No, the Morning-After Pill Is Not the Abortion Pill

The other week, I was talking to a family member about the threats to contraception access in this country, “thanks” to our new president and his fanatical administration. He thought it was ridiculous that abortion opponents also fight tooth and nail to put obstacles in front of birth control — after all, reliable contraception prevents unintended pregnancies, which itself prevents untold abortions. It seems like a win-win for everyone, regardless of where their opinion on abortion falls.


The morning-after pill prevents pregnancy. The abortion pill ends pregnancy.


Then he said, “Of course, I understand them not wanting tax dollars going toward the morning-after pill, since that causes abortion.”

I had to stop him right there: “Nope.” A bit self-conscious of appearing to be a persnickety know-it-all, I summarized the vast differences between the morning-after pill and the abortion pill — differences that many people, even full supporters of reproductive rights, don’t understand. Opponents of abortion and contraception exploit this misunderstanding, pretending these two pills are one and the same, hoping to elicit “compromise” from “reasonable” people. Compromises that harm real people with real lives and real families. Just as women’s health opponents have been so successful at chipping away at abortion access, so too do they hope to erode access to contraception.

The morning-after pill and the abortion pill are completely different medications, used for different purposes and made up of different ingredients. Let’s look at a quick rundown of the two. Continue reading

Lucky Girl

The following guest post comes to us from Dr. Monica J. Casper, a sociologist, women’s health advocate, and creative writer who lives in Tucson, Arizona. Monica served as a member of the Planned Parenthood Arizona, Inc., board from 2012 to 2013. You can learn more about her work at www.monicajcasper.com.

ChicagoI want to tell you a love story.

A cautionary note: This is not the kind of tale you’re used to (or maybe it is?). There is no sweeping soundtrack, no Hollywood superstars falling blissfully in love onscreen, their whiter-than-white teeth dazzling a rapt audience. In this love story, there are no flowers, no sappy cards, no fairy tale endings with double rainbows and confetti.

This is not a romance.

But it is a story about people who love each other and the unexpected life choices we make. It is a memoir fragment about how some of us learn to map our uncertain futures in the warm clutch of parental benevolence. And maybe it is a ghost story, as well. The kind that haunts you, but also challenges you to imagine anew what you believe to be true and to reconsider who you believe you are, or will become.

***

The scene is Chicago, 1986, late July. It is hot, sticky, and intolerable, not even a whisper of cooling lake breeze. This is a typical sweltering summer day in my hometown.


Our whole lives unfurl before us, lives whose shape and direction we have not yet begun to fully imagine.


I fidget impatiently on the stoop of my parents’ basement apartment on the city’s North Side. They have recently sold our house in Wisconsin and moved back to the city to be closer to their work and my grandmother. Our house in the country now belongs to another family, farm people who have migrated off the land to live in town, and we are again urban dwellers. I have urgent news for my mom, who should be home any minute. I crack my knuckles and stretch my arms above my head.

What is taking her so long?

I stand up, needing to move. Concrete blisters my bare feet and sweat pools in my armpits as I pace nervously. Cars zip by on Fullerton Avenue and I am reminded of childhood, playing Kick the Can and Stranger Danger in the city’s gritty, familiar streets and alleyways. I am 19 now, not so many years older than when I patrolled the neighborhood with my sassy friends wearing bell-bottoms and halter-tops, owning the world. Continue reading

Let’s Talk Contraception: Emergency Contraception

The Centers for Disease Control and Prevention (CDC) recently reported that 1 in 9 American women — 11 percent — has used the “morning-after pill.” This means that in the United States, 5.8 million sexually active women between the ages of 15 and 44 have used emergency contraception, an increase in use of 4.2 percent from 2002. Most women say their reasons for using emergency contraception are because they engaged in unprotected sex or feared that their method of contraception failed.


The best way to prevent pregnancy is reliable birth control. But sometimes we need a back-up method.


It has also been reported that half of all pregnancies in the United States are unintended. For that reason, the availability of a range of contraceptive options is very important. Emergency contraception is the last choice for a woman to decrease her chance of becoming pregnant after unprotected sex. There are several products available for emergency contraception in the United States. There are many options, and they include:

  • regular birth control pills in specific doses
  • PlanB One-step
  • Next Choice
  • ella
  • copper IUD or intrauterine device (Paragard)

The Yuzpe regimen, which used ordinary birth control pills in specific combinations, was named after a Canadian physician who developed the method in the 1970s. Several brands of birth control pills are approved for this use to prevent pregnancy. This method uses the combined estrogen and progesterone hormones in your regular birth control pills in certain prescribed combinations.

Research showed the progesterone component of contraceptive pills was most effective at preventing pregnancy, so Plan B was developed as a two-pill regimen of levonorgestrel (a type of progesterone). When Plan B was first released, it consisted of one pill taken as soon as possible and another taken 12 hours later. Plan B One-Step, the newest version of Plan B, now has the same dosage of levonorgestrel in just one pill. It should be taken as soon as possible after unprotected sex. This one-dose regimen has been shown to be more effective with fewer side effects. Continue reading