It's been my experience that most American doctors, particularly obstetrician-gynecologists, are still very open to discussion about sex and sexuality and to prescribing birth control. The ones who have very strong anti-birth control feelings in U.S. medical programs are quickly weeded out of ob-gyn residency programs and encouraged to go into other specialities. That's the day-to-day work of ob-gyns. What's much harder for people to find in the U.S. are mainstream physicians who still provide abortion services (they've been targeted by the religious right all over the country and fewer and fewer offer that service every week). And nearly every week there's an instance of U.S. pharmacists who refuse to fill certain prescriptions, usually for the morning-after pill but sometimes also for regular birth control.

There is an appallingly judgmental attitude toward frank discussion about sex and sexuality here in the U.S., but I've been pleased to find that obstetrician-gynecologists are still some of the most open-minded about that subject. Probably because they deal with sex and its consequences, whether they be pregnancy or disease, every single day.