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Over-the-counter oral contraception in the United States: An important opportunity at a time of increased concern about contraceptive access

      Access to the full range of contraceptive methods is a foundational component of reproductive well-being [
      • Axelson SM
      • Sealy GA
      • McDonald-Mosley RE.
      Reproductive well-being: a framework for expanding contraceptive access.
      ], and we are at a pivotal moment for contraceptive access in the United States. The Food and Drug Administration (FDA) is considering the first-ever application for an over-the-counter (OTC) progestin-only oral contraceptive pill—a culmination of more than two decades of science and advocacy that would put the U.S. on par with many other countries where oral contraception has long been available OTC [
      • Grossman D.
      Over-the-counter access to oral contraceptives.
      ]. This opportunity to expand access to contraception is all the more important in the wake of the Dobbs v. Jackson Women's Health Organization decision overturning fundamental abortion protections in the United States [
      Dobbs, State Health Officer of the Mississippi Department of Health v. Jackson Women’s Health Organization.
      ]. Between misconceptions conflating contraception with abortion, which have been strategically perpetuated to undermine contraceptive access [
      • Dreweke J.
      Contraception is not abortion: the strategic campaign of antiabortion groups to persuade the public otherwise.
      ], and explicit questioning of long-standing legal precedent for contraceptive rights [
      Dobbs, State Health Officer of the Mississippi Department of Health v. Jackson Women’s Health Organization.
      ], the scientific community must do all it can to ensure equitable access informed by evidence.

      Keywords

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