Contraceptive Technology Update
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Telecontraception Apps Can Reduce Some Barriers to Reproductive Care
Telecontraception apps are well received by users and appear to eliminate some barriers to contraception care, according to the results of a new study. More action is needed to eliminate barriers to access.
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OTC Birth Control Must Be Accessible to Disadvantaged Groups
In this Q&A, Contraceptive Technology Update asked Sarah E. Baum, MPH, a senior research scientist at Ibis Reproductive Health in Oakland, CA, about her new study on interest among Black, Indigenous, and people of color in an over-the-counter birth control pill.
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Telemedicine Abortion Services Benefit Rural Women
Telemedicine for medication abortion could greatly improve accessibility to rural women and expand abortion accessibility to an additional 3.5 million reproductive-aged women, according to recent research.
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FDA’s Decision to Allow Pharmacy Sales of Mifepristone Faces Challenges
The decision by the FDA to permit retail pharmacies to dispense medication abortion pills could remove barriers related to time, distance, and costs for patients in states with laws legalizing abortion care. One possible risk is a lawsuit filed by the Alliance for Hippocratic Medicine, an anti-abortion group that claims the FDA did not approve mifepristone with sufficient scientific evidence.
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Texas Abortion Ban Is a Warning About the Future
Abortion access was hit hard by the Texas six-week abortion ban bill and by the Supreme Court’s decision to overturn Roe v. Wade in June 2022. But abortion demand remained high, and women increasingly sought telehealth and out-of-state abortion care.
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Current and Future Options for Male Contraception
The following is a summary of the existing male contraceptive options and an overview of future ones.
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Pregnancy in Abortion-Ban States Is Becoming More Dangerous
Maternal care and delivery services already are lacking for many pregnant people in the United States, especially in states that have enacted the most restrictive abortion bans nationally. The COVID-19 pandemic and subsequent healthcare labor shortages resulted in more hospitals ending maternal care and delivery. The overturn of Roe v. Wade likely will worsen this already worrisome situation as fewer ED physicians will be trained and experienced in performing an abortion procedure — even to save a pregnant patient’s life.
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Potentially Wide-Ranging Effects of Abortion Bans on Women’s Health and Safety
In June 2022, the Supreme Court’s decision in Dobbs v. Jackson Women’s Health Organization overturned the constitutional right to abortion care. Data are not yet available on whether medical schools and residency programs in abortion-ban states will teach students about abortion or provide any opportunities for hands-on experience with abortion care. Or they could be taught abortion procedures without actual human patients. Media reports indicate that medical students are using papayas in place of a cervix to learn the procedure in some cities.
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Premenstrual Anxiety, Mood Swings Are Common Among Women Worldwide
New research shows that women worldwide experience unpleasant premenstrual symtoms, including food cravings (85%) and mood swings or anxiety (64%). Other reported symptoms included fatigue, irritability, bloating, and breast tenderness.
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Telehealth for Contraception Works, Increasing Access for Patients
Contraceptive care providers and staff wish to sustain telehealth long past the COVID-19 pandemic era in which telehealth was more widely used, according to a recent study of telehealth in Illinois.