In this report, the Guttmacher Institute examines new data collected from cisgender women in the United States on how they feel that the COVID-19 pandemic has influenced their sexual reproductive health. It also examines women’s reports of pandemic-related economic challenges and how these challenges intersect with their sexual and reproductive experiences. Across these analyses,particular attention is given to longstanding social and economic inequities experienced by women based on their race, ethnicity, sexual orientation or income level. To understand the scope and magnitude of these initial impacts of the COVID 19 crisis, the Guttmacher Institute compare them directly with the sexual reproductive health challenges observed as part of the social and economic instability following the 2008 Great Recession.