“This ad represents right-wing scare tactics at the most deplorable and sexist level and Republican leaders in the House and Senate should immediately repudiate these tactics and those who stoop to use them,” Murray said Friday. “Not doing so would represent a tacit endorsement of continued lies that are expressly aimed at intimidating women in their most private moments.”

Generation Opportunity, a conservative group funded by the Koch brothers, paid for the ad, titled “The Exam — Creepy Uncle Sam,” which is part of their “Opt-Out” campaign. The ad shows a young woman going to a doctor for her annual physical exam. She tells the doctor she is enrolled in an ObamaCare health exchange and the doctor is replaced by “Creepy Uncle Sam” holding forceps.

“This ad shows the utter disregard the right-wing continues to have for women, their privacy, and their ability to make decisions about their own bodies,” Murray said. “You would think that over the past few years, as conservatives have continually tried to unsuccessfully redefine rape and block VAWA protections for millions of at-risk women, that they would have learned. However, this ad is a reminder that Republicans are ready and willing to employ any means necessary to lie and frighten young women, all for political gain.”

Some conservative Republican Senate candidates got in trouble during the last election cycle for saying abortions should be banned even in the case of rape and incest.

The “Opt-Out” ad also sparked criticism from liberal pro-abortion rights organizations.

“It is hard to tell if this is real or if it’s a ‘Saturday Night Live’ parody about the hypocrisy of extremists who want to be in every exam room in America but don’t want to expand access to quality health care,” said Eric Ferrero of Planned Parenthood.

Elise Viebeck contributed to this article.