The Big Problem With Ella

What Women Really Think
June 22 2010 7:26 PM

The Big Problem With Ella

/blogs/xx_factor/2010/06/22/unless_the_new_morningafter_pill_ella_goes_overthecounter_women_wont_use_it/jcr:content/body/slate_image

At first glance, it appears that Ella , the new emergency contraception pill developed by HRA Pharma, could make Plan B, the first "morning-after pill" in the United States, obsolete. Ella works for five days after unprotected sex occurred; Plan B must be taken within 72 hours. Plus, studies show that it may be more effective than Plan B at preventing pregnancy.

Advertisement

So when I talked to James Trussell, director of the Office of Population Research at Princeton University and one of the most well-known pro-choice advocates in the country, I was surprised to hear him say that the didn’t think it would make much of a difference.

He thinks Ella is a great new drug and said (in theory) that he would recommend it to his own daughter if he had one. But since Plan B was approved for over-the-counter status by the Food and Drug Administration in 2006, use has skyrocketed . In the first year it was available OTC, sales doubled. And since then, obtaining emergency contraception has become as easy (for women over 17), as say, buying cigarettes: go to the pharmacy, show proof of age, pay for purchase.

But Ella’s manufacturer, HRA Pharma, didn’t even apply for over-the-counter approval because ulipristal acetate, Ella’s chemical name, is a completely new chemical entity. "Women … are not going to go to their doctor looking for emergency contraception, so how will they ever find out about it?" Trussell asked. "They’ll just go to CVS and buy Plan B one-step."

Frugal women may take the extra step for Ella: Insurance companies that cover other forms of contraception are likely to cover emergency contraception as well , which may make a prescription drug cheaper in some cases, according to Adam Sonfield, a senior public policy associate at the Guttmacher Institute.

Even if Ella doesn’t become a blockbuster prescription drug, a new emergency contraception option, especially one that works for five days, is a big victory for reproductive health advocates. The extra two days can mean a lot for a woman if she doesn’t have easy access to a pharmacy or her pharmacist refuses to dispense emergency contraception.

And if Ella does get FDA approval, it will have one more major challenge: marketing the vague name. We call emergency contraception "Plan B" for a reason.

Photograph of Plan B courtesy of Getty Images.

TODAY IN SLATE

Foreigners

The World’s Politest Protesters

The Occupy Central demonstrators are courteous. That’s actually what makes them so dangerous.

The Religious Right Is Not Happy With Republicans  

The XX Factor
Oct. 1 2014 4:58 PM The Religious Right Is Not Happy With Republicans  

How Did the Royals Win Despite Bunting So Many Times? Bunting Is a Terrible Strategy.

Catacombs Where You Can Stroll Down Hallways Lined With Corpses

Homeland Is Good Again! For Now.

Crime

Operation Backbone

How White Boy Rick, a legendary Detroit cocaine dealer, helped the FBI uncover brazen police corruption.

Music

How Even an Old Hipster Can Age Gracefully

On their new albums, Leonard Cohen, Robert Plant, and Loudon Wainwright III show three ways.

The One Fact About Ebola That Should Calm You: It Spreads Slowly

Piper Kerman on Why She Dressed Like a Hitchcock Heroine for Her Prison Sentencing

  News & Politics
Politics
Oct. 1 2014 7:26 PM Talking White Black people’s disdain for “proper English” and academic achievement is a myth.
  Business
Moneybox
Oct. 1 2014 2:16 PM Wall Street Tackles Chat Services, Shies Away From Diversity Issues 
  Life
Outward
Oct. 1 2014 6:02 PM Facebook Relaxes Its “Real Name” Policy; Drag Queens Celebrate
  Double X
The XX Factor
Oct. 1 2014 5:11 PM Celebrity Feminist Identification Has Reached Peak Meaninglessness
  Slate Plus
Behind the Scenes
Oct. 1 2014 3:24 PM Revelry (and Business) at Mohonk Photos and highlights from Slate’s annual retreat.
  Arts
Brow Beat
Oct. 1 2014 6:39 PM Spoiler Special: Transparent
  Technology
Future Tense
Oct. 1 2014 6:59 PM EU’s Next Digital Commissioner Thinks Keeping Nude Celeb Photos in the Cloud Is “Stupid”
  Health & Science
Science
Oct. 1 2014 4:03 PM Does the Earth Really Have a “Hum”? Yes, but probably not the one you’re thinking.
  Sports
Sports Nut
Oct. 1 2014 5:19 PM Bunt-a-Palooza! How bad was the Kansas City Royals’ bunt-all-the-time strategy in the American League wild-card game?