A Guide to Abortion Resources in a Post-Roe America

In a perfect world, access to abortion would be easy. The moment you realize you need an abortion, you can take some abortion pills at the pharmacy or make an appointment with your regular gynecologist for a quick and easy vacuum aspiration. But we do not live in a perfect world. In today’s America, access to abortion can be impossible at worst and at best loaded: even in “safe” states like California and New York, abortion pills are very restricted and can be quite expensive. And because few gynecologists offer abortion services outside of their private practice, you need to find a specialized clinic, which can be a difficult process, especially because many anti-abortion “crisis pregnancy centers” are easy to confuse with the actual abortion providers.

And creepy, things will only get worse in the coming months. Across the country, expansive bans such as Texas Senate Bill 8 have made abortion functionally inaccessible; and now, with the annulment of the U.S. Supreme Court Roe against Wade, access is about to disappear in about half of America. No one is safe from these bans: even if abortion rights are legally protected in your home state, the influx of patients from other states is likely to tax a system that is already very stressed, making it difficult to get appointments.

All of this is compounded by a general truth about abortion: most people don’t really think about how to get one until they face an unwanted pregnancy. But this is something you can change. One of the best things you can do in our post-Roe The world is to know your options in advance and make an abortion access plan long before you need one, and share this information with other people, so they can prepare as well.

Which abortion method is right for me?

There are two main types of abortion, surgical and medical (also known as medication abortion or pill abortion). A surgical abortion is performed by a trained professional, who uses techniques such as vacuum aspiration or dilation and curettage (D&C) to empty the contents of a uterus. In a medication abortion, a combination of pills (either mifepristone and misoprostol, or misoprostol alone) is used to induce a miscarriage. There are pros and cons to each method. A surgical abortion requires traveling to a clinic, but it is over and done quickly. A medical abortion can be done from anywhere, but it usually takes a few days to complete. Also, not everyone can have a pill abortion – if you have a bleeding disorder, an IUD, or need a miscarriage later in pregnancy, a surgical abortion may be your safest bet.

Your abortion plan will look different depending on whether you opt for a surgical abortion or medications, so it’s a good idea to get to know both of them and decide soon which option you think is best for you. If you tin having a medication abortion might be the best option; as abortion clinics fill up with clients, waiting times for appointments increase. The longer you wait to have an abortion, the more complicated and expensive it can be. In short, an abortion with medication now it may be a better option than a surgical abortion in a few weeks, even if a surgical abortion would be your first choice in an ideal setting.

Where is my nearest abortion provider?

If you choose a surgical abortion, your first stop should be Abortion Finder, a database of hundreds of trusted and verified abortion providers in the United States. Unlike Google, which sometimes shows anti-abortion organizations when you search for an abortion clinic, Abortion Finder will only show you the actual abortion providers, along with the relevant abortion laws in that state. If you live in a state with severe abortion restrictions, Abortion Finder filters allow you to find the nearest clinic that suits your needs: a clinic that does not require a waiting period, one that will offer you a abortion after six weeks or whatever. maybe you are looking.

If a medical abortion is a good option for you, there are still more resources available. While you can go to a physical clinic to get your abortion pills, research has repeatedly shown that taking these pills at home, alone, is as safe as taking them in the presence of a doctor. Plan C maintains a large database of verified providers of abortion pills, including both telehealth services that provide support during the abortion process and online pharmacies that will mail you the pills without additional support.

What if abortion is illegal in my state?

Even if abortion is illegal wherever you are, abortion with pills is still an option. If you can travel to a state where abortion is legal, a telehealth service can send you the pills there. And if you can’t travel, the European site AidAccess will connect you to an Indian pharmacy that sends abortion pills to the 50 U.S. states, regardless of abortion laws. Because abortion is time-sensitive and the process of sending pills from India can take several weeks, AidAccess is also willing to prescribe abortion pills to people who are not currently pregnant in case they need them in the future. That’s right: you can go to AidAccess and get abortion pills Right Now. (How is this to plan ahead?)

Anything else you should know?

While a pill abortion is incredibly safe, doing it alone can be intimidating. Fortunately, several places have been created to guide people through the self-management process of a pill abortion. How to use the abortion pill and self-managed abortion; Safe and Supported offers everything you need to know about both mifepristone and misoprostol abortions and misoprostol-only abortions. There’s also Reprocare Healthline, which offers peer-based and trauma-informed emotional support to anyone who aborts at home with pills. And although self-managed abortion with pills is medically very safe, it is important to know that it can carry legal risks, especially if you live in a state where abortion is illegal. The Repro legal helpline is a free and confidential helpline that provides information and advice to people who want to self-manage their abortions. And if you end up having problems, the Repro Legal Defense Fund offers bail and legal defense to people who have been investigated, arrested, or prosecuted for self-managed abortion.

Regardless of the type of abortion you perform, it is likely to cost you money, not just the abortion itself, but also possible travel expenses. If you can set aside money for a future abortion, great! But because many people opt for abortion because of financial problems, this is not necessarily a realistic option. Funds for abortion can help. The National Abortion Fund Network will connect you with an organization that will help you solve your financial and logistical needs and do everything possible to remove the barriers between you and your abortion. (Do you want to support access to abortion? Donating funds for abortion is a great idea, as is donating to independent clinics.)

Everyone deserves easy access to a safe and affordable abortion. There is no doubt that the United States is going the wrong way and that abandoning the right to abortion will unnecessarily harm many pregnant people. But if you need an abortion, please know that you are not alone. There are many, many people and services willing and eager to help you get the care you need. The biggest hurdle is knowing where to find them, and you just got over it.

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