What Are ‘Missed Period Pills,’ and How Do They Work?

Menstrual regulation—sometimes referred to as “missed period pills"—is a new front in women's battle for bodily autonomy. Here's how it works and what you need to know.

Dec 30, 2023

Cari Siestra first learned about menstrual regulation when they were working on the Myanmar-Thailand border. At the time, abortion was broadly criminalized in both countries. But if a person’s period was late, it was relatively easy to get access to pills that would induce menstruation in just a few days. In Bangladesh, where abortion is largely illegal, menstrual regulation is available up to 10 weeks after a missed period, and public health advocates routinely talk about it as a promising way to reduce maternal mortality and rates of unsafe abortion.

Menstrual regulation isn’t completely unknown in the United States. Melissa Grant, chief operations officer and cofounder of Carafem, recalls friends who would have their periods brought back through manual vacuum aspiration in the 1980s, when early pregnancy tests weren’t as common. But in recent years, it hasn’t been a widespread option, and for a while, Siestra wasn’t sure if there was a place for menstrual regulation in the US.

Continued: https://www.wired.com/story/missed-period-pills-menstrual-regulation-how-it-works/

USA – The Most Popular Digital Abortion Clinics, Ranked by Data Privacy

Telehealth companies that provide abortion pills are surging in popularity. Which are as safe as they claim to be?

Kristen Poli
Aug 21, 2023

A NEW CLASS of health care startups has emerged in response to the US Supreme Court’s decision to overturn the federal right to abortion last year. These “digital abortion clinics” connect patients with health care providers who are able to prescribe mifepristone and misoprostol, a course of care commonly described as the “abortion pill.”

These services, many of which were founded before Dobbs v. Jackson, are poised to eliminate a major paradox in the field of reproductive health: Medication abortion is currently the most common way to terminate a pregnancy, yet only 1 in 4 adults are familiar with it, according to a recent study by KFF.

Continued: https://www.wired.com/story/most-popular-digital-telehealth-medication-abortion-ranked-data-privacy/

USA – Why an ulcer drug could be the last option for many abortion patients

February 24, 2023
Sarah McCammon
3-Minute Listen with Transcript

A federal judge in Texas could rule as soon as today on whether to cut off access to a key medication abortion protocol, giving lawyers until day's end to submit additional arguments. Fearing another major blow to abortion access, some providers are already considering alternatives.

At the Trust Women clinic in Wichita, Kansas, it's already been crisis mode for months. And now clinic Director Ashley Brink says the staff is bracing for another — maybe even bigger — wave of uncertainty.

Continued: https://www.npr.org/2023/02/24/1159075709/abortion-drug-mifepristone-misoprotol-texas-case

If the “Abortion Pill” Gets Banned, There’s Still One Good Move

A less famous drug can also do the job.

BY CHRISTINA CAUTERUCCI
FEB 13, 2023

When people refer to “the abortion pill,” they’re usually talking about mifepristone, the progesterone-inhibiting drug that was developed in France in the 1980s and approved in the U.S. in 2000. This month, a right-wing federal judge appointed by Donald Trump could outlaw that pill nationwide in response to a lawsuit brought by anti-abortion activists in Texas.

It’s an alarming possibility that underscores the recklessness of giving politicians and appointees full authority over the nation’s reproductive health: An unelected official could singlehandedly revoke the FDA’s approval of a safe, widely used medication—and the Supreme Court may be inclined to let him.

Continued: https://slate.com/news-and-politics/2023/02/abortion-pill-ban-texas-mifepristone-misoprostol.html

13.02.2023

Commentary

Carafem

Food and Drug Administration

USA – The Other Abortion Pill

In the U.S., medication abortion usually consists of two drugs. One of them has always mattered more.|

By Patrick Adams
SEPTEMBER 19, 2022

In the months since the Supreme Court overturned Roe v. Wade, demand for medication abortion has soared. The method already accounted for more than half of all abortions in the United States before the Court’s decision; now reproductive-rights activists and sites such as Plan C, which shares information about medication abortion by mail, are fielding an explosion in interest in abortion pills. As authorized by the FDA, medication abortion consists of two drugs. The first one, mifepristone, blocks the hormone progesterone, which is necessary for a pregnancy to continue. The second, misoprostol, brings on contractions of the uterus that expel its contents. The combination is, according to studies conducted in the U.S., somewhere between 95 percent and 99 percent effective in ending a pregnancy and is extremely safe.

Continued: https://www.theatlantic.com/health/archive/2022/09/abortion-pill-misoprostol-effectiveness/671465/

Americans scramble for abortions in states that have banned it

New avenues are emerging, but logistical hassles are everywhere

By RUTH READER and BEN LEONARD
July 11, 2022

Demand for pills that end pregnancy has skyrocketed in states that have restricted abortion since the Supreme Court decision last month, and abortion clinics are reporting a rush for appointments in towns bordering those states.

Aid Access, a virtual abortion clinic based in the Netherlands, saw a 256 percent increase in people coming to its site in the 24 hours after the court’s June 24 decision.

Continued: https://www.politico.com/news/2022/07/11/teleabortions-high-demand-abortion-pill-00044005

USA – To get banned abortion pills, patients turn to legally risky tactics

Mail-forwarding services and telehealth appointments from border-state parking lots circumvent state bans on FDA-approved drugs

By Christopher Rowland
July 6, 2022

Before spreading the word about how to circumvent state bans on abortion pills, Elisa Wells conducted a trial run of sorts, using dried garbanzo beans.

Wells, co-founder of the nonprofit abortion advocacy website Plan C, was testing whether commercial mail-forwarding services could serve as a link in a surreptitious supply chain from abortion-friendly states to states where abortion pills are banned.

Continued: https://www.washingtonpost.com/business/2022/07/06/abortion-pills-mail-telehealth/

Inside the Effort to Promote Abortion Pills For a Post-Roe America

BY ABIGAIL ABRAMS AND JAMIE DUCHARME
MAY 31, 2022

If the Supreme Court overturns Roe v. Wade this summer, as a leaked draft opinion suggests it may, abortion will likely be banned or severely restricted in about half of the United States. But that doesn’t necessarily mean the country will return to a world before 1973, when the landmark Supreme Court case enshrined a constitutional right to abortion.

Abortion pills, which can be ordered online and delivered by mail, have already fundamentally changed reproductive rights in America. The regimen of two drugs, mifepristone and misoprostol, can in theory be safely taken anywhere, including in the privacy of people’s homes, eliminating the need to undergo a procedure, travel out of state, take time off work, or confront protestors outside of a clinic. In part because of this convenience, abortion pills—also known as medication abortion—are now the most common method of ending a pregnancy in the U.S.

https://time.com/6181162/abortion-pill-access-roe-v-wade/

31.05.2022

abortion pills by mail

Aid Access

Bixby Center for Global and Reproductive Health

Food and Drug Administration

Miscarriage and Abortion Hotline

nnovating Education in Reproductive Health

Physicians for Reproductive Health

Plan C

Repro Legal Helpline

Reproductive Health Education in Family Medicine

Roe v. Wade

self-managed abortion

social media and abortion

telemedicine abortion

The FDA made mail-order abortion pills legal. Access is still a nightmare.

Restrictive states have already set their sights on a new wave of telehealth companies that were supposed to be a panacea for a post-Roe world.

By Julia Craven
Mar 29, 2022

When Emma found out she was pregnant in February, it was too late for an in-clinic abortion.

She estimated that she was at six weeks, but Texas, a bastion of retrograde abortion policy, bans the procedure at roughly that mark, so any local options were out of the question. Her local Planned Parenthood told her to prepare to travel out of state and offered to connect her with a clinic. Emma, who takes medication that makes her cycle irregular, wanted an ultrasound to confirm her recollection of the gestation age. But the clinic didn’t have an appointment for the next two weeks.

Continued: https://www.vox.com/the-highlight/22968993/abortion-pills-mail-medication-fda-texas

Why Some Women Might Want ‘Missed-Period Pills’

Abortion drugs administered as early as 28 days after a woman’s last period can offer comfort in uncertainty to those who want it.

By Patrick Adams
Dec. 3, 2020

The pregnancy test is one of the most ubiquitous home health care products in America. What resembled a child’s chemistry set when it first arrived on the market in 1977 is now the widely available wand. Today, dozens of different devices promise to promptly deliver what any possibly-pregnant person is assumed to want: knowledge of her status.

Now a new study suggests that for all of the ease and convenience of the at-home test, a significant number of women would prefer not to know. Given the choice, they would opt instead to take two drugs approved by the Food and Drug Administration to terminate a pregnancy. The first drug, mifepristone, blocks the effects of progesterone, a hormone without which the lining of the uterus begins to break down, while the second drug, misoprostol, induces contractions of the uterus that expel its contents.

Continued: https://www.nytimes.com/2020/12/03/opinion/pregnancy-missed-period-pills.html