The Grand Narrative

Question From a Reader: Contraceptive Pills

Posted in Contraception, Korean Sexuality, Sexual Relationships by James Turnbull on June 30, 2010
( Source )

Rather than have it hidden unanswered on an old post, and ironically one rather critical of the Yaz (야즈) contraceptive pill at that(!), let me post this question from a reader here:

This may seem strange after reading the comments but I am a Yaz user and I really like it and I am new to Korea and next month my last pack of Yaz will finish. Does anyone know where I can find Yaz in Korea? Is it even available in Korea or perhaps does it go by a different name. Any help would be much appreciated.

Hey, whatever works for her, and I’ll take a look at Korean websites for more information if necessary. But can any readers with more practical knowledge help?^^

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“Korean Women are Sexually Conservative”

Posted in Contraception, Korean Feminism, Korean Sexuality, Sex Education, Sexual Relationships by James Turnbull on October 9, 2009
korean-etude-advertisement-song-hye-gyo( Source: Naver )

As they say, first impressions last, and my own first introduction to Korean sexual politics came with a bang when the scandal over the Baek Ji-young (백지영) sex tape erupted in late-2000. The way she was treated by the Korean media was hypocritical and shocking, and confirmed what I’d learned at university: Korea was a deeply patriarchal and sexually-conservative society.

Or at least, as the “Korean Gender Guy,”™ that’s what I’d like to pretend informed my first year in Korea. The truth is, I barely noticed at the time, being rather more concerned with getting into my Korean girlfriend’s pants. But they also say that the best way to learn a new culture is to sleep with the locals, and what I learned about sexual politics that way was no less important for being so base: the books were simply wrong about how prudish Koreans were. I’ve been poking fun at the huge gap between image and reality ever since.

But with a nod of appreciation to the advice of this regular commenter, it’s high time to move on from that extremely simplistic conception of the subject.

Just like it is misguided to think of, say, all American voters as mere “conservatives” or “liberals,” the reality is that Korean society is both profoundly sexually-liberal in some instances and sexually-conservative in others. For instance: most Koreans have sex before marriage; Korea has one of the largest prostitution industries in the world; Korean teenagers increasingly dance extremely provocatively on television; Korean women are increasingly objectified in advertisements; and, overall, censorship of sexual content in movies is rapidly easing.

Sexually Conservative Korean Woman?( Source: RaySoda )

And yet that combination by no means implies that Korean men and women are equally able to express and enjoy their sexuality in 2009, let alone that, like almost a decade ago, a female celebrity secretly filmed while having sex with her boyfriend wouldn’t again be ostracized by the Korean media. Indeed, one can argue that to describe Korean society as simply “sexual-conservative” is merely to gloss over its profound double-standards.

One such double-standard is the need for sexually-active women to appear inexperienced and virginal to their partners, and in that vein, this survey of condom use and sexual activity in Korea – probably the most comprehensive of its kind – found that a majority of them did so to the extent that they regarded contraception as entirely men’s responsibility, as I discussed last December. Either they didn’t provide it themselves, they didn’t insist on their partners using condoms, and/or they would even feign complete ignorance of all contraceptive methods.

Again, that’s to be expected from a “sexually-conservative” society. But bear in mind the fact that love hotels are ubiquitous here, and – as that survey demonstrates – are well used. So while this particular double-standard is hardly confined to Korea, it is particularly severe in its effects on Korean women.

In light of that, the fact that rates of oral contraceptive pill usage are extremely low in Korea (3%) shouldn’t have been a surprise to me when I learned it from this recent Korean blog post, which I’ve translated below. But while I was certainly aware of the scare-tactics used – for various reasons – by Japanese medical authorities to dissuade women from using the pill there for instance, and which meant that it was only legalized as late as 1999 (see here, here and here), in hindsight perhaps I was too optimistic about Korean women’s reaction to similar tactics used here in January. So I was taken aback:

피임에 보수적인 여자들 – When it Comes to Contraception, Korean Women Are Conservative

Korean Pill Cartoon 1Mr Kang, reporter: “As women are actively making advances in Korean society, so too are women becoming more open and assertive about sexual matters.”

Korean Pill Cartoon 2a

Mr Kang: “Today, we are going to meet Ms. Kim, a cool, forward-thinking woman with free and open attitudes to love.”

Ms Kim, caption: “I have 900 intimate male-friends…but that’s what happens if you’re as pretty as I. It’s not a crime!”

Korean Pill Cartoon 3Mr Kang: “I will ask about modern women’s opinions on sex and love…Nice to meet you Ms Kim. Ms Kim, I heard that you have very liberal and open attitudes to love. Is that true?”

Ms Kim: ” Yes. I don’t care about men that leave me, and I don’t say no to men that approach me…I’m so cool!”

Korean Pill Cartoon 4Mr Kang: “Since you are old enough, I assume that you have sex with your boyfriends. Do you take the initiative and/or insist on using contraception?”

Ms Kim: “Contraception? Surely that is men’s responsibility, yes?”

Mr Kang (gray text): “I’m surprised that you’re so conservative.”

Ms. Kim (gray text): “It is totally men’s responsibility!”

Granted, a bizarre cartoon, and probably one that detracts from rather than evinces the following points made by the blogger:

이전보다 자유로와진 미혼남녀의 성생활이나 성 담론에 비해 아직도 피임에 대한 인식은 무척 보수적이죠. 게다가 아직까지 수많은 여성들은 ‘피임=남자의 책임’이라는 구시대적 사고방식을 가지고 있는 듯 합니다. 한국 여성 피임 인식 조사에 따르면, 여성의 60%는 성관계 시 피임을 하지 않는 것으로 나타났는데 이는 ‘설마~’와 ‘막연함’ 때문이라고 합니다.

“Compared to the past, people are much more sexually active these days, and talk about sexual matters much more openly. But they are still surprisingly conservative when it comes to using contraception. In particular, many women stick to the traditional line that it is entirely men’s responsibility. According to a survey by the WHO, 60% of Korean women don’t use any contraception at all, maintaining an “it won’t happen to me” attitude.”

International Rates of Pill Usage Korea

물론, 남자에게도 책임은 있겠지만 여성들 역시 능동적일 필요가 있다고 보는데요, 통계에 따르면 남자들의 피임 방식인 “CONDOM”은 피임에 성공할 확률이 85%에 지나지 않는다고 합니다. 반면에 여성들이 준비할 수 있는 ‘먹는 피임약’인 경우, 성공 확률이 무려 99%에 이른다고 하네요.

“Of course men also have a responsibility to use contraception, but it seems that women are not fulfilling theirs. According to statistics, whereas condoms are 85% effective in preventing pregnancy, the use of the oral contraceptive pill is done entirely by women and is as much as 99% effective.”

Korean Pill vs Condom Cartoon

더치페이의 나라 네덜란드에서는 피임에 대해서도 서로를 배려하기 위해 CONDOM과 피임약을 모두 사용하는 이른바 ‘더치피임’이 널리 퍼지고 있다고 합니다. 또한 요즘 나오는 먹는 피임약(야즈)은 피임 뿐만 아니라 여드름 및 월경전불쾌장애(심한 형태의 월경전 증후군)에도 치료 효과를 인정받았다고 하니 여성 스스로를 위해서라도 꼭 한번 고려해볼 수 있길 바랍니다.

“In the Netherlands, when it comes to contraception people combine condoms with the use of the pill in order to be safer, and this is known as “Dutch [Style] Contraception.” In addition, a  new form of the pill called “Yaz” is coming onto the market, which combines a contraceptive function with helping to prevent skin problems and PMT. Women should consider this new product as an option.”

Men Women Gender 50 50And I’m afraid that that is all, although it attracted a great many commenters, most of whom agree that contraception is also women’s responsibility. But they take issue with the blogger’s description of women that don’t use the pill as “conservative,” citing concerns about side-effects, to which my response would be to direct them to this comment.

Meanwhile, if you haven’t already read my earlier post on condom use and rates of sexual activity in Korea then I strongly recommend you do so to place this new information in context, and you may also be interested in the recent appointment of a minor Korean-American celebrity being named “goodwill ambassador for the Korean Association of Obstetricians and Gynecologists to promote a campaign teaching young Korean women about sex and reduce abortions.” This has many positives of course, but I’d echo Brian in Jeollanam-do’s concerns that this may be “a product of, and will contribute to the perpetuation of, the belief that Americans and Westerners alone can be open about sex,” to which I’d add the stereotype that Westerners and especially Caucasians are overall much “more sexual” than Koreans. Finally, for a very frank discussion from the front-line as it were (an American woman dating Korean men), make sure to check out Doing it Korean Style!

Update: Apologies for not mentioning Dating in Korea also.

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Korean Medical Association: Don’t Take the Pill!

Posted in Abortion, Contraception, East Asia, Korean Demographics, Korean Feminism, Korean Sexuality, Pregnancy by James Turnbull on January 9, 2009

"Say whaaa...?"Why not? Well, because Korean women are stupid apparently, unable to do so much as read the instructions and numerous warnings about possible side-effects that come with the product, let alone do their own research and make their own choice about what contraception is best for them personally.

Or at least, that is the more benign reading of this warning from the KMA, and to be fair, given such factors as: Koreans’ general reluctance to self-diagnose and be proactive about treating any medical condition that they might have themselves; the discouragement of critical-thinking in the Korean education system; and many Korean women’s complete reliance on men to use contraception, then at first glance there is nothing to distinguish the top-down, patronizing but also paternalistic tone of the KMA in the warning as any different from any other Korean institution’s relationship with the Korean public. In reality however, in its bias and scare-mongering it demonstrates an explicit and almost sinister vested interest in maintaining the huge abortion industry here.

No, really. That may sound like hyperbole, but then the Korean state already has a long history as an extremely invasive and coercive force in Koreans’ reproductive lives, its population policy in the 1960s and 1970s only slightly less draconian than that of China’s today, at many points having soldiers withdrawn from the DMZ at the height of the Cold War to deliver IUDs and perform abortions in the Korean countryside for instance (see this book for more on that). And such industry-related claims are also widely acknowledged of Japanese health authorities (albeit not so much in Japan itself), which banned the pill for three decades and which Japanese women are still scared of using, so why not of Korea ones too?

But regardless of that background, how else are we to interpret the evidence from just the KMA’s warning alone? Consider that:

  • It provides no information about possible side-effects that I didn’t already know about 10 years ago (and I’m a guy remember), which begs the question of why the Korea Times considered it “news” exactly.
  • It literally doesn’t provide a single positive medical benefit of using them, and naturally the Korea Times fails its most basic of journalistic duties by not providing them either.
  • It implies that somehow there is somehow something unique to contraceptive pills and not, say…amphetamines that makes women’s access to them in much more urgent need of being restricted.
  • And finally, that in a country where double-standards, moralistic pharmacists and medical staff, virtually non-existent sex education, and a lack of access already combine to severely limit women’s sexual confidence and choices of contraception in practice (see here)…surely it is telling that the most senior medical institution in the country is literally scaring women away from using the single safest and most effective contraceptive in human history?

Actually, I do agree that there are some benefits to women of, say, requiring a prescription from a doctor to get the pill, one poster in this forum (which I give a hat tip to for some of the above) pointing out that it means many women will usually get gynecological examinations at the same time, wheres they wouldn’t have bothered otherwise. But, one should always be very careful to acknowledge the different contexts in which they occur, and I dare say that most young British women buying contraceptives, for instance, are not asked by pharmacists if they’re married, or alternatively the same by doctors and nurses rather than a more neutral, non-judgmental inquiry as to if they are sexually active. To require a prescription in those circumstances would surely mean that many women simply wouldn’t go to get them all, which renders quick and easy access to the pill, albeit online if you don’t look 25 or older, one of the very few positives about Korean sexual culture.

Ending on another positive note, all trends in Korea point to continued increased use of the pill over time, and I’m not merely seeking brownie points among my readers when I say that I do have confidence in Korean women even just considering the pill not to be swayed by “warnings” like this. Given how, as I explained in my last post on the subject, half the battle is getting many Korean women to take an active role in using contraception at all, then merely thinking about all the pros and cons of the options available is an important first step. And of those that have done so, then I dare say that from that point on they will apply a more discerning eye to the ravings of groups like the KMA!

( Image Sources: unknown; Newsis )

Update: In case anyone wants it, here is the original warning in Korean too.

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