The Mercury News

OB/ GYN group backs over- the- counter pills

Doctors: Birth control should be more accessible

- By Lauran Neergaard

WASHINGTON — The nation’s largest group of obstetrici­ans and gynecologi­sts says birth control pills should be sold over the counter, like condoms, without a prescripti­on or doctor’s exam.

Tuesday’s surprise opinion from these gatekeeper­s of contracept­ion could boost longtime efforts by women’s advocates to make the pill more accessible.

But no one expects the pill to be sold without a prescripti­on any time soon: A company would have to seek government permission first, and it’s not clear if any are considerin­g it. Plus there are big questions about what such a move would mean for many women’s wallets if it were no longer covered by insurance.

Still, momentum may be building.

Already, anyone 17 or older doesn’t need to see a doctor before buying the morning- after pill — a higher- dose version of regular birth control that can prevent pregnancy if taken shortly after unprotecte­d sex.

Earlier this year, the Food and Drug Administra­tion held a meeting to gather ideas about how to sell regular oral contracept­ives without a prescripti­on, too.

Now the infl uential American College of Obstetrici­ans and Gynecologi­sts is declaring it’s safe to sell the pill that way.

Wait, why would doctors who make money from women’s yearly visits for a birth- control prescripti­on advocate giving that up?

Half of the nation’s pregnancie­s every year are unintended, a rate that hasn’t changed in 20 years — and easier access to birth control pills could help, said Dr. Kavita Nanda, an OB/ GYN who co- authored the opinion for the doctors group.

If the pill didn’t require a prescripti­on, women could “pick it up in the middle of the night if they run out,” she said.

“It removes those types of barriers.”

Tuesday, the FDA said it was willing to meet with any company interested in making the pill nonprescri­ption, to discuss what if any studies would be needed.

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