Jack Quemi Gutirrez was a 20-year-old college student in a self-described shitty relationship when they found out they were pregnant.

It was 2011 and Gutirrez, a nonbinary person who uses the pronouns they/them, had to pool all their money at the time to pay the $500 to get the abortion pill. Even though Gutirrez chose to have a medication abortion (I didnt want a bunch of people in my crotch), they were still forced to undergo two trans-vaginal ultrasounds before obtaining the abortion pill.

I felt very, very much alone, Gutirrez told HuffPost. I didnt have any frame of reference for what an abortion would be like, period. Not to mention what an abortion would be like as a nonbinary person.

Although Gutirrez went to Planned Parenthood , they were constantly misgendered and there was no option for preferred pronouns or name on the intake form.

I got called Miss and Maam all the time, they said. And [the staff] was super sweet to me, but I was too terrified to really sit down and have a conversation and say, Hey, my pronouns are this and my identity is this, could you stop doing that? I was too busy going, Holy shit, Im in a clinic and I dont know what to expect. (Planned Parenthood now offers preferred pronouns and gender identity options on their intake forms.)