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The Supreme Court abortion ban impact on dermatology

2022; Elsevier BV; Volume: 87; Issue: 5 Linguagem: Inglês

10.1016/j.jaad.2022.07.026

1097-6787

Jenna Yousif, Taylor Adlam, Jane M. Grant-Kels, Mehdi Farshchian,

Historical Studies on Reproduction, Gender, Health, and Societal Changes

The recent overturn of Roe v Wade, in which the Supreme Court declared the constitutional right to an abortion is more appropriately in the hands of the states, has implications for physicians prescribing potential teratogenic medications. Dermatologists prescribe many of these kinds of medications including, but not limited to, isotretinoin, acitretin, methotrexate, and mycophenolic acid. Oral isotretinoin is commonly prescribed for acne despite being associated with a 20% to 35% risk for congenital abnormalities in pregnant patients. 1 Choi J.S. Koren G. Nulman I. Pregnancy and isotretinoin therapy. CMAJ. 2013; 185: 411-413 Crossref PubMed Scopus (22) Google Scholar To monitor for pregnancy, iPLEDGE, a Food and Drug Administration-approved program, requires monthly pregnancy tests and 2 forms of contraception during treatment with oral isotretinoin, in addition to patient education about the risks of pregnancy. 1 Choi J.S. Koren G. Nulman I. Pregnancy and isotretinoin therapy. CMAJ. 2013; 185: 411-413 Crossref PubMed Scopus (22) Google Scholar If a patient becomes pregnant while taking isotretinoin, physicians often recommend consideration of pregnancy termination because of the fetal malformation risks.