Ella: Not Just the Morning After
Update: Following an FDA Advisory Committee’s “first round” approval for the new emergency contraceptive, ella, NCJW welcomed final FDA approval of this drug on Friday, August 13. We applaud both the scientifically-sound process the FDA employed in its review of the drug, and are pleased that women will have expanded options to safely prevent unintended pregnancy. Learn more by reading NCJW President Nancy Ratzan’s comments about ella’s approval.
by Emily Gordon, NCJW Legislative Team
On June 17, 2010, the Food and Drug Administration (FDA) Advisory Committee for Reproductive Health Drugs approved ulipristal acetate (UPA), a new emergency contraceptive (EC) known as “ella.” This new drug will be available on a prescription-only basis because it is different from already-approved EC like Plan B®, Plan B One-Step, and Next Choice. Ella was approved in 2009 by the European Medicines Agency, and has been proven to prevent unwanted pregnancies for up to 120 hours after unprotected sex.

Unfortunately, ella’s approval did not come without protests from anti-family planning activists. During the approval process, UPA, the main hormonal compound in ella, was inaccurately linked to mifespristone, the compound used in medical abortions. For the record, UPA is not related to mifepristone. Thankfully, the FDA did not fall victim to these anti-family planning arguments; and, by approving ella, the agency took an important step toward increasing birth control options for women.
NCJW is pleased with ella’s approval and hopes that it will increase women’s ability to prevent unwanted pregnancies. Because ella is currently only available by prescription, it may be more affordable than other EC options that — due to their over-the-counter status — are not covered by some insurance plans. In addition, because ella is effective for up to 5 days — rather than only 72 hours — women have more time after birth control failure or unprotected sex to prevent an unwanted pregnancy.
Ella is an important new tool to help ensure that women retain the ability to make important life decisions. The FDA should be applauded for the sound, evidence-based decision-making process they used to review ella.





Women at the Western Wall are forbidden to wear clothes deemed “offensive” to the ultra-Orthodox, establishment that controls Israel’s religious law; wear prayer shawls (tallitot) unless they are hidden underneath layers of coats; sing or worship openly so as not to disturb the prayers of the men across the partition; or read from the Torah. So, the minute that we started singing our morning prayers, the ultra-Orthodox men beyond the partition began to protest. They screamed at the top of their lungs and hurled insults that hurt deeply. We kept praying, even as the chorus of yells from behind the wall grew louder. We refused to let their actions distract us from our religious experience. I recall thinking that if my singing was offensive to this holy site, they must realize that their name calling and violent anger was, too. This loud protest continued, as we went from the Western Wall around to Robinson’s Arch, where women can read the Torah legally. I had never had part of my identity challenged like this before; never been told that I couldn’t practice religion in the way I deem fit; never been told that I am not allowed to participate solely because I am a woman.
Throughout the hearings, there was a lot of talk about “judicial activism.” Last year, during Justice Sotomayor’s hearings, Sen. Franken (D-MN) said this on the subject: “As I see it, there is kind of an impoverishment of our political discourse when it comes to the judiciary … Judicial activism has become a code word for judges you don’t agree with.” During General Kagan’s hearings, several senators made similar points. On Wednesday, Sen. Graham (R-SC) perceptively explained, “it seems to be an activist judge is somebody that rules the way we don’t like.”
My first “stop” was the confirmation hearing of Solicitor General Elena Kagan, to serve as Associate Justice on the US Supreme Court. Watching General Kagan on the “witness stand” taking command of the hearings was inspiring and instructive. She demonstrated fluid knowledge of the law as well as uncompromising devotion to the ideals of access to the courts and equal justice for all. I was reminded of my law school days, and the awe-inspiring experience of sitting before an exceptional legal scholar who not only understands and reveres the rule of law, but also then expresses legal understanding with exquisite clarity and poetic passion. If confirmed, I look forward to reading future Justice Kagan’s wise opinions.
Unlike the US, in Israel gays serve openly in the military. Same sex partners married abroad are not only recognized as married, they also have most of the same rights as heterosexual couples.