USA – Alone in a bathroom:

The fear and uncertainty of a post-Roe medication abortion

By Caroline Kitchener
April 11, 2024

Angel tucked two white pills into each side of her mouth, bracing herself as they began to dissolve. Her deepest fears and anxieties took over.

Angel had wanted to talk to a doctor before she took the pills to end her pregnancy, worried about how they might interact with medication she took for her heart condition. But in her home state of Oklahoma, where almost all abortions are banned, that wasn’t an option.


U.S. Supreme Court Challenge to Abortion Pills Could Boost Illegal Imports

Safeguarding access to pills from online foreign distributors may become a flashpoint in the reproductive care battle

by Chloe Searchinger
April 5, 2024

After hearing oral arguments last week, the Supreme Court appeared dubious of the plaintiff's legal challenge to the abortion pill in Food and Drug Administration (FDA) v. Hippocratic Alliance of Medicine, the latest major abortion case since Dobbs v. Jackson overturned the constitutional guarantee to an abortion. Even though this outlook could lead pro-choice activists to breathe a minor sigh of relief and temporarily quell Big Pharma's fear over other challenges to FDA approvals, one indirect consequence regardless of the case outcome is the growing American reliance on imported abortion pills from overseas. 

This manner of accessing abortion has been increasing in popularity since Dobbs, and safeguarding the provision of these pills from unapproved foreign distributors could soon become a flashpoint in the American battle over reproductive care, given that these imports are illegal because they operate outside the formal U.S. health-care system and beyond FDA oversight. 



Sep 18, 2023

More than one year ago, the U.S. Supreme Court rescinded a five-decade-old right to abortion, prompting a seismic shift in debates about politics, values, freedom, and fairness.

Twenty-five million women of childbearing age now live in states where the law makes abortions harder to get than they were before the ruling.


USA – People are using abortion medication later in their pregnancies. Here’s what that means.

The regimen is common and considered safe after 10 weeks, but the delays are cause for concern.

By Anna North 
Jun 18, 2023

A patient takes one medication, mifepristone, which stops the pregnancy from developing, followed one to two days later by another medication, misoprostol, which induces contractions that empty the uterus. The regimen, approved for abortions in the US since 2000, is effective and very safe, according to physicians and researchers, with a low incidence of serious side effects, and it’s the most common method of abortion in the US. It’s approved by the Food and Drug Administration for the first 70 days, or 10 weeks, of pregnancy, though the World Health Organization recommends medication abortion for up to 12 weeks.

Since the Supreme Court overturned Roe v. Wade last summer, however, nothing about abortion is simple anymore. With near-total abortion bans in place in more than a dozen states and gestational limits in several others, the procedure is growing harder to access by the day. Meanwhile, a federal court case is casting further doubt on the future of mifepristone’s availability in the US.


This doctor says bans won’t stop her from getting abortion pills to women in the U.S.

APRIL 3, 2023

AMSTERDAM —  It was nearly three decades ago, as a young medical trainee in West Africa, that Rebecca Gomperts witnessed scenes that would set in motion her life’s work. Gruesome hemorrhages, perforated wombs, bloodied young women gasping out their lives: all the aftermath of botched illegal abortions.

“The methods — oh, how invasive they were,” the 57-year-old Dutch activist-physician said, shaking her head at the memory of stricken women staggering or being carried into the hospital. “Sticks. Bleach.”


Inside the Post-Roe Scramble to Count Abortions

The end of Roe reshaped abortion access across the U.S. What does it take to track those changes?

By Rebecca Grant
March 22, 2023

On May 2, 2022 at 8:32 p.m., when Politico published a leaked draft of the United States Supreme Court’s decision in Dobbs v. Jackson Women’s Health Organization, Jennifer Pepper was standing on Main Street in Disney World. Pepper is president and CEO of the Choices Center for Reproductive Health, a reproductive health clinic in Memphis, Tennessee, that began providing abortion care in 1974. She had traveled to Orlando to give a presentation at a conference and visited Disney World that evening to watch the fireworks. The air was warm and humid, the sun had just set, and Pepper was staring at Cinderella’s Castle when her phone erupted with messages and alerts.

“I remember kneeling down and feeling like I’d been gut punched,” Pepper said. “We knew it was going to happen, but seeing those words in black and white shattered any little bit of hope that maybe we had gotten it wrong.”


‘It’s a war’: the doctor who wants Americans to get abortion pills before it’s too late

Rebecca Gomperts has found innovative ways to circumvent abortion restrictions worldwide – and a US ruling could make her work even more urgent

Poppy Noor

Mon 20 Feb 2023

In the first month of the coronavirus pandemic, when planes from India temporarily stopped flying, Rebecca Gomperts faced a problem. A Dutch physician and abortion specialist, she had spent the two years prior shipping the pills commonly used to end a pregnancy – mifepristone and misoprostol – to people in countries where they couldn’t access them. Now, mifepristone wasn’t available to her any more.

Gomperts is a doctor who has gone to extraordinary lengths to circumvent abortion restrictions around the world, including parking her boat in international waters outside of countries like Poland to administer abortions. So she pivoted. She trialled misoprostol-only abortions, as that drug was more easily available outside India. The results weren’t ideal, but they were much better than nothing.


USA – For-Profit Abortion Telemedicine Start-Ups Are Proliferating in Wake of “Roe”

Garnet Henderson, Truthout
November 26, 2022

In 2020, a federal judge ruled that the Food and Drug Administration (FDA) must suspend its requirement that patients pick up mifepristone, one of the pills used in medication abortion, in person. After some back-and-forth under the Trump administration, the FDA permanently repealed the rule, which had long been decried by medical experts as unnecessary, in 2021.

This opened the door for providers to send abortion pills by mail in all but the 19 states that outlaw provision of abortion via telemedicine. (Many of those same states now ban abortion entirely.) This regulation change, along with increased popular interest in abortion access following Roe’s overturn, has led to a proliferation of telemedicine companies offering abortion pills. Some of these companies are run by people with prior experience in abortion care and connections in the reproductive health, rights and justice movements; others are not. Regardless, some abortion access advocates are raising concerns about whether the rise of for-profit telemedicine companies is the best way to serve abortion seekers.


‘Necessary to Disobey Harmful Laws’: These ‘Abortion Pirates’ Want Equal Access to Abortion Pills Worldwide

A colorful crowd of doctors, researchers and women’s activists convened in the Latvian capital to explore ways to use pills to circumvent anti-abortion laws.


RIGA, Latvia — For two sunny, crisp autumn days in mid-September, Riga’s Stradiņš University felt like the epicenter of a self-styled global civil rights movement: to give every person, in every culture or country, regardless of laws, access to abortion pills.

In the hallways, women pored over posters showing the latest research on the effectiveness of abortion pills and other developments in abortion and contraception care. Representatives from pharmaceutical companies enthusiastically pitched their medications and products to doctors sipping coffee and tea during a break between panels. There were graphic novels about an at-home medical abortion and T-shirts printed with women’s self-stated reasons for ending a pregnancy; there were slogans printed on T-shirts like “Make Abortion Legal Again” and a video promoting abortion rights to the tune of Lady Gaga’s “Bad Romance.”


American Women Turn to Cheap Abortion Pills From India Post Roe

Mail order businesses in India are shipping the pills to women in the US

By Bruce Einhorn and Dhwani Pandya
November 3, 2022

Angry over the US Supreme Court’s reversal of Roe v. Wade in June, Deborah Willoughby wanted to do more than attend a rally or make a donation. So she sat down at her computer and placed an order for a pack of abortion pills from India sold under the brand name Unwanted.

India has many online pharmacies offering to sell mifepristone and misoprostol, drugs commonly used to terminate pregnancies — no questions asked and no prescription required. Plan C, an American group that provides information on how to obtain at-home abortion medication, needed volunteers to test online suppliers’ delivery claims. Willoughby signed up and placed an order via, which describes itself as an online international pharmacy selling generic drugs.