Enzyme-inducing antiepileptic drugs (EI-ASMs) such as phenytoin, carbamazepine, oxcarbazepine, and phenobarbital may decrease contraceptive efficacy. When considering contraception for women with epilepsy (WWE), the intrauterine device (IUD) is a first line choice. It is important to keep in mind that hormonal contraception with estrogenic components induces the metabolism of lamotriginePreconception counseling should be started early and revisited frequently for WWE of childbearing age. Pre-partum optimization of ASMs ideally should be done 9−12 months before a planned pregnancy. The majority of WWE are likely to have a safe pregnancy and a healthy newborn.

This chapter charts the processes by which deceptive sex came to be regarded as potentially constituting rape. Through tracing these developments, the chapter shows how doctrinal features of the law, such as the way consent and deception are thought to be related and the modes of deception punished by law, were important to this process. Yet the chapter also argues that to fully appreciate how and why the changes occurred, it is necessary to pay attention to the array of interests the law has sought to protect and how these have shaped the range of topics of deception that might ground a charge of rape. This argument leads to the conclusion that, in the context of deceptive sex, deception has not been considered wrongful because it invalidates or precludes consent, as is commonly thought; rather, deception has invalidated or precluded consent because it has sometimes been considered wrongful. The chapter ends by introducing some reasons why this insight is important to ongoing debates regarding the criminalisation of deceptive sex.

This chapter summarises the overarching narrative of this book and argues that as was as being intrinsically valuable it can inform contemporary debates about using law to regulate the practices of inducing intimacy. The discussion is organised around three sets of issues: the public and private dimensions of sex and intimate relationships, including the interests protected by law, the form of response (i.e., state or non-state), and the variety of legal response (i.e., public or private); the structure of legal responses, the meaning of consent and its relation to deception, targeted modes of deception, culpability matters, the requirement for a causal link between deception and ‘outcome’, and the temporalities of the legal wrong; and the substance of deceptions, including the dynamics governing the range of topics about which transparency has been expected. Drawing the discussion together, the chapter concludes by offering a new framework for constructing legal responses to deceptively induced intimacy, which builds on the core insight and these responses have historically been predicated on temporally sensitive associations between self-construction and intimacy.

Cancer treatments can induce temporary or permanent menopause and lead to persistent menopausal symptoms. In reproductive age women, cancer treatment may impair fertility but evaluating fertility and managing contraception can be complex. Managing menopausal symptoms and contraceptive decisions after cancer treatment can be challenging for women and their care providers. In this chapter, we present concepts for managing these consultations and some specific advice for women in particular situations.

During the two World Wars sexuality was fundamental to how both conflicts were planned, conducted, and experienced. The sexual body was an ever-present target of military policy as a potential polluter of the race, a danger to colonial order, sexual mores, or gender hierarchy; it was an object of intervention and mutilation, even annihilation. Nonetheless, war also offered opportunities for new, hitherto illicit sexual encounters. Individuals experienced sexuality in two opposing ways: as a source of immense suffering but also of erotic excitement and love. Changes in sexual attitudes, regulation, and practices must be understood through the filters of gender, class, race, sexual orientation, religion, and regional variations. Between 1918 and the `sexual revolution” of the 1960s a profound shift in sexual mores and attitudes took place in all bellicose nations. The millions of deaths on the battlefields, the suffering at home, the unprecedented mass movement within and between countries had sufficiently ruptured the social fabric to unleash a wide-spread liberalisation of sexuality. The steeply declining birthrate was the most dramatic expression of changing ideals. Yet, liberalisation was at best ambivalent as many traditional attitudes and regulations resurfaced and women and queer people struggled to fit back into a state-sanctioned `normal” life.

The decades since the Second World War have seen dramatic shifts in the approved varieties of sexual experience in liberal democracies. Sexuality, once regarded as an intensely private matter, is now on display everywhere, on large and small screens. Effective contraception has made what was once primarily a procreative act into a form of recreation, available to both heterosexual and same-sex couples. From being regarded as a privilege of marriage in the 1950s, today access to sex might be regarded as a right. An extreme form of this belief might be seen in the “Incel” movement. Cohesive community ideals about sexuality within marriage disintegrated in the post-war world responding to growing demands to respect a diversity of individual desires. Democracies which hold to faith traditions promote a more traditional view of sex as contained within marriage. The promotion of a responsible sex life has become part of the commitment of many secular liberal democracies to ensure the health and welfare of citizens, particularly in light of AIDS and HPV. Countries have put laws in place to protect citizens from sexual abuse. The global nature of the digital realm, however, makes sexually exploitative visual material difficult to police.

The structure, function, and even the definition of the family have varied tremendously from culture to culture, and for different social groups within each culture. They have changed over time because of internal developments or contacts with other cultures. Not all families centred on a sexual relationship, but most did, institutionalized as marriage, though in this there was wide variety as well. Norms and patterns of sexual familial relationships were how groups defined themselves, maintained their distinctions from other groups, and reinforced hierarchies within the group. Since the nineteenth century, scholars have developed theories of family and kinship, initially seeing evolutionary stages but now emphasizing variety and divergent lines of development, using qualitative and quantitative sources. They have still found major points of transition in family life: the foraging families of the Paleolithic became sedentary crop-raisers, with intensified social hierarchies; centralized states attempted to control reproduction through laws and norms governing marriage and sexual relations; patterns in family life became more rigid in classical cultures and text-based religions; colonialism and industrialization slowly altered family life and norms of sexuality; government intervention in family life expanded in the twentieth century. Today there is an increasing diversity of family forms around the world.

Sydney was the original site of British settlement in Australia and its largest city in the twentieth century. With a reputation for hedonism, Sydney’s identity became entangled, to a marked extent, in its sexual cultures. The preoccupation with whiteness ensured that attitudes to birth control were closely related to settler racial aspirations. State regulation of sex work and female sexuality was also connected to concerns about preserving racial vigour, but it helped to secure a powerful role for organized crime and police corruption in the city’s sex industry. Key Sydney sex radicals and reformers took their place in British imperial and, to an increasing extent, global networks. Gay (or ‘camp’) male subcultures emerged in the middle decades of the century and, after a period of greater freedom during the Second World War, attracted repression in the 1950s. Lesbian subcultures emerged more slowly, but were discernible by the 1960s. At the same time as the contraceptive pill was transforming heterosexual relations, Sydney emerged as Australia’s major centre of gay life as well as a place of notable ethnic diversity and sexual variety. By the end of the century the city’s identity was bound more tightly than ever to its sexual cultures.

This chapter attempts to explore global trajectories of birth control, family planning, and reproductive health and rights discourses in the modern world by comparing experiences of countries in the Global South with the Global North. Women all over the world have long had some control over their reproductive bodies. “Planning” became a very crucial concept within the global development discourse put forward during the post Second World War. One of the main resources that needed to be planned was population, thus “family planning” emerged as a novel form of population control. This ideology was supported by philanthropic institutions such as the Rockefeller Foundation and the International Planned Parenthood Federation, and by international conferences on population and development. Sri Lanka was a colony of the Western powers for four centuries (1505-1948), then a development “model” for South Asia in the 1970s, then the site of a civil war (1983-2009). Sri Lanka offers a more inclusive conceptual framework to understand how policy decisions taken in the Global North fails to have the same impact in the Global South. This chapter shows how policies must adapt to the local realities of the Global South irrespective of ratifying global population and development conventions.

This chapter finds in the Bible a diversity of views about sexuality, gender, marriage, divorce, celibacy, virginity, and the human body. It next traces in early Christianity an aversion towards same-sex relationships, abortion, and contraception, and a growing gynophobia combined with a growing devotion to the Virgin Mary. It discusses the association between sexuality and original sin, and between misogyny and the invention of the witch, together with the negation of sexual pleasure, the confinement of sexual relations to procreation within marriage, and the struggles of monks with their erotic desires. A painful incompatibility between the sexual practices of colonized peoples and missionary expectations and behaviour is noted. Through to the present time, different models of marriage and attitudes towards same-sex relationships are found within Christianity. The early diversity of views about sexuality is shown to be unresolved, re-appearing in the culture wars of the present century. While attitudes to cohabitation, divorce and masturbation are generally more liberal than in the past, global Christianity still retains a strong antipathy towards loving same-sex relationships, abortion, and even the ordination of women.

While the law has developed greater protection for the growing competence of adolescents, they have not been recognised as autonomous in the same way as adults. This difference in treatment is especially clear in medical decision-making. The law has been willing to accord young people the right to consent to treatment in their best interests, but has been far more reluctant to accept full adolescent autonomy, including the right to refuse such treatment. This chapter considers the assessment of young people’s competence to make decisions concerning their medical treatment. It then considers the authority of parents and courts to overrule adolescents’ decisions to refuse treatment. There are strong reasons to argue that parents should no longer have such authority, which is increasingly out of step with medical practice and developments in children’s rights. The jurisdiction of the courts to do so is well-established but will only provide an adequate safeguard if sufficient weight is placed on young people’s rights to bodily integrity and decision-making. The chapter concludes by considering the application of these principles in the context of adolescent’s use of contraception and abortion.

In 1928-29, politicians of the Irish Free State debated the Censorship of Publications Bill, which included a clause banning print media on contraception. They contended that ignorance of birth control would increase reproductive rates and prevent Irish “race suicide.” W. B. Yeats contested the Bill in the press, in part due to apprehension about Catholic population growth and dwindling Protestant numbers. This chapter positions the Free State’s “race suicide” debates into the context of their eugenic origins, and it argues that Yeats’s reaction to the Bill set the stage for his eugenic plan in On the Boiler, one that responded to what he believed was an Anglo-Irish “race suicide.” Through coded references to Irish class divisions, Yeats proposes restraints on Catholic reproductive rights, strategies of selective breeding among an Irish elite, and population control achieved through violence. His ideas about race and reproduction offer a study of scientific racism that reflects fringe and mainstream rhetoric that endures today in the form of “replacement theory.” An investigation of Yeats contributes to the ongoing, multidisciplinary effort to pinpoint the origins, development, and effects of theories that bring together questions of science, race, reproduction, and rights.

This chapter considers the efforts that zoos have made to establish cooperative breeding programmes to create insurance populations of threatened species in zoos, such as the establishment of international studbooks, the EAZA Ex-situ Programmes (EEPs) in Europe and the Species Survival Plan® (SSP) programmes in North America. To improve breeding in some species a number of assisted reproductive technologies have been developed, including artificial insemination, cloning and frozen zoos. In order to manage genetic diversity and prevent the effects of inbreeding, some animals may need to be culled or given contraception. Population growth in managed populations has been predicted by using computer simulations. Some species have recovered well in the wild without the need for ex-situ breeding programmes.

No western country experienced as protracted a debate on contraception as Ireland. The longstanding ban on contraception has commonly been seen as the consequence of Catholic church teaching and the near-universal religious observance by Irish Catholics. But the Irish debate went far beyond Catholic teaching. The merits of large families and the laws banning contraception (as well as prohibition of divorce and abortion) came to be seen as a symbol of Ireland’s national identity; the Irish approach to contraception was intimately bound up with ideas of Irishness. The logic of opposition to the use of contraception shifted over the decades. Initially, the belief that ‘artificial’ contraception was contrary to the teaching of the Catholic church was the engine that drove state policy and broader opposition. By the 1970s this argument was being abandoned, in favour of claims that permitting contraception would destroy the fabric of the family and society. The battle to protect Irish society from the “menace” of contraception, abortion and divorce continued into the present century in the face of falling fertility, many single mothers, and a significant abortion trail to Britain.

What can a model of continence based in male physiology have to offer female writers? This chapter argues that the strong opinions that Vernon Lee expressed about sex and its relation to art in her early writing should not be dismissed as the result of repression or parental indoctrination, as they have been by previous critics. Lee, like Johnson, combined Paterian sensuous continence with other nineteenth-century discourses, particularly discussions of sexual health by New Women writers, and the result is central to her theorizing about life, social ethics, and art. She insisted on the harmfulness of sex to both individuals and society, and that those who felt otherwise were suffering from ‘logical misconception’. But Lee was also an aesthete, for whom sensuous experience was extremely important. She worried that continent aestheticism would limit an aesthete’s experience and lead to solipsism and waste. Her answer was a Paterian disciplined love, a reaching out to what is unhealthy and corrupt, whether people, places, or artworks, and learning to filter the good from the bad, to ‘cleanse and recreate it in the fire of intellectual and almost abstract passion’.

This chapter shows that following the introduction of the Family Planning Act, very little changed in relation to access to contraception. Individuals were still reliant on a sympathetic doctor and a chemist that would stock contraceptives. Moreover, into the 1980s and 1990s, class, location, and age had a significant impact on access. As the case of tubal ligation shows, the UK continued to be relied upon for Irish women’s reproductive healthcare. This chapter argues that direct challenges to the law by activists such as Condom Sense and the IFPA youth group highlighted the problems with the law and ultimately helped to act as a catalyst for its liberalisation in 1993.

From the late 1960s to late 1970s, a number of family planning clinics were established across the country. This chapter explores the experiences of activists involved in these clinics, the personal risks they took and their motivations for involvement. The importance of national and international networks is explored. The demand for the clinics across the country shows that many Irish men and women were beginning to exercise their own agency in relation to their reproductive choices. The stories of these family planning clinics, also show the importance of medical authority and how the medical model was seen to legitimise the work they were doing, but also enabled the clinics to provide a wider range of family planning options. While the groups ultimately did not succeed in broadening contraceptive access to a wide range of socioeconomic classes, they played a significant role in the liberalisation of family planning law in 1970s Ireland and opening up debates on the issue.