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A new debate over the controversial morning after pill it's called plan B the Food and Drug Administration considering a proposal that would make the drug available to every one.
With out -- prescriptions he wouldn't have to go to the doctor you -- your drugstore.
Doctor Mark Siegel is a member of the Fox News medical eighteen and a professor at NYU's link on medical center.
A doctor Cathleen London also joins us she is a family practice physician and assistant professor.
At -- Cornell medical college doctors thank you very much more -- for talking to us about this and plan B has always been one of those things where if someone doesn't use protected -- They have to go into the doctor they ask for plan B and it's prescribed.
At these men's doctor Siegel can be dangerous I think what do you think about the becoming so easily accessible.
To the way plan B works is that prevents implantation so of course this political battles about whether it's action abortion -- that's not what we're here to discuss that are really the way the drug works by preventing implantation means up to three days it can prevent pregnancy -- -- a lot of problems.
-- making over the counter because close to the three day mark.
There's a 4% pregnancy rate anyway number one.
Number two it can cause nausea and vomiting so you might actually not get enough of it number three.
It can cause bleeding it also could mask -- sexually transmitted disease that you don't know about all of which is leading up to my argument.
That either and there are a nurse practitioner or physician needs to be in in the loop here now we have a doctor shortage.
But you know we can involve more nurse practitioners -- this we could even have it on the pharmacy level.
I have no problem with prescribing this drug whatsoever I'm very nervous.
About young women under the age of seventeen going to a pharmacy taking this and having no doctor in the -- And therefore if there is a side effect -- blood clots it's -- truck.
I won't know about it.
Doctor London you you disagree a 100% let's start with that that's not how it works we actually have both animal and human data it prevents.
It -- fears -- ovulation it doesn't prevent implantation there is no conception so let's start with that because that's been the argument for -- not making it over the counter it is behind the counter without a prescription if you're over eighteen we've gotten numerous studies actually now that have come forward in teenagers on being able to use it properly.
With the World Health Organization is says it is safe.
The American academy of pediatrics the American academy family -- the AMA are -- for making -- over the -- The the plan B is only leave and are just -- for just sent so it does not increase clock arrest I think doctor Siegel is confusing it with the other kind.
Morning after pill that has to hormones and so this -- is safe.
Teenagers -- already happening sacks.
Should be able to prevent a pregnancy and this will lead to fewer abortions but a lot of equivalent to Italy is clearly you have to cut their teenager -- -- have any argument -- -- -- here you know she can make all the proclamation she wants everything she's saying is misinformation there is no consensus about what this home on those and how works in terms of weight in -- cycle it's used and if it was -- of a pill to prevent ovulation and it wouldn't work up to 72 our number one.
Number two for Justin is associated with the increased blood clots number three and the most important thing is.
What is the role of a physician -- I could tell you.
The way I practice if my patients are going overseas to and everywhere there's dysentery.
I don't given antibiotics just in case I don't give cholesterol drugs just -- -- I don't think -- keep this just in case the way we were taught to practices.
Were there in the -- if there's a medical problem.
We have to know about it right otherwise everything should be over the counter what's the role of a physician what.
And the rules and we don't wanna be taking this pill as a precautionary measure well I might be pregnant so I might as well take the pill anyway and let me welcome you as an Angel Jimenez and tell that this plan -- drug is not a 100%.
A fact that so what if it doesn't work and you are pregnant and what does that do to it doesn't doing nothing -- the woman or the fetus and that's the whole point is that the safety is.
There we've got decade to get of the rest of the world all.
Contraception or over the -- so that we're just doing a protested only as a morning after it isn't such a far -- against.
I -- they're using more and more things over the counter aspirin is one of the most dangerous drugs in the world and it's over the counter because it's always been over the counter using things all as over the counter as argument.
For making more potentially dangerous drugs.
Over the counter as a fallacious argument -- but that we also the issue of ectopic pregnancies that it has helped prevent copyright girls having an ectopic pregnancy not throwing out and having no doctor that they're going to.
Is not a very very good idea I'm simply say I'm very pro plan B I'm not using a political argument here I'm very pro plan B I want to prescribe it I wanna -- who's taking it.
All right we got to leave it there.
Doctor Siegel a doctor London thank you very much for a fair and balanced debate on this and obviously of the debate continues thank you so much -- who's been.
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