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Posted: 2023-08-29T17:24:50Z | Updated: 2023-08-30T22:09:58Z

Since Roe v. Wade fell, nearly half of states in the U.S. have implemented near-total bans or severe restrictions on abortion care. Getting an abortion was never easy, even when Roe was the law of the land, but now its a logistical and financial nightmare putting care out of reach for most people, especially poor people, folks of color and women who live in rural areas.

But theres a quiet revolution happening in the homes of American women and pregnant people across the country. People are taking matters into their own hands and ending unwanted pregnancies at home outside of a formal health care setting. And unlike the dangers of pre-Roe back-alley abortions, managing your own care with abortion pills is extremely safe and effective for anyone less than 13 weeks pregnant, according to the World Health Organization .

People can self-manage their abortions, they can do their own abortions, and it is safe. But we have to talk about it, Renee Bracey Sherman, founder and executive director of abortion storytelling organization We Testify , told HuffPost. People have to be able to see people who have been there and done it so that they know they can do it, too.

People can self-manage their abortions ... and it is safe. But we have to talk about it.

- Renee Bracey Sherman, We Testify

More and more people are ending unwanted pregnancies at home with abortion pills the combination of two FDA-approved drugs called mifepristone and misoprostol or misoprostol alone. Access to abortion pills has expanded rapidly since the pandemic because of the rise of online pharmacies in the U.S. and international websites that ship abortion pills to your home. Women who choose to self-manage abortions outside of a health care setting can access resources like the Miscarriage and Abortion Hotline for medical support or the Repro Legal Helpline for legal advice.

Despite the fact that self-managed abortion is only illegal in Nevada, the threat of criminalization for managing your own care is real. Dozens of women have been arrested, prosecuted and jailed for managing their own care often because a rogue prosecutor in a deeply conservative area misapplies laws to further his own anti-choice agenda.

Before Roe, we had activists and folks like The Janes or Pat Maginnis or midwives and doulas, Black abortion providers in communities who provided safe abortions. That was because they spread the information to everyone in their communities to say, This is actually OK, Bracey Sherman said. We see talking about self-managed abortion in that same legacy.

Nineteen-year-old me would have loved to have known that there were pills I could have gotten to do my abortion at home, she added. Those of us who have been through it are trying to impart our abortion wisdom on people who are trying to get abortions right now.

HuffPost spoke with four We Testify storytellers who recently managed their abortions from the comfort of their own homes. These are their stories, edited and condensed, below.