Leadership Training Academy alum Dr. Katherine Damm shared this story about one of her patients:
A woman I will call Connie was pregnant with her first child. During routine prenatal screening, she received news that she never expected: Her fetus had been diagnosed with Trisomy 13, a fatal genetic impairment. She decided to terminate her pregnancy—a difficult choice, but one that she and her family felt was for the best. The procedure, however, cost several thousand dollars. Like many other Michiganders, Connie had felt the sting of the economic downturn. The good news is that Connie’s insurance covered her abortion and she was able to get the care that she needed. But if the anti-choice movement gets their way, women in Michigan will be prevented from obtaining insurance that covers abortion. Can you imagine not only getting this kind of news but also being told that your health insurance won’t cover your treatment?
Michigan lawmakers have 40 session days to approve, deny, or place this initiative on the November 2014 ballot. That’s why if you live in Michigan, you should contact your legislators today and tell them that a woman’s health insurance coverage should meet all her needs and enable her to take care of her health. Take action now. Send a loud and clear message that Michiganders do not want politicians in interfering with personal health care decisions. Read More
Our Reproductive Health Advocacy Fellow Dr. Lin-Fan Wang responds to the recent news reports on weight and its impact on emergency contraception efficacy:
As doctors committed to improving access to reproductive health care, we support women in having planned pregnancies. Working to make highly effective birth control methods (such as IUDs and implants) more widely accessible is an important step. However, there will always be a need for emergency contraception.
Several news outlets this week have reported on recent research about emergency contraception efficacy. This research indicates that levonorgestrel-based emergency contraception, like Plan B, may be much less effective at preventing pregnancy in women whose BMI is 25 or higher or women who weigh over 176 pounds. This is concerning because many women fall into those categories.
The good news is that there are other options for emergency contraception. Ulipristal acetate, known by the brand name ella, is more effective than Plan B for women with a BMI over 25. However, it too might lose its effectiveness past a certain weight or BMI. The copper IUD, or Paragard, is the most effective form of emergency contraception for women, regardless of weight.
I want what’s best for my patients, and until further studies are conducted, this is what I’m doing: I’m talking to them about whether Plan B is the best method of emergency contraception for them, and checking whether they’re happy with their current method of birth control. For women who want to use ulipristal acetate, I’ll write advance prescriptions for them to fill before the need arises. Finding the right birth control method can go a very long way in reducing the need for emergency contraception.
More research is needed on the connection between body mass and efficacy. Until we find out more, it is important that all women, regardless of their body size, have access to contraception options that will work for them, including emergency contraception.