keeping my eye out for the most up-to-date size-inclusive guidelines for pregnancy prevention & termination (pls add on if you have resources), but here’s a quick rundown from a wonderful HAES physician & fat activist:
As the conversation about abortion swirls, it’s a good time to remind ourselves and our patients that plan B is less effective in patients over 155lbs (?!).
The best advice for patients of size until better products are available is to:
- take 2 if you have them.
- take 1 as soon as possible if you don’t have two
- Ella is effective up to a BMI of 30, less effective up to 35. It also can be used with no decreased effectiveness up to day 5.
- Copper IUDs are the most effective post coital contraceptive
- ocps are also less effective in fat patients and may not provide as good endometrial or pregnancy protection
- Progesterone IUDs should be strongly considered in patients of size who want to prevent pregnancy or need endometrial protection, especially if they live or study in abortion restricted states.
- I don’t know the weight significance for abortion pills- looking into it.