Since the letter, with its references, is a bit long, I start with some excepts followed by the entire letter itself. I hope that you glean from this letter that those who have debunked Todd Akin for making a statement that "
So that this letter is intended to debunk those who say there is no connection between rape and inhibition of pregnancy.
The thing to keep in mind here is, as the author suggests, that the statements made in his letter are factual in terms of scientific observations made, but the issue of inhibition of pregnancy "remains controversial because the exact mechanism has not been elucidated".
Letter with Excerpts:
Dear Congressman Aiken, (sic)
It’s unfortunate that the fate of a nation my (sic) hang on the use of a single word. But that appears to be the case in your recent use of the word ‘legitimate’ rather than the eminently defensible word ‘forcible’. More unfortunate is that your apology was ill conceived by totally renouncing the concept rather than clarifying the categorization of rape.
You are correct in making the distinction between forcible and non-forced rape. Studies have shown that then is an approximate 1% pregnancy rate in cases of forcible rape, in contradistinction to close to a 5% pregnancy rate in cases where the rape was not associated with physical force.
When one examines the medical and veterinary literature, there is strong support for stress induced delay in pregnancy or suppression of conception. This remains controversial because the exact mechanism has not been elucidated.
More recently, studies have evaluated effects of cortisol and adrenaline by measuring salivary secretions in women. This study demonstrated a relationship between adrenaline (the ‘fight or flight’ hormone) but not cortisol. Again, suggesting that high levels of adrenaline – as would be expected in a forcible rape - might indeed decrease rates of conception.
A German veterinary paper, Pferdeheilkunde 24 (2008) 1 (Januar/Februar) 99-102 found that even transporting mares was sufficient stress to temporarily effect fertility. So, it is certainly plausible that the severe stress of forcible rape could reduce fertility.
While I wish that you had used the correct word – forcible, rather than legitimate – I wish even more that you had explained the medical basis for the statement, rather than abandoning your statement to appease those who desire nothing more than a political victory.
I wish you well in your future decisions but hope that you will not be so ready to abandon your beliefs, and medical facts, to attempt to please those who cannot be pleased.
Letter in Full: