historyWellcome Collection1959–1977 · United Kingdom

Primodos, a 1960s pregnancy test, was linked to birth defects and stayed on sale until 1977

the gist

Primodos was a hormone tablet prescribed in the UK from the late 1950s as a quicker alternative to animal-based pregnancy tests. It contained progestogen and oestrogen, the same kind of hormones used in contraceptive pills, and some versions had far higher progestogen doses than modern contraceptives. In 1967 paediatrician Isabel Gal and colleagues reported that 19 of 100 babies born with spina bifida or hydrocephalus had mothers who took hormone pregnancy tests, compared with 4 of 100 healthy babies. Warnings followed slowly, and the drug was only withdrawn in 1977. Bayer, which absorbed the maker Schering, denies any link to birth defects.

so what

The case shows how a drug can pass regulators' checks while concerns grow, and it became a comparison point with the thalidomide scandal. Campaigners still seek answers, and its history shaped scrutiny of hormonal medicines.

Wellcome Collection · CC BY 4.0

Illustrative photo · Fvasconcellos, Public domain, via Wikimedia Commons