You’d have to be living under a rock to have missed the recent political and culture debates about contraceptive access and coverage. Having practiced ob-gyn since the early 1970s, I can tell you that contraception is a fundamental part of women’s health care, just as important as Pap screening, prenatal care, and breast exams. ACOG has long advocated for the right of women to obtain contraception, expanded access to and coverage of it, and a doctor’s ability to prescribe contraception to his or her patients.
More than 80% of reproductive-age women will use contraception for a wide variety of reasons, not just for birth control. Hormonal contraceptives can help with gynecologic problems such as endometriosis, menstrual cycle irregularities, fibroids, and premenstrual syndrome. They also treat acne, improve bone density, help with perimenopausal symptoms, and reduce the risk of certain cancers.
Of course, many women use contraception to avoid pregnancy. However, not enough do, because roughly half of the pregnancies in the US are unintended. Unplanned pregnancies often cause undue strain on women, their families, and society. Lack of access and affordability of contraception deprives a woman of her right to plan a pregnancy at a time that makes most sense for her. Clearly, any campaign to reduce unintended pregnancy must be coupled with a comprehensive program of sex education and easily accessible options for contraceptive health.
I take pride in the fact that my patients turn to me for advice and guidance about medical issues, healthy lifestyle, screenings, immunizations, and their contraceptive needs. I trust that women know what’s best for their lives and their bodies. I also know that contraception is a basic necessity used to protect and improve women’s health. And I am not alone. I stand with ACOG in putting women first. I fully support the right of all women to unimpeded contraceptive access.