A 17-year-old, Meredith, arrived for a birth control injection, which she gets every three months. But under the new regulations, the clinic could no longer use its stockpile of contraceptives in the supply closet, so instead it gave her a prescription for the pill, which she could fill at a pharmacy at her expense. Thus a West Virginia teenager had to change her birth control method to the pill because of the whims of a septuagenarian male president in Washington.

The Trump regulations limit Title X, a landmark federal program meant to support women’s health for low-income Americans . The regulations bar Title X money from going to clinics that refer women to places to get abortions.

This Planned Parenthood clinic, the only one in West Virginia, does not perform abortions but does provide referrals. So it determined that it can no longer use Title X money or provide contraceptives that had been bought with Title X money — and that’s why the 20-year-old couldn’t get a free chlamydia test, and why Meredith couldn’t get her injection.

“This helps so many women,” Meredith told me, speaking of Title X. “I’m a 17-year-old with a job that doesn’t pay well, and I can’t worry about bringing a child into this world.”

A Pap test to check for cervical cancer previously was free for low-income patients at the clinic; after the Trump regulations, it’s $264. A clinical breast exam went from zero to $160. A contraceptive arm implant or I.U.D. soared from zero to more than $1,000 in some cases.