Dear Friend:

Last year, the African Journal of Primary Health Care and Family Medicine published a study entitled, "Contraception as a risk factor for urinary tract infection in Port Harcourt, Nigeria: A case control study." [1]

The authors, Paul Dienye and Precious Gbeneol, concluded that "Contraceptive use is a significant risk factor for acquiring urinary tract infection (UTI) with the barrier methods being more predisposing." The authors reported a statistically significant 2.9-fold increased risk of UTIs among women who used contraceptives compared to non-users and a statistically significant 17.30-fold elevated risk among users of barrier methods of contraception.

Unfortunately, the authors made the wrong recommendation. They wrote, "Women who use barrier methods could be advised to consider alternative methods, such as oral contraceptives."

In my letter to the editor, "Say 'no' to carcinogen as contraception alternative," addressed to the African Journal of Primary Health Care and Family Medicine (published July of 2012), I made the following observations:

1) The study by Dienye and Gbeneol revealed that women who did not use any form of contraceptives had the lowest UTI risk;

2) Oral contraceptives (the birth control pill) containing estrogen and progestin raise a woman's risk for cancers of the breast, liver and cervix, according to the World Health Organization; and

3) Natural Family Planning is as effective as chemical contraception, but has none of the cancer risk. [2]

The authors responded, in part, by saying that oral contraceptives reduce the risk of endometrial and ovarian cancers and may possibly reduce colon cancer risk. [2] However, as Dr. Angela Lanfranchi (president, Breast Cancer Prevention Institute) has said, it makes no sense whatsoever to tell patients to take a carcinogen (cancer-causing substance) to prevent cancer.

This has to be the first time in medical history that doctors have made it a consistent practice to tell patients to take a carcinogen to prevent cancer. They're not just doing it in Africa. They do it in the U.S. too. Would male physicians and scientists ever think of taking a carcinogen to reduce cancer risk?

As I write this newsletter on July 14, 2012, the adoring, but somnolent Big Media have spent the past week cheering the Bill and Melinda Gates Foundation's conference on contraceptives in London. Melinda Gates claims the purpose of the conference is to put contraceptives back on the global agenda (read: population reduction) and increase access to birth control to an additional 120 million girls and women in the poorest countries. Where will the Gates Foundation be when the poorest of the poor develop cancer, heart attacks, strokes, UTI's, sexually transmitted diseases, etc.? Women in these countries do not have the same financial means to access quality health care that Americans have.

One has to wonder whether Melinda Gates and others who lead the Gates Foundation would ever use the same cancer-causing, hormonal contraceptive steroids that they push on the poor. Gates uses euphemistic language to make contraceptive use and population reduction more acceptable to the public. For example, she alleges contraceptive use is a "reproductive right" (when really it's about non-reproduction) and that it "empowers" women to make decisions about family size.

It is my sincere hope that my letter to the editor will help African physicians to fight back against assaults on women's health from the world's population controllers.

Karen Malec
Coalition on Abortion/Breast Cancer


1. Dienye PO, Gbeneol PK. Contraception as a risk factor for urinary tract infection in Port Harcourt, Nigeria: A Case control study. Afr J Primary Health Care Fam Med. 2011;3(1), Art. #207. Available at: <>.

2. Letter to editor by Karen Malec. Response from Paul Dienye and Precious Gbeneol. "Say 'no' to carcinogen as contraception alternative.”  Afr J Prm Health Care Fam Med. 2012;4(1), Art. #424. Available at: <>.


The Coalition on Abortion/Breast Cancer is an international women's organization founded to protect the health and save the lives of women by educating and providing information on abortion as a risk factor for breast cancer.

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