English: I very warmly welcome your commitment to allow misoprostol to be administered at home. That's excellent news. I just wondered if you could elaborate on what work your officials will need to do and the timescale for doing it, as we're not talking about revising the Abortion Act, we're talking about extending the location of where a medical abortion can be administered, namely at home. As this has already been done successfully in Scotland and is already available to women who have an incomplete miscarriage here in Wales, it doesn't feel like a very complicated process, but I agree that it requires political commitment, and I thank you for that. It's excellent to see that teenage pregnancies have halved, but there were still over 1,000 in 2016, and it does obviously beg the question about the quality of the sex and relationship education that is available in schools, which, obviously, your report indicates is not part of the review, but it's clearly an issue we need to take up with the Secretary for education, as it's vital that young women and young men understand when they're making informed decisions about relationships and where they can get contraception if they need it. I can see that that's a particular problem in a rural area, if a young person doesn't drive or hasn't got a car - very difficult to access the correct services. I represent a very young constituency. I've got three universities in Cardiff Central, so I have, I think, the constituency with the largest number of students across the UK. I'm particularly concerned, and have already raised with the chair of the health board, about GP practices who're very keen to recruit students as their patients, but aren't necessarily providing the services that patients will need. It is obvious that young people arriving at university are going to need sexual health services, and they include rapid access to a clinic for sexually transmitted diseases, because things like chlamydia can obviously cause infertility if not treated. So, I'm a bit confused by recommendation 5, as to why it wouldn't be standard in a practice that has a large number of young people in it, which are the ones where there is an accumulation of young people, why they wouldn't, as standard, have those sorts of clinics available. Because I have had students telling me about real difficulty getting the medical advice they need, because they know they've got a sexually transmitted disease, and so delay in getting the right treatment, obviously, can make it worse in the meantime. In terms of access to pregnancy advice, if somebody falls pregnant, (a) do all pharmacies make the morning-after pill available? Because obviously people do make mistakes and realise very quickly that they might have got themselves pregnant by mistake. But I also want to understand why it's necessary to go via your GP if you think you want to argue the case for an abortion. Why is it not possible to go straight to the pregnancy advice and termination service? That is something that I also raised with the health board. One of the issues that is quite concerning is the point that was flagged up in the report about the all-Wales data collection of sexual health diseases, because it seems to me essential that we have this information. Otherwise, how else can public health respond to an outbreak of chlamydia or gonorrhoea unless they've got accurate information about who is being treated for these diseases? And in terms of the really very welcome information that no new cases of HIV have been found in people who have been given PrEP, I wonder, then, what justification there is with continuing with a national trial rather than making PrEP available to anyone who is at risk of HIV. If it really is that good, why are we still doing a trial?
Welsh: Rwy'n croesawu'n fawr iawn eich ymrwymiad i ganiatáu rhoi misoprostol yn y cartref. Mae hynny'n newyddion rhagorol. Tybed a allech chi ymhelaethu ynglŷn â pha waith y bydd angen i'ch swyddogion ei wneud a'r amserlen ar gyfer ei gyflawni, oherwydd nid ydym yn sôn am adolygu'r Ddeddf Erthylu, rydym yn sôn am gynyddu'r lleoliadau lle gellir rhoi erthyliad meddygol, sef yn y cartref. Gan fod hyn eisoes wedi'i wneud yn llwyddiannus yn yr Alban a'i fod eisoes ar gael i fenywod sy'n cael camesgoriad anghyflawn yma yng Nghymru, nid yw'n teimlo'n broses gymhleth iawn, ond rwy'n cytuno bod angen ymrwymiad gwleidyddol ar gyfer hynny, ac rwy'n diolch ichi am hynny. Mae'n wych gweld bod nifer yr achosion o feichiogrwydd ymysg pobl ifanc yn eu harddegau wedi haneru, ond roedd dros 1,000 o hyd yn 2016, ac mae'n amlwg yn codi'r cwestiwn ynghylch ansawdd yr addysg rhyw a pherthynas sydd ar gael mewn ysgolion, rhywbeth, yn amlwg, y mae eich adroddiad yn nodi nad yw'n rhan o'r adolygiad, ond mae'n amlwg yn fater y mae angen inni ei drafod gyda'r Ysgrifennydd addysg, oherwydd mae'n hanfodol bod dynion ifanc a menywod ifanc yn deall pryd y maent yn gwneud penderfyniadau gwybodus am berthynas ac o ble y gallant gael dulliau atal cenhedlu pan fo angen. Gallaf weld bod hynny'n broblem benodol mewn ardal wledig, os nad yw person ifanc yn gyrru neu os nad oes ganddo gar - byddai'n anodd iawn cael mynediad at y gwasanaethau cywir. Rwy'n cynrychioli etholaeth ifanc iawn ei phoblogaeth. Mae gen i dair prifysgol yng Nghanol Caerdydd, felly mae gennyf, rwy'n meddwl, yr etholaeth sydd â'r nifer mwyaf o fyfyrwyr ledled y DU. Rwy'n arbennig o bryderus, ac rwyf eisoes wedi sôn am hyn wrth gadeirydd y bwrdd iechyd, am feddygfeydd teulu sy'n awyddus iawn i recriwtio myfyrwyr yn gleifion iddynt, ond nad ydynt o reidrwydd yn darparu'r gwasanaethau y bydd eu hangen ar gleifion. Mae'n amlwg y bydd angen gwasanaethau iechyd rhywiol ar bobl ifanc sy'n cyrraedd prifysgol, ac mae hyn yn cynnwys mynediad cyflym i glinig ar gyfer clefydau a drosglwyddir yn rhywiol, oherwydd gall pethau fel clamydia yn amlwg achosi anffrwythlondeb os na chaiff ei drin. Felly, mae argymhelliad 5 yn fy nrysu, o ran pam na fyddai'n safonol mewn meddygfa â llawer o bobl ifanc ynddi, sef y rhai lle ceir croniad o bobl ifanc, pam na fyddent yn darparu'r mathau hynny o glinigau yn safonol. Oherwydd mae myfyrwyr wedi sôn wrthyf am anhawster gwirioneddol i gael y cyngor meddygol sydd ei angen arnynt, am eu bod yn gwybod bod ganddynt glefyd a drosglwyddir yn rhywiol, ac felly mae oedi cyn cael y driniaeth gywir, yn amlwg, yn gallu ei wneud yn waeth yn y cyfamser. O ran cael cyngor am feichiogrwydd, os aiff rhywun yn feichiog, (a) a yw'r bilsen drannoeth ar gael ym mhob fferyllfa? Oherwydd yn amlwg bod pobl yn gwneud camgymeriadau ac yn sylweddoli'n gyflym iawn eu bod efallai wedi mynd yn feichiog drwy gamgymeriad. Ond hefyd, hoffwn ddeall pam mae angen mynd at eich meddyg teulu os ydych chi'n meddwl bod arnoch chi eisiau pledio'ch achos dros gael erthyliad. Pam nad oes modd mynd yn syth at y gwasanaeth cyngor a therfynu beichiogrwydd? Mae hynny'n rhywbeth arall a godais gyda'r Bwrdd Iechyd. Un o'r materion sy'n peri pryder yw'r sylw y cyfeiriwyd ato yn yr adroddiad ynglŷn â chasglu data am glefydau iechyd rhywiol ar sail Cymru gyfan, oherwydd mae'n ymddangos i mi ei bod yn hanfodol bod yr wybodaeth hon gennym. Fel arall, sut arall y gall iechyd cyhoeddus ymateb i achosion o glamydia neu'r hadlif oni bai bod ganddynt wybodaeth gywir ynglŷn â phwy sy'n cael triniaeth am y clefydau hyn? Ac o ran yr wybodaeth sydd i'w chroesawu'n fawr iawn na chanfuwyd dim achosion newydd o HIV ymysg pobl sydd wedi cael PrEP, tybed, felly, pa gyfiawnhad sydd i barhau ag arbrawf cenedlaethol yn hytrach na darparu PrEP i unrhyw un sydd mewn perygl o HIV? Os yw wir cystal â hynny, pam yr ydym yn dal i gynnal arbrawf?