1 00:00:00,320 --> 00:00:03,000 Speaker 1: Brought to you by the reinvented two thousand twelve Camray. 2 00:00:03,240 --> 00:00:09,959 Speaker 1: It's ready. Are you welcome to stop? Mom? Never told you? 3 00:00:10,200 --> 00:00:17,400 Speaker 1: From House to works dot Com. Well, and welcome to 4 00:00:17,440 --> 00:00:20,560 Speaker 1: the podcast. This is Molly and Kristen. Christy usually read 5 00:00:20,600 --> 00:00:22,840 Speaker 1: a list from mail at the end of the podcast, 6 00:00:22,840 --> 00:00:25,319 Speaker 1: but I'm gonna start with lawn just because it's gonna 7 00:00:25,400 --> 00:00:27,720 Speaker 1: perfectly set up why we're doing this podcast and this 8 00:00:27,840 --> 00:00:31,160 Speaker 1: podcast topic in general. All Right, This email is from 9 00:00:31,160 --> 00:00:33,320 Speaker 1: Tiff and she writes, I've worked in a pharmacy for 10 00:00:33,360 --> 00:00:35,800 Speaker 1: over twelve years. Now. The easiest way to get all 11 00:00:35,840 --> 00:00:38,000 Speaker 1: the employees worked up is to begin a debate on 12 00:00:38,040 --> 00:00:41,040 Speaker 1: the Morning After pill. Since the original pills marketed has 13 00:00:41,080 --> 00:00:43,520 Speaker 1: been the subject of a lot of heated discussions. Our 14 00:00:43,560 --> 00:00:46,479 Speaker 1: main fear that is that the pill can be purchased 15 00:00:46,520 --> 00:00:48,559 Speaker 1: without seeing a doctor and that women are buying it 16 00:00:48,720 --> 00:00:51,760 Speaker 1: not fully informed. We're seeing a lot of young adults 17 00:00:51,760 --> 00:00:53,479 Speaker 1: and teens come to the store to buy Plan B 18 00:00:53,600 --> 00:00:55,520 Speaker 1: and even though they are under age, they will send 19 00:00:55,520 --> 00:00:57,880 Speaker 1: their boyfriends or friends who are of age to get 20 00:00:57,880 --> 00:01:00,520 Speaker 1: around the rule. The main reason behind the purchase is 21 00:01:00,560 --> 00:01:02,720 Speaker 1: that a condom broke. They will get the pill and 22 00:01:02,760 --> 00:01:05,320 Speaker 1: not go to their doctor but the broken condom. There 23 00:01:05,360 --> 00:01:07,240 Speaker 1: are a lot of bigger risks and pregnancy that Plan 24 00:01:07,319 --> 00:01:10,280 Speaker 1: B does not protect women from. Many teams are afraid 25 00:01:10,319 --> 00:01:12,480 Speaker 1: that parents who provide their insurance will learn of any 26 00:01:12,520 --> 00:01:15,400 Speaker 1: doctor appointments. They think of morning after pills as miracle 27 00:01:15,440 --> 00:01:18,320 Speaker 1: pills instead of the first step in their healthcare. I'm 28 00:01:18,319 --> 00:01:20,160 Speaker 1: hoping that in a future podcast you might be able 29 00:01:20,160 --> 00:01:22,399 Speaker 1: to discuss the positives and negatives of the morning after 30 00:01:22,440 --> 00:01:26,160 Speaker 1: pills so that people become more informed. There are many misconceptions, 31 00:01:26,200 --> 00:01:29,000 Speaker 1: even within the medical field about this pill. For instance, 32 00:01:29,040 --> 00:01:31,560 Speaker 1: it is not an abortion pill, but it is a 33 00:01:31,640 --> 00:01:34,880 Speaker 1: high dose of birth control hormones, and it is expensive, 34 00:01:34,959 --> 00:01:37,760 Speaker 1: but still cheaper than a kid, I say, And she 35 00:01:37,760 --> 00:01:39,760 Speaker 1: would like us to tell our listeners the importance of 36 00:01:39,760 --> 00:01:41,360 Speaker 1: still going to the O B g U I N 37 00:01:41,440 --> 00:01:47,160 Speaker 1: annually if you're sexually active. So thank you Tip for 38 00:01:47,160 --> 00:01:48,920 Speaker 1: the suggestion. And it's true. I do think there are 39 00:01:48,920 --> 00:01:51,040 Speaker 1: a lot of misconceptions about the morning after pill, which 40 00:01:51,080 --> 00:01:54,160 Speaker 1: is why it is the subject of today's podcast. Right, 41 00:01:54,200 --> 00:01:56,160 Speaker 1: and Tiff isn't the only person who has written in 42 00:01:56,400 --> 00:01:59,080 Speaker 1: requesting this topic, so we figured that it was high 43 00:01:59,080 --> 00:02:02,320 Speaker 1: time that we talked about the Morning after pill because 44 00:02:02,400 --> 00:02:06,720 Speaker 1: absolutely there is so much controversy surrounding it, and also 45 00:02:06,840 --> 00:02:10,280 Speaker 1: the fight with the FDA around getting this pill not 46 00:02:10,400 --> 00:02:12,760 Speaker 1: only on the market, but now to the over the 47 00:02:12,800 --> 00:02:17,480 Speaker 1: counter status for kids UM seventeen and up has been 48 00:02:17,520 --> 00:02:22,720 Speaker 1: going on for so long sort of behind the scenes. UM, 49 00:02:22,800 --> 00:02:24,799 Speaker 1: so now it's over the counter, and the question is 50 00:02:25,000 --> 00:02:27,880 Speaker 1: what what's it do into your body? How does it 51 00:02:27,960 --> 00:02:31,320 Speaker 1: work as emergency contraception? Because I think, well, maybe before 52 00:02:31,360 --> 00:02:34,560 Speaker 1: we we dive into the pill or Plan B in depth, 53 00:02:34,960 --> 00:02:38,600 Speaker 1: we should go over the three main types of emergency contraception. 54 00:02:38,680 --> 00:02:41,320 Speaker 1: If you know, if if you if you have the 55 00:02:41,400 --> 00:02:45,240 Speaker 1: condom breaks or if you don't use a condom um 56 00:02:45,360 --> 00:02:48,200 Speaker 1: or if you're a victim of sexual assault ex avoid pregnancy. 57 00:02:48,240 --> 00:02:50,320 Speaker 1: Any time that you've had sex and you want to 58 00:02:50,360 --> 00:02:54,399 Speaker 1: avoid pregnancy unprotected sex wanted a boid pregnancy, emergency contraception 59 00:02:54,639 --> 00:02:57,079 Speaker 1: is an option, and within that option there are three 60 00:02:57,160 --> 00:03:01,160 Speaker 1: different types of emergency contraception and the first one, of course, 61 00:03:01,240 --> 00:03:03,839 Speaker 1: is the Morning After pill UM that can come under 62 00:03:03,880 --> 00:03:07,760 Speaker 1: the brand name of Next Choice, Plan B, One Step 63 00:03:08,000 --> 00:03:11,839 Speaker 1: or Ella. Ella is the newest one yes, And then 64 00:03:12,000 --> 00:03:14,680 Speaker 1: next up we have the paraguard, which we've talked about 65 00:03:14,680 --> 00:03:17,760 Speaker 1: in UH podcasts a while ago. And this is an 66 00:03:17,760 --> 00:03:20,080 Speaker 1: intra uterine device a K A and I U D. 67 00:03:20,360 --> 00:03:22,960 Speaker 1: It's UM a copper I U D that can be 68 00:03:23,000 --> 00:03:25,280 Speaker 1: inserted into the uterus and a lot of times women 69 00:03:25,320 --> 00:03:28,440 Speaker 1: will get these four long term contraception, but it can 70 00:03:28,520 --> 00:03:33,600 Speaker 1: also be used for emergency contraception if inserted less than 71 00:03:33,680 --> 00:03:37,880 Speaker 1: five days after unprotected sex. And the last type of 72 00:03:37,920 --> 00:03:42,360 Speaker 1: emergency emergency contraceptionist combination birth control pills. And these are 73 00:03:42,400 --> 00:03:45,320 Speaker 1: just you know, regular old birth control pills, but you 74 00:03:45,400 --> 00:03:49,040 Speaker 1: take different dosages of them after the unprotected sex to 75 00:03:49,680 --> 00:03:53,400 Speaker 1: prevent pregnancy. But the real focus of today's episode are 76 00:03:53,480 --> 00:03:56,080 Speaker 1: those pills. The next choice the plan be one step 77 00:03:56,200 --> 00:03:59,280 Speaker 1: or the ELLA and UH it's often called the morning 78 00:03:59,320 --> 00:04:01,880 Speaker 1: after pill. Becus. For a long time, you had just 79 00:04:01,960 --> 00:04:04,480 Speaker 1: seventy two hours to take a pill for it to 80 00:04:04,480 --> 00:04:08,040 Speaker 1: be effective. Now, with the introduction of ELLA, you can 81 00:04:08,080 --> 00:04:10,560 Speaker 1: take it up to a hundred and twenty hours after 82 00:04:10,600 --> 00:04:12,840 Speaker 1: the unprotected sex, so that gives women a little bit 83 00:04:12,840 --> 00:04:17,120 Speaker 1: more time to gain access to it now. And generally speaking, 84 00:04:17,920 --> 00:04:22,400 Speaker 1: these forms of emergency contraception are different from the so 85 00:04:22,480 --> 00:04:25,560 Speaker 1: called abortion pill that we'll talk about um a little 86 00:04:25,600 --> 00:04:27,680 Speaker 1: in a little bit more detail in just a minute. 87 00:04:27,880 --> 00:04:32,440 Speaker 1: But these forms of contraception prevent pregnancy by either preventing 88 00:04:32,560 --> 00:04:37,200 Speaker 1: or delaying ovulation, blocking fertilization, or keeping a fertilized egg 89 00:04:37,279 --> 00:04:39,960 Speaker 1: from implanting in the uterus. And all of that is 90 00:04:40,000 --> 00:04:44,160 Speaker 1: a result of the hormones um that you put into 91 00:04:44,200 --> 00:04:46,520 Speaker 1: your body or in the case of the paaraguard the 92 00:04:46,520 --> 00:04:49,760 Speaker 1: copper that that blocks the egg from being able to 93 00:04:50,200 --> 00:04:52,280 Speaker 1: um the sperma, I should say, from being able to 94 00:04:52,320 --> 00:04:54,440 Speaker 1: reach the egg. So now plan B one SEP and 95 00:04:54,560 --> 00:04:57,360 Speaker 1: next choice use a hormone called leaveon or guestral, which 96 00:04:57,400 --> 00:05:00,280 Speaker 1: is a progestine, and ELLA uses a progest st an 97 00:05:00,320 --> 00:05:04,719 Speaker 1: agonist antagonist called really pre style ascetate. And so those 98 00:05:04,720 --> 00:05:07,080 Speaker 1: are the two names of the hormones that you can 99 00:05:07,080 --> 00:05:08,960 Speaker 1: be on the lookout for. That's what you're putting in 100 00:05:08,960 --> 00:05:11,280 Speaker 1: to your body if you take one of these pills, 101 00:05:11,360 --> 00:05:15,640 Speaker 1: and uh, you know, like Kristen said, it prevents fertilization 102 00:05:16,320 --> 00:05:20,720 Speaker 1: or implantation or ovulation, but if you're already pregnant, these 103 00:05:20,720 --> 00:05:23,120 Speaker 1: pills will have no effect. And that right there is 104 00:05:23,160 --> 00:05:26,599 Speaker 1: one of the main reasons why we it's so important 105 00:05:26,640 --> 00:05:31,760 Speaker 1: to distinguish between emergency contraception and the abortion pill, which, 106 00:05:31,800 --> 00:05:33,520 Speaker 1: like I said, we'll talk about in just a second. 107 00:05:33,839 --> 00:05:39,240 Speaker 1: An emergency contraception is a highly effective option for preventing 108 00:05:39,240 --> 00:05:44,280 Speaker 1: pregnancy after unprotected sex. It's not a guaranteed um For instance, 109 00:05:44,320 --> 00:05:47,280 Speaker 1: an estimated one to two out of one women who 110 00:05:47,320 --> 00:05:51,760 Speaker 1: have unprece unprotected sex one time and correctly use emergency 111 00:05:51,760 --> 00:05:54,960 Speaker 1: contraception will still get pregnant. But still the odds are 112 00:05:54,960 --> 00:05:57,880 Speaker 1: pretty good that it can prevent pregnancy. Right. It's not 113 00:05:57,960 --> 00:06:01,480 Speaker 1: as good as a regular birth country regular contraception because 114 00:06:01,720 --> 00:06:04,560 Speaker 1: when you correctly use things like condoms or your pills, 115 00:06:04,880 --> 00:06:07,960 Speaker 1: you have better chances. But if if the emergency happen, 116 00:06:08,000 --> 00:06:11,920 Speaker 1: that's why it's called emergency contraception, then uh, then it's 117 00:06:11,920 --> 00:06:13,920 Speaker 1: a really great option. Now. I didn't realize the long 118 00:06:13,960 --> 00:06:16,159 Speaker 1: before we started researching this podcast was that Planned B 119 00:06:16,400 --> 00:06:21,800 Speaker 1: has been on the market since nineteen but it's only 120 00:06:21,839 --> 00:06:24,280 Speaker 1: been in the past what year that it's been available 121 00:06:24,920 --> 00:06:27,880 Speaker 1: over the counter for seventeen year olds, for seventeen year 122 00:06:27,880 --> 00:06:31,839 Speaker 1: olds and and up, and also um the their male 123 00:06:31,920 --> 00:06:36,080 Speaker 1: partners can also access that if they are seventeen and ups. 124 00:06:36,120 --> 00:06:40,719 Speaker 1: But back in early two thousand's Gonna colleges were really 125 00:06:40,760 --> 00:06:44,680 Speaker 1: excited about the prospect of Plan B because they thought 126 00:06:44,720 --> 00:06:47,920 Speaker 1: that women would make it part of their you know, 127 00:06:48,040 --> 00:06:51,279 Speaker 1: routine birth control regimen and have it on hand to 128 00:06:51,320 --> 00:06:56,279 Speaker 1: take in case of unprotected sex because each year they're 129 00:06:56,320 --> 00:06:59,920 Speaker 1: about three point five million unintended pregnancies that happened within 130 00:07:00,000 --> 00:07:03,280 Speaker 1: the United States, and back in two thousand one, especially 131 00:07:03,320 --> 00:07:05,120 Speaker 1: when this fight with the FDA to get it UM 132 00:07:05,200 --> 00:07:08,880 Speaker 1: approved for over the counter really started, um Gyna colleges 133 00:07:08,960 --> 00:07:14,720 Speaker 1: were really hoping that it would cut that statistic in half. 134 00:07:14,760 --> 00:07:18,080 Speaker 1: That's how much promise they placed in Plan B. And 135 00:07:18,080 --> 00:07:20,000 Speaker 1: they really thought that they would have common ground with 136 00:07:20,040 --> 00:07:23,240 Speaker 1: people who are opposed to abortion, because if there's one 137 00:07:23,240 --> 00:07:26,520 Speaker 1: thing that people who favor abortion rights and also oppose 138 00:07:26,560 --> 00:07:28,000 Speaker 1: abortion can agree on is that there need to be 139 00:07:28,080 --> 00:07:31,640 Speaker 1: fewer abortions overall. And they thought that this pill, because 140 00:07:32,000 --> 00:07:34,800 Speaker 1: it prevents pregnancy not terminates pregnancy, would be sort of 141 00:07:34,800 --> 00:07:37,840 Speaker 1: a middle ground. Uh, it wasn't, as you can probably 142 00:07:37,880 --> 00:07:40,560 Speaker 1: guess or you've seen on the news. But one thing, 143 00:07:40,640 --> 00:07:43,000 Speaker 1: you know, like you said, Gyna coologists were really excited 144 00:07:43,040 --> 00:07:45,960 Speaker 1: and they advocated having Plan B just on hand, even 145 00:07:45,960 --> 00:07:48,640 Speaker 1: if you didn't think you'd ever have unprotected sex. As 146 00:07:48,680 --> 00:07:52,280 Speaker 1: one researcher said, you don't buy a fire extinguisher when 147 00:07:52,320 --> 00:07:54,280 Speaker 1: you have a fire. You have a fire extinguisher on 148 00:07:54,320 --> 00:07:57,400 Speaker 1: hand in case there's a fire. But on the other hand, 149 00:07:57,800 --> 00:08:00,080 Speaker 1: people were saying this shouldn't just be on hand, be 150 00:08:00,120 --> 00:08:05,400 Speaker 1: has someone when will use it in place of regular contraception. Right. 151 00:08:05,480 --> 00:08:07,720 Speaker 1: The number one argument I would say the anti abortion 152 00:08:07,760 --> 00:08:10,840 Speaker 1: groups had against the Morning After Pill was that it 153 00:08:10,920 --> 00:08:16,240 Speaker 1: was going to cause young women, especially to just go 154 00:08:16,640 --> 00:08:19,680 Speaker 1: sexually wild. They were crazy, they were going to engage 155 00:08:19,680 --> 00:08:22,880 Speaker 1: in a lot of high risk sexual behavior because they 156 00:08:22,920 --> 00:08:28,760 Speaker 1: had that parachute in the form of Plan B. But 157 00:08:28,880 --> 00:08:31,480 Speaker 1: there has been no evidence that that is in any 158 00:08:31,520 --> 00:08:35,240 Speaker 1: way correct. First of all, um in studies that have 159 00:08:35,320 --> 00:08:39,000 Speaker 1: been done in which they give women full access to 160 00:08:39,040 --> 00:08:40,760 Speaker 1: Plan B, they actually like hand it to them and 161 00:08:40,800 --> 00:08:43,840 Speaker 1: say here you go, or they you know, provide some 162 00:08:43,960 --> 00:08:46,079 Speaker 1: kind of clinical access to it, or they have a 163 00:08:46,120 --> 00:08:49,240 Speaker 1: control group where it would just be like anyone having 164 00:08:49,240 --> 00:08:51,360 Speaker 1: to go through the same channels to get Planned B. 165 00:08:51,800 --> 00:08:55,800 Speaker 1: Even the people who had access direct access to the 166 00:08:55,920 --> 00:08:59,840 Speaker 1: Morning After pill really didn't use it very often. Yeah, 167 00:09:00,320 --> 00:09:02,480 Speaker 1: within the groups those three groups Criston I was talking about, 168 00:09:02,480 --> 00:09:04,840 Speaker 1: and this is from a two thousand five study at 169 00:09:04,840 --> 00:09:08,560 Speaker 1: the University of California, San Francisco. Having it in your bedroom, 170 00:09:08,720 --> 00:09:12,400 Speaker 1: you know, your bedside table drawer had no greater impact 171 00:09:12,480 --> 00:09:14,680 Speaker 1: than a woman who had to go to a pharmacy 172 00:09:14,760 --> 00:09:17,320 Speaker 1: or go to a doctor to get access to it. Uh. 173 00:09:17,360 --> 00:09:19,800 Speaker 1: They both these groups got pregnant in the same amounts, 174 00:09:19,840 --> 00:09:23,400 Speaker 1: and they contracted sexually transmitted diseases in the same amounts. 175 00:09:23,440 --> 00:09:26,120 Speaker 1: And so what the researcher were able to garner is 176 00:09:26,160 --> 00:09:30,000 Speaker 1: that women who had access to Plan B still use 177 00:09:30,080 --> 00:09:33,840 Speaker 1: contraceptives or didn't use contraceptives in the same amount. They 178 00:09:33,880 --> 00:09:36,360 Speaker 1: engaged in the same type of sexual behavior, whether they 179 00:09:36,400 --> 00:09:38,959 Speaker 1: had Plan B or they didn't, They got pregnant in 180 00:09:38,960 --> 00:09:41,839 Speaker 1: the same amount. So basically, these researchers are saying that 181 00:09:42,400 --> 00:09:46,080 Speaker 1: having access to Plan B does not result in more 182 00:09:46,120 --> 00:09:48,959 Speaker 1: pregnancy or less pregnancy. It basically hasn't had much of 183 00:09:49,000 --> 00:09:51,679 Speaker 1: an impact at all. But I think that's because there 184 00:09:51,760 --> 00:09:54,480 Speaker 1: is such a lack of information about it. Um, you know, 185 00:09:54,520 --> 00:09:55,880 Speaker 1: you kind of have to wonder if you have it 186 00:09:55,920 --> 00:09:58,240 Speaker 1: in your bedside table drawer and don't use it, what 187 00:09:58,360 --> 00:10:01,320 Speaker 1: what thinking is there. But women don't use it by 188 00:10:01,320 --> 00:10:03,360 Speaker 1: a march even when they have access to it, and 189 00:10:03,440 --> 00:10:06,800 Speaker 1: these worst fears of people who wanted to ban access 190 00:10:06,840 --> 00:10:08,920 Speaker 1: to it really haven't come true. I think the world 191 00:10:09,000 --> 00:10:13,719 Speaker 1: looks pretty much the same with increased access to Plan B, right, 192 00:10:13,760 --> 00:10:17,280 Speaker 1: And maybe one of the reasons why women aren't taking 193 00:10:17,320 --> 00:10:20,439 Speaker 1: into the numbers that they that they could be UM. 194 00:10:20,559 --> 00:10:24,360 Speaker 1: The reason why that that unplanned pregnancy number really hasn't 195 00:10:24,440 --> 00:10:27,040 Speaker 1: budged much over the years since it's been available is 196 00:10:27,080 --> 00:10:30,640 Speaker 1: because it might get mixed up with the abortion pill. 197 00:10:31,400 --> 00:10:33,920 Speaker 1: The abortion pill is also called our U four eight 198 00:10:34,000 --> 00:10:37,640 Speaker 1: six UM and also mythopress stone. So let's talk a 199 00:10:37,679 --> 00:10:40,480 Speaker 1: little bit about the difference between the two. Because methopresstone 200 00:10:40,520 --> 00:10:43,880 Speaker 1: is basically a medication abortion. You just take a pill 201 00:10:44,000 --> 00:10:47,559 Speaker 1: and it terminates a pregnancy, and so that really has, 202 00:10:47,640 --> 00:10:49,800 Speaker 1: like christ And said, costs a lot of confusion between 203 00:10:49,800 --> 00:10:51,640 Speaker 1: the two. And as we said at the beginning of 204 00:10:51,640 --> 00:10:57,320 Speaker 1: the podcast, emergency contraception prevents pregnancy. Medication abortion terminates an 205 00:10:57,360 --> 00:11:03,280 Speaker 1: already established pregnancy. Now asterisks UM. It kind of depends 206 00:11:03,280 --> 00:11:06,640 Speaker 1: what your definition of pregnancy is, right, Because earlier in 207 00:11:06,679 --> 00:11:10,200 Speaker 1: the podcast, I mentioned that the three major ways that 208 00:11:10,280 --> 00:11:12,959 Speaker 1: the morning after pill can prevent an unwanted pregnancy is 209 00:11:13,000 --> 00:11:17,560 Speaker 1: by either preventing or delaying ovulation, blocking fertilization, or preventing 210 00:11:17,600 --> 00:11:21,120 Speaker 1: a fertilized egg from implanting in the uterus. Now, that 211 00:11:21,240 --> 00:11:26,679 Speaker 1: last point with implantation is where the waters start to 212 00:11:26,720 --> 00:11:29,360 Speaker 1: get kind of money between whether or not you can 213 00:11:29,400 --> 00:11:34,640 Speaker 1: classify the morning after pill as an abortivation right and there. 214 00:11:34,679 --> 00:11:37,640 Speaker 1: If you're very much against abortion, you would probably say 215 00:11:37,679 --> 00:11:41,280 Speaker 1: that life actually started when the egg was fertilized, that 216 00:11:41,320 --> 00:11:44,280 Speaker 1: the implantation is just sort of the way that the 217 00:11:44,559 --> 00:11:47,840 Speaker 1: fertilized egg gets its nutrition, and thus the pregnancy started 218 00:11:47,880 --> 00:11:52,040 Speaker 1: prior to the implantation. If you're trying to block pregnancy 219 00:11:52,400 --> 00:11:55,480 Speaker 1: at before implantation takes place, then that is a form 220 00:11:55,520 --> 00:12:00,000 Speaker 1: of abortion. However, the American College of Obstetricians and Gynecologists 221 00:12:00,200 --> 00:12:02,400 Speaker 1: and the U S Department of Helping Human Services has 222 00:12:02,440 --> 00:12:06,719 Speaker 1: to find pregnancy as beginning when implantation is completed. So 223 00:12:07,400 --> 00:12:09,079 Speaker 1: bearing in mind that some people will say it's a 224 00:12:09,080 --> 00:12:13,800 Speaker 1: slippery slope that to block implantation is the same as 225 00:12:13,800 --> 00:12:16,800 Speaker 1: an abortion, versus people who say it's not pregnancy till 226 00:12:16,800 --> 00:12:20,160 Speaker 1: implantation occurs. Bearing in mind that this debate is taking place, 227 00:12:20,240 --> 00:12:23,680 Speaker 1: we're gonna go with this established definition from the College 228 00:12:23,679 --> 00:12:27,840 Speaker 1: of Obstetricians Santacologists and say it's after implantation. Well, and 229 00:12:27,920 --> 00:12:30,319 Speaker 1: no matter what I think, it's so important to distinguish 230 00:12:30,360 --> 00:12:34,559 Speaker 1: between the Morning after pill and um so called abortion 231 00:12:34,600 --> 00:12:38,160 Speaker 1: pill because they work by two completely different processes. Um 232 00:12:38,200 --> 00:12:40,679 Speaker 1: if a pristone can be taken up to sixty three 233 00:12:40,760 --> 00:12:43,959 Speaker 1: days after the first day of your last menstrual period, 234 00:12:44,360 --> 00:12:47,520 Speaker 1: and um if a pristone ends the pregnancy by blocking 235 00:12:47,559 --> 00:12:50,640 Speaker 1: the hormones necessary for maintaining the pregnancy, and then the 236 00:12:50,679 --> 00:12:54,040 Speaker 1: follow up hormone that you take called mr prostal, causes 237 00:12:54,080 --> 00:12:57,640 Speaker 1: the uterus to contract and empty, right, And so this 238 00:12:57,679 --> 00:12:59,720 Speaker 1: is why we were saying that if you're already pregnant, 239 00:13:00,200 --> 00:13:03,200 Speaker 1: emergency contraception is not going to have any effect because 240 00:13:03,240 --> 00:13:06,920 Speaker 1: that hormone too and a pregnancy is completely different than 241 00:13:06,960 --> 00:13:10,760 Speaker 1: the hormone that blocks the fertilization, ovulation or the implantation. 242 00:13:11,320 --> 00:13:14,280 Speaker 1: So they're totally different hormones and they are aimed at 243 00:13:14,320 --> 00:13:17,160 Speaker 1: causing different things. And one thing that we haven't touched 244 00:13:17,160 --> 00:13:20,679 Speaker 1: on yet, Molly, are the side effects Clearly, if you 245 00:13:20,800 --> 00:13:24,120 Speaker 1: are sort of amping up these these levels of hormones 246 00:13:24,160 --> 00:13:27,040 Speaker 1: in your body, your body is going to react in 247 00:13:27,120 --> 00:13:30,600 Speaker 1: some way. So the most common side effect of emergency 248 00:13:30,679 --> 00:13:35,760 Speaker 1: contraception with say plan B or ella include nausea and vomiting. 249 00:13:35,840 --> 00:13:40,560 Speaker 1: You might have some abdominal pain, breast tenderness, dizziness, fatigue, headache, 250 00:13:40,600 --> 00:13:45,840 Speaker 1: and irregular bleeding along with that. The side effects for 251 00:13:46,000 --> 00:13:50,600 Speaker 1: a medication abortion with the abortion pill is more severe. 252 00:13:50,720 --> 00:13:53,760 Speaker 1: That's similar to those of a miscarriage and can include 253 00:13:53,800 --> 00:13:58,520 Speaker 1: abdominal pain, bleeding, changes in body temperature, dizziness, fatigue, and 254 00:13:58,559 --> 00:14:02,360 Speaker 1: gastro intestinal This stress and you also have a medication 255 00:14:02,400 --> 00:14:06,800 Speaker 1: abortion under the supervision of a doctor, whereas emergency contraception 256 00:14:06,880 --> 00:14:09,520 Speaker 1: is available over the counter, as we said for those 257 00:14:09,559 --> 00:14:12,600 Speaker 1: who are seventeen and older, and that over the counter 258 00:14:12,600 --> 00:14:15,480 Speaker 1: availability is where most of the debates over the Morning 259 00:14:15,520 --> 00:14:18,480 Speaker 1: After Pill Center. As you mentioned, there were a lot 260 00:14:18,520 --> 00:14:21,160 Speaker 1: of problems getting the FDA to approve the pill for 261 00:14:21,160 --> 00:14:23,760 Speaker 1: for widespread sales. But I mean think about how we 262 00:14:23,800 --> 00:14:26,400 Speaker 1: started this email was with an email from a pharmacist 263 00:14:26,440 --> 00:14:29,120 Speaker 1: who is concerned about dispensing the morning after pill, not 264 00:14:29,160 --> 00:14:31,360 Speaker 1: because she has an objection to it. That doesn't That 265 00:14:31,440 --> 00:14:34,080 Speaker 1: didn't come through in her email, But there are pharmacists 266 00:14:34,080 --> 00:14:36,480 Speaker 1: who do. If you do have a very strict definition 267 00:14:36,560 --> 00:14:40,280 Speaker 1: of when pregnancy starts, you may not want to hand 268 00:14:40,320 --> 00:14:43,120 Speaker 1: out the morning after pill. And there are tons of 269 00:14:43,120 --> 00:14:44,760 Speaker 1: stories on the internet. You don't have to go very 270 00:14:44,800 --> 00:14:47,200 Speaker 1: far to find them about women who are seeking out 271 00:14:47,280 --> 00:14:49,360 Speaker 1: a morning after pill only to be told no by 272 00:14:49,360 --> 00:14:52,080 Speaker 1: a pharmacist, or to have trouble gain in touch with 273 00:14:52,120 --> 00:14:54,720 Speaker 1: the doctor who could prescribe it, finding a pharmacy that 274 00:14:54,760 --> 00:14:56,920 Speaker 1: will will give it to them. And so this, this 275 00:14:57,000 --> 00:15:00,120 Speaker 1: question of how available or accessible it should be is 276 00:15:00,120 --> 00:15:02,560 Speaker 1: is usually at the heart of discussions about the morning 277 00:15:02,600 --> 00:15:04,840 Speaker 1: after pill. So I would say the day to day 278 00:15:04,880 --> 00:15:08,600 Speaker 1: backlash of the over the counter access that we now 279 00:15:08,640 --> 00:15:11,960 Speaker 1: have to Plan B is the fact that over the 280 00:15:12,000 --> 00:15:15,840 Speaker 1: past few years, a number of state legislatures have debated 281 00:15:15,840 --> 00:15:19,200 Speaker 1: whether or not to pass things called conscious clauses that 282 00:15:19,240 --> 00:15:22,920 Speaker 1: would allow a pharmacist to deny the sale of Plan 283 00:15:23,040 --> 00:15:26,840 Speaker 1: B to someone. Right, we read one legal review that 284 00:15:26,920 --> 00:15:30,360 Speaker 1: went over whether a person could do that, and yes, 285 00:15:30,480 --> 00:15:32,920 Speaker 1: the conscience clause was past. That gives them the right 286 00:15:32,960 --> 00:15:36,400 Speaker 1: to say this does not meet with my personal beliefs. 287 00:15:36,520 --> 00:15:38,560 Speaker 1: I know, believe it's wrong to give you this pill. 288 00:15:38,920 --> 00:15:41,360 Speaker 1: Go somewhere else. And according to the research that this 289 00:15:41,440 --> 00:15:44,400 Speaker 1: legal scholar had done, you know, they really could have 290 00:15:44,480 --> 00:15:46,520 Speaker 1: the right to do that, just because so far, the 291 00:15:46,520 --> 00:15:52,360 Speaker 1: court cases that have been established regarding reproductive freedom guarantee 292 00:15:52,440 --> 00:15:56,120 Speaker 1: us access to a morning after pill or an abortion, 293 00:15:56,200 --> 00:15:59,200 Speaker 1: but they do not guarantee us availability to those services. 294 00:15:59,240 --> 00:16:01,840 Speaker 1: So they can't for the hospital to perform abortions. They 295 00:16:01,840 --> 00:16:04,760 Speaker 1: can't force a pharmacy to just spends the morning after pill. 296 00:16:04,840 --> 00:16:07,320 Speaker 1: So it it really can be part of you know, 297 00:16:07,360 --> 00:16:09,120 Speaker 1: it can be a complicated journey if you just want 298 00:16:09,120 --> 00:16:11,960 Speaker 1: to take this pill. Something bad happened, you know, the 299 00:16:12,000 --> 00:16:16,040 Speaker 1: condom broke, sexual assault, whatever. And that's why Planned Parenthood 300 00:16:16,080 --> 00:16:17,520 Speaker 1: is raising the flat and saying if you want to 301 00:16:17,560 --> 00:16:19,160 Speaker 1: get it and you need to just find a place 302 00:16:19,160 --> 00:16:21,600 Speaker 1: where you can get it, come to our website. We'll 303 00:16:21,600 --> 00:16:23,120 Speaker 1: tell you where you can get it in your area. 304 00:16:23,560 --> 00:16:29,640 Speaker 1: Right because legally, the act of of a pharmacist refusing 305 00:16:29,720 --> 00:16:33,480 Speaker 1: to fill a prescription or make that over the counter 306 00:16:33,480 --> 00:16:35,960 Speaker 1: sale of Plan B can be interpreted as a form 307 00:16:36,040 --> 00:16:40,479 Speaker 1: of speech which could possibly be protected under the First Amendment. 308 00:16:40,760 --> 00:16:42,800 Speaker 1: Now there have also been questions of whether or not 309 00:16:42,920 --> 00:16:46,000 Speaker 1: freedom of religion can play into this, because some pharmacists 310 00:16:46,040 --> 00:16:50,960 Speaker 1: have raised religious objections to filling these um these orders 311 00:16:51,000 --> 00:16:54,800 Speaker 1: with the with the morning after pill UM. But like 312 00:16:54,880 --> 00:16:59,000 Speaker 1: you said, Molly, it's still UM. It's shaky legal ground 313 00:16:59,120 --> 00:17:02,560 Speaker 1: because of that different between access and availability, and the 314 00:17:03,280 --> 00:17:06,040 Speaker 1: paper that we are referring to kind of compared it 315 00:17:06,080 --> 00:17:08,920 Speaker 1: to a woman who goes to a hospital and wants 316 00:17:08,920 --> 00:17:11,879 Speaker 1: to have an abortion. You know, she she cann't. You know, 317 00:17:11,960 --> 00:17:14,080 Speaker 1: any doctor she goes to doesn't have to agree to 318 00:17:14,119 --> 00:17:17,440 Speaker 1: give her an abortion, just like any pharmacist she goes 319 00:17:17,480 --> 00:17:19,600 Speaker 1: who doesn't have to agree to give her the morning 320 00:17:19,640 --> 00:17:22,360 Speaker 1: after pill. So it's interesting to meet Kristen and researching 321 00:17:22,400 --> 00:17:25,320 Speaker 1: this podcast is that most of the things that you'll bring, 322 00:17:25,520 --> 00:17:28,359 Speaker 1: that you pull up when you're searching for information about 323 00:17:28,400 --> 00:17:32,640 Speaker 1: the morning after pill relate to that conflict, the conflict 324 00:17:32,720 --> 00:17:34,840 Speaker 1: of whether it's right for a woman to take it, 325 00:17:34,880 --> 00:17:36,520 Speaker 1: whether it's not right for a woman to take it. 326 00:17:36,880 --> 00:17:38,760 Speaker 1: But the fact of the matter is is that you know, 327 00:17:39,000 --> 00:17:41,960 Speaker 1: based on that University of California, San Francisco study we 328 00:17:42,040 --> 00:17:46,040 Speaker 1: talked about, women really aren't taking it UM. So it's 329 00:17:46,040 --> 00:17:48,600 Speaker 1: almost like putting the horse before the cart, because is 330 00:17:48,600 --> 00:17:50,879 Speaker 1: it worth having this debate when it really hasn't had 331 00:17:50,880 --> 00:17:53,560 Speaker 1: the effect yet that some researchers thought it would. But 332 00:17:53,640 --> 00:17:56,600 Speaker 1: I think it's because according to another side, we found 333 00:17:56,600 --> 00:17:59,880 Speaker 1: only three percent of female of women's doctors discussed plan 334 00:18:00,080 --> 00:18:03,320 Speaker 1: be with them, and because it's you know, never gonna 335 00:18:03,359 --> 00:18:08,560 Speaker 1: be this huge seller, the pharmaceutical companies behind the pills 336 00:18:08,600 --> 00:18:10,359 Speaker 1: have said, you know, we're not going to spend a 337 00:18:10,440 --> 00:18:12,960 Speaker 1: lot of money advertising these. We're not gonna they're not 338 00:18:12,960 --> 00:18:15,439 Speaker 1: gonna ever turn a profit for us, so we're not 339 00:18:15,440 --> 00:18:17,520 Speaker 1: going to advertise them. We're not going to spend a 340 00:18:17,520 --> 00:18:20,520 Speaker 1: lot of investment in educating people about them. So it's 341 00:18:20,520 --> 00:18:23,879 Speaker 1: really this argument over something that's not very widespread, not 342 00:18:24,000 --> 00:18:27,399 Speaker 1: very widely used, and and largely misunderstood, which is I 343 00:18:27,440 --> 00:18:29,040 Speaker 1: think it gets into a larger issue of how we 344 00:18:29,080 --> 00:18:33,119 Speaker 1: politicize reproductive freedom in this country, which is obviously a 345 00:18:33,160 --> 00:18:35,680 Speaker 1: topic for a whole another podcast. But what we wanted 346 00:18:35,680 --> 00:18:37,840 Speaker 1: to do with this podcast was just raised the awareness 347 00:18:37,880 --> 00:18:39,719 Speaker 1: of the fact that the morning after pill is an 348 00:18:39,760 --> 00:18:42,320 Speaker 1: option in case your own doctor isn't discussing it with you, 349 00:18:42,480 --> 00:18:46,240 Speaker 1: and it's important to highlight the fact that it that 350 00:18:46,359 --> 00:18:49,959 Speaker 1: the morning after pill is something completely distinct from the 351 00:18:50,040 --> 00:18:55,639 Speaker 1: abortion pill, and also that the argument that having greater 352 00:18:55,680 --> 00:18:57,879 Speaker 1: access to the morning after pill is somehow going to 353 00:18:58,000 --> 00:19:02,040 Speaker 1: radically alter women's sexual behavior or it's totally bogus um 354 00:19:02,119 --> 00:19:05,440 Speaker 1: Again from that that article that you're referencing where only 355 00:19:05,480 --> 00:19:08,959 Speaker 1: three percent of women's doctors are discussing plan view with them. Also, 356 00:19:09,520 --> 00:19:12,240 Speaker 1: researchers have found that seventy of women who had used 357 00:19:12,280 --> 00:19:16,400 Speaker 1: emergency contraception had used it only once, so it remains 358 00:19:16,800 --> 00:19:19,959 Speaker 1: an emergency. Like you compared it to a fire extinguisher. 359 00:19:20,600 --> 00:19:22,320 Speaker 1: You know, a fire is not going to break out 360 00:19:22,359 --> 00:19:25,359 Speaker 1: all the time, but when it does, it's there, and 361 00:19:25,400 --> 00:19:26,879 Speaker 1: you probably are only going to need to use it 362 00:19:26,880 --> 00:19:30,119 Speaker 1: once or twice, so it's nothing to be scared of. 363 00:19:30,119 --> 00:19:33,199 Speaker 1: It's a resource that women should be informed about and 364 00:19:33,200 --> 00:19:36,879 Speaker 1: should have access to, I believe, And let's balance that 365 00:19:36,920 --> 00:19:38,800 Speaker 1: with the email received at the beginning of the episode 366 00:19:38,800 --> 00:19:41,040 Speaker 1: that yes, it is a resource, but it's only part 367 00:19:41,200 --> 00:19:44,600 Speaker 1: of a spectrum of services you should be utilizing if 368 00:19:44,640 --> 00:19:48,000 Speaker 1: you're sexually active woman or man. You know, just taking 369 00:19:48,000 --> 00:19:50,120 Speaker 1: the pill does not prevent the morning after ped does 370 00:19:50,160 --> 00:19:53,320 Speaker 1: not prevent you from sexually transmitted diseases, so they're still 371 00:19:53,359 --> 00:19:55,600 Speaker 1: follow up to do in terms of your sexual health, 372 00:19:56,280 --> 00:19:59,679 Speaker 1: but knowing that it's an option within that spectrum of 373 00:19:59,720 --> 00:20:03,119 Speaker 1: things available to you, I think it's pretty important. So 374 00:20:03,200 --> 00:20:06,120 Speaker 1: now I turn it over to you. Are wonderful listeners, 375 00:20:06,200 --> 00:20:09,000 Speaker 1: let us know your thoughts on this um. And also, 376 00:20:09,040 --> 00:20:11,200 Speaker 1: going back to the original email, the whole question over 377 00:20:11,200 --> 00:20:15,520 Speaker 1: whether or not pharmacists should be allowed to refuse the 378 00:20:15,600 --> 00:20:18,639 Speaker 1: sale of Plan B curious to hear we're Ella or 379 00:20:18,680 --> 00:20:20,840 Speaker 1: Ella curious to hear what you have to say about that, 380 00:20:20,880 --> 00:20:22,399 Speaker 1: although we should say that you do have to have 381 00:20:22,440 --> 00:20:25,160 Speaker 1: a prescription to get Ella, so it is a little 382 00:20:25,160 --> 00:20:26,959 Speaker 1: bit different. But at the same time, they can refuse 383 00:20:27,000 --> 00:20:31,080 Speaker 1: to fill that prescription. So let us know where you stand. 384 00:20:31,200 --> 00:20:34,400 Speaker 1: Mom stuff at how stuff works dot com. And as 385 00:20:34,400 --> 00:20:37,439 Speaker 1: we eager eagerly await your responses, I've got an email 386 00:20:37,520 --> 00:20:43,720 Speaker 1: here in response to our Female super Heroes Too part extravaganza. 387 00:20:44,600 --> 00:20:49,440 Speaker 1: And this is a combination of emails from Brandon and Arianna, 388 00:20:49,480 --> 00:20:52,320 Speaker 1: who pointed out that a lot of the characters that 389 00:20:52,400 --> 00:20:56,360 Speaker 1: we highlighted in the podcast or d C comic characters, 390 00:20:57,080 --> 00:21:02,680 Speaker 1: whereas Marvel comics and the Marvel universe is a lot 391 00:21:02,840 --> 00:21:08,080 Speaker 1: friendlier to female superheroes, and this is from Arianna. She says, 392 00:21:08,440 --> 00:21:11,280 Speaker 1: I noticed a big difference, especially in relation to the podcast, 393 00:21:11,520 --> 00:21:14,560 Speaker 1: because Marvel has more real women than d C. In 394 00:21:14,600 --> 00:21:17,680 Speaker 1: my opinion, As I was growing up reading mostly Marvel comics, 395 00:21:17,720 --> 00:21:20,040 Speaker 1: I was nothing, but it inspired and empowered by the 396 00:21:20,040 --> 00:21:22,320 Speaker 1: women I saw and read about. A lot of women 397 00:21:22,320 --> 00:21:25,320 Speaker 1: in the Marvel universe hold very high positions, hold jobs 398 00:21:25,320 --> 00:21:27,720 Speaker 1: in male dominated industries, or simply some of the most 399 00:21:27,800 --> 00:21:31,760 Speaker 1: important characters in their world. For instance, she points out 400 00:21:31,800 --> 00:21:36,400 Speaker 1: an iron man Tony Stark's personal assistants Pepper Pots, although 401 00:21:36,440 --> 00:21:38,840 Speaker 1: that is a stereotypically female job, she is the glue 402 00:21:38,920 --> 00:21:42,840 Speaker 1: that holds Tony Stark together. Um In Uncanny X Men, 403 00:21:43,200 --> 00:21:45,720 Speaker 1: she says the single most important mutant in their world 404 00:21:45,800 --> 00:21:48,840 Speaker 1: is Jane Gray Summers, a woman. She's the most powerful 405 00:21:48,880 --> 00:21:52,000 Speaker 1: and has the most potential with her superpowers. And then 406 00:21:52,040 --> 00:21:55,199 Speaker 1: in the Fantastic Four, the Invisible Woman a k a. 407 00:21:55,320 --> 00:21:58,040 Speaker 1: Susan Storm was a student at Columbia and the Hard 408 00:21:58,080 --> 00:22:01,040 Speaker 1: Scientists when she went on a space exploration that led 409 00:22:01,080 --> 00:22:04,960 Speaker 1: to her superhuman abilities. She's an equal member of the 410 00:22:05,240 --> 00:22:10,320 Speaker 1: Fantastic Four, and then Brandon goes on to add that 411 00:22:10,400 --> 00:22:14,879 Speaker 1: we need to pay some attention to Hawkeye a k A. 412 00:22:15,480 --> 00:22:19,000 Speaker 1: Kate Bishop, who is a member of the Young Avengers. 413 00:22:19,359 --> 00:22:22,080 Speaker 1: Kate steps up and saves the day using combat skill 414 00:22:22,160 --> 00:22:25,480 Speaker 1: she has nurtured for years prior to her first appearance 415 00:22:25,480 --> 00:22:29,840 Speaker 1: and joins the Young Avengers afterwards. And then, to name 416 00:22:29,880 --> 00:22:34,639 Speaker 1: a few other Marvel characters, we have Daredevil's Ally, Electura, 417 00:22:34,800 --> 00:22:39,639 Speaker 1: and Shadow Cat of X Men. So so many, so 418 00:22:39,680 --> 00:22:44,000 Speaker 1: many different superhero female superheroes we didn't even have time 419 00:22:44,400 --> 00:22:48,880 Speaker 1: to highlight. Keep them coming. You can send us them 420 00:22:48,920 --> 00:22:50,920 Speaker 1: at mom Stuff at house stuffwork dot com. You can 421 00:22:51,000 --> 00:22:53,480 Speaker 1: post them on our Facebook page you get a conversation 422 00:22:53,560 --> 00:22:56,240 Speaker 1: going over there, you can tweet it to us at 423 00:22:56,280 --> 00:23:00,480 Speaker 1: mom Stuff podcast, or you can leave us a comment 424 00:23:00,520 --> 00:23:03,320 Speaker 1: on our blog It's stuff Mom Never Told You and 425 00:23:03,359 --> 00:23:09,119 Speaker 1: It's how Stuff Works dot com For more on this 426 00:23:09,320 --> 00:23:11,680 Speaker 1: and thousands of other topics. Is it how stuff works 427 00:23:11,680 --> 00:23:14,359 Speaker 1: dot com. To learn more about the podcast, cook on 428 00:23:14,400 --> 00:23:17,320 Speaker 1: the podcast icon in the upper right corner of our homepage. 429 00:23:18,080 --> 00:23:20,119 Speaker 1: The how Stuff Works I find app has a ride. 430 00:23:20,240 --> 00:23:27,679 Speaker 1: Download it today on iTunes. Brought to you by the 431 00:23:27,720 --> 00:23:31,040 Speaker 1: reinvented two thousand twelve Camray. It's ready, Are you