Japan approves first abortion pill
Japan’s first abortion pill won approval in 2023, and clinical trials there showed 93% of participants had a complete abortion within 24 hours using the two-pill combination. Until that vote, Japan had been one of the last developed nations offering only surgical options, including a method the World Health Organization calls obsolete. The ministry took the unusual step of opening a public comment period before deciding, drawing strong responses from doctors and advocates who had pushed for years. The approval is historic, though spousal consent requirements still shape who can actually access care. As reproductive rights contract in some countries and expand in others, Japan’s shift is a reminder that progress is uneven, hard-won, and worth celebrating wherever it lands.









