HAGATNA, Guam (AP) — Guam residents seeking abortions must travel beyond the island due to a lack of providers, officials said.

Abortions are legal on Guam, but no doctors there have offered the procedure since the last abortion provider retired last year, The Pacific Daily News reported Monday.

There have not been any reported abortions in the U.S. territory since May 2018, according to the Guam Office of Vital Statistics.

Guam law allows abortions within 13 weeks by a licensed provider.

Anyone who terminates a pregnancy — including a pregnant woman — without the assistance of a doctor can be charged with a third-degree felony.

The lack of choice for women on Guam is “very concerning,” said Jayne Flores, director of the Bureau of Women’s Affairs.

“Abortion is not a good thing, but sometimes it is a necessity,” Flores said.

A recent court case involved a man charged with raping and impregnating an 11-year-old girl, who “will have to go through with her pregnancy because there’s no one on island that will help her,” Flores said.

Doctors on Guam can legally refuse to perform abortions, unless there is a medical emergency.

“The bottom line is that a woman has to be in charge of her own body,” Flores said.