Estrogen Free Birth Control Pills – , the current state of reproductive health care in the United States, including access to contraceptive care, has moved to the forefront of public consciousness. Expanding access to comprehensive contraceptive options does not eliminate the need for abortion care services, but contraceptive care can help women plan their pregnancies and provide them with access to full health and reproductive rights. is an important access point for improving access. This includes expanding access to hormonal contraception, the most common reversible contraceptive method in the United States.

Although the most common reason for using contraception is to avoid pregnancy, many women also use hormones to manage other health problems such as irregular menstrual periods, menstrual cramps, and menstrual pain. , the importance of access to contraception is emphasized. Unfortunately, many women and others who use contraceptive methods (some studies estimate that as many as one-third of adult women) face barriers to seeking contraceptive care. It is reported that These barriers include, but are not limited to, financial issues and lack of affordability. Lack of transportation. Live in rural or underserved communities. Cultural and linguistic differences with the provider. etc. Additionally, 19 million women of reproductive age live in contraceptive deserts, where there are insufficient health facilities to provide a comprehensive approach to the needs of the female population and provide coverage for government-funded contraception. It is a region. Additionally, Black women and other women of color face significant barriers when seeking contraceptive care, and Black women in particular have faced decades of warnings, coercive access methods, and unethical practices. have faced acts of abuse. Plan your pregnancy and improve access to health and full reproductive rights.

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, advocates’ long-standing efforts to expand access to contraception through permanent approval are receiving new attention. Last July, HRA Pharma took a small step in this direction by filing a first-of-its-kind application with the U.S. Food and Drug Administration (FDA) seeking approval to sell its Opil without a prescription. . Opil is a daily oral contraceptive pill that has been available by prescription for 50 years. Because it does not contain estrogen, it has a lower risk of bleeding than other hormonal drugs. If approved, it would be the first hormonal contraceptive to be sold over-the-counter in the United States. Another pill maker, Cadence Health, is reportedly close to submitting an application for approval of a progestin-estrogen contraceptive. See the box below for more information about the different types of oral contraceptives.

Birth Control Pills: What You Need To Know

The OTC FDA approval process is long and takes approximately 10 months. As a result, it could be her mid-to-late 2023 before the public takes action. Either way, the public needs to be aware of the impact of these apps on access to education.

There are three types of oral contraceptives: combination tablets, progestin-only tablets, and extended- and extended-release tablets. Below, we will explain the types of tablets, their effects, and the daily life of users with examples.

As mentioned above, oral contraceptives are the most common reversible contraceptive method in the United States. According to data from the 2017-2019 National Family Growth Survey, 65% of women ages 15-49 use contraception. The most common contraceptive methods were “female sterilization (18.1%), oral contraceptives (14%), long-term reversible contraception (10.4%), and external condoms (8.4%).” These numbers vary by racial group, with current use rates being “higher among non-Hispanic white women (17.8%) than among Hispanic women (7.9%) and non-Hispanic blacks (8.1%).” Consumption also varies by age group, with young women in particular having the highest consumption. They use contraception at higher rates than older women. The National Family Growth Survey provides a comprehensive picture of contraceptive use in the United States.

Women’s health organizations and major medical institutions have supported the fight to bring oral contraceptives to market for years. In fact, nearly 30 medical organizations have signed a statement supporting over-the-counter contraceptives, including the American Medical Association, American College of Obstetricians and Gynecologists (ACOG), and the American College of Family Physicians. There are no age restrictions. Additionally, in March, 59 members of the U.S. House of Representatives Select Caucus sent a letter to FDA Commissioner Robert Califf, urging the agency to approve over-the-counter drugs.

Facts Anyone Taking Birth Control Should Know

More importantly, studies have shown that women of childbearing age prefer to take over-the-counter contraceptives. A 2011 survey of American women ages 18 to 44 (n=2,046) found that 62% of all respondents were “strongly supportive” of free oral sales education. I answered. Additionally, a 2015 online survey on interest in over-the-counter progestin-only contraceptives found that 39 percent of adult women and 29 percent of adolescent girls were less likely to use the pill, especially if it was covered by insurance. answered that it was expensive. Additionally, a majority of voters support “over-the-counter abortion pills,” and two-thirds of voters think the FDA should “prioritize the sale of abortion pills.”

As mentioned above, the FDA process is designed to demonstrate that a consumer understands and can follow her OTC label. According to ACOG, “a drug’s potential toxicity and whether the drug can benefit consumers without compromising safety” are the main factors the FDA considers when approving over-the-counter drugs. It is said that Labels and instructions must be understandable even for non-physicians. Packaging should also highlight the benefits and risks to the user’s health. Major medical organizations have reiterated that medically no prescription is required to obtain the pill. It is non-toxic, non-addictive, poses no overdose risk, and meets FDA requirements for OTC access. In fact, other over-the-counter medications aimed at relieving cold, flu, and allergy symptoms come with higher risks.

The customer has been using this pill for 60 years. And years of research have shown that women can clearly understand oral contraceptive labels and use requirements. One study found that self-diagnosis of contraindications to oral contraceptives using a medical checklist was relatively accurate, and that approximately 7% of women in a sample incorrectly believed it was worth using oral contraceptives. got it. This is similar to the correct response rate for physician-led assessments and diagnoses. The authors concluded that over-the-counter oral contraceptives may be safe, especially in younger women and for blood pressure screening. Additionally, a 2019 systematic literature review found that not only can women accurately assess the efficacy and contraindications of use, but free access to over-the-counter medications can encourage use and reduce interruptions in care. It turns out.

The United States lags behind other countries when it comes to access to childbirth. Over-the-counter contraceptives are available in more than 100 countries, primarily in Latin America, Africa, and Europe. A 2013 analysis of data from 147 countries found that oral contraceptives were available without a prescription in 38% of countries. It is legally available without a prescription (no need for diagnosis by a medical professional) in 24 percent of the country. Legally available without prescription in 8% of countries (testing required). It is only available by prescription in 31% of the country. The United States is one of the few countries without at least one over-the-counter contraceptive option. U.S. policymakers can learn from other countries’ implementation models to strengthen and improve access.

Chart: Where The Contraceptive Pill Is Available Over The Counter

A 2012 study found that a minority of women using birth control used non-progestin pill options. However, this option is generally low risk and uncommon for customers, making it a good first attempt at OTC supply. Perhaps just as importantly, making Opill OTC can act as a catalyst for making other choices.

Cost is also an important factor. Many consumers are interested in and willing to use progestin-free contraceptive methods that have little or no out-of-pocket costs. Policy makers should recognize this fact and work to reduce costs, including by ensuring that over-the-counter contraceptive methods are covered by insurance.

Over-the-counter oral contraceptives are an excellent strategy for increasing the physical and reproductive independence of women and those who may become pregnant. This is especially important for people who face multiple barriers to accessing care, especially at a time when threats to gender equality and reproductive health are emerging. Although FDA approval will not completely resolve these disparities, allowing access to low-cost over-the-counter contraceptives would be a significant step forward in access.

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Nc Pharmacists Emerge As New Prescribers Of Hormonal Contraceptives — Nc Health News

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