by Terry Bellamak
In mid-September Pharmac decided to fully fund progesterone. The change is expected to increase access to hormone replacement therapy for symptoms of menopause.
Progesterone has another, more sinister unapproved use, as part of anti-choice movement’s dance of misogyny. They call it “abortion reversal,” and say it is for all those pregnant people who take the first pill, then suddenly change their mind (reinforcing the myth of female indecision and fickleness).
In 2012 Dr George Delgado, an anti-abortion doctor in California, released his study of six women who took progesterone after having taken mifipristone, to stop their medical abortions. According to Delgado, four of the six continued their pregnancies.
In 2019, researchers from the University of California at Davis tried to replicate Delgado’s findings in a randomised, controlled trial. Safety concerns, however, caused them to end the study after just 12 patients had been enrolled. Three of the enrolled patients experienced severe haemorrhage requiring hospital care.
The American College of Obstetrics and Gynaecology says “abortion reversal” is not backed by science, and calls it “unproven and unethical.” The Society of Obstetricians and Gynaecologists of Canada warns that it can cause serious complications for patients. The American Medical Association calls it “patently false” and “unproven.” No reputable medical association supports this unapproved use of progesterone.
In New Zealand, the Ministry of Health advises patients can change their minds about abortion right up until the abortion begins. At that point the abortion cannot be reversed. This advice accords with the advice of respected international medical bodies.
So why are we talking about this?
Because there may be anti-abortion doctors in Aotearoa who might be willing to gamble with their patients’ health by prescribing progesterone for this unapproved “abortion reversal.” Any doctor who behaves so recklessly should face sanctions from whatever medical body they belong to, be it the College of General Practitioners, the Royal Australia New Zealand College of Obstetrics and Gynaecology, or the Medical Council of New Zealand.
Right now, after Pharmac’s announcement, would be the best time for these medical associations to spell out what sanctions would be taken against practitioners who are found to have prescribed progesterone for this purpose. Considering the risks, those sanctions should be serious.
ALRANZ Abortion Rights Aotearoa calls upon the College of General Practitioners, the Royal Australia New Zealand College of Obstetrics and Gynaecology, or the Medical Council of New Zealand to denounce the unapproved use of progesterone for “abortion reversal” and to state the penalties they will impose on doctors who gamble with their patients’ health in this way.