ArticleInternational journal for equity in health2025
The violence of reproductive injustice: Reflections on birth control and its medical epistemics.
Article in International journal for equity in health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Understanding contraceptive choice after discontinuing the contraceptive pill in Germany - a qualitative inquiry.Reproductive health · 2026Article
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6 authors.
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Abstract
backgroundThe widespread promotion of oral contraceptives raises concerns about side effects, informed choices, and contraceptive coercion, which contribute to gynecological violence influenced by systemic factors. The link between gynecological violence and oral contraceptives is understudied and rarely examined through systemic violence theories.
methodsTo address this gap, we explored how a continuum of symbolic, structural, and slow violence manifests in the physical body by drawing on qualitative online interviews with 19 former oral contraceptive users and six gynecologists in Germany. Data were analyzed using reflexive thematic analysis informed by symbolic, structural, and slow violence theories. This process involved iterative coding, theme development, and discussions within the research team.
resultsUsing the conceptual framework of gynecological violence, we show how the dominance of medical and pharmaceutical knowledge, systemic neglect of contraceptive counseling, and prioritization of oral contraceptives over other methods of contraception contribute to a cycle of symbolic and structural violence, ultimately harming users through slow violence.
conclusionTo promote more equitable and inclusive contraceptive counseling, we recommend advancing gender-responsive research, expanding the rights-based and psychosocial counseling offered by different health professionals (and not just physicians), and enhancing gynecology training programs to better prepare gynecologists for contraceptive counseling. Ultimately, these measures aim to transform contraceptive care into a more equitable, informed, and patient-centered practice.
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