You can get a prescription for it from Planned Parenthood without anything more than answering a few questions (cite), and I know that they’re not particularly unique - in my entirely anecdotal experience, most anyone who doesn’t have a big financial interest in subjecting you to a pelvic exam will cheerily write you a prescription for it*. From this, I’m assuming that it’s figured to be fairly safe. Og knows it’s been around for long enough to make it clear that it doesn’t turn you into a troll after twenty years or what have you.
So why do you still need a prescription at all? It seems to me like the worst thing that could happen to the overwhelming majority of women would be nuisance effects (breakthrough bleeding, weight gain) rather than anything seriously threatening. Has it ever been seriously proposed by any parties to make it available OTC?
*Again, totally anecdotal, but I’ve gathered that this is very common in free student-health clinics, where a pelvic exam would be either extremely low-cost or free.