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The Unspeakeasy With Meghan Daum

Red Pilling The Pill: Holly Grigg-Spall On The Big Business Of Birth Control

The Unspeakeasy With Meghan Daum

Meghan Daum

Society & Culture

4.7855 Ratings

🗓️ 15 May 2023

⏱️ 70 minutes

🧾️ Download transcript

Summary

Ever since it was introduced in the early 1960s, the birth control pill has been inextricable from the concept of women's liberation, body autonomy, and just about everyone's sense of personal freedom and their own life choices. Holly Grigg-Spall, author of Sweetening The Pill: Or How We Got Hooked On Hormonal Birth Control, is in favor of all of those things. But she is also among a growing chorus of activists who believe that the sacrosanct nature of the pill discourages honest conversations about the mental and physical health risks posed by hormonal birth control. Instead of taking it for limited spans of time to prevent pregnancy, many women are often on the pill for the bulk of their reproductive lives, which technically is not the way it was designed to be used. In this conversation, Holly talks about how pharmaceutical companies began marketing birth control pills as "lifestyle drugs" and how artificial disruptions to the reproductive system can cause medical problems to go unnoticed and untreated. She also explains how tech-assisted fertility tracking differs from the old-fashioned "rhythm method" and explores the ways in which "infertility as a default setting for women" has affected mating and dating patterns – and not always for the better.

 

In the bonus portion for paying subscribers, Holly sticks around and talks about the process of developing Teena, a fertility tracking app for teenagers, and also the documentary The Business of Birth Control, which was inspired by her book (and criticized by Meghan on A Special Place In Hell.) 

 

Guest Bio: 

Holly Grigg-Spall is the author of Sweetening The Pill: Or How We Got Hooked On Hormonal Birth Control. Released in 2013, the book will mark its ten-year anniversary later this year and was the inspiration for the 2021 documentary The Business Of Birth Control, Holly recently launched Teena, a free education-forward app supporting body literacy for tweens and teens.

Transcript

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0:00.0

Welcome to the Unspeakable Podcast.

0:05.0

I'm your host, Megan Down.

0:07.0

My guest is Holly Grigg-Spall.

0:10.1

In 2013, Holly published a controversial book called Sweetening the Pill,

0:15.2

in which she made the case for a closer look at hormonal birth control,

0:19.5

specifically the birth control pill. Now, ever since it

0:23.0

was introduced in the early 1960s, the pill has pretty much been inextricable from the concept of

0:29.6

women's liberation, bodily autonomy, and really just everyone's sense of personal freedom and

0:36.2

life choices. And Holly disputes none of that,

0:40.0

but she's also been speaking up for many, many years about the ways that the birth control pill

0:45.9

has in recent decades been used in ways that it wasn't originally intended. For instance,

0:53.4

instead of taking it for limited periods of time to avoid getting pregnant,

0:57.8

many women are often on it for the bulk of their reproductive lives,

1:02.2

sometimes from the moment they hit puberty.

1:04.8

And some people, like Holly, believe that the pill comes with enough risks to physical and mental health that we shouldn't

1:13.3

avoid having conversations about those risks, but we avoid them basically because the pill is so

1:19.4

sacrosanct. Now, the conversation you're about to hear came about under somewhat unusual circumstances.

1:27.4

Sweetening the pill was the basis of a documentary film,

1:31.4

the business of birth control, which was produced by Ricky Lake, who's also known for the

1:36.5

documentary about the over-medicalization of childbirth called The Business of Being Born.

1:42.4

And that documentary, the business of Birth Control, came out last year.

1:46.3

It so happened that I saw the film and I talked about it on my other podcast, A Special Place in Health.

...

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