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< Back Northwest Abortion Access Fund The Northwest Abortion Access Fund is an abortion fund serving Washington, Oregon, Idaho, and Alaska. We help people pay for their abortion care by sending funding directly to the clinic. We also help people get to and from the clinic. And we make sure people traveling for care have a safe place to stay. ​ Previous Next

< Back Adoption Is adoption right for me? Some people choose adoption when faced with a pregnancy. Information and support is important, but the decision is personal and only you know what’s best for you. Why do people decide to place their babies for adoption? If you’re facing an unplanned pregnancy, you’re not alone. About half of all women in the U.S. have an unplanned pregnancy at some point in their lives, and some decide to give birth and place their baby for adoption. The process of adoption is when you give birth and then choose someone else to parent your child. It’s a permanent, legal agreement where you agree to place your child in the care of another person or family permanently. You are in charge of your choice. There are many families throughout the country that are hoping to build their families through adoption. There are laws in every state guiding adoptive families and protecting you, so it’s important that you speak with an adoption agency or attorney. The decision to place a child for adoption is personal, and you’re the only one who can make it. Everyone has their own unique and valid reasons for choosing adoption. Some of the many different reasons people decide to place a child for adoption include: They’re not ready to be a parent. They can’t afford to raise a child. They don’t want to be a single parent. They want to be the best parent possible to the kids they already have. It’s not a good time in their life to raise a child. They want to finish school, focus on work, or achieve other goals before parenting a child. They’re not in a relationship with someone they want to parent a child with. They believe adoption is the best chance for their child to be well-cared for. They’re in an abusive relationship or were sexually assaulted. They just don’t want to be a parent right now. What can I think about to help me decide? Family, relationships, money, school, work, life goals, personal beliefs, and the well-being of your future child — most people think carefully about all of these things before choosing adoption. But every person’s situation is different, and only you can decide what’s best in your case. Here are some things to ask yourself: Do I feel comfortable letting someone else parent my child? Do I believe my child will be treated well by the adoptive parent(s)? Do I feel I can’t care for a child now? Would I consider abortion or parenting? Is someone pressuring me to choose adoption? Am I ready to go through pregnancy and childbirth? Am I prepared to cope with the feelings of loss I may have? Will I feel okay if I visit my child and their family 2 or 3 times a year, or possibly never see them again? Do I have people in my life who will support me through my pregnancy, birth, and adoption process? There can be lots of stuff to consider, and it’s totally normal to have many different feelings and thoughts when making your decision. That’s why it’s important to get factual, non-judgmental information about your pregnancy options. Support from other people you trust can also help you figure out if adoption is right for you. Who can I talk to about adoption? Talking with your partner, someone in your family, a friend, a religious advisor, or a counselor can be helpful when you’re making a choice about an unplanned pregnancy. Lots of people lean on others to help them with their decision. It’s good to choose people who you know are supportive of you and won’t be judgmental. An adoption agency can give you information and help you think through your decision. Many family planning clinics have specially trained staff that can give you accurate information about all your options and other resources. The staff at your local health clinic listed on Clinics and Providers can also refer you to adoption agencies or other resources in your area. No one should pressure you into making any decision about your pregnancy, no matter what. At the end of the day, only you know what’s right for you. You might be wondering how to start the adoption process. Here are some things to look for when you check out adoption agencies: They have an authentic, transparent, unbiased website. They listen to you. You’re treated with dignity and respect. They don’t judge you. They have fact-based answers to your questions and support you no matter what you choose to do. When you make your choice — no matter what it is — they’ll help connect you with the resources you need. If you’re having a hard time finding someone in your life to talk with, check out All-Options 1-888-493-0092 or The National Pro-Choice Adoption Collaborative. Both offer free hotlines that give you a confidential space to talk about your feelings about your pregnancy. They’ll give you judgement-free support no matter what you decide to do. How does it feel to place a baby for adoption? It’s really normal to have a lot of different feelings after placing your child for adoption. Lots of people who choose adoption are happy knowing that their child is living with a family who loves and cares for them. They may feel empowered as birth parents, because the decision they made helped give their child a good life. Some people find that the sense of loss is deeper than they expected. It’s totally normal to feel grief after the adoption is complete. You might also feel reassured and relieved. Having many different feelings is very common, and your feelings might be complicated for a while. Talking with a counselor who’s experienced with adoption and talking with other people who’ve been through adoption can give you support and help you work through your emotions, both during and after the adoption process. If you work with an adoption agency, they may provide counseling. If you have an independent adoption, you can request counseling through a local adoption agency. No matter which type of adoption you decide on, it’s important to find people who will support you during and after your pregnancy and the adoption. You can also call All-Options and The National Pro-Choice Adoption Collaborative for judgement-free support anytime. When do I have to decide about adoption? It’s important to take the time you need to make the best decision for you. Some people start planning their child’s adoption early in their pregnancy, and others begin later in pregnancy. A few even start the adoption process at the hospital after the baby is born. Your timeline for making an adoption plan depends on you and your needs and situation. It’s a good idea to talk to a nurse or doctor as soon as you can so you can get the best medical care possible. The staff at your local health center are always here to provide expert medical care and support, no matter what decision you make. Previous Next

< Back Planned Parenthood There are two ways of ending a pregnancy: in-clinic abortion and the abortion pill. Both are safe and very common. If you’re pregnant and thinking about abortion, you may have lots of questions. We’re here to help. ​ Previous Next

< Back Lilith Clinic When no one else would, or could, give women choice, we did. And now, more than 40 years later, we continue to help women – and men – make the best possible choices for their futures. ​ Previous Next

< Back Parenting Is parenting the right option for me? Deciding whether to raise a child is a very important and very personal choice. Everyone’s situation is different, and only you know what’s best for you and your family. Why do people decide to become parents? If you’re facing an unplanned pregnancy, you’re not alone — about half of all women in the U.S. have an unplanned pregnancy at some point in their lives. People who are pregnant have three options: parenting, having an abortion, or placing their baby for adoption. Many decide to continue the pregnancy and parent the child. Everyone has their own unique and valid reasons for choosing to have and raise a child. Parenting can be joyful, rewarding, and life-changing — many parents say it’s the best decision they ever made. But having a baby is also a lifelong commitment that takes lots of love, energy, and patience. It’s normal to have lots of different feelings about whether you’re ready to take on the challenge of parenting. Sometimes, deciding what to do about an unplanned pregnancy is really simple and easy. Other times, it’s very difficult or complicated. But either way, the choice to become a parent is personal, and you’re the only one who can make it. Am I ready for a baby? Family, relationships, money, school, work, life goals, personal beliefs, and the well-being of your future child — most people think carefully about all of these things before choosing to parent. But every person’s situation is different, and only you can decide what’s best in your case. Here are some things to ask yourself if you’re thinking about becoming a parent: Do I want to start a family now? Am I ready to be totally responsible for all of my child’s needs? Will I be able to raise my child in a loving and healthy home? Can I afford to raise a child right now? What kind of support will I have from my family, my friends, and my partner/the father? What would having a baby right now mean for my future? How would having a baby right now affect my family or other children? Would I consider adoption or abortion? Is someone pressuring me to become a parent? Am I ready to go through pregnancy and childbirth? Do my partner and I both feel good about staying together and parenting together? How do I feel about co-parenting if we break up, or parenting alone? Though parenting is hard work, it can also be fun, exciting, and super rewarding. The love parents share with their kids can be really fulfilling. But parents have to give up a lot for their children. Meeting your child's needs can be very challenging. People who are raising kids usually get less sleep and don’t have as much time to do things they need and want to do. Having a baby is expensive, and many people find it hard to financially support their children. Having children can also mess with your school or career plans and goals. Parenting with a partner can bring you closer together, and creating a family with someone often feels really gratifying. But many people find that having a child tests even the strongest relationship in ways they don’t expect. Raising a child on your own can be especially challenging, but everyone’s situation is different, and there’s no way to know for sure how having a baby will affect your life and relationships. There’s lots of stuff to consider, and it’s totally normal to have many different feelings and thoughts when making your decision. That’s why it’s important to get honest, supportive information about all of your pregnancy options. Support from other people you trust can also help you figure out if parenting is right for you. Who can I talk to about having a baby? Talking with your partner, someone in your family, a friend, a religious advisor, or a counselor can be helpful when you’re making a choice about an unplanned pregnancy. Asking other parents about the joys and struggles of parenting can also help you figure out if you’re ready to raise a child. But it’s good to choose people who you know are supportive of you and won’t be judgmental. Many family planning clinics have specially trained staff that can give you accurate information about all of your options and other resources if you need more help. At a clinic listed on the Clinics and Providers page, you can get information about all of your options, answers to your questions, and support no matter what you decide to do. But be careful when looking for a reliable health center. There are fake clinics that say they have pregnancy services. These are called Crisis Pregnancy Centers, and they’re run by people who are anti-abortion and don’t believe in giving you truthful facts about all of your pregnancy options. No one should pressure you into making any decision about your pregnancy, no matter what. So it’s important to get the info and support you need from people who give you the real facts and won’t judge you. At the end of the day, only you know what’s right for you. If you’re having a hard time finding someone in your life to talk with, check out All-Options. All-Options has a free hotline 1-888-493-0092 that gives you a confidential space to talk through your pregnancy experience. They’ll give you judgment-free support, no matter what choice you make or how you feel about it. When do I have to make a decision about my pregnancy? It’s important to take the time you need to make the best decision for you. If there’s a chance you’ll continue your pregnancy — whether or not you choose to parent the child — start getting prenatal care as soon as you can. And visit your doctor regularly throughout your pregnancy to make sure you and your pregnancy are healthy. No matter what decision you make, it’s a good idea to talk to a nurse or doctor as soon as you can so you can get the best medical care possible. The staff at your local health center are always here to provide expert medical care and support, no matter what decision you make. Previous Next

< Back Emergency Contraception Emergency contraception consists of methods that can be used by women after sexual intercourse to prevent pregnancy. Emergency contraception methods have varying ranges of effectiveness depending on the method and timing of administration. Types of Emergency Contraception Intrauterine Device Cu-IUD ECPs UPA in a single dose (30 mg) Levonorgestrel in a single dose (1.5 mg) or as a split dose (1 dose of 0.75 mg of levonorgestrel followed by a second dose of 0.75 mg of levonorgestrel 12 hours later) Combined estrogen and progestin in 2 doses (Yuzpe regimen: 1 dose of 100 µg of ethinyl estradiol plus 0.50 mg of levonorgestrel followed by a second dose of 100 µg of ethinyl estradiol plus 0.50 mg of levonorgestrel 12 hours later) Initiation of Emergency Contraception Timing Cu-IUD The Cu-IUD can be inserted within 5 days of the first act of unprotected sexual intercourse as an emergency contraceptive. In addition, when the day of ovulation can be estimated, the Cu-IUD can be inserted beyond 5 days after sexual intercourse, as long as insertion does not occur >5 days after ovulation. ECPs ECPs should be taken as soon as possible within 5 days of unprotected sexual intercourse. Comments and Evidence Summary. Cu-IUDs are highly effective as emergency contraception (283) and can be continued as regular contraception. UPA and levonorgestrel ECPs have similar effectiveness when taken within 3 days after unprotected sexual intercourse; however, UPA has been shown to be more effective than the levonorgestrel formulation 3–5 days after unprotected sexual intercourse. The combined estrogen and progestin regimen is less effective than UPA or levonorgestrel and also is associated with more frequent occurrence of side effects (nausea and vomiting). The levonorgestrel formulation might be less effective than UPA among obese women. Two studies of UPA use found consistent decreases in pregnancy rates when administered within 120 hours of unprotected sexual intercourse. Five studies found that the levonorgestrel and combined regimens decreased risk for pregnancy through the fifth day after unprotected sexual intercourse; however, rates of pregnancy were slightly higher when ECPs were taken after 3 days. A meta-analysis of levonorgestrel ECPs found that pregnancy rates were low when administered within 4 days after unprotected sexual intercourse but increased at 4–5 days (Level of evidence: I to II-2, good to poor, direct). Advance Provision of ECPs An advance supply of ECPs may be provided so that ECPs will be available when needed and can be taken as soon as possible after unprotected sexual intercourse. Comments and Evidence Summary. A systematic review identified 17 studies that reported on safety or effectiveness of advance ECPs in adult or adolescent women. Any use of ECPs was two to seven times greater among women who received an advance supply of ECPs. However, a summary estimate (relative risk = 0.97; 95% confidence interval = 0.77–1.22) of five randomized controlled trials did not indicate a significant reduction in unintended pregnancies at 12 months with advance provision of ECPs. In the majority of studies among adults or adolescents, patterns of regular contraceptive use, pregnancy rates, and incidence of STDs did not vary between those who received advance ECPs and those who did not. Although available evidence supports the safety of advance provision of ECPs, effectiveness of advance provision of ECPs in reducing pregnancy rates at the population level has not been demonstrated (Level of evidence: I to II-3, good to poor, direct). Initiation of Regular Contraception After ECPs UPA Advise the woman to start or resume hormonal contraception no sooner than 5 days after use of UPA, and provide or prescribe the regular contraceptive method as needed. For methods requiring a visit to a health care provider, such as DMPA, implants, and IUDs, starting the method at the time of UPA use may be considered; the risk that the regular contraceptive method might decrease the effectiveness of UPA must be weighed against the risk of not starting a regular hormonal contraceptive method. The woman needs to abstain from sexual intercourse or use barrier contraception for the next 7 days after starting or resuming regular contraception or until her next menses, whichever comes first. Any non hormonal contraceptive method can be started immediately after the use of UPA. Advise the woman to have a pregnancy test if she does not have a withdrawal bleed within 3 weeks. Levonorgestrel and Combined Estrogen and Progestin ECPs Any regular contraceptive method can be started immediately after the use of levonorgestrel or combined estrogen and progestin ECPs. The woman needs to abstain from sexual intercourse or use barrier contraception for 7 days. Advise the woman to have a pregnancy test if she does not have a withdrawal bleed within 3 weeks. Comments and Evidence Summary.The resumption or initiation of regular hormonal contraception after ECP use involves consideration of the risk for pregnancy if ECPs fail and the risks for unintended pregnancy if contraception initiation is delayed until the subsequent menstrual cycle. A health care provider may provide or prescribe pills, the patch, or the ring for a woman to start no sooner than 5 days after use of UPA. For methods requiring a visit to a health care provider, such as DMPA, implants, and IUDs, starting the method at the time of UPA use may be considered; the risk that the regular contraceptive method might decrease the effectiveness of UPA must be weighed against the risk of not starting a regular hormonal contraceptive method. Data on when a woman can start regular contraception after ECPs are limited to pharmacodynamic data and expert opinion. In one pharmacodynamic study of women who were randomly assigned to either UPA or placebo groups mid-cycle followed by a 21-day course of combined hormonal contraception found no difference between UPA and placebo groups in the time for women’s ovaries to reach quiescence by ultrasound and serum estradiol; this finding suggests that UPA did not have an effect on the combined hormonal contraception. In another pharmacodynamic study with a crossover design, women were randomly assigned to one of three groups: 1) UPA followed by desogestrel for 20 days started 1 day later; 2) UPA plus placebo; or 3) placebo plus desogestrel for 20 days. Among women taking UPA followed by desogestrel, a higher incidence of ovulation in the first 5 days was found compared with UPA alone (45% versus 3%, respectively), suggesting desogestrel might decrease the effectiveness of UPA. No concern exists that administering combined estrogen and progestin or levonorgestrel formulations of ECPs concurrently with systemic hormonal contraception decreases the effectiveness of either emergency or regular contraceptive methods because these formulations do not have antiprogestin properties like UPA. If a woman is planning to initiate contraception after the next menstrual bleeding after ECP use, the cycle in which ECPs are used might be shortened, prolonged, or involve unscheduled bleeding. Prevention and Management of Nausea and Vomiting with ECP Use Nausea and Vomiting Levonorgestrel and UPA ECPs cause less nausea and vomiting than combined estrogen and progestin ECPs. Routine use of antiemetics before taking ECPs is not recommended. Pretreatment with antiemetics may be considered depending on availability and clinical judgment. Vomiting Within 3 Hours of Taking ECPs Another dose of ECP should be taken as soon as possible. Use of an antiemetic should be considered. Comments and Evidence Summary. Many women do not experience nausea or vomiting when taking ECPs, and predicting which women will experience nausea or vomiting is difficult. Although routine use of antiemetics before taking ECPs is not recommended, antiemetics are effective in some women and can be offered when appropriate. Health-care providers who are deciding whether to offer antiemetics to women taking ECPs should consider the following: 1) women taking combined estrogen and progestin ECPs are more likely to experience nausea and vomiting than those who take levonorgestrel or UPA ECPs; 2) evidence indicates that antiemetics reduce the occurrence of nausea and vomiting in women taking combined estrogen and progestin ECPs; and 3) women who take antiemetics might experience other side effects from the antiemetics. A systematic review examined incidence of nausea and vomiting with different ECP regimens and effectiveness of anti nausea drugs in reducing nausea and vomiting with ECP use. The levonorgestrel regimen was associated with significantly less nausea than a nonstandard dose of UPA (50 mg) and the standard combined estrogen and progestin regimen. Use of the split-dose levonorgestrel showed no differences in nausea and vomiting compared with the single-dose levonorgestrel (Level of evidence: I, good-fair, indirect). Two trials of anti nausea drugs, meclizine and metoclopramide, taken before combined estrogen and progestin ECPs, reduced the severity of nausea. Significantly less vomiting occurred with meclizine but not metoclopramide (Level of evidence: I, good-fair, direct). No direct evidence was found regarding the effects of vomiting after taking ECPs. Previous Next

< Back Ending A Pregnancy There are two ways of ending a pregnancy: in-clinic abortion and the abortion pill. Both are safe and very common. If you’re pregnant and thinking about abortion, you may have lots of questions. We’re here to help. Is abortion the right option for me? Abortion is very common, and people have abortions for many different reasons. Only you know what’s best for you, but good information and support can really help you make the decision that is best for your own health and well-being. Why do people decide to have an abortion? If you’re thinking about having an abortion, you’re so not alone. Millions of people face unplanned pregnancies every year, and about 4 out of 10 of them decide to get an abortion. Some people with planned pregnancies also get abortions because of health or safety reasons. Overall, 1 in 4 women in the U.S. will have an abortion by the time they’re 45 years old. Sometimes, the decision is simple. Other times, it’s complicated. But either way, the decision to have an abortion is personal, and you’re the only one who can make it. Everyone has their own unique and valid reasons for having an abortion. Some of the many different reasons people decide to end a pregnancy include: They want to be the best parent possible to the kids they already have. They’re not ready to be a parent yet. It’s not a good time in their life to have a baby. They want to finish school, focus on work, or achieve other goals before having a baby. They’re not in a relationship with someone they want to have a baby with. They’re in an abusive relationship or were sexually assaulted. The pregnancy is dangerous or bad for their health. The fetus won’t survive the pregnancy or will suffer after birth. They just don’t want to be a parent. Deciding to have an abortion doesn’t mean you don’t want or love children. In fact, 6 out of 10 people who get abortions already have kids — and many of them decide to end their pregnancies so they can focus on the children they already have. And people who aren’t already parents when they get an abortion often go on to have a baby later, when they feel they are in a better position to be a good parent. The bottom line is, deciding if and when to have a baby is very personal, and only you know what’s best for you and your family. What can I think about to help me decide? Family, relationships, school, work, life goals, health, safety, and personal beliefs — people think carefully about these things before having an abortion. But you’re the only person walking in your shoes, and the only person who can decide whether to have an abortion. The decision is 100% yours. Here are some things to consider if you are thinking about an abortion: Am I ready to be a parent? Would I consider adoption? What would it mean for my future if I had a child now? What would it mean for my family if I had a child now? How would being a parent affect my career goals? Do I have strong personal or religious beliefs about abortion? Is anyone pressuring me to have or not have an abortion? Would having a baby change my life in a way I do or don’t want? Would having an abortion change my life in a way I do or don’t want? What kind of support would I need and get if I decided to get an abortion? What kind of support would I need and get if I decided to have a baby? Decisions about your pregnancy are deeply personal. You hold the power to make decisions that are best for you in order to stay on your own path to a healthy and meaningful life. There are lots of things to consider, and it’s totally normal to have many different feelings and thoughts when making this decision. That’s why it’s important to get factual, non-judgmental information about abortion. Support from family, friends, partners, and other people you trust can also be helpful. But at the end of the day, only you know what’s right for you. Who can I talk with about getting an abortion? Lots of people lean on others to help them with their decision. It’s good to choose people who you know are understanding and supportive of you. Your local health center has caring professionals that can answer any questions you may have. They'll give you expert care, accurate information about all your options, and non-judgmental support along the way — no matter what you decide about your pregnancy. Other family planning centers and private doctors may also talk with you about your decision. But be careful when looking for a reliable health center, because there are fake clinics out there that claim to offer information about pregnancy options and abortion. They’re called Crisis Pregnancy Centers, and they’re run by people who don’t believe in giving you honest facts about abortion, pregnancy, and birth control. Crisis pregnancy centers are often located very close to Planned Parenthood health centers or other real medical centers, and have similar names — they do this to confuse people and trick them into visiting them instead. No one should pressure you into making any decision about your pregnancy, no matter what. So it’s important to get the info and support you need from people who give you the real facts and won’t judge you. If you’re having a hard time finding someone in your life to talk with, check out All-Options. All-Options has a free hotline that gives you a confidential space to talk about making decisions about a pregnancy. They’ll give you judgment-free support at any point in your pregnancy experience, no matter what you decide to do or how you feel about it. When do I have to make a decision? It’s important to take the time you need to make the best decision for you. It’s also a good idea to talk to a nurse or doctor as soon as you can so you can get the best medical care possible. The staff at your local Planned Parenthood health center is always here to provide expert medical care and support, no matter what decision you make. Previous Next

Sex and COVID With mandatory mask wearing and physical distancing of at least six feet becoming the norm around the nation, the question remains—is sex safe? In short—it can be, but experts say any type of in-person sexual activity does carry some risk. But there are ways to have intimate contact and remain connected.

LGBTQ Love+COVID Learn how you can protect yourself and get help in the time of COVID

How Does COVID 19 Spread? COVID-19 is thought to spread mainly through close contact from person to person, including between people who are physically near each other (within about 6 feet). People who are infected but do not show symptoms can also spread the virus to others.