Japan approved the use of low-dose oral contraceptives (OCs) in June 1999,
after more than 35 years of debate, The debate leaves a legacy of misinform
ation about and various sources of resistance to OCs. Benefits are expected
to include greater control for women over their fertility and a reduction
in the high rates of unplanned pregnancies and abortions, Successful implem
entation of the new policy will require a new emphasis on women's health, i
ncluding the provision of accurate information about OCs and their associat
ed adverse effects, a women-centered approach to gynecological practice, an
d the promotion of condoms as protection from sexually transmitted diseases
, rather than as contraception alone.