Should I decline disclosing the date of my last menstrual period (LMP) when I see my gynecologist next?
Deciding whether to disclose the date of your last menstrual period (LMP) to your gynecologist depends on your location, the potential risks under restrictive abortion laws, and the broader legal climate, especially with the possibility of a Trump administration. Here's what you should consider:
Why LMP Disclosure is Asked
Medical Relevance: LMP helps your provider assess your health, screen for pregnancy, or guide treatment decisions.
Diagnostic Utility: It informs decisions about testing, imaging, and interventions, especially if pregnancy is a possibility.
Risks in a Changing Legal Landscape
Under restrictive abortion laws, medical records—including LMP—could be used as evidence if an abortion is suspected. With the potential return of a Trump presidency we’re likely to see:
Federal Restrictions: A national abortion ban or heightened scrutiny could increase risks of prosecution.
Surveillance Expansion: Conservative states may collaborate more closely with federal authorities.
Data Privacy Concerns: Providers and insurers may face subpoenas for medical records in criminal investigations related to abortion or self-managed care.
Balancing Disclosure and Privacy
Limit Detail: If you feel unsafe, it is within your right to provide general answers such as “I have irregular periods” or “my last menses was a few weeks ago.” Most providers can still deliver appropriate care without an exact date.
Ask Questions: Before disclosing sensitive information, ask how your data will be stored and whether your provider can shield it from legal scrutiny.
Know Your Rights: Federal privacy laws like HIPAA offer some protection, but these laws are not absolute and may be overruled by court orders.
When to Share Fully
If you are in a state with strong abortion protections, it is generally safe to disclose your LMP. Sharing accurate information can ensure comprehensive care.
Bottom Line:
If you live in a state with restrictive abortion laws or fear federal-level changes under a Trump administration, it may be wise to limit disclosure of your LMP to reduce risks. Balance privacy concerns with the need for effective medical care, and seek guidance from advocacy organizations like If/When/How or the Repro Legal Helpline to navigate your specific situation if needed.
