Five Things to Know About the Morning-After Pill on Its 20th Anniversary

Medication portion of PREVEN Emergency Contraceptive Kit. Photo: Smithsonian Institution

In 1993, the New York Times Magazine posited that the morning-after pill might be “the best-kept contraceptive secret in America.” Even many doctors had no idea there was a fallback contraceptive that could be used shortly after unprotected sex or cases of rape.

In many ways, the morning-after pill had been right in front of U.S. doctors for decades. In terms of chemical composition, it was not much different from standard birth control, using the same main ingredients — synthetic hormones — in higher doses. Moreover, many of their colleagues in Europe and Asia had already been prescribing morning-after pills for years.


In 1998, years of research and advocacy led to the first FDA-approved morning-after pill.


Here, however, the secret was still largely intact. A 1994 study by the Kaiser Family Foundation revealed that two-thirds of American women had never heard of the morning-after pill or other forms of emergency contraception (EC). Less than 1 percent had ever used them.

There was an information shortfall in large part because there was no contraceptive that was approved by the U.S. Food and Drug Administration (FDA) specifically for emergency use. Some providers worked around that absence by using the chemically similar estrogen and progestin medications that were approved for regular birth control. By upping the dosage, they created a suitable morning-after pill on their own. But drug makers couldn’t label or market those birth-control pills for emergency, post-coital use, since they weren’t FDA-approved for that purpose. It also spelled problems for federally funded clinics. Federal dollars couldn’t pay for an off-label medication hack, a makeshift morning-after pill that wasn’t officially approved. Continue reading

Book Club: Her Body, Our Laws

By 2014, law professor Michelle Oberman was no stranger to El Salvador. She had already spent four years making research trips to the Central American country, but that June she would need a local guide during her travels. An activist had volunteered to accompany her on the interview she needed to conduct, a task that required a two-and-a-half-hour trip outside the city to an area that is not well mapped — in fact, to a village where there are “no signs or numbers” to help visitors find their way among the cinder-block houses and the patchwork of land where the clucks and lowing of livestock punctuate the silence.


Paid maternity leave, monthly child allowances, and affordable day care and health care decrease demand for abortion.


Once in the village, it took Oberman and her guide an additional 45 minutes to find the house they needed to visit. Inside, a curtain was all that separated the main room from a small bedroom in the back. A bucket and outdoor basin served as a shower, and an outhouse completed the bathroom facilities. The living conditions there were not uncommon — not in a country where roughly 40 percent of the population lives in poverty.

That poverty was both the cause and consequence of a conflict between left-wing rebels and government forces that lasted from 1979 to 1992. In many ways, that conflict set the stage for the abortion war in El Salvador, the subject of Oberman’s recently published book, Her Body, Our Laws: On the Frontlines of the Abortion War from El Salvador to Oklahoma (Beacon Press, 2018).

From Civil War to Abortion War

In the early 1980s, the small republic of El Salvador was in the grip of civil war, while in the U.S., debates raged over the emerging Sanctuary Movement that was aiding Salvadoran and other Central American refugees. The movement began in 1981, when Quaker activist Jim Corbett and Presbyterian Pastor John Fife, both of Tucson, pledged to “protect, defend, and advocate for” the many people fleeing warfare and political turmoil in El Salvador and neighboring countries. Tucson was at the forefront of the movement as refugees crossed through Mexico and arrived at the Arizona border. Continue reading

Brothers in Arms, Part 2: Race and Abortion from Roe to the Reagan Years

This article is our second installment in a series that explores the historical and contemporary links between racial intolerance and opposition to abortion. Previously, this series examined how fears of immigration — and racist notions that associated abortion with the barbarism of so-called “savage” races — fueled the opposition to abortion that led to its prohibition in the late 1800s. This installment examines the social forces that helped racism and opposition to abortion converge again in the first years after Roe v. Wade.

Replica of a banner used at NAACP headquarters from 1920 to 1938

A principle of democracy holds that while majority rule should serve as the guiding force of government, at times it must be reconciled with the rights of individuals and minorities. It was an idea Thomas Jefferson captured in his inaugural speech of 1801:

All … will bear in mind this sacred principle, that though the will of the majority is in all cases to prevail … that the minority possess their equal rights, which equal law must protect.

With that understanding, the framers wrote the Constitution to include provisions for a judicial branch, composed of judges whose lifetime appointments would free them from the pressures of elections and afford them greater independence in their decisions. The branch would serve as the nation’s highest judicial body, above state and local courts.


Before his obsession with abortion and Tinky Winky, Jerry Falwell fought civil rights and integration.


For much of U.S. history, local, state, and federal judicial systems existed alongside another judicial system, one far less formal and conceived not in the interest of protecting minorities, but often in meting out the harshest possible punishments for them. It was the vigilante justice of lynching, sometimes known as Lynch law. Named after the Virginia plantation owner Charles Lynch, it was a form of mob justice that took root in the Revolutionary War era, before an official court system was fully established. It came to mean quick trials that ended in public hangings.

Though lynching was initially used against British loyalists, eventually Southern blacks became the overwhelming majority of its victims. Many Native Americans, Asians, Jews, and Mexicans were also lynched. According to the NAACP, between 1882 and 1968, in the period of racial tension in the post-slavery and civil rights years, 4,743 lynchings took place, and 3,446 of its victims were black. Rather than taking place under the cover of night or in countryside seclusion, many lynchings were staged in broad daylight, even in front of courthouses, and they were often advertised beforehand in newspapers — a blunt assertion of their existence as a separate judicial system for people of color. Though associated with the South, they took place in the North as well. In fact, only a few states — Alaska, Connecticut, Massachusetts, New Hampshire, and Rhode Island — had no lynchings between 1882 and 1968. Continue reading

Consent and Sexual Entitlement: A Case for Truly Comprehensive Sexuality Education

The following guest post comes to us from Catherine Sharp, a Tucson volunteer who worked for 10 years in finance and operations for an online media company. Catherine volunteers for Planned Parenthood as a Rapid Response administrator, a fundraiser committee member, and a speakers bureau trainee.

Let’s be clear, most men don’t leave for a night out with the intent of rape. They leave with hopes of a good time and maybe getting lucky. Some men focus more on the getting lucky part since it is considered a trait of masculine success.

During the summer of 1985 one such young man, I’ll call him Steve*, headed out to a party to have fun and maybe score. I happened to be in his path. I was 14 when I lost my virginity to Steve, a handsome 20-year-old introduced to me by my aunt. I thought Steve was cute and was flattered that he believed my aunt when she told him I was 16. As the night wore on and I drank the too-strong drinks my aunt gave me, I ended up asleep in her bed. I woke in the night to Steve in bed with me. He was naked, had undressed me, and had his hands all over me. I was groggy, shocked, scared, and confused. Before I knew it, he was on top of me attempting intercourse. I pushed against his chest, clenched my legs together as tight as I could, and repeatedly said no.


I did not possess the language to communicate what I was experiencing.


Apparently, this was not enough to send the message that I was not a willing participant. Somehow, he managed to force himself inside me, all while I was resisting. When he finished he said to me, “You would be pretty good if you relaxed a little.” Even in my state of shock I was incredulous. I couldn’t help but think, “What do you mean?! Relax a little?! I was using all my strength to stop this!”

Confused and outraged by his words, I did not know what to do. I was scared and ashamed that I “let this happen.” Of course, my 95-pound, 14-year-old self was no match for Steve, but I still felt responsible. Years of being told to ignore or brush off sexist comments, butt slaps, bra snaps, arm punches, and hair pulling led me to believe that my discomfort with Steve’s actions was my problem. Continue reading

Pro-Choice Friday News Rundown

  • Something good is emerging from the horror that is Hurricane Harvey — a Texas clinic is offering free abortions to women affected by the storm who may have missed appointments or had their finances severely impacted. Their help will be “financial and logistical” and includes helping women travel to one of their clinics in the state. (Vice)
  • Another piece of good news? Planned Parenthood and the developers of the HPV vaccine will be recipients of one of the nation’s most prestigious prizes in medicine! (NY Times)
  • Betsy DeVos is probably going to ruin any progress currently being made with regard to sexual assault on school campuses. (NPR)
  • Count me as one of the black women who think it’s time for the monument of J. Marion Sims in New York to come down. He is often flatteringly referred to as the “father of modern gynecology,” but he was actually a sadistic monster who performed genital surgeries on black women (whom he purchased as slaves) without anesthesia. (Essence)
  • Anti-choice lawmakers’ attacks on abortion clinics have been sadly very effective. Fifty-six independent abortion clinics have closed over the past two years, and 145 have shut down since 2012. (Rewire)
  • Kentucky could definitely be a casualty of this trend. They could soon be the first state in the country with no abortion clinic. (Reuters)
  • Birth control is good for many things: preventing babies, regulating periods, preventing ovarian cysts, managing endometriosis … and now we learn oral contraceptives are also tied to lower rheumatoid arthritis risk! (NY Times)
  • A Texas judge temporarily blocked a law that would have banned dilation and extraction abortions in the state. (The Cut)
  • Awful news: A 10-year-old Indian rape victim gave birth after a court denied her request for an abortion. (WaPo)
  • An “activist” Ohio Supreme Court judge spoke at a pro-life event and now refuses to recuse herself from a case that could close Toledo’s only abortion clinic. (Jezebel)
  • Anti-Abortion Activists Are Using Down Syndrome Parents to Argue Against Women’s Rights (Double X)
  • More black women are using PrEP as a way to protect themselves from HIV. (Real Health Mag)

For the Safety of Students: Five Questions for Mary Koss

Mary P. Koss, Ph.D.

With close to 300 peer-reviewed publications and a number of academic awards to her name, it’s hard to believe that University of Arizona Regents’ Professor Mary P. Koss once had to fight her way into the doctoral program in psychology at the University of Minnesota. Her test scores put her head and shoulders above other applicants, but it took a tense meeting with the department head — in which she let a bit of profanity slip out — to finally get accepted into their graduate school. Clinical psychology was a very male-dominated field in the early 1980s, when she was starting her career, and that was all too clear when a colleague shared his idea for a study that would explore male undergraduates’ attitudes toward rape — by having models pose in varying sizes of padded bras and be rated for their desirability and culpability if raped.


The term date rape was first used in the news media 35 years ago this month.


From that conversation, though, came the seed of an idea that would soon set Dr. Koss apart from her peers. At that time, Dr. Koss was at Kent State in Ohio, still years before she joined the University of Arizona. She made a name for herself studying campus sexual assault by developing a survey that revolutionized efforts to gauge respondents’ experiences of sexual aggression and victimization, revealing a higher prevalence than previously thought. Her initial study was publicized 35 years ago this month, in Ms. Magazine’s September 1982 issue, in an article that also marked the first time a national news publication used the term date rape. Both Dr. Koss’ research and the introduction of that term to the national conversation were game-changers in many ways.

At the time the article was published, most rape-prevention programs on college campuses were relatively new and narrowly focused on the danger posed by strangers — the assailants waiting in alleyways, rather than the familiar faces in classrooms or dorms. Dr. Koss’ research, as well as the stories writer Karen Barrett reported from Stanford University and the University of Connecticut for the Ms. article, revealed that many cases of rape, especially those committed by the victims’ peers and acquaintances, were often ignored, denied, or misunderstood as something other than rape. The concept of date rape helped many people recognize rape — their own or others’ — that had been perpetrated by people known to the victims.

Greater awareness and understanding of the problem of campus sexual assault soon followed, but the 35 years since then have seen both progress and setbacks. In fact, as the anniversary of that historic Ms. article approached, news began coming from the Department of Education that Secretary of Education Betsy DeVos vowed to revisit Obama-era policies that addressed campus sexual assault. A series of information-gathering meetings included a group that, according to the Southern Poverty Law Center, seeks “to roll back services for victims of domestic abuse and penalties for their tormentors.” Continue reading

Pro-Choice Friday News Rundown

  • The Washington Post has a nifty graphic explaining what the Senate health care bill changes about the Affordable Care Act. FYI: It’s really just as much an abomination as the House’s crappy version. (WaPo)
  • To be clear, Planned Parenthood would be screwed out of funding if GOP numbskulls have their way. (Newsweek)
  • The Arizona State Senate has more female members, proportionally speaking, than any other state legislative body in the entire country. So why in all hells does this state still pass so much anti-woman legislation? WHY?!? (Phoenix New Times)
  • Apparently, women in many states can’t legally revoke consent if sex with a partner turns violent during the act? The failure to cease the sex when a woman says so isn’t legally “rape” according to the courts if she has already consented. Evidently, men are entitled to “finish” (ejaculate) once consent has been given and it cannot be revoked. WTF?!?! How is this real life? (Broadly)
  • Fusion has a great piece and accompanying documentary about rising maternal mortality rates among black women in the U.S. (Fusion)
  • NY Attorney General Sues Anti-Abortion Groups for Viciously Harassing Patients Outside Queens Clinic. Good. Throw.The.Book.At.These.Fools. Who else is willing to bet rent money that they are in the “so pro-life they’ve never fostered or adopted any children” crowd? A show of hands please. (Jezebel)
  • Missouri is legit taking a page out of The Handmaid’s Tale, y’all. (The Mary Sue)
  • Six experts quit the Presidential Advisory Council on HIV/AIDS because they feel No. 45 “simply does not care” about the disease. Obviously, this does not bode well for HIV/AIDS treatment or research to eradicate the disease. (CNN)
  • Earlier this week, Karen Handel won the special election in Georgia. Here’s a reminder why she’s literally the absolute worst and will be no champion for women. She’s also so “pro-life” she’s never fostered or adopted any children. That puts her in good company with all the other “pro-lifers” in government. (Cosmopolitan)
  • Most sexually active teenagers in the U.S. are using contraception! Good job, kids! (Time)
  • If you’re sick of Republicans rigging elections in their favor, the possibility of SCOTUS delivering a rebuke over gerrymandering should excite you just a little bit! (WaPo)