50 Staniford Street
Boston MA 02114
To whom it may concern:
I was just reading over the consent form for the lorcaserin study, and I noticed something I wanted to bring to your attention:
In the section about acceptable forms of birth control, "condom plus spermicidal jelly or foam" is listed as an acceptable form of birth control. Later in the section, it says "abstinence (no sexual intercourse), and a partner who cannot get pregnant/father a child are not acceptable methods of birth control for this study."
I am female and am in a monogamous married relationship with a female. If I were to take part in this study, what method of birth control could I use? My partner is not able to get me pregnant or become pregnant by me, but as this is not an acceptable method of birth control, I would need to use one of the acceptable methods, such as "condom plus spermicidal jelly or foam." I guess I would need to know when exactly I would use said condom plus spermicidal jelly or foam. I also ask the same question of an abstinent person. A friend of mine, who is a monk, does not engage in sexual activity. Since this is also not acceptable, she would need to use aforementioned condom plus spermicidal jelly or foam. When would she need to use this in order to meet your requirements?
I recognize that my examples are a bit ridiculous, but I think this points to a logical flaw in your requirements. I understand that these requirements may have been written based on the knowledge that penile/vaginal intercourse often occurs without having been anticipated and/or wanted. However, the fact that condom use is listed as an acceptable method of birth control does not address this, as condoms, unlike hormonal methods of birth control, require planning in terms of their availability and require consent on the part of both partners.
If condom use is acceptable (which I presume refers to its use during penile/vaginal intercourse), why would absintence or sexual relations that cannot result in pregnancy not be acceptable? Based on your logic, my form of birth control would only be acceptable if I additionally agreed to always use a condom and spermicidal jelly or foam during my female/female relations.