Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Interest in OTC Access to Progestin-Only Pills

Women’s Health Issues; ePub 2018 Jan 29; Grindlay, et al

There is an interest in an over-the-counter (OTC) progestin-only pill among US teens and adults, with the potential for improved contractive access, a recent study found. A nationally representative, cross-sectional, online survey conducted in October 2015 included 2,026 sexually active adult women aged 18 to 44 years not currently desiring pregnancy, and 513 female teens aged 15 to 17. Characteristics associated with likely OTC progestin-only pill use were identified. Among the findings:

  • 39% of adult participants and 29% of teens reported likely use.
  • Adults were willing to pay $15 per month and teens $10 per month on average.
  • Among adults, women who were never married or living alone (vs married), uninsured (vs privately insured), current pill or less effective method users, tried to get a birth control prescription in the past year, or ever used an oral contraceptive pill or progestin-only pill, had higher odds of likely use.
  • Teens who ever had sex had higher odds of likely use.


Grindlay K, Grossman D. Interest in over-the-counter access to a progestin-only pill among women in the United States. [Published online ahead of print January 29, 2018]. Women’s Health Issues. doi:10.1016/j.whi.2017.11.006.