

Society and culture Done
"Effects required of governments include " -> "Governments are often required by ? to..." whether governments are forced to or voluntarily adopt measures is a little ambiguous here. Adjusted wording. Doc James (talk · contribs · email) (if I write on your page reply on mine) 11:49, 4 September 2013 (UTC) "If governments fail to do this it may put them in breach of binding international treaty obligations." should some obligations be noted? Adjusted wording. Doc James (talk · contribs · email) (if I write on your page reply on mine) 11:49, 4 September 2013 (UTC)

Society and culture

Done

"Effects required of governments include " -> "Governments are often required by ? to..." whether governments are forced to or voluntarily adopt measures is a little ambiguous here.

Adjusted wording. Doc James (talk · contribs · email) (if I write on your page reply on mine) 11:49, 4 September 2013 (UTC)

"If governments fail to do this it may put them in breach of binding international treaty obligations." should some obligations be noted?

Adjusted wording. Doc James (talk · contribs · email) (if I write on your page reply on mine) 11:49, 4 September 2013 (UTC)

Research

Research Done
"Between 25 and 75% of males would use hormonal contraception if it was available for them. -> sexually active males (?) Done Doc James (talk · contribs · email) (if I write on your page reply on mine) 14:41, 3 September 2013 (UTC)

Research

Done

- "Between 25 and 75% of males would use hormonal contraception if it was available for them. -> sexually active males (?)

Done Doc James (talk · contribs · email) (if I write on your page reply on mine) 14:41, 3 September 2013 (UTC)

Citations

Citations Done
Citation "^ Nelson, Anita L.; Cwiak, Carrie (2011). "Combined oral contraceptives (COCs)". In Hatcher, Robert A.; Trussell, James; Nelson, Anita L.; Cates, Willard Jr.; Kowal, Deborah; Policar, Michael S. (eds.). Contraceptive technology (20th revised ed.). New York: Ardent Media. pp. 249–341. ISBN 978-1-59708-004-0. ISSN 0091-9721. OCLC 781956734. pp. 257–258: " provides a full quote. I don't think this is normal for books quoted with page numbers? Controversial but agree not needed. Doc James (talk · contribs · email) (if I write on your page reply on mine) 11:36, 4 September 2013 (UTC) Citation ^ Kurver, MJ; van der Wijden, CL; Burgers, J (2012). ".". Nederlands tijdschrift voor geneeskunde 156 (41): A5083. PMID 23062257." does not have language noted. Done Doc James (talk · contribs · email) (if I write on your page reply on mine) 11:36, 4 September 2013 (UTC) Not too sure if a lot of these criticisms are appropriate for a GA review (instead of an FA review) but I hope they're helpful. I feel this article has a lot of useful information. Kind Regards, LT90001 (talk) 03:36, 31 August 2013 (UTC) Thanks will work through these. Doc James (talk · contribs · email) (if I write on your page reply on mine) 04:50, 31 August 2013 (UTC)

Citations

Done

Citation "^ Nelson, Anita L.; Cwiak, Carrie (2011). "Combined oral contraceptives (COCs)". In Hatcher, Robert A.; Trussell, James; Nelson, Anita L.; Cates, Willard Jr.; Kowal, Deborah; Policar, Michael S. (eds.). Contraceptive technology (20th revised ed.). New York: Ardent Media. pp. 249–341. ISBN 978-1-59708-004-0. ISSN 0091-9721. OCLC 781956734. pp. 257–258: " provides a full quote. I don't think this is normal for books quoted with page numbers?

Controversial but agree not needed. Doc James (talk · contribs · email) (if I write on your page reply on mine) 11:36, 4 September 2013 (UTC)

Citation ^ Kurver, MJ; van der Wijden, CL; Burgers, J (2012). ".". Nederlands tijdschrift voor geneeskunde 156 (41): A5083. PMID 23062257." does not have language noted.

Done Doc James (talk · contribs · email) (if I write on your page reply on mine) 11:36, 4 September 2013 (UTC)

Not too sure if a lot of these criticisms are appropriate for a GA review (instead of an FA review) but I hope they're helpful. I feel this article has a lot of useful information. Kind Regards, LT90001 (talk) 03:36, 31 August 2013 (UTC)

Thanks will work through these. Doc James (talk · contribs · email) (if I write on your page reply on mine) 04:50, 31 August 2013 (UTC)

Conclusion

This review satisfies the Good Article review criteria (WP:GACR) and has undergone a review process. With no objections, I have re-promoted it to GA status. With an annual estimated readership of 540,000, thanks to Jmh649 and previous editors for producing such an important and comprehensive article. LT90001 (talk) 10:31, 6 September 2013 (UTC)

Image gallery appears in "Dual protection" section?

Why isn't the image gallery in the Methods section? Also I added an external link on bulk procurement. 192.81.0.147 (talk) 19:55, 25 August 2013 (UTC)

It is at the very end of the methods section of which dual protection is part. Doc James (talk · contribs · email) (if I write on your page reply on mine) 21:10, 25 August 2013 (UTC)

That seems like it would be true given the heiarchical enclosures of TOC-indented sections, but it hasn't been true on the mobile app for years. On the mobile app the gallery is in dual protection instead of methods. 192.81.0.147 (talk) 14:07, 26 August 2013 (UTC)

However "dual protection" is in methods. Maybe the mobile app needs adjusting? Doc James (talk · contribs · email) (if I write on your page reply on mine) 14:42, 26 August 2013 (UTC)

Are there any disadvantages to putting the gallery after the "Methods" section's top level text? 192.81.0.147 (talk) 21:34, 26 August 2013 (UTC)

Than it does not format properly on a desk top. Doc James (talk · contribs · email) (if I write on your page reply on mine) 22:16, 26 August 2013 (UTC)

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