• Lauren Guy

    My understanding is that the weight recommendations had to do with body fat content, not just weight. Because fat absorbs hormones, and folks with higher fat content tend to have faster metabolisms, all hormonal contraceptives will be less effective for folks with more fat on their bods.

    • Amanda Marcotte

      That was a theory that was floated, but the research on hand does not support that hypothesis. Clearly, more research is needed, but right now the recommendations are based on body weight, NOT body fat.

  • Quis ut Deus

    I am 6′ tall and have weighed 165 in the past. It is by no means ‘obese’ especially for someone of my height

    • CJ99

      Nor should women be singled out. Nor should taller women be singled out either but since I’m 5’10 a lot of women are taller than me.

  • longreddress

    Kudos to the author of this awesome article! So great to see reproductive rights, body positivity and Health At Every Size converging.

  • Wonder

    Wait so EC only works properly for thin women ?

  • http://fatbodypolitics.com/ Amanda Levitt

    While I appreciate the sentiments of this article and I fully support reporting that isn’t stigmatizing toward fat people, I am incredibly hesitant to accept an argument that tries to say in any way it is acceptable to report about Plan B and use terms like “overweight/obesity” as long as it purely medical terminology. I’m pretty sure regardless of health status people have the right to reproductive health services and pathologizing a body type is pushing fat stigma, while having absolutely nothing to do with emergency contraceptives. Arguing to use those terms as medical terminology also ignores how they are socially constructed and are not based anymore more than a probability model that shows fat people have a higher likelihood of being unhealthy but are not inherently unhealthy. It’s a label with very little scientific meaning.

    Also, trying to reframe the discussion around how more people than just fat people are impacted by this trivialized the lack of access fat people have to reproductive health services in general. While a lot of the reporting was false or misleading it still allowed for a larger discussion about how fat people regularly face stigmatizing health services including access to drugs that actually work with their body type and care that is accessible / affordable / available to them. This issue overwhelmingly impacts fat people and should be part of a larger discussion around how most reproductive health services in general are not made with fat people in mind.

    • Amanda Marcotte

      I do think that’s true, and don’t begrudge anyone reporting this story. Overall, it was good that it took off and kudos to Mother Jones, who I think had excellent reporting and framing of the story from the get-go. My main complaint was with media outlets that reported on the Mother Jones story and weren’t as careful to keep the facts straight and immediately went to the cozy “FAT WILL KILL YOU” framing, without bothering to check if that was even what this story was about. (It’s not. )

  • http://scienceblogs.com/gregladen/ Greg Laden

    I think the limitation is about body fat percentage, not weight, and weight is being used as an approximation even clumsier than BMI for individuals.

  • http://scienceblogs.com/gregladen/ Greg Laden

    That is doubtful. When body mass has a strong effect on dosage dosages can be adjusted. I’ve not seen the original research but people involve in this work who have commented refer to BMI, suggesting that it is not weight but fat that matters here.

  • Amanda Marcotte

    That’s also not showing to be true in studies. To be completely clear, this is a way understudied issue, and more research will hopefully clear up if this is a dosage issue, a body fat issue, or something that we just have no way of fixing.

  • Mandy

    FtM transgender men exist fyi. We should not forget them. Many of them still have a uterues and need access to reproductive health care. Esp if they have penatrative sex with cismale partner.

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