Shigesato M, et al. - A telephone-based secret shopper study is conducted to evaluate the availability of ulipristal acetate (UPA) in a sample of large cities nationwide. Despite evidence for the increased effectiveness of UPA over levonorgestrel (LNG) ECPs, the availability of UPA in a sample of US major cities is extremely limited. Given that ECPs ought to be taken as soon as possible after unprotected sex, the long wait times when ordering UPA present an access barrier. Efforts to improve the availability of UPA are vital to optimize the potential of ECPs to reduce unintended pregnancy following unprotected sex.