Emergency contraception pills are safe and effective, but not always available

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Emergency contraception is effective, safe and legal throughout the United States. And yet researchers are finding it's not always available when people need it. | via NPR

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The 2021 study found that 32% of pharmacies did not have levonorgestrel, a hormone that can prevent pregnancy after unprotected sex, in stock at all, and of the pharmacies that did have it on the shelf, 70% of them kept it in a locked box.

But when Borrero sent a team of medical students to pharmacies across western Pennsylvania to see what these stores actually had on hand,a third of pharmacies didn't stock Plan B at all. And when they did have it,"most of the time it wasn't really on the shelf. It was either behind the counter or in one of those locked boxes," which means a customer would have to ask someone to hand them the emergency contraception. She says that could be a real deterrent for some people.

Borrero's findings were even bleaker for the other form of emergency contraception pill sold in pharmacies — Ella, which requires a prescription. The study found only 5% of pharmacies had it available for immediate purchase. And if providers aren't prescribing it, pharmacies are less likely to keep it in stock."That's kind of chicken and the egg," Stone says., executive director of the American Society for Emergency Contraception. Evidence shows Plan B works best in the first 72 hours after unprotected intercourse, then its efficacy wanes over five days. In contrast, Ella is effective throughout the five-day window. It's also more effective for women who are overweight or obese.

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