Starting in the 1970s, small groups of feminist activists met regularly to study anatomy, practice pelvic exams on each other, and learn how to safely perform a procedure known as menstrual extraction, which can end a pregnancy, using equipment easily bought and assembled at home. This 'self-help' movement grew into a robust national and international collaboration of activists determined to ensure access to reproductive healthcare, including abortion, at all costs - to the point of learning how to do the necessary steps themselves. Even after abortion was legalized in 1973 with Roe v. Wade, activists continued meeting, studying, and teaching these skills, reshaping their strategies alongside decades of changing legal, medical, and cultural landscapes such as the legislative war against abortion rights, the AIDS epidemic, and the rise of anti-abortion domestic terrorism in the 1980s and 1990s. From the self-help movement sprang a constellation of licensed feminist clinics, community p