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After Donald Trump’s re-election, healthcare providers report a surge in requests for long-term contraception and sterilization, with some women expressing fears about potential restrictions under the incoming administration. Dr. Clayton Alfonso, an OB-GYN at Duke University, noted a marked increase in IUD replacements and inquiries about sterilization, with patients citing concerns over future access to contraceptives. Some women, he said, are replacing effective IUDs early to “restart” their duration before Trump’s inauguration.

Dr. Grace Ferguson, an OB-GYN in Pittsburgh, observed similar concerns, with patients scheduling IUD insertions or stockpiling emergency contraception “because of the upcoming administration change.” Companies that sell emergency contraception have also reported dramatic sales spikes, with Winx Health seeing a 966% increase after Election Day. Confusion between emergency contraception and abortion pills might partly drive demand, though many patients seem motivated by a desire to avoid potential abortion limitations by preventing pregnancy altogether.

Though Trump recently stated he would not restrict contraception, his previous openness to “regulations” on contraceptive access has added to some patients’ concerns. Healthcare providers anticipate that interest in contraception may taper if policy focus shifts away from healthcare, as seen in similar surges after Trump’s 2016 election and the Roe v. Wade overturn in 2022.

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