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2012-08-01 18:26

Contraception still in shadows



By Jung Min-ho, Bahk Eun-ji, Kim Bo-eun

A couple of weeks ago, Park So-yoen, a 27-year-old department store sales manager, visited Jeju Island for a summer holiday, together with her boyfriend.

After a fantastic day sightseeing around the beautiful resort island, the couple ― as many others do ― went to bed together that night.

“Of course I thought my boyfriend had a condom, but he just came without saying anything to me,” Park says. “I was taken aback initially, and then I became really upset.”

It was the first time she slept with her boyfriend. Before they had sexual intercourse, they had never discussed the subject.

After the intense romantic fire waned, they stayed up all night talking about their thoughts on their relationship, marriage, the possibility of having babies and other related matters.

“At that point, my boyfriend and I realized sex is not a simple issue and it requires a lot of effort from both partners to prevent possible outcomes that haven’t been planned for,” Park said.

In still conservative Korean society, young couples are not as straightforward or frank as they are supposed to be toward contraception, an issue that warrants greater public attention but is largely ignored or overlooked.

Until about 10 years ago, there was a pervasive social attitude that women had to take responsibility for the matter in order to protect their bodies. However, as time passed, people began thinking differently about the issue, realizing that it goes beyond ensuring that women don’t have unexpected babies, although, of course, this is the most serious matter that unprepared couples face.

In fact, if an unwanted pregnancy occurs, couples have options. Either prepare for a baby or arrange for an abortion illegally. Either way, the couples should go through the experience they do not want to have.

Why do we need sex education?

The number of abortions per 1,000 women between 15 and 44 stood at 15.8 in 2011, down from 29.8 in 2005, with the total number of abortions falling to about 170,000 from 340,000, according to statistics from the Ministry of Health and Welfare.

However, the actual number of abortions is likely much higher given that abortions are still illegal here, with some exceptions, so many of them are not reported, analysts said. If a woman’s life is threatened by infectious disease, or if a woman has been raped, abortions are legal.

Abortion is a serious social issue. Moreover, sometimes unexpected pregnancies produce babies born into unhappy and unstable families that are financially unable to provide essential needs. Such babies are sometimes relinquished.

“What I’m concerned with the most is, of course, is the possibility of getting my girlfriend pregnant before I am ready for it. Some part of my mind has always been concerned about this possibility for a long time,” said Kim Jung-min, a 29-year-old insurance company manager. “And I am opposed to those people who think contraception is only the women’s job. When couples make love, they share the moment together. However, only women wind up suffering if things turn bad.”

Many young adults also believe they need to talk about contraception more openly in order to avoid unwanted consequences.

“Contraception is an issue that should be discussed by both men and women to make wise decisions and to prevent anything they don’t want. It is a responsibility for both of them who are supposed to take care of and respect each other no matter how long the relationship will last,” said Kim Sang-min, a consulting firm accountant.

He said education and influence from abortion policies in foreign nations have been playing a significant role in changing perception about contraception nowadays.

“At the same time, in popular culture there are numerous references to birth control, particularly in comedies and dramas, I think it helped make it a bit easier for people to discuss the issue.”

He thinks that the general public should talk about the issue more openly since it is a really important issue that young people barely understand, even though they are regularly exposed to it. “Contraception is also beneficial in terms of preventing being infected through a sexually transmitted disease,” he said.

Key to safe sex

Despite the changes that are occurring, Korean society is still conservative when it comes to issues such as sex. So sex education at schools usually does not address practical issues such as contraception in fear that it might encourage students to engage in sexual activities.

“Although we too are cautious not to plant the wrong idea in young students, we do try to offer practical advice so that we can be of help them,” said Hong Hye-kyoung at Purun Ausung, a sex education organization which dispatches professional instructors to schools.

“Because young people nowadays tend to reach puberty at an earlier age than before, their interest in sex also develops earlier. And in an environment where people are easily able to access pornography, practical education about contraception is actually needed,” Hong said.

Hong said that she and other instructors teach students that premature sex can cause many problems, but if the students feel they can be responsible, that they should have protected sex.

“It is absurd how little students know about sex and contraception,” Hong said. “Many of them see pornography before they learn properly about sex, so they end up viewing it from a distorted perspective.”

Shim Sang-duk, head of Ion Obstetrics and a member of GYNOB, an organization of obstetricians and gynecologists who oppose abortion, said that although the public seems to have become more aware and have a greater interest in contraception, more education is needed in order for people to enjoy a healthy sex life.

As the risks of abortion have become well-known, more and more people are turning to various methods of contraception. "For women, aside from morning-after pills, the options like tubal sterilization or having an intrauterine device fitted are also available."

“The former is not covered by insurance so costs are high as well as the chances of side effects, so more women come to the clinic for surgery for the latter,” Shim said.

For men, the easiest and most widespread method is using condoms. A permanent surgical method that prevents sperm from entering through the seminal stream, known as a vasectomy, is another option.

“Because a vasectomy is irreversible, however, it usually is a choice for married men who do not want more children. So using a condom would be the easiest way for most men to practice contraception,” said Shim. “However, you would be amazed at how many people don’t even know how to use one properly. The correct use of condoms needs to be promoted.”

Shim also emphasized the importance of couples discussing methods of contraception in order to ensure safe sex. But he also pointed out that conservative Korean society tends to stigmatize women who openly discuss contraception as having loose morals or being promiscuous.

“Even so, women should request that their male partners use condoms and men should also take responsibility and take an active role,” he said.

Double standard

When asked a question about double-standards in society regarding premarital sex and the stigma which usually targets women, Aquira Foster, an exchange student from the University of Missouri-St. Louis at Korea University, said,”If society frowns on premarital sex, then it would be a negative thing for unmarried people to have access to any contraception because it enables them to go against the society’s moral code in the first place.”

“If not, however, I think it is a responsible way to manage sexually transmitted infections as well as inhibit unplanned pregnancies. As for within the confines of marriage, I believe it is not only acceptable, but also very useful,” Foster said. “There is nothing morally wrong with using contraceptives to plan the appropriate time to have a family.”



관련 한글 기사


얼마나 솔직한가요… 피임?

백화점에서 판매담당 매니저로 일하고 있는 박소연(27)씨는 얼마 전 여름 휴가를 맞아 남자친구와 제주도로 여행을 가서 특별한 일을 경험했다.

아름다운 제주도 곳곳을 누비며 즐거운 시간을 보낸 뒤 박씨는 남자친구와 잠자리를 함께 하게 됐다. 남자친구와 처음으로 성관계를 가지게 된 박씨는 “당연히 남자친구가 콘돔을 사용할 것이라고 생각했는데 말도 없이 체내 사정을 했다” 고 말했다.

“처음엔 무척 당황했고, 그 다음엔 언짢아졌다” 고 말했다. 그날 밤 박씨와 남자친구는 피임을 비롯한 원치 않는 임신, 그리고 나아가 그들의 미래에 대한 깊은 대화로 밤을 지새웠다.

박씨는 이어 “그 일이 있은 후 남자친구와 저는 섹스가 단지 연인이 나눌 수 있는 즐거운 행위에서 나아가, 원치 않는 임신 등 우리가 계획하지 않는 결과를 막기 위해 같이 노력해야 한다는 점을 깨달았어요. 그리고 연인 사이에 피임에 관한 대화를 시작하는 것이 생각보다 얼마나 어려운지, 그렇지만 피할 수 없는 중요한 얘기인지 알게됐죠” 라고 전했다.

젊은 세대들은 개방적인 문화를 즐기고 있으나 아직까지 한국 사회는 성과 섹스에 관한 얘기를 공개적으로 할 만한 문화적 분위기가 조성됐다고 말 하기 힘든 상황이다.

더군다나 피임에 관한 얘기라면 불과 십여 년 전만 해도 “피임은 여자가 알아서” 라는 생각이 팽배 했던 것이 사실이다. 그러나 원치 않는 임신을 방지하는 차원을 비롯해 각종 성병의 위험성에 관한 인식이 높아져 젊은 커플들에게 피임은 중요한 주제로 자리 잡았다.

성교육, 제대로 하고 또 받고 있나?

또한 보건복지부 자료에 따르면, 15세부터 44세까지의 여성 1,000 중 15.8명이 2011년에 낙태 수술을 받은 것으로 추정된다. 이는 2005년에 조사 된 29.8명 보다는 낮아진 수치지만, 여전히 17,000명이 넘는 수가 지난 2011년에 낙태가 된 것을 보았을 때, 여전히 심각한 사회 문제임에는 분명하다.

준비되지 않은 임신이 닥쳤을 때, 커플들이 낙태라는 극단적인 선택을 하지 않을 경우에도 태어날 아이에게 닥쳐올 상황은 그리 녹록하지 않다. 대부분의 경우 재정적으로 안정적이지 못한 경우가 많기 때문에 어떤 선택을 내리든 준비되지 않은 임신은 불행으로 귀결될 가능성이 크다.

특히 여자들에게 꼭 필요한 이야기 임에도 불구하고, 피임문제에 대해 공개적으로 이야기하는 미혼 여성들을 바라보는 사회의 이중적인 잣대에 대해서, 고려대학교에서 수학중인 미국인 교환학생 아키라 포스터는 "접근이 허용된 상황에서 미혼 여성들이 피임을 이야기할 수 없다는 것은 분명히 모순"이라며, "원치 않는 임신을 피하고 계획적인 성생활을 위해서 피임을 하는 것은 윤리적인 것과는 전혀 무관한 일"이라며 미혼 여성들을 바라보는 사회의 이중적인 시각을 비판했다.

한국 사회가 아직까지 성에 대해서 보수적이기에 학교에서의 성교육도 미성년자인 학생들에게 성행위를 장려할 우려 때문에 피임과 같은 실질적인 내용을 다루지 않는다.

"사실 조심스러운 문제이긴 하지만, 성교육이 실질적인 도움을 줄 수 있도록 노력을 하죠"라고 성교육 기관인 푸른아우성의 홍혜경 기획 팀장은 말했다.

"요즘은 사춘기도 빨리 오고 학생들이 음란물에 일찍 노출이 되기 때문에 사실상 실용적인 교육이 필요해요"라고 덧붙였다.

일찍 성관계를 가졌을 때의 문제점은 또 다른 얘기이지만 그래도 책임을 질 수 있다면 피임을 하라고 가르친다고 홍씨는 전했다.

또 학생들이 올바른 정보를 접하기 이전에 음란물을 접하기 때문에 성에 관한 잘못된 인식을 가질 수 있을뿐더러 피임법에 대해서도 너무나 모른다고 덧붙였다.

이온산부인과 원장이자 낙태를 반대하는 산부인과 전문의 단체인 GYNOB의 회원인 심상덕 원장은 "이전에 비해 사람들이 피임에 대한 인식과 관심이 높아진 듯 하지만 아직까지도 부족하다"라고 전했다.

낙태의 위험성이 알려지면서 다양한 피임법에 관심을 돌리고 있는 건 사실이다.

여성들에게는 사후 피임약을 제외하면 난관수술과 루프라는 선택권이 있다. 하지만 난관수술은 보험 적용이 되지 않아 비용이 높을뿐더러 부작용도 흔히 일어나 선택을 많이 하지 않는 편이며 루프 삽입 또한 현기증이나 부정출혈 등 부작용이 있을 수 있다고 심씨는 밝혔다.

남성들에게뿐만 아니라 여성에게도 가장 손쉬운 피임법은 콘돔을 사용하는 것이다. 정관수술도 한 가지 옵션이지만 영구 피임법이기 때문에 기혼 남성들에게 한한 선택권이다. 하지만 콘돔의 올바른 사용법을 모르는 이들도 많다며 콘돔의 올바른 사용법의 홍보가 필요하다고 심씨는 말했다.


대화가 필요해, 피임

보수적인 한국 사회가 피임에 대해 개방적으로 이야기 하는 여성들에 대해 편견을 가지는 점도 지적했지만 커플에게 있어 피임에 관한 대화를 하는 것이 중요하다고 피력했다.

"여성들은 남성에게 콘돔을 사용하도록 요구해야 하고 남성들도 책임을 가지고 적극적으로 피임에 임해야 한다"고 그는 말했다.

이에 대해 컨설팅 회사에서 회계업무를 맡고 있는 강상민씨는

“섹스는 서로가 즐겁기 위해 하는 행위이긴 하지만 피임이 제대로 되지 않았을 경우, 더욱 큰 피해를 입는 것은 여성”이라며 “즐거움 뒤에는 큰 책임도 따르기 때문에 연인들끼리 이에 대한 대화를 충분히 나누는 것이 맞다 생각한다” 고 전했다.


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