International Day for the Elimination of Violence Against Women: November 25, 2018

This Sunday, November 25, is the International Day for the Elimination of Violence Against Women.

The 2018 theme is Orange the World: #HearMeToo and like previous editions, the date marks the launch of 16 days of activism that will conclude on 10 December 2018, International Human Rights Day.

I asked to write about this subject partly because I had written about Brett Kavanaugh before Dr. Christine Blasey Ford came forward publicly to accuse Kavanaugh of attempted rape while they were in high school, and before the hearing where they testified before the Senate Judiciary Committee, activating post-traumatic symptoms for me and most of the women I know. Not only did Ford’s testimony ring true for me and thousands of other women; the attacks that followed from Kavanaugh himself and the all-male Republicans on the committee felt like personal assaults. During and immediately after the hearing, women around the country told personal stories of assaults, often stories they had never shared before, years or decades after their assaults.

The trauma of sexual assault victims is deepened by their further victimization by law enforcement, the legal system, and other institutions they report the abuse to. In yet another instance of the continuation of abuse, Ford is still, all these weeks later, receiving death threats, and is unable to return to her home or workplace. Continue reading

The Imaginarium of Doctor Delgado: The Make-Believe Medicine Behind SB 1318

pillDr. George Delgado, a gynecologist based in San Diego, is probably not likely to win the Nobel Prize in Medicine any time soon — or ever. Delgado’s dubious medical claims have been one of the driving forces behind a piece of legislation, Arizona Senate Bill 1318, that pushes what physician and state Rep. Randall Friese calls “fringe medicine.”

Delgado runs a website called Abortion Pill Reversal, offering 24-hour medical advice to women who have taken the abortion drug mifepristone and regret their decision. “There is an effective process for reversing the abortion pill, called ABORTION PILL REVERSAL, so call today!” the website cheers. Most people have probably never heard that a medication abortion — that is, an abortion performed by administering two pills — can be reversed. If this medical breakthrough sounds new, it’s because it doesn’t exist — at least not within any kind of evidence-based, established medical practice.


So-called abortion reversal is untested for safety or effectiveness.


Unsafe abortions have always been the consequence of the anti-abortion movement. Now unsafe abortion reversals can likely be added to that, thanks to the procedure Delgado has performed and promoted — in spite of scant evidence of its safety and effectiveness. In the two-step process of a medication abortion, a provider first administers a dose of mifepristone and then follows it with a dose of misoprostol. Delgado claims he can intervene in a medication abortion so that the patient’s pregnancy can continue. If patients change their minds after the first step, Delgado claims, they can counteract the initial drug with a dose of progesterone.

For published medical literature, Delgado can claim a 2012 article he co-wrote in the Annals of Pharmacotherapy. The article describes six abortion reversal patients, four of whom, he claims, remained pregnant. Though published in a legitimate medical journal, Delgado’s findings were from a small sample of patients, none of whom were compared in a controlled study to patients who did not undergo the progesterone treatment. Moreover, not everything that’s published in medical journals is well received by the medical community. Dr. David A. Grimes, a physician formerly with the Centers for Disease Control and Prevention, calls the article “an incompletely documented collection of anecdotes.” Continue reading